IL SB1778

Requires applicants for medical assistance (Medicaid) and SNAP benefits to pass an initial drug screening, with the cost borne by the applicant.

Individuals who test positive for controlled substances are ineligible for benefits for one year after the positive test, but may reapply after six months if they complete a substance abuse treatment program.

Requires the Department of Human Services to provide notice of drug testing at application, advise applicants about medications before testing, maintain testing dignity standards, and provide lists of licensed substance abuse treatment providers to those who test positive.

Exempts dependent children under 18, persons with children in the assistance unit, persons with disabilities, persons age 65 or older, and persons in licensed nursing homes or ID/DD Community Care facilities from drug testing requirements.

Recipients currently receiving benefits who test positive in random drug screenings face immediate benefit termination and must complete a substance abuse treatment program (covered by redirecting their benefit funds) before reapplying for benefits.