Illinois 2025-2026 Regular Session

Illinois House Bill HB3078

Introduced
2/6/25  
Refer
2/6/25  
Refer
3/4/25  
Report Pass
3/12/25  
Engrossed
4/11/25  
Refer
4/23/25  
Enrolled
5/31/25  
Chaptered
8/15/25  

Caption

DHS-HEALTH CARE ADMINISTRATION

Summary

HB3078 is a broad Department of Human Services and health-care administration bill that makes extensive changes across multiple Illinois statutes affecting mental health, developmental disabilities, early intervention, special education, community-integrated living arrangements, health care worker background checks, and firearm-related mental health reporting. A major portion of the bill revises the Department of Human Services Act’s Office of the Inspector General provisions, expanding and clarifying its authority to investigate abuse, neglect, financial exploitation, egregious neglect, and obstruction of investigations in state-operated and community agencies serving people with mental illness or developmental disabilities. It also adds more detailed reporting, review, subpoena, training, cooperation, confidentiality, registry, and sanctions procedures, and creates a Quality Care Board to oversee the Inspector General’s operations. The bill also updates related systems outside DHS. It amends the Community-Integrated Living Arrangements Licensure and Certification Act to remove older references to “mental health” agencies and focus on developmental services agencies, while preserving licensure, inspection, and enforcement requirements for community-integrated living arrangements. It revises the Health Care Worker Background Check Act to expand and modernize definitions and background-check procedures for health care employers and applicants, including use of fingerprint-based checks and searches of sex offender, inmate, fugitive, and exclusion databases. In addition, it amends the Mental Health and Developmental Disabilities Code to add and update definitions and reporting requirements involving physician assistants and advanced practice psychiatric nurses, and it updates the Firearm Owners Identification Card Act’s mental-health-related definitions and notification provisions. The bill also makes significant education and early intervention changes. It amends the School Code to strengthen special education procedures, including bilingual and culturally appropriate evaluations, parent notice and access rights, Braille instruction for students who are functionally blind, assistive technology notice, and transition planning for students moving from early intervention to preschool services. It amends the Early Intervention Services System Act to reinforce individualized family service planning, timelines for evaluations and services, parent rights, telehealth availability, insurance and fee disclosures, and continuity of services for children whose third birthday falls near the school-year cutoff. The bill further updates the Department of Early Childhood Act to align early intervention transition rules with current special education eligibility and service continuity practices. The general sentiment reflected in the voting history appears favorable but not unanimous. The bill passed the House 76-39 and the Senate 41-15, indicating clear majority support in both chambers while still drawing substantial opposition. Because there are no committee transcripts provided, the record does not show detailed floor or committee debate, but the vote margins suggest the bill was broadly supported as a package of administrative, oversight, and child- and patient-protection measures. The main points of contention likely center on the bill’s expanded investigative and reporting powers, the new registry and background-check consequences for employees, and the breadth of changes across multiple systems. Provisions requiring rapid reporting, mandatory cooperation with investigations, public registry reporting for certain substantiated findings, and expanded sanctions could raise due-process, labor, and privacy concerns for employees and agencies. At the same time, the bill includes procedural protections such as notice, hearings, reconsideration, confidentiality rules, and carve-outs for union representation and self-incrimination, suggesting an effort to balance enforcement with employee rights and confidentiality.

Impact

HB3078 amends numerous provisions of the Department of Human Services Act, the Community-Integrated Living Arrangements Licensure and Certification Act, the Health Care Worker Background Check Act, the School Code, the Early Intervention Services System Act, the Mental Health and Developmental Disabilities Code, and the Firearm Owners Identification Card Act. Its practical effect is to expand DHS oversight and enforcement tools, tighten reporting and investigation requirements, update background-check and registry processes, and revise special education and early intervention procedures affecting children, families, providers, and state agencies. It also creates a Quality Care Board and adds new administrative duties for DHS, the State Board of Education, the Department of Public Health, and related agencies.

Sentiment

The bill appears to have received generally supportive consideration overall, as shown by passage in both chambers with comfortable margins, though not without meaningful opposition. The House vote of 76-39 and Senate vote of 41-15 suggest that most lawmakers viewed the bill as a substantive oversight and services package, while a sizable minority had reservations. No committee transcripts were provided, so the available record does not show detailed debate, but the voting pattern indicates broad support with notable dissent.

Contention

Likely areas of contention include the bill’s expanded authority for the DHS Inspector General, especially subpoena power, mandatory cooperation rules, registry reporting, and sanctions tied to substantiated findings. Employee advocates, labor interests, or providers may have concerns about due process, confidentiality, and the potential employment consequences of registry placement, while supporters likely emphasize stronger protections for vulnerable individuals and better accountability. The bill’s wide scope across mental health, developmental disability, education, early intervention, and firearm-related reporting may also have drawn scrutiny because it combines many policy changes into one measure.

Companion Bills

No companion bills found.

Previously Filed As

IL HR0543

SNAP-TRUMP ADMINISTRATION

IL SB3182

PROCUREMENT-ADMINISTRATION

IL SR0742

CONGRATS-CARLE HEALTH

IL HB5136

FISH CD-ADMINISTRATIVE CLEANUP

IL HB5311

PROCUREMENT-ADMINISTRATIVE

IL SB3512

FISH CD-ADMINISTRATIVE CLEANUP

IL SB0066

HEALTH CARE AVAILABILITY

IL HB1443

HEALTH CARE AVAILABILITY

IL SB3722

DHS-BEHAVIORAL HEALTH

IL HR0620

2022 HEALTHCARE SUBSIDIES

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