Illinois 2025-2026 Regular Session

Illinois House Bill HB2369 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 HB2369 Introduced , by Rep. Anne Stava-Murray SYNOPSIS AS INTRODUCED: 305 ILCS 5/5-2c new Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to establish and administer, by January 1, 2027, a Certified Family Health Aide Program that permits a legally responsible family caregiver or family member to receive specific training from a participating licensed home health agency, home nursing agency, or home services agency on the provision of private duty nursing services. Provides that a legally responsible family caregiver or family member who successfully completes training and meets all other applicable requirements under State or federal law shall receive certification as a certified family health aide and be eligible to provide private duty nursing services to a qualifying family member under the Early and Periodic Screening, Diagnostic and Treatment benefit or through any home and community-based services waiver program for medically fragile and technology dependent children. Provides that no home health agency, home nursing agency, home services agency, or legally responsible family caregiver or family member is required to participate in the program. Contains provisions on training and instruction requirements for certification; additional hands-on training provided by participating agencies; competency requirements for certified family health aides; background check requirements; reimbursement rates for certified family health aide services; Department rules and reporting requirements; monthly meetings between the Department and participating agencies during the implementation phase of the program; and other matters. Effective immediately. LRB104 06022 KTG 16055 b A BILL FOR 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 HB2369 Introduced , by Rep. Anne Stava-Murray SYNOPSIS AS INTRODUCED: 305 ILCS 5/5-2c new 305 ILCS 5/5-2c new Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to establish and administer, by January 1, 2027, a Certified Family Health Aide Program that permits a legally responsible family caregiver or family member to receive specific training from a participating licensed home health agency, home nursing agency, or home services agency on the provision of private duty nursing services. Provides that a legally responsible family caregiver or family member who successfully completes training and meets all other applicable requirements under State or federal law shall receive certification as a certified family health aide and be eligible to provide private duty nursing services to a qualifying family member under the Early and Periodic Screening, Diagnostic and Treatment benefit or through any home and community-based services waiver program for medically fragile and technology dependent children. Provides that no home health agency, home nursing agency, home services agency, or legally responsible family caregiver or family member is required to participate in the program. Contains provisions on training and instruction requirements for certification; additional hands-on training provided by participating agencies; competency requirements for certified family health aides; background check requirements; reimbursement rates for certified family health aide services; Department rules and reporting requirements; monthly meetings between the Department and participating agencies during the implementation phase of the program; and other matters. Effective immediately. LRB104 06022 KTG 16055 b LRB104 06022 KTG 16055 b A BILL FOR
2	2	104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 HB2369 Introduced , by Rep. Anne Stava-Murray SYNOPSIS AS INTRODUCED:
3	3	305 ILCS 5/5-2c new 305 ILCS 5/5-2c new
4	4	305 ILCS 5/5-2c new
5	5	Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to establish and administer, by January 1, 2027, a Certified Family Health Aide Program that permits a legally responsible family caregiver or family member to receive specific training from a participating licensed home health agency, home nursing agency, or home services agency on the provision of private duty nursing services. Provides that a legally responsible family caregiver or family member who successfully completes training and meets all other applicable requirements under State or federal law shall receive certification as a certified family health aide and be eligible to provide private duty nursing services to a qualifying family member under the Early and Periodic Screening, Diagnostic and Treatment benefit or through any home and community-based services waiver program for medically fragile and technology dependent children. Provides that no home health agency, home nursing agency, home services agency, or legally responsible family caregiver or family member is required to participate in the program. Contains provisions on training and instruction requirements for certification; additional hands-on training provided by participating agencies; competency requirements for certified family health aides; background check requirements; reimbursement rates for certified family health aide services; Department rules and reporting requirements; monthly meetings between the Department and participating agencies during the implementation phase of the program; and other matters. Effective immediately.
6	6	LRB104 06022 KTG 16055 b LRB104 06022 KTG 16055 b
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8	8	A BILL FOR
9	9	HB2369LRB104 06022 KTG 16055 b HB2369 LRB104 06022 KTG 16055 b
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11	11	1 AN ACT concerning public aid.
12	12	2 Be it enacted by the People of the State of Illinois,
13	13	3 represented in the General Assembly:
14	14	4 Section 5. The Illinois Public Aid Code is amended by
15	15	5 adding Section 5-2c as follows:
16	16	6 (305 ILCS 5/5-2c new)
17	17	7 Sec. 5-2c. Certified Family Health Aide Program.
