summary
Introduced
02/02/2026
02/02/2026
In Committee
04/17/2026
04/17/2026
Crossed Over
Passed
Dead
Introduced Session
Potential new amendment
104th General Assembly
Bill Summary
Amends the Illinois Insurance Code. Beginning January 1, 2027, requires each covered entity to pay to the Department of Insurance a behavioral health emergency services covered lives assessment for deposit into the Behavioral Health Emergency Services Assessment Account within the Statewide 9-8-8 Trust Fund. Establishes requirements for the assessment and for payments from a covered entity. Grants the Department of Insurance authority to contract with a third party to obtain covered lives information, administer the assessment, and perform related audit or collection functions. Sets forth provisions concerning liability for when ownership is transferred and periodic adjustment of the assessment. Provides that the provisions concerning the behavioral health emergency services covered lives assessment may be referred to as the Preventing Crisis Cost Shifting to Medicaid Law. Sets forth provisions concerning network adequacy requirements for a health insurance issuer or health maintenance organization relating to behavioral health emergency services. Amends the State Finance Act. Creates the Behavioral Health Emergency Services Assessment Account within the Statewide 9-8-8 Trust Fund to be used solely, consistent with the specified purposes, for behavioral health emergency services and administrative costs related to implementation of the assessment provisions in the Illinois Insurance Code. Prohibits a provider or entity receiving funds attributable to the assessment under the Illinois Insurance Code from billing a covered entity for the specified behavioral health emergency services for a covered life. Requires the Department of Human Services to submit an annual report to the Governor and the General Assembly on the receipts and expenditures of the Behavioral Health Emergency Services Assessment Account. Contains a severability clause. Effective January 1, 2027.
AI Summary
This bill, titled the Preventing Crisis Cost Shifting to Medicaid Act, aims to ensure the availability of behavioral health crisis services, such as crisis call centers and mobile response teams, by establishing a new funding mechanism. It recognizes that these services are crucial public health infrastructure but are often not fully covered by commercial health insurance, leading to costs being unfairly placed on Medicaid, local governments, and taxpayers. To address this, the bill requires certain insurance companies and health maintenance organizations (HMOs) that issue or administer policies in the state, and that have significant payment volumes, to pay a behavioral health crisis assessment. This assessment will be deposited into the Statewide 9-8-8 Trust Fund, which supports these vital crisis services. Medicaid managed care organizations are exempt from this assessment. The Department of Human Services is authorized to adjust the total assessment amount over time to maintain the quality and accessibility of the statewide crisis system and is empowered to enforce payment by imposing interest and penalties, and by notifying the Department of Healthcare and Family Services to withhold payments from claims submitted by non-compliant entities, provided certain conditions are met, including a 45-day delinquency and proper notice.
Committee Categories
Health and Social Services
Sponsors (5)
Last Action
Added Co-Sponsor Rep. Kevin John Olickal (on 05/13/2026)
Taxonomy
Health
- ‐ Emergency and Pre-Hospital Care
- ‐ Health Insurance Reform
- ‐ Mental Illness, Mental Retardation, and Deinstitutionalization
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