Illinois Mental Health Counselors


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Illinois State Legislation-ending May 31, 2021

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  2021 Legislation
  What does it all mean?
Our Q & A will attempt to address some of the bills.

I am not an attorney and some bills are confusing.
Our opinions represent our best description of these new laws.
When we learn more we will add it.

Resolution to President and Congress to allow LPCs and LSWs to bill Medicare / Medicaid
Q & A- No clue why this was proposed. Just symbolic.
HR 0067

 Telehealth Insurance Coverage

Amends the Illinois Insurance Code. In provisions concerning coverage for telehealth services, provides that if an individual or group policy of accident or health insurance provides coverage for telehealth services, reimbursement for services provided through telehealth services shall be equivalent to reimbursement for the same services provided through in-person consultation.

HB 707 referred to rules
Prior Authorization Reform Act.
Creates the Prior Authorization Reform Act. Provides requirements concerning disclosure and review of prior authorization requirements, denial of claims or coverage by a utilization review organization, and the implementation of prior authorization requirements or restrictions.
HB 711
House Amendment 2

Public Act
Behavior Analyst Licensing Act.
      Creates the Behavior Analyst Licensing Act. Provides for licensure of behavior analysts and assistant behavior analysts.
Q & A: We opposed this. It created a new license, allowing Bachelor level therapists.

 HB 1824 No longer active
 Telehealth Several parts concerning telehealth services

Q & A: Replaced with HB3308 Telehealth Bill


HB3308 Senate Amendment 001 is the bill

No longer active
Telehealth in facilities
Reimburse physicians, community mental health centers, and substance abuse centers that provide primary care and behavioral health services to medical assistance recipients via telehealth, including medical evaluations for individuals residing in facilities licensed under the ID/DD Community Care Act and in community-integrated living arrangements. HB 2591
No longer active
  Amends the Abused and Neglected Child Reporting Act. Requires mandated reporters to complete an initial implicit bias training within 3 months of their date of engagement in a professional or official capacity as a mandated reporter,
 Public Act 102-064
effective 8/27/2022

Insurance Code

Amends the Illinois Insurance Code. Provides that every insurer provide coverage for medically necessary treatment of mental, emotional, nervous, or substance use disorders or conditions.
Q & A: Guarantees mental health coverage for medically necessary services. Effective after insurer amends, renews, delivers, issues a policy after it is signed into law.

Senate Amendment 1

Public Act

Amends the Illinois Insurance Code.

  • ·       Allows for Emergency Rulemaking. -
            Q & A: No idea why this was written into the law. We have to wait and see.
  • ·       Effective Date: Goes into effect after a policy is amended, renewed, issued.
  •         Does not require in-person contact before telehealth services are provided.
  •        No requirement to document a client hardship to provide telehealth services.
  •         Deductibles, co-pays the same as in person.
  •         Same reimbursement rate that would apply to the services if the services had been   delivered via an in-person by an in-network provide. Parity in rates.
  •        A provider can voluntarily negotiate alternate reimbursement rates,  Q & A- Why alternate rates would be negotiated we don't understand. When we know more we will add that info.
  •       Telephone communication is OK. Texting or faxing counseling sessions is NOT OK.


HB 3308

Senate Amendment 1

Public Act
 IDFPR suoervision for LCPC license remote

Remote clinical supervision- applicants for licensure as Clinical Professional Counselors may complete their live face-to-face supervision and education remotely, using real-time video as appropriate, rather than on-site. This waiver extends to May 31, 2021.

Rule change temporary
May 31, 2021

Police Training Crisis Intervention

Amends the Illinois Police Training Act. Curriculum for certified training programs in crisis intervention shall be at least 40 hours for recruit law enforcement officers. Provides that Crisis Intervention Team (CIT) training programs shall be a collaboration between law enforcement professionals, mental health providers and others.

