Senate Committee Amendment No. 2 - Replaces everything after the enacting clause. Reinserts the provisions of the engrossed bill with the following changes. Amends various Acts to provide for the creation, dissolution, renaming, and revised use of various statutorily created funds and for the transfer of moneys among funds. Amends the Illinois Human Rights Act. Specifies, in various provisions, that the Department of Human Rights has the power to issue (rather than request) subpoenas. Redesignates the Human Rights Commission as an independent commission under the Department of Human Rights. Provides for the transfer of the finance, accounting, human resources, labor relations, communications, purchasing, procurement, and administrative functions of the Human Rights Commission to the Department of Human Rights. Allows commissioners on the Human Rights Commission to engage in outreach, public education, training activities, and other assignments that further the purposes of the Commission and are consistent with the commissioner's official duties, including as recommended by the Chairperson. Repeals a provision that allows the Commission to accept public grants and private gifts and bequests so long as the conditions of the grant, gift, or bequest are not inconsistent with the purposes of the Act. Amends the Illinois Human Rights Act. Provides for the Interagency Committee on Employees with Disabilities to be renamed the Accessibility Committee for Employees with Disabilities. Specifies that the amendatory Act is not intended to change any committee operations, purpose, or functions and is not intended to disqualify any current member of the Interagency Committee on Employees with Disabilities from continued membership on the Committee. Amends the Illinois Independent Tax Tribunal Act of 2012. Makes changes in provisions concerning the stipend of the Chief Administrative Law Judge. Amends the Illinois Holocaust and Genocide Commission Act. Deletes a provision which specifies that a public member of the Commission may not serve more than 2 consecutive full terms. Amends the Kaskaskia Regional Port District Act. Makes changes in provisions concerning the terms of members. Effective immediately, except that specified provisions take effect July 1, 2026 and July 1, 2027.

Senate Floor Amendment No. 3 - Replaces everything after the enacting clause. Reinserts the provisions of the engrossed bill with the following changes. Amends various Acts to provide for the creation, dissolution, renaming, and revised use of various statutorily created funds and for the transfer of moneys among funds. Amends the Illinois Human Rights Act. Specifies, in various provisions, that the Department of Human Rights has the power to issue (rather than request) subpoenas. Redesignates the Human Rights Commission as an independent commission under the Department of Human Rights. Provides for the transfer of the finance, accounting, human resources, labor relations, communications, purchasing, procurement, and administrative functions of the Human Rights Commission to the Department of Human Rights. Allows commissioners on the Human Rights Commission to engage in outreach, public education, training activities, and other assignments that further the purposes of the Commission and are consistent with the commissioner's official duties, including as recommended by the Chairperson. Repeals a provision that allows the Commission to accept public grants and private gifts and bequests so long as the conditions of the grant, gift, or bequest are not inconsistent with the purposes of the Act. Amends the Illinois Human Rights Act. Provides for the Interagency Committee on Employees with Disabilities to be renamed the Accessibility Committee for Employees with Disabilities. Specifies that the amendatory Act is not intended to change any committee operations, purpose, or functions and is not intended to disqualify any current member of the Interagency Committee on Employees with Disabilities from continued membership on the Committee. Amends the Illinois Independent Tax Tribunal Act of 2012. Makes changes in provisions concerning the stipend of the Chief Administrative Law Judge. Amends the Illinois Holocaust and Genocide Commission Act. Deletes a provision which specifies that a public member of the Commission may not serve more than 2 consecutive full terms. Effective immediately, except that specified provisions take effect July 1, 2026 and July 1, 2027.

  CURRENT STATUS

6/16/2026 - Public Act . . . . . . . . . 104-0465

Amends the ID/DD Community Care Act. Changes the definition of administrator to a person who is charged with the general administration and supervision of a facility and who is at least 21 years of age and either is licensed under the Nursing Home Administrators Licensing and Disciplinary Act; is a qualified intellectual disabilities professional; or has completed at least 4 semesters of study at an institution of higher education and has at least 2 years of management experience or at least 2 years of experience in a position of progressive responsibility in health care, housing with services, or adult day care; in providing similar services to individuals with intellectual or developmental disabilities; or in behavioral health (rather than a person who is charged with the general administration and supervision of a facility and licensed, if required, under the Nursing Home Administrators Licensing and Disciplinary Act). Provides that, as a condition of licensure under the Act, the administrator of a facility must participate in at least 20 hours of training every 2 years to assist the administrator in better meeting the needs of the residents of the facility and managing the operation of the facility. Makes conforming changes. Effective July 1, 2027.

  CURRENT STATUS

7/24/2026 - Public Act . . . . . . . . . 104-0594

Amends the Statute on Statutes and other various Acts. Changes all occurrences of "disabled person" to "person with a disability", changes all occurrences of "a person who is handicapped" to "a person who has a disability", changes all occurrences of "physically or mentally handicapped" to "having a physical or intellectual disability", and changes all occurrences of "visually handicapped" to "visually impaired". Replaces an outdated reference to the "Disabled Person Identification Card" with "the Illinois Person with a Disability Identification Card". Amends the Aid to the Aged, Blind or Disabled Article of the Illinois Public Aid Code. Changes "Aid to the Aged, Blind or Disabled program" to "Aid to the Aged, Blind or Persons with Disabilities program". Makes corresponding references in various Acts. Effective immediately.

