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SB 3727

Illinois Senate•In Senate Committee

Summary

SB 3727, “MEDICAID-COMMUNTY DAY SERVICES”, was introduced in the Senate on Feb 5, 2026 by Sen. Michael Halpin (D) with 3 co-sponsors. It was referred to Assignments, and last saw action on May 22, 2026: Rule 3-9(a) / Re-referred to Assignments.

Record

Text

SB 3727 has 3 co-sponsors.

sb3727/introduced.txt
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Full Text of SB3727
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	SB3727 - 104th General Assembly
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104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026
SB3727
Introduced 2/5/2026, by Sen. Michael W. Halpin
SYNOPSIS AS INTRODUCED:
20 ILCS 1705/74
305 ILCS 5/5-5a.2 new
Amends the Mental Health and Developmental Disabilities Administrative Act. Provides that beginning July 1, 2026, the Department of Human Services shall reissue the original cost and wage survey for costs associated with the administration of services to persons with intellectual and developmental disabilities in community day services that was contained in the Department's Guidehouse Rate Study. Provides that the cost and wage survey shall be used to effectuate rate increases in transportation funding for the administration of community day services to persons with intellectual and developmental disabilities and may include provider contact information, total costs of employee salaries and benefits, staff turnover, and other information. Requires the Department to adopt rules. Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to file an amendment to the Home and Community-Based Services Waiver Program for Adults with Developmental Disabilities that removes the 5 hour per day billing maximums at community day services. Provides that the amendment shall not modify monthly and yearly billing maximums for community day services. Provides that implementation is contingent on federal approval. Effective July 1, 2026.
LRB104 19958 KTG 33408 b
A BILL FOR
		SB3727		LRB104 19958 KTG 33408 b
    AN ACT concerning public aid.
    Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
    Section 5. The Mental Health and Developmental
Disabilities Administrative Act is amended by changing Section
74 as follows:
    (20 ILCS 1705/74)
    Sec. 74. Rates and reimbursements.
    (a) Within 30 days after July 6, 2017 (the effective date
of Public Act 100-23), the Department shall increase rates and
reimbursements to fund a minimum of a $0.75 per hour wage
increase for frontline personnel, including, but not limited
to, direct support professionals, aides, frontline
supervisors, qualified intellectual disabilities
professionals, nurses, and non-administrative support staff
working in community-based provider organizations serving
individuals with developmental disabilities. The Department
shall adopt rules, including emergency rules under subsection
(y) of Section 5-45 of the Illinois Administrative Procedure
Act, to implement the provisions of this Section.
    (b) Rates and reimbursements. Within 30 days after June 4,
2018 (the effective date of Public Act 100-587), the
Department shall increase rates and reimbursements to fund a
		SB3727	- 2 -	LRB104 19958 KTG 33408 b
minimum of a $0.50 per hour wage increase for frontline
personnel, including, but not limited to, direct support
professionals, aides, frontline supervisors, qualified
intellectual disabilities professionals, nurses, and
non-administrative support staff working in community-based
provider organizations serving individuals with developmental
disabilities. The Department shall adopt rules, including
emergency rules under subsection (bb) of Section 5-45 of the
Illinois Administrative Procedure Act, to implement the
provisions of this Section.
    (c) Rates and reimbursements. Within 30 days after June 5,
2019 (the effective date of Public Act 101-10), subject to
federal approval, the Department shall increase rates and
reimbursements in effect on June 30, 2019 for community-based
providers for persons with Developmental Disabilities by 3.5%
The Department shall adopt rules, including emergency rules
under subsection (jj) of Section 5-45 of the Illinois
Administrative Procedure Act, to implement the provisions of
this Section, including wage increases for direct care staff.
    (d) For community-based providers serving persons with
intellectual/developmental disabilities, subject to federal
approval of any relevant Waiver Amendment, the rates taking
effect for services delivered on or after January 1, 2022,
shall include an increase in the rate methodology sufficient
to provide a $1.50 per hour wage increase for direct support
professionals in residential settings and sufficient to
		SB3727	- 3 -	LRB104 19958 KTG 33408 b
provide wages for all residential non-executive direct care
staff, excluding direct support professionals, at the federal
Department of Labor, Bureau of Labor Statistics' average wage
as defined in rule by the Department.
    The establishment of and any changes to the rate
methodologies for community-based services provided to persons
with intellectual/developmental disabilities are subject to
federal approval of any relevant Waiver Amendment and shall be
defined in rule by the Department. The Department shall adopt
rules, including emergency rules as authorized by Section 5-45
of the Illinois Administrative Procedure Act, to implement the
provisions of this subsection (d).
    (e) For community-based providers serving persons with
intellectual/developmental disabilities, subject to federal
approval of any relevant Waiver Amendment, the rates taking
effect for services delivered on or after January 1, 2023,
shall include an increase in the rate methodology sufficient
to provide a $1.00 per hour wage increase for all direct
support professionals and all other frontline personnel who
are not subject to the Bureau of Labor Statistics' average
wage increases, who work in residential and community day
services settings, with at least $0.50 of those funds to be
provided as a direct increase to base wages, with the
remaining $0.50 to be used flexibly for base wage increases.
In addition, the rates taking effect for services delivered on
or after January 1, 2023 shall include an increase sufficient
		SB3727	- 4 -	LRB104 19958 KTG 33408 b
to provide wages for all residential non-executive direct care
staff, excluding direct support professionals, at the federal
Department of Labor, Bureau of Labor Statistics' average wage
as defined in rule by the Department.
    The establishment of and any changes to the rate
methodologies for community-based services provided to persons
