DHS-LIVE-IN CAREGIVER

Illinois General Assembly - Full Text of HB4208

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104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026
HB4208

Introduced 1/14/2026, by Rep. Charles Meier

SYNOPSIS AS INTRODUCED:

305 ILCS 5/5-54 new

Amends the Illinois Public Aid Code. Provides that, subject to
federal approval, any individual who is initially approved to provide
personal care services as a live-in caregiver under the Adults with
Developmental Disabilities Waiver or the Support Waiver for Children and
Young Adults but is subsequently ordered by the Department of Human
Services to complete mandatory electronic visit verification (EVV)
training on account of the individual submitting an incomplete or
insufficient application for the live-in caregiver exemption from EVV
requirements shall be allowed a one-time waiver of the mandatory EVV
training if: (i) the individual's application for the live-in caregiver
exemption was determined by the Department to be incomplete or
insufficient due to missing documentation; (ii) the individual is
otherwise eligible for the live-in caregiver exemption; and (iii) the
individual has not previously been ordered to complete mandatory EVV
training. Provides that, subject to federal approval, any individual who
is approved for the live-in caregiver exemption either through formal
application or a waiver shall be required to renew the exemption by written
application every 5 years. Effective immediately.
LRB104 15574 KTG 28740 b

A BILL FOR

HB4208
LRB104 15574 KTG 28740 b
1

AN ACT concerning public aid.

2

Be it enacted by the People of the State of Illinois,
3
represented in the General Assembly:

4

Section 5.
The Illinois Public Aid Code is amended by
5
adding Section 5-54 as follows:

6

(305 ILCS 5/5-54 new)
7

Sec. 5-54.
Electronic visit verification system; live-in
8
caregiver exemption, waiver, and renewal.

9

(a) Subject to federal approval, any individual who is
10
initially approved to provide personal care services as a
11
live-in caregiver under the Adults with Developmental
12
Disabilities Waiver or the Support Waiver for Children and
13
Young Adults but is subsequently ordered by the Department of
14
Human Services' Division of Developmental Disabilities to
15
complete mandatory electronic visit verification (EVV)
16
training on account of the individual submitting an incomplete
17
or insufficient application for the live-in caregiver
18
exemption from EVV requirements shall be allowed a one-time
19
waiver of the mandatory EVV training if:

20

(1) the individual's application for the live-in
21

caregiver exemption was determined by the Department to be
22

incomplete or insufficient due to missing documentation;

23

(2) the individual is otherwise eligible for the

HB4208
- 2 -
LRB104 15574 KTG 28740 b
1

live-in caregiver exemption as authorized under federal
2

guidelines and regulations; and

3

(3) the individual has not previously been ordered to
4

complete mandatory EVV training.

5

The Department of Human Services shall develop, by rule, a
6
process for waiver applications. Upon approval of an
7
individual's application for a waiver of mandatory EVV
8
training, the Department shall determine the individual to be
9
approved for the live-in caregiver exemption and in compliance
10
with all EVV requirements. No individual may benefit from a
11
waiver of mandatory EVV training more than once.
12

(b) Subject to federal approval, any individual who is
13
approved for the live-in caregiver exemption either through
14
formal application or a waiver provided under subsection (a)
15
shall be required to renew the exemption by written
16
application every 5 years.

17

Section 99.
Effective date.
This Act takes effect upon
18
becoming law.

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