HB 1085 Illinois House · 104th Regular Session

INS CD-MENTAL HEALTH PARITY

Summary
Amends the Illinois Insurance Code. Establishes reimbursement rates for mental health and substance use disorder treatment services for all group or individual policies of accident and health insurance or managed care plans that are amended, delivered, issued, or renewed on or after January 1, 2027 or for any contracted third party administering the behavioral health benefits for the insurer. Requires a group or individual policy of accident and health insurance or managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2026 or any contracted third party administering the behavioral health benefits for the insurer to cover certain medically necessary mental health and substance use disorder treatment services. Provides that, if the Department of Insurance determines that an insurer or a contracted third party administering the behavioral health benefits for the insurer has violated a provision concerning mental health and substance use parity, the Department shall by order assess a civil penalty of $1,000 for each violation. Excludes certain health care plans serving Medicaid populations who are enrolled under the Illinois Public Aid Code or under the Children's Health Insurance Program Act from provisions concerning mental health and substance use parity. Requires the Department to review the impact of the proposed mental health and substance abuse mandate on network adequacy for mental health and substance use disorder treatment and access to affordable mental health and substance use care. Permits the Department to examine out-of-network utilization and out-of-pocket costs for insureds for mental health and substance use treatment and services for all plans to compare with in-network utilization. Amends the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, and the School Code to require coverage under those provisions. Effective immediately.
Bill status signed all 5 stages cleared
Introduction
Apr 2025
Committee Review
Oct 2025
House Passage
Oct 2025
Senate Passage
Oct 2025
Signed into Law
Dec 2025
Introduced Apr 8, 2025 Signed Dec 12, 2025
Maddy AI version diff · 2 comparisons

What changed between versions

Engrossed Enrolled · 1 edit · Dec 12, 2025
MINOR
The bill was finalized for the Governor's signature with minor technical corrections to the section numbers in the Illinois Insurance Code. The substantive policy requirements for health coverage remain unchanged, but the specific code sections cited for compliance were updated from 370c.3 to 370c.4.
Scope change
No change in the scope or applicability of the bill; it remains applicable to the same entities under the same conditions.
TECHNICAL

Updated references to the Illinois Insurance Code sections from 370c.3 to 370c.4 to ensure the final enrolled version cites the correct statutory authority.

Floor votes · Senate Oct 30, 2025 · House Apr 7, 2025

How they voted

4710
Passed · 1 other
Total votes 58
Oct 30, 2025
D Democratic39
39 Yea
100% Yea
R Republican19
8 Yea 10 Nay 1
52% Nay
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
100
Key actions
15
Committee
17
Amendments
12
Dec 12, 2025
Signed into law
Governor Approved
lower
Oct 30, 2025
Lower · Passed
Passed Both Houses
lower
Oct 30, 2025
Introduced
Senate Floor Amendment No. 3 House Concurs 086-019-001
lower
Oct 30, 2025
Lower · Passed
Senate Committee Amendment No. 1 House Concurs 086-019-001
lower
Oct 30, 2025
Lower · Passed
Senate Floor Amendment No. 3 Motion to Concur Recommends Be Adopted Rules Committee; 003-002-000
lower
Oct 30, 2025
Lower · Passed
Senate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Rules Committee; 003-002-000
lower
Oct 30, 2025
Committee
Senate Floor Amendment No. 3 Motion to Concur Referred to Rules Committee
lower
Oct 30, 2025
Committee
Senate Committee Amendment No. 1 Motion to Concur Referred to Rules Committee
lower
Oct 30, 2025
Introduced
Senate Floor Amendment No. 3 Motion Filed Concur Rep. Lindsey LaPointe
lower
Oct 30, 2025
Lower · Passed
Senate Committee Amendment No. 1 Motion Filed Concur Rep. Lindsey LaPointe
lower
Oct 30, 2025
Introduced
Placed on Calendar Order of Concurrence Senate Amendment(s) 1, 3
lower
Oct 30, 2025
Introduced
Arrived in House
lower
Oct 30, 2025
Amended
Senate Committee Amendment No. 2 Tabled Pursuant to Rule 5-4(a)
upper
Oct 30, 2025
Upper · Passed
Third Reading - Passed; 048-010-000
upper
Oct 30, 2025
Upper · Passed
Senate Floor Amendment No. 3 Adopted; Villa
upper
Oct 30, 2025
Introduced
Senate Floor Amendment No. 3 Recommend Do Adopt Executive; 011-002-000
upper
Oct 29, 2025
Introduced
Senate Floor Amendment No. 3 Postponed - Executive
upper
Oct 28, 2025
Introduced
Senate Floor Amendment No. 3 Assignments Refers to Executive
upper
Oct 28, 2025
Committee
Senate Floor Amendment No. 3 Referred to Assignments
upper
Oct 28, 2025
Introduced
Senate Floor Amendment No. 3 Filed with Secretary by Sen. Karina Villa
upper
Jun 2, 2025
Committee
Rule 3-9(a) / Re-referred to Assignments
upper
May 30, 2025
Upper · Passed
Do Pass as Amended Executive; 010-002-000
upper
May 30, 2025
Upper · Passed
Senate Committee Amendment No. 1 Adopted
upper
May 30, 2025
Committee
Senate Committee Amendment No. 2 Referred to Assignments
upper
May 30, 2025
Introduced
Senate Committee Amendment No. 2 Filed with Secretary by Sen. Karina Villa
upper
May 28, 2025
Upper · Passed
Senate Committee Amendment No. 1 Postponed - Executive
upper
May 28, 2025
Upper · Passed
Senate Committee Amendment No. 1 Assignments Refers to Executive
upper
May 27, 2025
Committee
Senate Committee Amendment No. 1 Referred to Assignments
upper
May 27, 2025
Introduced
Senate Committee Amendment No. 1 Filed with Secretary by Sen. Karina Villa
upper
May 23, 2025
Upper · Passed
Rule 2-10 Committee Deadline Established As June 1, 2025
upper
May 22, 2025
Upper · Passed
Rule 2-10 Committee Deadline Established As May 23, 2025
upper
May 22, 2025
Committee
Assigned to Executive
upper
Apr 8, 2025
Committee
Referred to Assignments
upper
Apr 8, 2025
Introduced
Arrive in Senate
upper
Apr 7, 2025
Lower · Passed
Third Reading - Short Debate - Passed 072-033-000
lower
2 primary · 86 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Don Harmon
Don Harmon
DDemocratic
IL
39
P
Photo of Lindsey LaPointe
Lindsey LaPointe
DDemocratic
IL
19
Co
Photo of Abdelnasser Rashid
Abdelnasser Rashid
DDemocratic
IL
21
Co
Photo of Angie Guerrero-Cuellar
Angie Guerrero-Cuellar
DDemocratic
IL
22
Co
Photo of Ann Williams
Ann Williams
DDemocratic
IL
11
Co
Photo of Anna Moeller
Anna Moeller
DDemocratic
IL
43
Co
Photo of Anne Stava
Anne Stava
DDemocratic
IL
81
Co
Photo of Anthony DeLuca
Anthony DeLuca
DDemocratic
IL
80
Co
Photo of Barbara Hernandez
Barbara Hernandez
DDemocratic
IL
50
Co
Photo of Bill Cunningham
Bill Cunningham
DDemocratic
IL
18
Co
Photo of Bob Morgan
Bob Morgan
DDemocratic
IL
58
Co
Photo of Bob Rita
Bob Rita
DDemocratic
IL
28