Illinois Overhauls Assisted Living Assessment, Dementia and Enforcement Rules
Illinois enacted HB 3392, amending the Assisted Living and Shared Housing Act effective immediately upon signing on July 24, 2026. The law allows physician assistants and APRNs with geriatric dementia experience to perform pre-admission and ongoing resident assessments, previously limited to physicians. It also revises director qualifications, clarifies which licensed staff may administer specific medications, requires a validated dementia-specific assessment standard, and creates a new Type 3 violation category for repeated technical compliance deficiencies within a calendar year. The changes follow 2025 and 2026 reforms addressing resident rights, dementia care and reporting obligations, continuing Illinois' modernization of its assisted living regulatory framework.