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SB 1678

MEDICAID-SLF-DEMENTIA CARE

104th Regular Session Introduced by Paul Faraci

Authorizes HFS to convert Medicaid-funded SLF non-dementia units to certified dementia care units, requiring operation within 1 year and adherence to dementia care standards.

Rule 3-9(a) / Re-referred to Assignments
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Bill Summary · SB 1678

SB 1678 — Medicaid: Supportive Living Facility (SLF) — Dementia Care (Summary)

Status note: materials provided contain mixed-source entries. The bill as described would amend the Illinois Public Aid Code (305 ILCS 5/5-5.01a). Check the official Illinois General Assembly site for the latest enacted text and final status.

Purpose

To enable and regulate the conversion of existing non‑dementia supportive living program (SLF) units into certified dementia care units under Medicaid oversight, expanding capacity for Medicaid‑funded dementia care in supportive living settings.

Key provisions

  • Amends Section 5‑5.01a of the Illinois Public Aid Code to authorize the Department of Healthcare and Family Services (HFS) to accept applications from supportive living program settings to convert non‑dementia care units into dementia care units.
  • Requires that any approved conversions become operational within 1 year of HFS approval.
  • Mandates that converted units meet certification criteria specific to dementia care as set out in the Illinois Administrative Code (i.e., physical, staffing, programming, and safety standards required for dementia care setting certification).
  • Leaves existing HFS oversight and Medicaid rate frameworks in place; conversions must comply with federal/state Medicaid rules and any applicable state certification processes.

Who is affected

  • Supportive living facility operators (may apply to convert units; must meet certification requirements and timelines).
  • Current and prospective residents, especially individuals with dementia who need specialized SLF services.
  • Department of Healthcare and Family Services — responsible for application review, certification oversight, and program compliance.
  • Medicaid program finances and payment operations to the extent conversions change service mix and utilization (impacts depend on number/scale of conversions).

Administrative / fiscal impact

  • The provided materials do not include a detailed fiscal analysis specific to this change. Fiscal effects are likely tied to:
    • Number of conversions approved.
    • Medicaid reimbursement differentials for dementia care versus non‑dementia SLF services.
    • Administrative workload for HFS to process applications and certify converted units.
  • Any change in Medicaid payments would be subject to existing rate rules and potential federal approval where required.

Procedural timeline (from provided materials)

  • Introduced: February 2025 (materials show Feb 5 and Feb 27 entries across versions).
  • Referred to relevant committees (e.g., Health & Human Services / HFS oversight).
  • Proposed effective/operational requirement: conversions must be operational within 1 year of approval.

Notes / Next steps

  • Operators considering conversions should review the pertinent Illinois Administrative Code certification standards and coordinate with HFS early.
  • Stakeholders (families, providers, local agencies) may wish to monitor HFS guidance and any rulemaking implementing the conversion procedures.
  • Verify final bill text and enactment status on the Illinois General Assembly website before taking action.

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

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