COMM HOSPICE & PALL CARE REPAY

Illinois General Assembly - Full Text of HB4452

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104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026
HB4452

Introduced 1/20/2026, by Rep. Nicolle Grasse

SYNOPSIS AS INTRODUCED:

New Act

Creates the Community Hospice and Palliative Care Professional Loan
Repayment Program Act. By January 1, 2027, requires the Illinois Student
Assistance Commission to establish the Community Hospice and Palliative
Care Professional Loan Repayment Program, which shall be administered by
the Commission. Provides that the Program shall provide loan repayment
assistance to eligible hospice and palliative care professionals
practicing in a hospice program that provides services in the State.
Provides that, each year, the Commission shall receive and consider
applications for loan repayment assistance under the Act. Sets forth
provisions concerning the awarding of grants by the Commission;
eligibility for the Program; hospice program work requirements; and
rulemaking. Provides that the Act is repealed 10 years after the effective
date of the Act. Effective immediately.
LRB104 17585 BAB 31013 b

A BILL FOR

HB4452
LRB104 17585 BAB 31013 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 1.
Short title.
This Act may be cited as the
5
Community Hospice and Palliative Care Professional Loan
6
Repayment Program Act.

7

Section 5.
Purpose; goal.
The purpose of this Act is to
8
help State-licensed hospice programs recruit and retain
9
qualified professionals and address this State's
10
community-based hospice and palliative care workforce
11
shortage. The goal of this Act is to reduce disparities in
12
access to critical health services for people who have serious
13
illnesses or who are nearing the end of life.

14

Section 10.
Definitions.
In this Act:
15

"Commission" means the Illinois Student Assistance
16
Commission.
17

"Hospice and palliative care professional" means a person
18
who is employed by a hospice program and is a physician,
19
State-licensed advanced practice registered nurse,
20
State-licensed registered nurse, State-licensed social worker,
21
State-licensed clinical social worker, or State-licensed
22
practical nurse.

HB4452
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LRB104 17585 BAB 31013 b
1

"Hospice program" means a public agency or private
2
organization or a subdivision of either that is licensed by
3
this State as a comprehensive hospice program, as defined in
4
the Hospice Program Licensing Act, and is Medicare-certified.
5

"Physician" means a person licensed by this State to
6
practice medicine in all its branches and includes any
7
physician holding a temporary license, as provided in the
8
Medical Practice Act of 1987.
9

"Program" means the Community Hospice and Palliative Care
10
Professional Loan Repayment Program established under this
11
Act.

12

Section 15.
Community Hospice and Palliative Care
13
Professional Loan Repayment Program.
By January 1, 2027, the
14
Commission shall establish the Community Hospice and
15
Palliative Care Professional Loan Repayment Program, which
16
shall be administered by the Commission. Subject to
17
appropriation, the Program shall provide loan repayment
18
assistance to eligible hospice and palliative care
19
professionals practicing in a hospice program that provides
20
services in this State.

21

Section 20.
Applications.
Each year, the Commission shall
22
receive and consider applications for loan repayment
23
assistance under this Act. All applications shall be submitted
24
to the Commission in a form and manner prescribed by the

HB4452
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LRB104 17585 BAB 31013 b
1
Commission. Applicants shall submit any supporting documents
2
deemed necessary by the Commission at the time of application.

3

Section 25.
Awarding of grants.
Subject to appropriation,
4
the Commission shall award a grant to each qualified applicant
5
for a maximum of 4 years. A grant awarded under the Program
6
shall be used for payments toward the recipient's educational
7
loans.
8

The Commission is encouraged to award grants from
9
appropriated funds in the following proportions, to the extent
10
feasible:
11

(1) 10% toward awards for physicians;
12

(2) 10% toward awards for licensed advanced practice
13

registered nurses;
14

(3) 40% toward awards for licensed registered nurses;
15

(4) 30% toward awards for licensed social workers and
16

licensed clinical social workers; and
17

(5) 10% toward awards for licensed practical nurses.
18

The amount of a grant award may not exceed (i) $40,000 per
19
year for a physician, (ii) $20,000 per year for a licensed
20
advanced practice registered nurse,(iii) $15,000 per year for
21
a licensed social worker or licensed clinical social worker,
22
(iv) $15,000 per year for a licensed registered nurse, and (v)
23
$5,000 per year for a licensed practical nurse. However, if
24
there are any appropriated funds not awarded as grants under
25
paragraphs (1) through (5), then the Commission may award

HB4452
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LRB104 17585 BAB 31013 b
1
grants from those funds to any qualified applicants.

2

Section 30.
Eligibility; work requirement.
3

(a) To be eligible for assistance under the Program, the
4
Commission must find that the applicant meets all of the
5
following qualifications:
6

(1) The applicant is a United States citizen or an
7

eligible noncitizen.
8

(2) The applicant is a resident of this State.
9

(3) The applicant has worked for at least 12
10

consecutive months as a hospice and palliative care
11

professional in a hospice program in this State and (i)
12

has worked at least 10 hours per week if the applicant is a
13

physician or (ii) has worked at least 32 hours per week if
14

the applicant is not a physician.
15

(4) The applicant is a borrower with an outstanding
16

balance due on an educational loan.
17

(5) The applicant has not defaulted on an educational
18

loan.
19

(b) The Commission may grant preference to a previous
20
recipient of a grant under the Program, provided that the
21
recipient continues to be eligible under subsection (a).
22

(c) The Commission may grant preference to applicants who
23
are employed by a hospice program operating in a rural area of
24
this State.
25

(d) A recipient of a grant under the Program shall

HB4452
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LRB104 17585 BAB 31013 b
1
complete a separate 12-month period working in a hospice
2
program in this State for each grant that the recipient is
3
awarded and, during that 12-month period, shall (i) work at
4
least 10 hours per week if the applicant is a physician or (ii)
5
work at least 32 hours per week if the applicant is not a
6
physician.

7

Section 90.
Rules.
The Commission shall adopt rules not
8
inconsistent with this Act to implement and administer this
9
Act.

10

Section 95.
Repeal.
This Act is repealed 10 years after
11
the effective date of this Act.

12

Section 99.
Effective date.
This Act takes effect upon
13
becoming law.

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