MEDICAID-MENTAL HEALTH CRISIS

Illinois General Assembly - Full Text of HB4495

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HB4495 - 104th General Assembly

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104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026
HB4495

Introduced 1/20/2026, by Rep. Lindsey LaPointe

SYNOPSIS AS INTRODUCED:

305 ILCS 5/5-37.5 new

Provides that the amendatory Act may be referred to as the Strengthen
Linkage to Follow-Up Care after a Behavioral Health Crisis Act. Amends the
Medical Assistance Article of the Illinois Public Aid Code. Provides that
for purposes of timely linking an individual to follow-up mental health
care immediately after a behavioral health crisis, when mobile crisis
response services are provided to someone in a behavioral health crisis,
the Illinois Medicaid-Crisis Assessment Tool approved by the Department of
Healthcare and Family Services shall enable the delivery of community
support services, medication monitoring, and other specified services when
delivered by the same provider, for up to 30 days without beginning,
performing, or completing an integrated assessment and treatment plan.
Provides that such services shall be billed separate from mobile crisis
response services. Prohibits the Department from imposing more stringent
requirements on its Illinois Medicaid-Crisis Assessment Tool than those
requirements that exist on the effective date of the amendatory Act, as
long as the services provided are delivered under the supervision of a
licensed practitioner of the healing arts. Requires the Department to file
any rules necessary to implement the amendatory Act. Effective
immediately.
LRB104 17166 KTG 30585 b

A BILL FOR

HB4495
LRB104 17166 KTG 30585 b
1

AN ACT concerning public aid.

2

Be it enacted by the People of the State of Illinois,
3
represented in the General Assembly:

4

Section 1.
This Act may be referred to as the Strengthen
5
Linkage to Follow-Up Care after a Behavioral Health Crisis
6
Act.

7

Section 5.
The Illinois Public Aid Code is amended by
8
adding Section 5-37.5 as follows:

9

(305 ILCS 5/5-37.5 new)
10

Sec. 5-37.5.
Strengthen linkage to follow-up care after a
11
behavioral health crisis.
12

(a) Purpose. The purpose of this Section is to strengthen
13
access to immediate follow-up treatment after a child or adult
14
experiences a mental health or substance use crisis and
15
eliminate administrative barriers that impede timely linkage
16
to care.
17

(b) Bridging treatment lags between crisis services and
18
follow-up mental health services. For purposes of timely
19
linking an individual to follow-up mental health care
20
immediately after a behavioral health crisis, when mobile
21
crisis response services, as defined in 89 Ill. Adm. Code
22
140.453(d)(3), are provided to someone in a behavioral health

HB4495
- 2 -
LRB104 17166 KTG 30585 b
1
crisis, the Department-approved Illinois Medicaid-Crisis
2
Assessment Tool shall enable delivery of the services listed
3
below when delivered by the same provider, for up to 30 days
4
without beginning, performing, or completing an integrated
5
assessment and treatment plan:
6

(1) Community support services, as defined in 89 Ill.
7

Adm. Code 140.453(d)(2)(A).
8

(2) Medication administration, as defined in 89 Ill.
9

Adm. Code 140.453(d)(2)(C).
10

(3) Medication monitoring, as defined in 89 Ill. Adm.
11

Code 140.453(d)(2)(D).
12

(4) Medication training, as defined in 89 Ill. Adm.
13

Code 140.453(d)(2)(E).
14

(5) Targeted case management services, as defined in
15

89 Ill. Adm. Code 140.453(e).
16

The services listed in paragraphs (1) through (5) shall be
17
billed separate from mobile crisis response services.
18

(c) For purposes of this Section, no more stringent
19
requirements for the Illinois Medicaid-Crisis Assessment Tool
20
shall be imposed by the Department than those requirements
21
that exist on the effective date of this amendatory Act of the
22
104th General Assembly, as long as the services provided in
23
accordance with this Section are delivered under the
24
supervision of a licensed practitioner of the healing arts.

25

(d) The Department shall file any rule necessary to
26
implement the provisions of this Section within 6 months after

HB4495
- 3 -
LRB104 17166 KTG 30585 b
1
the effective date of this amendatory Act of the 104th General
2
Assembly.

3

Section 99.
Effective date.
This Act takes effect upon
4
becoming law.

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