# Illinois SB1774: DHFS-SUBSTANCE USE TREATMENT

Illinois SB1774, DHFS-SUBSTANCE USE TREATMENT, is a 104th General Assembly (2025–2026) Senate bill sponsored by Laura Fine (Democratic); status signed, last action 2025-08-01 (Public Act . . . . . . . . . 104-0122); PRIA reads it as touching household money (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/IL-SB1774-2025-2026
- As of: 2026-11-01
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Illinois SB1774
- State: Illinois
- Session: 104th General Assembly (2025–2026)
- Title: DHFS-SUBSTANCE USE TREATMENT
- Status: signed
- Chamber: Senate
- Introduced: 2025-02-06
- Last action: 2025-08-01, Public Act . . . . . . . . . 104-0122
- Sponsor: Laura Fine (Democratic)
- Cosponsors: 2
- Subjects: assignments, health and human services, human services
- Touches household money: yes
- Roll calls: 4 (191 yes, 0 no in all)
- Economic provisions PRIA read: 1

## 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.

## Bill overview: provisions PRIA read

- Illinois repeals two public aid provisions: cost, low. Beginning January 1, 2026, the law repeals Sections 5-5.05g and 5-5.14.5 of the Illinois Public Aid Code. The supplied text does not describe those sections. Effects on substance-use treatment coverage, eligibility, or household costs cannot be determined from this text.

## Sponsors and cosponsors

- Sponsor: Laura Fine (Democratic), Senate
- Cosponsor: Graciela Guzmán (Democratic), Senate
- Cosponsor: Lindsey LaPointe (Democratic), House

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2025-05-22 | House | Third Reading - Short Debate - Passed | pass | 115 | 0 |   |
| 2025-04-23 | House | Do Pass / Short Debate Human Services Committee; | pass | 10 | 0 |   |
| 2025-04-09 | Senate | Third Reading - Passed; | pass | 56 | 0 |   |
| 2025-03-05 | Senate | Do Pass Health and Human Services; | pass | 10 | 0 |   |

## Actions (27)

- 2025-08-01: Public Act . . . . . . . . . 104-0122 (Senate)
- 2025-08-01: Effective Date January 1, 2026 (Senate)
- 2025-08-01: Governor Approved (Senate)
- 2025-06-20: Sent to the Governor (Senate)
- 2025-05-27: Added as Co-Sponsor Sen. Graciela Guzmán (Senate)
- 2025-05-22: Passed Both Houses (Senate)
- 2025-05-22: Third Reading - Short Debate - Passed 115-000-000 (House)
- 2025-05-16: Placed on Calendar Order of 3rd Reading - Short Debate (House)
- 2025-05-16: Second Reading - Short Debate (House)
- 2025-04-23: Placed on Calendar 2nd Reading - Short Debate (House)
- 2025-04-23: Do Pass / Short Debate Human Services Committee; 010-000-000 (House)
- 2025-04-17: Assigned to Human Services Committee (House)
- 2025-04-09: Referred to Rules Committee (House)
- 2025-04-09: First Reading (House)
- 2025-04-09: Chief House Sponsor Rep. Lindsey LaPointe (House)
- 2025-04-09: Arrived in House (House)
- 2025-04-09: Third Reading - Passed; 056-000-000 (Senate)
- 2025-04-09: Placed on Calendar Order of 3rd Reading (Senate)
- 2025-04-04: Placed on Calendar Order of 3rd Reading ** (Senate)
- 2025-03-19: Placed on Calendar Order of 3rd Reading March 20, 2025 (Senate)
- 2025-03-19: Second Reading (Senate)
- 2025-03-05: Placed on Calendar Order of 2nd Reading March 6, 2025 (Senate)
- 2025-03-05: Do Pass Health and Human Services; 010-000-000 (Senate)
- 2025-02-25: Assigned to Health and Human Services (Senate)
- 2025-02-06: Referred to Assignments (Senate)
- 2025-02-06: First Reading (Senate)
- 2025-02-06: Filed with Secretary by Sen. Laura Fine (Senate)

## Bill text

- Engrossed: [PDF](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB1774eng.pdf)
- Enrolled: [PDF](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB1774enr.pdf)
- Introduced: [PDF](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB1774.pdf)

## Related bills

- HB5198: AFFORDABLE HOUSING-CILAS (passed house)
- SB1937: PENSION CODE-VARIOUS (passed senate)
- HB2563: CONDO-RESERVE STUDY (in committee)
- HB4701: LIMITATIONS FACILITY FEES ACT (in committee)
- SB3008: DHS-ABLE PROGRAM INFO MATERIAL (passed senate)
- SB3484: VEH CD-PLATES-REGISTRATION (signed)

## Sources
- [Engrossed (PDF)](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB1774eng.pdf)
- [Enrolled (PDF)](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB1774enr.pdf)
- [Introduced (PDF)](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB1774.pdf)

## Related
- [HB5198: AFFORDABLE HOUSING-CILAS](https://policyrisk.com/state-bill/IL-HB5198-2025-2026)
- [SB1937: PENSION CODE-VARIOUS](https://policyrisk.com/state-bill/IL-SB1937-2025-2026)
- [HB2563: CONDO-RESERVE STUDY](https://policyrisk.com/state-bill/IL-HB2563-2025-2026)
- [HB4701: LIMITATIONS FACILITY FEES ACT](https://policyrisk.com/state-bill/IL-HB4701-2025-2026)
- [SB3008: DHS-ABLE PROGRAM INFO MATERIAL](https://policyrisk.com/state-bill/IL-SB3008-2025-2026)
- [SB3484: VEH CD-PLATES-REGISTRATION](https://policyrisk.com/state-bill/IL-SB3484-2025-2026)
- [Illinois bills](https://policyrisk.com/states/illinois/bills)
- [Illinois state hub](https://policyrisk.com/states/illinois)
- [All state legislation](https://policyrisk.com/state-bills)

Source: PRIA, https://policyrisk.com/state-bill/IL-SB1774-2025-2026 (as of 2026-11-01).
