Full Text of SB1425 101st General Assembly
SB1425sam002 101ST GENERAL ASSEMBLY | Sen. Heather A. Steans Filed: 4/4/2019
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| 1 | | AMENDMENT TO SENATE BILL 1425
| 2 | | AMENDMENT NO. ______. Amend Senate Bill 1425, AS AMENDED, | 3 | | by replacing everything after the enacting clause with the | 4 | | following:
| 5 | | "Section 5. The Department of Public Health Powers and | 6 | | Duties Law of the
Civil Administrative Code of Illinois is | 7 | | amended by adding Section 2310-455 as follows: | 8 | | (20 ILCS 2310/2310-455 new) | 9 | | Sec. 2310-455. Suicide prevention. Subject to | 10 | | appropriation, the Department shall implement activities | 11 | | associated with the Suicide Prevention, Education, and | 12 | | Treatment Act, including, but not limited to, the following: | 13 | | (1) Coordinating suicide prevention, intervention, and | 14 | | postvention programs, services, and efforts statewide. | 15 | | (2) Developing and submitting proposals for funding | 16 | | from federal agencies or other sources of funding to |
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| 1 | | promote suicide prevention and coordinate activities. | 2 | | (3) With input from the Illinois Suicide Prevention | 3 | | Alliance, preparing the Illinois Suicide Prevention | 4 | | Strategic Plan required under Section 15 of the Suicide | 5 | | Prevention, Education, and Treatment Act and coordinating | 6 | | the activities necessary to implement the recommendations | 7 | | in that Plan. | 8 | | (4) With input from the Illinois Suicide Prevention | 9 | | Alliance, providing to the Governor and General Assembly | 10 | | the annual report required under Section 13 of the Suicide | 11 | | Prevention, Education, and Treatment Act. | 12 | | (5) Providing technical support for the activities of | 13 | | the Illinois Suicide Prevention Alliance. | 14 | | Section 10. The Suicide Prevention, Education, and | 15 | | Treatment Act is amended by changing Sections 5, 13, 15, 20, | 16 | | and 30 as follows: | 17 | | (410 ILCS 53/5)
| 18 | | Sec. 5. Legislative findings.
The General Assembly makes | 19 | | the following findings:
| 20 | | (1) 1,474 Illinoisans lost their lives to suicide in | 21 | | 2017. During 2016, suicide was the eleventh leading cause | 22 | | of death in Illinois, causing more deaths than homicide, | 23 | | motor vehicle accidents, accidental falls, and numerous | 24 | | prevalent diseases, including liver disease, hypertension, |
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| 1 | | influenza/pneumonia, Parkinson's disease, and HIV. Suicide | 2 | | was the third leading cause of death of ages 15 to 34 and | 3 | | the fourth leading cause of death of ages 35 to 54. Those | 4 | | living outside of urban areas are particularly at risk for | 5 | | suicide, with a rate that is 50% higher than those living | 6 | | in urban areas. | 7 | | (2) For every person who dies by suicide, more than 30 | 8 | | others attempt suicide. | 9 | | (3) Each suicide attempt and death impacts countless | 10 | | other individuals. Family members, friends, co-workers, | 11 | | and others in the community all suffer the long-lasting | 12 | | consequences of suicidal behaviors. | 13 | | (4) Suicide attempts and deaths by suicide have an | 14 | | economic impact on Illinois. The National Center for Injury | 15 | | Prevention and Control estimates that in 2010 each suicide | 16 | | death in Illinois resulted in $1,181,549 in medical costs | 17 | | and work loss costs. It also estimated that each | 18 | | hospitalization for self-harm resulted in $31,019 in | 19 | | medical costs and work loss costs and each emergency room | 20 | | visit for self-harm resulted in $4,546 in medical costs and | 21 | | work loss costs. | 22 | | (5) In 2004, the Illinois General Assembly passed the | 23 | | Suicide Prevention, Education, and Treatment Act (Public | 24 | | Act 93-907), which required the Illinois Department of | 25 | | Public Health to establish the Illinois Suicide Prevention | 26 | | Strategic Planning Committee to develop the Illinois |
