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HB 4324

CILA PER DIEM REIMBURSEMENT

104th Regular Session Introduced by Lindsey LaPointe and 2 co-sponsors

HB 4324 adjusts per diem reimbursement rates for Illinois disability residential facilities to improve service provider sustainability and care quality.

Added Co-Sponsor Rep. Lindsey LaPointe
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WeVote Research Nonpartisan
Bill Summary · HB 4324

Legislative bill overview

HB 4324 addresses per diem reimbursement rates for Community Integrated Living Arrangements (CILAs) in Illinois. CILAs are residential facilities that provide support to individuals with developmental disabilities. The bill likely proposes adjustments to the daily reimbursement amounts that facilities receive for operating costs and providing services.

Why is this important

Per diem rates directly affect the financial viability of disability service providers and the quality of care available to residents. Inadequate reimbursement rates can lead to staff shortages, reduced services, or facility closures, while appropriate rates ensure sustainable operations and competitive wages for caregivers in an industry facing chronic workforce challenges.

Potential points of contention

  • Cost to the state budget: Increased per diem rates require additional appropriations from Illinois' already strained budget, raising questions about funding sources and competing priorities
  • Rate-setting methodology: Disagreement over what constitutes appropriate reimbursement levels—whether based on actual costs, market rates, or historical precedent
  • Equity across providers: Concerns about whether rate adjustments benefit all facilities equally or create disparities between urban and rural providers, large and small operations

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

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