On the agenda: Rolling Meadows meeting — Flock Camera (Aug 25)

AGENDA
COMMITTEE OF THE WHOLE
City Hall – Council Chambers
3600 Kirchoff Road
Rolling Meadows, IL 60008

August 25, 2026
6:30 p.m.
CALL TO ORDER

1)

Flock Camera System Discussion

2)

Access to Medical Care in Rolling Meadows

3)

Accessory Dwelling Unit PZC Recommendation

PUBLIC COMMENT
CLOSED SESSION
ADJOURNMENT

Committee of the Whole – August 25, 2026
1)

Flock Camera System Discussion

Background & Summary: The City of Rolling Meadows Police Department (RMPD)
utilizes various technology to ensure public safety within the community. One public
safety tool the City has utilized since 2023 is automated license plate reader (ALPR)
cameras. A presentation was provided at the February 21, 2023 Committee of the
Whole meeting at which staff received direction to proceed with the procurement
and deployment of ALPR cameras. The staff report on the ALPR cameras from the
February 21, 2023 Committee of the Whole meeting can be found on page 138 of the
agenda packet. The City ultimately contracted with Flock Group, Inc. to provide and
install ALPR cameras and now deploys 10 Flock cameras in various locations within
the City.
The City deploys Flock cameras in locations along arterial corridors that may be
used by vehicles entering or exiting the City or in specific locations that have had
higher demand for police services. Flock ALPR cameras are utilized by the Police
Department to provide still images of vehicles and their license plates at fixed
locations with fixed camera views. Flock ALPR cameras notify the RMPD of vehicles
known to be stolen and/or vehicles with stolen license plates. They also provide
notifications of vehicles associated with AMBER alerts and other missing persons
alerts. Flock ALPR cameras utilized by the RMPD are not placed in locations that
record homes or individuals.
ALPR data that is gathered by Flock ALPR cameras is owned by the City and Flock’s
License Plate Reader Policy explicitly states that “Flock Safety will not:
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Sell, publish, exchange, or disclose customer’s LPR data for commercial
purposes.
Disclose or publish LPR data without authorization, unless required by law.
Disseminate LPR data to persons not authorized to access or use the
information.”

The City has paid $12,650 year-to-date for 7 cameras with an additional invoice
forthcoming in the amount of $9,000 which is for 3 cameras deployed near large
retail locations for retail-theft-related purposes. The City receives a $9,000 organized
retail crime grant which offsets the retail-theft-related camera expense.
At the August 25, 2026 Committee of the Whole meeting, a presentation will be given
by City staff and a representative of Flock on how and why Flock cameras are used,
the location of Flock cameras within the City, the images they obtain, and guardrails
that exist to ensure the lawful use of Flock cameras by authorized personnel. The
PowerPoint presentation along with a link to the Committee of the Whole meeting
video will be posted on the City’s website at www.cityrm.org following the
presentation.

COMMITTEE OF THE WHOLE – August 25, 2026
2)

Access to Medical Care in Rolling Meadows

Medicaid Landscape, Current Healthcare Access Challenges, and Potential Municipal
Responses
Executive Summary
Access to healthcare is an increasingly important area of concern for Rolling Meadows

Human Services. While the City does not administer Medicaid or provide

comprehensive medical care, Human Services regularly encounters residents who
experience difficulty obtaining timely, affordable, and appropriate healthcare. These
challenges are not limited to residents without insurance and can affect individuals
and families who have coverage but still face barriers to accessing care.

The challenge extends beyond whether a resident has health insurance. A resident
may have coverage but still have difficulty finding a provider who accepts that
coverage, obtaining an appointment within a reasonable timeframe, accessing
transportation, taking time away from work or caregiving responsibilities,
understanding insurance requirements, or paying deductibles, copayments, and
other out-of-pocket costs. For some residents, these barriers can result in delayed
care, unnecessary use of emergency services, or simply going without care for a
health concern that could have been addressed through a more accessible primary
or urgent care option.
This existing access gap is particularly important in light of changes to Medicaid
resulting from H.R. 1, enacted as Public Law 119-21 on July 4, 2025. The legislation makes
significant changes to federal Medicaid policy, including new work and community
engagement requirements for certain adults, more frequent eligibility
redeterminations for certain Affordable Care Act expansion adults, new cost-sharing
requirements for some expansion adults, changes affecting certain noncitizens, and
broader changes to Medicaid financing. These changes will not affect every Medicaid
beneficiary in the same way, but they may create additional administrative and
access challenges for some Rolling Meadows residents.

Based on 2024 health coverage data, approximately 12.7 percent of Rolling Meadows
residents have Medicaid or means-tested public health coverage. With a 2024
population of approximately 24,027 residents, this represents an estimated 3,000
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Rolling Meadows residents. This figure should be considered a municipal planning
estimate rather than an official City-level Medicaid enrollment count, as Illinois

Department of Healthcare and Family Services administrative enrollment data are not
published at the municipal level.
The potential impact on Rolling Meadows is therefore broader than the number of
residents who may ultimately lose Medicaid eligibility. The City may also see increased
demand for assistance with eligibility renewals and other administrative
requirements, temporary or preventable coverage interruptions, difficulty finding
providers who accept Medicaid or other insurance, continued provider capacity
challenges, behavioral health access needs, and requests for assistance from
residents who are unable to navigate changes independently. These challenges
reinforce the importance of identifying practical ways to improve access to basic and
appropriate healthcare within the community.

At the same time, Human Services has been exploring the existing local healthcare
access gap independent of the federal Medicaid changes. Over the past year, the
Department has met with and explored potential partnerships and service models
involving Cook County Health, Greater Family Health, Endeavor Health, individual
physicians, municipalities with nurses embedded within their Human Services
departments, and a text-based telehealth model known as TAP. These conversations
have helped clarify both the opportunities and limitations of establishing additional
healthcare access in Rolling Meadows.
To date, these discussions have demonstrated that there is no single healthcare
partner prepared to establish a traditional medical presence in Rolling Meadows.
Human Services has nevertheless identified several approaches that could improve
access to care without requiring the City to operate its own medical practice, including
models that could provide residents with a more convenient and affordable option for
addressing routine, non-emergency healthcare needs.
Human Services is therefore bringing this information forward as both a status update
and a request for Council direction regarding which approaches should be explored
further. While several models have been considered, Human Services believes the TAP
model presents a promising, practical option for addressing some of the healthcare

access barriers identified through this work and respectfully encourages Council to
consider TAP as a viable approach.
Background: Healthcare Access in Rolling Meadows
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Access to healthcare has become an increasingly important area of concern for
Rolling Meadows Human Services.
The Department's role is not to replace the healthcare system. Rather, Human Services

frequently serves as the point of contact when residents encounter barriers to
obtaining services, navigating benefits, finding providers, or addressing problems that
have already begun to affect their health, employment, housing, family stability, or
overall wellbeing.
Through this work, the Department has identified a recurring concern: Having health
insurance does not necessarily mean having meaningful access to healthcare. A
resident may have Medicaid, Medicare, private insurance, or no insurance and still
encounter barriers such as:
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Difficulty finding a provider accepting new patients
Long appointment wait-times
Limited providers accepting Medicaid

