Illinois private-payer telehealth payment parity sunsets January 1, 2028 (except mental health and substance use)

Illinois law mandates that private payers reimburse telehealth at the same rate as in-person care, but this requirement expires January 1, 2028, except for mental health and substance use disorder services, which keep permanent parity. Once the sunset takes effect, commercial insurers could reimburse most non-behavioral telehealth services below in-person rates. This creates future reimbursement uncertainty for Illinois clinicians and patients who rely on telehealth for general medical care.

Source: Center for Connected Health Policy (CCHP), Illinois state telehealth page (2026).