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Bill

HB 1108

DHFS-LIVE-IN CAREGIVER WAIVER

104th Regular Session Introduced by Charlie Meier and 2 co-sponsors

Illinois bill creates DHFS waiver program allowing state support for live-in caregiver arrangements to enable home-based long-term care for eligible individuals.

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Bill Summary · HB 1108

Legislative bill overview

HB 1108 creates a waiver program under the Illinois Department of Human and Financial Services (DHFS) that would allow certain individuals to qualify for state-supported services while employing live-in caregivers. The bill appears designed to expand long-term care options by permitting in-home care arrangements that might otherwise be restricted under existing Medicaid or state program guidelines. The specific eligibility criteria and service parameters are not detailed in the available action history.

Why is this important

Live-in caregiver arrangements can provide more personalized, family-centered care alternatives to institutional settings and may reduce costs compared to facility-based care. For Illinois residents requiring long-term care support—particularly aging populations and individuals with disabilities—this waiver could expand access to care options that allow people to remain in their homes while receiving necessary assistance. The program's design will significantly impact state budgets, caregiver labor standards, and service quality for vulnerable populations.

Potential points of contention

  • Caregiver labor protections: Questions about wage standards, working hours, benefits, and labor law coverage for live-in caregivers employed under the waiver
  • Cost control and fiscal impact: Concerns about whether in-home care costs will be sustainable long-term or if they create budget obligations that exceed projections
  • Quality assurance and oversight: How the state will monitor care quality, prevent abuse, and ensure accountability without the built-in oversight of licensed facilities

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

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