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| 1 | | Suicide Prevention Strategic Plan. That law required the | 2 | | use of the 2002 United States Surgeon General's National | 3 | | Suicide Prevention Strategy as a model for the Plan. Public | 4 | | Act 95-109 changed the name of the committee to the | 5 | | Illinois Suicide Prevention Alliance. The Illinois Suicide | 6 | | Prevention Strategic Plan was submitted in 2007 and updated | 7 | | in 2018. | 8 | | (6) In 2004, there were 1,028 suicide deaths in | 9 | | Illinois, which the Centers for Disease Control reports was | 10 | | an age-adjusted rate of 8.11 deaths per 100,000. The | 11 | | Centers for Disease Control reports that the 1,474 suicide | 12 | | deaths in 2017 result in an age-adjusted rate of 11.19 | 13 | | deaths per 100,000. Thus, since the enactment of Public Act | 14 | | 93-907, the rate of suicides in Illinois has risen by 38%. | 15 | | (7) Since the enactment of Public Act 93-907, there | 16 | | have been numerous developments in suicide prevention, | 17 | | including the issuance of the 2012 National Strategy for | 18 | | Suicide Prevention by the United States Surgeon General and | 19 | | the National Action Alliance for Suicide Prevention | 20 | | containing new strategies and recommended activities for | 21 | | local governmental bodies. | 22 | | (8) Despite the obvious impact of suicide on Illinois | 23 | | citizens, Illinois has devoted minimal resources to its | 24 | | prevention. There is no full-time coordinator or director | 25 | | of suicide prevention activities in the State. Moreover, | 26 | | the Suicide Prevention Strategic Plan is still modeled on |
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| 1 | | the now obsolete 2002 National Suicide Prevention | 2 | | Strategy. | 3 | | (9) It is necessary to revise the Suicide Prevention | 4 | | Strategic Plan to reflect the most current National Suicide | 5 | | Prevention Strategy as well as current research and | 6 | | experience into the prevention of suicide. | 7 | | (10) One of the goals adopted in the 2012 National | 8 | | Strategy for Suicide Prevention is to promote suicide | 9 | | prevention as a core component of health care services so | 10 | | there is an active engagement of health and social | 11 | | services, as well as the coordination of care across | 12 | | multiple settings, thereby ensuring continuity of care and | 13 | | promoting patient safety. | 14 | | (11) Integrating suicide prevention into behavioral | 15 | | and physical health care services can save lives. National | 16 | | data indicate that: over 30% of individuals are receiving | 17 | | mental health care at the time of their deaths by suicide; | 18 | | 45% have seen their primary care physicians within one | 19 | | month of their deaths; and 25% of those who die of suicide | 20 | | visited an emergency department in the year prior to their | 21 | | deaths. | 22 | | (12) The Zero Suicide model is a part of the National | 23 | | Strategy for Suicide Prevention, a priority of the National | 24 | | Action Alliance for Suicide Prevention, and a project of | 25 | | the Suicide Prevention Resource Center that implements the | 26 | | goal of making suicide prevention a core component of |
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| 1 | | health care services. | 2 | | (13) The Zero Suicide model is built on the | 3 | | foundational belief and aspirational goal that suicide | 4 | | deaths of individuals who are under the care of our health | 5 | | care systems are preventable with the adoption of | 6 | | comprehensive training, patient engagement, transition, | 7 | | and quality improvement. | 8 | | (14) Health care systems, including mental and | 9 | | behavioral health systems and hospitals, that have | 10 | | implemented the Zero Suicide model have noted significant | 11 | | reductions in suicide deaths for patients within their | 12 | | care. | 13 | | (15) The Suicide Prevention Resource Center | 14 | | facilitates adoption of the Zero Suicide model by providing | 15 | | comprehensive information, resources, and tools for its | 16 | | implementation. | 17 | | (1) The Surgeon General of the United States has | 18 | | described suicide prevention as a serious public health | 19 | | priority and has called upon each state to develop a | 20 | | statewide comprehensive suicide prevention strategy using | 21 | | a public health approach. Suicide now ranks 10th among | 22 | | causes of death, nationally. | 23 | | (2) In 1998, 1,064 Illinoisans lost their lives to | 24 | | suicide, an average of 3 Illinois residents per day. It is | 25 | | estimated that there are between 21,000 and 35,000 suicide | 26 | | attempts in Illinois every year. Three and one-half percent |
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| 1 | | of all suicides in the nation take place in Illinois. | 2 | | (3) Among older adults, suicide rates are increasing, | 3 | | making suicide the leading fatal injury among the elderly | 4 | | population in Illinois. As the proportion of Illinois' | 5 | | population age 75 and older increases, the number of | 6 | | suicides among persons in this age group will also | 7 | | increase, unless an effective suicide prevention strategy | 8 | | is implemented.
