summary
Introduced
01/31/2025
01/31/2025
In Committee
06/02/2025
06/02/2025
Crossed Over
Passed
Dead
Introduced Session
Potential new amendment
104th General Assembly
Bill Summary
Amends the Illinois Insurance Code. Provides that all group and individual health insurance policies issued, delivered, amended, or renewed in Illinois that provide coverage for medical or surgical conditions shall also provide coverage for crisis services, regardless of any difference in billing codes used for such services. Provides that coverage for crisis services may not be denied or restricted based on the modality or setting of the services; and that crisis services shall be covered whether delivered in person, through telehealth, or in a residential or outpatient setting, to the extent that such services are covered in other settings or modalities under the policy. Makes conforming changes to the State Employees Group Insurance Act of 1971, the Illinois Municipal Code, the School Code, the Health Maintenance Organization Act, the Telehealth Act, and the Illinois Public Aid Code. Amends the Strengthening and Transforming Behavioral Health Crisis Care in Illinois Act. Renames the Act the Crisis Continuum Sustainability Act. Provides that on or before December 31, 2028, and every 5 years thereafter, the Department of Human Services shall, subject to available funding and in collaboration with relevant stakeholders and State bodies, develop and submit a Statewide Crisis Continuum Strategic Plan to the Office of the Governor and the General Assembly, with the goal of ensuring every Illinoisan has timely access to appropriate and supportive behavioral health response during a behavioral health crisis. Requires the strategic plan to identify statewide goals, key stakeholders, and performance metrics for expanding access to behavioral health crisis continuum services across Illinois; address gaps in service delivery; and other matters.
AI Summary
This bill aims to improve access to behavioral health crisis services across Illinois by mandating comprehensive coverage and support. It requires all group and individual health insurance policies to provide coverage for crisis services, regardless of billing codes, and ensures these services cannot be denied or restricted based on their delivery method or setting (in-person, telehealth, residential, or outpatient). The bill defines "crisis services" according to state administrative code and includes specific services like Crisis Intervention, Mobile Crisis Response, and Crisis Stabilization. Additionally, the legislation establishes that the Department of Human Services must develop and submit a Statewide Crisis Continuum Strategic Plan every five years, beginning in December 2028, with the goal of ensuring all Illinoisans have timely access to appropriate behavioral health crisis responses. The bill also amends multiple existing state codes, including the Insurance Code, Telehealth Act, and Public Aid Code, to support this comprehensive approach to behavioral health crisis services, and mandates that these services be reimbursable and not subject to prior authorization or utilization management controls.
Committee Categories
Business and Industry
Sponsors (7)
Laura Fine (D)*,
Mary Edly-Allen (D),
Linda Holmes (D),
Adriane Johnson (D),
Mike Simmons (D),
Rachel Ventura (D),
Karina Villa (D),
Last Action
Senate Committee Amendment No. 1 Rule 3-9(a) / Re-referred to Assignments (on 06/02/2025)
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.ilga.gov/legislation/BillStatus.asp?DocNum=1480&GAID=18&DocTypeID=SB&SessionID=114&GA=104 |
| Senate Amendment 001 | https://www.ilga.gov/legislation/104/SB/10400SB1480sam001.htm |
| BillText | https://www.ilga.gov/legislation/104/SB/10400SB1480.htm |
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