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Bill

SB 1469

Campaign finance; campaign contribution limits, civil penalty.

2025 Regular Session Introduced by Creigh Deeds

Gives dementia-care residents in-room access to sink, microwave and fridge, boosting independence and daily life.

Failed to pass
0
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Bill Summary · SB 1469

SB 1469 — DHFS: Supportive Living Dementia Care Setting (Summary)

Status: Enacted as Act 118 (05/29/2025)
Introduced: Jan. 31, 2025 (Sen. Robert Peters) — received by Secretary of the Senate Feb. 20, 2025.
Primary legal target: Amendment to the Medical Assistance Article of the Illinois Public Aid Code (305 ILCS 5/5‑5.01a).

Main purpose

To strengthen resident-centered standards for supportive living dementia care settings by (1) protecting resident access to in‑room kitchen fixtures and appliances, (2) requiring daily social/recreational programming separate from mealtimes, and (3) establishing minimum unit size and common‑area requirements for newly constructed dementia care supportive living units. The changes are intended to promote resident independence, dignity, and quality of life.

Key provisions (what the law changes)

  • Resident access to in‑room sink/microwave/refrigerator

    • Beginning January 1, 2026, supportive living dementia care settings shall not limit a resident’s access to the sink, microwave, and refrigerator located within that resident’s room.
  • Social and recreational programming

    • Social and recreational programming must be provided at least daily, and must occur at a time and location separate from meal service.
  • New construction unit size & in‑unit equipment (effective Jan. 1, 2026)

    • Minimum apartment sizes for newly constructed supportive living dementia care settings:
    • Single‑occupancy apartment: at least 300 square feet.
    • Double‑occupancy apartment: at least 450 square feet.
    • Square‑footage calculation may include closets and the bathroom.
    • Each apartment must include an in‑unit sink, microwave, and refrigerator.
  • Common area requirement (new construction)

    • Newly constructed supportive living dementia care settings must provide a common area that is completely separate from the dining area.
  • Administration and rulemaking

    • The Department (the Department administering the supportive living facilities program under the Public Aid Code) retains authority to adopt rules and standards and to oversee program participation. The amendments integrate into existing program certification/participation framework.

Who is affected

  • Residents of supportive living dementia care settings (increased in‑unit access and programming protections).
  • Operators, developers, and owners of supportive living dementia care facilities — especially for newly constructed units (must meet minimum unit sizes, in‑unit equipment, and separate common area requirements).
  • The Department responsible for oversight and certification (charged with enforcing and potentially adopting implementing rules).

Implementation timeline & procedural notes

  • Many resident access and new construction requirements take effect January 1, 2026.
  • The bill amends 305 ILCS 5/5‑5.01a and will be implemented consistent with the Department’s rulemaking authority and any applicable federal Medicaid approvals where relevant.
  • Passed through the legislature and enrolled; recorded as Act 118 on May 29, 2025.

Potential impacts and considerations

  • Resident autonomy & quality of life: in‑unit access to food‑preparation/refrigeration and daily separate programming may improve independence and engagement for people with dementia.
  • Operational and capital cost implications: facility developers/operators may incur added construction costs to meet minimum unit sizes and separate common areas; retrofit implications for existing facilities differ from new construction (square‑footage and common area requirements apply to newly constructed settings).
  • Safety and policy balancing: facilities will need to manage safety risks associated with resident access to appliances (assessment, supervision, or adaptive equipment may be required) while complying with the prohibition on limiting access.
  • Medicaid/funding: changes interact with the existing supportive living program structure and oversight; the Department may need to clarify implementation, safety protocols, and any funding or certification implications through administrative rules.

If you’d like, I can draft a one‑page compliance checklist for facility operators (covering construction, programming, and operational steps) or extract the exact statutory text changes for citation.

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

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