SB2421
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What this bill does
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.
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Pipeline Progress
Current stage: Signed into Law · Last action 435 days ago
How does a bill become law in Illinois?
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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.
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Committee Work — Hearings
The bill goes to the appropriate committee, which holds hearings to gather expert opinions and determine the need for the legislation.
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Committee Work — Markup, Amendments, Report
The committee may make amendments to the bill. If approved, a committee report endorsing the bill is issued.
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Floor Debate
The bill is debated and can be further amended. The debate transcripts are accessible online for public viewing.
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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.
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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
Bills sponsored by Laura Fine advance 8% more often than the chamber average.
Campaign finance
This is SBE campaign receipts to the people on this bill, not Moneyball and not earmarked to the bill.
Money is campaign receipts to matched candidate committees, not earmarked to this bill. Window 2025-01-01 – 2026-09-13.
Sponsor and voter funding
| Member | Role | Receipts | Total received | Top donors |
|---|---|---|---|---|
| Laura Fine | Chief sponsor | 113 | $251,356.10 | Friends of Don Harmon ($36,776.08); Julie Morrison for State Senate ($26,000.00); Chicago Land Operators Joint Labor-Management PAC ($16,000.00) |
| Sara Feigenholtz | Sponsor | 377 | $970,934.11 | Democratic Party of Illinois ($187,464.40); ISDF ($113,347.37); Illinois Education Association (IPACE) ($72,800.00) |
| Lindsey LaPointe | Sponsor | 336 | $263,682.75 | Chicago Investments II L P ($11,300.00); Illinois PAC for Education (IPACE) ($10,000.00); Health Care Council of Illinois (HCCI) ($10,000.00) |
| Laura Faver Dias | Sponsor | 87 | $99,133.11 | Chicagoland Operators Joint Labor-Management PAC ($9,000.00); IPACE ($7,500.00); Karen Faver ($6,302.50) |
| Nicolle Grasse | Sponsor | 109 | $337,169.54 | LIUNA Chicago Laborers' District Council PAC ($75,800.00); Carpentry Advancement Political Action Committee Fund ($73,800.00); I.P.A.C.E. ($52,500.00) |
Overlapping donors
Donors who gave to more than one sponsor or voter on this bill. Still not earmarked to the bill.
| Donor | Members | Total |
|---|---|---|
| LIUNA Chicago Laborers' District Council PAC | Laura Fine, Laura Faver Dias, Nicolle Grasse | $82,800.00 |
| Carpentry Advancement Political Action Committee Fund | Laura Faver Dias, Nicolle Grasse | $76,800.00 |
| I.P.A.C.E. | Sara Feigenholtz, Nicolle Grasse | $72,500.00 |
| Health Care Council of Illinois PAC | Laura Fine, Sara Feigenholtz | $47,500.00 |
| Chicago Land Operators Joint Labor-Management PAC | Laura Fine, Sara Feigenholtz, Nicolle Grasse | $34,500.00 |
| SEIU HealthCare IL IN PAC | Lindsey LaPointe, Laura Faver Dias, Nicolle Grasse | $31,150.00 |
| AFSCME Illinois Council 31 PAC | Sara Feigenholtz, Laura Faver Dias, Nicolle Grasse | $20,000.00 |
| Illinois Hospital Association PAC | Laura Fine, Lindsey LaPointe, Sara Feigenholtz | $19,500.00 |
| Chicagoland Operators Joint Labor-Management PAC | Lindsey LaPointe, Laura Faver Dias | $18,500.00 |
| Illinois Laborers' Legislative Committee | Lindsey LaPointe, Sara Feigenholtz | $13,500.00 |
| Associated Beer Distributors of Illinois PAC | Sara Feigenholtz, Nicolle Grasse | $11,486.63 |
| Leo Smith | Lindsey LaPointe, Sara Feigenholtz | $10,500.00 |
| Affordable Assisted Living Coalition | Lindsey LaPointe, Sara Feigenholtz | $10,000.00 |
| Realtor Political Action Committee | Laura Fine, Lindsey LaPointe | $8,500.00 |
| Teamsters Volunteers in Politics | Lindsey LaPointe, Sara Feigenholtz, Laura Faver Dias | $8,500.00 |
| Jay Stieber | Laura Fine, Sara Feigenholtz | $6,500.00 |
| Abbvie PAC | Laura Faver Dias, Nicolle Grasse | $6,500.00 |
| Illinois Trial Lawyers Association PAC | Laura Fine, Lindsey LaPointe | $5,500.00 |
| PCI Gaming Authority | Sara Feigenholtz, Nicolle Grasse | $5,500.00 |
| Sports Betting Alliance | Laura Fine, Lindsey LaPointe | $5,000.00 |
| Illinois State Medical Society PAC | Lindsey LaPointe, Sara Feigenholtz | $5,000.00 |
