All Roll Calls
Yes: 336 • No: 94
IllinoisHB1085104th General Assembly (2025–2026)HouseWALLET
INS CD-MENTAL HEALTH PARITY
Sponsored By: Lindsey LaPointe (Democratic)
Became Law
mental health & addictionassignmentsexecutive
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Bill Overview
Analyzed Economic Effects
5 provisions identified: 3 benefits, 1 costs, 1 mixed.
Faster behavioral health contracting and coverage
Beginning January 1, 2027, insurers must finish credentialing and contracting within 60 days of a completed application. Services given from the application date to the contract start can be paid at the contract rate, with claims submitted after the contract starts and notice to the patient. Plans must cover all medically necessary same‑day mental health or substance use services, even from different providers. Supervised trainees are covered, and their services must be billed under the supervisor’s NPI. Applicants in a group practice who are fully licensed and working under a participating supervisor are covered up to their contract start, billed under the supervisor’s NPI. Plans must cover 60‑minute psychotherapy (CPT 90837) without extra paperwork or audits, and insurers must share and post credentialing rules and contact info.
Enforcement, fines, and timelines for parity
Starting June 1, 2026, the Department of Insurance enforces these rules and may fine $1,000 per violation after notice and a hearing. The Department must adopt implementing rules by September 1, 2026. It must review impacts about 2, 7, and 12 years after implementation and report by December 31, 2030, 2035, and 2040. Reviews examine out‑of‑network use, out‑of‑pocket costs, premiums, and network adequacy.
Higher in-network pay for mental health care
Starting January 1, 2027, health plans must pay at least a set minimum for in-network mental health and substance use care in Illinois. The floor uses an April 2024 RTI study method and Illinois data, across inpatient and outpatient billing codes. This applies when policies are amended, delivered, issued, or renewed on or after that date, including plans run by third-party administrators. This can improve access but may raise insurer costs and premiums.
Post‑mastectomy benefits for public employees
Beginning June 1, 2026, self‑insured counties and municipalities must cover post‑mastectomy care and other required benefits. Insurance for school employees must also include these benefits. Home‑rule entities must comply. The Illinois Department of Insurance enforces these rules.
Medicaid and CHIP plans are excluded
Beginning June 1, 2026, these new parity and coverage rules do not apply to Medicaid or CHIP plans. If you are in Medicaid or CHIP, your plan is excluded.
Sponsors & Cosponsors
Sponsor
Lindsey LaPointe
Democratic • House
Cosponsors
Abdelnasser Rashid
Democratic • House
Adriane Johnson
Democratic • Senate
Angelica Guerrero-Cuellar
Democratic • House
Ann M. Williams
Democratic • House
Anna Moeller
Democratic • House
Anne Stava
Democratic • House
Anthony DeLuca
Democratic • House
Barbara Hernandez
Democratic • House
Bill Cunningham
Democratic • Senate
Bob Morgan
Democratic • House
Brad Stephens
Republican • House
Camille Y. Lilly
Democratic • House
Carol Ammons
Democratic • House
Christopher Belt
Democratic • Senate
Cristina Castro
Democratic • Senate
Dagmara Avelar
Democratic • House
Dave Vella
Democratic • House
David Koehler
Democratic • Senate
Debbie Meyers-Martin
Democratic • House
Don Harmon
Democratic • Senate
Emanuel "Chris" Welch
Democratic • House
Graciela Guzmán
Democratic • Senate
Gregg Johnson
Democratic • House
Harry Benton
Democratic • House
Hoan Huynh
Democratic • House
Jaime M. Andrade, Jr.
Democratic • House
Janet Yang Rohr
Democratic • House
Javier L. Cervantes
Democratic • Senate
Jay Hoffman
Democratic • House
Jehan Gordon-Booth
Democratic • House
John M. Cabello
Republican • House
Joyce Mason
Democratic • House
Karina Villa
Democratic • Senate
Katie Stuart
Democratic • House
Kelly M. Cassidy
Democratic • House
Kevin John Olickal
Democratic • House
Kevin Schmidt
Republican • House
Kimberly A. Lightford
Democratic • Senate
La Shawn K. Ford
Democratic • House
Lakesia Collins
Democratic • Senate
Laura Ellman
Democratic • Senate
Laura Faver Dias
Democratic • House
Laura Fine
Democratic • Senate
Laura M. Murphy
Democratic • Senate
Lawrence "Larry" Walsh, Jr.
