HB4448

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MEDICAID-BEHAVIORAL HLTH SRVCS

What this bill does

Provides that the Act may be referred to as the Safe Place to Go Act. Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services, in collaboration with the Department of Human Services' Division of Behavioral Health and Recovery, to apply for a Medicaid State Plan amendment or federal waiver within 12 months after the effective date of the amendatory Act to draw federal financial participation for crisis triage and stabilization services provided by behavioral health urgent care centers to support adults or children 5 years of age and older who are in an active mental health crisis and adults 18 years of age and older in a substance use crisis. Sets forth the services provided by behavioral health urgent care centers that shall be covered, including, but not limited to, crisis triage services, crisis stabilization services, and medication monitoring. Contains provisions concerning the use of the Illinois Mental Health Crisis Assessment Tool to determine an individual's eligibility or medical need for crisis stabilization services; telehealth and on-site services; safe sobering services; linkages to enable rapid transition to next level of care; length of stay; the development of a single bundle rate for crisis triage services and 2 separate per diem reimbursement rates for crisis stabilization services and safe sobering services; no prior authorization requirements; and the establishment of a working group to provide meaningful input on the establishment, operations, staffing, and financing of behavioral health urgent care centers. Requires the Department to adopt rules within 6 months after federal approval of its State Plan amendment or federal waiver application, if granted. Effective immediately.

Sponsor: Robyn Gabel Chamber: House Introduced: 2026-01-15
Stuck
P(Advance)
9.0%
Chance it ever reaches a milestone (committee, floor, etc.). Not “next step.”
P(Law)
0.0%
Chance it becomes law given where it is now (stage, momentum).
Forecast
0.5%
Low P(law) at intro — sponsor & topic only; no progress or delay.
Confidence: 91%

Calculating prediction drivers...

Pipeline Progress

Current stage: In Committee · Last action 159 days ago · SLOW

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

Hearings

This bill has not been scheduled for a committee hearing.

Action History

4 actions recorded. Last action: 2026-02-02 — Added Co-SponsorRep. Maura Hirschauer. Each action's meaning and outcome signal are classified automatically.

2026-01-15 Introduction & Filing
Filed with the Clerk byRep. Robyn Gabel House Rule 6(b)
Bill officially submitted to the House Clerk during the session.
2026-01-20 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.
2026-01-20 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.
2026-02-02 Co-Sponsorship Mild +
Added Co-SponsorRep. Maura Hirschauer Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.

All actions (table)

Date Chamber Action Category Signal
2026-01-15 House Filed with the Clerk byRep. Robyn Gabel House Rule 6(b) Introduction & Filing
2026-01-20 House First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38 Introduction & Filing
2026-01-20 House Referred toRules Committee Senate Rule 3-8(a); House Rule 18(a) Committee Assignment
2026-02-02 House Added Co-SponsorRep. Maura Hirschauer Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +