# Illinois SB2421: PSYCHIATRIC RESIDENTIAL FACILY Illinois SB2421, PSYCHIATRIC RESIDENTIAL FACILY, is a 104th General Assembly (2025–2026) Senate bill sponsored by Laura Fine (Democratic); status signed, last action 2025-08-01 (Public Act . . . . . . . . . 104-0147) (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/IL-SB2421-2025-2026 - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Illinois SB2421 - State: Illinois - Session: 104th General Assembly (2025–2026) - Title: PSYCHIATRIC RESIDENTIAL FACILY - Status: signed - Chamber: Senate - Introduced: 2025-02-07 - Last action: 2025-08-01, Public Act . . . . . . . . . 104-0147 - Sponsor: Laura Fine (Democratic) - Cosponsors: 4 - Subjects: assignments, health and human services, appropriations-health and human services - Touches household money: no - Roll calls: 4 (193 yes, 3 no in all) - Economic provisions PRIA read: 5 ## 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. ## Bill overview: provisions PRIA read - Medicaid coverage request for youth psychiatric care: benefit, medium. 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.… - Illinois must map youth treatment needs: benefit, low. 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 shortag… - Youth treatment centers face safety checks: benefit, low. 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 accreditatio… - Youth treatment centers face capacity limits: cost, low. 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,… - Families help plan care; stays face review: mixed, medium. 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 app… ## Sponsors and cosponsors - Sponsor: Laura Fine (Democratic), Senate - Cosponsor: Laura Faver Dias (Democratic), House - Cosponsor: Lindsey LaPointe (Democratic), House - Cosponsor: Nicolle Grasse (Democratic), House - Cosponsor: Sara Feigenholtz (Democratic), Senate ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-05-22 | House | Third Reading - Short Debate - Passed | pass | 113 | 0 | | | 2025-05-01 | House | Do Pass / Short Debate Appropriations-Health and Human Services Committee; | pass | 18 | 0 | | | 2025-04-09 | Senate | Third Reading - Passed; | pass | 55 | 0 | | | 2025-03-19 | Senate | Do Pass Health and Human Services; | pass | 7 | 3 | | ## Actions (27) - 2025-08-01: Public Act . . . . . . . . . 104-0147 (Senate) - 2025-08-01: Effective Date August 1, 2025 (Senate) - 2025-08-01: Governor Approved (Senate) - 2025-06-20: Sent to the Governor (Senate) - 2025-05-22: Passed Both Houses (Senate) - 2025-05-22: Third Reading - Short Debate - Passed 113-000-000 (House) - 2025-05-22: Added Alternate Co-Sponsor Rep. Nicolle Grasse (House) - 2025-05-14: Placed on Calendar Order of 3rd Reading - Short Debate (House) - 2025-05-14: Second Reading - Short Debate (House) - 2025-05-01: Placed on Calendar 2nd Reading - Short Debate (House) - 2025-05-01: Added Alternate Co-Sponsor Rep. Laura Faver Dias (House) - 2025-05-01: Do Pass / Short Debate Appropriations-Health and Human Services Committee; 018-000-000 (House) - 2025-04-17: Assigned to Appropriations-Health and Human Services Committee (House) - 2025-04-10: Referred to Rules Committee (House) - 2025-04-10: First Reading (House) - 2025-04-10: Chief House Sponsor Rep. Lindsey LaPointe (House) - 2025-04-09: Arrived in House (House) - 2025-04-09: Added as Chief Co-Sponsor Sen. Sara Feigenholtz (Senate) - 2025-04-09: Third Reading - Passed; 055-000-000 (Senate) - 2025-03-20: Placed on Calendar Order of 3rd Reading April 1, 2025 (Senate) - 2025-03-20: Second Reading (Senate) - 2025-03-19: Placed on Calendar Order of 2nd Reading March 20, 2025 (Senate) - 2025-03-19: Do Pass Health and Human Services; 007-003-000 (Senate) - 2025-03-04: Assigned to Health and Human Services (Senate) - 2025-02-07: Referred to Assignments (Senate) - 2025-02-07: First Reading (Senate) - 2025-02-07: Filed with Secretary by Sen. Laura Fine (Senate) ## Bill text - Engrossed: [PDF](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB2421eng.pdf) - Enrolled: [PDF](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB2421enr.pdf) - Introduced: [PDF](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB2421.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/10400SB2421eng.pdf) - [Enrolled (PDF)](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB2421enr.pdf) - [Introduced (PDF)](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB2421.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-SB2421-2025-2026 (as of 2026-11-01).