House Committee Amendment No. 1 - Changes the effective date to January 1, 2027 (rather than effective immediately).

House Committee Amendment No. 2 - Further amends the Statute on Statutes. Provides that nothing in the amendatory Act or in any other Act replacing the term "mentally handicapped" with "intellectual disability" is intended to make any substantive change to eligibility, benefits, or coverage under any provision of law. Provides that the replacement of the term "mentally handicapped" with "intellectual disability" shall be construed as a modernization of terminology only and shall not be interpreted to narrow or expand eligibility.

House Floor Amendment No. 3 - Removes a provision on the Act's rule of construction.

  CURRENT STATUS

7/24/2026 - Public Act . . . . . . . . . 104-0598

COMMENTS

Sponsor initiative

Amends the Nursing Home Care Act. Replaces provisions concerning serious mental illness rescreening. Provides that all persons admitted to a nursing home facility with a diagnosis of serious mental illness shall receive a follow-up visit within 60 days after admission and shall receive a resident review by the Department of Human Services or its designee promptly after a significant change in the resident's physical or mental condition. Provides that the Department of Human Services shall ensure there are no conflicts of interest for pre-admission screeners.

House Floor Amendment No. 1 - Replaces everything after the enacting clause. Reinserts the provisions of the introduced bill with the following changes. Provides that all persons admitted to a nursing home facility with a diagnosis of serious mental illness shall receive a follow-up visit by the Department of Human Services or its designee within 60 days after admission (rather than just a follow-up visit within 60 days after admission). Provides that, after admission, any resident with a diagnosis of serious mental illness who experiences a specified significant change in physical or mental condition shall be referred by the nursing facility for a resident review by the Department of Human Services or its designee within 72 hours after the significant change.

  CURRENT STATUS

7/30/2026 - Public Act . . . . . . . . . 104-0659

Amends the Rehabilitation of Persons with Disabilities Act. Requires direct service workers employed by the Department of Human Services, or an agency contracted with the Department, to provide services under the Home Services Program to complete at least 2 hours of dementia training at the start of their employment and annually thereafter. Requires the training to cover subjects concerning Alzheimer's disease and dementia, safety risks, and communication and behavior. Requires the Department to provide contractors with dementia training curriculum on the required subjects. Provides that any other laws or rules that impose more rigorous dementia training for direct service workers under the Home Services Program shall apply. Exempts from the training requirements direct service workers who provide proof that they obtained equivalent dementia training in compliance with another law or rule. For personal assistants covered by a collective bargaining agreement, requires the Department to establish, in consultation with the joint training committee created under the collective bargaining agreement, different parameters and specific topics for curriculum covering dementia training.

House Floor Amendment No. 2 - Replaces everything after the enacting clause. Reinserts the provisions of the introduced bill with the following changes. Provides that the amendatory changes apply to Home Services Program rehabilitation counselors and to those homemaker agency employees who provide direct care services to individuals participating in the Home Services Program (rather than to direct service workers employed by the Department of Human Services or by an agency that is contracted with the Department). Requires such persons to complete dementia training totaling at least 2 hours at the start of their employment (rather than shall complete at least 2 hours of dementia training at the start of their employment). Provides that an individual who is required to receive dementia training under any other law or rule may be considered exempt from the requirements of the amendatory Act if the other law's or rule's training requirement includes a minimum 2 hours of dementia training in the required subjects (rather than a minimum 2 hours of dementia training). Provides that for individual providers (rather than personal assistants), the Department shall work with the joint training committee established by the collective bargaining agreement covering individual providers (rather than personal assistants) to discuss parameters and specific topics for curriculum covering dementia training as part of the provided training for individual providers (rather than personal assistants).

  CURRENT STATUS

7/24/2026 - GOVERNOR APPROVED

Amends the Mental Health and Developmental Disabilities Administrative Act and the Rehabilitation of Persons with Disabilities Act. Required the Department of Human Services to provide informational materials about the Senator Scott Bennett ABLE Program to: persons who are placed in a facility licensed under the ID/DD Community Care Act, the MC/DD Act, or the Specialized Mental Health Rehabilitation Act of 2013; persons with disabilities who receive services funded by or administered in conjunction with the Department, including, but not limited to, home and community based services, home-based support services, PUNS services, home care services, and services at a Center for Independent Living. Provides that the informational materials shall be provided when a person first enrolls for such services and as part of any annual process required for the person to maintain eligibility for such services. Requires the Office of the State Treasurer to prepare and deliver the informational materials in an electronic format to the Department and distribute the materials to eligible persons.

