IllinoisSB0188104th General Assembly (2025–2026)Senate

OUT-OF-STATE INVOL ADM-REPEAL

Sponsored By: Michael W. Halpin (Democratic)

Signed by Governor

Summary

Amends the Out-of-State Person Subject to Involuntary Admission on an Inpatient Basis Mental Health Treatment Act. Extends the repeal date of the Act from January 1, 2026 to January 1, 2031. Effective immediately.

assignmentsbehavioral and mental healthmental health & addiction

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Bill Overview

Analyzed Economic Effects

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

Cross-state mental health care continues with limits

Effective upon becoming law, the law continues the cross-state program for court-ordered inpatient mental health care beyond its pilot period. Iowa residents of Cedar, Clinton, Jackson, Muscatine, and Scott counties can receive care at a Rock Island, Illinois, facility. Eligible Rock Island County residents can receive care in Iowa. Patients need an involuntary inpatient admission order from a court in their sending state within the program area. The receiving facility must agree to accept the patient, and the sending-state authority must approve the transfer beforehand. People involved in criminal proceedings cannot participate. The sending state keeps court jurisdiction and legal custody; qualifying orders cannot be challenged in the receiving state's courts. Further transfers, removals, or temporary leaves generally require the sending state's approval, except in emergencies. Patients needing a state-operated facility must return to their state of legal residence. Annual reporting runs from January 1, 2026, through January 1, 2030. The receiving agency must track patient demographics, numbers served, lengths of stay, costs, concerns, Illinois residents served, and denials. It must notify area providers, hospitals, courts, law enforcement, and advocacy groups. Written reports with comments go to the Illinois Department of Human Services by August 1 each year through 2030. Although designated permanent rather than a pilot, the program's governing Act is repealed on January 1, 2031.

Sponsors & Cosponsors

Sponsor

  • Michael W. Halpin

    Democratic • Senate

Cosponsors

  • Gregg Johnson

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 197 • No: 0

House vote • 5/21/2025

Third Reading - Short Debate - Passed

Yes: 108 • No: 0

House vote • 5/1/2025

Do Pass / Short Debate Mental Health & Addiction Committee;

Yes: 20 • No: 0

Senate vote • 4/9/2025

Third Reading - Passed;

Yes: 56 • No: 0

Senate vote • 4/3/2025

Senate Floor Amendment No. 1 Recommend Do Adopt Behavioral and Mental Health;

Yes: 5 • No: 0

Senate vote • 3/5/2025

Do Pass Behavioral and Mental Health;

Yes: 8 • No: 0

Actions Timeline

  1. Public Act . . . . . . . . . 104-0074

    8/1/2025Senate
  2. Effective Date August 1, 2025

    8/1/2025Senate
  3. Governor Approved

    8/1/2025Senate
  4. Sent to the Governor

    6/18/2025Senate
  5. Passed Both Houses

    5/21/2025Senate
  6. Third Reading - Short Debate - Passed 108-000-000

    5/21/2025House
  7. Placed on Calendar Order of 3rd Reading - Short Debate

    5/13/2025House
  8. Second Reading - Short Debate

    5/13/2025House
  9. Placed on Calendar 2nd Reading - Short Debate

    5/1/2025House
  10. Do Pass / Short Debate Mental Health & Addiction Committee; 020-000-000

    5/1/2025House
  11. Assigned to Mental Health & Addiction Committee

    4/17/2025House
  12. Referred to Rules Committee

    4/9/2025House
  13. First Reading

    4/9/2025House
  14. Chief House Sponsor Rep. Gregg Johnson

    4/9/2025House
  15. Arrived in House

    4/9/2025House
  16. Third Reading - Passed; 056-000-000

    4/9/2025Senate
  17. Placed on Calendar Order of 3rd Reading

    4/9/2025Senate
  18. Senate Floor Amendment No. 1 Adopted; Halpin

    4/9/2025Senate
  19. Recalled to Second Reading

    4/9/2025Senate
  20. Senate Floor Amendment No. 1 Recommend Do Adopt Behavioral and Mental Health; 005-000-000

    4/3/2025Senate
  21. Senate Floor Amendment No. 1 Assignments Refers to Behavioral and Mental Health

    4/1/2025Senate
  22. Senate Floor Amendment No. 1 Referred to Assignments

    3/28/2025Senate
  23. Senate Floor Amendment No. 1 Filed with Secretary by Sen. Michael W. Halpin

    3/28/2025Senate
  24. Placed on Calendar Order of 3rd Reading March 20, 2025

    3/19/2025Senate
  25. Second Reading

    3/19/2025Senate

Bill Text

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