SB1774
View on ILGADHFS-SUBSTANCE USE TREATMENT
What this bill does
Amends the Medical Assistance Article of the Illinois Public Aid Code. Repeals provisions that require: (i) the Department of Healthcare and Family Services to consult with stakeholders and General Assembly members for input on a plan to develop enhanced Medicaid rates for substance use disorder treatment and mental health treatment in underserved communities; and (ii) the Department of Healthcare and Family Services and the Department of Human Services to collaborate to review coverage and billing requirements for substance use prevention and recovery and mental health services with the goal of identifying disparities and streamlining coverage and billing requirements to reduce the administrative burden for providers and medical assistance beneficiaries. Effective January 1, 2026.
PASSED INTO LAW
Calculating prediction drivers...
Pipeline Progress
Current stage: Signed into Law · Last action 251 days ago
How does a bill become law in Illinois?
-
Introduction of Bill
A member of the Senate or the House introduces a bill, which is assigned a unique identifying number (e.g., "H.B. ___" for House bills and "S.B. ___" for Senate bills). If not enacted, it must be reintroduced in the next General Assembly with a new number.
-
Committee Work — Hearings
The bill goes to the appropriate committee, which holds hearings to gather expert opinions and determine the need for the legislation.
-
Committee Work — Markup, Amendments, Report
The committee may make amendments to the bill. If approved, a committee report endorsing the bill is issued.
-
Floor Debate
The bill is debated and can be further amended. The debate transcripts are accessible online for public viewing.
-
Passage and Consideration in Second Chamber
If the bill passes in the first chamber, it moves to the second chamber for a similar review process. If both chambers approve, it goes to the governor.
-
Gubernatorial Action
The governor can sign the bill into law, veto it, or take no action (resulting in an automatic law after 60 days). The type of veto can be total or amendatory. Once signed, the bill becomes a Public Act and is assigned a Public Act number.
Sponsor Context
Laura Fine
Low Influence (#105)
Bills sponsored by Laura Fine advance 8% more often than the chamber average.
Public Engagement
22 witness slips filed
22 proponents / 0 opponents
13 organizations
Witness slips
22 slips filed. Proponent / opponent / no position as filed with the committee.
| Name | Organization | Representing | Position | Hearing committee | Hearing date |
|---|---|---|---|---|---|
| Cheryl Potts | Community Mental Health Board of Oak Park Township | Community Mental Health Board of Oak Park Township | Proponent | Human Services | 2025-04-23 |
| Dan Hohl | Illinois State Medical Society | Illinois State Medical Society | Proponent | Human Services | 2025-04-23 |
| David Schwartz | Self | Self | Proponent | Human Services | 2025-04-23 |
| Deborah Humphrey | Madison County Mental Health Board | Madison County Mental Health Board | Proponent | Human Services | 2025-04-23 |
| Francesca Morris | Self | Self | Proponent | Human Services | 2025-04-23 |
| Katherine Katula | Self | Proponent | Human Services | 2025-04-23 | |
| Liz Brown | Liz Brown Reeves Consulting | ACMHAI | Proponent | Human Services | 2025-04-23 |
| MARK PEYSAKHOVICH | MBM Advantage, LLC | Illinois Psychiatric Society | Proponent | Human Services | 2025-04-23 |
| Nicholas Haile | self | self | Proponent | Human Services | 2025-04-23 |
| Pamela Stone | Livingston County Mental Health Board | Proponent | Human Services | 2025-04-23 | |
| Randy Wells | Illinois Association for Behavioral Health | Illinois Association for Behavioral Health | Proponent | Human Services | 2025-04-23 |
| Ryan Melchin | The Center for Youth and Family Solutions | The Center for Youth and Family Solutions | Proponent | Human Services | 2025-04-23 |
