ASSIST LIVING INCIDENT REPORT

104th Regular Session Introduced by Amy Elik

Assisted living and shared housing establishments must report to IDPH any incident causing significant resident harm or hospital-admission, directly linked to the incident.

Referred to Rules Committee

Overview

HB 3414, titled “ASSIST LIVING INCIDENT REPORT,” proposes adding a new reporting requirement to the Assisted Living and Shared Housing Establishments Act. The bill was introduced on February 18, 2025 by Rep. Amy Elik and is currently referred to the Rules Committee (with subsequent actions showing moves to Insurance for consideration). The primary sponsor is Rep. Amy Elik.

Purpose and intent

The bill aims to enhance oversight of incidents within assisted living and shared housing establishments by mandating reporting of certain serious events to the Illinois Department of Public Health (IDPH).

It focuses on events that cause significant physical harm or injury to a resident or require immediate medical attention (including hospital admission) that occur as a direct result of an incident or accident.

The bill would exclude changes in a resident’s condition that arise from health or medical decline from being reportable.

Key provisions

New law addition: 210 ILCS 9/92 (new) titled “Incident and accident reporting.”

Requirement: An assisted living or shared housing establishment must report to the IDPH any incident or accident that results in:

Significant physical harm or injury to a resident, or
A situation where a resident requires immediate medical attention, including admission to the hospital,
And such outcomes must be a direct result of the incident or accident.

Exclusion: A change in a resident’s condition due to health or medical decline is not considered a reportable incident or accident.

Who is affected

Affected entities: Assisted living and shared housing establishments operating under the state act.

Individuals: Residents of these establishments (the events involve injuries or hospital-admission scenarios).

Government agency: Illinois Department of Public Health (IDPH), which would receive incident reports.

Procedural and timeline aspects

Introduced: February 18, 2025 (HB 3414 introduced by Rep. Amy Elik).

Initial actions: Filed February 26, 2025; First Reading on February 18, 2025; Referred to Rules Committee.

Subsequent actions: Read first time on March 21, 2025; Referred to Insurance on March 21, 2025 (per legislative actions listed).

Sponsors: Primary sponsor is Rep. Amy Elik; no co-sponsorships listed in the provided material.

Potential impact and considerations

Regulatory impact: Establishments would face a new reporting obligation to IDPH for serious resident incidents, potentially increasing oversight and data collection.

Safety and accountability: Could improve tracking of adverse events and inform policy and practice improvements in assisted living settings.

Administrative burden: Facilities may need to implement or update reporting processes to ensure timely and accurate notifications to the IDPH.

Next steps: The bill would progress through committee deliberations, potential amendments, and floor votes before any enactment.

If you’d like, I can expand any section with anticipated forms, reporting timelines, or potential data fields IDPH might require, once those details are published in bill amendments or fiscal notes.

Bill