  CURRENT STATUS

6/26/2026 - Public Act . . . . . . . . . 104-0500

Amends the Department of Human Services Act. In the definition of "material obstruction of an investigation", defines the term to mean the intentional failure to timely report an allegation to the hotline or the interference (rather than purposeful interference) with an investigation of physical abuse, sexual abuse, mental abuse, neglect, or financial exploitation for the purpose of obstructing an Office of the Inspector General investigation. Provides that such material obstruction may include, but is not limited to, delaying or withholding reports of allegations to the hotline for the purpose of obstructing an Office of the Inspector General investigation; the withholding or altering of documentation or recorded evidence when reporting an allegation to the hotline or during an investigation; influencing, threatening, or impeding a victim's, complainant's, or required reporter's report of an allegation to the hotline or witness testimony during an investigation; or presenting untruthful information to the hotline or during an investigatory interview. Provides that any employee who fails to cooperate with an Office of the Inspector General investigation may also result in a finding of material obstruction of an investigation. Expands the list of employee conduct during an investigation that is in violation of the Act, including the failure to timely report an incident of abuse or material obstruction of an investigation committed by another employee. Makes changes to the definition of "presenting untruthful information".

House Committee Amendment No. 1 - In the definition for "material obstruction of an investigation", provides that the term includes the withholding or altering of documentation or recorded evidence during an investigation (rather than when reporting an allegation to the hotline or during an investigation).

  CURRENT STATUS

7/31/2026 - Public Act . . . . . . . . . 104-0669

COMMENTS

DHS Initiative

Amends the Children's Mental Health Act. In provisions concerning the Children's Mental Health Partnership, makes changes to the Partnership's list of duties to include (i) reviewing or facilitating needs assessments (rather than conducting research assessments) to better understand the challenges and gaps of programs, services, and policies related to children's mental health; (ii) monitoring policy development related to children's mental health in Illinois at the local, State, and federal level; and (iii) regularly reviewing aggregate and de-identified data on the need for children's behavioral health services in Illinois that is collected by the Behavioral Health Care and Ongoing Navigation (BEACON) portal to ensure that system transformation can continue to be driven by data. Provides that the Partnership's membership shall include public members who reflect a diversity of sexual orientation; and that all Partnership members shall serve without compensation and with no entitlement to reimbursement for expenses incurred in the performance of their duties. Removes a provision permitting the Partnership to convene study groups. Expands the membership of the adjunct council to include up to 10 youth aged 16 to 25 (rather than up to 6 youth aged 14 to 25) and up to 4 (rather than a minimum of 4) representatives of 4 different community-based organizations that focus on youth mental health. Makes other changes.

  CURRENT STATUS

7/31/2026 - Public Act . . . . . . . . . 104-0675

Senate Committee Amendment No. 1 - Replaces everything after the enacting clause. Amends the Illinois Health Facilities Planning Act. Requires specified entities to certify to the Health Facilities and Services Review Board whether the entity, its subsidiaries, its affiliates, its parent companies, or any contractual service providers under control of the entity, its subsidiaries, its affiliates, or its parent companies, are owned, managed, or contained within a fund owned or managed by an asset management company. Sets forth required quarterly disclosures. Requires the Board to publish disclosures, written notices, and copies of agreements submitted in accordance with the provision. Provides for penalties for violations of the provision. Effective July 1, 2027.

  CURRENT STATUS

7/30/2026 - Public Act . . . . . . . . . 104-0661

COMMENTS

AFSCME initiative

Amends the Mental Health and Developmental Disabilities Administrative Act. Delays the implementation date for the direct support professional credential pilot program to State Fiscal Year 2028 (rather than 2025). Effective immediately.

  CURRENT STATUS

6/26/2026 - Public Act . . . . . . . . . 104-0503

COMMENTS

IARF Initiative

House Floor Amendment No. 1 - Replaces everything after the enacting clause. Amends the Pharmacy Practice Act. Provides that every licensed pharmacy directly serving patients at a physical location shall conspicuously post a sign provided by the Department of Human Services that contains the following: (i) a statement that a Suicide and Crisis Lifeline is available; (ii) the 9-8-8 Suicide and Crisis Lifeline number; and (iii) any other awareness and assistance information the Department of Human Services deems appropriate, including, but not limited to, the National Emergency 9-1-1, the Poison Control helpline, and the 2-1-1 Illinois number. Provides that the sign shall be printed in color ink or displayed electronically in color, measure at least 8.5 x 11 inches in size, and be posted at either a cashier counter or a waiting area that is clearly visible to patients. Adds that compliance with a provision may be satisfied through electronic delivery of the notice where the patient has consented to electronic communications. Requires licensed pharmacies that do not maintain a physical location that directly serves patients, other than pharmacies described under a specific provision of the Act, to include a copy of the sign with any dispensed prescriptions. Provides that the sign shall also be available to download on the Department of Human Service's website.

  CURRENT STATUS

7/31/2026 - Public Act . . . . . . . . . 104-0691

Amends the Assisted Living and Shared Housing Act, the MC/DD Act, and the ID/DD Community Care Act. Provides that notice of closure of an establishment or facility licensed under those Acts shall be given to the Office of the State Long Term Care Ombudsman.

  CURRENT STATUS

6/26/2026 - Public Act . . . . . . . . . 104-0509

Amends the Illinois Administrative Procedure Act. In provisions regarding the second notice period for rulemaking, provides that the second notice period shall be extended for a period not to exceed an additional 45 days if the agency has received a statement of unresponsiveness from the Joint Committee on Administrative Rules. Lists the requirements for a statement of unresponsiveness. Provides that failure to provide a substantive response within 7 days after a statement of unresponsiveness is issued shall constitute a withdrawal of the rulemaking. In provisions regarding the contents of the written notice to the Joint Committee, requires a statement certifying that no procedure, policy, schedule, or other feature of the agency will prevent the agency from substantively engaging with the Joint Committee regarding suggestions made during the second notice period.

