Governor Signs Bill Package Regarding Treatment for Mental Health and Substance Use Disorders

Gov. Bruce Rauner this week signed a bill package that increases access to mental health and substance use disorder treatment and addresses the state’s opioid crisis.

“We are taking steps to dramatically improve mental health and substance use disorder treatment for the people of Illinois,” Rauner said. “These five initiatives work together to improve the quality of care and hopefully, the quality of life for so many Illinoisans suffering from mental health and substance use disorders.”

Signed Wednesday:

• Senate Bill 1707 improves insurance companies’ coverage of mental health and substance use disorder treatments and strengthens the ability of the Department of Insurance to protect consumers.
• Senate Bill 682 allows providers to give immediate access to outpatient treatment by removing prior authorization barriers.
• Senate Bill 3049 expands access to behavioral and mental health experts for Medicaid patients by allowing them to utilize telehealth technology.

Signed Tuesday:

• Senate Bill 3023 partners law enforcement agencies with licensed substance abuse service providers.
• Senate Bill 2951 provides the Department of Healthcare and Family Services the opportunity to apply for a waiver that would allow treatment for serious mental illness on the first episode of psychosis.

“The Opioid Helpline has received over 5,000 calls in eight months,” Rauner said. “The State Police have trained approximately 1,600 officers in the use of NARCAN. And now, with this signing, we are reaffirming our efforts, putting Illinois on the path to becoming the nation’s leader in mental health and substance use disorder treatment.”

In a ceremony at Memorial Center for Learning & Innovation in Springfield on Wednesday, Rauner signed the bill package to improve the quality of care for Illinoisans with mental health and substance use disorders.

“This is no time for moral platitudes, judgment or shame,” Rauner said. “We are amid an opioid crisis in our state and around the country. We need comprehensive, evidence-based solutions. And that is what we have here today.”

Senate Bill 1707, passed with overwhelming bipartisan support, improves the scope and coverage of Illinois’ parity laws and provides clear enforcement power to the Department of Insurance (DOI). The legislation prohibits prior authorization and step-therapy requirements for FDA-approved medications to treat substance use disorders and requires generic medications be on the lowest-tier of prescription formularies.

“This law is putting the ability to treat people and get them well back in the hands of providers,” Rauner said. “It lets providers do their jobs saving lives.”

The legislation also prohibits exclusions of the prescription coverage and related support services for substance use disorders because they are court-ordered.

“These medications are a critical component in the state’s efforts to combat the opioid crisis and get people, including those who are ordered by the court to seek treatment, the help they need,” said DOI Director Jennifer Hammer. “This isn’t just about rules and regulations, it’s about not giving up on people.”

This legislation also aims to improve transparency by requiring insurance companies to make parity compliance information available via a public website.

“I applaud the Illinois legislature and Gov. Rauner for enacting this landmark parity legislation, which will hold insurers accountable for complying with state and federal mental health parity laws,” said former Congressman Patrick J. Kennedy, founder of The Kennedy Forum. “By increasing access to treatment amid skyrocketing rates of overdoses and suicides in this country, SB 1707 will save lives! I call on other states to follow Illinois’ lead in demanding insurer and regulator transparency and accountability to help end coverage discrimination against people with mental health and addiction challenges.”

The legislation clarifies that medication-assisted treatment medical necessity determinations must comply with the American Society of Addiction medicine guidelines.

“This state, like many others, has a serious problem with the overuse of prescription painkillers and runaway opioid addictions,” said Rep. Margo McDermed, R-Mokena, who co-sponsored the bill. “Simplifying this process will most certainly improve patients' quality of life and it will hopefully lead to less opioid overdoses."

Finally, the legislation requires that school district plans comply with state parity laws.