DHFS-DHS-DIRECT SUPPORT WAGE

Illinois General Assembly - Full Text of HB4449

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104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026
HB4449

Introduced 1/20/2026, by Rep. Maurice A. West, II

SYNOPSIS AS INTRODUCED:

See Index

Amends the Mental Health and Developmental Disabilities
Administrative Act. Requires the Department of Human Services to establish
reimbursement rates that build toward livable wages for frontline
personnel in residential and day programs and service coordination
agencies serving persons with intellectual or developmental disabilities.
Provides that for community-based providers serving persons with
intellectual or developmental disabilities, subject to federal approval of
any relevant Waiver Amendment, the rates taking effect for services
delivered on or after January 1, 2027 shall include an increase in the rate
methodology sufficient to provide a $1.20 per hour wage rate increase for
all direct support professionals and all other frontline personnel who are
not subject to the Bureau of Labor Statistics' average wage increases and
who work in residential and community day services settings. Prohibits
community-based providers from using the rate increases for operational or
administrative expenses. Requires rate increases that are sufficient to
provide wages for all residential non-executive direct care staff. Amends
the Medical Assistance Article of the Illinois Public Aid Code. Provides
that the rates for ID/DD and MC/DD facilities for services delivered on or
after January 1, 2027 shall include a $1.20 per hour wage increase for all
direct support professionals and other frontline personnel who are not
subject to the Bureau of Labor Statistics' average wage increases.
Provides that changes to the rate methodologies are subject to federal
approval. Grants emergency rulemaking authority to the Departments of
Human Services and Healthcare and Family Services to implement the rate
increases. Effective immediately.
LRB104 17074 KTG 30489 b

A BILL FOR

HB4449
LRB104 17074 KTG 30489 b
1

AN ACT concerning care for persons with intellectual or
2
developmental disabilities.

3

Be it enacted by the People of the State of Illinois,
4
represented in the General Assembly:

5

Section 1.
This Act may be referred to as the Community
6
Disability Living Wage Act.

7

Section 2.
Findings.
8

(1) An estimated 22,000 children and adults with
9
intellectual or developmental disabilities are supported in
10
community-based settings in Illinois; direct support
11
professionals (DSPs) are trained paraprofessional staff who
12
are engaged in activities of daily living and community
13
support; too many of these employees earn wages that place
14
them and their families below the poverty level.
15

(2) In Illinois, nearly half of direct care workers rely
16
on public assistance to make ends meet, creating additional
17
expenditures for State government; low wages are a consequence
18
of the historically low reimbursement rates paid by the State
19
of Illinois to community-based service providers.
20

(3) The lack of adequate wages for employees who perform
21
the challenging work of supporting persons with intellectual
22
or developmental disabilities results in high employee
23
turnover, which in turn negatively impacts the quality of

HB4449
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1
services provided, higher wages are proven to reduce staff
2
turnover, improving stability and quality of services while
3
reducing employer training costs.
4

(4) A December 2020 report issued by an independent
5
consulting group commissioned by the State to propose changes
6
to the State's reimbursement for community disability agencies
7
recommended that addressing DSP wages was the number one
8
priority for ensuring compliance with the mandates of the
9
Ligas Consent Decree, and further recommended that wages for
10
DSPs should be fixed at 150% of the prevailing minimum wage
11
plus additional funding for benefits.
12

(5) The difference between 150% of the State minimum wage
13
on January 1, 2027 and the hourly DSP wage rate set by the
14
State amounts to $1.20 per hour.
15

(6) The General Assembly finds that in order to reduce
16
turnover, increase retention, fill vacancies, and ensure DSPs
17
are adequately compensated for the critically important work
18
they do, an increase in rates and reimbursements to
19
community-based service providers to effectuate an increase in
20
the hourly wage paid to DSPs is needed.

21

Section 3.
Purpose and intent.
It is the purpose of this
22
Act to increase the wages of DSPs and other frontline staff in
23
community disability agencies beyond the poverty level and to
24
a level competitive with rival employers and above the State
25
minimum wage, in an effort to improve the lives of DSPs and the

HB4449
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LRB104 17074 KTG 30489 b
1
lives of the vulnerable persons they support.
2

It is the intent of the General Assembly to ensure that all
3
funds resulting from rate increases provided to community
4
disability agencies are allocated to frontline employee wages
5
in order to address the current workforce crisis which is the
6
primary obstacle to the availability of community-based
7
services for people with disabilities.

8

Section 5.
The Illinois Administrative Procedure Act is
9
amended by adding Sections 5-45.71 and 5-45.72 as follows:

10

(5 ILCS 100/5-45.71 new)
11

Sec. 5-45.71.
Emergency rulemaking; DHS rate increase for
12
direct support professionals and all frontline personnel.
To
13
provide for the expeditious and timely implementation of
14
changes made by this amendatory Act of the 104th General
15
Assembly to Section 74 of the Mental Health and Developmental
16
Disabilities Administrative Act, emergency rules implementing
17
the changes made by this amendatory Act of the 104th General
18
Assembly to Section 74 of the Mental Health and Developmental
19
Disabilities Administrative Act may be adopted in accordance
20
with Section 5-45 by the Department of Human Services. The
21
adoption of emergency rules authorized by Section 5-45 and
22
this Section is deemed to be necessary for the public
23
interest, safety, and welfare.
24

This Section is repealed one year after the effective date

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LRB104 17074 KTG 30489 b
1
of this amendatory Act of the 104th General Assembly.

2

(5 ILCS 100/5-45.72 new)
3

Sec. 5-45.72.
Emergency rulemaking; DHFS rate increase for
4
direct support professionals and all frontline personnel.
To
5
provide for the expeditious and timely implementation of
6
changes made by this amendatory Act of the 104th General
7
Assembly to Sections 5-5.4 and 5-5.4i of the Illinois Public
8
Aid Code, emergency rules implementing the changes made by
9
this amendatory Act of the 104th General Assembly to Sections
10
5-5.4 and 5-5.4i of the Illinois Public Aid Code may be adopted
11
in accordance with Section 5-45 by the Department of
12
Healthcare and Family Services. The adoption of emergency
13
rules authorized by Section 5-45 and this Section is deemed to
14
be necessary for the public interest, safety, and welfare.
15

This Section is repealed one year after the effective date
16
of this amendatory Act of the 104th General Assembly.