Senate Floor Amendment No. 1 - Replaces everything after the enacting clause. Reinserts the provisions of the introduced bill with the following changes. Deletes provisions regarding statements of unresponsiveness by the Joint Committee on Administrative Rules. Provides that the Joint Committee on Administrative Rules may agree to a second extension of the second notice period for a period not to exceed 45 days. Specifies that this additional second notice period is not to be used for calculating the one-year deadline for specified rulemaking actions. Effective immediately.

  CURRENT STATUS

7/10/2026 - Public Act . . . . . . . . . 104-0560

Amends the Probate Act of 1975. Requires that a guardian ad litem in a petition seeking a guardianship of an adult with alleged disability to inquire with the respondent before the hearing on whether a supported decision-making agreement is an appropriate alternative to guardianship or a limited guardianship is an appropriate alternative to plenary guardianship. Requires that the court make the same inquiry at the hearing and advise the respondent of the right to modify an adjudication of disability using a limited guardianship or termination of guardianship with a supported decision-making agreement. Amends the Supported Decision-Making Agreement Act. Allows the existence of a supported decision-making agreement to be entered into evidence for purposes other than as evidence of capacity or incapacity. Requires that a support decision-making agreement must be written in plain language and include the following: (1) a list of the areas in which both the principal requests support and the supporter agrees to provide support; (2) the supporter's agreement that the supporter is not disqualified from acting as a supporter under the Act; (3) the supporter's agreement that the supporter will complete the training required by the Act; (4) a statement that a supporter is not authorized to make a decision for the principal; and ( 5) information about how to report suspicion that an adult with a disability is being abused, neglected, or exploited by the supporter. Requires that a supported decision-making agreement must be signed by the principal and each supporter. Provides that the principal may use reasonable modifications, such as assistive technology or physical assistant, to sign the agreement. Provides that a supported decision-making agreement should be reviewed by the principal and all supporters every 2 years and, updated as needed, in the same manner as an initial supported decision-making agreement is executed. Makes other changes.

House Floor Amendment No. 1 - Replaces everything after the enacting clause. Deletes changes to the Probate Act of 1975. Reinserts provisions amending the Supported Decision-Making Act with these changes. Deletes provisions that provide that the capacity of an adult should be assessed with any supports, including supported decision-making, that the person is using or could use. Provides that a diagnosis of mental illness, intellectual disability, or developmental disability, of itself, does not void the presumption of capacity. Provides that the execution of a supported decision-making agreement may not be used as evidence of capacity or incapacity in any civil or criminal proceeding, but the existence of such an agreement may be entered into evidence. Deletes provisions that a court order terminates a supported decision-making agreement.

  CURRENT STATUS

7/30/2026 - Public Act . . . . . . . . . 104-0663

Amends the Clinical Social Work and Social Work Practice Act. In provisions concerning the qualifications for a clinical social worker license, provides that a person shall be qualified to be a licensed clinical social worker if that person, among other things, (i) demonstrates to the satisfaction of the Department of Financial and Professional Regulation that, subsequent to securing a master's degree in social work from an approved program and obtaining a social worker license or temporarily practicing pending the issuance of a social worker license if the license was ultimately issued (rather than subsequent to only securing a master's degree), the applicant has successfully completed at least 3,000 hours of satisfactory, supervised clinical professional experience; or (ii) demonstrates to the satisfaction of the Department that such applicant has received a doctor's degree in social work from an approved program and has, subsequent to receiving the degree, completed at least 2,000 hours of satisfactory, supervised clinical professional experience after obtaining a social worker license or during temporary practice pending the issuance of a social worker license if the license was ultimately issued (rather than subsequent to only securing a master's degree). Provides that any hours of supervised clinical professional experience completed before the effective date of the amendatory Act may be counted toward the required hours for qualification for a clinical social worker license if the hours were completed subsequent to securing an applicable graduate degree and the completed hours would have qualified towards licensure under the law in effect at the time the hours were earned. In provisions concerning qualifications for a social worker license, provides that a person shall be qualified to be a licensed social worker if that person, among other things, has a degree in social work from an undergraduate program approved by the Department and has successfully completed at least 3,000 hours (rather than 3 years) of supervised professional experience subsequent to obtaining the degree within a period of no more than 4 years. Provides that the Department may grant a waiver for or an extension of the 4-year time period if an applicant demonstrates that there is good cause to grant the waiver or extension. Makes other changes. Effective January 1, 2027.

House Committee Amendment No. 1 - Replaces everything after the enacting clause. Reinserts the provisions of the introduced bill with the following changes. In provisions concerning qualifications for licensure as a licensed social worker, provides that the Department of Financial and Professional Regulation may grant a waiver for or an extension of the 4-year time period under the provisions upon a showing of good cause. Further amends the Clinical Social Work and Social Work Practice Act. In provisions concerning endorsement, provides that the Department may issue a license as a clinical social worker or as a social worker, without the required examination, to an applicant licensed under the laws of another jurisdiction if the requirements for licensure in that jurisdiction are, on the date of licensure, substantially equivalent to the requirements of the Act, except for the requirement to be licensed while obtaining the required supervised experience. Effective January 1, 2027.