with intellectual/developmental disabilities are subject to
federal approval of any relevant Waiver Amendment and shall be
defined in rule by the Department. The Department shall adopt
rules, including emergency rules as authorized by Section 5-45
of the Illinois Administrative Procedure Act, to implement the
provisions of this subsection.
    (f) For community-based providers serving persons with
intellectual/developmental disabilities, subject to federal
approval of any relevant Waiver Amendment, the rates taking
effect for services delivered on or after January 1, 2024
shall include an increase in the rate methodology sufficient
to provide a $2.50 per hour wage 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. At least $1.25 of the per hour wage
increase shall be provided as a direct increase to base wages,
and the remaining $1.25 of the per hour wage increase shall be
used flexibly for base wage increases. In addition, the rates
taking effect for services delivered on or after January 1,
		SB3727	- 5 -	LRB104 19958 KTG 33408 b
2024 shall include an increase sufficient to provide wages for
all residential non-executive direct care staff, excluding
direct support professionals, at the federal Department of
Labor, Bureau of Labor Statistics' average wage as defined in
rule by the Department.
    The establishment of and any changes to the rate
methodologies for community-based services provided to persons
with intellectual/developmental disabilities are subject to
federal approval of any relevant Waiver Amendment and shall be
defined in rule by the Department. The Department shall adopt
rules, including emergency rules as authorized by Section 5-45
of the Illinois Administrative Procedure Act, to implement the
provisions of this subsection.
    (g) 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, 2025
shall include an increase in the rate methodology sufficient
to provide a $1 per hour wage rate increase for all direct
support personnel 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, with at least $0.75 of those funds to be
provided as a direct increase to base wages and the remaining
$0.25 to be used flexibly for base wage increases. These
increases shall not be used by community-based providers for
		SB3727	- 6 -	LRB104 19958 KTG 33408 b
operational or administrative expenses. In addition, the rates
taking effect for services delivered on or after January 1,
2025 shall include an increase sufficient to provide wages for
all residential non-executive direct care staff, excluding
direct support personnel, at the federal Department of Labor,
Bureau of Labor Statistics' average wage as defined by rule by
the Department. For services delivered on or after January 1,
2025, the rates shall include adjustments to
employment-related expenses as defined by rule by the
Department.
    The establishment of and any changes to the rate
methodologies for community-based services provided to persons
with intellectual or developmental disabilities are subject to
federal approval of any relevant Waiver Amendment and shall be
defined in rule by the Department. The Department shall adopt
rules, including emergency rules as authorized by Section 5-45
of the Illinois Administrative Procedure Act, to implement the
provisions of this subsection.
    (h) 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, 2026
shall include an increase in the rate methodology sufficient
to provide a $0.80 per hour wage increase for all direct
support personnel and all other frontline personnel who are
not subject to the Bureau of Labor Statistics' average wage
		SB3727	- 7 -	LRB104 19958 KTG 33408 b
increases and who work in residential and community day
services settings, with at least $0.60 of the per hour wage
increase to be provided as a direct increase to base wages, and
the remaining $0.20 of the per hour wage increase to be used
flexibly for base wage increases. These increases shall not be
used by community-based providers for operational or
administrative expenses. In addition, the rates taking effect
for services delivered on or after January 1, 2026 shall
include an increase sufficient to provide wages for all
residential non-executive direct care staff, excluding direct
support personnel, at the federal Department of Labor, Bureau
of Labor Statistics' average wage as defined in rule by the
Department.
    The establishment of and any changes to the rate
methodologies for community-based services provided to persons
with intellectual or developmental disabilities are subject to
federal approval of any relevant Waiver Amendment and shall be
defined in rule by the Department. The Department shall adopt
rules, including emergency rules as authorized by Section 5-45
of the Illinois Administrative Procedure Act, to implement the
provisions of this subsection.
    (i) Beginning July 1, 2026, the Department shall reissue 
the original cost and wage survey for costs associated with 
the administration of services to persons with intellectual 
and developmental disabilities in community day services that 
was contained in the Department's Guidehouse Rate Study. The 
		SB3727	- 8 -	LRB104 19958 KTG 33408 b
cost and wage survey shall be used to effectuate rate 
increases in transportation funding for the administration of 
community day services to persons with intellectual and 
developmental disabilities and may include the following 
items:
        (1) Provider contact information.
        (2) Total costs of employee salaries and benefits.
        (3) Category of services provided by agencies.
        (4) Salary and wage information for staff.
        (5) Benefits for staff.
        (6) Staff turnover.
        (7) Day services costs.
        (8) Supported employment costs.
        (9) Costs related to the provision of transportation.
    The Department shall adopt rules to implement this 
subsection.
(Source: P.A. 103-8, eff. 6-7-23; 103-154, eff. 6-30-23;
103-588, eff. 6-5-24; 104-2, eff. 6-16-25.)
    Section 10. The Illinois Public Aid Code is amended by
adding Section 5-5a.2 as follows:
    (305 ILCS 5/5-5a.2 new)
    Sec. 5-5a.2. Community day services billing; adults with 
intellectual and developmental disabilities. The Department 
shall file an amendment to the Home and Community-Based 
		SB3727	- 9 -	LRB104 19958 KTG 33408 b
Services Waiver Program for Adults with Developmental 
Disabilities authorized under Section 1915(c) of the Social 
Security Act that removes the 5 hour per day billing maximums 
for community day services. The amendment shall not modify 
monthly and yearly billing maximums for community day 
services. Implementation of this Section is contingent on 
federal approval.
    Section 99. Effective date. This Act takes effect July 1,
2026.