| Illinois Federation of Teachers COPE | Lindsey LaPointe, Sara Feigenholtz, Laura Faver Dias, Nicolle Grasse | $5,000.00 |
| Illinois AFL-CIO COPE | Lindsey LaPointe, Sara Feigenholtz | $5,000.00 |
| Comcast | Sara Feigenholtz, Laura Faver Dias | $4,000.00 |
| Ben Lazare Consulting | Lindsey LaPointe, Laura Faver Dias | $4,000.00 |
Top donors across these members
| Donor | Occupation | Employer | Receipts | Total |
|---|---|---|---|---|
| Democratic Party of Illinois | — | — | 6 | $187,464.40 |
| ISDF | — | — | 11 | $113,347.37 |
| LIUNA Chicago Laborers' District Council PAC | — | — | 5 | $82,800.00 |
| Carpentry Advancement Political Action Committee Fund | — | — | 8 | $76,800.00 |
| Illinois Education Association (IPACE) | — | — | 1 | $72,800.00 |
| I.P.A.C.E. | — | — | 3 | $72,500.00 |
| DWS | — | — | 18 | $52,567.98 |
| Carpentry Advancement PAC | — | — | 2 | $52,500.00 |
| Health Care Council of Illinois PAC | — | — | 4 | $47,500.00 |
| Friends of Don Harmon | — | — | 1 | $36,776.08 |
| Chicago Land Operators Joint Labor-Management PAC | — | — | 11 | $34,500.00 |
| SEIU HealthCare IL IN PAC | — | — | 4 | $31,150.00 |
| Realtor PAC | — | — | 5 | $30,000.00 |
| Julie Morrison for State Senate | — | — | 4 | $26,000.00 |
| DaVita | — | — | 2 | $20,000.00 |
| AFSCME Illinois Council 31 PAC | — | — | 3 | $20,000.00 |
| SEIU IL Council PAC Fund | — | — | 1 | $20,000.00 |
| Illinois Hospital Association PAC | — | — | 9 | $19,500.00 |
| Chicagoland Operators Joint Labor-Management PAC | — | — | 8 | $18,500.00 |
| LiUNA Chicago Laborers' District Council | — | — | 3 | $18,000.00 |
| Friends of Bill Cunningham | — | — | 3 | $15,000.00 |
| Illinois Laborers' Legislative Committee | — | — | 3 | $13,500.00 |
| The Fifty 50 Group | — | — | 1 | $13,168.60 |
| Associated Beer Distributors of Illinois PAC | — | — | 3 | $11,486.63 |
| Chicago Investments II L P | — | — | 3 | $11,300.00 |
Public Engagement
Witness slips
27 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 | Approp-Health and Human Services | 2025-05-01 |
| Dalila Alegria | INC Mental Health Alliance, NFP | INC Mental Health Alliance, NFP | Proponent | Approp-Health and Human Services | 2025-05-01 |
| Dani Mendez | IL Department of Healthcare and Family Services | IL Department of Healthcare and Family Services | Proponent | Approp-Health and Human Services | 2025-05-01 |
| Jennifer Roland | Illinois Collaboration on Youth | Illinois Collaboration on Youth | Proponent | Approp-Health and Human Services | 2025-05-01 |
| Kelly Cunningham | IL Department of Healthcare and Family Services | IL Department of Healthcare and Family Services | Proponent | Approp-Health and Human Services | 2025-05-01 |
| Liz Brown | Liz Brown Reeves Consulting | ACMHAI | Proponent | Approp-Health and Human Services | 2025-05-01 |
| Lynn Canfield | Champaign County Mental Health and Developmental Disabilities Boards | self | Proponent | Approp-Health and Human Services | 2025-05-01 |
| MARK PEYSAKHOVICH | MBM Advantage, LLC | Illinois Psychiatric Society | Proponent | Approp-Health and Human Services | 2025-05-01 |
| Cheryl Potts | Community Mental Health Board of Oak Park Township | Community Mental Health Board of Oak Park Township | Proponent | Approp-Health and Human Services | 2025-04-24 |
| Claudia Hypes | NAMI METRO SUBURBAN | Claudia Hypes | Proponent | Approp-Health and Human Services | 2025-04-24 |
| Deborah Humphrey | Madison County Mental Health Board | Madison County Mental Health Board | Proponent | Approp-Health and Human Services | 2025-04-24 |
| Jennifer Roland | Illinois Collaboration on Youth | Illinois Collaboration on Youth | Proponent | Approp-Health and Human Services | 2025-04-24 |
| Laurie Jerue | Self | Proponent | Approp-Health and Human Services | 2025-04-24 | |
| Liz Brown | Liz Brown Reeves Consulting | ACMHAI | Proponent | Approp-Health and Human Services | 2025-04-24 |
| MARK PEYSAKHOVICH | MBM Advantage, LLC | Illinois Psychiatric Society | Proponent | Approp-Health and Human Services | 2025-04-24 |
| Brenda Alwerdt | RbrokenSystems.org | RbrokenSystems.org | Proponent | Health and Human Services | 2025-03-18 |
| Cheryl Potts | Community Mental Health Board of Oak Park Township | Community Mental Health Board of Oak Park Township | Proponent | Health and Human Services | 2025-03-18 |
| Colleen Balija | INC Mental Health Alliance | self | Proponent | Health and Human Services | 2025-03-18 |
| Dani Mendez | IL Department of Healthcare and Family Services | IL Department of Healthcare and Family Services | Proponent | Health and Human Services | 2025-03-18 |
