Illinois 2025-2026 Regular Session

Illinois Senate Bill SB2500 Compare Versions

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1-SB2500 EngrossedLRB104 12196 RTM 22301 b SB2500 Engrossed LRB104 12196 RTM 22301 b
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1+104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 SB2500 Introduced 2/7/2025, by Sen. Robert Peters SYNOPSIS AS INTRODUCED: See Index Amends the Community Emergency Services and Support Act. Modifies legislative findings. Provides that appropriate mobile response services must, among other things, subject to the care decisions of the individual receiving care, coordinate transportation for any individual experiencing a mental or behavioral health emergency to the least restrictive setting feasible (rather than provide transportation for any individual experiencing a mental or behavioral health emergency). Provides that adequate mobile mental health relief provider training includes, among other things, training in recognizing and working with people with neurodivergent and developmental disability diagnoses and in the techniques available to help stabilize and connect them to further services and training in the involuntary commitment process, in identification of situations that meet the standards for involuntary commitment, and in cultural competencies and social biases to guard against any group being disproportionately subjected to the involuntary commitment process or the use of the process not warranted under the legal standard for involuntary commitment. Provides that mobile mental health relief providers may only participate in the involuntary commitment process to the extent permitted under the Mental Health and Developmental Disabilities Code. Requires the system for gathering information developed by the Statewide Advisory Committee to determine the number of instances of mobile mental health relief providers initiating petitions for involuntary commitment. Provides that the exemption from civil liability for emergency care provided in the Good Samaritan Act applies to anyone providing care under the Act. Provides that each 9-1-1 public safety answering point and emergency service dispatched through a 9-1-1 public safety answering point must begin coordinating its activities with the mobile mental and behavioral health services established by the Division of Mental Health once all 3 of the following conditions are met, but not later than July 1, 2027 (rather than July 1, 2025). Adds definitions and modifies existing definitions. Effective immediately. LRB104 12196 RTM 22301 b A BILL FOR 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 SB2500 Introduced 2/7/2025, by Sen. Robert Peters SYNOPSIS AS INTRODUCED: See Index See Index Amends the Community Emergency Services and Support Act. Modifies legislative findings. Provides that appropriate mobile response services must, among other things, subject to the care decisions of the individual receiving care, coordinate transportation for any individual experiencing a mental or behavioral health emergency to the least restrictive setting feasible (rather than provide transportation for any individual experiencing a mental or behavioral health emergency). Provides that adequate mobile mental health relief provider training includes, among other things, training in recognizing and working with people with neurodivergent and developmental disability diagnoses and in the techniques available to help stabilize and connect them to further services and training in the involuntary commitment process, in identification of situations that meet the standards for involuntary commitment, and in cultural competencies and social biases to guard against any group being disproportionately subjected to the involuntary commitment process or the use of the process not warranted under the legal standard for involuntary commitment. Provides that mobile mental health relief providers may only participate in the involuntary commitment process to the extent permitted under the Mental Health and Developmental Disabilities Code. Requires the system for gathering information developed by the Statewide Advisory Committee to determine the number of instances of mobile mental health relief providers initiating petitions for involuntary commitment. Provides that the exemption from civil liability for emergency care provided in the Good Samaritan Act applies to anyone providing care under the Act. Provides that each 9-1-1 public safety answering point and emergency service dispatched through a 9-1-1 public safety answering point must begin coordinating its activities with the mobile mental and behavioral health services established by the Division of Mental Health once all 3 of the following conditions are met, but not later than July 1, 2027 (rather than July 1, 2025). Adds definitions and modifies existing definitions. Effective immediately. LRB104 12196 RTM 22301 b LRB104 12196 RTM 22301 b A BILL FOR
2+104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 SB2500 Introduced 2/7/2025, by Sen. Robert Peters SYNOPSIS AS INTRODUCED:
3+See Index See Index
4+See Index
5+Amends the Community Emergency Services and Support Act. Modifies legislative findings. Provides that appropriate mobile response services must, among other things, subject to the care decisions of the individual receiving care, coordinate transportation for any individual experiencing a mental or behavioral health emergency to the least restrictive setting feasible (rather than provide transportation for any individual experiencing a mental or behavioral health emergency). Provides that adequate mobile mental health relief provider training includes, among other things, training in recognizing and working with people with neurodivergent and developmental disability diagnoses and in the techniques available to help stabilize and connect them to further services and training in the involuntary commitment process, in identification of situations that meet the standards for involuntary commitment, and in cultural competencies and social biases to guard against any group being disproportionately subjected to the involuntary commitment process or the use of the process not warranted under the legal standard for involuntary commitment. Provides that mobile mental health relief providers may only participate in the involuntary commitment process to the extent permitted under the Mental Health and Developmental Disabilities Code. Requires the system for gathering information developed by the Statewide Advisory Committee to determine the number of instances of mobile mental health relief providers initiating petitions for involuntary commitment. Provides that the exemption from civil liability for emergency care provided in the Good Samaritan Act applies to anyone providing care under the Act. Provides that each 9-1-1 public safety answering point and emergency service dispatched through a 9-1-1 public safety answering point must begin coordinating its activities with the mobile mental and behavioral health services established by the Division of Mental Health once all 3 of the following conditions are met, but not later than July 1, 2027 (rather than July 1, 2025). Adds definitions and modifies existing definitions. Effective immediately.
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311 1 AN ACT concerning local government.
412 2 Be it enacted by the People of the State of Illinois,
513 3 represented in the General Assembly:
614 4 Section 5. The Community Emergency Services and Support
7-5 Act is amended by changing Sections 5, 15, 25, 30, 40, and 65
8-6 as follows:
15+5 Act is amended by changing Sections 5, 15, 25, 30, 40, 55, and
16+6 65 as follows:
917 7 (50 ILCS 754/5)
1018 8 Sec. 5. Findings. The General Assembly recognizes that the
1119 9 Illinois Department of Human Services Division of Mental
1220 10 Health is preparing to provide mobile mental and behavioral
1321 11 health services to all Illinoisans as part of the federally
1422 12 mandated adoption of the 9-8-8 phone number. The General
1523 13 Assembly also recognizes that many cities and some states have
1624 14 successfully established mobile emergency mental and
1725 15 behavioral health services as part of their emergency response
1826 16 system to support people who need such support and do not
1927 17 present a threat of physical violence to the mobile mental
2028 18 health relief providers. In light of that experience, the
2129 19 General Assembly finds that in order to promote and protect
2230 20 the health, safety, and welfare of the public, it is necessary
2331 21 and in the public interest to provide emergency response, with
2432 22 or without medical transportation, to individuals requiring
2533 23 mental health or behavioral health services in a manner that
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37+104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 SB2500 Introduced 2/7/2025, by Sen. Robert Peters SYNOPSIS AS INTRODUCED:
38+See Index See Index
39+See Index
40+Amends the Community Emergency Services and Support Act. Modifies legislative findings. Provides that appropriate mobile response services must, among other things, subject to the care decisions of the individual receiving care, coordinate transportation for any individual experiencing a mental or behavioral health emergency to the least restrictive setting feasible (rather than provide transportation for any individual experiencing a mental or behavioral health emergency). Provides that adequate mobile mental health relief provider training includes, among other things, training in recognizing and working with people with neurodivergent and developmental disability diagnoses and in the techniques available to help stabilize and connect them to further services and training in the involuntary commitment process, in identification of situations that meet the standards for involuntary commitment, and in cultural competencies and social biases to guard against any group being disproportionately subjected to the involuntary commitment process or the use of the process not warranted under the legal standard for involuntary commitment. Provides that mobile mental health relief providers may only participate in the involuntary commitment process to the extent permitted under the Mental Health and Developmental Disabilities Code. Requires the system for gathering information developed by the Statewide Advisory Committee to determine the number of instances of mobile mental health relief providers initiating petitions for involuntary commitment. Provides that the exemption from civil liability for emergency care provided in the Good Samaritan Act applies to anyone providing care under the Act. Provides that each 9-1-1 public safety answering point and emergency service dispatched through a 9-1-1 public safety answering point must begin coordinating its activities with the mobile mental and behavioral health services established by the Division of Mental Health once all 3 of the following conditions are met, but not later than July 1, 2027 (rather than July 1, 2025). Adds definitions and modifies existing definitions. Effective immediately.
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3468 1 is substantially equivalent to the response already provided
3569 2 to individuals who require emergency physical health care.
3670 3 The General Assembly also recognizes the history of
3771 4 vulnerable populations being subject to unwarranted
3872 5 involuntary commitment or other human rights violations
3973 6 instead of receiving necessary care during acute crises which
4074 7 may contribute to an understandable apprehension of behavioral
4175 8 health services among individuals who have historically been
4276 9 subject to these practices. The General Assembly intends for
4377 10 the Mobile Mental Health Relief Providers regulated by this
4478 11 Act to assist with crises that do not rise to the level of
4579 12 involuntary commitment. However, the General Assembly also
4680 13 recognizes that Mobile Mental Health Relief Providers may,
4781 14 during the course of assisting with a crisis, encounter
4882 15 individuals who present an imminent threat of injury to
4983 16 themselves or others unless they receive assistance through
5084 17 the involuntary commitment process. This Act intends to
5185 18 balance concerns about misuse of the involuntary commitment
5286 19 process with the need for emergency care for individuals whose
5387 20 crisis presents an imminent threat of injury.
5488 21 (Source: P.A. 102-580, eff. 1-1-22; 103-105, eff. 6-27-23.)
5589 22 (50 ILCS 754/15)
5690 23 Sec. 15. Definitions. As used in this Act:
5791 24 "Chemical restraint" means any drug used for discipline or
5892 25 convenience and not required to treat medical symptoms.
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69103 1 "Community services" and "community-based mental or
70104 2 behavioral health services" include both public and private
71105 3 settings.
72106 4 "Division of Mental Health" means the Division of Mental
73107 5 Health of the Department of Human Services.
74108 6 "Emergency" means an emergent circumstance caused by a
75109 7 health condition, regardless of whether it is perceived as
76110 8 physical, mental, or behavioral in nature, for which an
77111 9 individual may require prompt care, support, or assessment at
78112 10 the individual's location.
79113 11 "Mental or behavioral health" means any health condition
80114 12 involving changes in thinking, emotion, or behavior, and that
81115 13 the medical community treats as distinct from physical health
82116 14 care.
83117 15 "Mobile mental health relief provider" means a person
84118 16 engaging with a member of the public to provide the mobile
85119 17 mental and behavioral service established in conjunction with
86120 18 the Division of Mental Health establishing the 9-8-8 emergency
87121 19 number. "Mobile mental health relief provider" does not
88122 20 include a Paramedic (EMT-P) or EMT, as those terms are defined
89123 21 in the Emergency Medical Services (EMS) Systems Act, unless
90124 22 that responding agency has agreed to provide a specialized
91125 23 response in accordance with the Division of Mental Health's
92126 24 services offered through its 9-8-8 number and has met all the
93127 25 requirements to offer that service through that system.
94128 26 "Physical health" means a health condition that the
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105139 1 medical community treats as distinct from mental or behavioral
106140 2 health care.
107141 3 "Physical restraint" means any manual method or physical
108142 4 or mechanical device, material, or equipment attached or
109143 5 adjacent to an individual's body that the individual cannot
110144 6 easily remove and restricts freedom of movement or normal
111145 7 access to one's body. "Physical restraint" does not include a
112146 8 seat belt if it is used during transportation of an individual
113147 9 and the individual has access to the mechanism that releases
114148 10 the seat belt.
115149 11 "Public safety answering point" or "PSAP" means the
116150 12 primary answering location of an emergency call that meets the
117151 13 appropriate standards of service and is responsible for
118152 14 receiving and processing those calls and events according to a
119153 15 specified operational policy a Public Safety Answering Point
120154 16 tele-communicator.
121155 17 "Community services" and "community-based mental or
122156 18 behavioral health services" may include both public and
123157 19 private settings.
