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HB 5368

Illinois HouseIn House Committee

Summary

HB 5368, “DHS-GAMBLING DISORDERS”, was introduced in the House on Feb 5, 2026 by Rep. Daniel Didech (D). It was referred to Rules, and last saw action on Mar 27, 2026: Rule 19(a) / Re-referred to Rules Committee.


Record

Text

HB 5368 has no co-sponsors and has not gone to a roll call.

hb5368/introduced.txt
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104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026
HB5368
Introduced 2/10/2026, by Rep. Daniel Didech
SYNOPSIS AS INTRODUCED:
See Index
Amends the Substance Use Disorder Act. Requires the Department of Human Services to collaborate with the State Board of Education to the extent the Board develops instructional resources for substance use or gambling disorder prevention and awareness that may be used by school districts. Permits the Department to provide funding programs for parents on healthy gaming and play habits; appropriate financial planning and investment strategies; how to talk about gambling and related activities; and how to talk about substance use or gambling. In provisions requiring the Department to establish a public education, research, and training program regarding gambling disorders, expands the scope of the program by requiring that the program utilize screening, crisis intervention, treatment, public awareness, prevention, in-service training, and other innovative means, to decrease the incidents of suicide attempts related to a gambling disorder or gambling issues. Permits the Department to establish a program to provide for the production and publication, in electronic and other formats, of gambling prevention, recognition, treatment, and recovery literature and other public education methods. Permits the Department to support gambling disorder prevention, recognition, treatment, and recovery projects by facilitating the acquisition of gambling prevention curriculums, providing trainings in gambling disorder prevention best practices, connecting programs to health care resources, establishing learning collaboratives between localities and programs, and assisting programs in navigating any regulatory requirements for establishing or expanding such programs. Permits the Department to award grants to create or support local gambling prevention, recognition, and response projects. Makes other changes. Effective immediately.
LRB104 20621 KTG 34116 b
A BILL FOR
HB5368 LRB104 20621 KTG 34116 b
AN ACT concerning State government.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 5. The Substance Use Disorder Act is amended by
changing Sections 1-5, 1-10, 5-5, 5-10, 5-20, 10-10, 10-15,
15-10, 15-20, 20-5, 25-5, 30-5, 35-5, 35-10, 40-10, 50-5,
50-25, 50-30, 50-35, 50-40, 55-30, and 55-40 as follows:
(20 ILCS 301/1-5)
Sec. 1-5. Legislative declaration. Substance use and
gambling disorders, as defined in this Act, constitute a
serious public health problem. The effects on public safety
and the criminal justice system cause serious social and
economic losses, as well as great human suffering. It is
imperative that a comprehensive and coordinated strategy be
developed under the leadership of a State agency. This
strategy should be implemented through the facilities of
federal and local government and community-based agencies
(which may be public or private, volunteer or professional).
Through local prevention, early intervention, treatment, and
other recovery support services, this strategy should empower
those struggling with substance use and gambling disorders
(and, when appropriate, the families of those persons) to lead
healthy lives.
HB5368 - 2 - LRB104 20621 KTG 34116 b
The human, social, and economic benefits of preventing
these [substance use] disorders are great, and it is imperative
that there be interagency cooperation in the planning and
delivery of prevention, early intervention, treatment, and
other recovery support services in Illinois.
The provisions of this Act shall be liberally construed to
enable the Department to carry out these objectives and
purposes.
(Source: P.A. 100-759, eff. 1-1-19.)
(20 ILCS 301/1-10)
Sec. 1-10. Definitions. As used in this Act, unless the
context clearly indicates otherwise, the following words and
terms have the following meanings:
"Case management" means a coordinated approach to the
delivery of health and medical treatment, substance use and
gambling disorder treatment, mental health treatment, and
social services, linking patients with appropriate services to
address specific needs and achieve stated goals. In general,
case management assists patients with other disorders and
conditions that require multiple services over extended
periods of time and who face difficulty in gaining access to
those services.
"Crime of violence" means any of the following crimes:
murder, voluntary manslaughter, criminal sexual assault,
aggravated criminal sexual assault, predatory criminal sexual
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assault of a child, armed robbery, robbery, arson, kidnapping,
aggravated battery, aggravated arson, or any other felony that
involves the use or threat of physical force or violence
against another individual.
"Department" means the Department of Human Services.
"DUI" means driving under the influence of alcohol or
other drugs.
"Designated program" means a category of service
authorized by an intervention license issued by the Department
for delivery of all services as described in Article 40 in this
Act.
"Early intervention" means services, authorized by a
treatment license, that are sub-clinical and pre-diagnostic
and that are designed to screen, identify, and address risk
factors that may be related to problems associated with
substance use and gambling disorders and to assist individuals
in recognizing harmful consequences. Early intervention
services facilitate emotional and social stability and involve
[involves] referrals for treatment, as needed.
"Facility" means the building or premises are used for the
provision of licensable services, including support services,
as set forth by rule.
"Gambling" means the activity of betting or wagering on
uncertain outcomes, including, but not limited to, betting or
wagering activity regulated by the Illinois Gaming Board.
"Gambling disorder" means a condition characterized by a
HB5368 - 4 - LRB104 20621 KTG 34116 b
persistent and recurring pattern of problematic [maladaptive]
gambling behavior, leading to significant psychological
distress and impairment in health and mental functioning.
Classified under substance use disorders in the Diagnostic and
Statistical Manual of Mental Disorders, Fifth Edition (DSM-5),
gambling disorder shares similarities with drug abuse, as both
activate reward systems in the brain and produce comparable
behavioral symptoms [that disrupts personal, family, or ]
[vocational pursuits].
"Holds itself out" means any activity that would lead one
to reasonably conclude that the individual or entity provides
or intends to provide [licensable substance-related disorder ]
[intervention or treatment] services. Such activities include,
but are not limited to, advertisements, notices, statements,
or contractual arrangements with managed care organizations,
private health insurance, or employee assistance programs to
provide services that require a license as specified in
Article 15.
"Informed consent" means legally valid written consent,
given by a client, patient, or legal guardian, that authorizes
intervention or treatment services from a licensed
organization and that documents agreement to participate in
those services and knowledge of the consequences of withdrawal
from such services. Informed consent also acknowledges the
client's or patient's right to a conflict-free choice of
services from any licensed organization and the potential
HB5368 - 5 - LRB104 20621 KTG 34116 b
risks and benefits of selected services.
"Intoxicated person" means a person whose mental or
physical functioning is substantially impaired as a result of
the current effects of alcohol or other drugs within the body.
"Medication assisted treatment" means the prescription of
medications that are approved by the U.S. Food and Drug
Administration and the Center for Substance Abuse Treatment to
assist with treatment for a substance use disorder and to
support recovery for individuals receiving services in a
facility licensed by the Department. Medication assisted
treatment includes opioid treatment services as authorized by
a Department license.
["Off-site services" means licensable services are ]
[conducted at a location separate from the licensed location of ]
[the provider, and services are operated by an entity licensed ]
[under this Act and approved in advance by the Department.]
"Person" means any individual, firm, group, association,
partnership, corporation, trust, government or governmental
subdivision or agency.
"Prevention" means an interactive process of individuals,
families, schools, religious organizations, communities and
regional, state and national organizations whose goals are to
reduce the prevalence of substance use and gambling disorders,
prevent the use of illegal drugs and the abuse of legal drugs
by persons of all ages, prevent the use of alcohol by minors,
reduce the severity of harm in gambling by persons of all ages,
HB5368 - 6 - LRB104 20621 KTG 34116 b
build the capacities of individuals and systems, and promote
healthy environments, lifestyles, and behaviors.
"Recovery" means a process of change through which
individuals improve their health and wellness, live a
self-directed life, and reach their full potential.
"Recovery support" means services designed to support
individual recovery from a substance use or gambling disorder
that may be delivered pre-treatment, during treatment, or post
treatment. These services may be delivered in a wide variety
of settings for the purpose of supporting the individual in
meeting his or her recovery support goals.
"Secretary" means the Secretary of the Department of Human
Services or his or her designee.
"Substance use disorder" means a spectrum of persistent
and recurring problematic behavior that encompasses 10
separate classes of drugs: alcohol; caffeine; cannabis;
hallucinogens; inhalants; opioids; sedatives, hypnotics and
anxiolytics; stimulants; and tobacco; and other unknown
substances leading to clinically significant impairment or
distress.
"Treatment" means the broad range of emergency,
outpatient, and residential care (including assessment,
diagnosis, case management, treatment, and recovery support
planning) may be extended to individuals with substance use
disorders and co-occurring substance use and gambling
disorders or to the families of those persons.
HB5368 - 7 - LRB104 20621 KTG 34116 b
"Video gaming" means the action or practice of playing
video games.
"Withdrawal management" means services designed to manage
intoxication or withdrawal episodes (previously referred to as
detoxification), interrupt the momentum of habitual,
compulsive substance use and begin the initial engagement in
medically necessary substance use disorder treatment.
Withdrawal management allows patients to safely withdraw from
substances in a controlled medically-structured environment.
(Source: P.A. 100-759, eff. 1-1-19.)
(20 ILCS 301/5-5)
Sec. 5-5. Successor department; home rule.
(a) The Department of Human Services, as successor to the
Department of Alcoholism and Substance Abuse, shall assume the
various rights, powers, duties, and functions provided for in
this Act.
(b) It is declared to be the public policy of this State,
pursuant to paragraphs (h) and (i) of Section 6 of Article VII
of the Illinois Constitution of 1970, that the powers and
functions set forth in this Act and expressly delegated to the
Department are exclusive State powers and functions. Nothing
herein prohibits the exercise of any power or the performance
of any function, including the power to regulate, for the
protection of the public health, safety, morals and welfare,
by any unit of local government, other than the powers and
HB5368 - 8 - LRB104 20621 KTG 34116 b
functions set forth in this Act and expressly delegated to the
Department to be exclusive State powers and functions.
(c) The Department shall, through accountable and
efficient leadership, example and commitment to excellence,
strive to reduce the incidence of substance use and gambling
disorders by:
