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HB 3361

NURSING HOME-REQUIRED INFO

104th Regular Session Introduced by Kevin Olickal

HB 3361 moves from nursing-home staffing notices to a Life Care Facilities Act regime creating at-home continuing care (CCaH) rules, oversight, and subscriber protections.

House Committee Amendment No. 1 Rule 19(c) / Re-referred to Rules Committee
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Bill Summary · HB 3361

Summary — HB 3361 (104th General Assembly, 2025-2026)

Purpose / intent

HB 3361 was introduced to amend Illinois long-term care statutes. The bill’s original version made a narrow change to the Nursing Home Care Act regarding required public postings when a facility is out of compliance with minimum staffing ratios. A subsequent House Committee Amendment (House Amendment 001) substantially replaces the bill’s text and instead amends the Life Care Facilities Act to add definitions and to create a regulatory framework for “at‑home continuing care” (Continuing Care at Home / CCaH) programs. Both the original and amended texts remain relevant because the amendment is pending.

Key provisions — Introduced version (Nursing Home Care Act)

  • Amends Section 3-209 (Required posting of information).
  • Creates exemptions from the mandated staffing noncompliance notice:
    • Posting is not required if facility staffing is at least 90% of the minimum staffing requirement before the posting deadline; or
    • Posting is not required if the facility corrects the minimum staffing deficiency before the posting deadline.
  • Other existing posting requirements (license, complaint procedures, orders, ombudsman info, complaint office contacts, website link) remain in place.

Potential impact: reduces the circumstances that trigger public notice of minimum-staffing violations — could lessen the duration or frequency of conspicuous notices to residents, visitors, and the public.

Key provisions — House Committee Amendment No. 1 (Life Care Facilities Act / At‑Home Continuing Care)

  • Replaces the bill’s text with extensive changes to the Life Care Facilities Act (210 ILCS 40):
    • Adds or revises definitional sections (e.g., “provider,” “subscriber,” “at‑home continuing care,” “at‑home continuing care agreement,” “CCaH”).
    • Directs the Department of Public Health to adopt rules for at‑home continuing care programs, including:
    • Standards for providers and minimum qualifications for personnel who enter subscribers’ homes;
    • Certification and registration procedures, including renewal;
    • Background check requirements for staff with routine access to subscribers;
    • Standards for advertising and promotional materials (no deceptive materials);
    • Requirements for financial plans, actuarial forecasts, and thresholds (number of executed agreements) needed to begin operation;
    • Procedures for rescission, termination, and discharge, and subscriber protections.
    • The amendment text included is lengthy but truncated in the provided materials; it appears to create a regulatory and consumer protection framework for continuing-care providers delivering services to persons in their own homes.

Potential impact: extends regulatory oversight and consumer protections to life‑care providers offering at‑home continuing care, affecting providers, prospective and current subscribers, and the Department of Public Health’s rulemaking and enforcement responsibilities.

Who is affected

  • Introduced version: nursing home facilities, residents, families, visitors, and state inspectors/Department of Public Health.
  • Amendment version: continuing care retirement communities, life‑care providers (both campus-based and at‑home programs), subscribers (individuals contracted for at‑home continuing care), staff and contractors who enter subscribers’ homes, and the Department of Public Health.

Procedural status / timeline

  • Filed: February 2025 (filed by Rep. Kevin John Olickal; dates in record: Feb 18 and Feb 26, 2025).
  • First reading: Feb 18, 2025.
  • Assigned to Human Services Committee: Mar 11, 2025.
  • House Committee Amendment No. 1 filed: Mar 17, 2025 (substitutes Life Care Facilities Act content).
  • Read first time / re-referred: Mar 21, 2025. Currently shown as House Committee Amendment No. 1 Rule 19(c) / Re-referred to Rules Committee.
  • The amendment substantially changes the bill’s subject matter; final content may change as it proceeds through committee and Rules.

Note: The amendment text provided in materials is truncated; readers should consult the full bill and amendment text on the General Assembly website or the Clerk’s office for complete language and any later revisions.

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

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