Transportation challenges
Lack of evening or weekend appointments
Difficulty taking time away from work
Language barriers

Difficulty navigating insurance requirements
Prescription costs
Limited behavioral health availability
Lack of access to a primary care provider

Difficulty determining whether a medical concern requires urgent or routine
care

These barriers can be particularly difficult for residents who are already experiencing
financial, housing, employment, family, or behavioral health challenges.
When residents cannot access care early, relatively manageable health concerns can
become more significant problems that ultimately require emergency departments,

crisis services, police intervention, or other community resources. For this reason,
Human Services has been examining whether there is an appropriate role for the City
in bridging gaps in access to care.
Medicaid in Rolling Meadows

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Medicaid is a joint federal and state health insurance program that provides
healthcare coverage to eligible low-income individuals and families and specific

populations, including children, people with disabilities, pregnant individuals, certain
seniors, and other eligible adults.
Illinois administers Medicaid through the Illinois Department of Healthcare and Family
Services (HFS).
Medicaid may provide access to:
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Primary and preventive healthcare
Pediatric healthcare
Hospital services
Specialty medical care
Behavioral health and mental health services
Substance use disorder treatment
Prescription medications
Dental services
Transportation to medical care

Home and community-based services
Long term services and supports
Other medically necessary services

The importance of Medicaid therefore extends beyond insurance coverage. For many
residents, Medicaid is the mechanism that allows them to enter and remain within the
healthcare system.
How Many Rolling Meadows Residents Depend on Medicaid?
Rolling Meadows had an estimated population of 24,027 residents in 2024.

Approximately 12.7 percent of residents had Medicaid or means tested public health
coverage according to 2024 health coverage data.
Using those figures:
24,027 residents × 12.7 percent = approximately 3,051 residents
For municipal planning purposes, this can reasonably be expressed as:

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Approximately 3,000 Rolling Meadows residents have Medicaid or means tested public
health coverage.
This represents approximately one in every eight residents.
The approximately 3,000 figure should be treated as an estimate rather than an official

Medicaid enrollment count. Census health insurance data identifies Medicaid and
means tested public coverage as coverage that may exist alone or in combination
with other forms of coverage. It therefore does not correspond directly to an
administrative count of active Medicaid cases.
Illinois HFS publishes Medicaid enrollment at the county level but does not provide a
readily available official enrollment count specifically for the City of Rolling Meadows.
The approximately 3,000 estimate is therefore most appropriate for municipal
planning, policy discussion, and resource assessment.
Who Are the Residents Served by Medicaid?
The approximately 3,000 residents should not be viewed as one population.
Children and Families
Medicaid is a major source of healthcare coverage for children. It can provide access
to preventive care, pediatric services, developmental services, behavioral health,
dental care, prescriptions, specialty care, and hospital services.
For families, maintaining healthcare coverage can directly affect a child's ability to
receive preventive care, treatment, and early intervention.
Working Age Adults
Working age adults may rely on Medicaid even while employed.
Some may have:
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Part time employment
Variable schedules
Multiple jobs
Low wages

Periods of unemployment
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Limited paid leave

A resident can therefore be working and still depend on Medicaid for healthcare
coverage.
Residents with Disabilities and Behavioral Health Needs
Medicaid is also an important source of coverage for people with disabilities and
people receiving behavioral health services.
Some individuals may qualify for exemptions from certain new Medicaid
requirements. However, an exemption only helps if the resident understands that it
applies and can successfully navigate the process necessary to establish or maintain
eligibility.
Seniors and Dual Eligible Residents
Some Medicaid beneficiaries are also enrolled in Medicare and are commonly referred
to as “dual eligible” beneficiaries. This is important because Medicare does not
generally pay for long-term custodial care or residential costs associated with
settings such as nursing homes or supportive living.
Medicaid can step in to help cover these costs for eligible seniors. For example, a
resident at Plum Creek Supportive Living may have Medicare for medical care while
relying on Medicaid to help cover the cost of their residential care and other services
that Medicare does not provide. As a result, changes to Medicaid could affect seniors
who have Medicare but still depend on Medicaid for essential long-term care and
housing support.
Why the Federal Medicaid Changes Matter Locally
H.R. 1 was enacted as Public Law 119-21 on July 4, 2025. The legislation makes significant
changes to Medicaid, including eligibility requirements, enrollment and renewal

procedures, cost sharing, provider financing, and other aspects of the program. It is
important to understand that these changes will not affect every Medicaid beneficiary
in the same way.
Medicaid serves a diverse population, and residents qualify through different eligibility
categories. The provisions that apply to an individual will depend on factors such as:

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Age
Disability status
Household composition and income
Medicaid eligibility category
Employment or qualifying community engagement
Immigration status
Whether the resident receives Medicaid through the Affordable Care Act
expansion
Whether the resident qualifies for an exemption from a particular requirement

For example, a working-age adult who receives Medicaid through the Affordable Care
Act expansion may be subject to certain new requirements that do not apply to a child,
an older adult, or an individual who qualifies for Medicaid because of a disability.
Similarly, some residents may qualify for exemptions from specific requirements
based on their individual circumstances.
The key point for the City to understand is that there is no single Medicaid experience
under H.R. 1. The potential impact will vary depending on how a resident qualifies for
Medicaid and whether specific requirements or exemptions apply to that individual.
As the City prepares for these changes, our focus should be on understanding which

local populations may be affected, communicating the changes clearly, and helping
residents determine what the changes mean for their individual circumstances.
Major Medicaid Changes
Cook County Health estimates that approximately 400,000 Illinoisans could lose
coverage as a result of the H.R. 1 changes described below.
Source: Cook County Health, Q3 Advisory Council Meeting, August 18, 2026.
Changes Affecting Certain Noncitizen Beneficiaries
Beginning October 1, 2026, federally funded Medicaid coverage will be limited for
certain noncitizen populations.
Illinois HFS identifies several categories that will continue to qualify, subject to
applicable requirements.
Groups that will no longer qualify for Medicaid beginning October 1, 2026 include:
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Adult refugees and asylum seekers
Victims of domestic violence and trafficking

Groups that will continue to qualify include:
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Children under 19

Pregnant individuals
Green card holders who have lived in the United States for five years or more
Cuban and Haitian immigrants
Compact of Free Association (COFA) migrants