(1) Fostering public understanding of substance use
and gambling disorders and how they affect individuals,
families, and communities.
(2) Promoting healthy lifestyles.
(3) Promoting understanding and support for sound
public policies.
(4) Ensuring quality prevention, early intervention,
treatment, and other recovery support services that are
accessible and responsive to the diverse needs of
individuals, families, and communities.
(Source: P.A. 100-759, eff. 1-1-19.)
(20 ILCS 301/5-10)
Sec. 5-10. Functions of the Department.
(a) In addition to the powers, duties and functions vested
in the Department by this Act, or by other laws of this State,
the Department shall carry out the following activities:
(1) Design, coordinate and fund comprehensive
community-based and culturally and gender-appropriate
services throughout the State. These services must include
HB5368 - 9 - LRB104 20621 KTG 34116 b
prevention, early intervention, treatment, and other
recovery support services [for substance use disorders] that
are accessible and address the needs of at-risk
individuals and their families.
(2) Act as the exclusive State agency to accept,
receive and expend, pursuant to appropriation, any public
or private monies, grants or services, including those
received from the federal government or from other State
agencies, for the purpose of providing prevention, early
intervention, treatment, and other recovery support
services for substance use and gambling disorders.
(2.5) In partnership with the Department of Healthcare
and Family Services, act as one of the principal State
agencies for the sole purpose of calculating the
maintenance of effort requirement under Section 1930 of
Title XIX, Part B, Subpart II of the Public Health Service
Act (42 U.S.C. 300x-30) and the Interim Final Rule (45 CFR
96.134).
(3) Coordinate a statewide strategy for the
prevention, early intervention, treatment, and recovery
support of substance use and gambling disorders. This
strategy shall include the development of a comprehensive
plan, submitted annually with the application for federal
substance use disorder block grant funding, for the
provision of an array of such services. The plan shall be
based on local community-based needs and upon data
HB5368 - 10 - LRB104 20621 KTG 34116 b
including, but not limited to, that which defines the
prevalence of and costs associated with these [substance ]
[use] disorders. This comprehensive plan shall include
identification of problems, needs, priorities, services
and other pertinent information, including the needs of
marginalized communities [minorities] and other specific
priority populations in the State, and shall describe how
the identified problems and needs will be addressed. For
purposes of this paragraph, the term "marginalized
communities [minorities] and other specific priority
populations" may include, but shall not be limited to,
groups such as women, children, persons who use
intravenous drugs [drug users], persons with AIDS or who are
HIV infected, veterans, African-Americans, [Puerto Ricans,]
Hispanics, Asian Americans, the elderly, persons in the
criminal justice system, persons who are clients of
services provided by other State agencies, persons with
disabilities and such other specific populations as the
Department may from time to time identify. In developing
the plan, the Department shall seek input from providers,
parent groups, associations and interested citizens.
The plan developed under this Section shall include an
explanation of the rationale to be used in ensuring that
funding shall be based upon local community needs,
including, but not limited to, the incidence and
prevalence of, and costs associated with, substance use
HB5368 - 11 - LRB104 20621 KTG 34116 b
and gambling disorders, as well as upon demonstrated
program performance.
The plan developed under this Section shall also
contain a report detailing the activities of and progress
made through services for the care and treatment of
substance use and gambling disorders among pregnant women
and mothers and their children established under
subsection (j) of Section 35-5.
As applicable, the plan developed under this Section
shall also include information about funding by other
State agencies for prevention, early intervention,
treatment, and other recovery support services.
(4) Lead, foster and develop cooperation, coordination
and agreements among federal and State governmental
agencies and local providers that provide assistance,
services, funding or other functions, peripheral or
direct, in the prevention, early intervention, treatment,
and recovery support for substance use and gambling
disorders. This shall include, but shall not be limited
to, the following:
(A) Cooperate with and assist other State
agencies, as applicable, in establishing and
conducting these [substance use] disorder services among
the populations they respectively serve.
(B) Cooperate with and assist the Illinois
Department of Public Health in the establishment,
HB5368 - 12 - LRB104 20621 KTG 34116 b
funding and support of programs and services for the
promotion of maternal and child health and the
prevention and treatment of infectious diseases,
including, but not limited to, HIV infection,
especially with respect to those persons who are high
risk due to intravenous injection of illegal drugs, or
who may have been sexual partners of these
individuals, or who may have impaired immune systems
as a result of a substance use disorder.
(C) Supply to the Department of Public Health and
prenatal care providers a list of all providers who
are licensed to provide substance use and gambling
disorder treatment for pregnant women in this State.
(D) Assist in the placement of child abuse or
neglect perpetrators (identified by the Illinois
Department of Children and Family Services (DCFS)) who
have been determined to be in need of substance use
disorder treatment pursuant to Section 8.2 of the
Abused and Neglected Child Reporting Act.
(E) Cooperate with and assist DCFS in carrying out
its mandates to:
(i) identify substance use disorders among its
clients and their families; and
(ii) develop services to deal with such
disorders.
These services may include, but shall not be limited
HB5368 - 13 - LRB104 20621 KTG 34116 b
to, programs to prevent or treat substance use and
gambling disorders with DCFS clients and their
families, identifying child care needs within such
treatment, and assistance with other issues as
required.
(F) Cooperate with and assist the Illinois
Criminal Justice Information Authority with respect to
statistical and other information concerning the
incidence and prevalence of substance use and gambling
disorders.
(G) Cooperate with and assist local [the State ]
[Superintendent of Education,] boards of education,
schools, police departments, the Illinois State
Police, courts and other public and private agencies
and individuals in establishing substance use or
gambling disorder prevention programs statewide and
preparing instructional resources [curriculum materials]
for use at all levels of education.
(H) Cooperate with and assist the Illinois
Department of Healthcare and Family Services in the
development and provision of services offered to
recipients of public assistance for the treatment and
prevention of substance use and gambling disorders.
(H-5) Collaborate with the State Board of
Education to the extent the Board develops
instructional resources for substance use or gambling
HB5368 - 14 - LRB104 20621 KTG 34116 b
disorder prevention and awareness that may be used by
school districts.
(I) (Blank).
(5) From monies appropriated to the Department from
the Drunk and Drugged Driving Prevention Fund, reimburse
DUI evaluation and risk education programs licensed by the
Department for providing indigent persons with free or
reduced-cost evaluation and risk education services
relating to a charge of driving under the influence of
alcohol or other drugs.
(6) Promulgate regulations to identify and disseminate
best practice guidelines that can be utilized by publicly
and privately funded programs as well as for levels of
payment to government funded programs that provide
prevention, early intervention, treatment, and other
recovery support services for substance use and gambling
disorders and those services referenced in Sections 15-10
and 40-5.
(7) In consultation with providers and related trade
associations, specify a uniform methodology for use by
funded providers and the Department for billing and
collection and dissemination of statistical information
regarding services related to substance use and gambling
disorders.
(8) Receive data and assistance from federal, State
and local governmental agencies, and obtain copies of
HB5368 - 15 - LRB104 20621 KTG 34116 b
identification and arrest data from all federal, State and
local law enforcement agencies for use in carrying out the
purposes and functions of the Department.
(9) Designate and license providers to conduct
screening, assessment, referral and tracking of clients
identified by the criminal justice system as having
indications of substance use disorders and being eligible
to make an election for treatment under Section 40-5 of
this Act, and assist in the placement of individuals who
are under court order to participate in treatment.
(10) Identify and disseminate evidence-based best
practice guidelines as maintained in administrative rule
that can be utilized to determine a substance use and
gambling disorder diagnosis.
(11) (Blank).
(12) Make grants with funds appropriated from the Drug
Treatment Fund in accordance with Section 7 of the
Controlled Substance and Cannabis Nuisance Act, or in
accordance with Section 80 of the Methamphetamine Control
and Community Protection Act, or in accordance with
subsections (h) and (i) of Section 411.2 of the Illinois
Controlled Substances Act, or in accordance with Section
6z-107 of the State Finance [50-35 of this] Act.
(13) Encourage all health and disability insurance
programs to include substance use and gambling disorder
treatment as [a] covered services [service] and to use
HB5368 - 16 - LRB104 20621 KTG 34116 b
evidence-based best practice criteria as maintained in
administrative rule and as required in Public Act 99-0480
in determining the necessity for such services and
continued stay.
(14) Award grants and enter into fixed-rate and
fee-for-service arrangements with any other department,
authority or commission of this State, or any other state
or the federal government or with any public or private
agency, including the disbursement of funds and furnishing
of staff, to effectuate the purposes of this Act.
(15) Conduct a public information campaign to inform
the State's Hispanic residents regarding the prevention
and treatment of substance use and gambling disorders.
(b) In addition to the powers, duties and functions vested
in it by this Act, or by other laws of this State, the
Department may undertake, but shall not be limited to, the
following activities:
(1) Require all organizations licensed or funded by
the Department to include an education component to inform
participants regarding the causes and means of
transmission and methods of reducing the risk of acquiring
or transmitting HIV infection and other infectious
diseases, and to include funding for such education
component in its support of the program.
(2) Review all State agency applications for federal
funds that include provisions relating to the prevention,
HB5368 - 17 - LRB104 20621 KTG 34116 b
early intervention and treatment of substance use and
gambling disorders in order to ensure consistency.
(3) Prepare, publish, evaluate, disseminate and serve
as a central repository for educational materials dealing
with the nature and effects of substance use and gambling
disorders. Such materials may deal with the educational
needs of the citizens of Illinois, and may include at
least pamphlets that describe the causes and effects of
fetal alcohol spectrum disorders.
(4) Develop and coordinate, with regional and local
agencies, education and training programs for persons
engaged in providing services for persons with substance
use and gambling disorders, which programs may include
specific HIV education and training for program personnel.
(5) Cooperate with and assist in the development of
education, prevention, early intervention, and treatment
programs for employees of State and local governments and
businesses in the State.
(6) Utilize the support and assistance of interested
