Full Text of SB2427 103rd General Assembly
SB2427sam001 103RD GENERAL ASSEMBLY | Sen. Ram Villivalam Filed: 3/3/2023
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| 1 | | AMENDMENT TO SENATE BILL 2427
| 2 | | AMENDMENT NO. ______. Amend Senate Bill 2427 by replacing | 3 | | everything after the enacting clause with the following:
| 4 | | "Section 5. The Department of Professional Regulation Law | 5 | | of the
Civil Administrative Code of Illinois is amended by | 6 | | adding Section 2105-15.8 as follows: | 7 | | (20 ILCS 2105/2105-15.8 new) | 8 | | Sec. 2105-15.8. Continuing education; health care cultural | 9 | | competency. | 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 |
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| 1 | | cultural needs of an evolving patient base. This lack of | 2 | | updated social and cultural knowledge by health care | 3 | | professionals impacts communities of color, people of | 4 | | diverse faiths, people with disabilities, immigrants with | 5 | | or without status, people who are intersex, people living | 6 | | with HIV, and LGBTQ+ people, among other populations. | 7 | | (2) According to a citation in "I Am Not The Doctor For | 8 | | You: Physicians' Attitudes About Caring for People With | 9 | | Disabilities" in the October 2022 edition of Health | 10 | | Affairs, regarding care for people with disabilities, only | 11 | | 41% of physicians reported that they were very confident | 12 | | about their ability to provide the same quality of care to | 13 | | people with disabilities as those without, and just 57% of | 14 | | physicians strongly agreed that they welcomed people with | 15 | | disabilities into their practices. | 16 | | (3) According to the Center for American Progress, | 17 | | about half of transgender people in the United States have | 18 | | been mistreated by a health care professional. Per the | 19 | | 2015 U.S. Transgender Survey data for the State, 33% of | 20 | | those who saw a health care provider in the past year | 21 | | reported having at least one negative experience related | 22 | | to being transgender, and 24% of respondents did not see a | 23 | | doctor when they needed to because of fear of being | 24 | | mistreated as a transgender person. | 25 | | (4) According to a survey by Healthgrades in 2022, 25% | 26 | | of patients said their doctors could benefit from more |
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| 1 | | training. The number jumps to 29% among non-white patients | 2 | | in the survey. | 3 | | (5) Many providers recognize the importance of | 4 | | cultural competency for their personal education. | 5 | | According to the Healthgrades survey, 31% of physicians | 6 | | agree that their level of cultural competency can impact | 7 | | their ability to provide optimal patient care somewhat or | 8 | | a lot. Furthermore, the generational divide among | 9 | | physicians is strong on additional training that would | 10 | | better equip them to care for patients of different | 11 | | gender, racial, sexual, or cultural identities. Two in 5 | 12 | | younger physicians with less than 10 years of training are | 13 | | interested in additional training. Only one in 5 of older | 14 | | physicians with more than 20 years of practice express | 15 | | interest in cultural competency training. | 16 | | (6) In 2019, the American Medical Association adopted | 17 | | a policy that included recognition of the importance of | 18 | | cultural competency to patient experience and treatment | 19 | | plan adherence and encouraged the implementation of | 20 | | cultural competency practices across health care settings. | 21 | | (7) Furthermore, many thousands of health care | 22 | | professionals in the State, including tens of thousands of | 23 | | physicians and nurses, are already required to comply with | 24 | | the cultural competency requirements in the State's | 25 | | contract with managed care organizations, which states | 26 | | that contractors shall implement a cultural competence |
