Rep. Nicolle Grasse
Filed: 4/7/2026
 
 

 
 

 
10400HB4509ham001LRB104 17964 BAB 36300 a

1
AMENDMENT TO HOUSE BILL 4509 

2    AMENDMENT NO. ______. Amend House Bill 4509 by replacing 
3everything after the enacting clause with the following:
 
4    "Section 5. The Nursing Home Care Act is amended by 
5changing Section 2-104.3 as follows:
 
6    (210 ILCS 45/2-104.3)
7    Sec. 2-104.3. Serious mental illness; resident review 
8rescreening.
9    (a) All persons admitted to a nursing home facility with a 
10diagnosis of serious mental illness shall receive a follow-up 
11visit by the Department of Human Services or its designee 
12within 60 days after admission. After admission, any resident 
13with a diagnosis of serious mental illness who experiences a 
14significant change in physical or mental condition as defined 
15in 42 CFR 483.20(b)(2)(ii) shall be referred by the nursing 
16facility for a resident review who remain in the facility for a 
 
 
10400HB4509ham001- 2 -LRB104 17964 BAB 36300 a

1period of 90 days shall be re-screened by the Department of 
2Human Services or its designee within 72 hours after the 
3significant change at the end of the 90-day period, at 6 
4months, and annually thereafter to assess their continuing 
5need for nursing facility care and shall be advised of all 
6other available care options.
7    (b) The Department of Human Services, by rule, shall 
8ensure there are no provide for a prohibition on conflicts of 
9interest for pre-admission screeners. The rule shall provide 
10for waiver of those conflicts by the Department of Human 
11Services if the Department of Human Services determines that a 
12scarcity of qualified pre-admission screeners exists in a 
13given community and that, absent a waiver of conflict, an 
14insufficient number of pre-admission screeners would be 
15available. If a conflict is waived, the pre-admission screener 
16shall disclose the conflict of interest to the screened 
17individual in the manner provided for by rule of the 
18Department of Human Services. For the purposes of this 
19subsection, a "conflict of interest" includes, but is not 
20limited to, the existence of a professional or financial 
21relationship between (i) a PAS-MH corporate or a PAS-MH agent 
22performing the rescreening and (ii) a community provider or 
23long-term care facility. 
24(Source: P.A. 96-1372, eff. 7-29-10.)".