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SB 1774 Illinois Senate · 104th Regular Session

DHFS-SUBSTANCE USE TREATMENT

Summary
Amends the Medical Assistance Article of the Illinois Public Aid Code. Repeals provisions that require: (i) the Department of Healthcare and Family Services to consult with stakeholders and General Assembly members for input on a plan to develop enhanced Medicaid rates for substance use disorder treatment and mental health treatment in underserved communities; and (ii) the Department of Healthcare and Family Services and the Department of Human Services to collaborate to review coverage and billing requirements for substance use prevention and recovery and mental health services with the goal of identifying disparities and streamlining coverage and billing requirements to reduce the administrative burden for providers and medical assistance beneficiaries. Effective January 1, 2026.
Issues: ✗ HealthcareOpposes HealthcareRepeals requirements for enhanced Medicaid rates and collaboration on mental health/substance use treatment, weakening coverage improvements and program development.92% confidence
Bill status signed all 5 stages cleared
Introduction
Apr 2025
Committee Review
Apr 2025
Senate Passage
May 2025
House Passage
May 2025
Signed into Law
Aug 2025
Introduced Apr 9, 2025 Signed Aug 1, 2025
Maddy AI version diff · 2 comparisons

What changed between versions

Engrossed → Enrolled · 1 edit · Aug 1, 2025
MINOR
The bill text changed from the 'Engrossed' version to the 'Enrolled' version, which is the final, official copy signed by the Governor. The only substantive change visible in the provided text is the update of the bill's status title. No policy, funding, eligibility, or scope changes were detected in this specific excerpt.
TECHNICAL

The bill title was updated from 'Engrossed' to 'Enrolled', indicating the document has completed the legislative process and is ready for official publication.

Floor votes · Senate Apr 9, 2025 · House May 22, 2025

How they voted

55–0
Passed · 3 other
Total votes 58
Apr 9, 2025
D Democratic39
36 Yea 3
92% Yea
R Republican19
19 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
27
Key actions
6
Committee
6
Aug 1, 2025
Signed into law
Governor Approved
upper
May 22, 2025
Upper · Passed
Passed Both Houses
upper
May 22, 2025
Lower · Passed
Third Reading - Short Debate - Passed 115-000-000
lower
Apr 23, 2025
Lower · Passed
Do Pass / Short Debate Human Services Committee; 010-000-000
lower
Apr 17, 2025
Committee
Assigned to Human Services Committee
lower
Apr 9, 2025
Committee
Referred to Rules Committee
lower
Apr 9, 2025
Introduced
Arrived in House
lower
Apr 9, 2025
Upper · Passed
Third Reading - Passed; 056-000-000
upper
Mar 5, 2025
Upper · Passed
Do Pass Health and Human Services; 010-000-000
upper
Feb 25, 2025
Committee
Assigned to Health and Human Services
upper
Feb 6, 2025
Committee
Referred to Assignments
upper
2 primary · 1 co-sponsor

Sponsors

Role
Legislator
Party
State
District
P
Photo of Laura Fine
Laura Fine
DDemocratic
IL
9
P
Photo of Lindsey LaPointe
Lindsey LaPointe
DDemocratic
IL
19
Co
GG
Graciela Guzmán
DDemocratic
IL
20