18	18	8 (a) As used in this Section:
19	19	9 "Home health agency", "home nursing agency", and "home
20	20	10 services agency" have the same meaning ascribed to those terms
21	21	11 under the Home Health, Home Services, and Home Nursing Agency
22	22	12 Licensing Act.
23	23	13 "Legally responsible family caregiver or family member"
24	24	14 mean a parent, guardian, or adult sibling, 18 years of age or
25	25	15 older, of a household family member who receives or is
26	26	16 eligible to receive in-home shift nursing services or in-home
27	27	17 respite services under the Early and Periodic Screening,
28	28	18 Diagnostic and Treatment benefit authorized under 42 CFR
29	29	19 441.50 or through any home and community-based services waiver
30	30	20 program for medically fragile and technology dependent
31	31	21 children as authorized under Section 1915(c) of the Social
32	32	22 Security Act.
33	33	23 "Participating agency" means a home health agency, home
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37	37	104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 HB2369 Introduced , by Rep. Anne Stava-Murray SYNOPSIS AS INTRODUCED:
38	38	305 ILCS 5/5-2c new 305 ILCS 5/5-2c new
39	39	305 ILCS 5/5-2c new
40	40	Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to establish and administer, by January 1, 2027, a Certified Family Health Aide Program that permits a legally responsible family caregiver or family member to receive specific training from a participating licensed home health agency, home nursing agency, or home services agency on the provision of private duty nursing services. Provides that a legally responsible family caregiver or family member who successfully completes training and meets all other applicable requirements under State or federal law shall receive certification as a certified family health aide and be eligible to provide private duty nursing services to a qualifying family member under the Early and Periodic Screening, Diagnostic and Treatment benefit or through any home and community-based services waiver program for medically fragile and technology dependent children. Provides that no home health agency, home nursing agency, home services agency, or legally responsible family caregiver or family member is required to participate in the program. Contains provisions on training and instruction requirements for certification; additional hands-on training provided by participating agencies; competency requirements for certified family health aides; background check requirements; reimbursement rates for certified family health aide services; Department rules and reporting requirements; monthly meetings between the Department and participating agencies during the implementation phase of the program; and other matters. Effective immediately.
41	41	LRB104 06022 KTG 16055 b LRB104 06022 KTG 16055 b
42	42	LRB104 06022 KTG 16055 b
43	43	A BILL FOR
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49	49	305 ILCS 5/5-2c new
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68	68	1 nursing agency, or home services agency that participates in
69	69	2 the Certified Family Health Aide Program.
70	70	3 "Program" means the Certified Family Health Aide Program.
71	71	4 (b) By January 1, 2027, the Department shall establish and
72	72	5 administer a Certified Family Health Aide Program that permits
73	73	6 a legally responsible family caregiver or family member to
74	74	7 receive specific training from a participating licensed home
75	75	8 health agency, home nursing agency, or home services agency on
76	76	9 the provision of private duty nursing services. A legally
77	77	10 responsible family caregiver or family member who successfully
78	78	11 completes training and meets all other applicable requirements
79	79	12 under State or federal law shall receive certification as a
80	80	13 certified family health aide and be eligible to provide
81	81	14 private duty nursing services to a qualifying family member
82	82	15 under the Early and Periodic Screening, Diagnostic and
83	83	16 Treatment benefit or through any home and community-based
84	84	17 services waiver program for medically fragile and technology
85	85	18 dependent children. No home health agency, home nursing
86	86	19 agency, home services agency, or legally responsible family
87	87	20 caregiver or family member is required to participate in the
88	88	21 program.
89	89	22 (c) To obtain certification as a family health aide under
90	90	23 the program, a legally responsible family caregiver or family
91	91	24 member must complete all training, testing, and other
92	92	25 qualification criteria as prescribed by the Department, by
93	93	26 rule, or as required under any applicable State or federal
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104	104	1 law. Training provided by a participating agency must follow
105	105	2 federal guidelines and standards on home health aide
106	106	3 instruction and training as set forth in 42 CFR 484.80. All
107	107	4 family health aides must complete training and instruction on
108	108	5 the following tasks:
109	109	6 (1) patient care transfers;
110	110	7 (2) positioning;
111	111	8 (3) ambulation;
112	112	9 (4) feeding;
113	113	10 (5) personal 24 care;
114	114	11 (6) catheter care;
115	115	12 (7) range of motion;
116	116	13 (8) observation and reporting of a patient's vital
117	117	14 signs and blood pressure;
118	118	15 (9) medication administration;
119	119	16 (10) enteral care; and
120	120	17 (11) meal and formula preparation.
