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HB4585

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INS CD-SUBSTANCE USE TREATMENT

What this bill does

Amends the Illinois Insurance Code. Provides that coverage for treatment in a residential treatment center shall include residential coverage for the diagnosis and treatment of substance use disorders. Provides that this coverage shall include unlimited medically necessary treatment for substance use disorder treatment services provided in residential settings. Prohibits the coverage from applying financial requirements or treatment limitations to residential substance use disorder benefits that are more restrictive than the predominant financial requirements and treatment limitations applied to other medical and surgical benefits covered by the policy. Sets forth provisions concerning cost sharing; application of coverage requirements; prior authorization; clinical review; discharge plans; other forms of utilization review; and the criteria for medical necessity determinations.

Sponsor: Lindsey LaPointe Chamber: House Introduced: 2026-01-23
Stuck
P(Advance)
15.2%
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).
Confidence: 85%

Calculating prediction drivers...

Pipeline Progress

Current stage: In Committee · Last action 103 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

Public Engagement

12 witness slips filed 5 proponents / 7 opponents 10 organizations

Hearings

This bill has not been scheduled for a committee hearing.

Witness slips

12 slips filed. Proponent / opponent / no position as filed with the committee.

Name Organization Representing Position Hearing committee Hearing date
Aces Lira AIDS Foundation Chicago AIDS Foundation Chicago Proponent Insurance 2026-02-17
David Schwartz Self Self Proponent Insurance 2026-02-17
Jocelyn Self Proponent Insurance 2026-02-17
Jud DeLoss Illinois Association for Behavioral Health Illinois Association for Behavioral Health Proponent Insurance 2026-02-17
Matthew Slade N/A Self Proponent Insurance 2026-02-17
David Vinkler IAMHP IAMHP Opponent Insurance 2026-02-17
Ed Peck Brady and Peck, LLC BlueCross BlueShield of Illinois Opponent Insurance 2026-02-17
Gabriela S Garza Illinois Manufacturers' Association Illinois Manufacturers' Association Opponent Insurance 2026-02-17
Jordan D. Ryan Illinois Chamber of Commerce Illinois Chamber of Commerce Opponent Insurance 2026-02-17
justin rausch self self Opponent Insurance 2026-02-17
Kate Morthland ILHIC ILLINOIS LIFE & HEALTH INSURANCE COUNCIL Opponent Insurance 2026-02-17
Lori Reimers Lori Reimers Consulting Americas Health Insurance Plans Opponent Insurance 2026-02-17

Action History

4 actions recorded. Last action: 2026-02-11 — Assigned toInsurance Committee. Each action's meaning and outcome signal are classified automatically.

2026-01-23 Introduction & Filing
Filed with the Clerk byRep. Lindsey LaPointe House Rule 6(b)
Bill officially submitted to the House Clerk during the session.
2026-02-03 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.
2026-02-03 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.
2026-02-11 Committee Assignment
Assigned toInsurance 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.

All actions (table)

Date Chamber Action Category Signal
2026-01-23 House Filed with the Clerk byRep. Lindsey LaPointe House Rule 6(b) Introduction & Filing —
2026-02-03 House First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38 Introduction & Filing —
2026-02-03 House Referred toRules Committee Senate Rule 3-8(a); House Rule 18(a) Committee Assignment —
2026-02-11 House Assigned toInsurance Committee Senate Rule 3-8(a); House Rule 18(b) Committee Assignment —