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HB 2728

DHFS-SUBSTANCE USE TREATMENT

104th Regular Session Introduced by Lindsey LaPointe

HB 2728 repeals two Illinois Public Aid Code provisions requiring HFS/DHS to consult on enhanced Medicaid rates for SUD/mental health and to review billing to cut admin burdens.

Rule 19(a) / Re-referred to Rules Committee
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Bill Summary · HB 2728

Summary — HB 2728 (Illinois)

Title: DHFS — Substance Use Treatment
Bill number: HB 2728
Sponsor: Rep. Lindsey LaPointe
Primary subject: Illinois Public Aid Code — repeal of two statutory provisions related to Medicaid/substance use and mental health policy
Status / key dates:
- Introduced: February 6, 2025 (House)
- Passed both chambers: February–May 2025
- Signed by Governor: May 13, 2025
- Effective date: January 1, 2026

Main purpose / intent

HB 2728 repeals two specific statutory requirements in the Illinois Public Aid Code that previously directed state agencies to undertake planning, consultation, and interagency review related to enhanced Medicaid rates and billing/coverage for substance use disorder (SUD) and mental health services in underserved communities. The stated effect is to remove these statutory mandates.

Key provisions

  • Repeals 305 ILCS 5/5-5.05g (removed) — which had required the Department of Healthcare and Family Services (HFS) to consult with stakeholders and members of the General Assembly on a plan to develop enhanced Medicaid rates for SUD treatment and mental health treatment in underserved communities.
  • Repeals 305 ILCS 5/5-5.14.5 (removed) — which had required HFS and the Department of Human Services (DHS) to collaborate to review coverage and billing requirements for substance use prevention, recovery services, and mental health services, with a goal of identifying disparities and streamlining billing/coverage to reduce administrative burden for providers and medical assistance beneficiaries.

Who is affected

  • State agencies: HFS and DHS — statutory duties removed (they may still act administratively but the specific statute-driven obligations end).
  • Medicaid program administrators and policymakers — removal of legislated consultation and review requirements.
  • Providers of SUD and mental health services (community behavioral health providers, recovery programs) — loss of a statutory channel intended to pursue enhanced rates and streamlined billing.
  • Medicaid enrollees (particularly in underserved communities) — potential indirect effects on access to services if the action reduces momentum toward enhanced rates or streamlined billing.
  • Legislators and stakeholders previously engaged under the repealed provisions — will no longer be entitled to the specified consultation process under statute.

Potential impact / considerations

  • Policy process: Eliminates explicit legislative requirements that had promoted stakeholder input and interagency review around Medicaid rate enhancement and billing simplification for behavioral health services. Agencies could still pursue similar work by rule, policy, or informal collaboration, but without the statutory mandate.
  • Financial/budgetary effect: The repeal removes planning mandates but does not itself appropriate or cut specific spending; impacts on provider reimbursement or Medicaid expenditures would depend on subsequent administrative or budgetary actions.
  • Access and administrative burden: Repeal could slow or reduce structured efforts aimed at reducing administrative burdens and addressing coverage disparities unless replaced by agency-led initiatives or new legislation.

Note: The bill’s official text and legislative history show final enactment with an effective date of January 1, 2026. (The package of documents supplied also included unrelated materials from another state’s bill concerning DUI law; the operative provisions summarized above reflect the Illinois Public Aid Code changes in HB 2728.)

Compiled from official sources — confirm details with the bill’s official record.

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