persons in the community, including recovering persons, to
assist individuals and communities in understanding the
dynamics of substance use and gambling disorders, and to
encourage individuals with these [substance use] disorders
to voluntarily undergo treatment.
(7) Promote, conduct, assist or sponsor basic
clinical, epidemiological and statistical research into
HB5368 - 18 - LRB104 20621 KTG 34116 b
substance use and gambling disorders and research into the
prevention of those problems either solely or in
conjunction with any public or private agency.
(8) Cooperate with public and private agencies,
institutions of higher education organizations, and
individuals in the development of programs, and to provide
technical assistance and consultation services for this
purpose.
(9) (Blank).
(10) (Blank).
(11) Fund, promote, or assist entities dealing with
substance use and gambling disorders.
(12) With monies appropriated from the Group Home Loan
Revolving Fund, make loans, directly or through
subcontract, to assist in underwriting the costs of
housing in which individuals recovering from substance use
or gambling disorders may reside, pursuant to Section
50-40 of this Act.
(13) Promulgate such regulations as may be necessary
to carry out the purposes and enforce the provisions of
this Act.
(14) Provide funding to help parents be effective in
preventing substance use and gambling disorders by
building an awareness of the family's role in preventing
substance use and gambling problems [disorders] through
adjusting expectations, developing new skills, and setting
HB5368 - 19 - LRB104 20621 KTG 34116 b
positive family goals. The programs shall include, but not
be limited to, the following subjects: healthy family
communication; establishing rules and limits; how to
reduce family conflict; how to build self-esteem,
competency, and responsibility in children; how to improve
motivation and achievement; effective discipline; problem
solving techniques; healthy video gaming and play habits;
appropriate financial planning and investment strategies;
how to talk about gambling and related activities; and how
to talk about substance use or gambling [drugs and alcohol].
The programs shall be open to all parents.
(15) Establish an Opioid Remediation Services Capital
Investment Grant Program. The Department may, subject to
appropriation and approval through the Opioid Overdose
Prevention and Recovery Steering Committee, after
recommendation by the Illinois Opioid Remediation Advisory
Board, and certification by the Office of the Attorney
General, make capital improvement grants to units of local
government and substance use prevention, treatment, and
recovery service providers addressing opioid remediation
in the State for approved abatement uses under the
Illinois Opioid Allocation Agreement. The Illinois Opioid
Remediation State Trust Fund shall be the source of
funding for the program. Eligible grant recipients shall
be units of local government and substance use prevention,
treatment, and recovery service providers that offer
HB5368 - 20 - LRB104 20621 KTG 34116 b
facilities and services in a manner that supports and
meets the approved uses of the opioid settlement funds.
Eligible grant recipients have no entitlement to a grant
under this Section. The Department of Human Services may
consult with the Capital Development Board, the Department
of Commerce and Economic Opportunity, and the Illinois
Housing Development Authority to adopt rules to implement
this Section and may create a competitive application
procedure for grants to be awarded. The rules may specify
the manner of applying for grants; grantee eligibility
requirements; project eligibility requirements;
restrictions on the use of grant moneys; the manner in
which grantees must account for the use of grant moneys;
and any other provision that the Department of Human
Services determines to be necessary or useful for the
administration of this Section. Rules may include a
requirement for grantees to provide local matching funds
in an amount equal to a specific percentage of the grant.
No portion of an opioid remediation services capital
investment grant awarded under this Section may be used by
a grantee to pay for any ongoing operational costs or
outstanding debt. The Department of Human Services may
consult with the Capital Development Board, the Department
of Commerce and Economic Opportunity, and the Illinois
Housing Development Authority in the management and
disbursement of funds for capital-related projects. The
HB5368 - 21 - LRB104 20621 KTG 34116 b
Capital Development Board, the Department of Commerce and
Economic Opportunity, and the Illinois Housing Development
Authority shall act in a consulting role only for the
evaluation of applicants, scoring of applicants, or
administration of the grant program.
(c) There is created within the Department of Human
Services an Office of Opioid Settlement Administration. The
Office shall be responsible for implementing and administering
approved abatement programs as described in Exhibit B of the
Illinois Opioid Allocation Agreement, effective December 30,
2021. The Office may also implement and administer other
opioid-related programs, including, but not limited to,
prevention, treatment, and recovery services from other funds
made available to the Department of Human Services. The
Secretary of Human Services shall appoint or assign staff as
necessary to carry out the duties and functions of the Office.
(Source: P.A. 103-8, eff. 6-7-23; 104-2, eff. 6-16-25.)
(20 ILCS 301/5-20)
Sec. 5-20. Gambling disorders.
(a) Subject to appropriation, the Department shall
establish a program for public education, research, and
training regarding gambling disorders and the treatment and
prevention of gambling disorders. Subject to specific
appropriation for these stated purposes, the program must
include all of the following:
HB5368 - 22 - LRB104 20621 KTG 34116 b
(1) Establishment and maintenance of a toll-free
hotline and website ["800" telephone number] to provide
crisis counseling and referral services for [to] families
experiencing difficulty related to [as a result of] gambling
disorders.
(2) Promotion of public awareness regarding the
recognition and prevention of gambling disorders.
Promotion of public awareness regarding the impact of
gambling disorders on individuals, families, and
communities and the stigma that surrounds gambling
disorders.
(3) Facilitation, through in-service training,
promotion of professional staff credentials, and other
innovative means, of the availability of effective
assistance programs for gambling disorders.
(4) Conducting studies, and other innovative means, to
identify adults and juveniles in this State who have, or
who are at risk of developing, gambling disorders.
(5) Utilize screening, crisis intervention, treatment,
public awareness, prevention, in-service training, and
other innovative means, to decrease the incidents of
suicide attempts related to a gambling disorder or
gambling issues.
(b) Subject to appropriation, the Department shall either
establish and maintain the program or contract with a private
or public entity for the establishment and maintenance of the
HB5368 - 23 - LRB104 20621 KTG 34116 b
program. Subject to appropriation, either the Department or
the private or public entity shall implement the hotline and
website [toll-free telephone number], promote public awareness,
conduct research, support treatment and recovery services, and
conduct in-service training concerning gambling disorders.
(c) The Department shall determine a statement regarding
obtaining assistance with a gambling disorder which each
licensed gambling establishment owner shall post and each
master sports wagering licensee shall include on the master
sports wagering licensee's portal, Internet website, or
computer or mobile application. Subject to appropriation, the
Department shall produce and supply the signs with the
statement as specified in Section 10.7 of the Illinois Lottery
Law, Section 34.1 of the Illinois Horse Racing Act of 1975,
Section 4.3 of the Bingo License and Tax Act, Section 8.1 of
the Charitable Games Act, Section 25.95 of the Sports Wagering
Act, [and] Section 13.1 of the Illinois Gambling Act, and the
Video Gaming Act.
(d) Programs; gambling disorder prevention.
(1) The Department may establish a program to provide
for the production and publication, in electronic and
other formats, of gambling prevention, recognition,
treatment, and recovery literature and other public
education methods. The Department may develop and
disseminate curricula for use by professionals,
organizations, individuals, or committees interested in
HB5368 - 24 - LRB104 20621 KTG 34116 b
the prevention of gambling disorders.
(2) The Department may provide advice to State and
local officials on gambling disorders, including the
prevalence of gambling disorders, programs treating or
promoting the prevention of gambling disorders, trends in
gambling disorder prevalence, and the relationship between
gaming and gambling disorders.
(3) The Department may support gambling disorder
prevention, recognition, treatment, and recovery projects
by facilitating the acquisition of gambling prevention
curriculums, providing trainings in gambling disorder
prevention best practices, connecting programs to health
care resources, establishing learning collaboratives
between localities and programs, and assisting programs in
navigating any regulatory requirements for establishing or
expanding such programs.
(4) In supporting best practices in gambling disorder
prevention programming, the Department may promote the
following programmatic elements:
(A) Providing funding for community-based
organizations to employ community health workers or
peer recovery specialists who are familiar with the
communities served and can provide culturally
competent services.
(B) Collaborating with other community-based
organizations, gambling treatment centers, or other
HB5368 - 25 - LRB104 20621 KTG 34116 b
health care providers engaged in treating individuals
who are experiencing gambling disorder.
(C) Providing linkages for individuals to obtain
evidence-based gambling disorder treatment.
(D) Engaging individuals exiting jails or prisons
who are at a high risk of developing a gambling
disorder.
(E) Providing education and training to
community-based organizations who work directly with
individuals who are experiencing gambling disorders
and those individuals' families and communities.
(F) Providing education and training on gambling
disorder prevention and response to the judicial
system.
(G) Informing communities of the impact gambling
disorder has on suicidal ideation and suicide attempts
and the role health care professionals can have in
identifying appropriate treatment.
(H) Producing and distributing targeted mass media
materials on gambling disorder prevention and
response, and the potential dangers of gambling
related stigma.
(e) Grants.
(1) The Department may award grants, in accordance
with this subsection, to create or support local gambling
prevention, recognition, and response projects. Local
HB5368 - 26 - LRB104 20621 KTG 34116 b
health departments, correctional institutions, hospitals,
universities, community-based organizations, and
faith-based organizations may apply to the Department for
a grant under this subsection at the time and in the manner
the Department prescribes.
(2) In awarding grants, the Department shall consider
the necessity for gambling disorder prevention projects in
various settings and shall encourage all grant applicants
to develop interventions that will be effective and viable
in their local areas.
(3) In addition to moneys appropriated by the General
Assembly, the Department may seek grants from private
foundations, the federal government, and other sources to
fund the grants under this Section and to fund an
evaluation of the programs supported by the grants.
(4) The Department may award grants to create or
support local gambling treatment programs. Such programs
may include prevention, early intervention, residential
and outpatient treatment, and recovery support services
for gambling disorders. Local health departments,
hospitals, universities, community-based organizations,
and faith-based organizations may apply to the Department
for a grant under this subsection at the time and in the
manner the Department prescribes.
(Source: P.A. 100-759, eff. 1-1-19; 101-31, eff. 6-28-19.)
HB5368 - 27 - LRB104 20621 KTG 34116 b
