HB5225 - 104th General Assembly (2025-2026)

AUTISM SPECTRUM-DIAGNOSIS
Last Action
4/28/2026 - Senate: Assigned to Licensed Activities
Statutes Amended In Order of Appearance
215 ILCS 5/356z.14  
225 ILCS 110/3  from Ch. 111, par. 7903
225 ILCS 110/8.4 new  
305 ILCS 5/5-30.11  
Synopsis As Introduced
Amends the Illinois Speech-Language Pathology and Audiology Practice Act. Allows a speech-language pathologist to diagnose autism spectrum disorders if: (1) the child is under 3 years of age; and (2) the speech-language pathologist is trained in autism diagnostic evaluation methods as part of the curriculum of an approved program, through worksite training, or through continuing education. Provides that if a diagnosis requires a plan of care that includes elements that are outside the scope of practice of a speech-language pathologist, the speech-language pathologist must refer the patient to the appropriate medical personnel for further evaluation or management. Makes conforming changes in the Medical Assistance Article of the Illinois Public Aid Code, and provisions of the Illinois Insurance Code concerning autism spectrum disorders. Effective July 1, 2027.

House Committee Amendment No. 1
Adds reference to:
325 ILCS 3/10-125 new  
Replaces everything after the enacting clause. Reinserts the provisions of the introduced bill with the following changes. Allows a speech-language pathologist to diagnose autism spectrum disorders if: (1) the child is under 3 years of age; (2) the speech-language pathologist is trained in autism diagnostic evaluation methods as part of the curriculum of an approved program, through worksite training, or through continuing education; and (3) the diagnosis occurs as part of the Illinois Early Intervention Program. Amends the Department of Early Childhood Act. Requires the Department of Early Childhood to adopt rules consistent with the purposes of the amendatory Act authorizing speech-language pathologists licensed by the Department of Financial and Professional Regulation to diagnose autism spectrum disorders under the Illinois Early Intervention Program. Provides that the Department of Early Childhood shall consult with relevant stakeholders, including developmental and behavioral pediatricians, when developing the rules. Effective January 1, 2028.

