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Neutral Bill Mar 16, 2026

INS CD-MENTAL HEALTH PARITY

Amends the Illinois Insurance Code. In provisions concerning mental health and substance use parity, makes changes to defined terms. Requires specified provider reimbursement rates to comply with the reimbursement floors for all in-network mental health and substance use disorder services. Establishes the reimbursement rate floor for each Healthcare Common Procedure Coding System (HCPCS) code, Current Procedural Terminology (CPT) code, Ambulatory Payment Classification (APC), Enhanced Ambulatory Patient Group (EAPG), Medicare Severity Diagnosis Related Group (MS-DRG), All Patient Refined Diagnosis Related Group (APR-DRG), and base payment rate with adjusters and applicable outliers for a mental health or substance use disorder service. Provides that 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, 2027, or any contracted third party administering the behavioral health benefits for the insurer, shall cover all medically necessary mental health or substance use disorder services received by the same insured on the same day from the same or different mental health or substance use provider or facility for both outpatient and inpatient care. Sets forth provisions concerning additional coverage requirements; disclosure provisions; and provisions concerning the Department of Insurance's enforcement authority, reporting requirements, and rulemaking. Makes other changes. Amends the Counties Code, the Illinois Municipal Code, and the School Code to require coverage under the provisions of those Acts. Effective June 1, 2026.

https://legiscan.com/IL/bill/HB1085/2025
Bill data from LegiScan, used under CC BY 4.0.
Lindsey LaPointe State Representative Maurice West State Representative Cosponsor Bob Morgan State Representative Cosponsor Tracy Katz Muhl State Representative Cosponsor Dee Avelar State Representative Cosponsor Maura Hirschauer State Representative Cosponsor Michelle Mussman State Representative Cosponsor Anna Moeller State Representative Cosponsor Theresa Mah State Representative Cosponsor Kevin Olickal State Representative Cosponsor Jay Hoffman State Representative Cosponsor Kelly Cassidy State Representative Cosponsor Lisa Davis State Representative Cosponsor Stephanie Kifowit State Representative Cosponsor Katie Stuart State Representative Cosponsor Yolonda Morris State Representative Cosponsor Norma Hernandez State Representative Cosponsor Sharon Chung State Representative Cosponsor Michael Kelly State Representative Cosponsor Laura Faver Dias State Representative Cosponsor Mary Gill State Representative Cosponsor Will Guzzardi State Representative Cosponsor Nicolle Grasse State Representative Cosponsor Anne Stava State Representative Cosponsor Janet Yang Rohr State Representative Cosponsor Mike Crawford State Representative Cosponsor Robyn Gabel State Representative Cosponsor Nabeela Syed State Representative Cosponsor Barbara Hernandez State Representative Cosponsor Marti Deuter State Representative Cosponsor Abdelnasser Rashid State Representative Cosponsor Mary Beth Canty State Representative Cosponsor Hoan Huynh State Representative Cosponsor Ryan Spain State Representative Cosponsor Harry Benton State Representative Cosponsor Nicole La Ha State Representative Cosponsor John Cabello State Representative Cosponsor Kevin Schmidt State Representative Cosponsor Angie Guerrero-Cuellar State Representative Cosponsor Matt Hanson State Representative Cosponsor Sonya Harper State Representative Cosponsor Gregg Johnson State Representative Cosponsor Suzanne Ness State Representative Cosponsor Anthony DeLuca State Representative Cosponsor Rick Ryan State Representative Cosponsor Larry Walsh State Representative Cosponsor Chris Welch State Representative Cosponsor Bob Rita State Representative Cosponsor Dave Vella State Representative Cosponsor Jaime Andrade State Representative Cosponsor Carol Ammons State Representative Cosponsor Joyce Mason State Representative Cosponsor Jehan Gordon-Booth State Representative Cosponsor Sue Scherer State Representative Cosponsor Debbie Meyers-Martin State Representative Cosponsor Camille Lilly State Representative Cosponsor Karina Villa State Senator Mattie Hunter State Senator Cosponsor Bill Cunningham State Senator Cosponsor Sara Feigenholtz State Senator Cosponsor Mary Edly-Allen State Senator Cosponsor Javier Cervantes State Senator Cosponsor Christopher Belt State Senator Cosponsor Ram Villivalam State Senator Cosponsor Patrick Joyce State Senator Cosponsor Mark Walker State Senator Cosponsor Rachel Ventura State Senator Cosponsor Mike Hastings State Senator Cosponsor Laura Fine State Senator Cosponsor Mike Simmons-Gessesse State Senator Cosponsor Celina Villanueva State Senator Cosponsor Robert Peters State Senator Cosponsor Rob Martwick State Senator Cosponsor Mike Porfirio State Senator Cosponsor Lakesia Collins State Senator Cosponsor Steve Stadelman State Senator Cosponsor Laura Murphy State Senator Cosponsor Dave Koehler State Senator Cosponsor Terri Bryant State Senator Cosponsor Erica Harriss State Senator Cosponsor Cristina Castro State Senator Cosponsor Doris Turner State Senator Cosponsor Seth Lewis State Senator Cosponsor Paul Faraci State Senator Cosponsor Julie Morrison State Senator Cosponsor Sally Turner State Senator Cosponsor
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