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IllinoisSB2421104th General Assembly (2025–2026)SenateWALLET

PSYCHIATRIC RESIDENTIAL FACILY

Sponsored By: Laura Fine (Democratic)

Became Law

assignmentshealth and human servicesappropriations-health and human services

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Bill Overview

Analyzed Economic Effects

5 provisions identified: 3 benefits, 0 costs, 2 mixed.

Medicaid covers youth residential psychiatric care

The law creates a state program for psychiatric residential treatment for youth on Medicaid. Care is family‑driven, youth‑guided, and trauma‑informed. The Department must submit a Medicaid State Plan Amendment by January 1, 2026 so medically necessary inpatient psychiatric services in certified facilities are covered. Coverage applies to beneficiaries under 21, or until age 22 if admitted before turning 21. Only certified facilities can be paid.

Planning and advisory group for youth centers

HFS must publish a statewide capacity study by January 1, 2026 using Medicaid data for people under 21. It identifies where services are needed, including out‑of‑state use, and is updated at least every five years. The study guides certification and enrollment decisions. An advisory committee of up to 12 members, led by HFS, includes a child psychiatrist, community providers, family representatives, and key state officials.

Youth psychiatric centers set apart from other facility laws

Certified psychiatric residential treatment facilities are not regulated as hospitals, nursing homes, ID/DD facilities, child care institutions, or Specialized Mental Health Rehabilitation facilities. They follow the new psychiatric residential treatment program rules instead. This changes which standards and protections apply to these centers.

Tougher safety rules for youth psychiatric centers

Facilities must be accredited by an approved body (for example, Joint Commission, CARF, or COA). They must pass a state survey showing they meet federal rules before certification. The state sets medical‑necessity, authorization, and discharge‑planning standards. On‑site reviews happen before services start and at least once a year, including unannounced visits. Facilities must report emergency safety interventions and serious events to HFS and the Protection & Advocacy System by the next business day.

Limits on size and growth of youth psychiatric centers

Each facility is capped at 40 beds unless the HFS Director grants a written waiver. The state also limits how many new facilities it certifies each budget year. Centers must be standalone, non‑hospital buildings and not attached or next to other congregate‑care sites. These rules can support safer settings but may limit local bed supply.

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

All Roll Calls

Yes: 193 • No: 3

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

  1. Public Act . . . . . . . . . 104-0147

    8/1/2025Senate

  2. Effective Date August 1, 2025

    8/1/2025Senate

  3. Governor Approved

    8/1/2025Senate

  4. Sent to the Governor

    6/20/2025Senate

  5. Passed Both Houses

    5/22/2025Senate

  6. Third Reading - Short Debate - Passed 113-000-000

    5/22/2025House

  7. Added Alternate Co-Sponsor Rep. Nicolle Grasse

    5/22/2025House

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

    5/14/2025House

  9. Second Reading - Short Debate

    5/14/2025House

  10. Placed on Calendar 2nd Reading - Short Debate

    5/1/2025House

  11. Added Alternate Co-Sponsor Rep. Laura Faver Dias

    5/1/2025House

  12. Do Pass / Short Debate Appropriations-Health and Human Services Committee; 018-000-000

    5/1/2025House

  13. Assigned to Appropriations-Health and Human Services Committee

    4/17/2025House

  14. Referred to Rules Committee

    4/10/2025House

  15. First Reading

    4/10/2025House

  16. Chief House Sponsor Rep. Lindsey LaPointe

    4/10/2025House

  17. Arrived in House

    4/9/2025House

  18. Added as Chief Co-Sponsor Sen. Sara Feigenholtz

    4/9/2025Senate

  19. Third Reading - Passed; 055-000-000

    4/9/2025Senate

  20. Placed on Calendar Order of 3rd Reading April 1, 2025

    3/20/2025Senate

  21. Second Reading

    3/20/2025Senate

  22. Placed on Calendar Order of 2nd Reading March 20, 2025

    3/19/2025Senate

  23. Do Pass Health and Human Services; 007-003-000

    3/19/2025Senate

  24. Assigned to Health and Human Services

    3/4/2025Senate

  25. Referred to Assignments

    2/7/2025Senate

Bill Text

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