HB28 referred Rules
Trauma Response Fund
Creates the Trauma Response Fund. Requires school boards to develop a trauma response protocol that shall be implemented in response to a traumatic event at a school, including, but not limited to, a shooting at the school. Sets forth various requirements for the protocol, including response by hospitals, trauma intervention services, and community engagement.
 HB238 referred Rules
School District Notification

Amends the Children with Disabilities Article of the School Code. Requires a school district to provide notification to the parent or guardian of a student with an individualized education program (IEP) a Dept of Human Services booklet


Public Act

 School Counselor Ratio

Provides that a school district shall employ a ratio of no less than one counselor to 150 students (rather than allowing a school district to employ a ratio of no less than one counselor to 250 students).


referred to Rules
Suicide Prevention ID Notice

Requires school districts to provide contact information for the National Suicide Prevention Lifeline and for the Crisis Text Line on the back of each student identification card issued by the school district. If the school district does not issue student identification cards to its students or to all its students, the school district must publish this  on its website.

 HB597 Public Act
School Counselor name change

Replace the terms "school guidance counselor" and "guidance counselor" with the term "school counselor" in numerous Acts.



Public Act

 Marriage/Divorce release of information
Amends the Illinois Marriage and Dissolution of Marriage Act. Provides that court-ordered counseling is subject to the Mental Health and Developmental Disabilities Confidentiality Act and the federal Health Insurance Portability and Accountability Act of 1996. SB 257

Passed Senate Unanimous

In House

Passed Insurance Committee unanimous


 Timely Access
Timely and proximate access to treatment for mental, emotional, nervous, or substance use disorders or conditions. Provides that network adequacy standards for timely and proximate access to treatment for mental, emotional, nervous, or substance use disorders or conditions must satisfy specified minimum requirements.
Public Act
  Insurance Mental Health
SB 697
 Senate assignments
Sexual Harassment training
Eliminates CE requirement for Sexual Harassment training but keeps training requirement. SB1079
Public Act
Insurance recoupment (claw back)
Concerning recoupment by an insurer, health maintenance organization, independent practice association, or physician hospital organization, provides that no recoupment or offset may be requested or withheld from future payments 12 months or more after the original payment is made. Removes language that provides that an insurer, health maintenance organization, independent practice association, or physician hospital organization may not attempt a recoupment or offset until all appeal rights are exhausted. SB1974
Public Act
SB 102-0308

  Psychologists prescribing for children

Passed committee 2nd reading House

Referred to Assignments
 Music Therapy
Creates the Music Therapy Licensing and Practice Act.
SB 2243

 Referred to Assignments
Medicaid billing for LCPC
Omnibus Medicaid bill-

Adds LCPCs and LMFTs to bill for medicaid eligible clients

Dispersion Maps of Illinois Licensed Mental Health Professionals.

 SB2294 Signed into law 7/6/21
Public Act . . . . . . . . . 102-0043
 Counselor in Training
Provides for the designation of counselors in training
Allows specific recent graduates to get licensed for 1 year pending LPC application

 SB 2308
Re-referred to Assignments
 Bach level Counselors
Allows bachelor level to provide counseling services replacing licensed LPC/LCPC, LSW, LCSW
SB 2314

 Passed House Committee 2nd Reading House
Deadline extended to 5/21/21
   IDFPR Rule Changes
IDFPR CEs Online

This replaces the previous temporary rule on online CEs.

CE credits may be earned for successful completion of a course (e.g., by mail, computer, pre-recorded online course/program, live online course/program, etc.) that is offered by an approved sponsor who meets the requirements set forth in subsection (c). Each course shall include an examination.

This rule change permanently allows all 30 CEs in a renewal period to be “not in person.” Effective Jan 28, 2021

  2020 Legislation
  Additional Police Officer Training in Crisis Management
Graduation requirements changed
Numerous changes to the school code with new graduation requirements


 Health Care

Bill aimed at improving health outcomes for Black residents
by reforming the State’s health and human service system.