17

Section 10.
The Mental Health and Developmental
18
Disabilities Administrative Act is amended by changing Section
19
74 and by adding Section 55.5 as follows:

20

(20 ILCS 1705/55.5 new)
21

Sec. 55.5.
Increased wages for frontline personnel.
As
22
used in this Section, "frontline personnel" means direct
23
support professionals, aides, frontline supervisors, and

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LRB104 17074 KTG 30489 b
1
non-administrative support staff working in service settings
2
outlined in this Section.

3

The Department shall establish reimbursement rates that
4
build toward livable wages for frontline personnel in
5
residential and day programs and service coordination agencies
6
serving persons with intellectual or developmental
7
disabilities under Section 54 of this Act, including, but not
8
limited to, intermediate care for the developmentally disabled
9
facilities, medically complex for the developmentally disabled
10
facilities, community-integrated living arrangements,
11
community day services, employment, and other residential and
12
day programs for persons with intellectual or developmental
13
disabilities supported by State funds or funding under Title
14
XIX of the federal Social Security Act.

15

The Department shall increase rates and reimbursements so
16
that by January 1, 2027 wages for direct support professionals
17
shall be increased by $1.20 per hour, and so that other
18
frontline personnel earn a commensurate wage.

19

(20 ILCS 1705/74)
20

Sec. 74.
Rates and reimbursements.
21

(a) Within 30 days after July 6, 2017 (the effective date
22
of Public Act 100-23), the Department shall increase rates and
23
reimbursements to fund a minimum of a $0.75 per hour wage
24
increase for frontline personnel, including, but not limited
25
to, direct support professionals, aides, frontline

HB4449
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1
supervisors, qualified intellectual disabilities
2
professionals, nurses, and non-administrative support staff
3
working in community-based provider organizations serving
4
individuals with developmental disabilities. The Department
5
shall adopt rules, including emergency rules under subsection
6
(y) of Section 5-45 of the Illinois Administrative Procedure
7
Act, to implement the provisions of this Section.
8

(b) Rates and reimbursements. Within 30 days after June 4,
9
2018 (the effective date of Public Act 100-587), the
10
Department shall increase rates and reimbursements to fund a
11
minimum of a $0.50 per hour wage increase for frontline
12
personnel, including, but not limited to, direct support
13
professionals, aides, frontline supervisors, qualified
14
intellectual disabilities professionals, nurses, and
15
non-administrative support staff working in community-based
16
provider organizations serving individuals with developmental
17
disabilities. The Department shall adopt rules, including
18
emergency rules under subsection (bb) of Section 5-45 of the
19
Illinois Administrative Procedure Act, to implement the
20
provisions of this Section.
21

(c) Rates and reimbursements. Within 30 days after June 5,
22
2019 (the effective date of Public Act 101-10), subject to
23
federal approval, the Department shall increase rates and
24
reimbursements in effect on June 30, 2019 for community-based
25
providers for persons with Developmental Disabilities by 3.5%
26
The Department shall adopt rules, including emergency rules

HB4449
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LRB104 17074 KTG 30489 b
1
under subsection (jj) of Section 5-45 of the Illinois
2
Administrative Procedure Act, to implement the provisions of
3
this Section, including wage increases for direct care staff.
4

(d) For community-based providers serving persons with
5
intellectual/developmental disabilities, subject to federal
6
approval of any relevant Waiver Amendment, the rates taking
7
effect for services delivered on or after January 1, 2022,
8
shall include an increase in the rate methodology sufficient
9
to provide a $1.50 per hour wage increase for direct support
10
professionals in residential settings and sufficient to
11
provide wages for all residential non-executive direct care
12
staff, excluding direct support professionals, at the federal
13
Department of Labor, Bureau of Labor Statistics' average wage
14
as defined in rule by the Department.
15

The establishment of and any changes to the rate
16
methodologies for community-based services provided to persons
17
with intellectual/developmental disabilities are subject to
18
federal approval of any relevant Waiver Amendment and shall be
19
defined in rule by the Department. The Department shall adopt
20
rules, including emergency rules as authorized by Section 5-45
21
of the Illinois Administrative Procedure Act, to implement the
22
provisions of this subsection (d).
23

(e) For community-based providers serving persons with
24
intellectual/developmental disabilities, subject to federal
25
approval of any relevant Waiver Amendment, the rates taking
26
effect for services delivered on or after January 1, 2023,

HB4449
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LRB104 17074 KTG 30489 b
1
shall include an increase in the rate methodology sufficient
2
to provide a $1.00 per hour wage increase for all direct
3
support professionals and all other frontline personnel who
4
are not subject to the Bureau of Labor Statistics' average
5
wage increases, who work in residential and community day
6
services settings, with at least $0.50 of those funds to be
7
provided as a direct increase to base wages, with the
8
remaining $0.50 to be used flexibly for base wage increases.
9
In addition, the rates taking effect for services delivered on
10
or after January 1, 2023 shall include an increase sufficient
11
to provide wages for all residential non-executive direct care
12
staff, excluding direct support professionals, at the federal
13
Department of Labor, Bureau of Labor Statistics' average wage
14
as defined in rule by the Department.
15

The establishment of and any changes to the rate
16
methodologies for community-based services provided to persons
17
with intellectual/developmental disabilities are subject to
18
federal approval of any relevant Waiver Amendment and shall be
19
defined in rule by the Department. The Department shall adopt
20
rules, including emergency rules as authorized by Section 5-45
21
of the Illinois Administrative Procedure Act, to implement the
22
provisions of this subsection.
23

(f) For community-based providers serving persons with
24
intellectual/developmental disabilities, subject to federal
25
approval of any relevant Waiver Amendment, the rates taking
26
effect for services delivered on or after January 1, 2024

HB4449
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LRB104 17074 KTG 30489 b
1
shall include an increase in the rate methodology sufficient
2
to provide a $2.50 per hour wage increase for all direct
3
support professionals and all other frontline personnel who
4
are not subject to the Bureau of Labor Statistics' average
5
wage increases and who work in residential and community day
6
services settings. At least $1.25 of the per hour wage
7
increase shall be provided as a direct increase to base wages,
8
and the remaining $1.25 of the per hour wage increase shall be
9
used flexibly for base wage increases. In addition, the rates
10
taking effect for services delivered on or after January 1,
11
2024 shall include an increase sufficient to provide wages for
12
all residential non-executive direct care staff, excluding
13
direct support professionals, at the federal Department of
14
Labor, Bureau of Labor Statistics' average wage as defined in
15
rule by the Department.
16