124158 20 "Treatment relationship" means an active association with
125159 21 a mental or behavioral care provider able to respond in an
126160 22 appropriate amount of time to requests for care.
127161 23 (Source: P.A. 102-580, eff. 1-1-22; 103-105, eff. 6-27-23.)
128162 24 (50 ILCS 754/25)
129163 25 Sec. 25. State goals.
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140174 1 (a) 9-1-1 PSAPs, emergency services dispatched through
141175 2 9-1-1 PSAPs, and the mobile mental and behavioral health
142176 3 service established by the Division of Mental Health must
143177 4 coordinate their services so that the State goals listed in
144178 5 this Section are achieved. Appropriate mobile response service
145179 6 for mental and behavioral health emergencies shall be
146180 7 available regardless of whether the initial contact was with
147181 8 9-8-8, 9-1-1 or directly with an emergency service dispatched
148182 9 through 9-1-1. Appropriate mobile response services must:
149183 10 (1) whenever possible, ensure that individuals
150184 11 experiencing mental or behavioral health crises are
151185 12 diverted from hospitalization or incarceration and are
152186 13 instead linked with available appropriate community
153187 14 services;
154188 15 (2) include the option of on-site care if that type of
155189 16 care is appropriate and does not override the care
156190 17 decisions of the individual receiving care. Providing care
157191 18 in the community, through methods like mobile crisis
158192 19 units, is encouraged. If effective care is provided on
159193 20 site, and if it is consistent with the care decisions of
160194 21 the individual receiving the care, further transportation
161195 22 to other medical providers is not required by this Act;
162196 23 (3) recommend appropriate referrals for available
163197 24 community services if the individual receiving on-site
164198 25 care is not already in a treatment relationship with a
165199 26 service provider or is unsatisfied with their current
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176210 1 service providers. The referrals shall take into
177211 2 consideration waiting lists and copayments, which may
178212 3 present barriers to access; and
179213 4 (4) subject to the care decisions of the individual
180214 5 receiving care, coordinate provide transportation for any
181215 6 individual experiencing a mental or behavioral health
182-7 emergency to the most integrated and least restrictive
183-8 setting feasible. A mobile crisis response team may
184-9 provide transportation if the mobile crisis response team
185-10 is appropriately equipped and staffed to do so.
186-11 Transportation shall be to the most integrated and least
187-12 restrictive setting appropriate in the community, such as
188-13 to the individual's home or chosen location, community
189-14 crisis respite centers, clinic settings, behavioral health
190-15 centers, or the offices of particular medical care
191-16 providers with existing treatment relationships to the
192-17 individual seeking care.
193-18 (b) Prioritize requests for emergency assistance. 9-1-1
194-19 PSAPs, emergency services dispatched through 9-1-1 PSAPs, and
195-20 the mobile mental and behavioral health service established by
196-21 the Division of Mental Health must provide guidance for
197-22 prioritizing calls for assistance and maximum response time in
198-23 relation to the type of emergency reported.
199-24 (c) Provide appropriate response times. From the time of
200-25 first notification, 9-1-1 PSAPs, emergency services dispatched
201-26 through 9-1-1 PSAPs, and the mobile mental and behavioral
216+7 emergency to the least restrictive setting feasible.
217+8 Transportation shall be to the most integrated and least
218+9 restrictive setting appropriate in the community, such as
219+10 to the individual's home or chosen location, community
220+11 crisis respite centers, clinic settings, behavioral health
221+12 centers, or the offices of particular medical care
222+13 providers with existing treatment relationships to the
223+14 individual seeking care.
224+15 (b) Prioritize requests for emergency assistance. 9-1-1
225+16 PSAPs, emergency services dispatched through 9-1-1 PSAPs, and
226+17 the mobile mental and behavioral health service established by
227+18 the Division of Mental Health must provide guidance for
228+19 prioritizing calls for assistance and maximum response time in
229+20 relation to the type of emergency reported.
230+21 (c) Provide appropriate response times. From the time of
231+22 first notification, 9-1-1 PSAPs, emergency services dispatched
232+23 through 9-1-1 PSAPs, and the mobile mental and behavioral
233+24 health service established by the Division of Mental Health
234+25 must provide the response within response time appropriate to
235+26 the care requirements of the individual with an emergency.
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212-1 health service established by the Division of Mental Health
213-2 must provide the response within response time appropriate to
214-3 the care requirements of the individual with an emergency.
215-4 (d) Require appropriate mobile mental health relief
216-5 provider training. Mobile mental health relief providers must
217-6 have adequate training to address the needs of individuals
218-7 experiencing a mental or behavioral health emergency. Adequate
219-8 training at least includes:
220-9 (1) training in de-escalation techniques;
221-10 (2) knowledge of local community services and
222-11 supports; and
223-12 (3) training in respectful interaction with people
224-13 experiencing mental or behavioral health crises, including
225-14 the concepts of stigma and respectful language; .
226-15 (4) training in recognizing and working with people
227-16 with neurodivergent and developmental disability diagnoses
228-17 and in the techniques available to help stabilize and
229-18 connect them to further services; and
230-19 (5) training in the involuntary commitment process, in
231-20 identification of situations that meet the standards for
232-21 involuntary commitment, and in cultural competencies and
233-22 social biases to guard against any group being
234-23 disproportionately subjected to the involuntary commitment
235-24 process or the use of the process not warranted under the
236-25 legal standard for involuntary commitment.
237-26 (e) Require minimum team staffing. The Division of Mental
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246+1 (d) Require appropriate mobile mental health relief
247+2 provider training. Mobile mental health relief providers must
248+3 have adequate training to address the needs of individuals
249+4 experiencing a mental or behavioral health emergency. Adequate
250+5 training at least includes:
251+6 (1) training in de-escalation techniques;
252+7 (2) knowledge of local community services and
253+8 supports; and
254+9 (3) training in respectful interaction with people
255+10 experiencing mental or behavioral health crises, including
256+11 the concepts of stigma and respectful language; .
