Full Text of HB5868 100th General Assembly
HB5868ham002 100TH GENERAL ASSEMBLY | Rep. La Shawn K. Ford Filed: 5/18/2018
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| 1 | | AMENDMENT TO HOUSE BILL 5868
| 2 | | AMENDMENT NO. ______. Amend House Bill 5868 by replacing | 3 | | lines 7 through 24 on page 1 and lines 1 through 23 on page 2 | 4 | | with the following:
| 5 | | "affected by costs and increasing rates of recidivism due to an | 6 | | increase in the need for additional comprehensive | 7 | | community-based continuum of care services for persons with | 8 | | opioid and other substance use disorders. According to the | 9 | | Centers for Disease Control and Prevention, there has been a | 10 | | 600% increase in the incidence of opioid use disorders since | 11 | | 1999, creating an increased need for treatment and other | 12 | | recovery support services. Most persons with substance use | 13 | | disorders also face co-existing social and economic challenges | 14 | | including poverty, job insecurity, and a lack of safe and sober | 15 | | living environments. The current health care system is often | 16 | | too expensive, fragmented, and disjointed to sufficiently | 17 | | address the needs of persons with substance use disorders. | 18 | | Consequently, we are at a pivotal time in history when |
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| 1 | | insurance companies are having to become more innovative in | 2 | | their approaches to contain costs and improve the outcomes of | 3 | | those persons with substance use disorders. Hospitals are also | 4 | | contemplating new and innovative ways to reduce their costs and | 5 | | rates of recidivism, improve the outcomes of those persons with | 6 | | substance use disorders, and monitor these persons with a | 7 | | greater level of care in order to achieve the highest level of | 8 | | multiple performance outcomes at a time when performance | 9 | | metrics matter more than ever. The State of Illinois has the | 10 | | opportunity to lead the nation by supporting and amplifying the | 11 | | most comprehensive and vertically integrated approach to | 12 | | recovery that can effectively address the root causes of | 13 | | substance use disorders, while stabilizing other co-existing | 14 | | social, economic, and housing conditions that can impair a | 15 | | person's long-term recovery. In addition to helping persons | 16 | | achieve physical recovery from a substance use disorder, it is | 17 | | also important to help them find new meaning in their personal | 18 | | lives by rebuilding and strengthening their family | 19 | | relationships, community ties, and spiritual development. | 20 | | Recovery housing can facilitate this holistic approach to | 21 | | recovery and help persons replace their need for substances | 22 | | with more meaningful elements of life. Therefore, it is the | 23 | | purpose of this Act to provide Illinois citizens with greater | 24 | | access to a more robust and holistic continuum of behavioral | 25 | | health care services and supports by providing health care | 26 | | coverage for recovery housing for persons with substance use |
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| 1 | | disorders."; and | 2 | | on page 3, lines 2 and 3, by changing " Residential extended | 3 | | care services and supports for drug addicted persons " to | 4 | | " Recovery housing for persons with substance use
disorders "; | 5 | | and | 6 | | on page 3, by replacing lines 5 through 7 with the following: | 7 | | " "Substance use disorder" and "case management" have the | 8 | | meanings ascribed to those terms in Section 1-10 of the | 9 | | Substance Use Disorder Act. "; and | 10 | | on page 3, by inserting after line 12 the following: | 11 | | " "Recovery housing" means a residential extended care | 12 | | treatment facility or a recovery home as defined and licensed | 13 | | in 77 Illinois Administrative Code, Part 2060, by the Illinois | 14 | | Department of Human Services, Division of Substance Use | 15 | | Prevention and Recovery. "; and | 16 | | by replacing lines 17 through 25 on page 3 and all of pages 4 | 17 | | and 5 with the following: | 18 | | " recovery housing for persons with substance use disorders who | 19 | | are at risk of a relapse following discharge from a health care | 20 | | clinic, federally qualified health center, hospital withdrawal | 21 | | management program or any other licensed withdrawal management | 22 | | program, or hospital emergency department so long as all of the |
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| 1 | | following conditions are met: | 2 | | (1) A health care clinic, federally qualified health | 3 | | center, hospital withdrawal management program or any | 4 | | other licensed withdrawal management program, or hospital | 5 | | emergency department has conducted an individualized | 6 | | assessment, using criteria established by the American | 7 | | Society of Addiction Medicine, of the person's condition | 8 | | prior to discharge and has identified the person as being | 9 | | at risk of a relapse and in need of supportive services, | 10 | | including employment and training and case management, to | 11 | | maintain long-term recovery. A determination of whether a | 12 | | person is in need of supportive services shall also be | 13 | | based on whether the person has a history of poverty, job | 14 | | insecurity, and lack of a safe and sober living | 15 | | environment. | 16 | | (2) The recovery housing is administered by a | 17 | | community-based agency that is licensed by or under | 18 | | contract with the Department of Human Services, Division of | 19 | | Substance Use Prevention and Recovery. | 20 | | (3) The recovery housing is administered by a | 21 | | community-based agency as described in paragraph (2) upon | 22 | | the referral of a health care clinic, federally qualified | 23 | | health center, hospital withdrawal management program or | 24 | | any other licensed withdrawal management program, or | 25 | | hospital emergency department. | 26 | | (c) Based on the individualized needs assessment, any |
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| 1 | | coverage provided in accordance with this Section may include, | 2 | | but not be limited to, the following: | 3 | | (1) Substance use disorder treatment services that are | 4 | | in accordance with licensure standards promulgated by the | 5 | | Department of Human Services, Division of Substance Use | 6 | | Prevention and Recovery. | 7 | | (2) Transitional housing services, including food or | 8 | | meal plans. | 9 | | (3) Individualized case management and referral | 10 | | services, including case management and social services | 11 | | for the families of persons who are seeking treatment for a | 12 | | substance use disorder. | 13 | | (4) Job training or placement services. | 14 | | (d) The insurer may rate each community-based agency that | 15 | | is licensed by or under contract with the Department of Human | 16 | | Services, Division of Substance Use Prevention and Recovery to | 17 | | provide recovery housing based on an evaluation of each | 18 | | agency's ability to: | 19 | | (1) reduce health care costs; | 20 | | (2) reduce recidivism rates for persons suffering from | 21 | | a substance use disorder; | 22 | | (3) improve outcomes; | 23 | | (4) track persons with substance use disorders; and | 24 | | (5) improve the quality of life of persons with | 25 | | substance use disorders through the utilization of | 26 | | sustainable recovery, education, employment, and housing |
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| 1 | | services. | 2 | | The insurer may publish the results of the ratings on its | 3 | | official website and shall, on an annual basis, update the | 4 | | posted results. "; and | 5 | | by deleting lines 7 through 24 on page 6 and all of pages 7 | 6 | | through 9.
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