| 9 | | (4) Adolescents are far more likely to attempt suicide | 10 | | than other age groups in
Illinois. The data indicates that | 11 | | there are 100 attempts for every adolescent suicide | 12 | | completed. In 1998, 156 Illinois youths died by suicide, | 13 | | between the ages of 15 through 24. Using this estimate, | 14 | | there were likely more than 15,500 suicide attempts made by | 15 | | Illinois adolescents or approximately 50% of all estimated | 16 | | suicide attempts that occurred in Illinois were made by | 17 | | adolescents. | 18 | | (5) Homicide and suicide rank as the second and third | 19 | | leading causes of death in Illinois for youth, | 20 | | respectively. Both are preventable. While the death rates | 21 | | for unintentional injuries decreased by more than 35% | 22 | | between 1979 and 1996, the death rates for homicide and | 23 | | suicide increased for youth. Evidence is growing in terms | 24 | | of the links between suicide and other forms of violence. | 25 | | This provides compelling reasons for broadening the | 26 | | State's scope in identifying risk factors for self-harmful |
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| 1 | | behavior. The number of estimated youth suicide attempts | 2 | | and the growing concerns of youth violence can best be | 3 | | addressed through the implementation of successful | 4 | | gatekeeper-training programs to identify and refer youth | 5 | | at risk for self-harmful behavior. | 6 | | (6) The American Association of Suicidology | 7 | | conservatively estimates that the lives of at least 6 | 8 | | persons related to or connected to individuals who attempt | 9 | | or complete suicide are impacted. Using these estimates, in | 10 | | 1998, more than 6,000 Illinoisans struggled to cope with | 11 | | the impact of suicide.
| 12 | | (7) Decreases in alcohol and other drug abuse, as well | 13 | | as decreases in access to lethal means, significantly | 14 | | reduce the number of suicides. | 15 | | (8) Suicide attempts are expected to be higher than | 16 | | reported because attempts not requiring medical attention | 17 | | are not required to be reported. The underreporting of | 18 | | suicide completion is also likely because suicide | 19 | | classification involves conclusions regarding the intent | 20 | | of the deceased. The stigma associated with suicide is also | 21 | | likely to contribute to underreporting. Without | 22 | | interagency collaboration and support for proven, | 23 | | community-based, culturally-competent suicide prevention | 24 | | and intervention programs, suicides are likely to rise. | 25 | | (9) Emerging data on rates of suicide based on gender, | 26 | | ethnicity, age, and geographic areas demand a new strategy |
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| 1 | | that responds to the needs of a diverse population. | 2 | | (10) According to Children's Safety Network Economics | 3 | | Insurance, the cost of youth suicide acts by persons in | 4 | | Illinois who are under 21 years of age totals $539,000,000, | 5 | | including medical costs, future earnings lost, and a | 6 | | measure of quality of life.
| 7 | | (11) Suicide is the second leading cause of death in | 8 | | Illinois for persons between the ages of 15 and 24. | 9 | | (12) In 1998, there were 1,116 homicides in Illinois, | 10 | | which outnumbered suicides by only 52. Yet, so far, only | 11 | | homicide has received funding, programs, and media | 12 | | attention. | 13 | | (13) According to the 1999 national report on | 14 | | statistics for suicide of the American Association of | 15 | | Suicidology, categories of unintentional injury, motor | 16 | | vehicle deaths, and all other deaths include many reported | 17 | | and unsubstantiated suicides that are not identified | 18 | | correctly because of poor investigatory techniques, | 19 | | unsophisticated inquest jurors, and stigmas that cause | 20 | | families to cover up evidence. | 21 | | (14) Programs for HIV infectious diseases are very well | 22 | | funded even though, in Illinois, HIV deaths number 30% less | 23 | | than suicide deaths.
