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HB 3328

ALZHEIMERS & DEMENTIA ASSESS

104th Regular Session Introduced by Dee Avelar and 25 co-sponsors

Requires validated dementia-specific assessments for admission and ongoing monitoring to ensure safe placement and higher care standards in Alzheimer's units.

Public Act . . . . . . . . . 104-0295
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Bill Summary · HB 3328

Summary — HB 3328 (Public Act 104‑0295): Alzheimer’s & Dementia Assessments

Status: Enacted (Public Act 104‑0295). Introduced by Rep. Natalie A. Manley. Governor approved 8/15/2025. Effective date: January 1, 2026. Statute amended: Assisted Living and Shared Housing Act, 210 ILCS 9/150.

Purpose / Intent

To strengthen standards for assisted living and shared‑housing programs that provide specialized care for people with Alzheimer’s disease and related dementias by (1) requiring validated, expert‑recommended cognitive assessment tools for admission and monitoring, and (2) clarifying program, staffing, training, disclosure, safety, and care requirements for special Alzheimer/dementia units.

Key provisions

  • Adds/clarifies requirements in Section 150 of the Assisted Living and Shared Housing Act (Alzheimer and dementia programs).
  • Standardized assessment:
    • Requires individual residents be assessed prior to admission using assessment tools “approved or recommended by recognized Alzheimer’s and dementia care experts.”
    • Tools must be validated to accurately identify and evaluate cognitive impairments and must be reviewed/updated to reflect best clinical practices.
    • The Department (by rule) will identify a validated dementia‑specific standard with inter‑rater reliability to assess residents.
    • Assessments must be approved by the resident’s physician and occur prior to admission, annually, and whenever a condition change is identified by family, staff, or physician.
  • Admission/retention limits:
    • Prohibits admission/retention where the facility cannot provide or secure appropriate care, lacks licensure or services required by the resident, or lacks adequate staff.
    • Prohibits admission/retention when a person’s condition endangers self or others and the facility cannot mitigate risk through appropriate treatments.
    • References existing exclusion criteria under Section 75 (subsections (b)–(g)).
  • Special program/unit obligations (for providers offering Alzheimer/dementia care):
    • Disclose required information to the Department and prospective/actual residents per the Alzheimer’s Disease and Related Dementias Special Care Disclosure Act.
    • Ensure designation of a resident representative.
    • Develop policies addressing wandering, emergency evacuation supervision, communication coordination, cognitive stimulation activities, and emergency staffing procedures.
    • Maintain an appropriate number of staff (levels to be set by rule).
    • Require comprehensive, ongoing dementia and cognitive deficit training for administrators/direct care staff (content established by rule).

Who is affected

  • Assisted living and shared‑housing establishments that operate Alzheimer’s/dementia special programs or units.
  • Current and prospective residents with cognitive impairment and their families/representatives.
  • The Illinois Department (responsible for rulemaking and oversight).
  • Facilities may incur costs to adopt validated tools, implement training, adjust staffing/ emergency procedures, and comply with disclosure and assessment requirements.

Implementation / Procedural notes

  • The Department is tasked with rulemaking to identify the validated assessment standard, set staffing levels, and establish training content.
  • Assessment and training requirements become effective January 1, 2026, concurrent with the statute’s effective date.

Potential impacts include more consistent, evidence‑based admission decisions and monitoring of residents with dementia, improved safety and care planning, and increased compliance and operating costs for providers to meet new assessment, staffing, and training obligations.

Compiled from official sources — confirm details with the bill’s official record.

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