257+12 (4) training in recognizing and working with people
258+13 with neurodivergent and developmental disability diagnoses
259+14 and in the techniques available to help stabilize and
260+15 connect them to further services; and
261+16 (5) training in the involuntary commitment process, in
262+17 identification of situations that meet the standards for
263+18 involuntary commitment, and in cultural competencies and
264+19 social biases to guard against any group being
265+20 disproportionately subjected to the involuntary commitment
266+21 process or the use of the process not warranted under the
267+22 legal standard for involuntary commitment.
268+23 (e) Require minimum team staffing. The Division of Mental
269+24 Health, in consultation with the Regional Advisory Committees
270+25 created in Section 40, shall determine the appropriate
271+26 credentials for the mental health providers responding to
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248-1 Health, in consultation with the Regional Advisory Committees
249-2 created in Section 40, shall determine the appropriate
250-3 credentials for the mental health providers responding to
251-4 calls, including to what extent the mobile mental health
252-5 relief providers must have certain credentials and licensing,
253-6 and to what extent the mobile mental health relief providers
254-7 can be peer support professionals.
255-8 (f) Require training from individuals with lived
256-9 experience. Training shall be provided by individuals with
257-10 lived experience to the extent available.
258-11 (g) Adopt guidelines directing referral to restrictive
259-12 care settings. Mobile mental health relief providers must have
260-13 guidelines to follow when considering whether to refer an
261-14 individual to more restrictive forms of care, like emergency
262-15 room or hospital settings.
263-16 (h) Specify regional best practices. Mobile mental health
264-17 relief providers providing these services must do so
265-18 consistently with best practices, which include respecting the
266-19 care choices of the individuals receiving assistance. Regional
267-20 best practices may be broken down into sub-regions, as
268-21 appropriate to reflect local resources and conditions. With
269-22 the agreement of the impacted EMS Regions, providers of
270-23 emergency response to physical emergencies may participate in
271-24 another EMS Region for mental and behavioral response, if that
272-25 participation shall provide a better service to individuals
273-26 experiencing a mental or behavioral health emergency.
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282+1 calls, including to what extent the mobile mental health
283+2 relief providers must have certain credentials and licensing,
284+3 and to what extent the mobile mental health relief providers
285+4 can be peer support professionals.
286+5 (f) Require training from individuals with lived
287+6 experience. Training shall be provided by individuals with
288+7 lived experience to the extent available.
289+8 (g) Adopt guidelines directing referral to restrictive
290+9 care settings. Mobile mental health relief providers must have
291+10 guidelines to follow when considering whether to refer an
292+11 individual to more restrictive forms of care, like emergency
293+12 room or hospital settings.
294+13 (h) Specify regional best practices. Mobile mental health
295+14 relief providers providing these services must do so
296+15 consistently with best practices, which include respecting the
297+16 care choices of the individuals receiving assistance. Regional
298+17 best practices may be broken down into sub-regions, as
299+18 appropriate to reflect local resources and conditions. With
300+19 the agreement of the impacted EMS Regions, providers of
301+20 emergency response to physical emergencies may participate in
302+21 another EMS Region for mental and behavioral response, if that
303+22 participation shall provide a better service to individuals
304+23 experiencing a mental or behavioral health emergency.
305+24 (i) Adopt system for directing care in advance of an
306+25 emergency. The Division of Mental Health shall select and
307+26 publicly identify a system that allows individuals who
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284-1 (i) Adopt system for directing care in advance of an
285-2 emergency. The Division of Mental Health shall select and
286-3 publicly identify a system that allows individuals who
287-4 voluntarily chose to do so to provide confidential advanced
288-5 care directions to individuals providing services under this
289-6 Act. No system for providing advanced care direction may be
290-7 implemented unless the Division of Mental Health approves it
291-8 as confidential, available to individuals at all economic
292-9 levels, and non-stigmatizing. The Division of Mental Health
293-10 may defer this requirement for providing a system for advanced
294-11 care direction if it determines that no existing systems can
295-12 currently meet these requirements.
296-13 (j) Train dispatching staff. The personnel staffing 9-1-1,
297-14 3-1-1, or other emergency response intake systems must be
298-15 provided with adequate training to assess whether coordinating
299-16 with 9-8-8 is appropriate.
300-17 (k) Establish protocol for emergency responder
301-18 coordination. The Division of Mental Health shall establish a
302-19 protocol for mobile mental health relief providers, law
303-20 enforcement, and fire and ambulance services to request
304-21 assistance from each other, and train these groups on the
305-22 protocol.
306-23 (l) Integrate law enforcement. The Division of Mental
307-24 Health shall provide for law enforcement to request mobile
308-25 mental health relief provider assistance whenever law
309-26 enforcement engages an individual appropriate for services
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318+1 voluntarily chose to do so to provide confidential advanced
319+2 care directions to individuals providing services under this
320+3 Act. No system for providing advanced care direction may be
321+4 implemented unless the Division of Mental Health approves it
322+5 as confidential, available to individuals at all economic
323+6 levels, and non-stigmatizing. The Division of Mental Health
324+7 may defer this requirement for providing a system for advanced
325+8 care direction if it determines that no existing systems can
326+9 currently meet these requirements.
327+10 (j) Train dispatching staff. The personnel staffing 9-1-1,
328+11 3-1-1, or other emergency response intake systems must be
329+12 provided with adequate training to assess whether coordinating
330+13 with 9-8-8 is appropriate.
331+14 (k) Establish protocol for emergency responder
332+15 coordination. The Division of Mental Health shall establish a
333+16 protocol for mobile mental health relief providers, law
334+17 enforcement, and fire and ambulance services to request
335+18 assistance from each other, and train these groups on the
336+19 protocol.
337+20 (l) Integrate law enforcement. The Division of Mental
338+21 Health shall provide for law enforcement to request mobile
339+22 mental health relief provider assistance whenever law
340+23 enforcement engages an individual appropriate for services
341+24 under this Act. If law enforcement would typically request EMS
342+25 assistance when it encounters an individual with a physical
343+26 health emergency, law enforcement shall similarly dispatch
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320-1 under this Act. If law enforcement would typically request EMS
321-2 assistance when it encounters an individual with a physical
322-3 health emergency, law enforcement shall similarly dispatch
323-4 mental or behavioral health personnel or medical
324-5 transportation when it encounters an individual in a mental or
325-6 behavioral health emergency.
