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SB 2421

Public funds depositories; authorize certain credit unions to qualify as.

2025 Regular Session Introduced by John Horhn

Illinois will establish a state PRTF program to certify and reimburse subacute inpatient psychiatric care for youths under 21, with federal Medicaid alignment.

Died In Committee
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Bill Summary · SB 2421

SB 2421 — Psychiatric Residential Treatment Facilities (PRTF) Act

Note: source documents provided for SB 2421 concern creation of a Psychiatric Residential Treatment Facilities (PRTF) program. (There is conflicting metadata in the packet that lists a different short title and a “Died In Committee” status; legislative action records and enrolled text show the PRTF Act passed both houses, was sent to the Governor, and enacted as Public Act 104‑0147, effective August 1, 2025.)

Purpose

Establish an Illinois PRTF program within the Department of Healthcare and Family Services (HFS) to certify and reimburse non‑hospital, inpatient subacute psychiatric treatment for persons under age 21 (and in limited cases until age 22), and to align state rules and oversight with applicable federal Medicaid/PRTF requirements.

Key provisions

  • Definitions: establishes terms (PRTF, emergency safety intervention, serious occurrences, subacute psychiatric services) consistent with federal rules (42 CFR Subparts D & G).
  • Program establishment: HFS must create an Illinois PRTF program that is family‑driven, youth‑guided, trauma‑informed, and includes youth/family participation in care planning and program design.
  • Medicaid coverage: HFS must submit a State Plan Amendment to CMS by January 1, 2026 to secure Medicaid coverage for federally authorized, medically necessary PRTF services for beneficiaries under age 21.
  • Rules and certification: HFS shall adopt rules to implement the program. Minimum rule requirements include:
    • Provider certification/participation standards consistent with federal law (42 CFR 441. Subpart D; 483 Subpart G).
    • Monitoring and oversight, including scheduled and unannounced on‑site reviews; an on‑site review is required prior to service start and at least annually thereafter.
    • Utilization management and medical necessity review processes (initial and continued stay reviews).
    • Bed cap: no more than 40 beds per PRTF unless the HFS Director grants a written waiver.
    • Limits on the number of new PRTFs certified in a state fiscal year.
    • Facility standards: PRTFs must be standalone, non‑hospital entities (not physically attached/adjacent to other congregate care).
    • State Survey Agency (Dept. of Public Health) survey requirement to confirm compliance with Conditions of Participation.
    • Accreditation requirement from recognized organizations (Joint Commission, CARF, COA, or comparable) as per 42 CFR 441.151.
    • Reporting: emergency safety interventions (restraint/seclusion) and serious occurrences (serious injury, suicide attempt, death) must be reported to HFS and the State‑designated Protection & Advocacy System by close of business the next business day.
  • Capacity analysis: HFS must establish and regularly update a statewide PRTF capacity methodology analyzing Medicaid service utilization, geographic need/surplus, out‑of‑state placement patterns, and provide recommendations to avoid facility concentration and improve family access.
  • Advisory committee: establishes a PRTF Advisory Committee to review and advise on policies, program design, monitoring, and implementation.
  • Transparency: HFS required to publish counts of reported emergency safety interventions and serious occurrences by state fiscal year and quarter.
  • Conforming changes: makes conforming edits to other Illinois statutes governing mental health and child care programs.

Who is affected

  • Primary: Medicaid (Illinois Medical Assistance) beneficiaries under 21 needing subacute inpatient psychiatric care and their families/guardians.
  • Providers: entities seeking to operate certified PRTFs (subject to certification, accreditation, surveys, bed and facility-type limits).
  • State agencies: Department of Healthcare and Family Services (program design, certification, reporting, SPM submission), Department of Public Health (survey/inspection), and Protection & Advocacy system.
  • Communities: impacts distribution of PRTF capacity and family access to care across the state.

Timeline & implementation

  • Legislative record indicates bill was enacted as Public Act 104‑0147 and effective August 1, 2025.
  • HFS must submit a CMS State Plan Amendment by January 1, 2026 to obtain federal Medicaid reimbursement for PRTF services.

Notes / Discrepancies

  • The metadata supplied to the summary request included a different short title (public funds depositories / credit unions) and a “Died In Committee” status. The enrolled/engrossed texts and legislative actions in the packet consistently describe the PRTF Act, show passage, Governor approval, and an effective date (Public Act 104‑0147, effective Aug 1, 2025). Users should treat the PRTF Act text and the legislative action history as the controlling information and disregard the inconsistent title/status metadata.

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

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