IllinoisHB5225104th General Assembly (2025–2026)HouseWALLET

AUTISM SPECTRUM-DIAGNOSIS

Sponsored By: Sponsor information unavailable

Signed by Governor

Summary

Amends the Illinois Speech-Language Pathology and Audiology Practice Act. Allows a speech-language pathologist to diagnose autism spectrum disorders if: (1) the child is under 3 years of age; and (2) the speech-language pathologist is trained in autism diagnostic evaluation methods as part of the curriculum of an approved program, through worksite training, or through continuing education. Provides that if a diagnosis requires a plan of care that includes elements that are outside the scope of practice of a speech-language pathologist, the speech-language pathologist must refer the patient to the appropriate medical personnel for further evaluation or management. Makes conforming changes in the Medical Assistance Article of the Illinois Public Aid Code, and provisions of the Illinois Insurance Code concerning autism spectrum disorders. Effective July 1, 2027.

health care licensesassignmentslicensed activities

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

More autism diagnosis and care for children

Starting January 1, 2028, covered Illinois health plans must cover autism diagnosis for people under 21 when a qualified speech-language pathologist makes the diagnosis. The pathologist may diagnose a child under 3 through Early Intervention only after approved training, with no known co-occurring medical conditions, and must refer the child for care beyond their role. At license renewal, the pathologist must certify at least 5 hours of approved autism-diagnosis training. Illinois Medicaid can cover applied behavior analysis ordered by a physician, psychologist, or qualifying Early Intervention speech-language pathologist; a qualified behavior analyst must evaluate the services.

Sponsors & Cosponsors

Sponsors

There is no primary sponsor on record.

Cosponsors

  • Angelica Guerrero-Cuellar

    Democratic • House

  • Brad Stephens

    Republican • House

  • Christopher Belt

    Democratic • Senate

  • Cristina Castro

    Democratic • Senate

  • Curtis J. Tarver, II

    Democratic • House

  • Dagmara Avelar

    Democratic • House

  • Dan Swanson

    Republican • House

  • Daniel Didech

    Democratic • House

  • Dave Vella

    Democratic • House

  • Diane Blair-Sherlock

    Democratic • House

  • Doris Turner

    Democratic • Senate

  • Emanuel "Chris" Welch

    Democratic • House

  • Emil Jones, III

    Democratic • Senate

  • Harry Benton

    Democratic • House

  • Jackie Haas

    Republican • House

  • Javier L. Cervantes

    Democratic • Senate

  • Jay Hoffman

    Democratic • House

  • Jehan Gordon-Booth

    Democratic • House

  • Jennifer Sanalitro

    Republican • House

  • Joyce Mason

    Democratic • House

  • Julie A. Morrison

    Democratic • Senate

  • Justin Cochran

    Democratic • House

  • Katie Stuart

    Democratic • House

  • Kimberly A. Lightford

    Democratic • Senate

  • La Shawn K. Ford

    Democratic • House

  • Lakesia Collins

    Democratic • Senate

  • Laura Ellman

    Democratic • Senate

  • Lawrence "Larry" Walsh, Jr.