Source: Cook County Health, Q3 Advisory Council Meeting, August 18, 2026.
This issue requires careful communication. Foreign born status, Hispanic or Latino
ethnicity, and noncitizen status are not interchangeable.
City outreach should therefore avoid suggesting that all immigrant or Hispanic
residents will be affected and instead direct residents to official State resources where
their individual eligibility can be evaluated.
Work and Community Engagement Requirements
Beginning January 1, 2027, certain Medicaid adults will be required to demonstrate
qualifying work, education, training, or community engagement activities in order to
maintain eligibility. According to the Illinois Department of Healthcare and Family
Services (HFS), certain non-disabled Medicaid adults ages 19 through 64 will generally
need to demonstrate approximately 80 hours per month of qualifying activity, subject
to exemptions and other provisions. The concern is not necessarily that residents are
unwilling to work, but that some may have difficulty understanding the requirements,
documenting qualifying activities, or establishing that they qualify for an exemption.
A relevant case study comes from Arkansas, which implemented Medicaid work

requirements in 2018. Although the program was halted by a federal judge after
approximately four months, nearly 18,000 enrollees lost coverage during that period.
Notably, an estimated 97 percent of those who lost coverage were still eligible for
Medicaid, either because they were complying with the requirement or because they
qualified for an exemption, while the state spent an estimated $26 million
implementing the program.
Source: Cook County Health, Q3 Advisory Council Meeting, August 18, 2026.
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More Frequent Eligibility Renewals
Beginning January 1, 2027, certain Affordable Care Act expansion adults will have
eligibility verified every six months instead of annually. This creates the potential for
more frequent administrative interactions.
Residents could experience a coverage interruption because they:
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Did not receive a notice
Had an outdated address
Had an outdated phone number
Did not understand the notice
Did not submit requested documentation
Missed a deadline
Had difficulty accessing the online system

This type of administrative interruption is commonly referred to as coverage churn. For
the City, preventing avoidable coverage churn may be one of the most realistic
opportunities to reduce the local impact of the federal changes.
As an example, even with strong member outreach, an estimated 11 to 14 percent of
CountyCare members lose coverage during every redetermination period. Of that
loss, approximately 70 percent is attributable to a paperwork or administrative issue
rather than actual ineligibility, while the remaining 30 percent reflects enrollees who
are no longer eligible.
Source: Cook County Health, Q3 Advisory Council Meeting, August 18, 2026.
New Cost Sharing Requirements
Beginning October 1, 2028, certain adults enrolled through the Affordable Care Act
Medicaid expansion will face new cost sharing requirements. For residents with limited
income, even relatively modest costs can influence healthcare decisions.
Potential consequences could include delaying appointments, not filling prescriptions,
delaying preventive care, or interrupting behavioral health treatment.
Changes in Federal Medicaid Funding

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Illinois HFS estimates that the federal changes could result in approximately 500,000
Illinois Medicaid customers losing coverage. HFS also estimates that Illinois could

experience approximately $26 billion to $51 billion in reduced federal Medicaid funding
over the next decade, depending on the provisions and projections used.
These are statewide projections and should not be directly applied to Rolling
Meadows. They do, however, demonstrate the scale of the changes occurring within
the State's healthcare system.
The Broader Healthcare Access Concern
Even if a resident maintains Medicaid coverage, that does not guarantee access to
care.
Potential challenges include:
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Fewer providers accepting Medicaid
Longer appointment wait times
Reduced behavioral health capacity
Reduced specialty care capacity
Difficulty finding a primary care provider
Service reductions
Transportation barriers
Increased demand for safety net providers

This distinction is central to the City's discussion. Coverage is not the same as access.

A resident can technically have insurance and still be unable to obtain an
appointment, find a provider, afford a prescription, or receive care when it is needed.
This is the broader issue Human Services has been exploring.
Cook County Health estimates that, over a ten-year period, for every 1,000 people who
lose insurance:
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15 to 25 more diabetes complications cases
25 to 40 more cardiovascular events
10 to 15 more cases of late-stage cancer

People without health insurance face a 40 percent higher risk of death, are 30 percent
more likely to forgo medical care and 72 percent more likely to forgo mental health
care, and are twice as likely to carry medical debt in collections.
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The cost difference between prevention and complications can be significant:
Treatment

Details

Diabetes management

Outpatient care, insulin, continuous $2,300/yr

Diabetes complications

ED visit, IV antibiotics, transmetatarsal $37,000

Cardiovascular

Outpatient care, medications

$1,700/yr

Heart attack

Cath lab, hospital stay

$23,000

management

glucose monitor
amputation

Colonoscopy
Stage

4

treatment

colon

Cost

$2,700
cancer ED visit, surgery, hospitalization, 6 $133,000
months chemotherapy

Source: Cook County Health, Q3 Advisory Council Meeting, August 18, 2026.
Current Status of Medical Access in Rolling Meadows
Human Services has been actively exploring potential solutions to improve access to
medical care for residents. The Director has approached healthcare systems,
community health providers, and individual providers to determine whether a
sustainable medical presence could be established in Rolling Meadows. Several
avenues have been explored.
Cook County Health Satellite Presence
Human Services spoke with Cook County Health about establishing a satellite
healthcare presence within the City's new Rolling Meadows Neighborhood Resource
Center, anticipated to open next year.
The City offered space within the facility as a potential location for Cook County Health
services.
At this time, Cook County Health has declined the opportunity to establish a satellite
presence in Rolling Meadows.
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The relationship can remain open as healthcare needs and regional service models
evolve.
Greater Family Health
Human Services also approached Greater Family Health, a reputable nonprofit
healthcare provider with existing offices and a satellite location in Hanover Park.
Greater Family Health indicated that a partnership may be possible.
The model discussed would cost approximately $400 per hour for a provider to be on
site on a monthly basis, without requiring residents to bill their insurance for the visit.
This would provide a direct healthcare presence in Rolling Meadows, but the cost and
anticipated utilization would need to be evaluated before determining whether this
would be a sustainable municipal investment.
Individual Physician Partnership
Rolling Meadows previously had a successful partnership with an individual physician
who provided limited medical services to residents. This experience demonstrated the
value of having a trusted medical provider available within the community and
showed that there is a potential role for a local, community-based medical access
model.
The primary limitation was the physician’s extremely limited availability, which made
it difficult to establish a sustainable and consistent service model. Human Services
believes this could be an excellent option for Rolling Meadows if a qualified physician
or other appropriate medical provider could be identified who has both the interest
and availability to participate on a regular basis. Although Human Services has been
diligently exploring this possibility, no provider has yet been identified who is able to
make that commitment.
Endeavor Health
Human Services has also met with NCH Endeavor Health to discuss potential
partnership opportunities. At this time, Endeavor Health has not expressed interest in
a model where medical services would be provided on site in Rolling Meadows.

