HB3628ham001 104TH GENERAL ASSEMBLY

10400HB3628ham001 LRB104 09750 BDA 23428 a

AMENDMENT TO HOUSE BILL 3628

AMENDMENT NO. ______. Amend House Bill 3628 by replacing everything after the enacting clause with the following:

"Section 1. Legislative findings. For more than 4 decades, HIV/AIDS has ravaged communities across America and Illinois, doubling down on the racial health disparities also laid bare by the opioid epidemic, maternal and infant mortality rates, COVID-19 mortality and morbidity rates, and the rising rates of sexually transmitted infections, such as chlamydia, gonorrhea, and syphilis.

According to the Centers for Disease Control and Prevention (CDC), HIV transmission can be virtually eliminated when linkage to HIV medications and medical care are widely accessible. Treatment and prevention strategies, such as Pre-Exposure Prophylaxis (PrEP) and Undetectable=Untransmittable (U=U), are time-tested, science-based interventions that prevent new HIV diagnoses. Pre-Exposure Prophylaxis (PrEP) is a prevention strategy that involves sexually active HIV-negative adults and adolescents taking prescription medications to prevent HIV acquisition. PrEP is 99% effective in preventing HIV when taken as prescribed. U=U acknowledges the proven science that people living with HIV who have an undetectable viral load pose no chance of transmitting the virus sexually. However, access to health care, housing, steady and sufficient income, mental health and substance-use services, HIV treatment, addressing HIV-related stigma, and access to PrEP persist as barriers to lowering the HIV incidence rates across Illinois.

To advance the goals and strategies of the Getting to Zero Illinois Plan 2.0 to end the HIV epidemic in Illinois by 2030, the State of Illinois will need to develop and support programs in health care, health disparities, housing, education and awareness. These new State funding opportunities for Fiscal Year 2026 aim to increase access to clinical and supportive services for HIV treatment and PrEP.

Additionally, these investments are grounded in racial health equity to address the health disparities experienced by people living with or vulnerable to HIV-especially among our Black, Latino/a/x, and LGBTQIA communities.

No less than one-half (50%) of all funds appropriated in any fiscal year to the Department of Public Health's Office of Health Protection: AIDS/HIV Division should be used for expenses pursuant to HIV/AIDS programs serving minority populations.

Section 5. The following named amounts, or so much thereof as may be necessary, are appropriated to the Department of Public Health for expenses of programs related to Acquired Immunodeficiency Syndrome (AIDS) and Human Immunodeficiency Virus (HIV):

OFFICE OF HEALTH PROTECTION: AIDS/HIV

Payable from the General Revenue Fund: For Expenses of AIDS/HIV Education, Drugs, Services, Counseling, Testing, Outreach to Minority Populations, Costs Associated with Correctional Facilities Counseling, Testing Referral and Partner Notification (CTRPN), and Patient and Worker Notification Pursuant to Public Act 87-763..........................$27,562,400

For Grants and Other Expenses for the Prevention and Treatment of HIV/AIDS and the Creation of an HIV/AIDS Service Delivery System to Reduce the the Disparity of HIV Infection and AIDS Cases Between African Americans and Other Population Groups..............................$4,000,000

For Grants and Administrative Expenses for Housing Opportunities for Persons with AIDS Program.....................................$720,000

Payable from the Public Health Services Fund: For Expenses of Programs for Prevention of AIDS/HIV...........................$7,250,000

For Expenses for Surveillance Programs and Seroprevalence Studies of AIDS/HIV.............$2,750,000

For Expenses Associated with the Ryan White Comprehensive AIDS Resource Emergency Act of 1990 (CARE) and other AIDS/HIV services......$100,000,000

Payable from the Quality of Life Endowment Fund: For Grants and Expenses Associated with HIV/AIDS Prevention and Education.......................$1,000,000

Total $143,282,400

Section 10. The sum of $15,000,000, or so much thereof as may be necessary, is appropriated from the African-American HIV/AIDS Response Fund to the Department of Public Health for grants and administrative expenses associated with the prevention and treatment of HIV/AIDS and the creation of an HIV/AIDS service delivery system to reduce the disparity of HIV infection and AIDS cases among African Americans.

Section 15. The sum of $5,500,000, or so much thereof as may be necessary, is appropriated to the Department of Public Health from the General Revenue Fund for expenses of programs related to the acquired immunodeficiency syndrome (AIDS) and human immunodeficiency virus (HIV) and specifically to the Getting to Zero-Illinois (GTZ) plan to end the HIV epidemic by 2030.

Section 20. The sum of $500,000, or so much thereof as may be necessary, is appropriated to the Department of Public Health from the General Revenue Fund for expenses of programs related to the prevention, screening, and provision of treatment services to address sexually transmitted infection (STI) cases.

Section 25. The sum of $2,000,000, or so much thereof as may be necessary, is appropriated to the Department of Public Health from the General Revenue Fund for expenses of programs related to the PrEP4Illinois Program to provide client navigation for pre-exposure prophylaxis services and medication access. A portion of this funding must be spent on establishing the mechanism, process, policy, or system needed to allow the PrEP4Illinois program to pay for the ancillary services, including, but not limited to, provider office visits or labs associated with being on pre-exposure prophylaxis, as well as to begin covering the cost of such ancillary services for the uninsured and underinsured participants in the Department of Public Health's PrEP4Illinois program.

Section 30. The sum of $2,800,000, or so much thereof as may be necessary, is appropriated from the General Revenue Fund to the Department of Public Health for grants, expenses of programs, and administrative costs related to permanent supportive housing specifically dedicated to people living with HIV, housing coupled with wraparound services, including, but not limited to, in-home and community support and linkages to other services, such as behavioral health, employment, and assistance with receiving public benefits.

Section 99. Effective date. This Act takes effect July 1, 2025.".