Bill
HB 2898
The bill raises CILA site modification reimbursements to $10k (short leases), $15k (new construction), or $30k (owned/long-term lease), with emergency rulemaking.
Status & source
- Bill number: HB 2898 (Illinois, LRB10410115KTG20187b).
- Sponsor: Rep. Suzanne M. Ness. Introduced in February 2025 (document shows Feb. 6 and Feb. 18 dates).
- Current procedural status in source document: Rule 19(a) / Re‑referred to Rules Committee (3/21/2025).
- Note: the supplied document includes unrelated or mixed content (an Arizona HB 2898 and an extensive legislative action log not clearly tied to the Illinois bill). This summary addresses the Illinois MHDD bill text as introduced.
Purpose and intent
- To raise the maximum reimbursement amounts available for site modifications to Community Integrated Living Arrangement (CILA) residences that serve adults with intellectual and developmental disabilities (IDD) under the Home and Community‑Based Services (HCBS) Waiver Program. The intent is to make larger home/structure modifications feasible and to incentivize ownership or long‑term leasing arrangements that support stable residential settings.
Key provisions
- Amends the Mental Health and Developmental Disabilities Administrative Act (20 ILCS 1705/74) to establish new CILA site modification reimbursement maximums effective July 1, 2025 (subject to federal approval if required):
- $10,000 maximum for rented locations with a lease of less than 5 years.
- $15,000 maximum for new construction.
- $30,000 maximum for existing structures that are owned by the CILA recipient or CILA agency, or for locations with a long‑term lease of 5 years or more that includes a renewal at the end of the lease.
- Adds Section 5-45.65 to the Illinois Administrative Procedure Act (5 ILCS 100/) to authorize the Department of Human Services (DHS) to adopt emergency rules to implement these increases quickly. That emergency rulemaking authorization is deemed necessary for public interest, safety, and welfare and is repealed one year after the amendatory act’s effective date.
- Requires DHS to adopt implementing rules (including emergency rules authorized under the Illinois Administrative Procedure Act).
Who is affected
- Primary: adults with intellectual and developmental disabilities who receive CILA residential services under the HCBS Waiver Program, and the CILA providers/agencies that serve them.
- Secondary: CILA property owners and landlords; Department of Human Services (rulemaking and administration); state and potentially federal Medicaid (CMS) for waiver amendments/approval. Residents who own or whose provider owns housing are positioned to access the highest reimbursement cap.
Fiscal and procedural implications
- Implementation date for reimbursement maximums: July 1, 2025, but implementation is contingent on any required federal approval (e.g., HCBS waiver amendments).
- The bill authorizes emergency administrative rulemaking so DHS can adopt rules quickly; the emergency rule authority specific to this change expires one year after the act’s effective date.
- The text does not include a fiscal note or explicit appropriation. Increasing reimbursement caps is likely to increase program expenditures (state and/or federal share) depending on utilization and whether federal Medicaid authorization is required and granted.
Effective date
- The bill states it is effective immediately; specific reimbursement caps apply beginning July 1, 2025 (subject to federal approval as noted).
Limitations / notes
- No dollar estimates or appropriation amounts are provided in the bill text. Actual fiscal impact depends on DHS rulemaking, utilization of the higher caps, and any federal Medicaid approval process.
- The source document contains extraneous material (an Arizona appropriation bill and a separate legislative action log). Users should consult the official Illinois General Assembly bill page or DHS for final text, fiscal notes, and updated status.
Compiled from official sources — confirm details with the bill’s official record.
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