Illinois 2025-2026 Regular Session

Illinois House Bill HB2994

Introduced
2/6/25  
Refer
2/6/25  
Refer
3/4/25  
Report Pass
3/19/25  
Engrossed
4/10/25  
Refer
4/23/25  
Refer
4/29/25  
Report Pass
5/7/25  
Enrolled
5/30/25  
Chaptered
8/15/25  

Caption

MENTAL HEALTH RECORDS

Summary

HB2994 amends the Illinois Mental Health and Developmental Disabilities Confidentiality Act to expand and clarify who may inspect and copy a recipient’s mental health or developmental disabilities records. The bill adds a new access category for the parent or guardian of a minor who is involved in special education services, but only for records of the specific mental health or developmental services that the parent or guardian consented to on the child’s behalf for those services. It also recognizes a designated representative of a student over age 18 involved in special education services, while removing language that had referenced a HIPAA personal representative as a separate access category. The bill preserves existing access rights for parents, guardians, recipients, attorneys, guardians ad litem, agents under powers of attorney, and certain custodians, and it keeps provisions allowing record interpretation, copying fees, statements disputing record content, and court review of denied modification requests. It also adds a clarifying provision that the section does not affect protections or access under the Illinois School Student Records Act or the federal Individuals with Disabilities Education Act. Overall, the measure is a targeted records-access update focused on the intersection of mental health confidentiality and special education.

Impact

HB2994 changes Section 4 of the Mental Health and Developmental Disabilities Confidentiality Act (740 ILCS 110/4), affecting who may access confidential recipient records and under what circumstances. Its main legal effect is to create a specific statutory pathway for parents, guardians, and designated representatives connected to special education services to obtain limited mental health or developmental disability records tied to services they helped authorize, while preserving the broader confidentiality framework for other records. The bill also expressly preserves separate student-records and IDEA protections, reducing the risk of conflict between this Act and education-law confidentiality rules.

Sentiment

The bill appears to have been broadly supported and noncontroversial in the legislature. It passed the House 111-0, the Senate 57-0, and House concurrence 115-0, indicating unanimous or near-unanimous approval at each recorded stage. The lack of committee transcript material suggests there was little recorded public debate or opposition, and the vote totals point to a consensus that the bill was a technical or clarifying update rather than a major policy shift.

Contention

There is little evidence of active contention in the available record. The only potentially sensitive issue is the balance between confidentiality of mental health records and parental or representative access in the special education context, especially for minors and students over 18. The bill narrows access to records specifically tied to services consented to for special education purposes and removes a broader HIPAA-based access reference, which may reflect an effort to limit overbroad disclosure while still accommodating school-related decision-making. No named opponents or competing positions appear in the provided materials.

Companion Bills

No companion bills found.

Previously Filed As

IL SB3466

FOID-MENTAL HEALTH

IL HB5209

FOID-MENTAL HEALTH

IL SB3798

MENTAL HEALTH 9-1-1 CALLS

IL HB5329

MENTAL HEALTH-COURT ORDERS

IL SB2949

MISSING PERSONS-DENTAL RECORDS

IL SB3750

MENTAL HEALTH-COURT ORDERS

IL HB1085

INS CD-MENTAL HEALTH PARITY

IL HB2960

SCH CD-MENTAL HEALTH ED REQ

IL SB3322

MENTAL HEALTH REHABILITATION

IL HB3385

HIGHER ED-MENTAL HEALTH ACTION

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