republic-os/legislation/us/states/il/98th/hb-4486.md

---
type: "Bill"
title: "MHDD ADM CODE-MEDICATIONS"
description: "Amends the Mental Health and Developmental Disabilities Administrative Act. Provides that the Department of Human Services shall develop a training program for authorized direct care staff to administer medications (deletes oral and topical) under the supervision and monitoring of a registered professional nurse. Defines \"medications\" and \"insulin in an injectable form\" in relation to direct care staff administering medications to persons with a developmentally disability under the supervision and monitoring of a registered professional nurse in settings of 16 persons or fewer that are funded or licensed by the Department of Human Services and that distribute or administer medications and intermediate care facilities for the developmentally disabled with 16 beds or fewer that are licensed by the Department of Public Health. Establishes procedures in relation to direct care staff administering insulin. Effective immediately."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "98th"
identifier: "HB 4486"
citation: "Illinois HB 4486 (98th)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: []
version_count: 3
action_count: 60
vote_count: 2
first_action: "2014-01-30"
last_action: "2014-08-15"
source: "openstates"
source_identifier: "ocd-bill/c3a7ab31-0640-4417-9086-594eed58fe33"
source_url: "http://ilga.gov/legislation/BillStatus.asp?DocNum=4486&GAID=12&DocTypeID=HB&LegId=78847&SessionID=85&GA=98"
source_hash: "e5dfc93cfc52e1a6732f105b9948eb856deb626ab72892db1cb4e1a684859e53"
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 4486 (98th) — MHDD ADM CODE-MEDICATIONS

Amends the Mental Health and Developmental Disabilities Administrative Act. Provides that the Department of Human Services shall develop a training program for authorized direct care staff to administer medications (deletes oral and topical) under the supervision and monitoring of a registered professional nurse. Defines "medications" and "insulin in an injectable form" in relation to direct care staff administering medications to persons with a developmentally disability under the supervision and monitoring of a registered professional nurse in settings of 16 persons or fewer that are funded or licensed by the Department of Human Services and that distribute or administer medications and intermediate care facilities for the developmentally disabled with 16 beds or fewer that are licensed by the Department of Public Health. Establishes procedures in relation to direct care staff administering insulin. 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=09800HB4486&GA=98&SessionId=85&DocTypeId=HB&LegID=78847&DocNum=4486&GAID=12&Session=&print=true)
2. **Engrossed** (committee substitute) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=09800HB4486eng&GA=98&SessionId=85&DocTypeId=HB&LegID=78847&DocNum=4486&GAID=12&Session=&print=true)
3. **Enrolled** (enrolled) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=09800HB4486enr&GA=98&SessionId=85&DocTypeId=HB&LegID=78847&DocNum=4486&GAID=12&Session=&print=true)

## Votes

- Third Reading — **114–0** (pass) · lower
- Third Reading — **57–0** (pass) · upper

## Sponsors

- Bill Cunningham — cosponsor (person)
- Chapin Rose — cosponsor (person)
- Daniel Biss — cosponsor (person)
- Heather A. Steans — cosponsor (person)
- Kathleen Willis — primary (person)
- Michael Connelly — cosponsor (person)