  CURRENT STATUS

7/31/2026 - Public Act . . . . . . . . . 104-0702

Senate Floor Amendment No. 1 - Replaces everything after the enacting clause. Amends the Behavior Analyst Licensing Act. Adds an occupational therapist to the individuals that the Act does not prohibit from performing or advertising activities that are considered to be the practice of applied behavior analysis under the Act. Provides that any member, partner, shareholder, director, officer, holder of any other ownership interest, or agent of a business organization that provides behavior analysis services who makes clinical decisions regarding patient care without being licensed or exempt under the Act shall be deemed to have violated the provisions concerning unlicensed practice, violation, and civil penalty. Provides that, notwithstanding any other provision of the Act and any rules adopted under the Act, a public school, school district, charter school, or nonprofit organization that is exempt or qualified for exemption from federal income taxes under Section 501(c)(3) of the Internal Revenue Code may employ or contract with a licensed behavioral analyst regardless of whether each individual who owns, operates, or manages the public school, school district, charter school, or nonprofit organization holds a currently valid license issued under the Act. Provides that a public school, school district, charter school, or nonprofit organization that is exempt or qualified for exemption from federal income taxes under Section 501(c)(3) of the Internal Revenue Code may employ, contract with, or otherwise engage a licensed behavioral analyst to perform services within his or her scope of practice if the licensed behavioral analyst holds a currently valid license under the Act. Amends the Professional Service Corporation Act. Adds the practice of applied behavior analysis by persons licensed under the Behavior Analyst Licensing Act to the list of personal services that, when combined, constitute "related professions" and "related professional services". Amends the Professional Limited Liability Company Act. Adds the practice of applied behavior analysis by persons licensed under the Behavior Analyst Licensing Act to the list of professional services that may be combined under a single professional limited liability company. Effective immediately.

  CURRENT STATUS

7/24/2026 - Effective Date July 24, 2026

Amends the State Treasurer Act. Provides that the State Treasurer may establish and administer a non-profit investment pool and an electronic payment processing program to supplement and enhance investment opportunities and secure electronic payment options otherwise available to not-for-profit corporations in the State. Provides that the Treasurer may receive funds paid into the pool for the purpose of holding and investing those funds. Provides for surety bonds payable to not-for-profit corporations who participate in the pool. Provides that the Treasurer shall adopt rules for the efficient administration of the pool.

Senate Committee Amendment No. 1 - Replaces everything after the enacting clause. Reinserts the provisions of the introduced bill with the following changes. Provides that, in order to be eligible to participate in the non-profit investment pool, a not-for-profit corporation shall: (1) not be on the federal system for award management (SAM) exclusion list; (2) not be on the Chief Procurement Officer's suspensions, debarments, voluntary exclusions, and voluntary non-participation agreements list; (3) not be on the Department of Labor's debarred contractors list; (4) not be on the Illinois Stop Payment List established under the Grant Accountability and Transparency Act; and (5) be an organization with a purpose specified in the provision.

Senate Floor Amendment No. 2 - Provides that the State Treasurer may receive funds paid into the non-profit investment pool by an organization whose mission involves a purpose or cause related to employment-related community-based services (rather than community-based services).

  CURRENT STATUS

7/10/2026 - Effective Date January 1, 2027

Amends the Mental Health and Developmental Disabilities Code. In provisions concerning appeals of the Department of Human Services' determination of services charges, removes all references to the Board of Reimbursement Appeals and instead provides that appeal hearings shall be conducted in accordance with specified Department rules and provisions under the Illinois Administrative Procedure Act and that a final administrative decision is subject to judicial review. Makes conforming changes to the Sexually Violent Persons Commitment Act. Repeals the Regional Integrated Behavioral Health Networks Act and the Afterschool Youth Development Project Act. Amends the Mental Health and Developmental Disabilities Administrative Act by repealing a provision on the establishment of the Advisory Committee on Geriatric Services. Amends the Bureau for the Blind Act. In a provision concerning the Blind Services Planning Council, extends the term limits for Council members to 4 (rather than 3) years in subsequent terms after their initial term; and provides that no member shall serve more than 3 (rather than 2) terms.

  CURRENT STATUS

7/31/2026 - Effective Date January 1, 2027

COMMENTS

DHS Initiative

House Floor Amendment No. 1 - Replaces everything after the enacting clause. Creates the Bond Authorization Act of 2026. Amends the State Finance Act, the General Obligation Bond Act, and the Build Illinois Bond Act. Makes changes in provisions concerning bond authorizations. Effective immediately.

  CURRENT STATUS

6/16/2026 - Effective Date June 16, 2026

COMMENTS

IARF Initiative

House Floor Amendment No. 3 - Replaces everything after the enacting clause. Amends the Illinois Controlled Substances Act. Provides that, in cases a controlled substance scheduled, rescheduled, or deleted as a controlled substance under federal law and notice is provided to the Department of Human Services and the Department does not take action within 30 days, at the conclusion of the 30th day the substance shall be considered scheduled, rescheduled, or deleted in the same manner as the federal law unless within that 30-day period the Department objects, or a party adversely affected files with the Department substantial written objections objecting to inclusion, rescheduling, or deletion. Provides that all interested parties have an opportunity to be heard at a public hearing to be held no later than 45 days after the statement of objection. Provides that after the public hearing, the Department shall publish its decision within 14 days of the conclusion of the public hearing. Effective immediately.

