Bill
HB 3675
HB 3675 requires the Illinois Department of Public Health to adopt rules for intermediate care facilities that are separate from skilled nursing facility rules by Dec 31, 2026.
Status and key dates
- Introduced in the Illinois House by Rep. Maura Hirschauer (first reading 2/18/2025).
- Passed the House on May 12, 2025. Received in the Senate and read first time May 13, 2025; referred to the Business & Commerce Committee. (Earlier procedural notation indicates Rule 19(a) / re‑referral to Rules Committee on 3/21/2025.)
- Companion bill: SB 589.
Purpose / intent
- HB 3675 requires the Illinois Department of Public Health (DPH) to adopt, by statute deadline, a separate set of administrative rules for intermediate care facilities (ICFs). Those rules must be “separate and distinct” from the rules that apply to skilled nursing facilities (SNFs). The bill adds Section 3‑801.3 to the Nursing Home Care Act (210 ILCS 45).
What the bill would do (key provision)
- Adds 210 ILCS 45/3‑801.3 (new): mandates that by December 31, 2026, the Department of Public Health shall adopt rules for intermediate care facilities that are separate and distinct from rules adopted for skilled nursing facilities.
- No additional substantive rule language is included in the bill; instead it imposes a statutory deadline and direction for DPH rulemaking.
Who would be affected
- Intermediate care facilities (ICFs): would be subject to newly promulgated, tailored DPH rules rather than the same rules used for skilled nursing facilities.
- Skilled nursing facilities (SNFs): rules for SNFs would remain separate, potentially reducing regulatory overlap or confusion.
- Residents and families of ICFs and SNFs: may see regulatory changes affecting standards of care, staffing, licensing, physical plant, or administrative requirements depending on the rules DPH adopts.
- Department of Public Health: required to undertake rulemaking and to develop and finalize a distinct regulatory framework by the deadline.
- Providers/industry and advocacy groups: likely stakeholders in the rulemaking process (public comment, hearings).
Procedural/timeline considerations
- Statutory deadline for DPH rule adoption: December 31, 2026.
- The bill itself does not specify the content of the rules; DPH rulemaking will follow administrative rule procedures (notice, public comment, potential hearings) and could result in substantive changes to licensing, operational, staffing and safety standards for ICFs.
Potential impacts (general)
- Aims to create regulatory clarity by recognizing differences between ICFs and SNFs and allowing rules tailored to each facility type.
- May impose administrative and compliance costs on facilities that must adjust to a new regulatory regime; may also require DPH resource allocation to complete rulemaking.
- Outcomes for residents depend on the substantive content of the new rules DPH adopts.
For more detail
- Statutory change: adds Section 3‑801.3 to the Nursing Home Care Act (210 ILCS 45).
- Track companion bill SB 589 for parallel action in the Senate.
Compiled from official sources — confirm details with the bill’s official record.
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