MEDICAID-BRAIN INJURY WAIVER

Illinois General Assembly - Full Text of SB3554

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.

Choose Language

English

Afrikaans

Albanian

Arabic

Armenian

Azerbaijani

Basque

Bengali

Bosnian

Catalan

Croatian

Czech

Danish

Dutch

Esperanto

Estonian

Filipino

Finnish

French

Galician

Georgian

German

Greek

Gujarati

Haitian Creole

Hausa

Hawaiian

Hebrew

Hindi

Hungarian

Icelandic

Indonesian

Interlingua

Interlingue

Inuktitut

Irish

Italian

Japanese

Javanese

Kannada

Khmer

Korean

Latin

Latvian

Lithuanian

Luxembourgish

Macedonian

Malagasy

Malayalam

Maltese

Maori

Marathi

Myanmar

Nepali

Norwegian

Odia

Pashto

Punjabi

Romanian

Russian

Samoan

Sango

Sanskrit

Sardinian

Sindhi

Sinhala

Slovak

Slovenian

Somali

Southern Sotho

Spanish

Sundanese

Swahili

Swedish

Tamil

Telugu

Thai

Tigrinya

Tonga

Turkish

Ukrainian

Urdu

Vietnamese

Welsh

Xhosa

Yiddish

Yoruba

Zulu

Powered by
Translate

Close

Illinois General Assembly

Top Navigation Bar

Translate

Learn

Select General Assembly

Search the 104th General Assembly

Enter search terms for legislation, members, committees, or schedules.

ILGA.GOV

LEGISLATION & LAWS

Bills & Resolutions

Public Acts

Illinois Compiled Statutes

Illinois Constitution

Search Legislation

Glossary

Guide

Reports & Inquiry

Legislative Reports

Special Reports

FTP Site

Legislator Lookup

Capitol Complex Phone Numbers

Rules & Regulations

Illinois Register

Administrative Rules

Senate

Members

Schedules

Committees

Request for Remote Testimony

Journals

Transcripts

Rules

Audio/Video

FOIA Information

Senate Employment Opportunities

Media Guidelines

House

Members

Schedules

Committees

Submit testimony for House Committees

Journals

Transcripts

Rules

Audio/Video

FOIA Information

House Employment Opportunities

Log In

Mobile Top Bar

Search the 104th General Assembly

Enter keywords to search the Illinois General Assembly website.

Full Text of SB3554

Home

Legislation

Full Text

SB3554 - 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
SB3554

Introduced 2/5/2026, by Sen. David Koehler

SYNOPSIS AS INTRODUCED:

305 ILCS 5/5-70 new

Amends the Medical Assistance Article of the Illinois Public Aid
Code. Provides that, on and after January 1, 2027, certain services shall
be eligible for reimbursement at approved programs through the Brain
Injury waiver for eligible individuals over the age of 21, including, but
not limited to: (1) case management; (2) nursing services; (3) medical
oversight by consulting medical director; (4) physical therapy; and (5)
occupational therapy. Requires the Department of Human Services to
reimburse approved programs at the rates in effect for the Home and
Community-Based Services Waiver program most recently approved. Effective
January 1, 2027.
LRB104 19789 KTG 33239 b

A BILL FOR

SB3554
LRB104 19789 KTG 33239 b
1

AN ACT concerning State government.

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 5-70 as follows:

6

(305 ILCS 5/5-70 new)
7

Sec. 5-70.
Brain injury waiver services.
8

(a) Findings. The General Assembly finds that:
9

(1) Annually, over 141,000 new brain injuries are
10

sustained by children and adult Illinois residents.
11

(2) The State provides services and support for
12

individuals with brain injuries through the Persons with
13

Brain Injury waiver, which is part of the Home and
14

Community-Based Services Waiver and is operated by the
15

Department of Human Services' Division of Rehabilitation
16

Services. This program is administered by the Department
17

of Healthcare and Family Services. Day-to-day operations
18

are managed by the Department of Human Services' Division
19

of Rehabilitation Services. These services are offered for
20

individuals who are at risk of being placed in a nursing
21

facility for care due to functional limitations caused by
22

a brain injury.
23

(3) Individuals are eligible for Brain Injury waivers

SB3554
- 2 -
LRB104 19789 KTG 33239 b
1

if, among other requirements, they have an acquired brain
2

injury as documented by a physician or neurologist. This
3

includes traumatic brain injuries, infections, anoxia,
4

stroke, aneurysm, electrical injury, malignant or benign
5

tumors, neoplasm of the brain, and toxic encephalopathy.
6

(4) Twenty-two states currently offer care in the
7

community funding options for adults with brain injury who
8

require residential supports and services.
9

(5) Illinois does not currently offer reimbursement
10

for care to programs providing brain injury care services
11

for individuals over the age of 21. As a result, these
12

individuals must stop receiving care abruptly in their
13

current programs when they age out of eligibility for
14

reimbursement and must be transferred to a nursing home at
15

age 21, or transferred to another state that can seek
16

reimbursement from the State of Illinois for the provision
17

of services for this age group. This causes a disruption
18

in care and separation of families. Illinois Medicaid
19

funds are used to support these individuals in accessing
20

out-of-state care, resulting in funding going to
21

out-of-state providers and being paid at higher
22

out-of-state rates.
23

(b) As used in this Section, "approved programs" includes
24
programs authorized to provide care under the Medicaid Home
25
and Community-Based Services Waiver program.
26

(c) Notwithstanding any other provision of this Code to

SB3554
- 3 -
LRB104 19789 KTG 33239 b
1
the contrary, on and after January 1, 2027, the following
2
services shall be eligible for reimbursement at approved
3
programs through the Brain Injury waiver for eligible
4
individuals over the age of 21:
5

(1) Case management.
6

(2) Nursing services.
7

(3) Medical oversight by consulting medical director.
8

(4) Physical therapy.
9

(5) Occupational therapy.
10

(6) Speech language therapy.
11

(7) Behavioral intervention and therapy.
12

(8) Individual and family counseling.
13

(9) Life skills training, including community
14

re-access training.
15

(10) Residential habilitation.
16

(11) Day habilitation.
17

(d) The Department of Human Services shall reimburse
18
approved programs at the rates in effect for the Home and
19
Community-Based Services Waiver program most recently approved
20
under authority of Section 1915(c) of the Social Security Act.

21

Section 99.
Effective date.
This Act takes effect January
22
1, 2027.

Footer

Disclaimer

This site is maintained for the Illinois General Assembly by the
Legislative Information System, 705 Stratton Building, Springfield, Illinois 62706.

Contact ILGA Webmaster

ILGA.gov uses cookies to ensure you get the best experience on our website. By continuing to browse ILGA.gov you consent to our use of cookies.
Read About Cookies

ILGA.GOV

2026 ILGA.gov | All Rights Reserved |
ADA

|
Disclaimers
|
Learn

This site is maintained for the Illinois General Assembly by the
Legislative Information System, 705 Stratton Building, Springfield, Illinois 62706.
Contact ILGA Webmaster

ILGA.gov uses cookies to ensure you get the best experience on our website. By continuing to browse ILGA.gov you consent to our use of cookies.
Read About Cookies

ILGA.GOV

2026 ILGA.gov | All Rights Reserved |
ADA

|
Disclaimers
|
Learn