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This does not eliminate the possibility of future collaboration, but an on-site medical
service model does not currently appear to be available through this avenue.
Additional Models Under Consideration
Municipal Nurse Model
Human Services has identified a model used by some neighboring communities that
could be explored further.
Under a municipal nurse model, a nurse employed or contracted by the municipality
provides a limited scope of health services, education, screening, and referrals.
This could create a local point of access without requiring the City to operate a full
medical practice.
However, the scope of care would be limited and prescription services would not be
included.
Human Services has not yet completed a full feasibility analysis of this approach.
Further research would be necessary regarding staffing, cost, liability, scope of
practice, and implementation.
TAP Telehealth
TAP Telehealth is a simple and convenient way for residents to speak with a licensed
medical provider without leaving home. If a resident or a household member is not
feeling well, they can connect with a medical provider through a simple text message.
Residents do not need to download an app, create an online account, schedule an
appointment, provide insurance information, or participate in a video call unless it is
medically necessary. The process is designed to remove barriers and make accessing
healthcare easier and more convenient.
Several Human Services staff members tested the program themselves before

introducing it to residents, in order to better understand how it works and what
residents can expect.
One test involved a skin concern that required treatment. After answering questions
and providing information to the provider, an antibiotic was prescribed and sent
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directly to the resident's nearest pharmacy. The medication was available
immediately, and the out-of-pocket cost was only $3.
TAP was also tested for a child's persistent cough. During that consultation, staff

learned that Bromfed DM is considered a controlled substance in this setting and
cannot be prescribed through TAP. The provider was still able to evaluate the concern,
provide medical guidance, and explain appropriate next steps.
TAP was also used for a one-year-old whose normally well-controlled eczema flared
due to changes in the weather and irritant exposure. The parent securely shared the
child's medical history, current treatment plan, and photos of the affected areas. After
reviewing the information, the physician prescribed an additional topical medication
and electronically sent the prescription to the family's preferred pharmacy, where it
cost less than $2. The entire process saved the parent the time and stress of traveling
to and waiting at a pediatrician's office or urgent care with an active toddler, while still
receiving timely treatment from home.
Participation, Cost & Community Benefit:
The monthly cost will be added directly to the customer’s City water bill. The rate is
locked in and will not increase, providing residents and businesses with a predictable,
consistent monthly cost.
Residents may opt out at any time if they decide they no longer want to participate.
There is no long-term commitment required.
Residents who do not receive or pay a water bill directly to the City can still participate.
These residents would be able to opt in at no additional cost, allowing them to receive
the benefit of the program without being charged a monthly fee.
Monthly Rates:
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Seniors: $6/month
Residential: $8/month
Businesses: $12/month

As an additional community benefit, $1 from every participating account collected
each month will be returned to the City as a donation. An option would be to direct
these funds to the Hope Fund, helping provide emergency financial assistance to
Rolling Meadows residents experiencing crisis.
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How to Use TAP
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Text TAP at (839) 887-0365.
Residents will first receive a few basic registration questions, such as name,
date of birth, and other demographic information. When asked how they heard
about TAP, residents participating in the pilot should indicate the Rolling
Meadows Human Services Department pilot program, per Brian Davis.
Residents will then be asked to briefly describe their symptoms or medical
concern.
A licensed medical provider reviews the information and typically connects with
the resident within minutes.
The provider asks about symptoms, medical history, medications, allergies, and
any treatments already tried. Providers are thorough and take the time to
understand the resident's concerns.

If medically appropriate, the provider can prescribe medication and send it
directly to the resident's preferred pharmacy. The provider can also give
general medical guidance, recommend follow-up care, or refer the resident to
another provider if an in-person visit is needed.
For certain concerns, such as rashes, skin issues, or throat irritation, the provider
may ask the resident to submit a photo to assist with the evaluation. Residents
who are not comfortable sending a photo can instead request a secure,
encrypted video visit.

Who Can Use TAP?
TAP can be used by anyone in a household, including children. A parent or legal
guardian can complete a visit on behalf of a minor child.
Insurance, Medication, and Lab Information
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The medical consultation does not use insurance and there is no charge for the
medical visit. Residents do not need to provide insurance information to receive
care through TAP.

If a prescription is needed, TAP helps identify discounted medication prices at
local pharmacies, which are often less expensive than using insurance.
Residents may still choose to use their own insurance to pay for medication if
they prefer.
TAP also offers laboratory testing for a flat fee of $40. This is the only additional
charge associated with TAP services. Medication costs from the pharmacy are
separate and depend on the medication and pricing option chosen.
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Common Conditions TAP Can Help With
TAP can assist with many common health concerns, including:
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Colds and flu symptoms
Allergies
Sinus infections
Ear infections
Sore throats
Eye infections

Urinary tract infections (UTIs)
Nausea and vomiting

Rashes and skin concerns
Minor sprains
Joint pain
Certain chronic health concerns
Anxiety and depression medication management when appropriate
GLP-1 medications when clinically appropriate
Antibiotics when medically appropriate

Important Prescribing Limitations
Through testing, Human Services staff learned that TAP providers cannot prescribe
certain medications:
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TAP does not prescribe controlled substances, including medications such as
Bromfed DM.
TAP does not initiate birth control prescriptions, although refills may be possible
in certain situations.

TAP generally does not initiate mental health medications, but may provide
refills for certain existing medications when appropriate.
TAP does not prescribe antipsychotic medications.

TAP providers may prescribe certain medications for conditions such as antibiotics

when medically appropriate, anxiety and depression medications when clinically
appropriate, GLP-1 medications when clinically appropriate, and other non-controlled
medications within their scope of practice.
Additional Limitations to Be Aware Of

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TAP providers do not currently offer services in Spanish, which may be a barrier
for residents who need Spanish-language medical support. However, our team
is able and willing to support these residents with interpreting and translating,
as well as offering help with using technology to translate text messages to
English.
Phone consultations are available, but the process is different from text:
residents must leave a voicemail and wait for a provider to return the call, which
may take several hours.

Text messaging provides the fastest response time. During testing, text-based
consultations typically connected residents with a provider within
approximately two minutes.

Why We Are Excited About TAP
TAP helps reduce many of the barriers that prevent residents from receiving timely
medical care. Residents do not have to wait weeks for an appointment, take time off
work, arrange transportation, or sit in a waiting room for many common health
concerns.
This service may be especially helpful for residents who have transportation
challenges, do not have insurance, have difficulty taking time away from work, have
children or family members who need convenient access to care, or need medical
guidance for common illnesses and concerns.
TAP reports that many health concerns can be safely addressed through a virtual
consultation, which may help reduce unnecessary urgent care visits, emergency room
visits, missed workdays, and school absences.
TAP Telehealth is intended to supplement, not replace, a resident's primary care
provider, specialist, urgent care, or emergency services.
For life-threatening symptoms or emergencies — including chest pain, difficulty

breathing, severe bleeding, or signs of a stroke — residents should call 911 or go to the
nearest emergency department immediately.
What Human Services Has Learned
The exploration of these options has highlighted several important realities. At this

time, there is no traditional healthcare partner prepared to establish an on-site
medical presence in the community. Cook County Health has declined at this time,
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Endeavor Health has not expressed interest, the previous physician partnership was
limited by provider availability, and the Greater Family Health model would require a
significant financial commitment.
At the same time, there is demonstrated value in having a healthcare access point
within the community. The previous physician partnership was fruitful and
demonstrated that residents benefit from having trusted medical care available
locally. This experience reinforces the value of creating a model that makes
healthcare easier to access and connects residents with providers they can trust.
The City's new Neighborhood Resource Center creates an opportunity to build on this
concept. Even if medical services are provided through an outside provider, telehealth

platform, or another community partnership, the facility could serve as a trusted and
accessible entry point for residents seeking healthcare. The City would not necessarily
need to become a medical provider to play a meaningful role in improving healthcare
access.
Instead, the most realistic municipal role may be to bridge residents to healthcare,
rather than recreate a traditional medical practice. This could involve a combination
of Human Services navigation, community partnerships, limited clinical services, and
telehealth. This approach would create a flexible model that responds to community
needs while remaining within a realistic municipal role and resource capacity.
Potential Municipal Responses
Based on the work completed to date, Human Services has identified several possible
avenues.
Option 1: Continue Pursuing an Individual Provider
Continue efforts to identify physicians or other qualified healthcare providers who may
be interested in offering limited medical services in Rolling Meadows. Although the City

has diligently explored this opportunity over the past year, continued outreach may
identify a provider or partnership that could offer a viable option for the community.
Option 2: Further Explore Greater Family Health
Determine whether the approximately $400 per hour model could be structured in a
financially sustainable way and whether utilization would justify the investment.