The establishment of and any changes to the rate
17
methodologies for community-based services provided to persons
18
with intellectual/developmental disabilities are subject to
19
federal approval of any relevant Waiver Amendment and shall be
20
defined in rule by the Department. The Department shall adopt
21
rules, including emergency rules as authorized by Section 5-45
22
of the Illinois Administrative Procedure Act, to implement the
23
provisions of this subsection.
24

(g) For community-based providers serving persons with
25
intellectual or developmental disabilities, subject to federal
26
approval of any relevant Waiver Amendment, the rates taking

HB4449
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LRB104 17074 KTG 30489 b
1
effect for services delivered on or after January 1, 2025
2
shall include an increase in the rate methodology sufficient
3
to provide a $1 per hour wage rate increase for all direct
4
support personnel and all other frontline personnel who are
5
not subject to the Bureau of Labor Statistics' average wage
6
increases and who work in residential and community day
7
services settings, with at least $0.75 of those funds to be
8
provided as a direct increase to base wages and the remaining
9
$0.25 to be used flexibly for base wage increases. These
10
increases shall not be used by community-based providers for
11
operational or administrative expenses. In addition, the rates
12
taking effect for services delivered on or after January 1,
13
2025 shall include an increase sufficient to provide wages for
14
all residential non-executive direct care staff, excluding
15
direct support personnel, at the federal Department of Labor,
16
Bureau of Labor Statistics' average wage as defined by rule by
17
the Department. For services delivered on or after January 1,
18
2025, the rates shall include adjustments to
19
employment-related expenses as defined by rule by the
20
Department.
21

The establishment of and any changes to the rate
22
methodologies for community-based services provided to persons
23
with intellectual or developmental disabilities are subject to
24
federal approval of any relevant Waiver Amendment and shall be
25
defined in rule by the Department. The Department shall adopt
26
rules, including emergency rules as authorized by Section 5-45

HB4449
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LRB104 17074 KTG 30489 b
1
of the Illinois Administrative Procedure Act, to implement the
2
provisions of this subsection.
3

(h) For community-based providers serving persons with
4
intellectual or developmental disabilities, subject to federal
5
approval of any relevant Waiver Amendment, the rates taking
6
effect for services delivered on or after January 1, 2026
7
shall include an increase in the rate methodology sufficient
8
to provide a $0.80 per hour wage increase for all direct
9
support personnel and all other frontline personnel who are
10
not subject to the Bureau of Labor Statistics' average wage
11
increases and who work in residential and community day
12
services settings, with at least $0.60 of the per hour wage
13
increase to be provided as a direct increase to base wages, and
14
the remaining $0.20 of the per hour wage increase to be used
15
flexibly for base wage increases. These increases shall not be
16
used by community-based providers for operational or
17
administrative expenses. In addition, the rates taking effect
18
for services delivered on or after January 1, 2026 shall
19
include an increase sufficient to provide wages for all
20
residential non-executive direct care staff, excluding direct
21
support personnel, at the federal Department of Labor, Bureau
22
of Labor Statistics' average wage as defined in rule by the
23
Department.
24

The establishment of and any changes to the rate
25
methodologies for community-based services provided to persons
26
with intellectual or developmental disabilities are subject to

HB4449
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LRB104 17074 KTG 30489 b
1
federal approval of any relevant Waiver Amendment and shall be
2
defined in rule by the Department. The Department shall adopt
3
rules, including emergency rules as authorized by Section 5-45
4
of the Illinois Administrative Procedure Act, to implement the
5
provisions of this subsection.
6

(i) For community-based providers serving persons with
7
intellectual or developmental disabilities, subject to federal
8
approval of any relevant Waiver Amendment, the rates taking
9
effect for services delivered on or after January 1, 2027
10
shall include an increase in the rate methodology sufficient
11
to provide a $1.20 per hour wage rate increase for all direct
12
support professionals and all other frontline personnel who
13
are not subject to the Bureau of Labor Statistics' average
14
wage increases and who work in residential and community day
15
services settings. These increases shall not be used by
16
community-based providers for operational or administrative
17
expenses. In addition, the rates taking effect for services
18
delivered on or after January 1, 2027 shall include an
19
increase sufficient to provide wages for all residential
20
non-executive direct care staff, excluding direct support
21
professionals, at the federal Department of Labor, Bureau of
22
Labor Statistics' average wage as defined by rule by the
23
Department. For services delivered on or after January 1,
24
2027, the rates shall include adjustments to
25
employment-related expenses as defined by rule by the
26
Department.

HB4449
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LRB104 17074 KTG 30489 b
1

The establishment of and any changes to the rate
2
methodologies for community-based services provided to persons
3
with intellectual or developmental disabilities are subject to
4
federal approval of any relevant Waiver Amendment and shall be
5
defined in rule by the Department. The Department shall adopt
6
rules, including emergency rules as authorized by Section 5-45
7
of the Illinois Administrative Procedure Act, to implement the
8
provisions of this subsection.

9
(Source: P.A. 103-8, eff. 6-7-23; 103-154, eff. 6-30-23;
10
103-588, eff. 6-5-24; 104-2, eff. 6-16-25.)

11

Section 15.
The Illinois Public Aid Code is amended by
12
changing Sections 5-5.4 and 5-5.4i as follows:

13

(305 ILCS 5/5-5.4)

(from Ch. 23, par. 5-5.4)
14

Sec. 5-5.4.
Standards of payment; Department of Healthcare
15
and Family Services.
The Department of Healthcare and Family
16
Services shall develop standards of payment of nursing
17
facility and ICF/DD services in facilities providing such
18
services under this Article which:
19

(1) Provide for the determination of a facility's payment
20
for nursing facility or ICF/DD services on a prospective
21
basis. The amount of the payment rate for all nursing
22
facilities certified by the Department of Public Health under
23
the ID/DD Community Care Act or the Nursing Home Care Act as
24
Intermediate Care for the Developmentally Disabled facilities,

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LRB104 17074 KTG 30489 b
1
Long Term Care for Under Age 22 facilities, Skilled Nursing
2
facilities, or Intermediate Care facilities under the medical
3
assistance program shall be prospectively established annually
4
on the basis of historical, financial, and statistical data
5
reflecting actual costs from prior years, which shall be
6
applied to the current rate year and updated for inflation,
7
except that the capital cost element for newly constructed
8
facilities shall be based upon projected budgets. The annually
9
established payment rate shall take effect on July 1 in 1984
10
and subsequent years. No rate increase and no update for
11
inflation shall be provided on or after July 1, 1994, unless
12
specifically provided for in this Section. The changes made by
13
Public Act 93-841 extending the duration of the prohibition
14
against a rate increase or update for inflation are effective
15
retroactive to July 1, 2004.
16