(20 ILCS 301/10-10)
Sec. 10-10. Powers and duties of the Council. The Council
shall:
(a) Advise the Department on ways to encourage public
understanding and support of the Department's programs.
(b) Advise the Department on regulations and licensure
proposed by the Department.
(c) Advise the Department in the formulation,
preparation, and implementation of the annual plan
submitted with the federal Substance Use Disorder Block
Grant application for prevention, early intervention,
treatment, and other recovery support services for
substance use and gambling disorders.
(d) Advise the Department on implementation of
substance use and gambling disorder education and
prevention programs throughout the State.
(e) Assist with incorporating into the annual plan
submitted with the federal Substance Use Disorder Block
Grant application, planning information specific to
Illinois' female population. The information shall
contain, but need not be limited to, the types of services
funded, the population served, the support services
available, and the goals, objectives, proposed methods of
achievement, service projections and cost estimate for the
upcoming year.
(f) Perform other duties as requested by the
HB5368 - 28 - LRB104 20621 KTG 34116 b
Secretary.
(g) Advise the Department in the planning,
development, and coordination of programs among all
agencies and departments of State government, including
programs to reduce substance use and gambling disorders,
prevent the misuse of illegal and legal drugs by persons
of all ages, prevent gambling and gaming by minors and
prevent the use of alcohol by minors.
(h) Promote and encourage participation by the private
sector, including business, industry, labor, and the
media, in programs to prevent substance use and gambling
disorders.
(i) Encourage the implementation of programs to
prevent substance use and gambling disorders in the public
and private schools and educational institutions.
(j) Gather information, conduct hearings, and make
recommendations to the Secretary concerning additions,
deletions, or rescheduling of substances under the
Illinois Controlled Substances Act.
(k) Report as requested to the General Assembly
regarding the activities and recommendations made by the
Council.
(Source: P.A. 100-759, eff. 1-1-19.)
(20 ILCS 301/10-15)
Sec. 10-15. Qualification and appointment of members. The
HB5368 - 29 - LRB104 20621 KTG 34116 b
membership of the Illinois Advisory Council may, as needed,
consist of:
(a) A State's Attorney designated by the President of
the Illinois State's Attorneys Association.
(b) A judge designated by the Chief Justice of the
Illinois Supreme Court.
(c) A Public Defender appointed by the President of
the Illinois Public Defender Association.
(d) A local law enforcement officer appointed by the
Governor.
(e) A labor representative appointed by the Governor.
(f) An educator appointed by the Governor.
(g) A physician licensed to practice medicine in all
its branches appointed by the Governor with due regard for
the appointee's knowledge of the field of substance use
disorders.
(h) 4 members of the Illinois House of
Representatives, 2 each appointed by the Speaker and
Minority Leader.
(i) 4 members of the Illinois Senate, 2 each appointed
by the President and Minority Leader.
(j) The Chief Executive Officer of the Illinois
Association for Behavioral Health or his or her designee.
(k) An advocate for the needs of youth appointed by
the Governor.
(l) The President of the Illinois State Medical
HB5368 - 30 - LRB104 20621 KTG 34116 b
Society or his or her designee.
(m) The President of the Illinois Hospital Association
or his or her designee.
(n) The President of the Illinois Nurses Association
or a registered nurse designated by the President.
(o) The President of the Illinois Pharmacists
Association or a licensed pharmacist designated by the
President.
(p) The President of the Illinois Chapter of the
Association of Labor-Management Administrators and
Consultants on Alcoholism.
(p-1) The Chief Executive Officer of the Community
Behavioral Healthcare Association of Illinois or his or
her designee.
(q) The Attorney General or his or her designee.
(r) The State Comptroller or his or her designee.
(s) 20 public members, 8 appointed by the Governor, 3
of whom shall be representatives of substance use and
gambling disorder treatment programs and one of whom shall
be a representative of a manufacturer or importing
distributor of alcoholic liquor licensed by the State of
Illinois, and 3 public members appointed by each of the
President and Minority Leader of the Senate and the
Speaker and Minority Leader of the House.
(t) The Director, Secretary, or other chief
administrative officer, ex officio, or his or her
HB5368 - 31 - LRB104 20621 KTG 34116 b
designee, of each of the following: the Department on
Aging, the Department of Children and Family Services, the
Department of Corrections, the Department of Juvenile
Justice, the Department of Healthcare and Family Services,
the Department of Revenue, the Department of Public
Health, the Department of Financial and Professional
Regulation, the Illinois State Police, the Administrative
Office of the Illinois Courts, the Criminal Justice
Information Authority, and the Department of
Transportation.
(u) Each of the following, ex officio, or his or her
designee: the Secretary of State, the State Superintendent
of Education, and the Chairman of the Board of Higher
Education.
The public members may not be officers or employees of the
executive branch of State government; however, the public
members may be officers or employees of a State college or
university or of any law enforcement agency. In appointing
members, due consideration shall be given to the experience of
appointees in the fields of medicine, law, prevention,
correctional activities, and social welfare. Vacancies in the
public membership shall be filled for the unexpired term by
appointment in like manner as for original appointments, and
the appointive members shall serve until their successors are
appointed and have qualified. Vacancies among the public
members appointed by the legislative leaders shall be filled
HB5368 - 32 - LRB104 20621 KTG 34116 b
by the leader of the same house and of the same political party
as the leader who originally appointed the member.
Each non-appointive member may designate a representative
to serve in his place by written notice to the Department. All
General Assembly members shall serve until their respective
successors are appointed or until termination of their
legislative service, whichever occurs first. The terms of
office for each of the members appointed by the Governor shall
be for 3 years, except that of the members first appointed, 3
shall be appointed for a term of one year, and 4 shall be
appointed for a term of 2 years. The terms of office of each of
the public members appointed by the legislative leaders shall
be for 2 years.
(Source: P.A. 102-538, eff. 8-20-21.)
(20 ILCS 301/15-10)
Sec. 15-10. Licensure categories and services. No person
or program may provide the services or conduct the activities
described in this Section without first obtaining a license
therefor from the Department, unless otherwise exempted under
this Act. The Department shall, by rule, provide requirements
for each of the following types of licenses and categories of
service:
(a) Treatment: Categories of service authorized by a
treatment license are Early Intervention, Outpatient,
Intensive Outpatient/Partial Hospitalization, Subacute
HB5368 - 33 - LRB104 20621 KTG 34116 b
Residential/Inpatient, and Withdrawal Management.
Medication assisted treatment that includes methadone used
for an opioid use disorder can be licensed as an adjunct to
any of the treatment levels of care specified in this
Section. Treatment for a gambling disorder, as defined in
Section 1-10 and in accordance with standards developed by
the Department may also be added as an adjunct to any of
the treatment levels of care as defined in this Section.
(b) Intervention: Categories of service authorized by
an intervention license are DUI Evaluation, DUI Risk
Education, Designated Program, and Recovery Homes for
persons in any stage of recovery from a substance use
disorder. Gambling disorder, as defined in Section 1-10
and in accordance with standards developed by the
Department, may also be added as an adjunct to a recovery
home intervention license. Harm reduction is another
service authorized by an intervention licensure that can
be issued if and when legal authorization is adopted to
allow for this service and upon adoption of administrative
or funding rules that govern the delivery of the service.
The Department may, under procedures established by rule
and upon a showing of good cause for such, exempt off-site
services from having to obtain a separate license for services
conducted away from the provider's licensed location.
(Source: P.A. 100-759, eff. 1-1-19.)
HB5368 - 34 - LRB104 20621 KTG 34116 b
(20 ILCS 301/15-20)
Sec. 15-20. Fees. The Department shall charge a reasonable
fee, [as] determined by rule, for each licensure category at
each site at which activities requiring licensure are to be
conducted. No fee shall be required for off-site services, or
for services provided by a unit of government. The Department
may, under procedures developed by rule, waive all or part of
the licensure fee which would otherwise be due from providers
funded by the Department. All license fees collected under
this Act shall be deposited into the General Revenue Fund.
(Source: P.A. 88-80.)
(20 ILCS 301/20-5)
Sec. 20-5. Development of statewide prevention system.
(a) The Department shall develop and implement a
comprehensive, statewide, community-based strategy to reduce
substance use and gambling disorders and prevent the misuse of
illegal and legal drugs by persons of all ages, and to prevent
the use of alcohol by minors. The system created to implement
this strategy shall be based on the premise that coordination
among and integration between all community and governmental
systems will facilitate effective and efficient program
implementation and utilization of existing resources.
(b) The statewide system developed under this Section may
be adopted by administrative rule or funded as a grant award
condition and shall be responsible for:
HB5368 - 35 - LRB104 20621 KTG 34116 b
(1) Providing programs and technical assistance to
improve the ability of Illinois communities and schools to
develop, implement and evaluate prevention programs.
(2) Initiating and fostering continuing cooperation
among the Department, Department-funded prevention
programs, other community-based prevention providers and
other State, regional, or local systems or agencies that
have an interest in substance use disorder prevention.
(c) In developing, implementing, and advocating for this
statewide strategy and system, the Department may engage in,
but shall not be limited to, the following activities:
(1) Establishing and conducting programs to provide
awareness and knowledge of the nature and extent of
substance use and gambling disorders and their effect on
individuals, families, and communities.
(2) Conducting or providing prevention skill building
or education through the use of structured experiences.
(3) Developing, supporting, and advocating with new
and existing local community coalitions or
neighborhood-based grassroots networks using action
planning and collaborative systems to initiate change
regarding substance use and gambling disorders in their
communities.
(4) Encouraging, supporting, and advocating for
programs and activities that emphasize alcohol-free and
other drug-free lifestyles.
HB5368 - 36 - LRB104 20621 KTG 34116 b
(5) Drafting and implementing efficient plans for the
use of available resources to address issues of substance
use and gambling disorder prevention.
(6) Coordinating local programs of alcoholism and
other drug abuse education and prevention.
(7) Encouraging the development of local advisory
councils.
(d) In providing leadership to this system, the Department
shall take into account, wherever possible, the needs and
requirements of local communities. The Department shall also
involve, wherever possible, local communities in its statewide
planning efforts. These planning efforts shall include, but
shall not be limited to, in cooperation with local community
representatives and Department-funded agencies, the analysis
and application of results of local needs assessments, as well