Democratic • House
Lilian Jiménez
Democratic • House
Lisa Davis
Democratic • House
Margaret A. DeLaRosa
Democratic • House
Mark L. Walker
Democratic • Senate
Martha Deuter
Democratic • House
Mary Beth Canty
Democratic • House
Mary Edly-Allen
Democratic • Senate
Mary Gill
Democratic • House
Matt Hanson
Democratic • House
Mattie Hunter
Democratic • Senate
Maura Hirschauer
Democratic • House
Maurice A. West, II
Democratic • House
Meg Loughran Cappel
Democratic • Senate
Michael Crawford
Democratic • House
Michael J. Kelly
Democratic • House
Michelle Mussman
Democratic • House
Mike Porfirio
Democratic • Senate
Mike Simmons
Democratic • Senate
Nabeela Syed
Democratic • House
Nicole La Ha
Republican • House
Nicolle Grasse
Democratic • House
Norma Hernandez
Democratic • House
Patrick J. Joyce
Democratic • Senate
Paul Faraci
Democratic • Senate
Rachel Ventura
Democratic • Senate
Ram Villivalam
Democratic • Senate
Rick Ryan
Democratic • House
Robert "Bob" Rita
Democratic • House
Robert F. Martwick
Democratic • Senate
Robert Peters
Democratic • Senate
Robyn Gabel
Democratic • House
Ryan Spain
Republican • House
Sara Feigenholtz
Democratic • Senate
Sharon Chung
Democratic • House
Sonya M. Harper
Democratic • House
Stephanie A. Kifowit
Democratic • House
Sue Scherer
Democratic • House
Suzanne M. Ness
Democratic • House
Suzy Glowiak Hilton
Democratic • Senate
Terra Costa Howard
Democratic • House
Theresa Mah
Democratic • House
Tracy Katz Muhl
Democratic • House
Will Guzzardi
Democratic • House
Yolonda Morris
Democratic • House
Roll Call Votes
Senate vote • 10/30/2025
Senate Floor Amendment No. 3 Recommend Do Adopt Executive;
Yes: 11 • No: 2
House vote • 10/30/2025
Senate Committee Amendment No. 1 House Concurs
Yes: 86 • No: 19 • Other: 1
House vote • 10/30/2025
Senate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Rules Committee;
Yes: 3 • No: 2
House vote • 10/30/2025
Senate Floor Amendment No. 3 House Concurs
Yes: 86 • No: 19 • Other: 1
House vote • 10/30/2025
Senate Floor Amendment No. 3 Motion to Concur Recommends Be Adopted Rules Committee;
Yes: 3 • No: 2
Senate vote • 10/30/2025
Third Reading - Passed;
Yes: 48 • No: 10
Senate vote • 5/30/2025
Do Pass as Amended Executive;
Yes: 10 • No: 2
House vote • 4/7/2025
Third Reading - Short Debate - Passed
Yes: 72 • No: 33
House vote • 3/6/2025
Do Pass as Amended / Short Debate Mental Health & Addiction Committee;
Yes: 17 • No: 5
Actions Timeline
Public Act . . . . . . . . . 104-0446
12/12/2025HouseEffective Date June 1, 2026
12/12/2025HouseGovernor Approved
12/12/2025HouseSent to the Governor
11/21/2025HouseAdded as Alternate Co-Sponsor Sen. Karina Villa
10/31/2025SenateAdded Co-Sponsor Rep. Margaret A. DeLaRosa
10/30/2025HouseAdded Chief Co-Sponsor Rep. Tracy Katz Muhl
10/30/2025HousePassed Both Houses
10/30/2025HouseHouse Concurs
10/30/2025HouseSenate Floor Amendment No. 3 House Concurs 086-019-001
10/30/2025HouseSenate Committee Amendment No. 1 House Concurs 086-019-001
10/30/2025HouseAdded Co-Sponsor Rep. Camille Y. Lilly
10/30/2025HouseSenate Floor Amendment No. 3 Motion to Concur Recommends Be Adopted Rules Committee; 003-002-000
10/30/2025HouseSenate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Rules Committee; 003-002-000
10/30/2025HouseSenate Floor Amendment No. 3 Motion to Concur Referred to Rules Committee
10/30/2025HouseSenate Committee Amendment No. 1 Motion to Concur Referred to Rules Committee
10/30/2025HouseSenate Floor Amendment No. 3 Motion Filed Concur Rep. Lindsey LaPointe
10/30/2025HouseSenate Committee Amendment No. 1 Motion Filed Concur Rep. Lindsey LaPointe
10/30/2025HousePlaced on Calendar Order of Concurrence Senate Amendment(s) 1, 3
10/30/2025HouseArrived in House
10/30/2025HouseSenate Committee Amendment No. 2 Tabled Pursuant to Rule 5-4(a)
10/30/2025SenateThird Reading - Passed; 048-010-000
10/30/2025SenatePlaced on Calendar Order of 3rd Reading
10/30/2025SenateSenate Floor Amendment No. 3 Adopted; Villa
10/30/2025SenateRecalled to Second Reading
10/30/2025Senate
Bill Text
Engrossed
Enrolled
House Amendment 1
Introduced
Senate Amendment 1
Senate Amendment 2
Senate Amendment 3