The Compliance Problem
Illinois HB 2336 Is Now Law
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Illinois HB 2336 (Public Act 104-0057, effective January 1, 2026) allows municipalities to bill facilities for EMS lift-assist calls above 6 per calendar year — up to $1,000 per call.
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The average skilled nursing facility generates 21–32 lift-assist calls per year. After the first 6, every call is billable.
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Based on CDC fall rate data and Decatur, IL ordinance implementation
Estimated annual fine exposure: $7,500–$26,000 per facility per year.