HB 4238 — MEDICAID-MENTAL HEALTH
Last action — Session Sine Die
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✓Introduced
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2In Committee
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3Passed House
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4Passed Senate
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5To Executive
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6Enacted
This bill died with 102nd Regular Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.
Summary
Creates the Rebuild Illinois Mental Health Workforce Act. Provides that the purpose of the Act is to preserve and expand access to Medicaid community mental health care in Illinois to prevent unnecessary hospitalizations and avoid the criminalization of mental health conditions. Establishes add-on payments for the following community mental health services to be paid beginning with State Fiscal Year 2023 and continuing for each State fiscal year thereafter: individual therapy services; community support-individual services; case management services; and assertive community treatment services. Requires monthly directed payments to community mental health providers of community support team services or assertive community treatment services. Provides that such directed payments shall be based on the number of Medicaid users, as defined, who receive services from the provider in the base year. Provides that the add-on payments established under the Act shall apply to Medicaid services provided by a contracted managed care organization or entity and services paid for directly by the Department of Healthcare and Family Services. Provides that no base Medicaid rate or Medicaid rate add-on payment or any other payment for the provision of Medicaid community mental health services in place on July 1, 2021 shall be diminished or changed to make the reimbursement changes required under the Act. Requires the Department to apply for federal approval to implement the Act. Provides that implementation of the add-on payments is conditioned on the receipt of federal financial participation for such payments. Effective immediately.
Bill Text
- Introduced View text Current pdf
Amendments
1 amendmentClick Show changes on an amendment above to see how it modifies the bill.
Action History
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Session Sine Die
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Added Co-Sponsor Rep. Randy E. Frese
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Rule 19(a) / Re-referred to Rules Committee
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House Committee Amendment No. 1 Rule 19(c) / Re-referred to Rules Committee
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Committee Deadline Extended-Rule 9(b) February 25, 2022
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Added Co-Sponsor Rep. Dave Severin
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Added Co-Sponsor Rep. Michael J. Zalewski
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Added Co-Sponsor Rep. Paul Jacobs
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Added Co-Sponsor Rep. Daniel Swanson
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Added Co-Sponsor Rep. Chris Bos
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House Committee Amendment No. 1 Rules Refers to Appropriations-Human Services Committee
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Added Co-Sponsor Rep. Bradley Stephens
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Added Co-Sponsor Rep. Emanuel Chris Welch
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Added Co-Sponsor Rep. Sam Yingling
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House Committee Amendment No. 1 Referred to Rules Committee
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House Committee Amendment No. 1 Filed with Clerk by Rep. Greg Harris
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Added Co-Sponsor Rep. William Davis
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Assigned to Appropriations-Human Services Committee
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Added Co-Sponsor Rep. Thomas M. Bennett
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Added Co-Sponsor Rep. Steven Reick
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Added Co-Sponsor Rep. Jim Durkin
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Added Co-Sponsor Rep. Jaime M. Andrade, Jr.
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Added Co-Sponsor Rep. Dave Vella
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Referred to Rules Committee
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First Reading
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Added Co-Sponsor Rep. Jay Hoffman
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Added Co-Sponsor Rep. Lamont J. Robinson, Jr.
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Added Co-Sponsor Rep. Dan Brady
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Added Co-Sponsor Rep. Stephanie A. Kifowit
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Added Co-Sponsor Rep. La Shawn K. Ford
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Added Co-Sponsor Rep. Will Guzzardi
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Added Co-Sponsor Rep. Maura Hirschauer
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Added Co-Sponsor Rep. Lawrence Walsh, Jr.
