republic-os/legislation/us/states/il/100th/hb-4665.md

---
type: "Bill"
title: "DIRECT SUPPORT PROFESSIONAL"
description: "Amends the Mental Health and Developmental Disabilities Administrative Act. Provides that the Division of Developmental Disabilities of the Department of Human Services shall implement a direct support professional credential pilot program to assist and attract persons into the field of direct support, advance direct support as a career, and professionalize the developmental disabilities field to promote workforce recruitment and retention efforts, advance skills and competencies, and further ensure the health, safety, and well-being of persons being served. Amends the Health Care Worker Background Check Act. Defines \"nursing or nursing-related services for pay\". Amends the Nurse Practice Act. Provides that a certified nursing assistant shall lose his or her certification status if he or she goes 24 consecutive months without performing nursing or nursing-related services for pay. Amends the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services and the Department of Human Services shall jointly submit the necessary application to the federal Centers for Medicare and Medicaid Services for a waiver or State Plan Amendment to allow remote monitoring and supports services for persons with intellectual and developmental disabilities and seniors requiring in-home care, as a waiver reimbursable service. Provides that the application shall be submitted no later than September 30, 2018. Effective immediately."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "100th"
identifier: "HB 4665"
citation: "Illinois HB 4665 (100th)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: []
version_count: 3
action_count: 31
vote_count: 2
first_action: "2018-02-07"
last_action: "2018-08-10"
source: "openstates"
source_identifier: "ocd-bill/299fb799-4f6e-4028-8e9c-708198ce647e"
source_url: "http://ilga.gov/legislation/BillStatus.asp?DocNum=4665&GAID=14&DocTypeID=HB&LegId=109679&SessionID=91&GA=100"
source_hash: "76f624ed7b82c348144abc972df04ece06985c40dd2b0935e76b081b263f173b"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-il"]
---

# Illinois HB 4665 (100th) — DIRECT SUPPORT PROFESSIONAL

Amends the Mental Health and Developmental Disabilities Administrative Act. Provides that the Division of Developmental Disabilities of the Department of Human Services shall implement a direct support professional credential pilot program to assist and attract persons into the field of direct support, advance direct support as a career, and professionalize the developmental disabilities field to promote workforce recruitment and retention efforts, advance skills and competencies, and further ensure the health, safety, and well-being of persons being served. Amends the Health Care Worker Background Check Act. Defines "nursing or nursing-related services for pay". Amends the Nurse Practice Act. Provides that a certified nursing assistant shall lose his or her certification status if he or she goes 24 consecutive months without performing nursing or nursing-related services for pay. Amends the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services and the Department of Human Services shall jointly submit the necessary application to the federal Centers for Medicare and Medicaid Services for a waiver or State Plan Amendment to allow remote monitoring and supports services for persons with intellectual and developmental disabilities and seniors requiring in-home care, as a waiver reimbursable service. Provides that the application shall be submitted no later than September 30, 2018. Effective immediately.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Introduced** (filed) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=10000HB4665&GA=100&SessionId=91&DocTypeId=HB&LegID=109679&DocNum=4665&GAID=14&Session=&print=true)
2. **Engrossed** (committee substitute) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=10000HB4665eng&GA=100&SessionId=91&DocTypeId=HB&LegID=109679&DocNum=4665&GAID=14&Session=&print=true)
3. **Enrolled** (enrolled) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=10000HB4665enr&GA=100&SessionId=91&DocTypeId=HB&LegID=109679&DocNum=4665&GAID=14&Session=&print=true)

## Votes

- Third Reading — **58–0** (pass) · upper
- Third Reading — **109–0** (pass) · lower

## Sponsors

- Robyn Gabel — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2018-02-07** Filed with the Clerk by Rep. Robyn Gabel `filing`
- **2018-02-07** First Reading `reading-1`
- **2018-02-07** Referred to Rules Committee `referral-committee`
- **2018-02-12** Assigned to Human Services Committee `referral-committee`
- **2018-04-05** House Committee Amendment No. 1 Filed with Clerk by Rep. Robyn Gabel `amendment-introduction`
- **2018-04-05** House Committee Amendment No. 1 Referred to Rules Committee `referral-committee`
- **2018-04-09** House Committee Amendment No. 1 Rules Refers to Human Services Committee
- **2018-04-10** House Committee Amendment No. 1 Adopted in Human Services Committee; by Voice Vote `amendment-passage`
- **2018-04-10** Do Pass as Amended / Short Debate Human Services Committee; 012-000-000 `committee-passage`
- **2018-04-10** Placed on Calendar 2nd Reading - Short Debate
- **2018-04-16** Added Chief Co-Sponsor Rep. Litesa E. Wallace
- **2018-04-20** Second Reading - Short Debate `reading-2`
- **2018-04-20** Placed on Calendar Order of 3rd Reading - Short Debate
- **2018-04-23** Third Reading - Short Debate - Passed 109-000-000 `reading-3, passage`
- **2018-04-24** Arrive in Senate `introduction`
- **2018-04-24** Placed on Calendar Order of First Reading April 25, 2018 `reading-1`
- **2018-04-25** Chief Senate Sponsor Sen. Melinda Bush
- **2018-04-25** First Reading `reading-1`
- **2018-04-25** Referred to Assignments `referral-committee`
- **2018-05-01** Assigned to Human Services `referral-committee`
- **2018-05-03** Added as Alternate Chief Co-Sponsor Sen. Julie A. Morrison
- **2018-05-09** Do Pass Human Services; 009-000-000 `committee-passage`
- **2018-05-09** Placed on Calendar Order of 2nd Reading May 10, 2018
- **2018-05-10** Second Reading `reading-2`
- **2018-05-10** Placed on Calendar Order of 3rd Reading May 15, 2018
- **2018-05-23** Third Reading - Passed; 058-000-000 `reading-3, passage`
- **2018-05-23** Passed Both Houses
- **2018-06-21** Sent to the Governor `executive-receipt`
- **2018-08-10** Governor Approved `executive-signature`
- **2018-08-10** Effective Date August 10, 2018
- **2018-08-10** Public Act . . . . . . . . . 100-0754 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/299fb799-4f6e-4028-8e9c-708198ce647e`. Confidence: reported (aggregated from official Illinois legislature records).