as a process for the integration of an evaluation component
into the system. The results of this collaborative planning
effort shall be taken into account by the Department in making
decisions regarding the allocation of prevention resources.
(e) Prevention programs funded in whole or in part by the
Department shall maintain staff whose skills, training,
experiences and cultural awareness demonstrably match the
needs of the people they are serving.
(f) The Department may delegate the functions and
activities described in subsection (c) of this Section to
local, community-based providers.
HB5368 - 37 - LRB104 20621 KTG 34116 b
(Source: P.A. 100-759, eff. 1-1-19.)
(20 ILCS 301/25-5)
Sec. 25-5. Establishment of comprehensive treatment
system. The Department shall develop, fund and implement a
comprehensive, statewide, community-based system for the
provision of early intervention, treatment, and recovery
support services for persons suffering from substance use and
gambling disorders. The system created under this Section
shall be based on the premise that coordination among and
integration between all community and governmental systems
will facilitate effective and efficient program implementation
and utilization of existing resources.
(Source: P.A. 100-759, eff. 1-1-19.)
(20 ILCS 301/30-5)
Sec. 30-5. Patients' rights established.
(a) For purposes of this Section, "patient" means any
person who is receiving or has received early intervention,
treatment, or other recovery support services under this Act
or any category of service licensed as "intervention" under
this Act.
(b) No patient shall be deprived of any rights, benefits,
or privileges guaranteed by law, the Constitution of the
United States of America, or the Constitution of the State of
Illinois solely because of his or her status as a patient.
HB5368 - 38 - LRB104 20621 KTG 34116 b
(c) Persons who have substance use and gambling disorders
who are also suffering from medical conditions shall not be
discriminated against in admission or treatment by any
hospital that receives support in any form supported in whole
or in part by funds appropriated to any State department or
agency.
(d) Every patient shall have impartial access to services
without regard to race, religion, sex, ethnicity, age, sexual
orientation, gender identity, marital status, or other
disability.
(e) Patients shall be permitted the free exercise of
religion.
(f) Every patient's personal dignity shall be recognized
in the provision of services, and a patient's personal privacy
shall be assured and protected within the constraints of his
or her individual treatment.
(g) Treatment services shall be provided in the least
restrictive environment possible.
(h) Each patient receiving treatment services shall be
provided an individual treatment plan, which shall be
periodically reviewed and updated as mandated by
administrative rule.
(i) Treatment shall be person-centered, meaning that every
patient shall be permitted to participate in the planning of
his or her total care and medical treatment to the extent that
his or her condition permits.
HB5368 - 39 - LRB104 20621 KTG 34116 b
(j) A person shall not be denied treatment solely because
he or she has withdrawn from treatment against medical advice
on a prior occasion or had prior treatment episodes.
(k) The patient in residential treatment shall be
permitted visits by family and significant others, unless such
visits are clinically contraindicated.
(l) A patient in residential treatment shall be allowed to
conduct private telephone conversations with family and
friends unless clinically contraindicated.
(m) A patient in residential treatment shall be permitted
to send and receive mail without hindrance, unless clinically
contraindicated.
(n) A patient shall be permitted to manage his or her own
financial affairs unless the patient or the patient's
guardian, or if the patient is a minor, the patient's parent,
authorizes another competent person to do so.
(o) A patient shall be permitted to request the opinion of
a consultant at his or her own expense, or to request an
in-house review of a treatment plan, as provided in the
specific procedures of the provider. A treatment provider is
not liable for the negligence of any consultant.
(p) Unless otherwise prohibited by State or federal law,
every patient shall be permitted to obtain from his or her own
physician, the treatment provider, or the treatment provider's
consulting physician complete and current information
concerning the nature of care, procedures, and treatment that
HB5368 - 40 - LRB104 20621 KTG 34116 b
he or she will receive.
(q) A patient shall be permitted to refuse to participate
in any experimental research or medical procedure without
compromising his or her access to other, non-experimental
services. Before a patient is placed in an experimental
research or medical procedure, the provider must first obtain
his or her informed written consent or otherwise comply with
the federal requirements regarding the protection of human
subjects contained in 45 CFR Part 46.
(r) All medical treatment and procedures shall be
administered as ordered by a physician and in accordance with
all Department rules.
(s) Every patient in treatment shall be permitted to
refuse medical treatment and to know the consequences of such
action. Such refusal by a patient shall free the treatment
licensee from the obligation to provide the treatment.
(t) Unless otherwise prohibited by State or federal law,
every patient, patient's guardian, or parent, if the patient
is a minor, shall be permitted to inspect and copy all clinical
and other records kept by the intervention or treatment
licensee or by his or her physician concerning his or her care
and maintenance. The licensee or physician may charge a
reasonable fee for the duplication of a record.
(u) No owner, licensee, administrator, employee, or agent
of a licensed intervention or treatment program shall abuse or
neglect a patient. It is the duty of any individual who becomes
HB5368 - 41 - LRB104 20621 KTG 34116 b
aware of such abuse or neglect to report it to the Department
immediately.
(v) The licensee may refuse access to any person if the
actions of that person are or could be injurious to the health
and safety of a patient or the licensee, or if the person seeks
access for commercial purposes.
(w) All patients admitted to community-based treatment
facilities shall be considered voluntary treatment patients
and such patients shall not be contained within a locked
setting.
(x) Patients and their families or legal guardians shall
have the right to present complaints to the provider or the
Department concerning the quality of care provided to the
patient, without threat of discharge or reprisal in any form
or manner whatsoever. The complaint process and procedure
shall be adopted by the Department by rule. The treatment
provider shall have in place a mechanism for receiving and
responding to such complaints, and shall inform the patient
and the patient's family or legal guardian of this mechanism
and how to use it. The provider shall analyze any complaint
received and, when indicated, take appropriate corrective
action. Every patient and his or her family member or legal
guardian who makes a complaint shall receive a timely response
from the provider that substantively addresses the complaint.
The provider shall inform the patient and the patient's family
or legal guardian about other sources of assistance if the
HB5368 - 42 - LRB104 20621 KTG 34116 b
provider has not resolved the complaint to the satisfaction of
the patient or the patient's family or legal guardian.
(y) A patient may refuse to perform labor at a program
unless such labor is a part of the patient's individual
treatment plan as documented in the patient's clinical record.
(z) A person who is in need of services may apply for
voluntary admission in the manner and with the rights provided
for under regulations promulgated by the Department. If a
person is refused admission, then staff, subject to rules
promulgated by the Department, shall refer the person to
another facility or to other appropriate services.
(aa) No patient shall be denied services based solely on
HIV status. Further, records and information governed by the
AIDS Confidentiality Act and the AIDS Confidentiality and
Testing Code (77 Ill. Adm. Code 697) shall be maintained in
accordance therewith.
(bb) Records of the identity, diagnosis, prognosis or
treatment of any patient maintained in connection with the
performance of any service or activity relating to substance
use and gambling disorder education, early intervention,
intervention, training, or treatment that is regulated,
authorized, or directly or indirectly assisted by any
Department or agency of this State or under any provision of
this Act shall be confidential and may be disclosed only in
accordance with the provisions of federal law and regulations
concerning the confidentiality of substance use and gambling
HB5368 - 43 - LRB104 20621 KTG 34116 b
disorder patient records as contained in 42 U.S.C. Sections
290dd-2 and 42 CFR Part 2, or any successor federal statute or
regulation.
(1) The following are exempt from the confidentiality
protections set forth in 42 CFR Section 2.12(c):
(A) Veteran's Administration records.
(B) Information obtained by the Armed Forces.
(C) Information given to qualified service
organizations.
(D) Communications within a program or between a
program and an entity having direct administrative
control over that program.
(E) Information given to law enforcement personnel
investigating a patient's commission of a crime on the
program premises or against program personnel.
(F) Reports under State law of incidents of
suspected child abuse and neglect; however,
confidentiality restrictions continue to apply to the
records and any follow-up information for disclosure
and use in civil or criminal proceedings arising from
the report of suspected abuse or neglect.
(2) If the information is not exempt, a disclosure can
be made only under the following circumstances:
(A) With patient consent as set forth in 42 CFR
Sections 2.1(b)(1) and 2.31, and as consistent with
pertinent State law.
HB5368 - 44 - LRB104 20621 KTG 34116 b
(B) For medical emergencies as set forth in 42 CFR
Sections 2.1(b)(2) and 2.51.
(C) For research activities as set forth in 42 CFR
Sections 2.1(b)(2) and 2.52.
(D) For audit evaluation activities as set forth
in 42 CFR Section 2.53.
(E) With a court order as set forth in 42 CFR
Sections 2.61 through 2.67.
(3) The restrictions on disclosure and use of patient
information apply whether the holder of the information
already has it, has other means of obtaining it, is a law
enforcement or other official, has obtained a subpoena, or
asserts any other justification for a disclosure or use
that is not permitted by 42 CFR Part 2. Any court orders
authorizing disclosure of patient records under this Act
must comply with the procedures and criteria set forth in
42 CFR Sections 2.64 and 2.65. Except as authorized by a
court order granted under this Section, no record referred
to in this Section may be used to initiate or substantiate
any charges against a patient or to conduct any
investigation of a patient.
(4) The prohibitions of this subsection shall apply to
records concerning any person who has been a patient,
regardless of whether or when the person ceases to be a
patient.
(5) Any person who discloses the content of any record
HB5368 - 45 - LRB104 20621 KTG 34116 b
referred to in this Section except as authorized shall,
upon conviction, be guilty of a Class A misdemeanor.
(6) The Department shall prescribe regulations to
carry out the purposes of this subsection. These
regulations may contain such definitions, and may provide
for such safeguards and procedures, including procedures
and criteria for the issuance and scope of court orders,
as in the judgment of the Department are necessary or
proper to effectuate the purposes of this Section, to
prevent circumvention or evasion thereof, or to facilitate
compliance therewith.
(cc) Each patient shall be given a written explanation of
all the rights enumerated in this Section and a copy, signed by
the patient, shall be kept in every patient record. If a
patient is unable to read such written explanation, it shall
be read to the patient in a language that the patient
understands. A copy of all the rights enumerated in this
Section shall be posted in a conspicuous place within the