HB 5548 and HB3840

 Insurance recoupment
Changes time limit fro 18 months to 6 months
 Mental Health Income Tax Checkoff Fund Creates an income tax checkoff for the Mental Health Income Tax Checkoff Fund. Provides that moneys in the Fund may be used by the Department of Public Health for the purpose of making grants to providers of mental health services in the State. Effective immediately. HB0184 FAILED
Mental Health Instruction
Amends the Critical Health Problems and Comprehensive Health Education Act to require the instruction on mental health and illness to evaluate the multiple dimensions of health by reviewing the relationship between physical and mental health so as to enhance student understanding, attitudes, and behaviors that promote health, well-being, and human dignity.
Health Care for All
Creates the Health Care for All Illinois Act that provides that all individuals residing in this State are covered under the Illinois Health Services Program for health insurance. 
 Cannabis Instruction
Provides that beginning with the 2019-2020 school year, in every public school maintaining any of grades kindergarten through 12, there shall be instruction, study, and discussion on the side effects of cannabis when the use of cannabis is not authorized by the Compassionate Use of Medical Cannabis Pilot Program Act. 
 Requires Teaching LGBTQ History
Provides that textbooks purchased with grant funds must be non-discriminatory. Provides that in public schools only, the teaching of history of the United States shall include a study of the roles and contributions of lesbian, gay, bisexual, and transgender people in the history of this country and this State. Effective July 1, 2020.
 HB0246  Signed into L:aw. Effective 7/1/20
 Health Insurer Claims Assessment Act  Imposes an assessment of 1% on claims paid by a health insurance carrier or third-party administrator. Provides that the moneys received and collected under the Act shall be used solely for the purpose of funding Medicaid services. HB0272
Online Mental Health Database
Maintain an online database and resource page on its website. Provides that the page shall contain mental health resources specifically geared towards school counselors, parents, and teachers with the goal of connecting those people with mental health resources related to bullying and school shootings and encouraging information sharing among educational administrators, school security personnel, and school resource officers.
 HB907 Signed into Law. Effective 7/12/19
Higher Education Mental Health Act Requires the Board of Higher Education to establish the Advisory Commission on Serving and Supporting Students with Mental Health Disabilities in Institutions of Higher Education HB0908
Mental Health Online Resource Database Directs the Department of Public Health to create and maintain an online database and resource page on its website containing mental health resources specifically geared towards school counselors, parents, and teachers with the goal of connecting those people with mental health resources related to bullying and school shootings and encouraging information sharing. HB0907 Signed into law Effective 7/12/19
Threat Assessment
Requires all school boards of school districts to develop threat assessment protocols and to create threat assessment teams. Provides that a school board shall create the threat assessment team within 30 days after the effective date of the amendatory Act and adopt an initial threat assessment protocol within 90 days after the effective date of the amendatory Act. Provides that a school district may share information concerning a clear and present danger with another school district HB1561
Sent to the Gov
Sessions for Adults under Guardianship
Until the consent of the adult's guardian has been obtained, counseling or psychotherapy provided to an adult under guardianship shall be limited to not more than 12 (rather than 5) sessions, a session lasting not more than 60 (rather than 45) minutes. HB2142
Signed into Law. Effective 7/12/19
 Parent present when School Police question student
Provides that a student may not be questioned or detained at a school site at which students are detained in connection with criminal charges or allegations, taken into custody, or engaged with law enforcement personnel without the presence of the student's parent or guardian, a school social worker, or a licensed mental health professional.
Signed into law Effective 8/23/19
Requires for HS graduation completion of the FAFSA or a waiver
Requires as a graduation requirment completion of the FAFSA or sign a waiver that they understand and are not competing it.
Signed into law. Effective 6/1/20
 Requires all post-secondary education options be discussed.
In assisting all students with a college or post-secondary education plan, a school counselor must include a discussion on all post-secondary education options, including 4-year colleges or universities, community colleges, and vocational schools.
 HB3652 Signed into law. Effective 8/9/19
 Suicide Prevention Office
Creates the Office of Suicide Prevention within the Department of Public Health
Signed into law. Effective 8/9/19 
Mental Health First Aid Training for School Personnel
Allows use of the Illinois Mental Health First Aid Training to satisfy training requirement.
Signed into law. Effective 8/9/19
 Eliminates required Basic Skills Test for educators
Eliminates the requirement to pass the basic skills test for educators.
 SB1952 Signed into law. Effective 8/7/19
 Min Salary


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