Illinois 104th General Assembly Status: Introduced 12 D cosponsors

HB4238      — MEDICAID-SLF-DEMENTIA CARE

Last action — Added Co-Sponsor Rep. Nicolle Grasse

  1. 1
    Introduced
  2. 2
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill has been introduced in the House. Introduced December 17, 2025. It must pass committee before a floor vote.

Next likely step: a committee referral and hearing.

Prognosis

Not enough signal yet

Where this bill stands today.

Odds of enactment

Low

How often bills like it became law.

Not enough signal yet to read this bill's trajectory — we surface a likelihood only once there's real movement (stage, sponsorship, committee, or votes) to point to.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

In plain language

The bill expands Medicaid eligibility for certain individuals with dementia beginning in 2027.

This legislation aims to make individuals aged 22 to 64 with Alzheimer's or related dementia eligible for supportive living dementia care services through Medicaid. Implementation is contingent on federal approval, and the Department of Healthcare and Family Services must seek necessary waivers.

What this means for you
  • Families: Families of individuals with dementia may benefit from expanded Medicaid services for supportive living care.

Summary

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that, subject to federal approval, beginning January 1, 2027, any individual age 22 to 64 who is diagnosed as having Alzheimer's disease or a related dementia and is determined to be a person with a disability by the Social Security Administration shall be eligible for services in a supportive living dementia care setting if the individual meets all other eligibility requirements to receive services in a supportive living dementia care setting in accordance with specified administrative rules. Requires the Department of Healthcare and Family Services to apply for any federal waiver necessary to implement the amendatory Act. Effective immediately.

Bill Text

We don't have the full text on file for this bill yet.

Read HB4238 on the official Illinois source →

Action History

  1. Added Co-Sponsor Rep. Nicolle Grasse

  2. Added Co-Sponsor Rep. Maura Hirschauer

  3. Added Co-Sponsor Rep. Dagmara Avelar

  4. Added Chief Co-Sponsor Rep. Laura Faver Dias

  5. Added Chief Co-Sponsor Rep. Jehan Gordon-Booth

  6. Rule 19(a) / Re-referred to Rules Committee

  7. To Appropriations-Medicaid Subcommittee

  8. Added Co-Sponsor Rep. Justin Cochran

  9. Assigned to Appropriations-Health and Human Services Committee

  10. Removed Co-Sponsor Rep. Laura Faver Dias

  11. Added Co-Sponsor Rep. Kevin John Olickal

  12. Added Co-Sponsor Rep. Will Guzzardi

  13. Added Co-Sponsor Rep. Laura Faver Dias

  14. Added Co-Sponsor Rep. Ann M. Williams

  15. Added Co-Sponsor Rep. Suzanne M. Ness

  16. Added Co-Sponsor Rep. Michelle Mussman

  17. Referred to Rules Committee

  18. First Reading

  19. Filed with the Clerk by Rep. Anna Moeller

Sponsors

Sponsorship breakdown

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1 sponsors · 11 co-sponsors · 171 not signed on

Sponsors (1)

Co-sponsors (11)

Not signed on (171)

171 members have not signed on to this bill.

Show all 171 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does HB4238      do?
Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that, subject to federal approval, beginning January 1, 2027, any individual age 22 to 64 who is diagnosed as having Alzheimer's disease or a related dementia and is determined to be a person with a disability by the Social Security Administration shall be eligible for services in a supportive living dementia care setting if the individual meets all other eligibility requirements to receive services in a supportive living dementia care setting in accordance with specified administrative rules. Requires the Department of Healthcare and Family Services to apply for any federal waiver necessary to implement the amendatory Act. Effective immediately.
Who sponsors HB4238     ?
HB4238      is sponsored by Anna Moeller (Democrat), Jehan Gordon-Booth (Democrat), Laura Faver Dias (Democrat), Michelle Mussman (Democrat), Suzanne M. Ness (Democrat), Ann M. Williams (Democrat), Will Guzzardi (Democrat), Kevin John Olickal (Democrat), Justin Cochran (Democrat), Dagmara Avelar (Democrat), Maura Hirschauer (Democrat), and Nicolle Grasse (Democrat).
What is the current status of HB4238     ?
This bill has been introduced in the House. Introduced December 17, 2025. It must pass committee before a floor vote.
Where can I track HB4238     ?
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Last checked for changes 3 months ago · updated continuously

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