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---
type: "Bill"
title: "PSYCHIATRIC RESIDENTIAL FACILY"
description: "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."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "104th"
identifier: "SB 2421"
citation: "Illinois SB 2421 (104th)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Laura Fine", "Lindsey LaPointe"]
version_count: 3
action_count: 27
vote_count: 4
first_action: "2025-02-07"
last_action: "2025-08-01"
source: "openstates"
source_identifier: "ocd-bill/72b8bea4-dfcb-4b81-a14c-d68ade7d0624"
source_url: "https://ilga.gov/Legislation/BillStatus?DocNum=2421&GAID=18&DocTypeID=SB&LegId=162458&SessionID=114"
source_hash: "990d6f32811b45e6acfffe57a90823589608c8c4a782d2c5adf188a8b6d72e45"
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 2421 (104th) — PSYCHIATRIC RESIDENTIAL FACILY
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.
## 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/10400SB2421.pdf)
2. **Engrossed** (committee substitute) — [source](https://ilga.gov/documents/legislation/104/SB/PDF/10400SB2421eng.pdf)
3. **Enrolled** (enrolled) — [source](https://ilga.gov/documents/legislation/104/SB/PDF/10400SB2421enr.pdf)
## Votes
- Third Reading — **1130** (pass) · lower
- Health and Human Services — **73** (pass) · upper
- Third Reading — **550** (pass) · upper
- Approp-Health and Human Services — **180** (pass) · lower
## Sponsors
- Laura Fine — primary (person)
- Lindsey LaPointe — primary (person)
- Laura Faver Dias — cosponsor (person)
- Nicolle Grasse — cosponsor (person)
- Sara Feigenholtz — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2025-02-07** Filed with Secretary by Sen. Laura Fine `filing`
- **2025-02-07** First Reading `reading-1`
- **2025-02-07** Referred to Assignments
- **2025-03-04** Assigned to Health and Human Services `referral-committee`
- **2025-03-19** Do Pass Health and Human Services; 007-003-000
- **2025-03-19** Placed on Calendar Order of 2nd Reading March 20, 2025 `reading-2`
- **2025-03-20** Second Reading `reading-2`
- **2025-03-20** Placed on Calendar Order of 3rd Reading April 1, 2025
- **2025-04-09** Third Reading - Passed; 055-000-000 `passage, reading-3`
- **2025-04-09** Added as Chief Co-Sponsor Sen. Sara Feigenholtz
- **2025-04-09** Arrived in House `introduction`
- **2025-04-10** Chief House Sponsor Rep. Lindsey LaPointe
- **2025-04-10** First Reading `reading-1`
- **2025-04-10** Referred to Rules Committee
- **2025-04-17** Assigned to Appropriations-Health and Human Services Committee `referral-committee`
- **2025-05-01** Do Pass / Short Debate Appropriations-Health and Human Services Committee; 018-000-000
- **2025-05-01** Added Alternate Co-Sponsor Rep. Laura Faver Dias
- **2025-05-01** Placed on Calendar 2nd Reading - Short Debate `reading-2`
- **2025-05-14** Second Reading - Short Debate `reading-2`
- **2025-05-14** Placed on Calendar Order of 3rd Reading - Short Debate
- **2025-05-22** Added Alternate Co-Sponsor Rep. Nicolle Grasse
- **2025-05-22** Third Reading - Short Debate - Passed 113-000-000 `passage, reading-3`
- **2025-05-22** Passed Both Houses
- **2025-06-20** Sent to the Governor `executive-receipt`
- **2025-08-01** Governor Approved `executive-signature`
- **2025-08-01** Effective Date August 1, 2025
- **2025-08-01** Public Act . . . . . . . . . 104-0147 `became-law`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/72b8bea4-dfcb-4b81-a14c-d68ade7d0624`. Confidence: reported (aggregated from official Illinois legislature records).