House Floor Amendment No. 3
Deletes reference to:
325 ILCS 3/10-125 new  
Replaces everything after the enacting clause. Reinserts the provisions of the introduced bill with the following changes. In provisions amending the Illinois Insurance Code, provides that "diagnosis of autism spectrum disorder" includes one or more tests, evaluations, and assessments to diagnose whether an individual has autism spectrum disorder that are prescribed, performed, or ordered by a licensed speech-language pathologist with expertise in diagnosing autism spectrum disorders in children under age 3 (rather than by a licensed speech-language pathologist with expertise in diagnosing autism spectrum disorders). In provisions amending the Illinois Speech-Language Pathology and Audiology Practice Act, makes changes to the requirements necessary for a speech-language pathologist to diagnose autism spectrum disorders. In provisions amending the Illinois Public Aid Code, provides that treatment of autism spectrum disorders through applied behavior analysis shall be covered under the medical assistance program for children diagnosed with autism spectrum disorder when ordered by a speech-language pathologist licensed by the Department of Financial and Professional Regulation so long as the diagnosis by the speech-language pathologist occurs as part of the Illinois Early Intervention Program (rather than covering treatment by applied behavior analysis for children diagnosed with autism spectrum disorder by a speech-language pathologist licensed by the Department). Effective immediately.
Actions
DateChamberAction
2/05/2026HouseFiled with the Clerk by Rep. Natalie A. Manley
2/10/2026HouseFirst Reading
2/10/2026HouseReferred to Rules Committee
3/04/2026HouseAssigned to Health Care Licenses Committee
3/04/2026HouseHouse Committee Amendment No. 1 Filed with Clerk by Rep. Natalie A. Manley
3/04/2026HouseHouse Committee Amendment No. 1 Referred to Rules Committee
3/18/2026HouseHouse Committee Amendment No. 1 Rules Refers to Health Care Licenses Committee
3/20/2026HouseAdded Co-Sponsor Rep. Katie Stuart
3/24/2026HouseHouse Committee Amendment No. 2 Filed with Clerk by Rep. Natalie A. Manley
3/24/2026HouseHouse Committee Amendment No. 2 Referred to Rules Committee
3/25/2026HouseHouse Committee Amendment No. 1 Adopted in Health Care Licenses Committee; by Voice Vote
3/25/2026HouseDo Pass as Amended / Short Debate Health Care Licenses Committee; 014-000-000
3/25/2026HouseHouse Committee Amendment No. 2 Tabled
3/25/2026HousePlaced on Calendar 2nd Reading - Short Debate
4/09/2026HouseAdded Co-Sponsor Rep. Maura Hirschauer
4/09/2026HouseAdded Co-Sponsor Rep. Jehan Gordon-Booth
4/09/2026HouseAdded Co-Sponsor Rep. Norma Hernandez
4/09/2026HouseAdded Co-Sponsor Rep. Theresa Mah
4/09/2026HouseAdded Co-Sponsor Rep. Dagmara Avelar
4/09/2026HouseAdded Co-Sponsor Rep. Joyce Mason
4/09/2026HouseAdded Co-Sponsor Rep. Mary Gill
4/09/2026HouseAdded Co-Sponsor Rep. Angelica Guerrero-Cuellar
4/09/2026HouseAdded Co-Sponsor Rep. Rick Ryan
4/09/2026HouseAdded Co-Sponsor Rep. Dave Vella
4/09/2026HouseAdded Co-Sponsor Rep. Justin Cochran
4/09/2026HouseAdded Chief Co-Sponsor Rep. Nicole La Ha
4/09/2026HouseAdded Chief Co-Sponsor Rep. Diane Blair-Sherlock
4/09/2026HouseAdded Chief Co-Sponsor Rep. Jennifer Sanalitro
4/09/2026HouseAdded Chief Co-Sponsor Rep. Michael Crawford
4/09/2026HouseAdded Co-Sponsor Rep. Curtis J. Tarver, II
4/09/2026HouseAdded Co-Sponsor Rep. Sharon Chung
4/09/2026HouseAdded Co-Sponsor Rep. Brad Stephens
4/09/2026HouseAdded Co-Sponsor Rep. Jackie Haas
4/09/2026HouseAdded Co-Sponsor Rep. Daniel Didech
4/09/2026HouseAdded Co-Sponsor Rep. La Shawn K. Ford
4/09/2026HouseAdded Co-Sponsor Rep. Jay Hoffman
4/09/2026HouseAdded Co-Sponsor Rep. Michelle Mussman
4/09/2026HouseAdded Co-Sponsor Rep. Nicholas K. Smith
4/09/2026HouseAdded Co-Sponsor Rep. Nicolle Grasse
4/09/2026HouseAdded Co-Sponsor Rep. Tracy Katz Muhl
4/09/2026HouseAdded Co-Sponsor Rep. Harry Benton
4/09/2026HouseAdded Co-Sponsor Rep. Lawrence "Larry" Walsh, Jr.
4/09/2026HouseAdded Co-Sponsor Rep. Yolonda Morris
4/09/2026HouseAdded Co-Sponsor Rep. Matt Hanson
4/09/2026HouseAdded Co-Sponsor Rep. Lilian Jiménez
4/10/2026HouseSecond Reading - Short Debate
4/10/2026HouseHeld on Calendar Order of Second Reading - Short Debate
4/13/2026HouseHouse Floor Amendment No. 3 Filed with Clerk by Rep. Natalie A. Manley
4/13/2026HouseHouse Floor Amendment No. 3 Referred to Rules Committee
4/14/2026HouseHouse Floor Amendment No. 3 Rules Refers to Health Care Licenses Committee
4/15/2026HouseHouse Floor Amendment No. 3 Recommends Be Adopted Health Care Licenses Committee; 014-000-000
4/16/2026HouseAdded Co-Sponsor Rep. Emanuel "Chris" Welch
4/16/2026HouseHouse Floor Amendment No. 3 Adopted
4/16/2026HousePlaced on Calendar Order of 3rd Reading - Short Debate
4/16/2026HouseThird Reading - Short Debate - Passed 110-000-000
4/17/2026HouseAdded Co-Sponsor Rep. Elizabeth "Lisa" Hernandez
4/21/2026SenateArrive in Senate
4/21/2026SenatePlaced on Calendar Order of First Reading
4/21/2026SenateChief Senate Sponsor Sen. Meg Loughran Cappel
4/21/2026SenateFirst Reading
4/21/2026SenateReferred to Assignments
4/22/2026HouseRemoved Co-Sponsor Rep. Elizabeth "Lisa" Hernandez
4/28/2026SenateAssigned to Licensed Activities