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---
type: "Bill"
title: "DHFS-SUBSTANCE USE TREATMENT"
description: "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."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "104th"
identifier: "SB 1774"
citation: "Illinois SB 1774 (104th)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Laura Fine", "Lindsey LaPointe"]
version_count: 3
action_count: 27
vote_count: 4
first_action: "2025-02-06"
last_action: "2025-08-01"
source: "openstates"
source_identifier: "ocd-bill/473257c4-6977-4e36-9df2-5ea6c5d9aad3"
source_url: "https://ilga.gov/Legislation/BillStatus?DocNum=1774&GAID=18&DocTypeID=SB&LegId=160909&SessionID=114"
source_hash: "1ad7742f657069461b87fc781e36a483040cbd2e560bddfd20f14baf5708eda7"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-il"]
---
# Illinois SB 1774 (104th) — DHFS-SUBSTANCE USE TREATMENT
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.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **Introduced** (filed) — [source](https://ilga.gov/documents/legislation/104/SB/PDF/10400SB1774.pdf)
2. **Engrossed** (committee substitute) — [source](https://ilga.gov/documents/legislation/104/SB/PDF/10400SB1774eng.pdf)
3. **Enrolled** (enrolled) — [source](https://ilga.gov/documents/legislation/104/SB/PDF/10400SB1774enr.pdf)
## Votes
- Third Reading — **1150** (pass) · lower
- Human Services — **100** (pass) · lower
- Health and Human Services — **100** (pass) · upper
- Third Reading — **560** (pass) · upper
## Sponsors
- Laura Fine — primary (person)
- Lindsey LaPointe — primary (person)
- Graciela Guzmán — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2025-02-06** Filed with Secretary by Sen. Laura Fine `filing`
- **2025-02-06** First Reading `reading-1`
- **2025-02-06** Referred to Assignments
- **2025-02-25** Assigned to Health and Human Services `referral-committee`
- **2025-03-05** Do Pass Health and Human Services; 010-000-000
- **2025-03-05** Placed on Calendar Order of 2nd Reading March 6, 2025 `reading-2`
- **2025-03-19** Second Reading `reading-2`
- **2025-03-19** Placed on Calendar Order of 3rd Reading March 20, 2025
- **2025-04-04** Placed on Calendar Order of 3rd Reading **
- **2025-04-09** Placed on Calendar Order of 3rd Reading
- **2025-04-09** Third Reading - Passed; 056-000-000 `passage, reading-3`
- **2025-04-09** Arrived in House `introduction`
- **2025-04-09** Chief House Sponsor Rep. Lindsey LaPointe
- **2025-04-09** First Reading `reading-1`
- **2025-04-09** Referred to Rules Committee
- **2025-04-17** Assigned to Human Services Committee `referral-committee`
- **2025-04-23** Do Pass / Short Debate Human Services Committee; 010-000-000
- **2025-04-23** Placed on Calendar 2nd Reading - Short Debate `reading-2`
- **2025-05-16** Second Reading - Short Debate `reading-2`
- **2025-05-16** Placed on Calendar Order of 3rd Reading - Short Debate
- **2025-05-22** Third Reading - Short Debate - Passed 115-000-000 `passage, reading-3`
- **2025-05-22** Passed Both Houses
- **2025-05-27** Added as Co-Sponsor Sen. Graciela Guzmán
- **2025-06-20** Sent to the Governor `executive-receipt`
- **2025-08-01** Governor Approved `executive-signature`
- **2025-08-01** Effective Date January 1, 2026
- **2025-08-01** Public Act . . . . . . . . . 104-0122 `became-law`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/473257c4-6977-4e36-9df2-5ea6c5d9aad3`. Confidence: reported (aggregated from official Illinois legislature records).