HB4509Introduced in the House
NURSING HOME-MENTAL ILLNESS
Introduced by Nicolle Grasse, District 53
What does this bill do?
Plain-English breakdown
Writing a plain-English summary of this bill… this can take a few seconds the first time.
Official description
Reinserts the provisions of the introduced bill with the following changes. Provides that all persons admitted to a nursing home facility with a diagnosis of serious mental illness shall receive a follow-up visit by the Department of Human Services or its designee within 60 days after admission (rather than just a follow-up visit within 60 days after admission). Provides that, after admission, any resident with a diagnosis of serious mental illness who experiences a specified significant change in physical or mental condition shall be referred by the nursing facility for a resident review by the Department of Human Services or its designee within 72 hours after the significant change.
Where it stands
Public Act . . . . . . . . . 104-0659
July 30, 2026
How did lawmakers vote?
House votes
3 recorded votes · each counted separately
Senate votes
1 recorded vote · each counted separately
SenateStage: Senate Health and Human Services Committee · May 5, 2026
9
Yes
0
No
3
Absent or Not Voting
12 senators recorded in this Senate vote. Colors show vote categories only, not whether a vote was good or bad.
See how each senator voted
| Senator | District | Vote |
|---|---|---|
| Kimberly Lightford | 4 | Yes |
| Laura Fine | 9 | Not Voting |
| Elgie Sims | 17 | Not Voting |
| Karina Villa | 25 | Yes |
| Julie Morrison | 29 | Yes |
| Mary Edly-Allen | 31 | Yes |
| Dave Syverson | 35 | Not Voting |
| Li Arellano | 37 | Yes |
| David Koehler | 46 | Yes |
| Neil Anderson | 47 | Yes |
Bill history
Filed with the Clerk by Rep. Nicolle Grasse
First Reading
Referred to Rules Committee
Assigned to Human Services Committee
Do Pass / Short Debate Human Services Committee; 011-000-000
Placed on Calendar 2nd Reading - Short Debate
House Floor Amendment No. 1 Filed with Clerk by Rep. Nicolle Grasse
House Floor Amendment No. 1 Referred to Rules Committee
House Floor Amendment No. 1 Rules Refers to Human Services Committee
House Floor Amendment No. 1 Recommends Be Adopted Human Services Committee; 012-000-000
Second Reading - Short Debate
Held on Calendar Order of Second Reading - Short Debate
House Floor Amendment No. 1 Adopted
Placed on Calendar Order of 3rd Reading - Short Debate
Third Reading - Short Debate - Passed 109-000-000
Arrive in Senate
Placed on Calendar Order of First Reading
Chief Senate Sponsor Sen. David Koehler
First Reading
Referred to Assignments
Assigned to Health and Human Services
Do Pass Health and Human Services; 009-000-000
Placed on Calendar Order of 2nd Reading May 7, 2026
Second Reading
Placed on Calendar Order of 3rd Reading May 18, 2026
Placed on Calendar Order of 3rd Reading **
Added as Alternate Co-Sponsor Sen. Mike Simmons
Third Reading - Passed; 059-000-000
Passed Both Houses
Added as Alternate Co-Sponsor Sen. Mary Edly-Allen
Added as Alternate Co-Sponsor Sen. Elgie R. Sims, Jr.
Sent to the Governor
Governor Approved
Effective Date January 1, 2027
Public Act . . . . . . . . . 104-0659
Verify the information
Our commitment to neutrality
We provide factual information only. We never tell you which politicians or bills to support, and we do not rank, score, or endorse anyone.