  CURRENT STATUS

8/7/2026 - Effective Date August 7, 2026

House Floor Amendment No. 2 - Replaces everything after the enacting clause. Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides medical assistance coverage for sickle cell disease (rather than sickle cell anemia); coverage for seizure detection devices; and coverage for virtual intensive outpatient program services. Establishes the Distressed Hospital Loan Program under a new Article of the Code to provide interest-free cash flow loans to public hospitals and not-for-profit hospitals in significant financial distress to prevent the closure of or to facilitate the reopening of those hospitals. Requires the Department of Healthcare and Family Services to administer the Distressed Hospital Loan Program in coordination with the Department of Public Health and the Governor's Office of Management and Budget. Amends the Rebuild Illinois Mental Health Workforce Act. Provides that, subject to federal approval, for dates of service on and after July 1, 2026, the Medicaid reimbursement rates for Assertive Community Treatment and Community Support Team services shall be increased by an amount no less than the following targeted pools: (1) Assertive Community Treatment, $10,600,000; and (2) Community Support Team services, $17,500,000. Amends the Hospital Licensing Act. Requires any licensed hospital that has outstanding debts to the State in the form of tax arrears or that maintains debt through the Distressed Hospital Loan Program or other Medicaid advance payments to submit to the Department of Public Health a hospital emergency and financial contingency plan for the rapid and orderly resolution of finances and operations in the event of material financial distress. Amends the Illinois Administrative Procedure Act. Permits the Department of Healthcare and Family Services to adopt emergency rules to implement certain financial and utilization data reporting requirements on hospitals. Amends the Medicaid Technical Assistance Act. Amends the State Finance Act. Requires the Medicaid Technical Assistance Center to collaborate with public and private partners throughout the State to identify, establish, and maintain best practices necessary for health providers to ensure their capacity to participate in the Illinois Medical Assistance Program (rather than ensure their capacity to participate in HealthChoice Illinois or YouthCare). Removes provisions concerning the Medicaid Technical Assistance Center's administration of network adequacy reports, and instead requires the Medicaid Technical Assistance Center to administer a network requirement plan. Repeals a provision creating the Medicaid Technical Assistance Center Fund. In the State Finance Act, provides for the dissolution of the Medicaid Technical Assistance Center Fund on July 1, 2026, or as soon thereafter as practical, after the transfer of all remaining funds into the Healthcare Provider Relief Fund. Amends the Hospital Services Trust Fund Article in the Illinois Public Aid Code. In provisions concerning annual funding for the health care transformation program, provides that funds that had been budgeted but unexpended in State fiscal years 2021 through 2027 may be allocated in State fiscal year 2028 in an amount not to exceed $150,000,000. Amends the Administration Article of the Illinois Public Aid Code. Provides that disbursements shall be made from the Public Aid Recoveries Trust Fund for the payment of contingency fees to third-party entities that the Office of Inspector General authorizes to conduct payment recapture audits and other specified audits under the medical assistance program. Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that for dates of service starting July 1, 2027, reimbursement calculations and direct payments for services provided by facilities licensed under the ID/DD Community Care Act are the responsibility of the Department of Healthcare and Family Services; and that appropriations for facilities licensed under the ID/DD Community Care Act must be shifted from the Department of Human Services to the Department of Healthcare and Family Services. Extends the period of eligibility within which a hospital, that would have qualified for the rate year beginning October 1, 2011 or October 1, 2012, shall be a Safety-Net Hospital. Amends the Hospital Licensing Act. Removes provisions requiring the Department on Aging to adopt rules to address instances when a case coordination unit is unable to complete an assessment in a hospital prior to the discharge of a patient 60 years or older to a nursing home to ensure that the patient is able to access nursing home care, the nursing home is not penalized for accepting the admission, and the patient's timely discharge from the hospital is not delayed, to the extent permitted under federal law or regulation. Amends the Medical Assistance Article of the Illinois Public Aid Code. In provisions concerning prenatal and perinatal care, provides that, for dates of service on and after January 1, 2026, the medical assistance program shall provide coverage, without imposing a deductible, coinsurance, copayment, or any other cost-sharing requirement, for preeclampsia biomarker testing for predictive screening in asymptomatic individuals, or for diagnosis and management when symptoms are present. Amends the Illinois Act on the Aging. Provides that effective July 1, 2026, subject to federal approval, the Department on Aging shall reimburse Care Coordination Units at specified rates for case management services. Amends the Specialized Mental Health Rehabilitation Act of 2013. Provides that each consumer shall be offered at least 15 hours of treatment programming per week and encouraged to attend the treatment domains that meet the consumer's needs, as reflected in the consumer's treatment plans. Amends the Community-Integrated Living Arrangements Licensure and Certification Act. In provisions concerning per diem reimbursement for a community-integrated living arrangement provider, provides that, if it is determined by third-party medical personnel that a resident that required a medical absence is unable to return to the community-integrated living arrangement, or if the resident dies during the medical absence, the provider shall receive 100% of the per diem reimbursement for up to 20 medical absence days. Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that, beginning on and after October 1, 2026, for rate year 2027 and thereafter, the Medicaid inpatient utilization rate used in the determination of eligibility for inpatient adjustment payments provided under the Code shall be modified to exclude from both the numerator and denominator all days of care funded by the U.S. Department of Veterans Affairs at a hospital approved to conduct its operations from more than one location within contiguous counties under a single license, if at the time of its licensing application the hospital was located in a county with fewer than 125,000 inhabitants and the hospital's second facility is located in a contiguous county with fewer than 235,000 inhabitants. Amends the Illinois Act on the Aging. Provides that within 30 days after the effective date of the amendatory Act, rates for adult day services shall be increased to $17.84 per hour and rates for each way transportation services for adult day services shall be increased to $13.44 per unit transportation. Amends the Hospital Services Trust Fund Article of the Illinois Public Aid Code. Makes changes to provisions concerning certain add-on payments to safety-net hospitals. Amends the Illinois Public Aid Code. Changes certain deadline dates for adopting permanent rules on guidelines related to the publication of MCO service authorization policies and procedures listed on the Medicare Inpatient Only list that, due to medical complexity, must be reimbursed under the applicable inpatient methodology. Makes changes to provisions