program where it may readily be seen and read by program
patients and visitors.
(dd) The program shall ensure that its staff is familiar
with and observes the rights and responsibilities enumerated
in this Section.
(ee) Licensed organizations shall comply with the right of
any adolescent to consent to treatment without approval of the
parent or legal guardian in accordance with the Consent by
HB5368 - 46 - LRB104 20621 KTG 34116 b
Minors to Health Care Services Act.
(ff) At the point of admission for services, licensed
organizations must obtain written informed consent, as defined
in Section 1-10 and in administrative rule, from each client,
patient, or legal guardian.
(Source: P.A. 102-813, eff. 5-13-22.)
(20 ILCS 301/35-5)
Sec. 35-5. Services for pregnant women and mothers.
(a) In order to promote a comprehensive, statewide and
multidisciplinary approach to serving pregnant women and
mothers, including those who are minors, and their children
who are affected by substance use and gambling disorders, the
Department shall have responsibility for an ongoing exchange
of referral information among the following:
(1) those who provide medical and social services to
pregnant women, mothers and their children, whether or not
there exists evidence of a substance use and gambling
disorder. These include any other State-funded medical or
social services to pregnant women.
(2) providers of treatment services to women affected
by substance use and gambling disorders.
(b) (Blank).
(c) (Blank).
(d) (Blank).
(e) (Blank).
HB5368 - 47 - LRB104 20621 KTG 34116 b
(f) The Department shall develop and maintain an updated
and comprehensive directory of licensed providers that deliver
treatment and intervention services. The Department shall post
on its website a licensed provider directory updated at least
quarterly.
(g) As a condition of any State grant or contract, the
Department shall require that any treatment program for women
with substance use disorders provide services, either by its
own staff or by agreement with other agencies or individuals,
which include but need not be limited to the following:
(1) coordination with any program providing case
management services to ensure ongoing monitoring and
coordination of services after the addicted woman has
returned home.
(2) coordination with medical services for individual
medical care of pregnant women, including prenatal care
under the supervision of a physician.
(3) coordination with child care services.
(h) As a condition of any State grant or contract, the
Department shall require that any nonresidential program
receiving any funding for treatment services accept women who
are pregnant, provided that such services are clinically
appropriate. Failure to comply with this subsection shall
result in termination of the grant or contract and loss of
State funding.
(i)(1) From funds appropriated expressly for the purposes
HB5368 - 48 - LRB104 20621 KTG 34116 b
of this Section, the Department shall create or contract with
licensed, certified agencies to develop a program for the care
and treatment of pregnant women, mothers and their children.
The program shall be in Cook County in an area of high density
population having a disproportionate number of women with
substance use, gambling, and other disorders and a high infant
mortality rate.
(2) From funds appropriated expressly for the purposes of
this Section, the Department shall create or contract with
licensed, certified agencies to develop a program for the care
and treatment of low income pregnant women. The program shall
be located anywhere in the State outside of Cook County in an
area of high density population having a disproportionate
number of low income pregnant women.
(3) In implementing the programs established under this
subsection, the Department shall contract with existing
residential treatment or recovery homes in areas having a
disproportionate number of women with substance use, gambling,
and other disorders who need residential treatment. Priority
shall be given to women who:
(A) are pregnant, especially if they are intravenous
drug users,
(B) have minor children,
(C) are both pregnant and have minor children, or
(D) are referred by medical personnel because they
either have given birth to a baby with a substance use
HB5368 - 49 - LRB104 20621 KTG 34116 b
disorder, or will give birth to a baby with a substance use
disorder.
(4) The services provided by the programs shall include
but not be limited to:
(A) individual medical care, including prenatal care,
under the supervision of a physician.
(B) temporary, residential shelter for pregnant women,
mothers and children when necessary.
(C) a range of educational or counseling services.
(D) comprehensive and coordinated social services,
including therapy groups for the treatment of substance
use disorders; family therapy groups; programs to develop
positive self-awareness; parent-child therapy; and
residential support groups.
(5) (Blank).
(Source: P.A. 100-759, eff. 1-1-19.)
(20 ILCS 301/35-10)
Sec. 35-10. Adolescent Family Life Program.
(a) The General Assembly finds and declares the following:
(1) In Illinois, a substantial number of babies are
born each year to adolescent mothers between 12 and 19
years of age.
(2) A substantial percentage of pregnant adolescents
have substance use disorders or live in environments in
which substance use disorders occur and thus are at risk
HB5368 - 50 - LRB104 20621 KTG 34116 b
of exposing their infants to dangerous and harmful
circumstances.
(3) It is difficult to provide substance use disorder
counseling for adolescents in settings designed to serve
adults.
(b) To address the findings set forth in subsection (a),
and subject to appropriation, the Department may establish and
fund treatment strategies to meet the developmental, social,
and educational needs of high-risk pregnant adolescents and
shall do the following:
(1) To the maximum extent feasible and appropriate,
utilize existing services and funding rather than create
new, duplicative services.
(2) Include plans for coordination and collaboration
with existing perinatal substance use, gambling, and other
disorder services.
(3) Include goals and objectives for reducing the
incidence of high-risk pregnant adolescents.
(4) Be culturally and linguistically appropriate to
the population being served.
(5) Include staff development training by substance
use, gambling, and other disorder counselors.
As used in this Section, "high-risk pregnant adolescent"
means a person at least 12 but not more than 18 years of age
with a substance use and gambling disorder who is pregnant.
(c) (Blank).
HB5368 - 51 - LRB104 20621 KTG 34116 b
(Source: P.A. 100-759, eff. 1-1-19.)
(20 ILCS 301/40-10)
Sec. 40-10. Treatment as a condition of probation.
(a) If a court has reason to believe that an individual who
is charged with or convicted of a crime suffers from a
substance use or gambling disorder and the court finds that he
or she is eligible to make the election provided for under
Section 40-5, the court shall advise the individual that he or
she may be sentenced to probation and shall be subject to terms
and conditions of probation under Section 5-6-3 of the Unified
Code of Corrections if he or she elects to participate in
treatment and is accepted for services by a designated
program. The court shall further advise the individual that:
(1) If he or she elects to participate in treatment
and is accepted he or she shall be sentenced to probation
and placed under the supervision of the designated program
for a period not to exceed the maximum sentence that could
be imposed for his or her conviction or 5 years, whichever
is less.
(2) During probation he or she may be treated at the
discretion of the designated program.
(3) If he or she adheres to the requirements of the
designated program and fulfills the other conditions of
probation ordered by the court, he or she will be
discharged, but any failure to adhere to the requirements
HB5368 - 52 - LRB104 20621 KTG 34116 b
of the designated program is a breach of probation.
The court may require an individual to obtain treatment
while on probation under the supervision of a designated
program and probation authorities regardless of the election
of the individual if the assessment, as specified in
subsection (b), indicates that such treatment is medically
necessary.
(b) If the individual elects to undergo treatment or is
required to obtain treatment, the court shall order an
assessment by a designated program to determine whether he or
she suffers from a substance use or gambling disorder and is
likely to be rehabilitated through treatment. The designated
program shall report to the court the results of the
assessment and, if treatment is determined medically
necessary, indicate the diagnosis and the recommended initial
level of care. If the court, on the basis of the report and
other information, finds that such an individual suffers from
a substance use disorder and is likely to be rehabilitated
through treatment, the individual shall be placed on probation
and under the supervision of a designated program for
treatment and under the supervision of the proper probation
authorities for probation supervision unless, giving
consideration to the nature and circumstances of the offense
and to the history, character, and condition of the
individual, the court is of the opinion that no significant
relationship exists between the substance use disorder of the
HB5368 - 53 - LRB104 20621 KTG 34116 b
individual and the crime committed, or that his or her
imprisonment or periodic imprisonment is necessary for the
protection of the public, and the court specifies on the
record the particular evidence, information, or other reasons
that form the basis of such opinion. However, under no
circumstances shall the individual be placed under the
supervision of a designated program for treatment before the
entry of a judgment of conviction.
(c) If the court, on the basis of the report or other
information, finds that the individual suffering from a
substance use disorder is not likely to be rehabilitated
through treatment, or that his or her substance use disorder
and the crime committed are not significantly related, or that
his or her imprisonment or periodic imprisonment is necessary
for the protection of the public, the court shall impose
sentence as in other cases. The court may require such
progress reports on the individual from the probation officer
and designated program as the court finds necessary. Case
management services, as defined in this Act and as further
described by rule, shall also be delivered by the designated
program. No individual may be placed under treatment
supervision unless a designated program accepts him or her for
treatment.
(d) Failure of an individual placed on probation and under
the supervision of a designated program to observe the
requirements set down by the designated program shall be
HB5368 - 54 - LRB104 20621 KTG 34116 b
considered a probation violation. Such failure shall be
reported by the designated program to the probation officer in
charge of the individual and treated in accordance with
probation regulations.
(e) Upon successful fulfillment of the terms and
conditions of probation the court shall discharge the person
from probation. If the person has not previously been
convicted of any felony offense and has not previously been
granted a vacation of judgment under this Section, upon
motion, the court shall vacate the judgment of conviction and
dismiss the criminal proceedings against him or her unless,
having considered the nature and circumstances of the offense
and the history, character and condition of the individual,
the court finds that the motion should not be granted. Unless
good cause is shown, such motion to vacate must be filed at any
time from the date of the entry of the judgment to a date that
is not more than 60 days after the discharge of the probation.
(Source: P.A. 99-574, eff. 1-1-17; 100-759, eff. 1-1-19.)
(20 ILCS 301/50-5)
Sec. 50-5. Prevention and Treatment of Alcoholism and
Substance Abuse Block Grant Fund. Monies received from the
federal government under the Block Grant for the Prevention
and Treatment of Alcoholism and Substance Abuse shall be
deposited into the Prevention and Treatment of Alcoholism and
Substance Abuse Block Grant Fund which is hereby created as a
HB5368 - 55 - LRB104 20621 KTG 34116 b
special [federal trust] fund in the State treasury. Monies in
