HB 5225 Illinois House · 104th Regular Session

AUTISM SPECTRUM-DIAGNOSIS

Summary
Amends the Illinois Speech-Language Pathology and Audiology Practice Act. Allows a speech-language pathologist to diagnose autism spectrum disorders if: (1) the child is under 3 years of age; and (2) the speech-language pathologist is trained in autism diagnostic evaluation methods as part of the curriculum of an approved program, through worksite training, or through continuing education. Provides that if a diagnosis requires a plan of care that includes elements that are outside the scope of practice of a speech-language pathologist, the speech-language pathologist must refer the patient to the appropriate medical personnel for further evaluation or management. Makes conforming changes in the Medical Assistance Article of the Illinois Public Aid Code, and provisions of the Illinois Insurance Code concerning autism spectrum disorders. Effective July 1, 2027.
Bill status signed all 5 stages cleared
Introduction
Apr 2026
Committee Review
May 2026
House Passage
May 2026
Senate Passage
May 2026
Signed into Law
Jul 2026
Introduced Apr 21, 2026 Signed Jul 10, 2026
Maddy AI version diff · 2 comparisons

What changed between versions

Engrossed Enrolled · 2 edits · Jul 10, 2026
MINOR
The bill has progressed from its 'Engrossed' version to its 'Enrolled' version, which is the final form ready for the Governor's signature. The substantive policy language regarding autism spectrum disorder coverage and medical necessity reviews remains identical. The only changes are technical formatting updates to the document headers and page numbers.
TECHNICAL

Updated the document title from 'HB5225 Engrossed' to 'HB5225 Enrolled' to reflect its final legislative status.

Adjusted page number headers and spacing to align with the official enrolled version format.

Floor votes · Senate May 21, 2026 · House Apr 16, 2026

How they voted

560
Passed · 2 other
Total votes 58
May 21, 2026
D Democratic39
37 Yea 2
94% Yea
R Republican19
19 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
100
Key actions
16
Committee
18
Amendments
9
Jul 10, 2026
Signed into law
Governor Approved
lower
May 27, 2026
Lower · Passed
Passed Both Houses
lower
May 27, 2026
Lower · Passed
Senate Committee Amendment No. 1 House Concurs 107-000-000
lower
May 27, 2026
Lower · Passed
Senate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Health Care Licenses Committee; 013-000-000
lower
May 25, 2026
Committee
Senate Committee Amendment No. 1 Motion to Concur Rules Referred to Health Care Licenses Committee
lower
May 21, 2026
Committee
Senate Committee Amendment No. 1 Motion to Concur Referred to Rules Committee
lower
May 21, 2026
Lower · Passed
Senate Committee Amendment No. 1 Motion Filed Concur Rep. Natalie A. Manley
lower
May 21, 2026
Introduced
Placed on Calendar Order of Concurrence Senate Amendment(s) 1
lower
May 21, 2026
Introduced
Arrived in House
lower
May 21, 2026
Upper · Passed
Third Reading - Passed; 057-000-000
upper
May 6, 2026
Upper · Passed
Do Pass as Amended Licensed Activities; 009-000-000
upper
May 6, 2026
Upper · Passed
Senate Committee Amendment No. 1 Adopted
upper
May 5, 2026
Upper · Passed
Senate Committee Amendment No. 1 Assignments Refers to Licensed Activities
upper
May 4, 2026
Committee
Senate Committee Amendment No. 1 Referred to Assignments
upper
May 4, 2026
Introduced
Senate Committee Amendment No. 1 Filed with Secretary by Sen. Meg Loughran Cappel
upper
Apr 28, 2026
Committee
Assigned to Licensed Activities
upper
Apr 21, 2026
Committee
Referred to Assignments
upper
Apr 21, 2026
Introduced
Arrive in Senate
upper
Apr 16, 2026
Lower · Passed
Third Reading - Short Debate - Passed 110-000-000
lower
Apr 16, 2026
Lower · Passed
House Floor Amendment No. 3 Adopted
lower
Apr 15, 2026
Lower · Passed
House Floor Amendment No. 3 Recommends Be Adopted Health Care Licenses Committee; 014-000-000
lower
Apr 14, 2026
Lower · Passed
House Floor Amendment No. 3 Rules Refers to Health Care Licenses Committee
lower
Apr 13, 2026
Committee
House Floor Amendment No. 3 Referred to Rules Committee
lower
Apr 13, 2026
Introduced
House Floor Amendment No. 3 Filed with Clerk by Rep. Natalie A. Manley
lower
Mar 25, 2026
Amended
House Committee Amendment No. 2 Tabled
lower
Mar 25, 2026
Lower · Passed
Do Pass as Amended / Short Debate Health Care Licenses Committee; 014-000-000
lower
Mar 25, 2026
Lower · Passed
House Committee Amendment No. 1 Adopted in Health Care Licenses Committee; by Voice Vote
lower
Mar 24, 2026
Committee
House Committee Amendment No. 2 Referred to Rules Committee
lower
Mar 24, 2026
Introduced
House Committee Amendment No. 2 Filed with Clerk by Rep. Natalie A. Manley
lower
Mar 18, 2026
Lower · Passed
House Committee Amendment No. 1 Rules Refers to Health Care Licenses Committee
lower
Mar 4, 2026
Committee
House Committee Amendment No. 1 Referred to Rules Committee
lower
Mar 4, 2026
Introduced
House Committee Amendment No. 1 Filed with Clerk by Rep. Natalie A. Manley
lower
Mar 4, 2026
Committee
Assigned to Health Care Licenses Committee
lower
2 primary · 49 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Meg Loughran Cappel
Meg Loughran Cappel
DDemocratic
IL
49
P
Photo of Natalie Manley
Natalie Manley
DDemocratic
IL
98
Co
Photo of Angie Guerrero-Cuellar
Angie Guerrero-Cuellar
DDemocratic
IL
22
Co
Photo of Brad Stephens
Brad Stephens
RRepublican
IL
20
Co
Photo of Chris Welch
Chris Welch
DDemocratic
IL
7
Co
Photo of Christopher Belt
Christopher Belt
DDemocratic
IL
57
Co
Photo of Cristina Castro
Cristina Castro
DDemocratic
IL
22
Co
Photo of Curtis Tarver
Curtis Tarver
DDemocratic
IL
25
Co
Photo of Dan Didech
Dan Didech
DDemocratic
IL
59
Co
Photo of Dan Swanson
Dan Swanson
RRepublican
IL
71
Co
Photo of Dave Vella
Dave Vella
DDemocratic
IL
68
Co
Photo of Dee Avelar
Dee Avelar
DDemocratic
IL
85