Bill Text: IL HB5740 | 2025-2026 | 104th General Assembly | Introduced

---

Bill Title: 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.

Sponsorship: Partisan Bill (Democrat 1)

Status: (Introduced - Dead) 2026-04-07 - Referred to Rules Committee [HB5740 Detail]

Download: Illinois-2025-HB5740-Introduced.html

---

104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026HB5740 Introduced , 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
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

HB5740 - 2 - LRB104 21070 BAB 35142 b
(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

HB5740 - 3 - LRB104 21070 BAB 35142 b
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

HB5740 - 4 - LRB104 21070 BAB 35142 b
(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.