All Roll Calls
Yes: 336 • No: 94
Sponsored By: Sponsor information unavailable
Signed by Governor
Amends the Illinois Insurance Code. Establishes reimbursement rates for mental health and substance use disorder treatment services for all group or individual policies of accident and health insurance or managed care plans that are amended, delivered, issued, or renewed on or after January 1, 2027 or for any contracted third party administering the behavioral health benefits for the insurer. Requires a group or individual policy of accident and health insurance or managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2026 or any contracted third party administering the behavioral health benefits for the insurer to cover certain medically necessary mental health and substance use disorder treatment services. Provides that, if the Department of Insurance determines that an insurer or a contracted third party administering the behavioral health benefits for the insurer has violated a provision concerning mental health and substance use parity, the Department shall by order assess a civil penalty of $1,000 for each violation. Excludes certain health care plans serving Medicaid populations who are enrolled under the Illinois Public Aid Code or under the Children's Health Insurance Program Act from provisions concerning mental health and substance use parity. Requires the Department to review the impact of the proposed mental health and substance abuse mandate on network adequacy for mental health and substance use disorder treatment and access to affordable mental health and substance use care. Permits the Department to examine out-of-network utilization and out-of-pocket costs for insureds for mental health and substance use treatment and services for all plans to compare with in-network utilization. Amends the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, and the School Code to require coverage under those provisions. Effective immediately.
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6 provisions identified: 6 benefits, 0 costs, 0 mixed.
These rules apply to covered plans amended, delivered, issued, or renewed beginning January 1, 2027, excluding Medicaid and CHIP. Plans must pay contracted rates for medically necessary behavioral health care given between a completed application and the contract’s effective date. The provider must complete a contract, submit claims after it takes effect, then tell patients the services may count as in-network. Plans must also cover medically necessary pre-contract care by fully licensed group-practice clinicians who have submitted completed network applications. Those clinicians must work under fully licensed in-network supervisors in the same practice and bill under their supervisors’ rendering provider numbers.
Covered plans amended, delivered, issued, or renewed beginning January 1, 2027 must meet minimum in-network behavioral health payment rates. These cover Illinois providers and facilities, including inpatient, outpatient, office, and residential care; Medicaid and CHIP plans are excluded. Based on the April 2024 RTI study, the formula uses average Illinois medical and surgical clinician reimbursement percentages. It adds half the gap to the 75th percentile, then applies updated local benchmarks, including federal hospital payment formulas. Administrators must also comply; federal-linked floors start with benchmark changes, cannot fall below prior-year floors, and do not set patient charges.
These protections apply to covered plans amended, delivered, issued, or renewed beginning January 1, 2027, excluding Medicaid and CHIP. Plans must cover all medically necessary same-day mental health or substance use services, whether inpatient or outpatient. This includes care from the same or different providers or facilities. Plans must also cover medically necessary care from trainees working toward state clinical licenses under qualifying fully licensed supervisors, billed under the supervisor’s rendering provider number. Medically necessary 60-minute individual psychotherapy, code 90837, must be covered without tougher paperwork requirements or more frequent audits than other psychotherapy codes.
The law takes effect June 1, 2026. Covered county, municipal, and school employee plans must follow state mental health and substance use coverage protections. This includes the new requirements that apply to plans amended, delivered, issued, or renewed beginning January 1, 2027. Self-insured counties, including home-rule counties, municipalities, and school districts must also provide post-mastectomy benefits that meet state insurance standards.
Illinois insurance regulators can enforce the new behavioral health protections through $1,000 penalties per violation against insurers or their administrators. Regulators must first give notice and an opportunity for a hearing; these are not fines on patients. The Department of Insurance must adopt implementing rules by September 1, 2026. It must review results at 2, 7, and 12 years after implementation, including network access and out-of-network use. Reports due December 31 in 2030, 2035, and 2040 must also examine patient costs and premiums.
These rules apply to covered plans amended, delivered, issued, or renewed beginning January 1, 2027, excluding Medicaid and CHIP. Plans and their administrators must finish the contracting process, including credential checks, within 60 days of receiving a completed application. This deadline does not guarantee a contract. Insurers and administrators must give applying providers their credentialing policies when asked. They must also post nonproprietary application requirements, a materials checklist, and network contact information online.
There is no primary sponsor on record.
Abdelnasser Rashid
Democratic • House
Adriane L. 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
Lindsey LaPointe
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
All Roll Calls
Yes: 336 • No: 94
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 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
Senate vote • 10/30/2025
Senate Floor Amendment No. 3 Recommend Do Adopt Executive;
Yes: 11 • 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
Engrossed
Enrolled
House Amendment 1
Introduced
Senate Amendment 1
Senate Amendment 2
Senate Amendment 3
HB5198, AFFORDABLE HOUSING-CILAS
Amends the Affordable Housing Planning and Appeal Act. Requires non-exempt local governments to provide residents with notice and the opportunity for comment at a public hearing prior to adopting an affordable housing plan. Requires a non-exempt local government to provide proof of its compliance with the notice and public hearing requirements when it submits a copy of its affordable housing plan to the Illinois Housing Development Authority. Expands the list of information that must be provided in the affordable housing plan to include, (i) an identification of "specific lands" (rather than "lands") within the jurisdiction that are most appropriate for the construction of affordable housing, (ii) proposed timelines to commence "specific actions and deadlines" (rather than "actions") to implement the components of the affordable housing plan, and (iii) incentives, including certain measures to address the need for affordable housing, that the local government may provide for the purpose of attracting affordable housing. In a provision permitting certain persons to appeal a local government's denial of a proposed affordable housing plan, expands the list to include a service provider that is under contract to provide services for potential residents of a proposed supportive housing project or community-integrated living arrangement that is included in the proposed affordable housing plan. Contains provisions concerning final actions or decisions by the governing body of the local government on the proposed affordable housing plans; appeal procedures and timelines; and other matters. Expands the Illinois Housing Development Authority's rulemaking authority to include the adoption of rules and regulations concerning the substance of affordable housing plans consistent with the changes made in the amendatory Act.