For facilities licensed by the Department of Public Health
17
under the Nursing Home Care Act as Intermediate Care for the
18
Developmentally Disabled facilities or Long Term Care for
19
Under Age 22 facilities, the rates taking effect on July 1,
20
1998 shall include an increase of 3%. For facilities licensed
21
by the Department of Public Health under the Nursing Home Care
22
Act as Skilled Nursing facilities or Intermediate Care
23
facilities, the rates taking effect on July 1, 1998 shall
24
include an increase of 3% plus $1.10 per resident-day, as
25
defined by the Department. For facilities licensed by the
26
Department of Public Health under the Nursing Home Care Act as

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LRB104 17074 KTG 30489 b
1
Intermediate Care Facilities for the Developmentally Disabled
2
or Long Term Care for Under Age 22 facilities, the rates taking
3
effect on January 1, 2006 shall include an increase of 3%. For
4
facilities licensed by the Department of Public Health under
5
the Nursing Home Care Act as Intermediate Care Facilities for
6
the Developmentally Disabled or Long Term Care for Under Age
7
22 facilities, the rates taking effect on January 1, 2009
8
shall include an increase sufficient to provide a $0.50 per
9
hour wage increase for non-executive staff. For facilities
10
licensed by the Department of Public Health under the ID/DD
11
Community Care Act as ID/DD Facilities the rates taking effect
12
within 30 days after July 6, 2017 (the effective date of Public
13
Act 100-23) shall include an increase sufficient to provide a
14
$0.75 per hour wage increase for non-executive staff. The
15
Department shall adopt rules, including emergency rules under
16
subsection (y) of Section 5-45 of the Illinois Administrative
17
Procedure Act, to implement the provisions of this paragraph.
18
For facilities licensed by the Department of Public Health
19
under the ID/DD Community Care Act as ID/DD Facilities and
20
under the MC/DD Act as MC/DD Facilities, the rates taking
21
effect within 30 days after June 5, 2019 (the effective date of
22
Public Act 101-10) shall include an increase sufficient to
23
provide a $0.50 per hour wage increase for non-executive
24
frontline personnel, including, but not limited to, direct
25
support persons, aides, frontline supervisors, qualified
26
intellectual disabilities professionals, nurses, and

HB4449
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LRB104 17074 KTG 30489 b
1
non-administrative support staff. The Department shall adopt
2
rules, including emergency rules under subsection (bb) of
3
Section 5-45 of the Illinois Administrative Procedure Act, to
4
implement the provisions of this paragraph.
5

For facilities licensed by the Department of Public Health
6
under the ID/DD Community Care Act as ID/DD facilities and
7
under the MC/DD Act as MC/DD facilities, subject to federal
8
approval of a State Plan Amendment, the rates taking effect
9
for services delivered on or after January 1, 2027 shall
10
include a $1.20 per hour wage increase for all direct support
11
professionals and all other frontline personnel who are not
12
subject to the Bureau of Labor Statistics' average wage
13
increases and who work in residential and community day
14
services settings. These increases shall not be used by
15
facilities for operational and administrative expenses. In
16
addition, for residential services delivered on or after
17
January 1, 2027, the rates shall include an increase
18
sufficient to provide wages for all residential non-executive
19
direct care staff, excluding aides, at the federal Department
20
of Labor, Bureau of Labor Statistics' average wage as
21
determined by the Department. Also, for services delivered on
22
or after January 1, 2027, the rates shall include adjustments
23
to employment-related expenses as defined in rule by the
24
Department. The Department shall adopt rules, including
25
emergency rules as authorized by Section 5-45 of the Illinois
26
Administrative Procedure Act, to implement the provisions of

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this Section.

2

For facilities licensed by the Department of Public Health
3
under the Nursing Home Care Act as Intermediate Care for the
4
Developmentally Disabled facilities or Long Term Care for
5
Under Age 22 facilities, the rates taking effect on July 1,
6
1999 shall include an increase of 1.6% plus $3.00 per
7
resident-day, as defined by the Department. For facilities
8
licensed by the Department of Public Health under the Nursing
9
Home Care Act as Skilled Nursing facilities or Intermediate
10
Care facilities, the rates taking effect on July 1, 1999 shall
11
include an increase of 1.6% and, for services provided on or
12
after October 1, 1999, shall be increased by $4.00 per
13
resident-day, as defined by the Department.
14

For facilities licensed by the Department of Public Health
15
under the Nursing Home Care Act as Intermediate Care for the
16
Developmentally Disabled facilities or Long Term Care for
17
Under Age 22 facilities, the rates taking effect on July 1,
18
2000 shall include an increase of 2.5% per resident-day, as
19
defined by the Department. For facilities licensed by the
20
Department of Public Health under the Nursing Home Care Act as
21
Skilled Nursing facilities or Intermediate Care facilities,
22
the rates taking effect on July 1, 2000 shall include an
23
increase of 2.5% per resident-day, as defined by the
24
Department.
25

For facilities licensed by the Department of Public Health
26
under the Nursing Home Care Act as skilled nursing facilities

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or intermediate care facilities, a new payment methodology
2
must be implemented for the nursing component of the rate
3
effective July 1, 2003. The Department of Public Aid (now
4
Healthcare and Family Services) shall develop the new payment
5
methodology using the Minimum Data Set (MDS) as the instrument
6
to collect information concerning nursing home resident
7
condition necessary to compute the rate. The Department shall
8
develop the new payment methodology to meet the unique needs
9
of Illinois nursing home residents while remaining subject to
10
the appropriations provided by the General Assembly. A
11
transition period from the payment methodology in effect on
12
June 30, 2003 to the payment methodology in effect on July 1,
13
2003 shall be provided for a period not exceeding 3 years and
14
184 days after implementation of the new payment methodology
15
as follows:
16

(A) For a facility that would receive a lower nursing
17

component rate per patient day under the new system than
18

the facility received effective on the date immediately
19

preceding the date that the Department implements the new
20

payment methodology, the nursing component rate per
21

patient day for the facility shall be held at the level in
22

effect on the date immediately preceding the date that the
23

Department implements the new payment methodology until a
24

higher nursing component rate of reimbursement is achieved
25

by that facility.
26

(B) For a facility that would receive a higher nursing

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component rate per patient day under the payment
2

methodology in effect on July 1, 2003 than the facility
3

received effective on the date immediately preceding the
4

date that the Department implements the new payment
5

methodology, the nursing component rate per patient day
6

for the facility shall be adjusted.
7

(C) Notwithstanding paragraphs (A) and (B), the
8

nursing component rate per patient day for the facility
9

shall be adjusted subject to appropriations provided by
10

the General Assembly.
11

For facilities licensed by the Department of Public Health
12
under the Nursing Home Care Act as Intermediate Care for the
13
Developmentally Disabled facilities or Long Term Care for
14
Under Age 22 facilities, the rates taking effect on March 1,
15
2001 shall include a statewide increase of 7.85%, as defined
16
by the Department.
17