326-7 (Source: P.A. 102-580, eff. 1-1-22; 103-105, eff. 6-27-23.)
327-8 (50 ILCS 754/30)
328-9 Sec. 30. State prohibitions. 9-1-1 PSAPs, emergency
329-10 services dispatched through 9-1-1 PSAPs, and the mobile mental
330-11 and behavioral health service established by the Division of
331-12 Mental Health must coordinate their services so that, based on
332-13 the information provided to them, the following State
333-14 prohibitions are avoided:
334-15 (a) Law enforcement responsibility for providing mental
335-16 and behavioral health care. In any area where mobile mental
336-17 health relief providers are available for dispatch, law
337-18 enforcement shall not be dispatched to respond to an
338-19 individual requiring mental or behavioral health care unless
339-20 that individual is (i) involved in a suspected violation of
340-21 the criminal laws of this State, or (ii) presents a threat of
341-22 physical injury to self or others. Mobile mental health relief
342-23 providers are not considered available for dispatch under this
343-24 Section if 9-8-8 reports that it cannot dispatch appropriate
344-25 service within the maximum response times established by each
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354+1 mental or behavioral health personnel or medical
355+2 transportation when it encounters an individual in a mental or
356+3 behavioral health emergency.
357+4 (Source: P.A. 102-580, eff. 1-1-22; 103-105, eff. 6-27-23.)
358+5 (50 ILCS 754/30)
359+6 Sec. 30. State prohibitions. 9-1-1 PSAPs, emergency
360+7 services dispatched through 9-1-1 PSAPs, and the mobile mental
361+8 and behavioral health service established by the Division of
362+9 Mental Health must coordinate their services so that, based on
363+10 the information provided to them, the following State
364+11 prohibitions are avoided:
365+12 (a) Law enforcement responsibility for providing mental
366+13 and behavioral health care. In any area where mobile mental
367+14 health relief providers are available for dispatch, law
368+15 enforcement shall not be dispatched to respond to an
369+16 individual requiring mental or behavioral health care unless
370+17 that individual is (i) involved in a suspected violation of
371+18 the criminal laws of this State, or (ii) presents a threat of
372+19 physical injury to self or others. Mobile mental health relief
373+20 providers are not considered available for dispatch under this
374+21 Section if 9-8-8 reports that it cannot dispatch appropriate
375+22 service within the maximum response times established by each
376+23 Regional Advisory Committee under Section 45.
377+24 (1) Standing on its own or in combination with each
378+25 other, the fact that an individual is experiencing a
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355-1 Regional Advisory Committee under Section 45.
356-2 (1) Standing on its own or in combination with each
357-3 other, the fact that an individual is experiencing a
358-4 mental or behavioral health emergency, or has a mental
359-5 health, behavioral health, or other diagnosis, is not
360-6 sufficient to justify an assessment that the individual is
361-7 a threat of physical injury to self or others, or requires
362-8 a law enforcement response to a request for emergency
363-9 response or medical transportation.
364-10 (2) If, based on its assessment of the threat to
365-11 public safety, law enforcement would not accompany medical
366-12 transportation responding to a physical health emergency,
367-13 unless requested by mobile mental health relief providers,
368-14 law enforcement may not accompany emergency response or
369-15 medical transportation personnel responding to a mental or
370-16 behavioral health emergency that presents an equivalent
371-17 level of threat to self or public safety.
372-18 (3) Without regard to an assessment of threat to self
373-19 or threat to public safety, law enforcement may station
374-20 personnel so that they can rapidly respond to requests for
375-21 assistance from mobile mental health relief providers if
376-22 law enforcement does not interfere with the provision of
377-23 emergency response or transportation services. To the
378-24 extent practical, not interfering with services includes
379-25 remaining sufficiently distant from or out of sight of the
380-26 individual receiving care so that law enforcement presence
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389+1 mental or behavioral health emergency, or has a mental
390+2 health, behavioral health, or other diagnosis, is not
391+3 sufficient to justify an assessment that the individual is
392+4 a threat of physical injury to self or others, or requires
393+5 a law enforcement response to a request for emergency
394+6 response or medical transportation.
395+7 (2) If, based on its assessment of the threat to
396+8 public safety, law enforcement would not accompany medical
397+9 transportation responding to a physical health emergency,
398+10 unless requested by mobile mental health relief providers,
399+11 law enforcement may not accompany emergency response or
400+12 medical transportation personnel responding to a mental or
401+13 behavioral health emergency that presents an equivalent
402+14 level of threat to self or public safety.
403+15 (3) Without regard to an assessment of threat to self
404+16 or threat to public safety, law enforcement may station
405+17 personnel so that they can rapidly respond to requests for
406+18 assistance from mobile mental health relief providers if
407+19 law enforcement does not interfere with the provision of
408+20 emergency response or transportation services. To the
409+21 extent practical, not interfering with services includes
410+22 remaining sufficiently distant from or out of sight of the
411+23 individual receiving care so that law enforcement presence
412+24 is unlikely to escalate the emergency.
413+25 (b) Mobile mental health relief provider involvement in
414+26 involuntary commitment. Mobile mental health relief providers
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391-1 is unlikely to escalate the emergency.
392-2 (b) Mobile mental health relief provider involvement in
393-3 involuntary commitment. Mobile mental health relief providers
394-4 may participate in the involuntary commitment process only to
395-5 the extent permitted under the Mental Health and Developmental
396-6 Disabilities Code. The Division of Behavioral Health shall, in
397-7 consultation with each Regional Advisory Committee, as
398-8 appropriate, monitor the use of involuntary commitment under
399-9 this Act and provide systemic recommendations to improve
400-10 outcomes for those subject to commitment. In order to maintain
401-11 the appropriate care relationship, mobile mental health relief
402-12 providers shall not in any way assist in the involuntary
403-13 commitment of an individual beyond (i) reporting to their
404-14 dispatching entity or to law enforcement that they believe the
405-15 situation requires assistance the mobile mental health relief
406-16 providers are not permitted to provide under this Section;
407-17 (ii) providing witness statements; and (iii) fulfilling
408-18 reporting requirements the mobile mental health relief
409-19 providers may have under their professional ethical
410-20 obligations or laws of this State. This prohibition shall not
411-21 interfere with any mobile mental health relief provider's
412-22 ability to provide physical or mental health care.
