All Roll Calls
Yes: 8 • No: 4
IllinoisHB4785104th General Assembly (2025–2026)House
DHS-BEHAVIORAL HLTH SURCHARGE
Sponsored By: Lindsey LaPointe (Democratic)
Passed
Summary
Creates the Preventing Crisis Cost Shifting to Medicaid Act. Provides that the General Assembly finds that (i) behavioral health crisis services, including crisis call centers, mobile crisis response, and crisis stabilization and receiving services, function as essential public health infrastructure and must be available statewide without regard to insurance status; and (ii) commercial health insurance policies issued or administered in the State generally do not provide comprehensive coverage for the full continuum of behavioral health crisis services, resulting in the cost of such services being disproportionately borne by Medicaid, local governments, and taxpayers. Requires specified entities (surcharge payors) that are authorized to issue or administer a policy or contract of accident and health insurance or a health maintenance organization contract in the State to pay a behavioral health crisis assessment to the Department of Human Services for deposit into the Statewide 9-8-8 Trust Fund. Exempts Medicaid managed care organizations from paying the behavioral health crisis assessment. Permits the Department to update the total behavioral health crisis assessment amount as necessary to ensure the continued availability, quality, or geographic equity of the statewide behavioral health crisis system. Requires the Department to establish an appropriate mechanism for enforcing a surcharge payor's liability, which may include accrued interest on unpaid liabilities at a rate not to exceed 18% per annum and late fees or penalties at a rate not to exceed 5% per month. Provides that the enforcement mechanism may also include notification to the Department of Healthcare and Family Services to offset payments on the surcharge payor's claims. Provides that the Department of Human Services shall not direct the Department of Healthcare and Family Services to offset claims payments unless the surcharge payor has maintained an outstanding liability to the Statewide 9-8-8 Trust Fund for a period longer than 45 days and has received proper notice of pending enforcement.
human services
Your PRIA Score
Score Hidden
Personalized for You
How does this bill affect your finances?
Sign up for a PRIA Policy Scan to see your personalized alignment score for this bill and every other piece of legislation we track. We analyze your financial profile against policy provisions to show you exactly what matters to your wallet.
Bill Overview
No Economic Impacts Identified for this Bill
Sponsors & Cosponsors
Sponsor
Lindsey LaPointe
Democratic • House
Cosponsors
Ann M. Williams
Democratic • House
Dagmara Avelar
Democratic • House
Kevin John Olickal
Democratic • House
Nicolle Grasse
Democratic • House
Roll Call Votes
House vote • 3/25/2026
Do Pass as Amended / Short Debate Human Services Committee;
Yes: 8 • No: 4
Actions Timeline
Added Co-Sponsor Rep. Kevin John Olickal
5/13/2026HouseAdded Co-Sponsor Rep. Ann M. Williams
4/20/2026HouseHouse Floor Amendment No. 2 Rule 19(c) / Re-referred to Rules Committee
4/17/2026HouseRule 19(a) / Re-referred to Rules Committee
4/17/2026HouseHouse Floor Amendment No. 2 Rules Refers to Human Services Committee
4/15/2026HouseHouse Floor Amendment No. 2 Referred to Rules Committee
4/14/2026HouseHouse Floor Amendment No. 2 Filed with Clerk by Rep. Lindsey LaPointe
4/14/2026HouseAdded Co-Sponsor Rep. Dagmara Avelar
4/10/2026HouseHeld on Calendar Order of Second Reading - Short Debate
4/10/2026HouseSecond Reading - Short Debate
4/10/2026HousePlaced on Calendar 2nd Reading - Short Debate
3/25/2026HouseDo Pass as Amended / Short Debate Human Services Committee; 008-004-000
3/25/2026HouseHouse Committee Amendment No. 1 Adopted in Human Services Committee; by Voice Vote
3/25/2026HouseAdded Co-Sponsor Rep. Nicolle Grasse
3/25/2026HouseHouse Committee Amendment No. 1 Rules Refers to Human Services Committee
3/18/2026HouseHouse Committee Amendment No. 1 Referred to Rules Committee
3/16/2026HouseHouse Committee Amendment No. 1 Filed with Clerk by Rep. Lindsey LaPointe
3/16/2026HouseAssigned to Human Services Committee
3/4/2026HouseReferred to Rules Committee
2/6/2026HouseFirst Reading
2/6/2026HouseFiled with the Clerk by Rep. Lindsey LaPointe
2/2/2026House
Bill Text
House Amendment 1
House Amendment 2
Introduced
Related Bills
HB4154 — PHARMACIST APPLICATION/EXAM
HB4890 — UNACCOMPANIED CHILDREN
Creates the Dependency Determinations for Unaccompanied Children Act. Creates a process for an unaccompanied child in the custody of the federal Office of Refugee Resettlement housed in Illinois who is alleged to have been abused, neglected, or abandoned by one or both parents to file a petition seeking a finding of dependency under the Act. Provides that a child declared dependent is eligible for oversight and services as ordered by the court and may be referred for psychological, educational, medical, or social services deemed necessary as a result of parental abuse, abandonment, or neglect or for protection against trafficking or domestic violence. Defines terms. Makes legislative findings. Effective immediately.
HB0598 — GOVERNMENT-TECH
Amends the Salaries Act. Makes a technical change in a Section concerning the short title.
SB0314 — BUSINESS-TECH
Amends the Business Corporation Act of 1983. Makes a technical change in a Section concerning the short title.
HB3428 — LONG-TERM CARE JOINT TRAINING
Amends the Nursing Home Care Act and the Assisted Living and Shared Housing Act. Requires the Department of Public Health to hold semiannual joint training sessions for surveyors, nursing home providers, and assisted living establishment providers. Provides that the Department shall include the State long-term care ombudsman, or the State long-term care ombudsman's designee, and representatives of each nursing home provider association and assisted living provider association in the State in the planning process to create the topics and content of the joint training sessions as well as the coordination and presentations for the joint training sessions. Provides that, at least annually, a joint training session shall include, but not be limited to, regional citation patterns relating to complaints, standards, and outcomes in the nursing home and assisted living survey process. Requires the Department to develop standardized training for establishments to prevent common citations in the assisted living survey process.
SB1265 — ENVTL BARRIER-ENFORCEMENT DATA
Amends the Environmental Barriers Act. Requires the Attorney General to provide, by January 31, 2026 and every January 31 thereafter (rather than by July 31, 2020 and every July 31 thereafter), data on the Attorney General's website about annual enforcement efforts performed under the Act. Effective immediately.