  CURRENT STATUS

6/16/2026 - Effective Date July 1, 2026; Some Provisions

Amends the Community Services Act. Adds community day services to the list of service categories covered under the Act. Defines "community day services" to mean a Home and Community-Based Waiver day program that is certified by the Department of Human Services and provides assistance with gaining, maintaining, or improving skills and functioning to individuals with developmental disabilities. Makes conforming changes to the Mental Health and Developmental Disabilities Administrative Act.

Senate Committee Amendment No. 1 - Replaces everything after the enacting clause. Reinserts the provisions of the introduced bill with the following changes: Further amends the Mental Health and Developmental Disabilities Administrative Act by adding provisions concerning community day services certification, certification renewals, and application fees; employee criminal history background check requirements; and other matters.

  CURRENT STATUS

7/31/2026 - Effective Date January 1, 2027

COMMENTS

DHS Initiative

Removes references to the Department of Human Services' Division of Mental Health and Division of Substance Use Prevention and Recovery in various Acts, including, but not limited to, the Substance Use Disorder Act, the Mental Health and Developmental Disabilities Code, the Overdose Prevention and Harm Reduction Act, the Illinois Public Aid Code, the Illinois Controlled Substances Act, and the County Jail Act. Amends the Mental Health and Developmental Disabilities Administrative Act and other acts to reference the Department of Human Services' Division of Behavioral Health and Recovery (rather than by the Division of Mental Health). Makes other conforming changes. Repeals the Behavioral Health Workforce Education Center Task Force Act, the Advisory Council on Early Identification and Treatment of Mental Health Conditions Act, and the Strengthening and Transforming Behavioral Health Crisis Care in Illinois Act. Repeals a provision in the Medical Assistance Article of the Illinois Public Aid Code concerning the COVID-19 public health emergency. Repeals a provision in the Health Care Workplace Violence Prevention Act requiring the Department of Human Services and the Department of Public Health to initially implement the Act as a 2-year pilot program. Repeals provisions in the Health Inpatient Facility Access Act requiring the Department of Human Services to develop and implement a strategic plan on improving access to inpatient psychiatric beds.

Senate Floor Amendment No. 1 - Amends the Department of Human Services Act. In provisions requiring the Department of Human Services to develop service standards and standardized training curriculum for organizations and individuals who provide services, advocacy, counseling, and other specified services to survivors of human trafficking, requires the Department to develop such standards and curriculum within one calendar year of the release of federal standards (rather than on or before July 1, 2026 and October 1, 2026, respectively).

  CURRENT STATUS

7/31/2026 - Effective Date January 1, 2027

Amends the Community Emergency Services and Support Act. Replaces all references to the Division of Mental Health of the Department of Human Services with the Department of Human Services throughout the Act. Provides that 9-1-1 public safety answering points shall screen specific types of law enforcement calls and follow approved protocols and processes under the Act to identify callers experiencing behavioral health crises and to refer them for a behavioral health response. Provides that 9-1-1 public safety answering points shall open and follow the emergency medical dispatch protocols established under the Emergency Medical Services (EMS) Systems Act at the start of all emergency calls to ensure the protocols are used and applied consistently and uniformly to ensure that information related to behavioral health emergency calls is available for data collection and can be used to determine which calls should be referred for a behavioral health response. Provides that, among other things, each Regional Advisory Committee or subregional committee must (1) review regional and subregional crisis response system capacities and resources to inform planning and implementation and to foster collaboration across all sectors of the system and (2) determine the need for and make a plan to support local communities to develop and use other resources to create additional mobile mental health relief provider services to expand the capacity to provide more immediate service coverage. Amends the Emergency Telephone System Act. Provides that, beginning July 1, 2027, all public safety answering points shall use the protocols established under the Community Emergency Services and Support Act to identify behavioral and mental health-related emergencies that do not require a law enforcement response. Amends the Illinois State Police Law. Amends the Illinois Police Training Act. Provides that Crisis Intervention Team (CIT) training programs shall include, among other things, community response options including, the community response options under the Community Emergency Services and Support Act. Makes other changes.