| 24 | | (Source: P.A. 93-907, eff. 8-11-04.) | 25 | | (410 ILCS 53/13)
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| 1 | | Sec. 13. Duration; report. The Department, in consultation | 2 | | with All projects set forth in this Act must be at least 3 | 3 | | years in duration, and the Department and related contracts as | 4 | | well as the Illinois Suicide Prevention Alliance , must submit | 5 | | an annual report annually to the Governor and General Assembly | 6 | | on the effectiveness of the these activities and programs | 7 | | undertaken under the Plan that includes any recommendations for | 8 | | modification to Illinois law to enhance the effectiveness of | 9 | | the Plan .
| 10 | | (Source: P.A. 95-109, eff. 1-1-08.) | 11 | | (410 ILCS 53/15)
| 12 | | Sec. 15. Suicide Prevention Alliance.
| 13 | | (a) The Alliance is created as the official grassroots | 14 | | creator, planner, monitor, and advocate for the Illinois | 15 | | Suicide Prevention Strategic Plan. No later than one year after | 16 | | the effective date of this amendatory Act of the 101st General | 17 | | Assembly Act , the Alliance shall review, finalize, and submit | 18 | | to the Governor and the General Assembly the 2020 Illinois | 19 | | Suicide Prevention Strategic Plan and appropriate processes | 20 | | and outcome objectives for 10 overriding recommendations and a | 21 | | timeline for reaching these objectives. | 22 | | (b) The Plan shall include: The Alliance shall use the | 23 | | United States Surgeon General's National Suicide Prevention | 24 | | Strategy as a model for the Plan. | 25 | | (1) recommendations from the most current National |
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| 1 | | Suicide Prevention Strategy; | 2 | | (2) current research and experience into the | 3 | | prevention of suicide; | 4 | | (3) measures to encourage and assist health care | 5 | | systems and primary care providers to include suicide | 6 | | prevention as a core component of their services, | 7 | | including, but not limited to, implementing the Zero | 8 | | Suicide model; and | 9 | | (4) additional elements as determined appropriate by | 10 | | the Alliance. | 11 | | The Alliance shall review the statutorily prescribed | 12 | | missions of major State mental health, health, aging, and | 13 | | school mental health programs and recommend, as necessary and | 14 | | appropriate, statutory changes to include suicide prevention | 15 | | in the missions and procedures of those programs. The Alliance | 16 | | shall prepare a report of that review, including its | 17 | | recommendations, and shall submit the report to the Department | 18 | | for inclusion in its annual report to the Governor and the | 19 | | General Assembly by December 31, 2004 . | 20 | | (c) The Director of Public Health shall appoint the members | 21 | | of the Alliance. The membership of the Alliance shall include, | 22 | | without limitation, representatives of statewide organizations | 23 | | and other agencies that focus on the prevention of suicide and | 24 | | the improvement of mental health treatment or that provide | 25 | | suicide prevention or survivor support services. Other | 26 | | disciplines that shall be considered for membership on the |
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| 1 | | Alliance include law enforcement, first responders, | 2 | | faith-based community leaders, universities, and survivors of | 3 | | suicide (families and friends who have lost persons to suicide) | 4 | | as well as consumers of services of these agencies and | 5 | | organizations.
| 6 | | (d) The Alliance shall meet at least 4 times a year, and | 7 | | more as deemed necessary, in various sites statewide in order | 8 | | to foster as much participation as possible. The Alliance, a | 9 | | steering committee, and core members of the full committee | 10 | | shall monitor and guide the definition and direction of the | 11 | | goals of the full Alliance, shall review and approve | 12 | | productions of the plan, and shall meet before the full | 13 | | Alliance meetings.
| 14 | | (Source: P.A. 95-109, eff. 1-1-08.) | 15 | | (410 ILCS 53/20)
| 16 | | Sec. 20. General awareness and screening program.
