102ND GENERAL ASSEMBLY
State of Illinois
2021 and 2022
Introduced 10/20/2021, by Rep. Deb Conroy
SYNOPSIS AS INTRODUCED:
305 ILCS 5/5-2.04 new
Creates the Mental Health Inpatient Facility Access Act. Requires the
Department of Human Services' Division of Mental Health to develop a
written, strategic plan that comprehensively addresses improving access to
inpatient psychiatric beds in State-operated mental health facilities for
individuals needing a hospital level of care. Provides that the plan shall
include annual training requirements for State-operated inpatient mental
health facility clinicians, regular and periodic mental health assessments
of individuals admitted to State-operated facilities, updated facility
policies and procedures aimed at increasing opportunities for home visits
and work programs that assist with community reintegration, steps to
increase access to community-based mental health services that provide
outpatient alternatives and step-down services, certification requirements
for mental health clinicians, and other matters. Requires the plan to be
made publicly available in one year. Prohibits the Department from making
further reductions in State-operated inpatient mental health bed capacity.
Amends the Medical Assistance Article of the Illinois Public Aid Code.
Requires the Department of Healthcare and Family Services, in
collaboration with the Department of Human Services, to allow for hospital
presumptive eligibility for Medicaid enrollment for individuals presenting
in hospital emergency rooms who are in a psychiatric crisis and meet the
federal criteria for hospital presumptive eligibility. Requires the
Department of Healthcare and Family Services to amend its Illinois
Continuity of Care and Administrative Simplification 1115 Waiver if
necessary to implement hospital presumptive eligibility as permitted under
the amendatory Act. Effective immediately.
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A BILL FOR
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AN ACT concerning mental health.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
This Act may be cited as the
Health Inpatient Facility Access Act.
The General Assembly finds that:
(1) In 1955, Illinois had more than 30,000 adult
State-operated inpatient mental health beds.
(2) In 2019, prior to the COVID-19 pandemic, Illinois
had fewer than 1,200 adult State-operated inpatient mental
(3) Due to the COVID-19 pandemic, there are now only
approximately 1,100 State-operated inpatient mental health
(4) More than 500,000 people in Illinois have serious
mental health conditions.
(5) While most people with even the most serious
mental health conditions can be successfully treated in
the community or in private hospitals, many will need
inpatient care from a State-operated inpatient mental
(6) Given the small number of remaining beds in
State-operated inpatient mental health facilities, it is