Illinois General Assembly - Full Text of HB2280
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Full Text of HB2280  103rd General Assembly

HB2280 103RD GENERAL ASSEMBLY

  
  

 


 
103RD GENERAL ASSEMBLY
State of Illinois
2023 and 2024
HB2280

 

Introduced 2/14/2023, by Rep. Dagmara Avelar

 

SYNOPSIS AS INTRODUCED:
 
20 ILCS 2105/2105-15.8 new

    Amends the Department of Professional Regulation Law of the Civil Administrative Code of Illinois. Requires health care professionals who have continuing education requirements to complete cultural competency training, which shall include information on sensitivity relating to and best practices for providing affirming care to people in the person's preferred language, people with disabilities, documented or undocumented immigrants, people who are intersex, people living with HIV, and people of diverse sexual orientations and gender identities. Provides that for every license or registration renewal occurring on or after the effective date of the amendatory Act, a health care professional who has continuing education requirements must complete at least 5 hours in cultural competency training. Provides that for every license or registration renewal occurring on or after the effective date of the amendatory Act, a person licensed or registered by the Department under the Medical Practice Act of 1987 and who has continuing education requirements must complete at least 10 hours in cultural competency training. Provides that these continuing education hours may count toward meeting the minimum credit hours required for continuing education. Provides for rulemaking. Effective January 1, 2024.


LRB103 25652 AMQ 52001 b

 

 

A BILL FOR

 

HB2280LRB103 25652 AMQ 52001 b

1    AN ACT concerning State government.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Department of Professional Regulation Law
5of the Civil Administrative Code of Illinois is amended by
6adding Section 2105-15.8 as follows:
 
7    (20 ILCS 2105/2105-15.8 new)
8    Sec. 2105-15.8. Continuing education; health care cultural
9competency.
10    (a) The General Assembly finds and declares the following:
11        (1) Health and equity and equitable access to
12    affirming health care are essential values of the State.
13    However, despite patient demographics in the State
14    changing rapidly since 2000, the State still does not have
15    a formal requirement for health care professionals to stay
16    abreast of the trends needed to meet the social and
17    cultural needs of an evolving patient base. This lack of
18    updated social and cultural knowledge by health care
19    professionals impacts communities of color, people with
20    disabilities, immigrants with or without status, people
21    who are intersex, people living with HIV, and LGBTQ+
22    people, among other populations.
23        (2) According to a citation in "I Am Not The Doctor For

 

 

HB2280- 2 -LRB103 25652 AMQ 52001 b

1    You: Physicians' Attitudes About Caring for People With
2    Disabilities" in the October 2022 edition of Health
3    Affairs, regarding care for people with disabilities, only
4    41% of physicians reported that they were very confident
5    about their ability to provide the same quality of care to
6    people with disabilities as those without, and just 57% of
7    physicians strongly agreed that they welcomed people with
8    disabilities into their practices.
9        (3) According to the Center for American Progress,
10    about half of transgender people in the United States have
11    been mistreated by a health care professional. Per the
12    2015 U.S. Transgender Survey data for the State, 33% of
13    those who saw a health care provider in the past year
14    reported having at least one negative experience related
15    to being transgender, and 24% of respondents did not see a
16    doctor when they needed to because of fear of being
17    mistreated as a transgender person.
18        (4) According to a survey by Healthgrades in 2022, 25%
19    of patients said their doctors could benefit from more
20    training. The number jumps to 29% among non-white patients
21    in the survey.
22        (5) Many providers recognize the importance of
23    cultural competency for their personal education.
24    According to the Healthgrades survey, 31% of physicians
25    agree that their level of cultural competency can impact
26    their ability to provide optimal patient care somewhat or

 

 

HB2280- 3 -LRB103 25652 AMQ 52001 b

1    a lot. Furthermore, the generational divide among
2    physicians is strong on additional training that would
3    better equip them to care for patients of different
4    gender, racial, sexual, or cultural identities. Two in 5
5    younger physicians with less than 10 years of training are
6    interested in additional training. Only one in 5 of older
7    physicians with more than 20 years of practice express
8    interest in cultural competency training.
9        (6) In 2019, the American Medical Association adopted
10    a policy that included recognition of the importance of
11    cultural competency to patient experience and treatment
12    plan adherence and encouraged the implementation of
13    cultural competency practices across health care settings.
14        (7) Furthermore, many thousands of health care
15    professionals in the State, including tens of thousands of
16    physicians and nurses, are already required to comply with
17    the cultural competency requirements in the State's
18    contract with managed care organizations, which states
19    that contractors shall implement a cultural competence
20    plan, and covered services shall be provided in a
21    culturally competent manner by ensuring the cultural
22    competence of all contractor staff, including clerical to
23    executive management, and providers.
24        (8) As a next step to ensuring all health care
25    professionals are trained and equipped in cultural
26    competency, the State should join jurisdictions like