Notwithstanding any other provision of this Section, for
18
facilities licensed by the Department of Public Health under
19
the Nursing Home Care Act as skilled nursing facilities or
20
intermediate care facilities, except facilities participating
21
in the Department's demonstration program pursuant to the
22
provisions of Title 77, Part 300, Subpart T of the Illinois
23
Administrative Code, the numerator of the ratio used by the
24
Department of Healthcare and Family Services to compute the
25
rate payable under this Section using the Minimum Data Set
26
(MDS) methodology shall incorporate the following annual

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amounts as the additional funds appropriated to the Department
2
specifically to pay for rates based on the MDS nursing
3
component methodology in excess of the funding in effect on
4
December 31, 2006:
5

(i) For rates taking effect January 1, 2007,
6

$60,000,000.
7

(ii) For rates taking effect January 1, 2008,
8

$110,000,000.
9

(iii) For rates taking effect January 1, 2009,
10

$194,000,000.
11

(iv) For rates taking effect April 1, 2011, or the
12

first day of the month that begins at least 45 days after
13

February 16, 2011 (the effective date of Public Act
14

96-1530), $416,500,000 or an amount as may be necessary to
15

complete the transition to the MDS methodology for the
16

nursing component of the rate. Increased payments under
17

this item (iv) are not due and payable, however, until (i)
18

the methodologies described in this paragraph are approved
19

by the federal government in an appropriate State Plan
20

amendment and (ii) the assessment imposed by Section 5B-2
21

of this Code is determined to be a permissible tax under
22

Title XIX of the Social Security Act.
23

Notwithstanding any other provision of this Section, for
24
facilities licensed by the Department of Public Health under
25
the Nursing Home Care Act as skilled nursing facilities or
26
intermediate care facilities, the support component of the

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rates taking effect on January 1, 2008 shall be computed using
2
the most recent cost reports on file with the Department of
3
Healthcare and Family Services no later than April 1, 2005,
4
updated for inflation to January 1, 2006.
5

For facilities licensed by the Department of Public Health
6
under the Nursing Home Care Act as Intermediate Care for the
7
Developmentally Disabled facilities or Long Term Care for
8
Under Age 22 facilities, the rates taking effect on April 1,
9
2002 shall include a statewide increase of 2.0%, as defined by
10
the Department. This increase terminates on July 1, 2002;
11
beginning July 1, 2002 these rates are reduced to the level of
12
the rates in effect on March 31, 2002, as defined by the
13
Department.
14

For facilities licensed by the Department of Public Health
15
under the Nursing Home Care Act as skilled nursing facilities
16
or intermediate care facilities, the rates taking effect on
17
July 1, 2001 shall be computed using the most recent cost
18
reports on file with the Department of Public Aid no later than
19
April 1, 2000, updated for inflation to January 1, 2001. For
20
rates effective July 1, 2001 only, rates shall be the greater
21
of the rate computed for July 1, 2001 or the rate effective on
22
June 30, 2001.
23

Notwithstanding any other provision of this Section, for
24
facilities licensed by the Department of Public Health under
25
the Nursing Home Care Act as skilled nursing facilities or
26
intermediate care facilities, the Illinois Department shall

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determine by rule the rates taking effect on July 1, 2002,
2
which shall be 5.9% less than the rates in effect on June 30,
3
2002.
4

Notwithstanding any other provision of this Section, for
5
facilities licensed by the Department of Public Health under
6
the Nursing Home Care Act as skilled nursing facilities or
7
intermediate care facilities, if the payment methodologies
8
required under Section 5A-12 and the waiver granted under 42
9
CFR 433.68 are approved by the United States Centers for
10
Medicare and Medicaid Services, the rates taking effect on
11
July 1, 2004 shall be 3.0% greater than the rates in effect on
12
June 30, 2004. These rates shall take effect only upon
13
approval and implementation of the payment methodologies
14
required under Section 5A-12.
15

Notwithstanding any other provisions of this Section, for
16
facilities licensed by the Department of Public Health under
17
the Nursing Home Care Act as skilled nursing facilities or
18
intermediate care facilities, the rates taking effect on
19
January 1, 2005 shall be 3% more than the rates in effect on
20
December 31, 2004.
21

Notwithstanding any other provision of this Section, for
22
facilities licensed by the Department of Public Health under
23
the Nursing Home Care Act as skilled nursing facilities or
24
intermediate care facilities, effective January 1, 2009, the
25
per diem support component of the rates effective on January
26
1, 2008, computed using the most recent cost reports on file

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with the Department of Healthcare and Family Services no later
2
than April 1, 2005, updated for inflation to January 1, 2006,
3
shall be increased to the amount that would have been derived
4
using standard Department of Healthcare and Family Services
5
methods, procedures, and inflators.
6

Notwithstanding any other provisions of this Section, for
7
facilities licensed by the Department of Public Health under
8
the Nursing Home Care Act as intermediate care facilities that
9
are federally defined as Institutions for Mental Disease, or
10
facilities licensed by the Department of Public Health under
11
the Specialized Mental Health Rehabilitation Act of 2013, a
12
socio-development component rate equal to 6.6% of the
13
facility's nursing component rate as of January 1, 2006 shall
14
be established and paid effective July 1, 2006. The
15
socio-development component of the rate shall be increased by
16
a factor of 2.53 on the first day of the month that begins at
17
least 45 days after January 11, 2008 (the effective date of
18
Public Act 95-707). As of August 1, 2008, the
19
socio-development component rate shall be equal to 6.6% of the
20
facility's nursing component rate as of January 1, 2006,
21
multiplied by a factor of 3.53. For services provided on or
22
after April 1, 2011, or the first day of the month that begins
23
at least 45 days after February 16, 2011 (the effective date of
24
Public Act 96-1530), whichever is later, the Illinois
25
Department may by rule adjust these socio-development
26
component rates, and may use different adjustment

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methodologies for those facilities participating, and those
2
not participating, in the Illinois Department's demonstration
3
program pursuant to the provisions of Title 77, Part 300,
4
Subpart T of the Illinois Administrative Code, but in no case
5
may such rates be diminished below those in effect on August 1,
6
2008.
7