121	121	18 A participating agency must provide an additional 10 hours
122	122	19 of hands-on training in the tasks described in paragraphs (1)
123	123	20 through (11). All training and instruction provided by a
124	124	21 participating agency must be documented by the participating
125	125	22 agency. Each of tasks described in paragraphs (1) through (11)
126	126	23 shall be within the scope of practice for certified family
127	127	24 health aides.
128	128	25 (d) Certified family health aides must meet all competency
129	129	26 requirements imposed by the participating agency, as well as
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140	140	1 applicable State and federal guidelines, before providing
141	141	2 private duty nursing services to a family member who is
142	142	3 receiving medical assistance under the Early and Periodic
143	143	4 Screening, Diagnostic and Treatment benefit or through any
144	144	5 home and community-based services waiver program for medically
145	145	6 fragile and technology dependent children. A participating
146	146	7 agency that employs a legally responsible family caregiver or
147	147	8 family member prior to certification shall be required to pay
148	148	9 all training costs for the legally responsible family
149	149	10 caregiver or family member to become a certified family health
150	150	11 aide. No legally responsible family caregiver or family member
151	151	12 shall be required to reimburse the participating agency for
152	152	13 the training costs associated with certification. A legally
153	153	14 responsible family caregiver or family member must meet all
154	154	15 applicable State and federal background screening requirements
155	155	16 and regulations, including a fingerprint-based criminal
156	156	17 history records check, to obtain employment at a participating
157	157	18 agency.
158	158	19 The Department shall adopt rules to implement the program,
159	159	20 including, but not limited to, rules on application and
160	160	21 certification requirements for legally responsible family
161	161	22 caregivers or family members seeking to participate in the
162	162	23 program.
163	163	24 (e) To qualify for certification as a certified family
164	164	25 health aide, a legally responsible family caregiver or family
165	165	26 member must at a minimum:
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176	176	1 (1) be at least 18 years of age or older; and
177	177	2 (2) have satisfactorily completed
178	178	3 participant-specific training and received a sign-off
179	179	4 indicating competency in the provision of care from a
180	180	5 supervising medical team and participating agency.
181	181	6 A certified family health aide may only provide care to
182	182	7 the specific family member for whom the certified family
183	183	8 health aide is trained to provide care. The certified family
184	184	9 health aide may provide private duty nursing services to that
185	185	10 family member if the certified family health aide is the only
186	186	11 family member present in the home at the time of service
187	187	12 delivery. Certified family health aides may not provide
188	188	13 services to persons other than family members who are eligible
189	189	14 for medical assistance under the Early and Periodic Screening,
190	190	15 Diagnostic and Treatment benefit or through any home and
191	191	16 community-based services waiver program for medically fragile
192	192	17 and technology dependent children. Certified family health
193	193	18 aides may not provide services in any health care setting
194	194	19 other than a home nursing model.
195	195	20 (f) The reimbursement rate for home health agencies, home
196	196	21 nursing agencies, and home services agencies that provide
197	197	22 certified family health aide services shall be no lower than
198	198	23 $40.00 an hour.
199	199	24 (g) Beginning 30 days after the effective date of this
200	200	25 amendatory Act of the 104th General Assembly and until the
201	201	26 Certified Family Health Aide Program is implemented, the
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212	212	1 Department shall meet and work with home health agencies, home
213	213	2 nursing agencies, and home services agencies on a monthly
214	214	3 basis during the development and implementation phase of the
215	215	4 program.
216	216	5 (h) No later than 3 years after the implementation date of
217	217	6 the program, the Department shall prepare and submit a report
218	218	7 to the Governor and the General Assembly concerning the
219	219	8 viability of the program and the Director's recommendations
220	220	9 concerning the program. The Department shall use its data and
221	221	10 not that of any home health agency, home nursing agency, or
222	222	11 home services agency participating in the program.
223	223	12 (i) The Department shall permanently establish a committee
224	224	13 and meet together at least quarterly with home health
225	225	14 agencies, home nursing agencies, and home services agencies,
226	226	15 family health aides and their families, and other members of
227	227	16 the public to make comments or ask questions regarding the
228	228	17 private duty nursing benefit servicing program participants
229	229	18 under the State Plan's Early and Periodic Screening,
230	230	19 Diagnostic, and Treatment program or the Medically Fragile,
231	231	20 Technology Dependent waiver.
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