Illinois 104th General Assembly Status: Introduced 5 D cosponsors

HB4785      — DHS-BEHAVIORAL HLTH SURCHARGE

Last action — Added Co-Sponsor Rep. Kevin John Olickal

  1. 1
    Introduced
  2. 2
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill has been introduced in the House. Introduced February 02, 2026. It must pass committee before a floor vote.

Next likely step: a committee referral and hearing.

Prognosis

Advancing 36% · moderate confidence

Where this bill stands today.

Odds of enactment

Low

How often bills like it became law.

  • Introduced

    Current position in the legislative process.

  • 5 sponsors

    1 primary, 4 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (5 D).

  • Cleared a recorded vote

    Passed 1 recorded vote so far.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Summary

Creates the Preventing Crisis Cost Shifting to Medicaid Act. Provides that the General Assembly finds that (i) behavioral health crisis services, including crisis call centers, mobile crisis response, and crisis stabilization and receiving services, function as essential public health infrastructure and must be available statewide without regard to insurance status; and (ii) commercial health insurance policies issued or administered in the State generally do not provide comprehensive coverage for the full continuum of behavioral health crisis services, resulting in the cost of such services being disproportionately borne by Medicaid, local governments, and taxpayers. Requires specified entities (surcharge payors) that are authorized to issue or administer a policy or contract of accident and health insurance or a health maintenance organization contract in the State to pay a behavioral health crisis assessment to the Department of Human Services for deposit into the Statewide 9-8-8 Trust Fund. Exempts Medicaid managed care organizations from paying the behavioral health crisis assessment. Permits the Department to update the total behavioral health crisis assessment amount as necessary to ensure the continued availability, quality, or geographic equity of the statewide behavioral health crisis system. Requires the Department to establish an appropriate mechanism for enforcing a surcharge payor's liability, which may include accrued interest on unpaid liabilities at a rate not to exceed 18% per annum and late fees or penalties at a rate not to exceed 5% per month. Provides that the enforcement mechanism may also include notification to the Department of Healthcare and Family Services to offset payments on the surcharge payor's claims. Provides that the Department of Human Services shall not direct the Department of Healthcare and Family Services to offset claims payments unless the surcharge payor has maintained an outstanding liability to the Statewide 9-8-8 Trust Fund for a period longer than 45 days and has received proper notice of pending enforcement.

Bill Text

We don't have the full text on file for this bill yet.

Read HB4785 on the official Illinois source →

Action History

  1. Added Co-Sponsor Rep. Kevin John Olickal

  2. Added Co-Sponsor Rep. Ann M. Williams

  3. House Floor Amendment No. 2 Rule 19(c) / Re-referred to Rules Committee

  4. Rule 19(a) / Re-referred to Rules Committee

  5. House Floor Amendment No. 2 Rules Refers to Human Services Committee

  6. House Floor Amendment No. 2 Referred to Rules Committee

  7. House Floor Amendment No. 2 Filed with Clerk by Rep. Lindsey LaPointe

  8. Added Co-Sponsor Rep. Dagmara Avelar

  9. Held on Calendar Order of Second Reading - Short Debate

  10. Second Reading - Short Debate

  11. Placed on Calendar 2nd Reading - Short Debate

  12. Do Pass as Amended / Short Debate Human Services Committee; 008-004-000

  13. House Committee Amendment No. 1 Adopted in Human Services Committee; by Voice Vote

  14. Added Co-Sponsor Rep. Nicolle Grasse

  15. House Committee Amendment No. 1 Rules Refers to Human Services Committee

  16. House Committee Amendment No. 1 Referred to Rules Committee

  17. House Committee Amendment No. 1 Filed with Clerk by Rep. Lindsey LaPointe

  18. Assigned to Human Services Committee

  19. Referred to Rules Committee

  20. First Reading

  21. Filed with the Clerk by Rep. Lindsey LaPointe

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 4 co-sponsors · 178 not signed on · 4 voted No

Sponsors (1)

Co-sponsors (4)

Not signed on (178)

178 members have not signed on to this bill.

Show all 178 →

"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.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Human Services

Passed 8 Yea · 4 Nay
Party YeaNayPresentNot Voting
Democrat 8000
Republican 0400
Total 8400
% of votes cast 67%33%0%0%
How each member voted (12)
Member Party Vote
Amy Briel Democrat Yea
Anna Moeller Democrat Yea
Kelly M. Cassidy Democrat Yea
Lindsey LaPointe Democrat Yea
Margaret A. DeLaRosa Democrat Yea
Nicolle Grasse Democrat Yea
Suzanne M. Ness Democrat Yea
Yolonda Morris Democrat Yea
Charles Meier Republican Nay
Jackie Haas Republican Nay
Kevin Schmidt Republican Nay
Norine K. Hammond Republican Nay

Official roll call →

Subjects

public-safety healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does HB4785      do?
Creates the Preventing Crisis Cost Shifting to Medicaid Act. Provides that the General Assembly finds that (i) behavioral health crisis services, including crisis call centers, mobile crisis response, and crisis stabilization and receiving services, function as essential public health infrastructure and must be available statewide without regard to insurance status; and (ii) commercial health insurance policies issued or administered in the State generally do not provide comprehensive coverage for the full continuum of behavioral health crisis services, resulting in the cost of such services being disproportionately borne by Medicaid, local governments, and taxpayers. Requires specified entities (surcharge payors) that are authorized to issue or administer a policy or contract of accident and health insurance or a health maintenance organization contract in the State to pay a behavioral health crisis assessment to the Department of Human Services for deposit into the Statewide 9-8-8 Trust Fund. Exempts Medicaid managed care organizations from paying the behavioral health crisis assessment. Permits the Department to update the total behavioral health crisis assessment amount as necessary to ensure the continued availability, quality, or geographic equity of the statewide behavioral health crisis system. Requires the Department to establish an appropriate mechanism for enforcing a surcharge payor's liability, which may include accrued interest on unpaid liabilities at a rate not to exceed 18% per annum and late fees or penalties at a rate not to exceed 5% per month. Provides that the enforcement mechanism may also include notification to the Department of Healthcare and Family Services to offset payments on the surcharge payor's claims. Provides that the Department of Human Services shall not direct the Department of Healthcare and Family Services to offset claims payments unless the surcharge payor has maintained an outstanding liability to the Statewide 9-8-8 Trust Fund for a period longer than 45 days and has received proper notice of pending enforcement.
Who sponsors HB4785     ?
HB4785      is sponsored by Lindsey LaPointe (Democrat), Nicolle Grasse (Democrat), Dagmara Avelar (Democrat), Ann M. Williams (Democrat), and Kevin John Olickal (Democrat).
What is the current status of HB4785     ?
This bill has been introduced in the House. Introduced February 02, 2026. It must pass committee before a floor vote.
Where can I track HB4785     ?
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Last checked for changes 3 months ago · updated continuously

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