| Cheryl Potts | Community Mental Health Board of Oak Park Township | Community Mental Health Board of Oak Park Township | Proponent | Health and Human Services | 2025-03-04 |
| Colleen Balija | INC Mental Health Alliance | self | Proponent | Health and Human Services | 2025-03-04 |
| Dalila Alegria | INC Mental Health Alliance, NFP | INC Mental Health Alliance, NFP | Proponent | Health and Human Services | 2025-03-04 |
| Dan Hohl | Illinois State Medical Society | Illinois State Medical Society | Proponent | Health and Human Services | 2025-03-04 |
| Dani Mendez | Department of Healthcare and Family Services | Department of Healthcare and Family Services | Proponent | Health and Human Services | 2025-03-04 |
| Karen Kortsch | self | self | Proponent | Health and Human Services | 2025-03-04 |
| Liz Brown | Liz Brown Reeves Consulting | ACMHAI | Proponent | Health and Human Services | 2025-03-04 |
| Lynn Canfield | Champaign County Mental Health and Developmental Disabilities Boards | self | Proponent | Health and Human Services | 2025-03-04 |
| MARK PEYSAKHOVICH | MBM Advantage, LLC | Illinois Psychiatric Society | Proponent | Health and Human Services | 2025-03-04 |
| Randy Wells | Illinois Association for Behavioral Health | Illinois Association for Behavioral Health | Proponent | Health and Human Services | 2025-03-04 |
Roll-call votes
Total votes and outcome per event. Deciding vote = margin of 1; those voters on the winning side could have changed the outcome by flipping.
| Date | Chamber | Type | Description | Yea | Nay | Present | NV | Outcome | Margin | Deciding voters |
|---|---|---|---|---|---|---|---|---|---|---|
| H | Committee | Human Services | 10 | 0 | 0 | 2 | Passed | 10 | — | |
| 2025-05-22 | H | Floor | Third Reading | 115 | 0 | 0 | 3 | Passed | 115 | — |
| S | Committee | Health and Human Services | 10 | 0 | 0 | 2 | Passed | 10 | — | |
| S | Floor | Apr 09, 2025 | 56 | 0 | 0 | 3 | Passed | 56 | — |
Action History
27 actions recorded. Last action: 2025-08-01 — Public Act . . . . . . . . .104-0122. Each action's meaning and outcome signal are classified automatically.
2025-02-06
Introduction & Filing
Filed with Secretary bySen. Laura Fine Rule 2-7(b)
Bill officially submitted to the Senate Secretary during the session.
2025-02-06
Introduction & Filing
First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38
Formal introduction — title read into the official record. Required procedural step; bill now exists in the system.
2025-02-06
Committee Assignment
Referred toAssignments Senate Rule 3-8(a); House Rule 18(a)
Sent to a committee (usually Rules in the House, Assignments in the Senate). The gatekeeping step — Rules/Assignments decides which substantive committee hears the bill.
2025-02-25
Committee Assignment
Assigned toHealth and Human Services Senate Rule 3-8(a); House Rule 18(b)
Sent to a substantive committee (e.g., Transportation, Revenue). This is where the bill gets a real hearing and evaluation.
2025-03-05
Committee Action
Positive
Do PassHealth and Human Services; 010-000-000 Rule 3-11(a)(1), Rule 3-12(a)
Committee recommends passage. The most important positive gate — majority of bills never get here.
2025-03-05
Floor Process
Positive
Placed on Calendar Order of 2nd Reading March 6, 2025 Rule 3-12(a), Rule 4-4(7)
Bill placed on the order of Second Reading.
2025-03-19
Floor Process
Positive
Second Reading Senate Rule 3-12(a)/5-4(a); House Rule 24(a)/40(b)
Bill reaches the floor amendment stage. Floor amendments can be offered here.
2025-03-19
Floor Process
Positive
Placed on Calendar Order of 3rd Reading March 20, 2025 Rule 4-4(8)
Bill placed on the Third Reading calendar — queued for final vote.
2025-04-04
Floor Process
Positive
Placed on Calendar Order of 3rd Reading ** Rule 4-4(8)
Bill placed on the Third Reading calendar — queued for final vote.