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Added Co-Sponsor Rep. Janet Yang Rohr
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Added Co-Sponsor Rep. Dagmara Avelar
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Added Co-Sponsor Rep. Kelly M. Burke
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Added Co-Sponsor Rep. Joyce Mason
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Added Co-Sponsor Rep. Camille Y. Lilly
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Added Co-Sponsor Rep. Jeff Keicher
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Added Co-Sponsor Rep. Deanne M. Mazzochi
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Added Co-Sponsor Rep. Angelica Guerrero-Cuellar
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Added Co-Sponsor Rep. Amy Grant
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Added Co-Sponsor Rep. Jackie Haas
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Added Co-Sponsor Rep. Norine K. Hammond
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Added Co-Sponsor Rep. Aaron M. Ortiz
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Added Co-Sponsor Rep. Patrick Windhorst
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Added Co-Sponsor Rep. Bob Morgan
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Added Co-Sponsor Rep. Amy Elik
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Added Co-Sponsor Rep. Denyse Wang Stoneback
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Added Co-Sponsor Rep. Sue Scherer
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Added Co-Sponsor Rep. Katie Stuart
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Added Co-Sponsor Rep. Frances Ann Hurley
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Added Co-Sponsor Rep. Michael Kelly
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Added Co-Sponsor Rep. Maurice A. West, II
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Added Co-Sponsor Rep. Charles Meier
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Added Co-Sponsor Rep. Tim Butler
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Added Co-Sponsor Rep. Suzanne Ness
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Added Co-Sponsor Rep. Terra Costa Howard
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Added Co-Sponsor Rep. Delia C. Ramirez
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Added Co-Sponsor Rep. Justin Slaughter
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Added Co-Sponsor Rep. Natalie A. Manley
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Added Co-Sponsor Rep. Ann M. Williams
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Added Co-Sponsor Rep. Michael Halpin
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Added Co-Sponsor Rep. Theresa Mah
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Added Co-Sponsor Rep. Daniel Didech
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Added Co-Sponsor Rep. Anne Stava-Murray
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Added Co-Sponsor Rep. Jennifer Gong-Gershowitz
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Added Co-Sponsor Rep. Lindsey LaPointe
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Added Co-Sponsor Rep. Kelly M. Cassidy
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Added Co-Sponsor Rep. Lakesia Collins
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Added Co-Sponsor Rep. Barbara Hernandez
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Added Co-Sponsor Rep. Kathleen Willis
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Added Co-Sponsor Rep. Margaret Croke
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Added Co-Sponsor Rep. Anna Moeller
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Added Co-Sponsor Rep. Michelle Mussman
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Added Co-Sponsor Rep. Mark L. Walker
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Added Co-Sponsor Rep. Robyn Gabel
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Added Co-Sponsor Rep. Ryan Spain
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Added Chief Co-Sponsor Rep. Kambium Buckner
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Added Chief Co-Sponsor Rep. Deb Conroy
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Added Chief Co-Sponsor Rep. Elizabeth Hernandez