For facilities licensed by the Department of Public Health
8
under the Nursing Home Care Act as Intermediate Care for the
9
Developmentally Disabled facilities or as long-term care
10
facilities for residents under 22 years of age, the rates
11
taking effect on July 1, 2003 shall include a statewide
12
increase of 4%, as defined by the Department.
13

For facilities licensed by the Department of Public Health
14
under the Nursing Home Care Act as Intermediate Care for the
15
Developmentally Disabled facilities or Long Term Care for
16
Under Age 22 facilities, the rates taking effect on the first
17
day of the month that begins at least 45 days after January 11,
18
2008 (the effective date of Public Act 95-707) shall include a
19
statewide increase of 2.5%, as defined by the Department.
20

Notwithstanding any other provision of this Section, for
21
facilities licensed by the Department of Public Health under
22
the Nursing Home Care Act as skilled nursing facilities or
23
intermediate care facilities, effective January 1, 2005,
24
facility rates shall be increased by the difference between
25
(i) a facility's per diem property, liability, and malpractice
26
insurance costs as reported in the cost report filed with the

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Department of Public Aid and used to establish rates effective
2
July 1, 2001 and (ii) those same costs as reported in the
3
facility's 2002 cost report. These costs shall be passed
4
through to the facility without caps or limitations, except
5
for adjustments required under normal auditing procedures.
6

Rates established effective each July 1 shall govern
7
payment for services rendered throughout that fiscal year,
8
except that rates established on July 1, 1996 shall be
9
increased by 6.8% for services provided on or after January 1,
10
1997. Such rates will be based upon the rates calculated for
11
the year beginning July 1, 1990, and for subsequent years
12
thereafter until June 30, 2001 shall be based on the facility
13
cost reports for the facility fiscal year ending at any point
14
in time during the previous calendar year, updated to the
15
midpoint of the rate year. The cost report shall be on file
16
with the Department no later than April 1 of the current rate
17
year. Should the cost report not be on file by April 1, the
18
Department shall base the rate on the latest cost report filed
19
by each skilled care facility and intermediate care facility,
20
updated to the midpoint of the current rate year. In
21
determining rates for services rendered on and after July 1,
22
1985, fixed time shall not be computed at less than zero. The
23
Department shall not make any alterations of regulations which
24
would reduce any component of the Medicaid rate to a level
25
below what that component would have been utilizing in the
26
rate effective on July 1, 1984.

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1

(2) Shall take into account the actual costs incurred by
2
facilities in providing services for recipients of skilled
3
nursing and intermediate care services under the medical
4
assistance program.
5

(3) Shall take into account the medical and psycho-social
6
characteristics and needs of the patients.
7

(4) Shall take into account the actual costs incurred by
8
facilities in meeting licensing and certification standards
9
imposed and prescribed by the State of Illinois, any of its
10
political subdivisions or municipalities and by the U.S.
11
Department of Health and Human Services pursuant to Title XIX
12
of the Social Security Act.
13

The Department of Healthcare and Family Services shall
14
develop precise standards for payments to reimburse nursing
15
facilities for any utilization of appropriate rehabilitative
16
personnel for the provision of rehabilitative services which
17
is authorized by federal regulations, including reimbursement
18
for services provided by qualified therapists or qualified
19
assistants, and which is in accordance with accepted
20
professional practices. Reimbursement also may be made for
21
utilization of other supportive personnel under appropriate
22
supervision.
23

The Department shall develop enhanced payments to offset
24
the additional costs incurred by a facility serving
25
exceptional need residents and shall allocate at least
26
$4,000,000 of the funds collected from the assessment

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1
established by Section 5B-2 of this Code for such payments.
2
For the purpose of this Section, "exceptional needs" means,
3
but need not be limited to, ventilator care and traumatic
4
brain injury care. The enhanced payments for exceptional need
5
residents under this paragraph are not due and payable,
6
however, until (i) the methodologies described in this
7
paragraph are approved by the federal government in an
8
appropriate State Plan amendment and (ii) the assessment
9
imposed by Section 5B-2 of this Code is determined to be a
10
permissible tax under Title XIX of the Social Security Act.
11

Beginning January 1, 2014 the methodologies for
12
reimbursement of nursing facility services as provided under
13
this Section 5-5.4 shall no longer be applicable for services
14
provided on or after January 1, 2014.
15

No payment increase under this Section for the MDS
16
methodology, exceptional care residents, or the
17
socio-development component rate established by Public Act
18
96-1530 of the 96th General Assembly and funded by the
19
assessment imposed under Section 5B-2 of this Code shall be
20
due and payable until after the Department notifies the
21
long-term care providers, in writing, that the payment
22
methodologies to long-term care providers required under this
23
Section have been approved by the Centers for Medicare and
24
Medicaid Services of the U.S. Department of Health and Human
25
Services and the waivers under 42 CFR 433.68 for the
26
assessment imposed by this Section, if necessary, have been

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1
granted by the Centers for Medicare and Medicaid Services of
2
the U.S. Department of Health and Human Services. Upon
3
notification to the Department of approval of the payment
4
methodologies required under this Section and the waivers
5
granted under 42 CFR 433.68, all increased payments otherwise
6
due under this Section prior to the date of notification shall
7
be due and payable within 90 days of the date federal approval
8
is received.
9

On and after July 1, 2012, the Department shall reduce any
10
rate of reimbursement for services or other payments or alter
11
any methodologies authorized by this Code to reduce any rate
12
of reimbursement for services or other payments in accordance
13
with Section 5-5e.
14

For facilities licensed by the Department of Public Health
15
under the ID/DD Community Care Act as ID/DD Facilities and
16
under the MC/DD Act as MC/DD Facilities, subject to federal
17
approval, the rates taking effect for services delivered on or
18
after August 1, 2019 shall be increased by 3.5% over the rates
19
in effect on June 30, 2019. The Department shall adopt rules,
20
including emergency rules under subsection (ii) of Section
21
5-45 of the Illinois Administrative Procedure Act, to
22
implement the provisions of this Section, including wage
23
increases for direct care staff.
24

For facilities licensed by the Department of Public Health
25
under the ID/DD Community Care Act as ID/DD Facilities and
26
under the MC/DD Act as MC/DD Facilities, subject to federal

