HB5740 104TH GENERAL ASSEMBLY

LRB104 21070 BAB 35142 b

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.

A BILL FOR

AN ACT concerning regulation.

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

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

(210 ILCS 34/3-10 new)

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

(a) The General Assembly finds that:

(1) Certified Community Behavioral Health Clinics improve access to comprehensive, community-based behavioral health services, including crisis services, care coordination, and integrated treatment for mental health and substance use disorders;

(2) the federal Substance Abuse and Mental Health Services Administration has awarded time-limited grants to behavioral health providers certified as CCBHCs to implement and demonstrate the CCBHC model;

(3) the long-term sustainability of federally certified CCBHCs requires stable Medicaid reimbursement through participation in the Illinois Certified Community Behavioral Health Clinic Medicaid Demonstration program; and

(4) it is in the public interest to preserve and sustain existing federally certified CCBHC capacity rather than allow services to terminate at the conclusion of federal grant funding.

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

(b) As used in this Section:

"CCBHC" means Certified Community Behavioral Health Clinic.

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

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

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

(1) the provider is currently certified as a Certified Community Behavioral Health Clinic by SAMHSA;

(2) the provider was in existence on January 1, 2026 and is actively receiving a federal CCBHC grant from SAMHSA;

(3) the provider is located in Illinois and provides services to Illinois Medicaid beneficiaries; and

(4) the provider demonstrates compliance with all federal CCBHC certification requirements and applicable State Medicaid participation requirements.

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

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

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

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

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

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