Illinois has two new laws going into effect on January 1, 2026, that are anticipated to improve access to medications and services. One, House Bill (HB) 1697, the Prescription Drug Affordability Act, sets new requirements on pharmacy benefit managers (PBMs) to manage pricing and to prevent what the Governor’s office called predatory practices. The other, HB 3019, the Healthcare Protection Expansion Act, will prevent commercial and Medicaid health plans from imposing prior authorization requirements for outpatient and partial hospitalization mental health services. The provisions of HB 3019 complement a 2024 initiative to ban step therapy for psychotropic medications and . . .

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Addiction Treatment Services

Addiction is a chronic disease, which causes individuals to seek “reward” from substance-use or other activities whether or not they may cause harm. Addiction treatment has been in the spotlight as payers, policymakers, and health systems struggle to address the opioid crisis and increasing substance-related mortality rates. As a result, the addiction treatment market is shifting—there is expanded coverage for residential treatment, a push towards greater integration and care coordination, and new competitors entering the market—creating new challenges and opportunities for organizations working in addiction treatment.


On June 25, 2025, Florida Governor Ron DeSantis signed two bills aimed at expanding mental health and addiction services—introducing new funding, workforce development incentives, and diversion pathways. Senate Bill (SB) 1620 implements recommendations made by Florida’s Commission on Mental Health and Substance Use Disorder. SB 168, the “Tristin Murphy Act,” creates new diversion pathways for people with mental illnesses when diversion is a feasible alternative to incarceration.  SB 1620 implements key recommendations made by Florida’s
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