413-23 (c) Use of law enforcement for transportation. In any area
414-24 where mobile mental health relief providers are available for
415-25 dispatch, unless requested by mobile mental health relief
416-26 providers, law enforcement shall not be used to provide
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425+1 may participate in the involuntary commitment process only to
426+2 the extent permitted under the Mental Health and Developmental
427+3 Disabilities Code. The Division of Behavioral Health shall, in
428+4 consultation with each Regional Advisory Committee, as
429+5 appropriate, monitor the use of involuntary commitment under
430+6 this Act and provide systemic recommendations to improve
431+7 outcomes for those subject to commitment. In order to maintain
432+8 the appropriate care relationship, mobile mental health relief
433+9 providers shall not in any way assist in the involuntary
434+10 commitment of an individual beyond (i) reporting to their
435+11 dispatching entity or to law enforcement that they believe the
436+12 situation requires assistance the mobile mental health relief
437+13 providers are not permitted to provide under this Section;
438+14 (ii) providing witness statements; and (iii) fulfilling
439+15 reporting requirements the mobile mental health relief
440+16 providers may have under their professional ethical
441+17 obligations or laws of this State. This prohibition shall not
442+18 interfere with any mobile mental health relief provider's
443+19 ability to provide physical or mental health care.
444+20 (c) Use of law enforcement for transportation. In any area
445+21 where mobile mental health relief providers are available for
446+22 dispatch, unless requested by mobile mental health relief
447+23 providers, law enforcement shall not be used to provide
448+24 transportation to access mental or behavioral health care, or
449+25 travel between mental or behavioral health care providers,
450+26 except where (i) no alternative is available; (ii) the
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427-1 transportation to access mental or behavioral health care, or
428-2 travel between mental or behavioral health care providers,
429-3 except where (i) no alternative is available; (ii) the
430-4 individual requests transportation from law enforcement and
431-5 law enforcement mutually agrees to provide transportation; or
432-6 (iii) the Mental Health and Developmental Disabilities Code
433-7 requires or permits law enforcement to provide transportation.
434-8 (d) Reduction of educational institution obligations. The
435-9 services coordinated under this Act may not be used to replace
436-10 any service an educational institution is required to provide
437-11 to a student. It shall not substitute for appropriate special
438-12 education and related services that schools are required to
439-13 provide by any law.
440-14 (e) This Section is operative beginning on the date the 3
441-15 conditions in Section 65 are met or July 1, 2025, whichever is
442-16 earlier.
443-17 (Source: P.A. 102-580, eff. 1-1-22; 103-105, eff. 6-27-23;
444-18 103-645, eff. 7-1-24.)
445-19 (50 ILCS 754/40)
446-20 Sec. 40. Statewide Advisory Committee.
447-21 (a) The Division of Mental Health shall establish a
448-22 Statewide Advisory Committee to review and make
449-23 recommendations for aspects of coordinating 9-1-1 and the
450-24 9-8-8 mobile mental health response system most appropriately
451-25 addressed on a State level.
459+SB2500- 13 -LRB104 12196 RTM 22301 b SB2500 - 13 - LRB104 12196 RTM 22301 b
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461+1 individual requests transportation from law enforcement and
462+2 law enforcement mutually agrees to provide transportation; or
463+3 (iii) the Mental Health and Developmental Disabilities Code
464+4 requires law enforcement to provide transportation.
465+5 (d) Reduction of educational institution obligations. The
466+6 services coordinated under this Act may not be used to replace
467+7 any service an educational institution is required to provide
468+8 to a student. It shall not substitute for appropriate special
469+9 education and related services that schools are required to
470+10 provide by any law.
471+11 (e) This Section is operative beginning on the date the 3
472+12 conditions in Section 65 are met or July 1, 2025, whichever is
473+13 earlier.
474+14 (Source: P.A. 102-580, eff. 1-1-22; 103-105, eff. 6-27-23;
475+15 103-645, eff. 7-1-24.)
476+16 (50 ILCS 754/40)
477+17 Sec. 40. Statewide Advisory Committee.
478+18 (a) The Division of Mental Health shall establish a
479+19 Statewide Advisory Committee to review and make
480+20 recommendations for aspects of coordinating 9-1-1 and the
481+21 9-8-8 mobile mental health response system most appropriately
482+22 addressed on a State level.
483+23 (b) Issues to be addressed by the Statewide Advisory
484+24 Committee include, but are not limited to, addressing changes
485+25 necessary in 9-1-1 call taking protocols and scripts used in
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462-1 (b) Issues to be addressed by the Statewide Advisory
463-2 Committee include, but are not limited to, addressing changes
464-3 necessary in 9-1-1 call taking protocols and scripts used in
465-4 9-1-1 PSAPs where those protocols and scripts are based on or
466-5 otherwise dependent on national providers for their operation.
467-6 (c) The Statewide Advisory Committee shall recommend a
468-7 system for gathering data related to the coordination of the
469-8 9-1-1 and 9-8-8 systems for purposes of allowing the parties
470-9 to make ongoing improvements in that system. As practical, the
471-10 system shall attempt to determine issues, which may include,
472-11 but are not limited to including, but not limited to:
473-12 (1) the volume of calls coordinated between 9-1-1 and
474-13 9-8-8;
475-14 (2) the volume of referrals from other first
476-15 responders to 9-8-8;
477-16 (3) the volume and type of calls deemed appropriate
478-17 for referral to 9-8-8 but could not be served by 9-8-8
479-18 because of capacity restrictions or other reasons;
480-19 (4) the appropriate information to improve
481-20 coordination between 9-1-1 and 9-8-8; and
482-21 (5) the appropriate information to improve the 9-8-8
483-22 system, if the information is most appropriately gathered
484-23 at the 9-1-1 PSAPs; and .