Amends the Mental Health and Developmental Disabilities Administrative Act. Provides that beginning July 1, 2026, the Department of Human Services shall reissue the original cost and wage survey for costs associated with the administration of services to persons with intellectual and developmental disabilities in community day services that was contained in the Department's Guidehouse Rate Study. Provides that the cost and wage survey shall be used to effectuate rate increases in transportation funding for the administration of community day services to persons with intellectual and developmental disabilities and may include provider contact information, total costs of employee salaries and benefits, staff turnover, and other information. Requires the Department to adopt rules. Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to file an amendment to the Home and Community-Based Services Waiver Program for Adults with Developmental Disabilities that removes the 5 hour per day billing maximums at community day services. Provides that the amendment shall not modify monthly and yearly billing maximums for community day services. Provides that implementation is contingent on federal approval. Effective July 1, 2026.

Sponsors

Sen. Michael Halpin (D) sponsors SB 3727, and 3 members have co-sponsored it.

Committees

SB 3727 went before 2 committees: Assignments and Appropriations - Health and Human Services.

Assignments
Assignments
Referred to · Feb 5, 2026
Appropriations - Health and Human Services
Appropriations - Health and Human Services
Referred to · Feb 17, 2026

History

SB 3727 has taken 11 actions since Feb 5, 2026, the latest on May 22, 2026.

ChamberAction
May 22, 2026
Senate
Rule 3-9(a) / Re-referred to Assignments
May 15, 2026
Senate
Rule 2-10 Committee/3rd Reading Deadline Established As May 22, 2026
May 15, 2026
Senate
Added as Co-Sponsor Sen. Li Arellano, Jr.
Apr 24, 2026
Senate
Rule 2-10 Committee/3rd Reading Deadline Established As May 15, 2026
Apr 14, 2026
Senate
Added as Co-Sponsor Sen. Graciela Guzmán

Votes

SB 3727 has not gone to a roll call.

Source: ilga.gov · legiscan.com