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IllinoisSB1774104th General Assembly (2025–2026)SenateWALLET

DHFS-SUBSTANCE USE TREATMENT

Sponsored By: Laura Fine (Democratic)

Became Law

Summary

Amends the Medical Assistance Article of the Illinois Public Aid Code. Repeals provisions that require: (i) the Department of Healthcare and Family Services to consult with stakeholders and General Assembly members for input on a plan to develop enhanced Medicaid rates for substance use disorder treatment and mental health treatment in underserved communities; and (ii) the Department of Healthcare and Family Services and the Department of Human Services to collaborate to review coverage and billing requirements for substance use prevention and recovery and mental health services with the goal of identifying disparities and streamlining coverage and billing requirements to reduce the administrative burden for providers and medical assistance beneficiaries. Effective January 1, 2026.

assignmentshealth and human serviceshuman services

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Bill Overview

Analyzed Economic Effects

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

Two Public Aid rules end in 2026

Beginning January 1, 2026, the law repeals two sections of the Illinois Public Aid Code (5-5.05g and 5-5.14.5). Those rules no longer apply to recipients or the agencies that run public aid programs. The act does not add replacement rules or dollar amounts. The effect on benefits or services depends on how remaining state and federal rules now apply.

Sponsors & Cosponsors

Sponsor

  • Laura Fine

    Democratic • Senate

Cosponsors

  • Graciela Guzmán

    Democratic • Senate

  • Lindsey LaPointe

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 191 • No: 0

House vote • 5/22/2025

Third Reading - Short Debate - Passed

Yes: 115 • No: 0

House vote • 4/23/2025

Do Pass / Short Debate Human Services Committee;

Yes: 10 • No: 0

Senate vote • 4/9/2025

Third Reading - Passed;

Yes: 56 • No: 0

Senate vote • 3/5/2025

Do Pass Health and Human Services;

Yes: 10 • No: 0

Actions Timeline

  1. Public Act . . . . . . . . . 104-0122

    8/1/2025Senate

  2. Effective Date January 1, 2026

    8/1/2025Senate

  3. Governor Approved

    8/1/2025Senate

  4. Sent to the Governor

    6/20/2025Senate

  5. Added as Co-Sponsor Sen. Graciela Guzmán

    5/27/2025Senate

  6. Passed Both Houses

    5/22/2025Senate

  7. Third Reading - Short Debate - Passed 115-000-000

    5/22/2025House

  8. Placed on Calendar Order of 3rd Reading - Short Debate

    5/16/2025House

  9. Second Reading - Short Debate

    5/16/2025House

  10. Placed on Calendar 2nd Reading - Short Debate

    4/23/2025House

  11. Do Pass / Short Debate Human Services Committee; 010-000-000

    4/23/2025House

  12. Assigned to Human Services Committee

    4/17/2025House

  13. Referred to Rules Committee

    4/9/2025House

  14. First Reading

    4/9/2025House

  15. Chief House Sponsor Rep. Lindsey LaPointe

    4/9/2025House

  16. Arrived in House

    4/9/2025House

  17. Third Reading - Passed; 056-000-000

    4/9/2025Senate

  18. Placed on Calendar Order of 3rd Reading

    4/9/2025Senate

  19. Placed on Calendar Order of 3rd Reading **

    4/4/2025Senate

  20. Placed on Calendar Order of 3rd Reading March 20, 2025

    3/19/2025Senate

  21. Second Reading

    3/19/2025Senate

  22. Placed on Calendar Order of 2nd Reading March 6, 2025

    3/5/2025Senate

  23. Do Pass Health and Human Services; 010-000-000

    3/5/2025Senate

  24. Assigned to Health and Human Services

    2/25/2025Senate

  25. Referred to Assignments

    2/6/2025Senate

Bill Text

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