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Added Chief Co-Sponsor Rep. Tom Demmer
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Filed with the Clerk by Rep. Greg Harris
Sponsors
- Greg Harris · Primary
- Tom Demmer · Cosponsor
- Deb Conroy · Cosponsor
- Kam Buckner · Cosponsor
- Ryan Spain · Cosponsor
- Robyn Gabel · Cosponsor
- Mark L. Walker · Cosponsor
- Michelle Mussman · Cosponsor
- Anna Moeller · Cosponsor
- Margaret Croke · Cosponsor
- Kathleen Willis · Cosponsor
- Barbara Hernandez · Cosponsor
- Lakesia Collins · Cosponsor
- Kelly M. Cassidy · Cosponsor
- Lindsey LaPointe · Cosponsor
- Jennifer Gong-Gershowitz · Cosponsor
- Anne Stava · Cosponsor
- Daniel Didech · Cosponsor
- Theresa Mah · Cosponsor
- Michael W. Halpin · Cosponsor
- Ann M. Williams · Cosponsor
- Natalie A. Manley · Cosponsor
- Justin Slaughter · Cosponsor
- Delia C. Ramirez · Cosponsor
- Suzanne M. Ness · Cosponsor
- Tim Butler · Cosponsor
- Charles Meier · Cosponsor
- II Maurice A. West · Cosponsor
- Michael J. Kelly · Cosponsor
- Frances Ann Hurley · Cosponsor
- Katie Stuart · Cosponsor
- Sue Scherer · Cosponsor
- Denyse Wang Stoneback · Cosponsor
- Amy Elik · Cosponsor
- Bob Morgan · Cosponsor
- Patrick Windhorst · Cosponsor
- Aarón M. Ortíz · Cosponsor
- Norine K. Hammond · Cosponsor
- Jackie Haas · Cosponsor
- Amy L. Grant · Cosponsor
- Angelica Guerrero-Cuellar · Cosponsor
- Deanne M. Mazzochi · Cosponsor
- Jeff Keicher · Cosponsor
- Camille Y. Lilly · Cosponsor
- Joyce Mason · Cosponsor
- Kelly M. Burke · Cosponsor
- Dagmara Avelar · Cosponsor
- Jr. Lawrence "Larry" Walsh · Cosponsor
- Maura Hirschauer · Cosponsor
- Will Guzzardi · Cosponsor
- La Shawn K. Ford · Cosponsor
- Stephanie A. Kifowit · Cosponsor
- Dan Brady · Cosponsor
- Jr. Lamont J. Robinson · Cosponsor
- Janet Yang Rohr · Cosponsor
- Terra Costa Howard · Cosponsor
- Elizabeth "Lisa" Hernandez · Cosponsor
- Jay Hoffman · Cosponsor
- Dave Vella · Cosponsor
- Jr. Jaime M. Andrade · Cosponsor
- Jim Durkin · Cosponsor
- Steven Reick · Cosponsor
- Thomas M. Bennett · Cosponsor
- William "Will" Davis · Cosponsor
- Sam Yingling · Cosponsor
- Brad Stephens · Cosponsor
- Chris Bos · Cosponsor
- Dan Swanson · Cosponsor
- Paul Jacobs · Cosponsor
- Michael J. Zalewski · Cosponsor
- Dave Severin · Cosponsor
- Randy E. Frese · Cosponsor
- Emanuel "Chris" Welch · Cosponsor
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 72 co-sponsors · 110 not signed on
Sponsors (1)
- Greg Harris
Co-sponsors (72)
- Tom Demmer
- Deb Conroy
- Kam Buckner Democrat
- Ryan Spain Republican
- Robyn Gabel Democrat
- Mark L. Walker Democrat
- Michelle Mussman Democrat
- Anna Moeller Democrat
- Margaret Croke Democrat
- Kathleen Willis
- Barbara Hernandez Democrat
- Lakesia Collins Democrat
- Kelly M. Cassidy Democrat
- Lindsey LaPointe Democrat
- Jennifer Gong-Gershowitz Democrat
- Anne Stava Democrat
- Daniel Didech Democrat
- Theresa Mah Democrat
- Michael W. Halpin Democrat
- Ann M. Williams Democrat
- Natalie A. Manley Democrat
- Justin Slaughter Democrat
- Delia C. Ramirez
- Suzanne M. Ness Democrat
- Tim Butler
- Charles Meier Republican
- Maurice A. West, II Democrat
- Michael J. Kelly Democrat
- Frances Ann Hurley
- Katie Stuart Democrat
- Sue Scherer Democrat
- Denyse Wang Stoneback
- Amy Elik Republican
- Bob Morgan Democrat
- Patrick Windhorst Republican
- Aarón M. Ortíz Democrat
- Norine K. Hammond Republican
- Jackie Haas Republican
- Amy L. Grant Republican
- Angelica Guerrero-Cuellar Democrat
- Deanne M. Mazzochi
- Jeff Keicher Republican
- Camille Y. Lilly Democrat
- Joyce Mason Democrat
- Kelly M. Burke
- Dagmara Avelar Democrat
- Lawrence "Larry" Walsh, Jr. Democrat
- Maura Hirschauer Democrat
- Will Guzzardi Democrat
- La Shawn K. Ford Democrat
- Stephanie A. Kifowit Democrat
- Dan Brady
- Lamont J. Robinson, Jr.
- Janet Yang Rohr Democrat
- Terra Costa Howard Democrat
- Elizabeth "Lisa" Hernandez Democrat
- Jay Hoffman Democrat
- Dave Vella Democrat
- Jaime M. Andrade, Jr. Democrat
- Jim Durkin
- Steven Reick Republican
- Thomas M. Bennett
- William "Will" Davis Democrat
- Sam Yingling
- Brad Stephens Republican
- Chris Bos
- Dan Swanson Republican
- Paul Jacobs Republican
- Michael J. Zalewski
- Dave Severin Republican
- Randy E. Frese
- Emanuel "Chris" Welch Democrat
Not signed on (110)
110 members have not signed on to this bill.