Page 18 of 22

Option 3: Research the Municipal Nurse Model
Examine healthcare access models used by neighboring municipalities, including
Mount Prospect, Arlington Heights, Hoffman Estates, Skokie, and Schaumburg, which
have incorporated City or Village nurses within their Human Services departments.
Reviewing these existing models could help identify approaches that may be feasible
for Rolling Meadows.
The review should consider staffing, costs, scope of services, liability, insurance,
partnerships, and facility requirements, as well as how these communities structure

and support their nursing services. It should also examine implementation and
sustainability, including funding sources, ongoing operating costs, and the level of City
involvement required. The goal would be to determine whether a similar municipal
nursing model, or a modified version that incorporates healthcare navigation,
telehealth, or limited clinical services, could be appropriate for Rolling Meadows.
Option 4: Further Evaluate TAP Telehealth
Explore whether TAP could be established as a pilot or supplemental healthcare
access option for Rolling Meadows residents.
Option 5: Continue Regional Healthcare Outreach
Maintain relationships with Cook County Health, Endeavor Health, Greater Family
Health, and other healthcare systems and providers as opportunities develop.
Option 6: Develop a Blended Model
Use the Neighborhood Resource Center as the community access point while
connecting residents to a combination of:
•
•
•
•
•
•
•

Telehealth
Limited in person medical services
Benefits navigation
Primary care referrals

Behavioral health services
Community healthcare providers
Regional healthcare systems

Page 19 of 22

This may ultimately provide the greatest flexibility while avoiding the cost and
responsibility associated with establishing a municipal medical clinic.
Potential Municipal Response to Medicaid Changes
Separate from the broader medical access discussion, Human Services will prepare
for upcoming Medicaid changes in partnership with Cook County Health through a
focused local response. This will include providing accurate, multilingual information
about changes and deadlines, helping residents avoid preventable loss of coverage
by connecting them to renewal and eligibility resources, and directing residents to
appropriate State and community benefits navigators. Given that many Medicaid
enrollees remain unaware of upcoming changes, including new work requirements
and more frequent eligibility redeterminations, clear and accessible education will be
especially important.
Human Services will also connect residents experiencing healthcare barriers to
available medical and behavioral health resources, monitor healthcare related
requests to identify emerging trends, and use local data and resident experiences to
communicate concerns to regional, State, and federal partners. This approach will
allow the City to respond to immediate resident needs while also identifying broader
gaps that may require additional advocacy or resources.
Request for Council Direction
Human Services has intentionally explored several different approaches before
recommending a specific model.
The options range from bringing a healthcare provider physically into the community,

to contracting for limited clinical services, to providing access through technology and
healthcare navigation.
At this stage, there does not appear to be one immediately available model that
provides comprehensive healthcare services while also being financially sustainable
and operationally appropriate for the City.

Human Services is therefore seeking Council direction regarding which avenue, or
combination of avenues, Council would like staff to explore further.
Specifically, Council direction could include:

Page 20 of 22

•
•
•
•
•
•

Whether to further pursue an individual provider model
Whether to explore the Greater Family Health model and associated cost
Whether to conduct additional research into a municipal nurse model
Whether to pursue TAP Telehealth as a potential pilot
Whether to continue pursuing regional healthcare partnerships
Whether to develop a blended healthcare access model using the Rolling
Meadows Neighborhood Resource Center as a community access point

The objective is not for the City to become a healthcare provider. The objective is to
determine whether there is an appropriate and sustainable municipal role in bridging
gaps in access to care, particularly for residents who may have coverage but still
experience difficulty obtaining timely, affordable, and meaningful healthcare.
Conclusion
Approximately 3,000 Rolling Meadows residents are estimated to have Medicaid or
means-tested public health coverage, representing approximately 12.7 percent of the

City's population. At the same time, Human Services' experience demonstrates that

the healthcare access challenge extends beyond Medicaid. Residents can have

insurance and still struggle to access care because of provider shortages, difficulty

obtaining timely appointments, high co-pays and deductibles, or the time and

inconvenience involved in seeking care for relatively minor medical needs. For
example, a resident may recognize that they likely need treatment for a minor

infection but still have to take time off work, pay an office co-pay, and navigate an
appointment for an issue that may be straightforward to evaluate and treat. For

parents, these barriers can be even more significant when taking a child to a
pediatrician or immediate care for a simple medical need requires missing work,

arranging childcare, or otherwise disrupting an already difficult schedule. These
practical barriers can lead residents to delay care or seek more costly services when
a lower-barrier option may have been sufficient.

The federal Medicaid changes make this issue more pressing, but they did not create

the underlying access problem. Human Services has therefore been exploring
solutions that address both the immediate healthcare access gap and the potential

increase in demand resulting from Medicaid changes. The work completed to date

has shown that a traditional healthcare satellite is not currently available through the
major systems approached. However, other possibilities remain, including individual
provider partnerships, Greater Family Health, a municipal nurse model, TAP Telehealth,
Page 21 of 22

and a blended approach using the City's Neighborhood Resource Center as a
community access point.

Based on the information gathered to date, Human Services recommends that TAP

Telehealth be considered a viable option for further exploration, particularly as a

potentially low-barrier and cost-effective way to expand residents' access to timely

care while the City continues to evaluate longer-term models. TAP would not replace
the need for local providers or address every healthcare need, but it could provide a
practical option for residents who face financial, scheduling, transportation, or
appointment barriers. It may be particularly useful for straightforward, lower-acuity

concerns where a resident needs timely clinical guidance, a prescription, or basic
follow-up without necessarily requiring an in-person visit.

The next step is not necessarily to select a single solution immediately. Rather, Human
Services is seeking Council's guidance on which options warrant additional

exploration, financial analysis, and partnership development. The goal is to identify a
sustainable municipal response that is practical, accessible, and responsive to the
healthcare needs of Rolling Meadows residents, while using City resources

thoughtfully and complementing, rather than duplicating, services already available
in the community.