    Democratic • House

  • Lilian Jiménez

    Democratic • House

  • Mary Edly-Allen

    Democratic • Senate

  • Mary Gill

    Democratic • House

  • Matt Hanson

    Democratic • House

  • Maura Hirschauer

    Democratic • House

  • Meg Loughran Cappel

    Democratic • Senate

  • Michael Crawford

    Democratic • House

  • Michael E. Hastings

    Democratic • Senate

  • Michael W. Halpin

    Democratic • Senate

  • Michelle Mussman

    Democratic • House

  • Napoleon Harris III

    Democratic • Senate

  • Natalie A. Manley

    Democratic • House

  • Nicholas K. Smith

    Democratic • House

  • Nicole La Ha

    Republican • House

  • Nicolle Grasse

    Democratic • House

  • Norma Hernandez

    Democratic • House

  • Ram Villivalam

    Democratic • Senate

  • Rick Ryan

    Democratic • House

  • Robert F. Martwick

    Democratic • Senate

  • Seth Lewis

    Republican • Senate

  • Sharon Chung

    Democratic • House

  • Suzy Glowiak Hilton

    Democratic • Senate

  • Theresa Mah

    Democratic • House

  • Tracy Katz Muhl

    Democratic • House

  • Yolonda Morris

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 324 • No: 0

House vote • 5/27/2026

Senate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Health Care Licenses Committee;

Yes: 13 • No: 0

House vote • 5/27/2026

Senate Committee Amendment No. 1 House Concurs

Yes: 107 • No: 0

Senate vote • 5/21/2026

Third Reading - Passed;

Yes: 57 • No: 0

Senate vote • 5/6/2026

Do Pass as Amended Licensed Activities;

Yes: 9 • No: 0

House vote • 4/16/2026

Third Reading - Short Debate - Passed

Yes: 110 • No: 0

House vote • 4/15/2026

House Floor Amendment No. 3 Recommends Be Adopted Health Care Licenses Committee;

Yes: 14 • No: 0

House vote • 3/25/2026

Do Pass as Amended / Short Debate Health Care Licenses Committee;

Yes: 14 • No: 0

Actions Timeline

  1. Public Act . . . . . . . . . 104-0561

    7/10/2026House
  2. Effective Date January 1, 2028

    7/10/2026House
  3. Governor Approved

    7/10/2026House
  4. Sent to the Governor

    6/25/2026House
  5. Added as Alternate Co-Sponsor Sen. Napoleon Harris III

    6/1/2026Senate
  6. Added as Alternate Co-Sponsor Sen. Mary Edly-Allen

    5/31/2026Senate
  7. Added as Alternate Co-Sponsor Sen. Julie A. Morrison

    5/31/2026Senate
  8. Added as Alternate Co-Sponsor Sen. Suzy Glowiak Hilton

    5/31/2026Senate
  9. Added as Alternate Co-Sponsor Sen. Robert F. Martwick

    5/31/2026Senate
  10. Added Co-Sponsor Rep. Dan Swanson

    5/27/2026House
  11. Passed Both Houses

    5/27/2026House
  12. House Concurs

    5/27/2026House
  13. Senate Committee Amendment No. 1 House Concurs 107-000-000

    5/27/2026House
  14. Senate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Health Care Licenses Committee; 013-000-000

    5/27/2026House
  15. Added as Alternate Co-Sponsor Sen. Cristina Castro

    5/25/2026Senate
  16. Senate Committee Amendment No. 1 Motion to Concur Rules Referred to Health Care Licenses Committee

    5/25/2026House
  17. Added as Alternate Co-Sponsor Sen. Emil Jones, III

    5/22/2026Senate
  18. Senate Committee Amendment No. 1 Motion to Concur Referred to Rules Committee

    5/21/2026House
  19. Senate Committee Amendment No. 1 Motion Filed Concur Rep. Natalie A. Manley

    5/21/2026House
  20. Placed on Calendar Order of Concurrence Senate Amendment(s) 1

    5/21/2026House
  21. Arrived in House

    5/21/2026House
  22. Added as Alternate Co-Sponsor Sen. Ram Villivalam

    5/21/2026Senate
  23. Added as Alternate Co-Sponsor Sen. Michael W. Halpin

    5/21/2026Senate
  24. Added as Alternate Co-Sponsor Sen. Christopher Belt

    5/21/2026Senate
  25. Added as Alternate Co-Sponsor Sen. Kimberly A. Lightford

    5/21/2026Senate

Bill Text

  • Engrossed

  • Enrolled

  • House Amendment 1

  • House Amendment 2

  • House Amendment 3

  • Introduced

  • Senate Amendment 1

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