Senate Committee Amendment No. 1 - Replaces everything after the enacting clause. Reinserts the text of the introduced bill with the following changes. In provisions amending the Emergency Telephone System Act, provides that Statewide behavioral health crisis system" means the core elements or pillars of the crisis system and includes, but is not limited to, Illinois 9-8-8 Lifeline Contact Centers, community crisis services, including mobile crisis teams, and crisis and stabilization facilities and programs, including living room programs. In provisions amending the Community Emergency Services and Support Act, provides that the required coordination between 9-1-1 PSAPS, emergency services dispatched through 9-1-1 PSAPS, and the mobile mental and behavioral health service established by the Department of Human Services may be, but is not required to be, accomplished through the use of Memoranda of Understanding (MOUs) or other similar agreements with the intent of ensuring best practices of interoperability and facilitating interagency cooperation. In provisions concerning the Statewide Advisory Committee, provides that the Statewide Advisory Committee created under the Act shall include 6 (rather than 4) representatives of advocacy organizations either led by or consisting primarily of individuals with intellectual or developmental disabilities, individuals with behavioral disabilities, or individuals with lived experience. In provisions concerning Regional Advisory Committees, provides that any subregional committee formed by a majority vote of a Regional Advisory Committee shall be comprised of at least 25% of individuals with lived experience of a condition commonly regarded as a mental health or behavioral health disability, developmental disability, or intellectual disability; guardians of such individuals; or individuals from mental or behavioral health providers, groups, or networks. Further provides that subregional committees may not develop policies that conflict with policies of the Regional Advisory Committee. Makes other changes.

Senate Floor Amendment No. 2 - Replaces everything after the enacting clause. Reinserts the provisions of Senate Amendment No. 1 with the following changes. In provisions amending the Emergency Telephone System Act, provides that the Office of the Statewide 9-1-1 Administrator shall, with input from the Statewide 9-1-1 Advisory Board, relevant stakeholders, and subject matter experts, adopt rules to implement the requirement that the Board consult with the Department of Human Services to ensure PSAP compliance with the Community Emergency Services and Support Act. In provisions amending the Community Emergency Services and Support Act, defines "emergency dispatch protocol" as a nationally recognized protocol established under the Emergency Medical Services (EMS) Systems Act approved by the local medical director in coordination with the local PSAP and appropriate local responders. Provides that Mobile Crisis Response and 9-8-8 are both around-the-clock crisis services that must be considered alongside other crisis resources when initially screening an individual contacting a 9-1-1 PSAP. Provides that, when indicated, 9-1-1 PSAPs shall open and use relevant emergency dispatch protocol to ensure all individuals contacting a 9-1-1 PSAP when a behavioral health crisis is indicated have access to a non-law enforcement, behavioral health response. Removes provisions providing that 9-1-1 PSAPs shall screen specific types of law enforcement calls and follow approved protocols and processes. Removes provisions providing that 9-1-1 PSAPs shall open and follow the emergency dispatch protocol at the start of all emergency calls when appropriate to ensure the protocols are used and applied consistently and uniformly and to ensure that information related to behavioral health emergency calls is available for data collection and can be used to determine which calls should be referred for a behavioral health response. Removes provisions authorizing rulemaking by the Department. Makes other changes.

House Floor Amendment No. 1 - Provides that 9-1-1 PSAPs, 9-8-8 providers, and mobile mental health relief providers shall provide required data using the format and data definitions specified by the Department of Human Services (rather than specified by the Department by rule).

  CURRENT STATUS

8/7/2026 - Effective Date January 1, 2027

Amends the Substance Use Disorder Treatment for Criminal Justice Clients Article of the Substance Use Disorder Act. Changes references from "treatment" to "case management" and changes the name of the Article. Provides that nothing in provisions concerning case management shall preclude any individual with a substance use disorder who is charged with or convicted of a crime from receiving case management services with a designated program if such services are ordered by the court. Provides that the court, with the consent of the defendant and the State's Attorney, may, without entering a judgment, sentence the defendant to probation under a provision concerning case management as a condition of probation. Provides that the sentence to probation under the provisions shall not be considered a conviction under Illinois law unless and until judgment is entered upon violation of a term or condition of probation. Provides that, upon fulfillment of the terms and conditions of probation, the court shall discharge the person and dismiss the proceedings against the person. Provides that case management services by a designated program may be made a condition of pretrial release, and failure to comply with such services may be treated as a violation of a condition of pretrial release. Requires the designated program to make periodic progress reports regarding each such defendant to the appropriate pretrial services agency or Office of Statewide Pretrial Services and to report failures to comply with the requirements of the designated program. Makes conforming and other changes.

Senate Floor Amendment No. 1 - Replaces everything after the enacting clause. Reinserts the provisions of the introduced bill with the following changes: Replaces all references to "case management" with "specialized case management". Defines "specialized case management".

  CURRENT STATUS

8/7/2026 - Effective Date January 1, 2027