Illinois 2025-2026 Regular Session

Illinois Senate Bill SB2749

Introduced
1/13/26  
Refer
1/13/26  
Refer
2/3/26  
Report Pass
2/19/26  
Engrossed
4/16/26  
Refer
4/17/26  
Refer
4/27/26  

Caption

DHS-GAMBLING DISORDERS

Summary

SB2749 expands Illinois’ Substance Use Disorder Act to explicitly include gambling disorders alongside substance use disorders throughout the Department of Human Services’ prevention, intervention, treatment, recovery, licensing, and planning framework. The bill revises legislative findings, definitions, program duties, and patient-rights provisions so that gambling disorder is treated as a public health issue within the same state system that serves substance use disorders. It also updates terminology in multiple sections to reflect gambling-related services, including prevention education, crisis counseling, treatment, recovery support, and recovery residences. The bill directs DHS to develop and coordinate statewide gambling disorder prevention and treatment efforts, including public education, a hotline and website, training, research, grants, and coordination with other state agencies, schools, courts, and community providers. It authorizes gambling disorder treatment to be added as an adjunct to existing treatment and intervention licenses, requires the Department to maintain a directory of licensed providers, and creates or expands grant and funding mechanisms for gambling-related services. The bill also ties gambling disorder services to criminal justice diversion/probation, pregnant women and mothers’ services, adolescent family life programming, and opioid settlement administration where relevant.

Impact

SB2749 would amend numerous sections of the Substance Use Disorder Act, 20 ILCS 301, to make gambling disorder a covered subject of state prevention, treatment, recovery, licensing, and funding policy. It would require DHS to incorporate gambling disorder into statewide planning, provider licensure rules, patient protections, public education, and interagency coordination, and it would authorize gambling disorder-related services under treatment and intervention licenses. The bill also affects related statutes and programs by referencing gambling disorder in court-supervised treatment, recovery residences, grant programs, and public awareness efforts, while leaving existing substance use disorder provisions in place and layering gambling-related language onto them.

Sentiment

No committee transcripts or recorded votes were provided, so there is no direct evidence of debate or opposition in the supplied materials. Based on the bill text alone, the measure appears broadly public-health oriented and administratively expansive, with a focus on prevention, treatment access, and coordination across agencies. The overall tone is supportive of adding gambling disorder to existing behavioral health infrastructure rather than creating a separate system.

Contention

The main policy issue reflected in the text is the scope of state involvement in gambling disorder services, including whether DHS should regulate, fund, and coordinate a broad network of prevention and treatment activities. Potential points of contention include the expansion of licensure and reporting requirements, the use of state funds and settlement dollars for gambling-related services, and the bill’s integration of gambling disorder into criminal justice, school, and family-service settings. The bill also includes references to minors, video gaming, sports wagering, and gambling establishments, which could raise concerns among gaming industry stakeholders, while behavioral health providers and public health advocates would likely favor the added resources and recognition.

Companion Bills

No companion bills found.

Similar Bills

No similar bills found.