Page 22 of 22

COMMITTEE OF THE WHOLE – August 25, 2026
3)

Accessory Dwelling Unit PZC Recommendation

Attachments:
• Proposed Ordinance.
• May 5, 2026 Planning and Zoning Commission Staff Memorandum (link only)
• May 12, 2026 City Council Meeting Staff Memorandum (link only)
• June 2, 2026 Planning and Zoning Commission Staff Memorandum (link only)
• June 22, 2026 Planning and Zoning Commission Staff Memorandum (link only)
Summary: This workshop is an opportunity for the City Council to deliberate regarding a
pending recommendation by the Planning and Zoning Commission to amend the City’s zoning
regulations to authorize accessory dwelling units (ADUs) as a special use.
ADUs are self-contained residential units on the same lot as a primary single-family dwelling,
taking the form of detached structures, additions, or conversions of existing interior space such
as garages, attics, and basements. These qualities allow incremental expansion of housing
supply to serve more and different types of residents without changing neighborhood
character. The PZC has discussed ADUs at least three times within the past five years in
response to resident requests. The PZC asked that Staff begin exploring this topic in April 2026.
Background: At its May 5, 2026 meeting, the PZC considered a permissive draft that relied on
the City’s existing regulations to govern ADUs as a permitted use (i.e. no public hearing) with a
small number of provisions specific to ADUs. the consensus of the PZC was to support the
approach proposed by Staff, except to explore more restrictive regulations specific to
detached ADUs, as the PZC felt these may pose special considerations for adjoining property
owners.
At its May 12, 2026 meeting, the City Council held a workshop regarding this item. The consensus
of the City Council was that the PZC should move forward with a public hearing as proposed
and that this item should return to a future Committee of the Whole Agenda (i.e. this meeting).
(Among the questions asked at this meeting was a legislative history of when ADUs
were allowed in the City. Older Chicagoland communities often allowed ADUs as coach
houses, servants’ quarters, or etc. or may have lacked prohibitions before modern
zoning rules. Perhaps as a result of the City’s date of incorporation, City Staff has not
been able to identify a time when any property was explicitly allowed to build an ADU
by the City Code.)
At its June 2, 2026 meeting, the PZC conducted a public hearing to consider a draft Ordinance.
The consensus of the PZC was not to pursue the original approach and is instead only to allow
ADUs as a special use in all cases given concerns for the impact to neighboring properties from
all types of ADU construction. The PZC continued and concluded the public hearing on June 22.
At its June 22, 2026 meeting, the members of the PZC expressed a number of concerns
including the quality of construction, the number of people living in ADUs, parking, and other
issues. The PZC recommended the City Council adopt the text amendment with a further
condition to clarify that a building permit and architectural drawings are required to build an
ADU. These conditions have been incorporated into the attached draft Ordinance.

Pending Recommendation: If the attached Ordinance is adopted, an individual who wishes to
build an ADU will need to have a site plan and elevations prepared by an architect before being
able to seek the City’s permission to build an ADU through a public hearing process. The
Ordinance reduced the number of regulations from previous drafts as each proposed ADU
would be subject to an individualized public hearing and evaluation.
This approach has been adopted in other Chicagoland communities but generally does not
result in ADUs being built. Lake Bluff’s recently adopted comprehensive plan, which has similar
regulations as now proposed, stated that “despite their legality [since 2022], there have been
no ADU development applications in the Village, which may be the result of overly restrictive
requirements or general preference of homeowners.”
Throughout the City’s consideration of this item, pending legislation before the Illinois General
Assembly (the BUILD Act and related bills) would require municipalities to allow ADUs to be
constructed by right and with no or limited regulations. These regulations did not advance in
the spring legislative session. Some observers believe ADU regulations are among the most
likely components of the BUILD Act to be adopted during the General Assembly’s fall session.
A further description of the draft Ordinance and its provisions can be found in the June 2 and
June 22 Staff meeting memorandums, linked above.
Previous Council Action:
•

May 12, 2026 – City Council Workshop (link to minutes)

Direction Requested: Staff requests the Committee discuss the pending recommendation
and provide direction.

Ordinance No. 26-__
AN ORDINANCE AMENDING THE CITY’S ZONING REGULATIONS
TO AUTHORIZE AND ESTABLISH STANDARDS FOR
ACCESSORY DWELLING UNITS.
WHEREAS, the City of Rolling Meadows is a home rule municipality in
accordance with Article VII, Section 6 of the Constitution of the State of Illinois of 1970
and has the authority to exercise any power and perform any function pertaining to its
government and affairs; and
WHEREAS, Section 122-394 (“Amendments”) of Chapter 122 (the “Zoning
Ordinance”) of the Code of Ordinances, City of Rolling Meadows, Illinois (“City Code”)
sets forth procedures for considering amendments to the map and text of the City’s
Zoning Ordinance; and
WHEREAS, an accessory dwelling unit (“ADU”) is a self-contained residential
unit located on the same lot as a primary single-family dwelling that may take the form
of, without limitation, a detached structures, additions, or conversions of existing interior
space; and
WHEREAS, home prices in the Chicago metropolitan area have risen
substantially alongside persistently low inventory, and ADUs offer a flexible, incremental
response that may accommodate aging parents or adult children, generate
supplemental rental income, and make productive use of underutilized space without
significantly altering neighborhood character; and
WHEREAS, the City therefore desires to amend the Zoning Ordinance in order to
authorize accessory dwelling units as a special use in single-family residential districts
and to establish standards for their creation, location, and use, as set forth in this
Ordinance (collectively, the “Requested Amendments”); and
WHEREAS, the City’s Planning and Zoning Commission (“PZC”), after notice
was provided as required by law, conducted a public hearing on June 2, 2026 to
consider the Requested Amendments; and
WHEREAS, after taking and considering all testimony presented at the public
hearing, the PZC made the findings of fact enumerated in Exhibit A and recommended
that the City Council approve the Requested Amendments; and
WHEREAS, the Corporate Authorities of the City of Rolling Meadows have
determined that it would be in the best interests of the City to approve the Requested
Amendments as set forth in this Ordinance.
NOW, THEREFORE, BE IT ORDAINED by the City Council of the City of Rolling
Meadows, Illinois:
Section 1: Recitals. The recitals set forth above are incorporated herein by
reference as the findings of the Corporate Authorities.
Section 2: Amendment to Section 122-42. Pursuant to Section 122-394
(“Amendments”) and the City’s home rule authority, Section 122-42 (“Definitions”) of
Article II (“Definitions”) of Chapter 122 (“Zoning”) of the City Code is hereby amended
Page 1 of 10

by adding the following definition in appropriate alphabetical order [additions are bold
and double-underlined]:
“Accessory Dwelling Unit (ADU): A dwelling unit that is an accessory use to
a single-family dwelling and that provides areas used for bathing, cooking,
and sleeping independent of the principal single-family dwelling unit. The
presence of an accessory dwelling unit does not change the classification
of a property as single-family detached or attached under this Chapter.”
Section 3: Amendment to Section 122-78. Pursuant to Section 122-394
(“Amendments”) and the City’s home rule authority, Section 122-78 (“Accessory uses
and structures”) of Article IIII (“Regulations of General Applicability”) of Chapter 122
(“Zoning”) of the City Code is hereby amended as follows [additions are bold and
double-underlined; deletions are struck through]:
“Sec. 122-78.