2025-04-09
Floor Process
Positive
Placed on Calendar Order of 3rd Reading Rule 4-4(8)
Bill placed on the Third Reading calendar — queued for final vote.
2025-04-09
Floor Vote
Positive
Third Reading - Passed;056-000-000 Rule 5-1(f)
Bill PASSED a floor vote on Third Reading. Major milestone — bill has cleared one chamber.
2025-04-09
Cross-Chamber
Positive
Arrived in House Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12)
Senate bill arrives in the House after passing the Senate.
2025-04-09
Cross-Chamber
Positive
Chief House SponsorRep. Lindsey LaPointe Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12)
House sponsor assigned for a Senate bill — bill is being actively managed in the second chamber.
2025-04-09
Introduction & Filing
First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38
Formal introduction — title read into the official record. Required procedural step; bill now exists in the system.
2025-04-09
Committee Assignment
Referred toRules Committee Senate Rule 3-8(a); House Rule 18(a)
Sent to a committee (usually Rules in the House, Assignments in the Senate). The gatekeeping step — Rules/Assignments decides which substantive committee hears the bill.
2025-04-17
Committee Assignment
Assigned toHuman Services Committee Senate Rule 3-8(a); House Rule 18(b)
Sent to a substantive committee (e.g., Transportation, Revenue). This is where the bill gets a real hearing and evaluation.
2025-04-23
Committee Action
Positive
Do Pass / Short DebateHuman Services Committee; 010-000-000 Senate Rule 3-11(a)(1); House Rule 22(a)(1), 52(b)
Committee recommends passage and places it on the Short Debate calendar (limited floor discussion time). Strong positive signal — committee believes bill has broad support.
2025-04-23
Floor Process
Positive
Placed on Calendar 2nd Reading - Short Debate Senate Rule 4-4(7-8)/5-2; House Rule 31(8-9)/38/52
Bill placed on the Second Reading calendar. Positive — bill is queued for floor action.
2025-05-16
Floor Process
Positive
Second Reading - Short Debate Senate Rule 3-12(a)/5-4(a); House Rule 24(a)/40(b)/52(a)(1)
Bill reaches the floor amendment stage on Short Debate calendar. Major milestone — bill has passed committee and is on the floor.
2025-05-16
Floor Process
Positive
Placed on Calendar Order of 3rd Reading - Short Debate Rule 4-4(8)
Bill placed on the Third Reading calendar — queued for final vote.
2025-05-22
Floor Vote
Positive
Third Reading - Short Debate - Passed115-000-000 Senate Rule 5-1(f)/7-1/7-2; House Rule 37(f)/49/50
Bill PASSED on Short Debate Third Reading. Bill cleared the chamber.
2025-05-22
Concurrence
Positive
Passed Both Houses Rule 8-1, Rule 8-4
Bill PASSED BOTH CHAMBERS. Major milestone — bill goes to the Governor next.
2025-05-27
Co-Sponsorship
Mild +
Added as Co-SponsorSen. Graciela Guzmán Senate Rule 5-1(a); House Rule 37(a)
A legislator added as co-sponsor.
2025-06-20
Governor Action
Positive
Sent to the Governor Senate Article IX/Rules 9-1 to 9-6; House Article IX/Rules 77-82
Bill transmitted to the Governor for signature. Strong positive — bill has passed both chambers.
2025-08-01
Governor Action
Positive
Governor Approved Senate Article IX/Rules 9-1 to 9-6; House Article IX/Rules 77-82
GOVERNOR SIGNED THE BILL. Bill is now law (pending effective date).
2025-08-01
Enacted Into Law
Law
Effective Date January 1, 2026 Article IX
Law's effective date announced. Most IL laws take effect January 1 of the next year unless otherwise specified.
2025-08-01
Enacted Into Law
Law
Public Act . . . . . . . . .104-0122 Article IX
Bill signed into law — assigned a Public Act number (e.g., PA 104-0032).