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1
approval, the rates taking effect on the latter of the
2
approval date of the State Plan Amendment for these facilities
3
or the Waiver Amendment for the home and community-based
4
services settings shall include an increase sufficient to
5
provide a $0.26 per hour wage increase to the base wage for
6
non-executive staff. The Department shall adopt rules,
7
including emergency rules as authorized by Section 5-45 of the
8
Illinois Administrative Procedure Act, to implement the
9
provisions of this Section, including wage increases for
10
direct care staff.
11

For facilities licensed by the Department of Public Health
12
under the ID/DD Community Care Act as ID/DD Facilities and
13
under the MC/DD Act as MC/DD Facilities, subject to federal
14
approval of the State Plan Amendment and the Waiver Amendment
15
for the home and community-based services settings, the rates
16
taking effect for the services delivered on or after July 1,
17
2020 shall include an increase sufficient to provide a $1.00
18
per hour wage increase for non-executive staff. For services
19
delivered on or after January 1, 2021, subject to federal
20
approval of the State Plan Amendment and the Waiver Amendment
21
for the home and community-based services settings, shall
22
include an increase sufficient to provide a $0.50 per hour
23
increase for non-executive staff. The Department shall adopt
24
rules, including emergency rules as authorized by Section 5-45
25
of the Illinois Administrative Procedure Act, to implement the
26
provisions of this Section, including wage increases for

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direct care staff.
2

For facilities licensed by the Department of Public Health
3
under the ID/DD Community Care Act as ID/DD Facilities and
4
under the MC/DD Act as MC/DD Facilities, subject to federal
5
approval of the State Plan Amendment, the rates taking effect
6
for the residential services delivered on or after July 1,
7
2021, shall include an increase sufficient to provide a $0.50
8
per hour increase for aides in the rate methodology. For
9
facilities licensed by the Department of Public Health under
10
the ID/DD Community Care Act as ID/DD Facilities and under the
11
MC/DD Act as MC/DD Facilities, subject to federal approval of
12
the State Plan Amendment, the rates taking effect for the
13
residential services delivered on or after January 1, 2022
14
shall include an increase sufficient to provide a $1.00 per
15
hour increase for aides in the rate methodology. In addition,
16
for residential services delivered on or after January 1, 2022
17
such rates shall include an increase sufficient to provide
18
wages for all residential non-executive direct care staff,
19
excluding aides, at the federal Department of Labor, Bureau of
20
Labor Statistics' average wage as defined in rule by the
21
Department. The Department shall adopt rules, including
22
emergency rules as authorized by Section 5-45 of the Illinois
23
Administrative Procedure Act, to implement the provisions of
24
this Section.
25

For facilities licensed by the Department of Public Health
26
under the ID/DD Community Care Act as ID/DD facilities and

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under the MC/DD Act as MC/DD facilities, subject to federal
2
approval of the State Plan Amendment, the rates taking effect
3
for services delivered on or after January 1, 2023, shall
4
include a $1.00 per hour wage increase for all direct support
5
personnel and all other frontline personnel who are not
6
subject to the Bureau of Labor Statistics' average wage
7
increases, who work in residential and community day services
8
settings, with at least $0.50 of those funds to be provided as
9
a direct increase to all aide base wages, with the remaining
10
$0.50 to be used flexibly for base wage increases to the rate
11
methodology for aides. In addition, for residential services
12
delivered on or after January 1, 2023 the rates shall include
13
an increase sufficient to provide wages for all residential
14
non-executive direct care staff, excluding aides, at the
15
federal Department of Labor, Bureau of Labor Statistics'
16
average wage as determined by the Department. Also, for
17
services delivered on or after January 1, 2023, the rates will
18
include adjustments to employment-related expenses as defined
19
in rule by the Department. The Department shall adopt rules,
20
including emergency rules as authorized by Section 5-45 of the
21
Illinois Administrative Procedure Act, to implement the
22
provisions of this Section.
23

For facilities licensed by the Department of Public Health
24
under the ID/DD Community Care Act as ID/DD facilities and
25
under the MC/DD Act as MC/DD facilities, subject to federal
26
approval of the State Plan Amendment, the rates taking effect

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for services delivered on or after January 1, 2024 shall
2
include a $2.50 per hour wage increase for all direct support
3
personnel and all other frontline personnel who are not
4
subject to the Bureau of Labor Statistics' average wage
5
increases and who work in residential and community day
6
services settings. At least $1.25 of the per hour wage
7
increase shall be provided as a direct increase to all aide
8
base wages, and the remaining $1.25 of the per hour wage
9
increase shall be used flexibly for base wage increases to the
10
rate methodology for aides. In addition, for residential
11
services delivered on or after January 1, 2024, the rates
12
shall include an increase sufficient to provide wages for all
13
residential non-executive direct care staff, excluding aides,
14
at the federal Department of Labor, Bureau of Labor
15
Statistics' average wage as determined by the Department.
16
Also, for services delivered on or after January 1, 2024, the
17
rates will include adjustments to employment-related expenses
18
as defined in rule by the Department. The Department shall
19
adopt rules, including emergency rules as authorized by
20
Section 5-45 of the Illinois Administrative Procedure Act, to
21
implement the provisions of this Section.
22

For facilities licensed by the Department of Public Health
23
under the ID/DD Community Care Act as ID/DD facilities and
24
under the MC/DD Act as MC/DD facilities, subject to federal
25
approval of a State Plan Amendment, the rates taking effect
26
for services delivered on or after January 1, 2025 shall

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include a $1.00 per hour wage increase for all direct support
2
personnel and all other frontline personnel who are not
3
subject to the Bureau of Labor Statistics' average wage
4
increases and who work in residential and community day
5
services settings, with at least $0.75 of those funds to be
6
provided as a direct increase to all aide base wages and the
7
remaining $0.25 to be used flexibly for base wage increases to
8
the rate methodology for aides. These increases shall not be
9
used by facilities for operational and administrative
10
expenses. In addition, for residential services delivered on
11
or after January 1, 2025, the rates shall include an increase
12
sufficient to provide wages for all residential non-executive
13
direct care staff, excluding aides, at the federal Department
14
of Labor, Bureau of Labor Statistics' average wage as
15
determined by the Department. Also, for services delivered on
16
or after January 1, 2025, the rates will include adjustments
17
to employment-related expenses as defined in rule by the
18
Department. The Department shall adopt rules, including
19
emergency rules as authorized by Section 5-45 of the Illinois
20
Administrative Procedure Act, to implement the provisions of
21
this Section.
22

For facilities licensed by the Department of Public Health
23
under the ID/DD Community Care Act as ID/DD facilities and
24
under the MC/DD Act as MC/DD facilities, subject to federal
25
approval of a State Plan Amendment, the rates taking effect
26
for services delivered on or after January 1, 2026 shall