SB1937, PENSION CODE-VARIOUS
Amends the State Employee Article of the Illinois Pension Code. Provides that a member who is eligible to receive an alternative retirement annuity may elect to receive an estimated payment that shall commence no later than 30 days after the later of either the member's last day of employment or 30 days after the member files for the retirement benefit with the System. Provides that the estimated payment shall be the best estimate by the System of the total monthly amount due to the member based on the information that the System possesses at the time of the estimate. Provides that if the amount of the estimate is greater or less than the actual amount of the monthly annuity, the System shall pay or recover the difference within 6 months after the start of the monthly annuity. Excludes a benefit increase resulting from the amendatory Act from the definition of "new benefit increase". Effective immediately.
HB2563, CONDO-RESERVE STUDY
Amends the Common Interest Community Association Act. Requires a common interest association to conduct and update a reserve study every 5 years. "Reserve study" means an analysis of the reserves required for future major maintenance, repairs, and replacements of the common elements. Grants a 5-year window for an association to conduct a reserve study or update a current study. Requires a reserve study to be made available to any prospective purchaser of a unit upon request for a resale of any unit in the community. Exempts an association with 15 or fewer units but still requires the board to comply with the budgeting and reserve requirements elsewhere in the Act. Amends the Condominium Property Act to make similar changes.
HB4701, LIMITATIONS FACILITY FEES ACT
Creates the Limitations on Facility Fees Act. Provides that no health care provider shall charge, bill, or collect a facility fee, except for: (i) services provided on a hospital's campus; (ii) services provided at a facility that includes a licensed hospital emergency department; or (iii) emergency services provided at a freestanding emergency center. Provides that, except as specified, no health care provider shall charge, bill, or collect a facility fee for: (i) outpatient evaluation and management services; or (ii) any other outpatient, diagnostic, or imaging services identified by the Department of Public Health. Requires the Department to annually identify services subject to the limitations on specified facility fees that may reliably be provided safely and effectively in settings other than hospitals. Sets forth provisions concerning reporting, rulemaking, and enforcement of the Act. Amends the Fair Patient Billing Act to make a conforming change. Amends the Consumer Fraud and Deceptive Business Practices Act. Provides that any person who violates the Limitations on Facility Fees Act commits an unlawful practice.
SB3008, DHS-ABLE PROGRAM INFO MATERIAL
Amends the Mental Health and Developmental Disabilities Administrative Act and the Rehabilitation of Persons with Disabilities Act. Required the Department of Human Services to provide informational materials about the Senator Scott Bennett ABLE Program to: persons who are placed in a facility licensed under the ID/DD Community Care Act, the MC/DD Act, or the Specialized Mental Health Rehabilitation Act of 2013; persons with disabilities who receive services funded by or administered in conjunction with the Department, including, but not limited to, home and community based services, home-based support services, PUNS services, home care services, and services at a Center for Independent Living. Provides that the informational materials shall be provided when a person first enrolls for such services and as part of any annual process required for the person to maintain eligibility for such services. Requires the Office of the State Treasurer to prepare and deliver the informational materials in an electronic format to the Department and distribute the materials to eligible persons.
SB3484, VEH CD-PLATES-REGISTRATION
Amends the Illinois Vehicle Code. Provides that the design and color of registration plates shall be wholly within the discretion of the Secretary of State. Provides that plates for veterans with disabilities who have been approved for benefits under the Senior Citizens and Persons with Disabilities Property Tax Relief Act shall pay a specified fee (instead of $24). Authorizes the Secretary to suspend or revoke a certificate or the special plates issued to tow truck or wrecker operator upon determining that the person is not lawfully entitled thereto or has made or knowingly permitted any illegal use of the plates or has committed fraud in the registration of vehicles or failed to give notices of transfers. Prohibits a vehicle from being registered in the name of a person who is not an owner or lessee of that vehicle. Requires a vehicle owner seeking to register a vehicle in the State to register that vehicle to a State address. Provides that it is a violation for a person to alter, forge, or counterfeit a license plate or digital license plate. Provides that if no assignable title is available when auctioning a vehicle, the auctioneer or dealer must apply for Illinois title for the purpose of assigning title. Provides that the renewal fee for licenses and permits issued to 18, 19, and 20 year olds is $5. Provides that the Secretary shall issue a meter-exempt decal or device to the parent of a person with a disability who is under 18 years of age and incapable of driving or the legal guardian of a person with a disability incapable of driving. Makes other changes.