SB 2421 Illinois Senate · 104th Regular Session

PSYCHIATRIC RESIDENTIAL FACILY

Summary
Creates the Psychiatric Residential Treatment Facilities (PRTF) Act. Requires the Department of Healthcare and Family Services to establish an Illinois Psychiatric Residential Treatment Facilities (PRTF) program that is family-driven, youth-guided, and trauma-informed, and includes youth and family involvement in all aspects of care planning. Requires the Department to submit a State Plan Amendment, by January 1, 2026, to the Centers for Medicare and Medicaid Services to establish coverage of federally authorized, medically necessary inpatient psychiatric services delivered by a certified PRTF to medical assistance beneficiaries under 21 years of age. Provides that the Department shall adopt rules to implement the PRTF program that at a minimum shall include: (i) certification and participation requirements for PRTF providers in compliance with all applicable federal laws, regulations, requirements, and policies; (ii) monitoring and oversight of PRTF services; (iii) a limit on allowable beds at any one PRTF, not to exceed 40 total beds; and other matters. Requires the Department to establish, and update as needed, a methodology for completing a statewide PRTF capacity analysis for the purposes of identifying capacity needs for PRTF services under the Illinois Medical Assistance Program. Requires the Department to establish a PRTF Advisory Committee responsible for reviewing and providing guidance on the Department's policies and implementations of the PRTF program. Requires the Department to publish on its website counts of reported emergency safety interventions and serious occurrences by State fiscal year and quarter. Makes conforming changes to the Specialized Mental Health Rehabilitation Act of 2013, the Child Care Act of 1969, and other various Acts. Effective immediately.
Bill status signed all 5 stages cleared
Introduction
Apr 2025
Committee Review
May 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 has been finalized from its 'Engrossed' version to the 'Enrolled' version, which is the final text signed into law. The substantive content of the legislation remains unchanged; the differences are purely administrative, involving the replacement of the version label and the removal of page numbering artifacts.
TECHNICAL

The document header was updated to reflect the final 'Enrolled' status, and internal page number markers were removed to clean up the text for publication.

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

How they voted

540
Passed · 4 other
Total votes 58
Apr 9, 2025
D Democratic39
36 Yea 3
92% Yea
R Republican19
18 Yea 1
94% 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 113-000-000
lower
May 1, 2025
Lower · Passed
Do Pass / Short Debate Appropriations-Health and Human Services Committee; 018-000-000
lower
Apr 17, 2025
Committee
Assigned to Appropriations-Health and Human Services Committee
lower
Apr 10, 2025
Committee
Referred to Rules Committee
lower
Apr 9, 2025
Introduced
Arrived in House
lower
Apr 9, 2025
Upper · Passed
Third Reading - Passed; 055-000-000
upper
Mar 19, 2025
Upper · Passed
Do Pass Health and Human Services; 007-003-000
upper
Mar 4, 2025
Committee
Assigned to Health and Human Services
upper
Feb 7, 2025
Committee
Referred to Assignments
upper
2 primary · 3 co-sponsors

Sponsors