HB4727 104TH GENERAL ASSEMBLY

LRB104 18113 BAB 31552 b

104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026
HB4727

Introduced , by Rep. Lindsey LaPointe

SYNOPSIS AS INTRODUCED:

210 ILCS 34/3-10 new

Amends the Illinois Certified Community Behavioral Health Clinics Act. Requires the Department of Healthcare and Family Services to collect data related to the operation and performance of certified community behavioral health clinics. Requires the Department to contract with a statewide behavioral health association that represents more than 75% of the certified community behavioral health clinics operating within the State to serve as the State's official entity responsible for analyzing and reporting data collected by the Department. Establishes data analysis and reporting requirements for the statewide behavioral health association, including the annual Illinois Certified Community Behavioral Health Clinic Statewide Performance Report. Requires the Department to provide sufficient funds for the statewide behavioral health association to meet its requirements. Grants rulemaking authority to the Department. Effective immediately.

A BILL FOR

AN ACT concerning regulation.

Be it enacted by the People of the State of Illinois, represented in the General Assembly:

Section 5. The Illinois Certified Community Behavioral Health Clinics Act is amended by adding Section 3-10 as follows:

(210 ILCS 34/3-10 new)

Sec. 3-10. Data collection, analysis, and reporting.

(a) The Department of Healthcare and Family Services shall collect data related to the operation and performance of certified community behavioral health clinics, including all data required under federal Certified Community Behavioral Health Clinic Demonstration criteria, federal and State Medicaid requirements applicable to certified community behavioral health clinics, State plan or waiver reporting requirements, and any additional data elements established by the Department. Such data shall include data received from managed care organizations contracted with the Department.

(b) The Department of Healthcare and Family Services shall contract with a statewide behavioral health association that represents more than 75% of the certified community behavioral health clinics operating within the State to serve as the State's official entity responsible for analyzing and reporting data collected by the Department pursuant to this Section.

(c) The Department shall provide to the statewide behavioral health association, subject to all applicable federal and State privacy laws, all administrative data necessary for comprehensive certified community behavioral health clinic system analysis, including, but not limited to, Medicaid claims and encounter data, certified community behavioral health clinic prospective payment system rate and cost reporting data, eligibility and enrollment data, quality and performance measures, and relevant data obtained from managed care organizations.

(d) The statewide behavioral health association shall analyze and report on data provided by the Department of Healthcare and Family Services for the purpose of evaluating certified community behavioral health clinic performance, identifying system trends, and informing policy and programmatic decision making. The association shall not independently collect data from certified community behavioral health clinics and shall perform its duties solely using data provided by the Department.

(e) The statewide behavioral health association shall produce an annual Illinois Certified Community Behavioral Health Clinic Statewide Performance Report, which shall include, at a minimum:

(1) access and capacity metrics;

(2) crisis service utilization;

(3) quality and outcome measures;

(4) workforce and staffing data;

(5) financial and sustainability indicators;

(6) service utilization trends; and

(7) regional and statewide comparisons.

(f) The annual report shall be submitted to the General Assembly, the Governor, and the Department of Healthcare and Family Services and shall be made publicly available.

(g) Notwithstanding any other provision of this Section, the statewide behavioral health association shall publish the first Illinois Certified Community Behavioral Health Clinic Statewide Performance Report no later than one year after the effective date of this amendatory Act. All subsequent reports shall be published annually thereafter.

(h) The Department shall provide sufficient funding under the contract to enable the statewide behavioral health association to fulfill its responsibilities under this Section.

(i) The Department may adopt rules necessary to implement this Section.

Section 99. Effective date. This Act takes effect upon becoming law.