Sponsored byYolonda Morris+6 co-sponsors
Last updated Jul 31, 2026 · IL · Source: LegiScan ↗
HB5471 amends the Community-Integrated Living Arrangements Licensure and Certification Act. It extends agency license validity from 2 to 3 years, requires annual certification that legislatively mandated wage increases are passed through to workers, strengthens Department oversight and review triggers for complaints or serious incidents, and makes minor adjustments to licensing, inspection, and enforcement procedures for agencies serving people with developmental disabilities.
HB5471 Enrolled LRB104 19575 BAB 33023 b 1 AN ACT concerning regulation. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 5. The Community-Integrated Living Arrangements 5 Licensure and Certification Act is amended by changing Section 6 4 as follows: 7 (210 ILCS 135/4) (from Ch. 91 1/2, par. 1704) 8 Sec. 4. (a) Any community developmental services agency 9 who wishes to develop and support a variety of 10 community-integrated living arrangements may do so pursuant to 11 a license issued by the Department under this Act. However, 12 programs established under or otherwise subject to the Child 13 Care Act of 1969, the Nursing Home Care Act, the Specialized 14 Mental Health Rehabilitation Act of 2013, the ID/DD Community 15 Care Act, or the MC/DD Act, as now or hereafter amended, shall 16 remain subject thereto, and this Act shall not be construed to 17 limit the application of those Acts. 18 (b) The system of licensure established under this Act 19 shall be for the purposes of: 20 (1) ensuring that all recipients residing in 21 community-integrated living arrangements are receiving 22 appropriate community-based services, including 23 treatment, training and habilitation or rehabilitation; HB5471 Enrolled - 2 - LRB104 19575 BAB 33023 b 1 (2) ensuring that recipients' rights are protected and 2 that all programs provided to and placements arranged for 3 recipients comply with this Act, the Mental Health and 4 Developmental Disabilities Code, and applicable Department 5 rules and regulations; 6 (3) maintaining the integrity of communities by 7 requiring regular monitoring and inspection of placements 8 and other services provided in community-integrated living 9 arrangements. 10 The licensure system shall be administered by a quality 11 assurance unit within the Department which shall be 12 administratively independent of units responsible for funding 13 of agencies or community services. 14 (c) As a condition of being licensed by the Department as a 15 community developmental services agency under this Act, the 16 agency shall certify to the Department that: 17 (1) all recipients residing in community-integrated 18 living arrangements are receiving appropriate 19 community-based services, including treatment, training 20 and habilitation or rehabilitation; 21 (2) all programs provided to and placements arranged 22 for recipients are supervised by the agency; and 23 (3) all programs provided to and placements arranged 24 for recipients comply with this Act, the Mental Health and 25 Developmental Disabilities Code, and applicable Department 26 rules and regulations. HB5471 Enrolled - 3 - LRB104 19575 BAB 33023 b 1 (c-5) Each developmental services agency licensed under 2 this Act shall submit an annual report to the Department, as a 3 contractual requirement between the Department and the 4 developmental services agency, certifying that all 5 legislatively or administratively mandated wage increases to 6 benefit workers are passed through in accordance with the 7 legislative or administrative mandate. The Department shall 8 determine the manner and form of the annual report. 9 (d) An applicant for licensure as a community 10 developmental services agency under this Act shall submit an 11 application pursuant to the application process established by 12 the Department by rule and shall pay an application fee in an 13 amount established by the Department, which amount shall not 14 be more than $200. 15 (e) If an applicant meets the requirements established by 16 the Department to be licensed as a community developmental 17 services agency under this Act, after payment of the licensing 18 fee, the Department shall issue a license valid for 2 3 years 19 from the date thereof unless suspended or revoked by the 20 Department or voluntarily surrendered by the agency. 21 (f) Upon application to the Department, the Department may 22 issue a temporary permit to an applicant for up to a 2-year 23 period to allow the holder of such permit reasonable time to 24 become eligible for a license under this Act. 25 (g)(1) The Department may conduct site visits to an agency 26 licensed under this Act, or to any program or placement HB5471 Enrolled - 4 - LRB104 19575 BAB 33023 b 1 certified by the agency, and inspect the records or premises, 2 or both, of such agency, program or placement as it deems 3 appropriate, for the purpose of determining compliance with 4 this Act, the Mental Health and Developmental Disabilities 5 Code, and applicable Department rules and regulations. The 6 Department shall conduct inspections of the records and 7 premises of each community-integrated living arrangement 8 certified under this Act at least once every 2 years. 9 (2) If the Department determines that an agency licensed 10 under this Act is not in compliance with this Act or the rules 11 and regulations promulgated under this Act, the Department 12 shall serve a notice of violation upon the licensee. Each 13 notice of violation shall be prepared in writing and shall 14 specify the nature of the violation, the statutory provision 15 or rule alleged to have been violated, and that the licensee 16 submit a plan of correction to the Department if required. The 17 notice shall also inform the licensee of any other action 18 which the Department might take pursuant to this Act and of the 19 right to a hearing. 20 (g-5) As determined by the Department, a disproportionate 21 number or percentage of licensure complaints; a 22 disproportionate number or percentage of substantiated cases 23 of abuse, neglect, or exploitation involving an agency; an 24 apparent unnatural death of an individual served by an agency; 25 any egregious or life-threatening abuse or neglect within an 26 agency; or any other significant event as determined by the HB5471 Enrolled - 5 - LRB104 19575 BAB 33023 b 1 Department shall initiate a review of the agency's license by 2 the Department, as well as a review of its service agreement 3 for funding. The Department shall adopt rules to establish the 4 process by which the determination to initiate a review shall 5 be made and the timeframe to initiate a review upon the making 6 of such determination. 7 (h) Upon the expiration of any license issued under this 8 Act, a license renewal application shall be required of and a 9 license renewal fee in an amount established by the Department 10 shall be charged to a community developmental services agency, 11 provided that such fee shall not be more than $200. 12 (i) A public or private agency, association, partnership, 13 corporation, or organization that has had a license revoked 14 under subsection (b) of Section 6 of this Act may not apply for 15 or possess a license under a different name. 16 (Source: P.A. 104-270, eff. 8-15-25.)
A plain-language summary of what this bill would mean for your issues is being prepared.
This bill affects Healthcare.
Create a free account and set your issue preferences to see your alignment.
Sign Up for free →Create a free account to see how your representatives voted on this bill.
Sign Up for free →Want to dig deeper?
Create a free account to see your alignment for every bill — then Pro unlocks full voting history and AI analysis.
Sign Up for freeWhether the bill cleared the whole legislature. In most states that means both chambers passing identical text; Nebraska and the DC Council have one chamber, so there it means a single body.
The governor or the President signs the bill, vetoes it, or lets it become law without a signature. A legislature can also override a veto and enact the bill anyway.
Stages, sponsors and executive actions are read from the legislature's own published record via LegiScan. We report what it says and never infer an action from a date alone.