CCBHC DEMONSTRATION PROGRAM

Illinois General Assembly - Full Text of HB5740

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104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026
HB5740

Introduced 4/7/2026, by Rep. Katie Stuart

SYNOPSIS AS INTRODUCED:

210 ILCS 34/3-10 new

Amends the Illinois Certified Community Behavioral Health Clinics
Act. Establishes a limited and targeted expansion mechanism to admit
certain federally certified Community Behavioral Health Clinics into the
Illinois Certified Community Behavioral Health Clinic Medicaid
Demonstration program. Provides that the Illinois CCBHC prospective
payment system methodology, as specified, shall be used to reimburse
providers under the program. Prohibits the general expansion of the
Illinois Certified Community Behavioral Health Clinic Medicaid
Demonstration program beyond providers meeting the established eligibility
criteria. Grants the Department of Healthcare and Family Services
rulemaking authority, so long as the rules do not impose additional
eligibility requirements beyond those expressly stated. Effective
immediately.
LRB104 21070 BAB 35142 b

A BILL FOR

HB5740
LRB104 21070 BAB 35142 b
1

AN ACT concerning regulation.

2

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

4

Section 5.
The Illinois Certified Community Behavioral
5
Health Clinics Act is amended by Section 3-10 as follows:

6

(210 ILCS 34/3-10 new)
7

Sec. 3-10.
Expansion of the Illinois Certified Community
8
Behavioral Health Clinic Medicaid Demonstration program.
9

(a) The General Assembly finds that:
10

(1) Certified Community Behavioral Health Clinics
11

improve access to comprehensive, community-based
12

behavioral health services, including crisis services,
13

care coordination, and integrated treatment for mental
14

health and substance use disorders;
15

(2) the federal Substance Abuse and Mental Health
16

Services Administration has awarded time-limited grants to
17

behavioral health providers certified as CCBHCs to
18

implement and demonstrate the CCBHC model;
19

(3) the long-term sustainability of federally
20

certified CCBHCs requires stable Medicaid reimbursement
21

through participation in the Illinois Certified Community
22

Behavioral Health Clinic Medicaid Demonstration program;
23

and

HB5740
- 2 -
LRB104 21070 BAB 35142 b
1

(4) it is in the public interest to preserve and
2

sustain existing federally certified CCBHC capacity rather
3

than allow services to terminate at the conclusion of
4

federal grant funding.

5

The purpose of this Section is to establish a limited and
6
targeted expansion mechanism to admit certain federally
7
certified CCBHCs into the Illinois Certified Community
8
Behavioral Health Clinic Medicaid Demonstration program.

9

(b) As used in this Section:
10

"CCBHC" means Certified Community Behavioral Health
11
Clinic.
12

"Department" means the Department of Healthcare and Family
13
Services.

14

"SAMHSA" means the federal Substance Abuse and Mental
15
Health Services Administration.

16

(c) Notwithstanding any other provision of law, a
17
behavioral health services provider shall be eligible and
18
admitted to the Illinois Certified Community Behavioral Health
19
Clinic Medicaid Demonstration program if the provider meets
20
all of the following criteria:
21

(1) the provider is currently certified as a Certified
22

Community Behavioral Health Clinic by SAMHSA;
23

(2) the provider was in existence on January 1, 2026
24

and is actively receiving a federal CCBHC grant from
25

SAMHSA;
26

(3) the provider is located in Illinois and provides

HB5740
- 3 -
LRB104 21070 BAB 35142 b
1

services to Illinois Medicaid beneficiaries; and
2

(4) the provider demonstrates compliance with all
3

federal CCBHC certification requirements and applicable
4

State Medicaid participation requirements.
5

(d) The Department of Healthcare and Family Services shall
6
approve participation in the Illinois Certified Community
7
Behavioral Health Clinic Medicaid Demonstration program for
8
any provider meeting the eligibility criteria in subsection
9
(c). Admission under this Section shall not be subject to
10
competitive selection, numerical caps, or discretionary
11
limitation.
12

(e) The Department shall ensure that admission to the
13
Illinois Certified Community Behavioral Health Clinic Medicaid
14
Demonstration program occurs no later than the end of the
15
provider's SAMHSA CCBHC grant period so that there is no lapse
16
in reimbursement or disruption of services.
17

(f) Providers admitted to the Illinois Certified Community
18
Behavioral Health Clinic Medicaid Demonstration program under
19
this Section shall be reimbursed using the Illinois CCBHC
20
prospective payment system methodology, consistent with
21
federal demonstration requirements and State plan or waiver
22
authority.
23

(g) Nothing in this Section shall be construed to
24
authorize general expansion of the Illinois Certified
25
Community Behavioral Health Clinic Medicaid Demonstration
26
program beyond providers meeting the criteria in subsection

HB5740
- 4 -
LRB104 21070 BAB 35142 b
1
(c).
2

(h) The Department may adopt rules necessary to implement
3
this Section, so long as the rules do not impose additional
4
eligibility requirements beyond those expressly stated in this
5
Section.

6

Section 99.
Effective date.
This Act takes effect upon
7
becoming law.

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