Accessory uses and structures.

(a) General standards for accessory uses and structures.
*

*

*

(4) The following accessory uses and structures below are permitted in
specific districts and yards (Table 3-2):
Table 3-2: Accessory Uses and Structures
Types of
Accessory
Uses and
Structures

District (R =
Residential
Districts) […]

Required Yard

Front

Corner Interior
Side
Side

Detached
accessory
dwelling
unit (ADU)

Rear

P

P

R

[All other rows of Table 3-2 are intentionally omitted and are not amended.]
*

*

*

(b) General standards for accessory structures.
(6) General restrictions.
a. No accessory structures may be designed or used for permanent
or temporary housing or sleeping purposes, except pursuant to
Section 122-83 (Accessory Dwelling Units).
*

*

Page 2 of 10

*”

Section 4: Amendment to Section 122-331. Pursuant to Section 122-394
(“Amendments”) and the City’s home rule authority, Section 122-331 (“Special Uses”) of
Division 5 (“Special Uses”) of Article V (“Regulations for Zoning Districts”) of Chapter 122
(“Zoning”) is hereby amended to modify Table 5.13 as follows, with insertions to be made
in the correct alphabetical order [additions are bold and double-underlined; deletions
are struck through]:
“Sec. 122-331. - Permitted and special land uses.
(a)

Permitted and special uses in all zoning districts shall be as listed in Table
5.13.

(b)

Any use of land not listed in Table 5.13 as a permitted or special use shall
be prohibited in the City of Rolling Meadows.
Table 5.13: Land Use Table

LAND USE
Residential Uses
Accessory dwelling unit1

R-1

R-2

R-3

R-4

R-5

S*

S*

S*

S*

S*

[All other rows and columns of Table 5.13 are intentionally omitted and are not
amended; accessory dwelling units are a prohibited use in these unlisted
districts.]
(1) Special provisions apply; refer to the use-specific section within Article III,
Regulations of General Applicability.”
Section 5: Addition of Section 122-83. Pursuant to Section 122-394
(“Amendments”) and the City’s home rule authority, Article III (“Regulations of General
Applicability”) of Chapter 122 (“Zoning”) of the City Code is hereby amended by adding
a new Section 122-83 as follows [all text is new; additions are bold and doubleunderlined]:
“Sec. 122-83.

Accessory Dwelling Units (ADUs)

(1)

Purpose. The purpose of this Section is to authorize the creation and use
of accessory dwelling units that provide housing choices for the City’s
residents and support existing high-quality residential neighborhoods.
Accessory dwelling units are accessory uses and are subject to all
applicable regulations of Section 122-78.

(2)

Number. Each zoning lot used for a single-family dwelling may have only
one accessory dwelling unit subject to the provisions of this Section.

(3)

Form.

Page 3 of 10

(a)

An accessory dwelling unit may be located within a designated area
within the principal structure (such as a basement), attached to the
principal structure, or be a freestanding accessory structure.

(b)

An accessory dwelling unit may have a separate, independent
entrance from the entrance to the principal structure.

(c)

An above-grade accessory dwelling unit shall not be accessed by an
exterior staircase.

(d)

An accessory dwelling unit shall have no more than two bedrooms.

(4)

Building Permit and Construction Documents. No accessory dwelling unit
may be constructed, converted, or established without a building permit
issued in accordance with the City's adopted building codes (Chapter 18).
An application for such a permit shall include architectural drawings and
other construction documents sufficient to demonstrate compliance with
this Section and all applicable building, fire, and life-safety codes.

(5)

Height Exception. Notwithstanding the height limit for accessory
structures, a detached accessory dwelling unit constructed above a fully
enclosed garage bay at ground level may be erected to up to 24 feet in
height, provided that the garage occupies at least 60 percent of the ground
floor footprint of the structure.

(6)

Setbacks. In addition to any other setback provided, a detached accessory
dwelling unit must be set back a minimum of 5 feet from all applicable
property lines.

(7)

Prohibited Structures. Accessory dwelling units must be permanent
buildings lawfully erected pursuant to the City’s Building Regulations. A
recreational vehicle, camper, bus, trailer, motor home, or other vehicle or
towable unit must not function as an accessory dwelling unit.

(8)

Conversions Permitted.

(9)

(a)

Accessory dwelling units lawfully constructed prior to [INSERT THE
DATE OF ADOPTION OF THIS ORDINANCE] may continue to be
used, maintained, and occupied notwithstanding any nonconformity
with subsection (3) of this Section or the absence of a special use
permit.

(b)

Nothing shall prohibit a structure existing as of [INSERT THE DATE
OF ADOPTION OF THIS ORDINANCE], including a legally nonconforming structure, from being converted and used as an
accessory dwelling unit provided that the conversion otherwise
complies with this Section and does not increase the degree of any
existing non-conformity with the Zoning Regulations.

Rental Occupancy. Where the principal dwelling is leased or not occupied
by the owner, either:
(i)

The accessory dwelling unit must be occupied by the owner; or
Page 4 of 10

(ii)
(10)

The occupants of the principal and accessory dwelling unit must be
part of a single lease of the entire premises.

Special Use Process for Accessory Dwelling Units. An application for a
special use permit to authorize an accessory dwelling unit is subject to the
rebuttable presumption that the application satisfies the standards for a
special use permit set forth in Section 122-395, but only upon finding that
the accessory dwelling unit is located and scaled in such a manner as to
best:
(a)

Provide sufficient distance between the accessory dwelling unit and
any dwellings on adjacent properties;

(b)

Provide sufficient privacy to the occupants of both the accessory
dwelling unit and any adjacent residential properties;

(c)

Minimize the visual impact of the accessory dwelling unit upon
surrounding residential properties and the streetscape, including by
minimizing the appearance of the entry doors to the ADU from the
street; and

(d)

Result in an accessory dwelling unit that is clearly accessory and
subordinate to the principal dwelling unit.

The foregoing standards shall be evaluated relative to the impacts that
would be reasonably expected from adding a conforming residential
addition to the principal structure that does not serve as an accessory
dwelling unit. The foregoing standards are not intended to serve as a
mechanism for review of the architectural design, materials, or quality of
proposed accessory dwelling units. ”
Section 6: Amendment to Section 122-201. Pursuant to Section 122-394
(“Amendments”) and the City’s home rule authority, Table 5.2 (“Floor Area Ratio”) of
Section 122-201 (“Bulk, area and yard regulations by zoning district”) of Division 1
(“Generally”) of Article V (“Regulations for Zoning Districts”) of Chapter 122 (“Zoning”) of
the City Code is hereby amended by modifying the table note as follows [additions are
bold and double-underlined]:
“Note: The sum area exceeding 500 square feet of all accessory dwelling units
(ADUs) and attached and detached garages over the first 500 square feet shall
be included in the gross floor area used to compute the floor area ratio.”
Section 7: Amendment to Section 122-163. Section 122-163 (“Minimum and
recommended off-street parking volume”) of Division 2 (“General Standards for OffStreet Parking”) of Article IV (“Off-Street Parking and Loading”) of Chapter 122
(“Zoning”) of the City Code is hereby amended as follows [additions are bold and
double-underlined; deletions are struck through]:
(a)

Required residential parking. Every dwelling unit excluding an accessory
dwelling unit must be provided with a minimum of one off-street parking
space located on the same lot.
*

*
Page 5 of 10

*

(d)

Recommended parking. The city recommends that private property
owners provide the number of parking spaces listed in Table 4-4 for
each use on their property. The following rules of interpretation
apply to Table 4-4:
*

*

*

Table 4-4: Off-Street Parking Recommendations
Land Use

Parking Recommended

Residential Uses
Accessory dwelling unit

1 space per dwelling unit

[All other rows of Table 4-4 are intentionally omitted and are not amended.]”

