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HB4691 • 2026
MENTAL HLTH-HOME SERVICES
This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.
Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.
MENTAL HLTH-HOME SERVICES
Rule 19(a) / Re-referred to Rules Committee
Assigned to Appropriations-Health and Human Services Committee
First Reading
Referred to Rules Committee
Filed with the Clerk by Rep. Tracy Katz Muhl
MENTAL HLTH-HOME SERVICES
Illinois General Assembly - Full Text of HB4691 Select Language × The Illinois General Assembly offers the Google Translate™ service for visitor convenience. In no way should it be considered accurate as to the translation of any content herein. Visitors of the Illinois General Assembly website are encouraged to use other translation services available on the internet. The English language version is always the official and authoritative version of this website. NOTE: To return to the original English language version, select the "Show Original" button on the Google Translate™ menu bar at the top of the window. 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Full Text of HB4691 Home Legislation Full Text HB4691 - 104th General Assembly Bill Status Full Text Votes Witness Slips Select Menu Bill Status Full Text Votes Witness Slips Printer Friendly Version Introduced Printer Friendly Version Introduced Open PDF 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 HB4691 Introduced , by Rep. Tracy Katz Muhl SYNOPSIS AS INTRODUCED: 405 ILCS 80/2-6 from Ch. 91 1/2, par. 1802-6 Amends the Developmental Disability and Mental Disability Services Act. In provisions limiting the funding amount for home-based services provided by the Department of Human Services to an adult with a mental disability, provides that the Department may exceed such funding limits for an adult with a mental disability whose service and support needs require a higher level of funding based on a determination of need administered by the Department or its service coordination agent. Provides that such service and support needs must be incorporated into the service plan of the adult with a mental disability and must align with criteria adopted by the Department. Permits the Department to limit the use of the funds to services and supports the adult with a mental disability requires to continue to live in the community. Permits the Department to adopt rules. Effective immediately. LRB104 17753 KTG 31184 b A BILL FOR HB4691 LRB104 17753 KTG 31184 b 1 AN ACT concerning mental health. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 5. The Developmental Disability and Mental 5 Disability Services Act is amended by changing Section 2-6 as 6 follows: 7 (405 ILCS 80/2-6) (from Ch. 91 1/2, par. 1802-6) 8 Sec. 2-6. 9 (a) An application for the Program shall be submitted to 10 the Department by the adult with a mental disability or, if the 11 adult with a mental disability requires a guardian, by his or 12 her legal guardian. If the application for participation in 13 the Program is approved by the Department and the adult with a 14 mental disability is eligible to receive services under this 15 Article, the adult with a mental disability shall be made 16 aware of the availability of a community support team and 17 shall be offered case management services. The amount of the 18 home-based services provided by the Department in any month 19 shall be determined by the service plan of the adult with a 20 mental disability, but , except as provided in subsection (b), 21 it in no case shall it be no more than either: 22 (1) (a) 1.05 times 300% of the monthly federal 23 Supplemental Security Income payment for an individual HB4691 - 2 - LRB104 17753 KTG 31184 b 1 residing alone if the adult with a mental disability is 2 not enrolled in a special education program by a local 3 education agency, or 4 (2) (b) 1.05 times 200% of the monthly Supplemental 5 Security Income payment for an individual residing alone 6 if the adult with a mental disability is enrolled in a 7 special education program by a local education agency. 8 (b) The Department may exceed the funding limits in 9 paragraphs (1) or (2) of subsection (a) for an adult with a 10 mental disability whose service and support needs require a 11 higher level of funding based on a determination of need 12 administered by the Department or its service coordination 13 agent. The service and support needs funded by amounts 14 authorized under this subsection must be incorporated into the 15 service plan of the adult with a mental disability and must 16 align with criteria adopted by the Department. For the higher 17 service and support needs funded under this subsection, the 18 Department may limit the use of the funds to services and 19 supports the adult with a mental disability requires to 20 continue to live in the community. The Department may adopt 21 rules to implement this subsection. 22 (c) Upon approval of the Department, all or part of the 23 monthly amount approved for home-based services to 24 participating adults may be used as a one-time or continuing 25 payment to the eligible adult or the adult's parent or 26 guardian to pay for specified tangible items that are directly HB4691 - 3 - LRB104 17753 KTG 31184 b 1 related to meeting basic needs related to the person's mental 2 disabilities. 3 Tangible items include, but are not limited to: adaptive 4 equipment, medication not covered by third-party payments, 5 nutritional supplements, and residential modifications. 6 (Source: P.A. 104-2, eff. 1-1-26 .) 7 Section 99. Effective date. This Act takes effect upon 8 becoming law. Footer Disclaimer This site is maintained for the Illinois General Assembly by the Legislative Information System, 705 Stratton Building, Springfield, Illinois 62706. 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