this fund shall be appropriated to the Department and expended
for the purposes and activities specified by federal law or
regulation.
(Source: P.A. 104-2, eff. 6-16-25.)
(20 ILCS 301/50-25)
(Section scheduled to be repealed on January 1, 2027)
Sec. 50-25. Youth Alcoholism and Substance Abuse
Prevention Fund. There is hereby created in the State treasury
a special Fund to be known as the Youth Alcoholism and
Substance Abuse Prevention Fund. Monies in this Fund shall be
appropriated to the Department and expended for the purpose of
helping support and establish community-based alcohol and
other drug abuse prevention programs. [On June 30, 2026, or as ]
[soon thereafter as practical, the State Comptroller shall ]
[direct and the State Treasurer shall transfer the remaining ]
[balance from the Youth Alcoholism and Substance Abuse ]
[Prevention Fund into the General Revenue Fund. Upon completion ]
[of the transfer, the Youth Alcoholism and Substance Abuse ]
[Prevention Fund is dissolved, and any future deposits due to ]
[that Fund and any outstanding obligations or liabilities of ]
[that Fund shall pass to the General Revenue Fund. This Section ]
[is repealed on January 1, 2027.]
(Source: P.A. 104-2, eff. 6-16-25.)
HB5368 - 56 - LRB104 20621 KTG 34116 b
(20 ILCS 301/50-30)
(Section scheduled to be repealed on January 1, 2027)
Sec. 50-30. Youth Drug Abuse Prevention Fund.
(a) There is hereby established the Youth Drug Abuse
Prevention Fund, to be held as a separate fund in the State
treasury. Monies in this fund shall be appropriated to the
Department and expended for grants to community-based agencies
or non-profit organizations providing residential or
nonresidential treatment or prevention programs or any
combination thereof.
(b) (Blank).
(b-5) There shall be deposited into the Youth Drug Abuse
Prevention Fund such monies as may be received under the
income tax checkoff provided for in subsection (b) of this
Section. There shall also be deposited into this fund such
monies as may be received under:
(1) subsection (a) of Section 10.2 of the Cannabis
Control Act;
(2) subsection (a) of Section 413 of the Illinois
Controlled Substances Act;
(3) subsection (a) of Section 5.2 of the Narcotics
Profit Forfeiture Act; or
(4) Section 5-9-1.2 of the Unified Code of
Corrections.
(c) (Blank). [On June 30, 2026, or as soon thereafter as ]
[practical, the State Comptroller shall direct and the State ]
HB5368 - 57 - LRB104 20621 KTG 34116 b
[Treasurer shall transfer the remaining balance from the Youth ]
[Drug Abuse Prevention Fund into the Drug Treatment Fund. Upon ]
[completion of the transfer, the Youth Drug Abuse Prevention ]
[Fund is dissolved, and any future deposits due to that Fund and ]
[any outstanding obligations or liabilities of that Fund shall ]
[pass to the Drug Treatment Fund.]
(d) (Blank). [This Section is repealed on January 1, 2027.]
(Source: P.A. 104-2, eff. 6-16-25.)
(20 ILCS 301/50-35)
Sec. 50-35. Drug Treatment Fund.
(a) There is hereby established the Drug Treatment Fund,
to be held as a separate fund in the State treasury. There
shall be deposited into this fund such amounts as may be
received under subsections (h) and (i) of Section 411.2 of the
Illinois Controlled Substances Act, under Section 80 of the
Methamphetamine Control and Community Protection Act, and
under Section 7 of the Controlled Substance and Cannabis
Nuisance Act, or under Section 6z-107 of the State Finance
Act. [The Drug Treatment Fund is hereby established as a ]
[special fund within the State treasury. There shall be ]
[deposited into this fund such amounts as may be provided by ]
[law.]
(b) Monies in this fund shall be appropriated to the
Department for the purposes and activities set forth in
subsections (h) and (i) of Section 411.2 of the Illinois
HB5368 - 58 - LRB104 20621 KTG 34116 b
Controlled Substances Act, or in Section 7 of the Controlled
Substance and Cannabis Nuisance Act, or in Section 6z-107 of
the State Finance Act. [Moneys in this fund shall be ]
[appropriated to the Department for grants to community-based ]
[agencies or nonprofit organizations providing residential or ]
[nonresidential treatment or prevention programs or any ]
[combination of those programs or as otherwise provided by law.]
(Source: P.A. 104-2, eff. 6-16-25.)
(20 ILCS 301/50-40)
Sec. 50-40. Group Home Loan Revolving Fund.
(a) There is hereby established the Group Home Loan
Revolving Fund, referred to in this Section as the "fund", to
be held as a separate fund within the State Treasury. Monies in
this fund shall be appropriated to the Department on a
continuing annual basis. With these funds, the Department
shall, directly or through subcontract, make loans to assist
in underwriting the costs of housing in which there may reside
individuals who are recovering from substance use or gambling
disorders, and who are seeking an alcohol-free or drug-free or
gambling free environment in which to live. Consistent with
federal law and regulation, the Department may establish
guidelines for approving the use and management of monies
loaned from the fund, the operation of group homes receiving
loans under this Section and the repayment of monies loaned.
(b) There shall be deposited into the fund such amounts
HB5368 - 59 - LRB104 20621 KTG 34116 b
including, but not limited to:
(1) All receipts, including principal and interest
payments and royalties, from any applicable loan agreement
made from the fund.
(2) All proceeds of assets of whatever nature received
by the Department as a result of default or delinquency
with respect to loan agreements made from the fund,
including proceeds from the sale, disposal, lease or
rental of real or personal property that the Department
may receive as a result thereof.
(3) Any direct appropriations made by the General
Assembly, or any gifts or grants made by any person to the
fund.
(4) Any income received from interest on investments
of monies in the fund.
(c) The Treasurer may invest monies in the fund in
securities constituting obligations of the United States
government, or in obligations the principal of and interest on
which are guaranteed by the United States government, or in
certificates of deposit of any State or national bank which
are fully secured by obligations guaranteed as to principal
and interest by the United States government.
(Source: P.A. 100-759, eff. 1-1-19.)
(20 ILCS 301/55-30)
Sec. 55-30. Rate increase.
HB5368 - 60 - LRB104 20621 KTG 34116 b
(a) The Department shall by rule develop the increased
rate methodology and annualize the increased rate beginning
with State fiscal year 2018 contracts to licensed providers of
community-based substance use disorder intervention or
treatment, based on the additional amounts appropriated for
the purpose of providing a rate increase to licensed
providers. The Department shall adopt rules, including
emergency rules under subsection (y) of Section 5-45 of the
Illinois Administrative Procedure Act, to implement the
provisions of this Section.
(b) (Blank).
(c) Beginning on July 1, 2022, the Division of Substance
Use Prevention and Recovery shall increase reimbursement rates
for all community-based substance use disorder treatment and
intervention services by 47%, including, but not limited to,
all of the following:
(1) Admission and Discharge Assessment.
(2) Level 1 (Individual).
(3) Level 1 (Group).
(4) Level 2 (Individual).
(5) Level 2 (Group).
(6) Case Management.
(7) Psychiatric Evaluation.
(8) Medication Assisted Recovery.
(9) Community Intervention.
(10) Early Intervention (Individual).
HB5368 - 61 - LRB104 20621 KTG 34116 b
(11) Early Intervention (Group).
Beginning in State Fiscal Year 2023, and every State
fiscal year thereafter, reimbursement rates for those
community-based substance use disorder treatment and
intervention services shall be adjusted upward by an amount
equal to the Consumer Price Index-U from the previous year,
not to exceed 2% in any State fiscal year. If there is a
decrease in the Consumer Price Index-U, rates shall remain
unchanged for that State fiscal year. The Department shall
adopt rules, including emergency rules in accordance with the
Illinois Administrative Procedure Act, to implement the
provisions of this Section.
As used in this Section, "Consumer Price Index-U" means
the index published by the Bureau of Labor Statistics of the
United States Department of Labor that measures the average
change in prices of goods and services purchased by all urban
consumers, United States city average, all items, 1982-84 =
100.
(d) Beginning on January 1, 2024, subject to federal
approval, the Division of Substance Use Prevention and
Recovery shall increase reimbursement rates for all ASAM level
3 residential/inpatient substance use disorder treatment and
intervention services by 30%, including, but not limited to,
the following services:
(1) ASAM level 3.5 Clinically Managed High-Intensity
Residential Services for adults;
HB5368 - 62 - LRB104 20621 KTG 34116 b
(2) ASAM level 3.5 Clinically Managed Medium-Intensity
Residential Services for adolescents;
(3) ASAM level 3.2 Clinically Managed Residential
Withdrawal Management;
(4) ASAM level 3.7 Medically Monitored Intensive
Inpatient Services for adults and Medically Monitored
High-Intensity Inpatient Services for adolescents; and
(5) ASAM level 3.1 Clinically Managed Low-Intensity
Residential Services for adults and adolescents.
(e) Beginning in State fiscal year 2025, and every State
fiscal year thereafter, reimbursement rates for licensed or
certified substance use disorder treatment providers of ASAM
Level 3 residential/inpatient services for persons with
substance use disorders shall be adjusted upward by an amount
equal to the Consumer Price Index-U from the previous year,
not to exceed 2% in any State fiscal year. If there is a
decrease in the Consumer Price Index-U, rates shall remain
unchanged for that State fiscal year. The Department shall
adopt rules, including emergency rules, in accordance with the
Illinois Administrative Procedure Act, to implement the
provisions of this Section.
(Source: P.A. 102-699, eff. 4-19-22; 103-102, eff. 6-16-23;
103-588, eff. 6-5-24.)
(20 ILCS 301/55-40)
Sec. 55-40. Recovery residences.
HB5368 - 63 - LRB104 20621 KTG 34116 b
(a) As used in this Section, "recovery residence" means a
recovery-oriented, gambling free [sober], safe, and healthy
living environment that promotes recovery from alcohol and
other drug use, gambling disorder, and associated problems.
These residences are not subject to Department licensure as
they are viewed as independent living residences that only
provide peer support and a lengthened exposure to the culture
of recovery.
(b) The Department shall develop and maintain an online
registry for recovery residences that operate in Illinois to
serve as a resource for individuals seeking continued recovery
assistance.
(c) Non-licensable recovery residences are encouraged to
register with the Department and the registry shall be
publicly available through online posting.
(d) The registry shall indicate any accreditation,
certification, or licensure that each recovery residence has
received from an entity that has developed uniform national
standards. The registry shall also indicate each recovery
residence's location in order to assist providers and
individuals in finding [alcohol and drug free housing options ]
[with] like-minded residents who are committed to a
recovery-oriented life [alcohol and drug free living].
(e) Registrants are encouraged to seek national
accreditation from any entity that has developed uniform State
or national standards for recovery residences.
HB5368 - 64 - LRB104 20621 KTG 34116 b
(f) The Department shall include a disclaimer on the
registry that states that the recovery residences are not
regulated by the Department and their listing is provided as a
resource but not as an endorsement by the State.
(Source: P.A. 100-1062, eff. 1-1-19; 101-81, eff. 7-12-19.)
Section 99. Effective date. This Act takes effect upon
becoming law.
HB5368 - 65 - LRB104 20621 KTG 34116 b
INDEX
Statutes amended in order of appearance
20 ILCS 301/1-5
20 ILCS 301/1-10
20 ILCS 301/5-5
20 ILCS 301/5-10
20 ILCS 301/5-20
20 ILCS 301/10-10
20 ILCS 301/10-15
20 ILCS 301/15-10
20 ILCS 301/15-20
20 ILCS 301/20-5
20 ILCS 301/25-5
20 ILCS 301/30-5
20 ILCS 301/35-5
20 ILCS 301/35-10
20 ILCS 301/40-10
20 ILCS 301/50-5
20 ILCS 301/50-25
20 ILCS 301/50-30
20 ILCS 301/50-35
20 ILCS 301/50-40
20 ILCS 301/55-30
20 ILCS 301/55-40