485-24 (6) the number of instances of mobile mental health
486-25 relief providers initiating petitions for involuntary
487-26 commitment, broken down by county and contracting entity
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496+1 9-1-1 PSAPs where those protocols and scripts are based on or
497+2 otherwise dependent on national providers for their operation.
498+3 (c) The Statewide Advisory Committee shall recommend a
499+4 system for gathering data related to the coordination of the
500+5 9-1-1 and 9-8-8 systems for purposes of allowing the parties
501+6 to make ongoing improvements in that system. As practical, the
502+7 system shall attempt to determine issues, which may include,
503+8 but are not limited to including, but not limited to:
504+9 (1) the volume of calls coordinated between 9-1-1 and
505+10 9-8-8;
506+11 (2) the volume of referrals from other first
507+12 responders to 9-8-8;
508+13 (3) the volume and type of calls deemed appropriate
509+14 for referral to 9-8-8 but could not be served by 9-8-8
510+15 because of capacity restrictions or other reasons;
511+16 (4) the appropriate information to improve
512+17 coordination between 9-1-1 and 9-8-8; and
513+18 (5) the appropriate information to improve the 9-8-8
514+19 system, if the information is most appropriately gathered
515+20 at the 9-1-1 PSAPs; and .
516+21 (6) the number of instances of mobile mental health
517+22 relief providers initiating petitions for involuntary
518+23 commitment, broken down by county and contracting entity
519+24 employing the petitioning mobile mental health relief
520+25 providers and the aggregate demographic data of the
521+26 individuals subject to those petitions.
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498-1 employing the petitioning mobile mental health relief
499-2 providers and the aggregate demographic data of the
500-3 individuals subject to those petitions.
501-4 (d) The Statewide Advisory Committee shall consist of:
502-5 (1) the Statewide 9-1-1 Administrator, ex officio;
503-6 (2) one representative designated by the Illinois
504-7 Chapter of National Emergency Number Association (NENA);
505-8 (3) one representative designated by the Illinois
506-9 Chapter of Association of Public Safety Communications
507-10 Officials (APCO);
508-11 (4) one representative of the Division of Mental
509-12 Health;
510-13 (5) one representative of the Illinois Department of
511-14 Public Health;
512-15 (6) one representative of a statewide organization of
513-16 EMS responders;
514-17 (7) one representative of a statewide organization of
515-18 fire chiefs;
516-19 (8) two representatives of statewide organizations of
517-20 law enforcement;
518-21 (9) two representatives of mental health, behavioral
519-22 health, or substance abuse providers; and
520-23 (10) four representatives of advocacy organizations
521-24 either led by or consisting primarily of individuals with
522-25 intellectual or developmental disabilities, individuals
523-26 with behavioral disabilities, or individuals with lived
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532+1 (d) The Statewide Advisory Committee shall consist of:
533+2 (1) the Statewide 9-1-1 Administrator, ex officio;
534+3 (2) one representative designated by the Illinois
535+4 Chapter of National Emergency Number Association (NENA);
536+5 (3) one representative designated by the Illinois
537+6 Chapter of Association of Public Safety Communications
538+7 Officials (APCO);
539+8 (4) one representative of the Division of Mental
540+9 Health;
541+10 (5) one representative of the Illinois Department of
542+11 Public Health;
543+12 (6) one representative of a statewide organization of
544+13 EMS responders;
545+14 (7) one representative of a statewide organization of
546+15 fire chiefs;
547+16 (8) two representatives of statewide organizations of
548+17 law enforcement;
549+18 (9) two representatives of mental health, behavioral
550+19 health, or substance abuse providers; and
551+20 (10) four representatives of advocacy organizations
552+21 either led by or consisting primarily of individuals with
553+22 intellectual or developmental disabilities, individuals
554+23 with behavioral disabilities, or individuals with lived
555+24 experience.
556+25 (e) The members of the Statewide Advisory Committee, other
557+26 than the Statewide 9-1-1 Administrator, shall be appointed by
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534-1 experience.
535-2 (e) The members of the Statewide Advisory Committee, other
536-3 than the Statewide 9-1-1 Administrator, shall be appointed by
537-4 the Secretary of Human Services.
538-5 (f) The Statewide Advisory Committee shall continue to
539-6 meet until this Act has been fully implemented, as determined
540-7 by the Division of Mental Health, and mobile mental health
541-8 relief providers are available in all parts of Illinois. The
542-9 Division of Mental Health may reconvene the Statewide Advisory
543-10 Committee at its discretion after full implementation of this
544-11 Act.
545-12 (Source: P.A. 102-580, eff. 1-1-22; 103-105, eff. 6-27-23.)
546-13 (50 ILCS 754/65)
547-14 Sec. 65. PSAP and emergency service dispatched through a
548-15 9-1-1 PSAP; coordination of activities with mobile and
549-16 behavioral health services.
550-17 (a) Each 9-1-1 PSAP and emergency service dispatched
551-18 through a 9-1-1 PSAP must begin coordinating its activities
552-19 with the mobile mental and behavioral health services
553-20 established by the Division of Mental Health once all 3 of the
554-21 following conditions are met, but not later than July 1, 2027
555-22 2025:
556-23 (1) the Statewide Committee has negotiated useful
557-24 protocol and 9-1-1 operator script adjustments with the
558-25 contracted services providing these tools to 9-1-1 PSAPs
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568+1 the Secretary of Human Services.
569+2 (f) The Statewide Advisory Committee shall continue to
570+3 meet until this Act has been fully implemented, as determined
571+4 by the Division of Mental Health, and mobile mental health
572+5 relief providers are available in all parts of Illinois. The
573+6 Division of Mental Health may reconvene the Statewide Advisory
574+7 Committee at its discretion after full implementation of this
575+8 Act.
576+9 (Source: P.A. 102-580, eff. 1-1-22; 103-105, eff. 6-27-23.)
577+10 (50 ILCS 754/55)
578+11 Sec. 55. Immunity.
