HB 4476

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Full Text of HB4476
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					HB4476 - 104th General Assembly
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104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026
HB4476
Introduced 1/20/2026, by Rep. Lindsey LaPointe
SYNOPSIS AS INTRODUCED:
210 ILCS 49/3-104
    Amends the Specialized Mental Health Rehabilitation Act of 2013. Provides that each consumer shall be offered at least 15 hours of treatment programming per week and encouraged to attend the treatment domains that meet the consumer's needs, as reflected in the consumer's treatment plans. Provides that each consumer's program engagement and attendance shall be documented in the consumer's clinical record, and each consumer shall be prompted to attend programming regularly as documented in the consumer's clinical record at least quarterly. Effective July 1, 2026.
				LRB104 17630 BAB 31061 b
A BILL FOR
		HB4476		LRB104 17630 BAB 31061 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 5. The Specialized Mental Health Rehabilitation
5		Act of 2013 is amended by changing Section 3-104 as follows:
6		    (210 ILCS 49/3-104)
7		    Sec. 3-104. Care, treatment, and records. Facilities shall
8		provide, at a minimum, the following services: physician,
9		nursing, pharmaceutical, rehabilitative, and dietary services.
10		To provide these services, the facility shall adhere to the
11		following:
12		        (1) Each consumer shall be encouraged and assisted to
13		    achieve and maintain the highest level of self-care and
14		    independence. Every effort shall be made to keep consumers
15		    active and out of bed for reasonable periods of time,
16		    except when contraindicated by physician orders.
17		        (2) Every consumer shall be engaged in a
18		    person-centered planning process regarding his or her
19		    total care and treatment.
20		        (3) All medical treatment and procedures shall be
21		    administered as ordered by a physician. All new physician
22		    orders shall be reviewed by the facility's director of
23		    nursing or charge nurse designee within 24 hours after
		HB4476	- 2 -	LRB104 17630 BAB 31061 b
1		    such orders have been issued to ensure facility compliance
2		    with such orders. According to rules adopted by the
3		    Department, every woman consumer of child bearing age
4		    shall receive routine obstetrical and gynecological
5		    evaluations as well as necessary prenatal care.
6		        (4) Each consumer shall be provided with good
7		    nutrition and with necessary fluids for hydration.
8		        (5) Each consumer shall be provided visual privacy
9		    during treatment and personal care.
10		        (6) Every consumer or consumer's guardian shall be
11		    permitted to inspect and copy all his or her clinical and
12		    other records concerning his or her care kept by the
13		    facility or by his or her physician. The facility may
14		    charge a reasonable fee for duplication of a record.
15		        (7) Each consumer shall be offered at least 15 hours 
16		    of treatment programming per week and encouraged to attend 
17		    the treatment domains that meet the consumer's needs, as 
18		    reflected in the consumer's treatment plans. Each 
19		    consumer's program engagement and attendance shall be 
20		    documented in the consumer's clinical record, and each 
21		    consumer shall be prompted to attend programming regularly 
22		    as documented in the consumer's clinical record at least 
23		    quarterly.
24		(Source: P.A. 98-104, eff. 7-22-13.)
25		    Section 99. Effective date. This Act takes effect July 1,
26		2026.