All actions (table)
| Date | Chamber | Action | Category | Signal |
|---|---|---|---|---|
| 2025-02-06 | Senate | Filed with Secretary bySen. Laura Fine Rule 2-7(b) | Introduction & Filing | — |
| 2025-02-06 | Senate | First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38 | Introduction & Filing | — |
| 2025-02-06 | Senate | Referred toAssignments Senate Rule 3-8(a); House Rule 18(a) | Committee Assignment | — |
| 2025-02-25 | Senate | Assigned toHealth and Human Services Senate Rule 3-8(a); House Rule 18(b) | Committee Assignment | — |
| 2025-03-05 | Senate | Do PassHealth and Human Services; 010-000-000 Rule 3-11(a)(1), Rule 3-12(a) | Committee Action | Positive |
| 2025-03-05 | Senate | Placed on Calendar Order of 2nd Reading March 6, 2025 Rule 3-12(a), Rule 4-4(7) | Floor Process | Positive |
| 2025-03-19 | Senate | Second Reading Senate Rule 3-12(a)/5-4(a); House Rule 24(a)/40(b) | Floor Process | Positive |
| 2025-03-19 | Senate | Placed on Calendar Order of 3rd Reading March 20, 2025 Rule 4-4(8) | Floor Process | Positive |
| 2025-04-04 | Senate | Placed on Calendar Order of 3rd Reading ** Rule 4-4(8) | Floor Process | Positive |
| 2025-04-09 | Senate | Placed on Calendar Order of 3rd Reading Rule 4-4(8) | Floor Process | Positive |
| 2025-04-09 | Senate | Third Reading - Passed;056-000-000 Rule 5-1(f) | Floor Vote | Positive |
| 2025-04-09 | House | Arrived in House Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12) | Cross-Chamber | Positive |
| 2025-04-09 | House | Chief House SponsorRep. Lindsey LaPointe Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12) | Cross-Chamber | Positive |
| 2025-04-09 | House | First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38 | Introduction & Filing | — |
| 2025-04-09 | House | Referred toRules Committee Senate Rule 3-8(a); House Rule 18(a) | Committee Assignment | — |
| 2025-04-17 | House | Assigned toHuman Services Committee Senate Rule 3-8(a); House Rule 18(b) | Committee Assignment | — |
| 2025-04-23 | House | Do Pass / Short DebateHuman Services Committee; 010-000-000 Senate Rule 3-11(a)(1); House Rule 22(a)(1), 52(b) | Committee Action | Positive |
| 2025-04-23 | House | Placed on Calendar 2nd Reading - Short Debate Senate Rule 4-4(7-8)/5-2; House Rule 31(8-9)/38/52 | Floor Process | Positive |
| 2025-05-16 | House | Second Reading - Short Debate Senate Rule 3-12(a)/5-4(a); House Rule 24(a)/40(b)/52(a)(1) | Floor Process | Positive |
| 2025-05-16 | House | Placed on Calendar Order of 3rd Reading - Short Debate Rule 4-4(8) | Floor Process | Positive |
| 2025-05-22 | House | Third Reading - Short Debate - Passed115-000-000 Senate Rule 5-1(f)/7-1/7-2; House Rule 37(f)/49/50 | Floor Vote | Positive |
| 2025-05-22 | Senate | Passed Both Houses Rule 8-1, Rule 8-4 | Concurrence | Positive |
| 2025-05-27 | Senate | Added as Co-SponsorSen. Graciela Guzmán Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-06-20 | Senate | Sent to the Governor Senate Article IX/Rules 9-1 to 9-6; House Article IX/Rules 77-82 | Governor Action | Positive |
| 2025-08-01 | Senate | Governor Approved Senate Article IX/Rules 9-1 to 9-6; House Article IX/Rules 77-82 | Governor Action | Positive |
| 2025-08-01 | Senate | Effective Date January 1, 2026 Article IX | Enacted Into Law | Law |
| 2025-08-01 | Senate | Public Act . . . . . . . . .104-0122 Article IX | Enacted Into Law | Law |