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include a $0.80 per hour wage increase for all direct support
2
personnel and all other frontline personnel who are not
3
subject to the Bureau of Labor Statistics' average wage
4
increases and who work in residential and community day
5
services settings, with at least $0.60 of those funds to be
6
provided as a direct increase to all aide base wages and the
7
remaining $0.20 to be used flexibly for base wage increases to
8
the rate methodology for aides. These increases shall not be
9
used by facilities for operational and administrative
10
expenses. In addition, for residential services delivered on
11
or after January 1, 2026, the rates shall include an increase
12
sufficient to provide wages for all residential non-executive
13
direct care staff, excluding aides, at the federal Department
14
of Labor, Bureau of Labor Statistics' average wage as
15
determined by the Department. Also, for services delivered on
16
or after January 1, 2026, the rates will include adjustments
17
to employment-related expenses as defined in rule by the
18
Department. The Department shall adopt rules, including
19
emergency rules as authorized by Section 5-45 of the Illinois
20
Administrative Procedure Act, to implement the provisions of
21
this Section.
22

Notwithstanding any other provision of this Section to the
23
contrary, any regional wage adjuster for facilities located
24
outside of the counties of Cook, DuPage, Kane, Lake, McHenry,
25
and Will shall be no lower than 1.00, and any regional wage
26
adjuster for facilities located within the counties of Cook,

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DuPage, Kane, Lake, McHenry, and Will shall be no lower than
2
1.15.
3

For facilities licensed by the Department of Public Health
4
under the ID/DD Community Care Act as ID/DD facilities and
5
under the MC/DD Act as MC/DD facilities, subject to federal
6
approval of a State Plan Amendment, the rates taking effect
7
for services delivered on or after January 1, 2027 shall
8
include a $1.20 per hour wage increase for all direct support
9
professionals and all other frontline personnel who are not
10
subject to the Bureau of Labor Statistics' average wage
11
increases and who work in residential and community day
12
services settings. These increases shall not be used by
13
facilities for operational and administrative expenses. In
14
addition, for residential services delivered on or after
15
January 1, 2027, the rates shall include an increase
16
sufficient to provide wages for all residential non-executive
17
direct care staff, excluding aides, at the federal Department
18
of Labor, Bureau of Labor Statistics' average wage as
19
determined by the Department. Also, for services delivered on
20
or after January 1, 2027, the rates shall include adjustments
21
to employment-related expenses as defined in rule by the
22
Department. The Department shall adopt rules, including
23
emergency rules as authorized by Section 5-45 of the Illinois
24
Administrative Procedure Act, to implement the provisions of
25
this Section.

26
(Source: P.A. 103-8, eff. 6-7-23; 103-588, eff. 7-1-24; 104-2,

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eff. 6-16-25.)

2

(305 ILCS 5/5-5.4i)
3

Sec. 5-5.4i.
Rates and reimbursements.
4

(a) Within 30 days after July 6, 2017 (the effective date
5
of Public Act 100-23), the Department shall increase rates and
6
reimbursements to fund a minimum of a $0.75 per hour wage
7
increase for front-line personnel, including, but not limited
8
to, direct support persons, aides, front-line supervisors,
9
qualified intellectual disabilities professionals, nurses, and
10
non-administrative support staff working in community-based
11
provider organizations serving individuals with developmental
12
disabilities. The Department shall adopt rules, including
13
emergency rules under subsection (y) of Section 5-45 of the
14
Illinois Administrative Procedure Act, to implement the
15
provisions of this Section.
16

(b) Within 30 days after June 4, 2018 (the effective date
17
of Public Act 100-587), the Department shall increase rates
18
and reimbursements to fund a minimum of a $0.50 per hour wage
19
increase for front-line personnel, including, but not limited
20
to, direct support persons, aides, front-line supervisors,
21
qualified intellectual disabilities professionals, nurses, and
22
non-administrative support staff working in community-based
23
provider organizations serving individuals with developmental
24
disabilities. The Department shall adopt rules, including
25
emergency rules under subsection (bb) of Section 5-45 of the

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1
Illinois Administrative Procedure Act, to implement the
2
provisions of this Section.
3

(c) Within 30 days after the effective date of this
4
amendatory Act of the 101st General Assembly, subject to
5
federal approval, the Department shall increase rates and
6
reimbursements in effect on June 30, 2019 for community-based
7
providers for persons with Developmental Disabilities by 3.5%.
8
The Department shall adopt rules, including emergency rules
9
under subsection (ii) of Section 5-45 of the Illinois
10
Administrative Procedure Act, to implement the provisions of
11
this Section, including wage increases for direct care staff.
12

(d) For community-based providers serving persons with
13
intellectual or developmental disabilities, subject to federal
14
approval of any relevant Waiver Amendment, the rates taking
15
effect for services delivered on or after January 1, 2027
16
shall include an increase in the rate methodology sufficient
17
to provide a $1.20 per hour wage rate increase for all direct
18
support professionals and all other frontline personnel who
19
are not subject to the Bureau of Labor Statistics' average
20
wage increases and who work in residential and community day
21
services settings. These increases shall not be used by
22
community-based providers for operational or administrative
23
expenses. In addition, the rates taking effect for services
24
delivered on or after January 1, 2027 shall include an
25
increase sufficient to provide wages for all residential
26
non-executive direct care staff, excluding direct support

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1
professionals, at the federal Department of Labor, Bureau of
2
Labor Statistics' average wage as defined by rule by the
3
Department. For services delivered on or after January 1,
4
2027, the rates shall include adjustments to
5
employment-related expenses as defined by rule by the
6
Department.
7

The establishment of and any changes to the rate
8
methodologies for community-based services provided to persons
9
with intellectual or developmental disabilities are subject to
10
federal approval of any relevant Waiver Amendment and shall be
11
defined in rule by the Department. The Department shall adopt
12
rules, including emergency rules as authorized by Section 5-45
13
of the Illinois Administrative Procedure Act, to implement the
14
provisions of this subsection.

15
(Source: P.A. 100-23, eff. 7-6-17; 100-587, eff. 6-4-18;
16
101-10, eff. 6-5-19.)

17

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

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INDEX

2

Statutes amended in order of appearance

3

5 ILCS 100/5-45.71 new
4

5 ILCS 100/5-45.72 new
5

20 ILCS 1705/55.5 new
6

20 ILCS 1705/74
7

305 ILCS 5/5-5.4
from Ch. 23, par. 5-5.4
8

305 ILCS 5/5-5.4i

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