| Jennifer Roland | Illinois Collaboration on Youth | Illinois Collaboration on Youth | Proponent | Health and Human Services | 2025-03-18 |
| Karina Martinez | Illinois Department of Human Services | Illinois Department of Human Services | Proponent | Health and Human Services | 2025-03-18 |
| kathy carmody | Institute on Public Policy for People with Disabilities | Institute on Public Policy for People with Disabilities | Proponent | Health and Human Services | 2025-03-18 |
| Kristine Herman | IL Department of Healthcare and Family Services | IL Department of Healthcare and Family Services | Proponent | Health and Human Services | 2025-03-18 |
| Liz Brown | Liz Brown Reeves Consulting | ACMHAI | Proponent | Health and Human Services | 2025-03-18 |
| MARK PEYSAKHOVICH | MBM Advantage, LLC | Illinois Psychiatric Society | Proponent | Health and Human Services | 2025-03-18 |
| Matthew Slade | Myself | Myself | Proponent | Health and Human Services | 2025-03-18 |
| Randy Wells | Illinois Association for Behavioral Health | Illinois Association for Behavioral Health | Proponent | Health and Human Services | 2025-03-18 |
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 |
|---|---|---|---|---|---|---|---|---|---|---|
| 2025-05-01 | H | Committee | Approp-Health and Human Services | 18 | 0 | 0 | 5 | Passed | 18 | — |
| 2025-05-22 | H | Floor | Third Reading | 113 | 0 | 0 | 5 | Passed | 113 | — |
| S | Committee | Health and Human Services | 7 | 3 | 0 | 2 | Passed | 4 | — | |
| S | Floor | Third Reading | 55 | 0 | 0 | 4 | Passed | 55 | — |
Action History
27 actions recorded. Last action: 2025-08-01 — Public Act . . . . . . . . .104-0147. Each action's meaning and outcome signal are classified automatically.
All actions (table)
| Date | Chamber | Action | Category | Signal |
|---|---|---|---|---|
| 2025-02-07 | Senate | Filed with Secretary bySen. Laura Fine Rule 2-7(b) | Introduction & Filing | — |
| 2025-02-07 | Senate | First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38 | Introduction & Filing | — |
| 2025-02-07 | Senate | Referred toAssignments Senate Rule 3-8(a); House Rule 18(a) | Committee Assignment | — |
| 2025-03-04 | Senate | Assigned toHealth and Human Services Senate Rule 3-8(a); House Rule 18(b) | Committee Assignment | — |
| 2025-03-19 | Senate | Do PassHealth and Human Services; 007-003-000 Rule 3-11(a)(1), Rule 3-12(a) | Committee Action | Positive |
| 2025-03-19 | Senate | Placed on Calendar Order of 2nd Reading March 20, 2025 Rule 3-12(a), Rule 4-4(7) | Floor Process | Positive |
| 2025-03-20 | Senate | Second Reading Senate Rule 3-12(a)/5-4(a); House Rule 24(a)/40(b) | Floor Process | Positive |
| 2025-03-20 | Senate | Placed on Calendar Order of 3rd Reading April 1, 2025 Rule 4-4(8) | Floor Process | Positive |
| 2025-04-09 | Senate | Third Reading - Passed;055-000-000 Rule 5-1(f) | Floor Vote | Positive |
| 2025-04-09 | Senate | Added as Chief Co-SponsorSen. Sara Feigenholtz Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 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 |
| 2025-04-10 | 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 |
| 2025-04-10 | House | First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38 | Introduction & Filing | — |
| 2025-04-10 | House | Referred toRules Committee Senate Rule 3-8(a); House Rule 18(a) | Committee Assignment | — |
| 2025-04-17 | House | Assigned toAppropriations-Health and Human Services Committee Senate Rule 3-8(a); House Rule 18(b) | Committee Assignment | — |
| 2025-05-01 | House | Do Pass / Short DebateAppropriations-Health and Human Services Committee; 018-000-000 Senate Rule 3-11(a)(1); House Rule 22(a)(1), 52(b) | Committee Action | Positive |
| 2025-05-01 | House | Added Alternate Co-SponsorRep. Laura Faver Dias Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-05-01 | 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 |
| 2025-05-14 | 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 |
| 2025-05-14 | House | Placed on Calendar Order of 3rd Reading - Short Debate Rule 4-4(8) | Floor Process | Positive |
| 2025-05-22 | House | Added Alternate Co-SponsorRep. Nicolle Grasse Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-05-22 | House | Third Reading - Short Debate - Passed113-000-000 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 |
| 2025-06-20 | 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 August 1, 2025 Article IX | Enacted Into Law | Law |
| 2025-08-01 | Senate | Public Act . . . . . . . . .104-0147 Article IX | Enacted Into Law | Law |