IL HB5465

Creates the Housing is Recovery Pilot Program within the Department of Human Services, Division of Mental Health to provide bridge rental subsidies for individuals at high risk of unnecessary institutionalization or overdose due to homelessness and mental illness or substance use disorder.

Establishes eligibility requirements including individuals age 21+ with serious mental illness who have had 3+ psychiatric hospitalizations or correctional facility stays within 12 months, or those with substance use disorders who have had 3+ detoxification admissions, correctional stays, or one or more overdoses within 12 months, and who are enrolled in or eligible for Medicaid.

Requires subsidy holders to contribute 30% of income toward rent (capped at Fair Market Rent or up to 120% if justified), sign a lease, and engage in at least 2 monthly visits with support services including at least one home visit, without requiring abstinence or mandatory treatment participation.

Allocates up to 20% of annual program funds for temporary emergency rental units (up to 90 days) following hospital discharge or correctional facility release while permanent housing is secured, and includes support for move-in expenses and basic household supplies.

Requires the Department to contract with an independent research organization to evaluate program effectiveness after 4 years and report to the General Assembly by the end of year 5, tracking outcomes including housing stability, hospitalizations, justice system involvement, and overdose reduction.