 

 

HB2280- 4 -LRB103 25652 AMQ 52001 b

1    Connecticut, New Jersey, and the District of Columbia to
2    require that health care professionals be trained in
3    cultural competency as part of continuing education.
4    Having such a requirement will increase the ability of
5    medical providers to meet the social and cultural needs of
6    their diversifying patient base.
7    (b) As used in this Section:
8    "Cultural competency" means a set of integrated attitudes,
9knowledge, and skills that enables a health care professional
10or organization to care effectively for patients from diverse
11cultures, groups, and communities. "Cultural competency"
12includes, but is not limited to: (i) applying linguistic
13skills to communicate effectively with the target population;
14(ii) utilizing cultural information to establish therapeutic
15relationships; (iii) eliciting and incorporating pertinent
16cultural data in diagnosis and treatment; and (iv)
17understanding and applying cultural and ethnic data to the
18process of clinic care.
19    "Health care professional" means a person licensed or
20registered by the Department of Financial and Professional
21Regulation under the Nurse Practice Act, the Clinical
22Psychologist Licensing Act, the Illinois Dental Practice Act,
23the Pharmacy Practice Act, the Illinois Physical Therapy Act,
24the Physician Assistant Practice Act of 1987, the Acupuncture
25Practice Act, the Illinois Athletic Trainers Practice Act, the
26Clinical Social Work and Social Work Practice Act, the

 

 

HB2280- 5 -LRB103 25652 AMQ 52001 b

1Dietitian Nutritionist Practice Act, the Naprapathic Practice
2Act, the Nursing Home Administrators Licensing and
3Disciplinary Act, the Illinois Occupational Therapy Practice
4Act, the Illinois Optometric Practice Act of 1987, the
5Podiatric Medical Practice Act of 1987, the Respiratory Care
6Practice Act, the Professional Counselor and Clinical
7Professional Counselor Licensing and Practice Act, the Sex
8Offender Evaluation and Treatment Provider Act, the Illinois
9Speech-Language Pathology and Audiology Practice Act, the
10Perfusionist Practice Act, the Genetic Counselor Licensing
11Act, the Licensed Certified Professional Midwife Practice Act,
12the Marriage and Family Therapy Licensing Act, the Behavior
13Analyst Licensing Act, the Music Therapy Licensing and
14Practice Act, the Environmental Health Practitioner Licensing
15Act, and the Orthotics, Prosthetics, and Pedorthics Practice
16Act.
17    (c) The cultural competency training required by this
18Section shall include information on sensitivity relating to
19and best practices for providing affirming care to people in
20the person's preferred language, people with disabilities,
21documented or undocumented immigrants, people who are
22intersex, people living with HIV, and people of diverse sexual
23orientations and gender identities, including, but not limited
24to, lesbian, gay, bisexual, transgender, queer, pansexual,
25asexual, and questioning individuals.
26    (d) For every license or registration renewal occurring on

 

 

HB2280- 6 -LRB103 25652 AMQ 52001 b

1or after the effective date of this amendatory Act of the 103rd
2General Assembly, a health care professional who has
3continuing education requirements must complete at least 5
4hours in cultural competency training.
5    (e) For every license or registration renewal occurring on
6or after the effective date of this amendatory Act of the 103rd
7General Assembly, a person licensed or registered by the
8Department under the Medical Practice Act of 1987 and who has
9continuing education requirements must complete at least 10
10hours in cultural competency training.
11    (f) The hours required by this Section may count toward
12meeting the minimum credit hours required for continuing
13education. Any cultural competency training applied to meet
14any other State licensure requirement, professional
15accreditation or certification requirement, or health care
16institutional practice agreement may count toward the
17requirements under this Section.
18    (g) The Department may adopt rules for the implementation
19and administration of this Section.
 
20    Section 99. Effective date. This Act takes effect January
211, 2024.