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In the early-to-mid 2000s, the need for legislation to address these issues was apparent. As a result, the Illinois government passed several Illinois Senate bills. Each bill took a unique approach to address the opioid epidemic and drug abuse across the state.
In 2017, the state launched a hotline to help people struggling with opioid abuse and their loved ones. In the first eight months that the 24/7 hotline was operational, operators received 5,000 calls. That same year, the state saw 2,110 overdose deaths involving opioid drugs. Abuse rates of other substances, like marijuana, alcohol, and stimulants, are also high.
To address these devastating rates of addiction throughout the state, the bills passed by both the House and the Senate addressed both prevention and treatment.

Addressing The Opioid Abuse Epidemic in Illinois
Around the United States, the opioid addiction and overdose epidemic has devastated communities. In 2019, about 130 people die every day from opioid overdoses, primarily involving heroin or fentanyl.
Many of the people who struggle with opioid addiction and abuse first received a prescription for narcotic painkillers from a doctor, and they have been unable to stop taking these substances.
Expanding treatment, including through legal remedies as Illinois has demonstrated, is the best way to help people overcome opioid addiction. Treatment has been shown to reduce instances of overdose, resulting in fewer deaths due to opioids.
Specifics of the Senate Bills in Illinois
In Illinois, several House and Senate bills aim to address the growing opioid epidemic. The bills have been introduced with the goal of protecting people from becoming addicted to opioids or helping those who are already struggling with addiction.
Illinois House and Senate bills that address the opioid epidemic include:
- Senate Bill 682
- Senate Bill 2951
- House Bill 4408
- Senate Bill 3023
- House Bill 4556
- Senate Bill 1707
- Senate Bill 2535
- Senate Bill 2565
These bills represent a step forward in combatting the ongoing opioid crisis in our country. Each bill addresses addiction or mental health treatment differently, but they all aim to improve access to good treatment for all residents of Illinois.
By expanding access to life-saving naloxone, providing more resources for treatment and recovery, and limiting the supply of opioids, we can stop this epidemic from claiming more lives. Along with these legislative efforts, it is also important for individuals to educate themselves on the dangers of opioid misuse and learn about alternative pain management options.
Illinois Senate Bill 682
Illinois’ Senate Bill 682 was designed to remove an administrative barrier to getting treatment by amending the Illinois insurance code. Although the Affordable Care Act (ACA) requires insurance companies to provide behavioral, mental, and substance abuse treatment services, many insurance companies can deny coverage for immediate, medically necessary treatment like hospitalization for psychiatric reasons. Insurance may also authorize a delay in care, which can prevent someone in desperate need of detox and rehabilitation from getting responsive, appropriate treatment. This bill authorizes medical providers to give someone treatment for substance abuse for 72 hours while the individual appeals any insurance rejection or delay.
Illinois Senate Bill 2951
Illinois Senate Bill 2951 is a crucial bill that allows the Illinois Department of Healthcare and Family Services to apply for waivers that permit the treatment of serious mental illness, like the first episode of psychosis. Sometimes, psychotic episodes are triggered by drugs or alcohol, so having access to appropriate mental health treatment can lead to further diagnoses. SB2951 also creates a pilot program for adolescents and young adults who are experiencing their first symptoms of mental illness, especially serious mental illness, so they can receive better lifetime care. While the other bills listed will be implemented in the next few years, SB2951 has been implemented immediately, helping to expand treatment access in important ways.
Illinois Senate Bill 3023
The Illinois Senate Bill 3023 is inspired by the Safe-Passage Program from Dixon, Illinois. The program links law enforcement with licensed substance abuse treatment providers, so people struggling with drugs or alcohol are not simply incarcerated; they are sent into addiction treatment instead. In Dixon, this program put 215 people struggling with opioid abuse in detox and rehabilitation programs rather than prison, where they would have suffered intense withdrawal symptoms and had a higher risk of relapse when they were released. These types of programs have been associated with higher rates of sobriety and lower rates of recidivism.
Illinois Senate Bill 3023
The Illinois Senate Bill 3023 is inspired by the Safe-Passage Program from Dixon, Illinois. The program links law enforcement with licensed substance abuse treatment providers, so people struggling with drugs or alcohol are not simply incarcerated; they are sent into addiction treatment instead. In Dixon, this program put 215 people struggling with opioid abuse in detox and rehabilitation programs rather than prison, where they would have suffered intense withdrawal symptoms and had a higher risk of relapse when they were released. These types of programs have been associated with higher rates of sobriety and lower rates of recidivism.
Illinois Senate Bill 1707
Illinois’ Senate Bill 1707 strengthens the Illinois Department of Insurance’s ability to protect consumers in the midwestern state and improves coverage of mental health and substance abuse treatment.
The goal of the law is to allow treatment providers to do their best to help clients, without insurance companies completely dictating the course of treatment that is appropriate based on cost-saving measures.
For example, prior authorization for each step of treatment is now eliminated for FDA-approved medications that treat substance abuse. In addition, addiction treatment services cannot be excluded from coverage because they are ordered by the court. The bill had overwhelming bipartisan support when it passed the Illinois Senate.
Illinois Senate Bill 2535
Senate Bill 2535 mandates that pharmacists and opioid prescribers inform patients about the addictive nature of these medications. Additionally, patients must be advised of their option to request an opioid antagonist if desired.
Illinois Senate Bill 2565
Illinois’s Senate Bill 2565 empowers circuit courts to establish drug-court treatment programs, integrating additional harm-reduction services to better support participants. The bill also authorizes state attorneys to file motions to vacate and expunge convictions and records for individuals who complete these programs, offering them a path toward a fresh start.
Illinois House Bill 4408
Illinois’ House Bill 4408 builds on the state’s $13 million investment in 2021 to expand access to Naloxone, a lifesaving opioid suppressant. The bill eliminates copays for the treatment under both Medicaid and private insurance, addressing its often expensive cost and lack of accessibility.
Illinois House Bill 4556
House Bill 4556 broadens access for pharmacists and healthcare professionals in Illinois to distribute fentanyl testing strips, a critical tool in preventing opioid overdoses. The bill also ensures these supplies can be safely stored in licensed pharmacies, hospitals, and other healthcare facilities without fear of legal repercussions.
More Access to Treatment for Those Struggling With Addiction in Illinois
These bills, along with several others, have expanded the ability of substance abuse and mental health service providers to help clients struggling with acute drug abuse, mental illness symptoms, or both. They aim to change how insurance companies work with health care providers to address these chronic, harmful illnesses.
Illinois is improving residents’ ability to access high-quality treatment and cultivating a more open relationship between treatment providers and clients. The goal is to treat mental health issues with the same high level of care as other medical issues.
If you would like to learn about your local Footprints to Recovery center, please reach out for more information on our drug and alcohol addiction treatment program in Arlington Heights, Illinois.
- SB2951- Illinois General Assembly
- SB3023 – Illinois General Assembly
- Illinois House Passes Strongest Mental Health Parity Law in the Nation | The Kennedy Forum
- SB1707 – Illinois General Assembly
- Illinois General Assembly – Bill Status for SB2535
- IL General Assembly – Bill Status for SB2565
- HB4408 – Illinois General Assembly
- HB4556 – Illinois General Assembly
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