IL HB0658

Requires applicants for medical assistance and SNAP benefits (subject to federal approval) to pass an initial drug screening, with certain exemptions for dependent children, persons with disabilities, seniors, and nursing home residents.

Mandates random drug screening for continued eligibility for medical assistance and SNAP benefits; individuals testing positive face one-year ineligibility unless they complete substance abuse treatment within 6 months.

Requires Department of Human Services to establish rules making TANF and SNAP applicants actively seek work to qualify, aligned with unemployment insurance requirements, and to allow gradual benefit reduction as earnings increase.

Prohibits TANF recipients from using benefits to purchase lottery tickets or patronize casinos and video gaming establishments.

Requires photo identification matching the cardholder's name and image when using EBT/LINK cards for SNAP or cash withdrawals; increases criminal penalties for unauthorized possession of another person's EBT/LINK card from Class 4 felony to Class 3 felony.