579+12 (a) The exemptions from civil liability in Section 15.1 of
580+13 the Emergency Telephone System Systems Act apply to any act or
581+14 omission in the development, design, installation, operation,
582+15 maintenance, performance, or provision of service directed by
583+16 this Act.
584+17 (b) Persons, agencies, governmental bodies, private
585+18 organizations, governmental organizations, or institutions
586+19 that in good faith provide emergency or nonemergency
587+20 behavioral health services during a Department of Human
588+21 Services-approved training course, in the normal course of
589+22 conducting their duties, or in an emergency, may not be held
590+23 civilly liable or liable for civil damages as a result of any
591+24 acts or omissions in providing those services unless the acts
592+25 or omissions constitute willful and wanton misconduct. This
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569-1 operating in Illinois;
570-2 (2) the appropriate Regional Advisory Committee has
571-3 completed design of the specific 9-1-1 PSAP's process for
572-4 coordinating activities with the mobile mental and
573-5 behavioral health service; and
574-6 (3) the mobile mental and behavioral health service is
575-7 available in their jurisdiction.
576-8 (b) To achieve the conditions of subsection (a) by July 1,
577-9 2027, the following activities shall be completed:
578-10 (1) No later than June 30, 2025, pilot testing of the
579-11 revised protocols;
580-12 (2) No later than June 30, 2026:
581-13 (A) assessment and evaluation of the pilots;
582-14 (B) revisions, as needed, of protocols and
583-15 operations based on assessment and evaluation of the
584-16 pilots;
585-17 (C) implementation of revised protocols at pilot
586-18 sites; and
587-19 (D) implementation of revised protocols by PSAPs
588-20 who are ready to implement, otherwise known as early
589-21 adopters; and
590-22 (3) No later than June 30, 2027, implementation of
591-23 revised protocols by all remaining PSAPs, including any
592-24 PSAPs that previously cited financial barriers to updating
593-25 systems.
594-26 (Source: P.A. 102-580, eff. 1-1-22; 102-1109, eff. 12-21-22;
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603+1 immunity from civil liability extends to the administration,
604+2 sponsorship, authorization, support, finance, education, or
605+3 supervision of emergency behavioral health crisis services
606+4 personnel who are certified, licensed, or authorized under
607+5 this Act, including persons participating in a Department of
608+6 Human Services-approved training program.
609+7 (c) The exemption from civil liability for emergency care
610+8 provided in the Good Samaritan Act applies to anyone providing
611+9 care under this Act.
612+10 (Source: P.A. 102-580, eff. 1-1-22; revised 7-29-24.)
613+11 (50 ILCS 754/65)
614+12 Sec. 65. PSAP and emergency service dispatched through a
615+13 9-1-1 PSAP; coordination of activities with mobile and
616+14 behavioral health services.
617+15 (a) Each 9-1-1 PSAP and emergency service dispatched through a
618+16 9-1-1 PSAP must begin coordinating its activities with the
619+17 mobile mental and behavioral health services established by
620+18 the Division of Mental Health once all 3 of the following
621+19 conditions are met, but not later than July 1, 2027 2025:
622+20 (1) the Statewide Committee has negotiated useful
623+21 protocol and 9-1-1 operator script adjustments with the
624+22 contracted services providing these tools to 9-1-1 PSAPs
625+23 operating in Illinois;
626+24 (2) the appropriate Regional Advisory Committee has
627+25 completed design of the specific 9-1-1 PSAP's process for
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605-1 103-105, eff. 6-27-23; 103-645, eff. 7-1-24.)
606-2 Section 99. Effective date. This Act takes effect upon
607-3 becoming law.
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637+ SB2500 - 18 - LRB104 12196 RTM 22301 b
638+1 coordinating activities with the mobile mental and
639+2 behavioral health service; and
640+3 (3) the mobile mental and behavioral health service is
641+4 available in their jurisdiction.
642+5 (b) To achieve the conditions of subsection (a) by July 1,
643+6 2027, the following activities shall be completed:
644+7 (1) No later than June 30, 2025, pilot testing of the
645+8 revised protocols;
646+9 (2) No later than June 30, 2026:
647+10 (A) assessment and evaluation of the pilots;
648+11 (B) revisions, as needed, of protocols and
649+12 operations based on assessment and evaluation of the
650+13 pilots;
651+14 (C) implementation of revised protocols at pilot
652+15 sites; and
653+16 (D) implementation of revised protocols by PSAPs
654+17 who are ready to implement, otherwise known as early
655+18 adopters; and
656+19 (3) No later than June 30, 2027, implementation of
657+20 revised protocols by all remaining PSAPs, including any
658+21 PSAPs that previously cited financial barriers to updating
659+22 systems.
660+23 (Source: P.A. 102-580, eff. 1-1-22; 102-1109, eff. 12-21-22;
661+24 103-105, eff. 6-27-23; 103-645, eff. 7-1-24.)
662+25 Section 99. Effective date. This Act takes effect upon
663+26 becoming law.
664+SB2500- 19 -LRB104 12196 RTM 22301 b 1 INDEX 2 Statutes amended in order of appearance SB2500- 19 -LRB104 12196 RTM 22301 b SB2500 - 19 - LRB104 12196 RTM 22301 b 1 INDEX 2 Statutes amended in order of appearance
665+SB2500- 19 -LRB104 12196 RTM 22301 b SB2500 - 19 - LRB104 12196 RTM 22301 b
666+ SB2500 - 19 - LRB104 12196 RTM 22301 b
667+1 INDEX
668+2 Statutes amended in order of appearance
608669
609670
610671
611672
612673
613- SB2500 Engrossed - 18 - LRB104 12196 RTM 22301 b
674+ SB2500 - 18 - LRB104 12196 RTM 22301 b
675+
676+
677+
678+SB2500- 19 -LRB104 12196 RTM 22301 b SB2500 - 19 - LRB104 12196 RTM 22301 b
679+ SB2500 - 19 - LRB104 12196 RTM 22301 b
680+1 INDEX
681+2 Statutes amended in order of appearance
682+
683+
684+
685+
686+
687+ SB2500 - 19 - LRB104 12196 RTM 22301 b