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HB 5458

MHDD CENTERS-READMISSIONS

104th Regular Session Introduced by Charlie Meier

Requires immediate readmission to state-operated developmental centers from CILAs upon resident or guardian consent when medical needs cannot be met in the CILA.

Rule 19(a) / Re-referred to Rules Committee
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Bill Summary · HB 5458

Summary of HB5458 (104th General Assembly, Illinois)

Title

MHDD CENTERS-READMISSIONS

Purpose and intent

HB5458 amends the Mental Health and Developmental Disabilities Administrative Act to require state-operated developmental centers to readmit former residents who had moved to licensed community-integrated living arrangements (CILAs), upon request, when certain conditions are met. The bill creates a clear statutory obligation for readmission to state-operated centers under specified circumstances, with the Readmission allowed notwithstanding any other law or rule to the contrary.

Key provisions

  • New authority? Yes. Adds a new Section 8.2 to the Mental Health and Developmental Disabilities Administrative Act.

  • Who is covered? Former residents of state-operated developmental centers that are:

    • Currently receiving services at a licensed community-integrated living arrangement (CILA).

  • Readmission trigger (when it happens): Readmission is required upon request by the former resident, provided:

    • The former resident consents to readmission, or
    • The former resident has a guardian with placement authority, and that guardian consents for readmission.

  • Basis for guardian consent: Guardian consent must be based on a determination that the former resident’s medical needs cannot be met by the program of services administered by the CILA.

  • Rule/authority override: The readmission requirement operates “notwithstanding any other law or rule to the contrary,” meaning it takes precedence over other statutory or regulatory provisions that might limit readmission decisions.

  • Effective date: Immediately upon becoming law.

Who would be affected

  • State-operated developmental centers that are funded, certified, or licensed by the Illinois Department of Human Services (IDHS).
  • Former residents who relocated to licensed community-integrated living arrangements (CILAs) and who meet the consent criteria (self-consent or guardian consent).

Procedural and timeline aspects

  • Legislative status: Introduced February 13, 2026; progressed through the 104th General Assembly with committee activity and readings in 2026.
  • Effective date: Immediate upon enactment (no delayed or phased-in start).
  • Governance/oversight: Correlates to the Mental Health and Developmental Disabilities Administrative Act, with Department of Human Services involvement for state-operated centers.

Potential impact (high-level)

  • Access to care: Creates a statutory obligation for readmission of former residents from CILAs back to state-operated developmental centers when needed and consented, potentially increasing the availability of higher-intensity or long-term services for individuals whose medical needs cannot be fully addressed by CILAs.
  • Consent dynamics: Places emphasis on patient consent or guardianship authority, ensuring that readmission is grounded in the resident’s or guardian’s determination of medical need adequacy in the CILA setting.
  • System balance: Could affect capacity planning, bed availability, and service mix in both state-operated centers and community-integrated living arrangements by formalizing readmission pathways.

Notes

  • The bill does not detail funding, bed capacity, or specific criteria for medical needs beyond the guardian’s determination, leaving implementation to applicable DHS regulations and custody/guardianship considerations.
  • As introduced, the act asserts an immediate effect upon passage.

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

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