| 17 | | (a) The Department shall provide technical assistance for | 18 | | the work of the Alliance and the production of the Plan and | 19 | | shall distribute general information and screening tools for | 20 | | suicide prevention to the general public through local public | 21 | | health departments throughout the State. These materials shall | 22 | | be distributed to agencies, schools, hospitals, churches, | 23 | | places of employment, and all related professional caregivers | 24 | | to educate all citizens about warning signs and interventions | 25 | | that all persons can do to stop the suicidal cycle. |
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| 1 | | (b) This program shall include, without limitation, all of | 2 | | the following: | 3 | | (1) Educational programs about warning signs and how to | 4 | | help suicidal individuals. | 5 | | (2) Educational presentations about suicide risk and | 6 | | how to help at-risk people in special populations and with | 7 | | bilingual support to special cultures. | 8 | | (3) The designation of an annual suicide awareness week | 9 | | or month to include a public awareness campaign on suicide. | 10 | | (4) An annual A statewide suicide prevention | 11 | | conference before November of 2004 . | 12 | | (5) An Illinois Suicide Prevention Speaker's Bureau. | 13 | | (6) A program to educate the media regarding the | 14 | | guidelines developed by the American Association for | 15 | | Suicidology for coverage of suicides and to encourage media | 16 | | cooperation in adopting these guidelines in reporting | 17 | | suicides. | 18 | | (7) Increased training opportunities for volunteers, | 19 | | professionals, and other caregivers to develop specific | 20 | | skills for assessing suicide risk and intervening to | 21 | | prevent suicide.
| 22 | | (Source: P.A. 95-109, eff. 1-1-08.) | 23 | | (410 ILCS 53/30)
| 24 | | Sec. 30. Suicide prevention pilot programs. | 25 | | (a) The Department shall establish, when funds are |
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| 1 | | appropriated, programs, including, but not limited to, pilot | 2 | | and demonstration programs, that are consistent with the Plan. | 3 | | up to 5 pilot programs that provide training and direct service | 4 | | programs relating to youth, elderly, special populations, | 5 | | high-risk populations, and professional caregivers. The | 6 | | purpose of these pilot programs is to demonstrate and evaluate | 7 | | the effectiveness of the projects set forth in this Act in the | 8 | | communities in which they are offered. The pilot programs shall | 9 | | be operational for at least 2 years of the 3-year requirement | 10 | | set forth in Section 13. | 11 | | (b) The Director of Public Health is encouraged to ensure | 12 | | that the pilot programs include the following prevention | 13 | | strategies: | 14 | | (1) school gatekeeper and faculty training;
| 15 | | (2) community gatekeeper training; | 16 | | (3) general community suicide prevention education; | 17 | | (4) health providers and physician training and | 18 | | consultation about high-risk cases; | 19 | | (5) depression, anxiety, and suicide screening | 20 | | programs;
| 21 | | (6) peer support youth and older adult programs;
| 22 | | (7) the enhancement of 24-hour crisis centers, | 23 | | hotlines, and person-to-person calling trees; | 24 | | (8) means restriction advocacy and collaboration; and
| 25 | | (9) intervening and supporting after a suicide.
| 26 | | (b) (c) The funds appropriated for purposes of this Section |
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| 1 | | shall be allocated by the Department on a competitive, | 2 | | grant-submission basis, which shall include consideration of | 3 | | different rates of risk of suicide based on age, ethnicity, | 4 | | gender, prevalence of mental health disorders, different rates | 5 | | of suicide based on geographic areas in Illinois, and the | 6 | | services and curriculum offered to fit these needs by the | 7 | | applying agency. | 8 | | (d) The Department and Alliance shall prepare a report as | 9 | | to the effectiveness of the demonstration projects established | 10 | | pursuant to this Section and submit that report no later than 6 | 11 | | months after the projects are completed to the Governor and | 12 | | General Assembly.
| 13 | | (Source: P.A. 95-109, eff. 1-1-08.)
| 14 | | Section 99. Effective date. This Act takes effect upon | 15 | | becoming law.".
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