Illinois HB 5315: MENTAL HLTH WORKFORCE-ACT RATE

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
HB5315

Introduced 2/10/2026, by Rep. Dagmara Avelar 

SYNOPSIS AS INTRODUCED:

305 ILCS 66/20-10

 Amends the Rebuild Illinois Mental Health Workforce Act. Provides that, subject to federal approval, for dates of service on and after July 1, 2026, the Medicaid reimbursement rates for Assertive Community Treatment and Community Support Team services shall be increased by an amount appropriated for the purposes enumerated in the Act. Effective July 1, 2026.

LRB104 20593 KTG 34083 b

A BILL FOR

HB5315LRB104 20593 KTG 34083 b

1 AN ACT concerning public aid.

2 Be it enacted by the People of the State of Illinois, 

3represented in the General Assembly:

4 Section 5. The Rebuild Illinois Mental Health Workforce 

5Act is amended by changing Section 20-10 as follows:

6 (305 ILCS 66/20-10)

7 Sec. 20-10. Medicaid funding for community mental health 

8services. Medicaid funding for the specific community mental 

9health services listed in this Act shall be adjusted and paid 

10as set forth in this Act. Such payments shall be paid in 

11addition to the base Medicaid reimbursement rate and add-on 

12payment rates per service unit. 

13 (a) The following payment adjustments shall begin on July 

141, 2022 for State Fiscal Year 2023 and shall continue for every 

15State fiscal year thereafter.

16 (1) Individual Therapy Medicaid Payment rate for 

17 services provided under the H0004 Code:

18 (A) The Medicaid total payment rate for individual 

19 therapy provided by a qualified mental health 

20 professional shall be increased by no less than $9 per 

21 service unit. 

22 (B) The Medicaid total payment rate for individual 

23 therapy provided by a mental health professiona