Show all 110 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Subjects
Frequently asked questions
- What does HB 4238 do?
- Creates the Rebuild Illinois Mental Health Workforce Act. Provides that the purpose of the Act is to preserve and expand access to Medicaid community mental health care in Illinois to prevent unnecessary hospitalizations and avoid the criminalization of mental health conditions. Establishes add-on payments for the following community mental health services to be paid beginning with State Fiscal Year 2023 and continuing for each State fiscal year thereafter: individual therapy services; community support-individual services; case management services; and assertive community treatment services. Requires monthly directed payments to community mental health providers of community support team services or assertive community treatment services. Provides that such directed payments shall be based on the number of Medicaid users, as defined, who receive services from the provider in the base year. Provides that the add-on payments established under the Act shall apply to Medicaid services provided by a contracted managed care organization or entity and services paid for directly by the Department of Healthcare and Family Services. Provides that no base Medicaid rate or Medicaid rate add-on payment or any other payment for the provision of Medicaid community mental health services in place on July 1, 2021 shall be diminished or changed to make the reimbursement changes required under the Act. Requires the Department to apply for federal approval to implement the Act. Provides that implementation of the add-on payments is conditioned on the receipt of federal financial participation for such payments. Effective immediately.
- Who sponsors HB 4238?
- HB 4238 is sponsored by Greg Harris, Tom Demmer, Deb Conroy, Kam Buckner (Democrat), Ryan Spain (Republican), Robyn Gabel (Democrat), Mark L. Walker (Democrat), Michelle Mussman (Democrat), Anna Moeller (Democrat), Margaret Croke (Democrat), Kathleen Willis, Barbara Hernandez (Democrat), Lakesia Collins (Democrat), Kelly M. Cassidy (Democrat), Lindsey LaPointe (Democrat), Jennifer Gong-Gershowitz (Democrat), Anne Stava (Democrat), Daniel Didech (Democrat), Theresa Mah (Democrat), Michael W. Halpin (Democrat), Ann M. Williams (Democrat), Natalie A. Manley (Democrat), Justin Slaughter (Democrat), Delia C. Ramirez, Suzanne M. Ness (Democrat), Tim Butler, Charles Meier (Republican), Maurice A. West, II (Democrat), Michael J. Kelly (Democrat), Frances Ann Hurley, Katie Stuart (Democrat), Sue Scherer (Democrat), Denyse Wang Stoneback, Amy Elik (Republican), Bob Morgan (Democrat), Patrick Windhorst (Republican), Aarón M. Ortíz (Democrat), Norine K. Hammond (Republican), Jackie Haas (Republican), Amy L. Grant (Republican), Angelica Guerrero-Cuellar (Democrat), Deanne M. Mazzochi, Jeff Keicher (Republican), Camille Y. Lilly (Democrat), Joyce Mason (Democrat), Kelly M. Burke, Dagmara Avelar (Democrat), Lawrence "Larry" Walsh, Jr. (Democrat), Maura Hirschauer (Democrat), Will Guzzardi (Democrat), La Shawn K. Ford (Democrat), Stephanie A. Kifowit (Democrat), Dan Brady, Lamont J. Robinson, Jr., Janet Yang Rohr (Democrat), Terra Costa Howard (Democrat), Elizabeth "Lisa" Hernandez (Democrat), Jay Hoffman (Democrat), Dave Vella (Democrat), Jaime M. Andrade, Jr. (Democrat), Jim Durkin, Steven Reick (Republican), Thomas M. Bennett, William "Will" Davis (Democrat), Sam Yingling, Brad Stephens (Republican), Chris Bos, Dan Swanson (Republican), Paul Jacobs (Republican), Michael J. Zalewski, Dave Severin (Republican), Randy E. Frese, and Emanuel "Chris" Welch (Democrat).
- What is the current status of HB 4238?
- This bill died with 102nd Regular Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
- Where can I track HB 4238?
- Track HB 4238 free on One Click Politics — get push/email alerts when it moves.
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