Amends the Substance Use Disorder Act. Requires the Department of Human Services to collaborate with the State Board of Education to the extent the Board develops instructional resources for substance use or gambling disorder prevention and awareness that may be used by school districts. Permits the Department to provide funding programs for parents on healthy gaming and play habits; appropriate financial planning and investment strategies; how to talk about gambling and related activities; and how to talk about substance use or gambling. In provisions requiring the Department to establish a public education, research, and training program regarding gambling disorders, expands the scope of the program by requiring that the program utilize screening, crisis intervention, treatment, public awareness, prevention, in-service training, and other innovative means, to decrease the incidents of suicide attempts related to a gambling disorder or gambling issues. Permits the Department to establish a program to provide for the production and publication, in electronic and other formats, of gambling prevention, recognition, treatment, and recovery literature and other public education methods. Permits the Department to support gambling disorder prevention, recognition, treatment, and recovery projects by facilitating the acquisition of gambling prevention curriculums, providing trainings in gambling disorder prevention best practices, connecting programs to health care resources, establishing learning collaboratives between localities and programs, and assisting programs in navigating any regulatory requirements for establishing or expanding such programs. Permits the Department to award grants to create or support local gambling prevention, recognition, and response projects. Makes other changes. Effective immediately.

Sponsors

Rep. Daniel Didech (D) sponsors HB 5368 alone.

Committees

HB 5368 went before 2 committees: Rules and Human Services.

Rules
Rules
Referred to · Feb 10, 2026 · 5,290 Bills
Human Services
Human Services
Referred to · Mar 4, 2026

History

HB 5368 has taken 5 actions since Feb 5, 2026, the latest on Mar 27, 2026.

ChamberAction
Mar 27, 2026
House
Rule 19(a) / Re-referred to Rules Committee
Mar 4, 2026
House
Assigned to Human Services Committee
Feb 10, 2026
House
First Reading
Feb 10, 2026
House
Referred to Rules Committee
Feb 5, 2026
House
Filed with the Clerk by Rep. Daniel Didech

Votes

HB 5368 has not gone to a roll call.


Source: ilga.gov · legiscan.com