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SB2421

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PSYCHIATRIC RESIDENTIAL FACILY

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.

Sponsor: Laura Fine Chamber: Senate Introduced: 2025-02-07
PASSED INTO LAW

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Pipeline Progress

Current stage: Signed into Law · Last action 251 days ago

How does a bill become law in Illinois?
  1. 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.

  2. Committee Work — Hearings

    The bill goes to the appropriate committee, which holds hearings to gather expert opinions and determine the need for the legislation.

  3. Committee Work — Markup, Amendments, Report

    The committee may make amendments to the bill. If approved, a committee report endorsing the bill is issued.

  4. Floor Debate

    The bill is debated and can be further amended. The debate transcripts are accessible online for public viewing.

  5. 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.

  6. 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

Public Engagement

27 witness slips filed 27 proponents / 0 opponents 16 organizations

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.

2025-02-07 Introduction & Filing
Filed with Secretary bySen. Laura Fine Rule 2-7(b)
Bill officially submitted to the Senate Secretary during the session.
2025-02-07 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.
2025-02-07 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.
2025-03-04 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.
2025-03-19 Committee Action Positive
Do PassHealth and Human Services; 007-003-000 Rule 3-11(a)(1), Rule 3-12(a)
Committee recommends passage. The most important positive gate — majority of bills never get here.
2025-03-19 Floor Process Positive
Placed on Calendar Order of 2nd Reading March 20, 2025 Rule 3-12(a), Rule 4-4(7)
Bill placed on the order of Second Reading.
2025-03-20 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.
2025-03-20 Floor Process Positive
Placed on Calendar Order of 3rd Reading April 1, 2025 Rule 4-4(8)
Bill placed on the Third Reading calendar — queued for final vote.
2025-04-09 Floor Vote Positive
Third Reading - Passed;055-000-000 Rule 5-1(f)
Bill PASSED a floor vote on Third Reading. Major milestone — bill has cleared one chamber.
2025-04-09 Co-Sponsorship Mild +
Added as Chief Co-SponsorSen. Sara Feigenholtz Senate Rule 5-1(a); House Rule 37(a)
A legislator takes on the chief co-sponsor role, a stronger commitment than regular co-sponsorship.
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.
2025-04-10 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.
2025-04-10 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.
2025-04-10 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 toAppropriations-Health and Human 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.
2025-05-01 Committee Action Positive
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 recommends passage and places it on the Short Debate calendar (limited floor discussion time). Strong positive signal — committee believes bill has broad support.
2025-05-01 Co-Sponsorship Mild +
Added Alternate Co-SponsorRep. Laura Faver Dias Senate Rule 5-1(a); House Rule 37(a)
Alternate co-sponsor added in the second chamber.
2025-05-01 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.
2025-05-14 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.
2025-05-14 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 Co-Sponsorship Mild +
Added Alternate Co-SponsorRep. Nicolle Grasse Senate Rule 5-1(a); House Rule 37(a)
Alternate co-sponsor added in the second chamber.
2025-05-22 Floor Vote Positive
Third Reading - Short Debate - Passed113-000-000 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.
2025-06-20 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 August 1, 2025 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 . . . . . . . . .104-0147 Article IX
Bill signed into law — assigned a Public Act number (e.g., PA 104-0032).

All actions (table)

Date Chamber Action Category Signal
2025-02-07 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