Section 8: Amendment to Section 98-167. Section 98-167 (“Public spaces”) of
Division 4 (“Design Standards”) of Article III (“Plats”) of Chapter 98 (“Subdivisions”) of
the City Code is hereby amended as follows to append a new row to the “Contribution
Per Dwelling Unit” table [additions are bold and double-underlined]:
“Sec. 98-167. - Public spaces.
Dedication of park lands and school sites or payment of fees in lieu thereof. Each
subdivider or developer, as a condition of approval of a final plat or residential
subdivision or of a final plat of planned development, for residential construction,
no matter the size or the density of the development, except of developments of
land zoned office, commercial and manufacturing, shall be required to dedicate
land for park and recreational purposes and for school sites to serve the
immediate and future needs of the residents of the development or to make a
cash contribution in lieu of actual land dedication or a combination of both, at the
option of the city council, in accordance with the following:
(1) Payment of fees for parks and schools prerequisite to approval of final
plat.
a. Required. Each subdivider or developer, as a condition of approval of a
final plat of residential subdivision or of a final plat of planned
development for residential construction, no matter the size or the
density of the development, except of developments of land zoned
office, commercial and manufacturing, shall be required to make a
cash contribution for parks and schools in accordance with the
following:
Cash contributions shall be based on the size of the dwelling unit to be constructed in
accordance with the following table:CONTRIBUTION PER DWELLING UNIT
Page 6 of 10

Park
Grade School High School
Total
District
Contribution Contribution
Contribution
Contribution
Accessory Dwelling Unit
Accessory Dwelling Unit $0.00

$0.00

$0.00

$0.00

[All other rows of this table are intentionally omitted and are not amended.]
*

*

*”

“Section 9: Amendment to Appendix B, Section XXIV. Section XXIV ("Zoning and
subdivision") of Appendix B ("Schedule of Rates, Fees, and Penalties") of the City Code is
hereby amended as follows [additions are bold and double-underlined; deletions are struck
through]:

XXIV. ZONING/SPECIAL USES
Reference

Item

Fee

Unit

Last Updated

Reference

Item

Fee

Unit

Last Updated

Sec. 98-41
Sec. 122392

Appeal of administrative
decision

$200.00

Per appeal

December 16,
2025

Sec. 122431

Zoning application Only residential variation(s)
or Special Use Permit for
Accessory Dwelling Unit

$175.00

Per
application

December 16,
2025

[All other rows of Section XXIV are intentionally omitted and are not amended.]
*

*

*”

Section 9: Severability. If any provision of this Ordinance or part thereof is
held invalid by a court of competent jurisdiction, the remaining provisions of this
Ordinance shall remain in full force and effect, and shall be interpreted, applied, and
enforced so as to achieve, as near as may be, the purpose and intent of this Ordinance
to the greatest extent permitted by applicable law.
Page 7 of 10

Section 10: Effective Date. This Ordinance shall be in full force and effect from
and after its passage, approval, and publication in pamphlet form in the manner
provided by law.
PASSED AND APPROVED by the City Council of Rolling Meadows, Cook County,
Illinois, this ____ day of __________, 2026.
YEAS:
NAYS:
ABSENT:
Lara Sanoica, Mayor
ATTEST:
Judith Brose, Deputy City Clerk
Published this _____ day of ______________2026.

Page 8 of 10

Exhibit A
PZC Findings of Fact
Text Amendment Standards
Potential Impact: The amendment shall not adversely impact the overall zoning district
purpose or intent of a code section proposed for amendment.
Finding: The proposed amendment authorizes a new accessory use in single-family
residential zoning districts. It does so in a manner specifically designed to preserve the
character of those districts. The amendment expands housing choice while maintaining
the importance of the principal single-family dwelling and the residential character of the
surrounding neighborhood. It does not alter the purpose of the residential districts or the
intent of the underlying accessory use regulations.
Trend of Development / Consistency: The amendment shall be consistent with the
overall zoning district purpose or intent of a code section proposed for amendment.
Findings: The amendment is consistent with the purpose of the residential zoning
districts by preserving single-family residential character while providing a carefully
regulated pathway to increase housing choice incrementally and without significant
alteration to neighborhood form or function.
Externalities: Relevant physical or market conditions that may have changed to make
the existing zoning of a property inappropriate, or that make the proposed text
amendment necessary for this chapter to be in keeping with the desirable development
of the city shall be specified.
Findings: Home prices in the Chicago metropolitan area have risen substantially in
recent years alongside persistently low inventory. The State of Illinois has identified a
housing shortfall of approximately 142,000 units. The City has received multiple resident
inquiries regarding ADUs over the past two years. CMAP and AARP both actively
support local ADU adoption, and nearby communities including Oak Park, Evanston,
and South Elgin have adopted enabling ADU regulations. A pending legislative proposal
by Governor Pritzker would authorize ADUs statewide. These market and policy
conditions reflect a changed environment in which the absence of ADU authorization
leaves a gap in the City’s housing framework that this amendment addresses.
City Plans: Amendments should be consistent with the City’s Comprehensive Plan,
Official Map, and all other plans and policies adopted by the city.
Findings: The proposed amendment is consistent with the City’s Comprehensive Plan,
which envisions Rolling Meadows as a connected community with a range of housing
options and a strong residential character. It is also consistent with the City’s 2023
Sustainability Plan, which supports active transportation, reduced car dependence, and
community resilience. These goals are served by enabling diverse, appropriately-scaled
housing near existing infrastructure. No conflict with the Official Map or other adopted
City plans has been identified.

Page 9 of 10

Zoning Appropriateness: The extent to which use of the subject property (or relevant
properties in the case of a text amendment) is diminished by the current zoning
standards or designation and is no longer suitable for the underlying zoning shall be
specified.
Findings: Under the current Zoning Regulations, single-family property owners who
wish to add a secondary unit for a family member, caregiver, or tenant have no
compliant pathway to do so. This limits the productive use of residential lots and
constrains housing options available to property owners. The proposed amendment
creates a pathway that is carefully scaled and conditioned to remain compatible with the
single-family residential context, thereby improving the utility of single-family properties
without diminishing the character or suitability of the underlying zoning.

Page 10 of 10