All Roll Calls
Yes: 193 • No: 3
IllinoisSB2421104th General Assembly (2025–2026)Senate
PSYCHIATRIC RESIDENTIAL FACILY
Sponsored By: Laura Fine (Democratic)
Signed by Governor
Summary
Creates the Psychiatric Residential Treatment Facilities (PRTF) Act. Requires the Department of Healthcare and Family Services to establish an Illinois Psychiatric Residential Treatment Facilities (PRTF) program that is family-driven, youth-guided, and trauma-informed, and includes youth and family involvement in all aspects of care planning. Requires the Department to submit a State Plan Amendment, by January 1, 2026, to the Centers for Medicare and Medicaid Services to establish coverage of federally authorized, medically necessary inpatient psychiatric services delivered by a certified PRTF to medical assistance beneficiaries under 21 years of age. Provides that the Department shall adopt rules to implement the PRTF program that at a minimum shall include: (i) certification and participation requirements for PRTF providers in compliance with all applicable federal laws, regulations, requirements, and policies; (ii) monitoring and oversight of PRTF services; (iii) a limit on allowable beds at any one PRTF, not to exceed 40 total beds; and other matters. Requires the Department to establish, and update as needed, a methodology for completing a statewide PRTF capacity analysis for the purposes of identifying capacity needs for PRTF services under the Illinois Medical Assistance Program. Requires the Department to establish a PRTF Advisory Committee responsible for reviewing and providing guidance on the Department's policies and implementations of the PRTF program. Requires the Department to publish on its website counts of reported emergency safety interventions and serious occurrences by State fiscal year and quarter. Makes conforming changes to the Specialized Mental Health Rehabilitation Act of 2013, the Child Care Act of 1969, and other various Acts. Effective immediately.
assignmentshealth and human servicesappropriations-health and human services
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Bill Overview
Analyzed Economic Effects
5 provisions identified: 3 benefits, 1 costs, 1 mixed.
Medicaid coverage request for youth psychiatric care
Illinois must submit a Medicaid coverage request to the federal government by January 1, 2026. The request covers federally authorized, medically necessary inpatient psychiatric care for Illinois Medicaid members under 21. Care must come from a certified psychiatric residential treatment facility. This deadline is for submitting the request, not for starting coverage.
Families help plan care; stays face review
Illinois must create a youth psychiatric residential program guided by families and youth, with care that accounts for trauma. Youth and families must help plan care and have meaningful chances to help design, monitor, and oversee services. State rules must require reviews of medical need, care approval, records, and treatment plans for initial and continued stays. Reviews must also emphasize returning to community care when clinically appropriate.
Illinois must map youth treatment needs
Illinois must publish its first statewide psychiatric residential treatment capacity review by January 1, 2026, with updates at least every five years. It must examine Medicaid-eligible youth under 21 using community care, crisis services, and psychiatric hospitals. The review must identify shortages, surplus capacity, and specialized needs, including increased use of out-of-state facilities. Recommendations must seek to avoid concentrating facilities in one area and guide provider certification and enrollment. Illinois must post its review method, analyses, and results online and update the method as needed.
Youth treatment centers face safety checks
Youth psychiatric residential providers must pass a Public Health Department survey checking federal care standards before certification. They must also receive an on-site review before starting services and at least annually afterward; visits can be unannounced. Certification requires accreditation from the Joint Commission, CARF, the Council on Accreditation of Services for Families and Children, or a state-approved comparable organization. Facilities must report emergency safety interventions and serious events to Illinois Healthcare and Family Services and the state-designated Protection and Advocacy System. Reports are due by the close of the next business day after the event.
Youth treatment centers face capacity limits
State rules must limit each psychiatric residential treatment facility to 40 beds unless the Department Director waives the limit in writing. Illinois must also limit new facility certifications each state budget year; the law does not set that number. Each facility must be a distinct, standalone, non-hospital entity. It cannot be attached to or next to another facility providing group residential care.
Sponsors & Cosponsors
Sponsor
Laura Fine
Democratic • Senate
Cosponsors
Laura Faver Dias
Democratic • House
Lindsey LaPointe
Democratic • House
Nicolle Grasse
Democratic • House
Sara Feigenholtz
Democratic • Senate
Roll Call Votes
House vote • 5/22/2025
Third Reading - Short Debate - Passed
Yes: 113 • No: 0
House vote • 5/1/2025
Do Pass / Short Debate Appropriations-Health and Human Services Committee;
Yes: 18 • No: 0
Senate vote • 4/9/2025
Third Reading - Passed;
Yes: 55 • No: 0
Senate vote • 3/19/2025
Do Pass Health and Human Services;
Yes: 7 • No: 3
Actions Timeline
Public Act . . . . . . . . . 104-0147
8/1/2025SenateEffective Date August 1, 2025
8/1/2025SenateGovernor Approved
8/1/2025SenateSent to the Governor
6/20/2025SenatePassed Both Houses
5/22/2025SenateThird Reading - Short Debate - Passed 113-000-000
5/22/2025HouseAdded Alternate Co-Sponsor Rep. Nicolle Grasse
5/22/2025HousePlaced on Calendar Order of 3rd Reading - Short Debate
5/14/2025HouseSecond Reading - Short Debate
5/14/2025HousePlaced on Calendar 2nd Reading - Short Debate
5/1/2025HouseAdded Alternate Co-Sponsor Rep. Laura Faver Dias
5/1/2025HouseDo Pass / Short Debate Appropriations-Health and Human Services Committee; 018-000-000
5/1/2025HouseAssigned to Appropriations-Health and Human Services Committee
4/17/2025HouseReferred to Rules Committee
4/10/2025HouseFirst Reading
4/10/2025HouseChief House Sponsor Rep. Lindsey LaPointe
4/10/2025HouseArrived in House
4/9/2025HouseAdded as Chief Co-Sponsor Sen. Sara Feigenholtz
4/9/2025SenateThird Reading - Passed; 055-000-000
4/9/2025SenatePlaced on Calendar Order of 3rd Reading April 1, 2025
3/20/2025SenateSecond Reading
3/20/2025SenatePlaced on Calendar Order of 2nd Reading March 20, 2025
3/19/2025SenateDo Pass Health and Human Services; 007-003-000
3/19/2025SenateAssigned to Health and Human Services
3/4/2025SenateReferred to Assignments
2/7/2025Senate
Bill Text
Engrossed
Enrolled
Introduced
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