## Timeline

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

- **2014-01-30** Filed with the Clerk by Rep. Kathleen Willis `filing`
- **2014-02-03** First Reading `reading-1`
- **2014-02-03** Referred to Rules Committee `referral-committee`
- **2014-02-05** Added Chief Co-Sponsor Rep. Jim Durkin
- **2014-02-05** Added Chief Co-Sponsor Rep. Tom Cross
- **2014-02-05** Added Chief Co-Sponsor Rep. Patricia R. Bellock
- **2014-02-05** Added Chief Co-Sponsor Rep. David R. Leitch
- **2014-02-05** Added Co-Sponsor Rep. Ron Sandack
- **2014-02-07** Added Co-Sponsor Rep. Cynthia Soto
- **2014-02-07** Added Co-Sponsor Rep. Elizabeth Hernandez
- **2014-02-07** Added Co-Sponsor Rep. Naomi D. Jakobsson
- **2014-02-07** Added Co-Sponsor Rep. Keith Farnham
- **2014-02-07** Added Co-Sponsor Rep. Frances Ann Hurley
- **2014-02-07** Added Co-Sponsor Rep. Stephanie A. Kifowit
- **2014-02-21** Added Co-Sponsor Rep. William Davis
- **2014-02-26** Added Co-Sponsor Rep. Emanuel Chris Welch
- **2014-03-03** Assigned to Health Care Licenses Committee `referral-committee`
- **2014-03-04** Added Co-Sponsor Rep. Michael P. McAuliffe
- **2014-03-04** Added Co-Sponsor Rep. Sam Yingling
- **2014-03-04** Added Co-Sponsor Rep. Natalie A. Manley
- **2014-03-04** Added Co-Sponsor Rep. Martin J. Moylan
- **2014-03-04** Added Co-Sponsor Rep. Kelly Burke
- **2014-03-05** Added Co-Sponsor Rep. Robyn Gabel
- **2014-03-05** Added Co-Sponsor Rep. Deborah Conroy
- **2014-03-21** Added Co-Sponsor Rep. Brandon W. Phelps
- **2014-03-21** Added Co-Sponsor Rep. Michael J. Zalewski
- **2014-03-21** Added Co-Sponsor Rep. La Shawn K. Ford
- **2014-03-26** Do Pass / Short Debate Health Care Licenses Committee; 007-000-000 `committee-passage`
- **2014-03-26** Placed on Calendar 2nd Reading - Short Debate
- **2014-04-02** Second Reading - Short Debate `reading-2`
- **2014-04-02** Placed on Calendar Order of 3rd Reading - Short Debate
- **2014-04-03** Third Reading - Short Debate - Passed 114-000-000 `reading-3, passage`
- **2014-04-03** Added Co-Sponsor Rep. Anthony DeLuca
- **2014-04-07** Arrive in Senate `introduction`
- **2014-04-07** Placed on Calendar Order of First Reading `reading-1`
- **2014-04-07** Chief Senate Sponsor Sen. Dan Kotowski
- **2014-04-07** First Reading `reading-1`
- **2014-04-07** Referred to Assignments `referral-committee`
- **2014-04-09** Added as Alternate Chief Co-Sponsor Sen. Pamela J. Althoff
- **2014-04-10** Added as Alternate Chief Co-Sponsor Sen. William Delgado
- **2014-04-23** Assigned to Human Services `referral-committee`
- **2014-04-29** Do Pass Human Services; 008-000-000 `committee-passage`
- **2014-04-29** Placed on Calendar Order of 2nd Reading April 30, 2014
- **2014-04-30** Second Reading `reading-2`
- **2014-04-30** Placed on Calendar Order of 3rd Reading May 1, 2014
- **2014-05-01** Added as Alternate Co-Sponsor Sen. Michael Connelly
- **2014-05-01** Added as Alternate Co-Sponsor Sen. Chapin Rose
- **2014-05-01** Added as Alternate Co-Sponsor Sen. Bill Cunningham
- **2014-05-01** Added as Alternate Co-Sponsor Sen. Daniel Biss
- **2014-05-02** Added as Alternate Co-Sponsor Sen. Heather A. Steans
- **2014-05-15** Senate Floor Amendment No. 1 Filed with Secretary by Sen. Dan Kotowski `amendment-introduction`
- **2014-05-15** Senate Floor Amendment No. 1 Referred to Assignments `referral-committee`
- **2014-05-19** Senate Floor Amendment No. 1 Pursuant to Senate Rule 3-8(b-1), this amendment will remain in the Committee on Assignments.
- **2014-05-20** Third Reading - Passed; 057-000-000 `reading-3, passage`
- **2014-05-20** Senate Floor Amendment No. 1 Tabled Pursuant to Rule 5-4(a) `amendment-failure`
- **2014-05-20** Passed Both Houses
- **2014-06-18** Sent to the Governor `executive-receipt`
- **2014-08-15** Governor Approved `executive-signature`
- **2014-08-15** Effective Date August 15, 2014
- **2014-08-15** Public Act . . . . . . . . . 98-0901 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/c3a7ab31-0640-4417-9086-594eed58fe33`. Confidence: reported (aggregated from official Illinois legislature records).