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| 1 | | plan, and covered services shall be provided in a | 2 | | culturally competent manner by ensuring the cultural | 3 | | competence of all contractor staff, including clerical to | 4 | | executive management, and providers. | 5 | | (8) As a next step to ensuring all health care | 6 | | professionals are trained and equipped in cultural | 7 | | competency, the State should join jurisdictions like | 8 | | Connecticut, New Jersey, and the District of Columbia to | 9 | | require that health care professionals be trained in | 10 | | cultural competency as part of continuing education. | 11 | | Having such a requirement will increase the ability of | 12 | | medical providers to meet the social and cultural needs of | 13 | | their diversifying patient base. | 14 | | (b) As used in this Section: | 15 | | "Cultural competency" means a set of integrated attitudes, | 16 | | knowledge, and skills that enables a health care professional | 17 | | or organization to care effectively for patients from diverse | 18 | | cultures, groups, and communities. "Cultural competency" | 19 | | includes, but is not limited to: (i) applying linguistic | 20 | | skills to communicate effectively with the target population; | 21 | | (ii) utilizing cultural information to establish therapeutic | 22 | | relationships; (iii) eliciting and incorporating pertinent | 23 | | cultural data in diagnosis and treatment; and (iv) | 24 | | understanding and applying cultural and ethnic data to the | 25 | | process of clinic care. | 26 | | "Health care professional" means a person licensed or |
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| 1 | | registered by the Department of Financial and Professional | 2 | | Regulation under the Nurse Practice Act, the Clinical | 3 | | Psychologist Licensing Act, the Illinois Dental Practice Act, | 4 | | the Pharmacy Practice Act, the Illinois Physical Therapy Act, | 5 | | the Physician Assistant Practice Act of 1987, the Acupuncture | 6 | | Practice Act, the Illinois Athletic Trainers Practice Act, the | 7 | | Clinical Social Work and Social Work Practice Act, the | 8 | | Dietitian Nutritionist Practice Act, the Naprapathic Practice | 9 | | Act, the Nursing Home Administrators Licensing and | 10 | | Disciplinary Act, the Illinois Occupational Therapy Practice | 11 | | Act, the Illinois Optometric Practice Act of 1987, the | 12 | | Podiatric Medical Practice Act of 1987, the Respiratory Care | 13 | | Practice Act, the Professional Counselor and Clinical | 14 | | Professional Counselor Licensing and Practice Act, the Sex | 15 | | Offender Evaluation and Treatment Provider Act, the Illinois | 16 | | Speech-Language Pathology and Audiology Practice Act, the | 17 | | Perfusionist Practice Act, the Genetic Counselor Licensing | 18 | | Act, the Licensed Certified Professional Midwife Practice Act, | 19 | | the Marriage and Family Therapy Licensing Act, the Behavior | 20 | | Analyst Licensing Act, the Music Therapy Licensing and | 21 | | Practice Act, the Environmental Health Practitioner Licensing | 22 | | Act, the Orthotics, Prosthetics, and Pedorthics Practice Act, | 23 | | and the Medical Practice Act of 1987. | 24 | | (c) The cultural competency training required by this | 25 | | Section shall include information on sensitivity relating to | 26 | | and best practices for providing affirming care to people in |
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| 1 | | the person's preferred language, communities of color, people | 2 | | of diverse faiths, people with disabilities, documented or | 3 | | undocumented immigrants, people who are intersex, people | 4 | | living with HIV, and people of diverse sexual orientations and | 5 | | gender identities, including, but not limited to, lesbian, | 6 | | gay, bisexual, transgender, queer, pansexual, asexual, and | 7 | | questioning individuals. | 8 | | (d) For every license or registration renewal occurring on | 9 | | or after the effective date of this amendatory Act of the 103rd | 10 | | General Assembly, a health care professional who has | 11 | | continuing education requirements must complete at least 5 | 12 | | hours in cultural competency training. | 13 | | (e) The hours required by this Section may count toward | 14 | | meeting the minimum credit hours required for continuing | 15 | | education. Any cultural competency training applied to meet | 16 | | any other State licensure requirement, professional | 17 | | accreditation or certification requirement, or health care | 18 | | institutional practice agreement may count toward the | 19 | | requirements under this Section. | 20 | | (f) The Department may adopt rules for the implementation | 21 | | and administration of this Section.
| 22 | | Section 99. Effective date. This Act takes effect January | 23 | | 1, 2024.".
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