110 ILCS 185/ Behavioral Health Workforce Education Center of Illinois Act.

(110 ILCS 185/Art. 1 heading) Article 1. (Uncodified provisions; text omitted)(Source: P.A. 102-4, eff. 4-27-21.)

(110 ILCS 185/Art. 5 heading) Article 5. (The Community Health Worker Certification and Reimbursement Act is compiled at 410 ILCS 67/)(Source: P.A. 102-4, eff. 4-27-21.)

(110 ILCS 185/Art. 10 heading) Article 10. (Amendatory provisions; text omitted)(Source: P.A. 102-4, eff. 4-27-21.)

(110 ILCS 185/Art. 15 heading) Article 15. (Amendatory provisions; text omitted)(Source: P.A. 102-4, eff. 4-27-21.)

(110 ILCS 185/Art. 20 heading) Article 20. (Amendatory provisions; text omitted)(Source: P.A. 102-4, eff. 4-27-21.)

(110 ILCS 185/Art. 35 heading) Article 35. (Amendatory provisions; text omitted)(Source: P.A. 102-4, eff. 4-27-21.)

(110 ILCS 185/Art. 45 heading) Article 45. (Amendatory provisions; text omitted)(Source: P.A. 102-4, eff. 4-27-21.)

(110 ILCS 185/Art. 50 heading) Article 50. (Amendatory provisions; text omitted)(Source: P.A. 102-4, eff. 4-27-21.)

(110 ILCS 185/Art. 60 heading) Article 60. (Amendatory provisions; text omitted)(Source: P.A. 102-4, eff. 4-27-21.)

(110 ILCS 185/Art. 65 heading) Article 65.

(Source: P.A. 102-4, eff. 4-27-21.)

(110 ILCS 185/65-1)

Sec. 65-1. Short title. This Article may be cited as the Behavioral Health Workforce Education Center of Illinois Act. References in this Article to "this Act" mean this Article.

(Source: P.A. 102-4, eff. 4-27-21.)

(110 ILCS 185/65-5)

Sec. 65-5. Findings. The General Assembly finds as follows:

(1) There are insufficient behavioral health professionals in this State's behavioral health workforce and further that there are insufficient behavioral health professionals trained in evidence-based practices.

(2) The Illinois behavioral health workforce situation is at a crisis state and the lack of a behavioral health strategy is exacerbating the problem.

(3) In 2019, the Journal of Community Health found that suicide rates are disproportionately higher among African American adolescents. From 2001 to 2017, the rate for African American teen boys rose 60%, according to the study. Among African American teen girls, rates nearly tripled, rising by an astounding 182%. Illinois was among the 10 states with the greatest number of African American adolescent suicides (2015-2017).

(4) Workforce shortages are evident in all behavioral health professions, including, but not limited to, psychiatry, psychiatric nursing, psychiatric physician assistant, social work (licensed social work, licensed clinical social work), counseling (licensed professional counseling, licensed clinical professional counseling), marriage and family therapy, licensed clinical psychology, occupational therapy, prevention, substance use disorder counseling, and peer support.

(5) The shortage of behavioral health practitioners affects every Illinois county, every group of people with behavioral health needs, including children and adolescents, justice-involved populations, working adults, people experiencing homelessness, veterans, and older adults, and every health care and social service setting, from residential facilities and hospitals to community-based organizations and primary care clinics.

(6) Estimates of unmet needs consistently highlight the dire situation in Illinois. Mental Health America ranks Illinois 29th in the country in mental health workforce availability based on its 480-to-1 ratio of population to mental health professionals, and the Kaiser Family Foundation estimates that only 23.3% of Illinoisans' mental health needs can be met with its current workforce.

(7) Shortages are especially acute in rural areas and among low-income and under-insured individuals and families. 30.3% of Illinois' rural hospitals are in designated primary care shortage areas and 93.7% are in designated mental health shortage areas. Nationally, 40% of psychiatrists work in cash-only practices, limiting access for those who cannot afford high out-of-pocket costs, especially Medicaid eligible individuals and families.

(8) Spanish-speaking therapists in suburban Cook County, as well as in immigrant new growth communities throughout the State, for example, and master's-prepared social workers in rural communities are especially difficult to recruit and retain.

(9) Illinois' shortage of psychiatrists specializing in serving children and adolescents is also severe. Eighty-one out of 102 Illinois counties have no child and adolescent psychiatrists, and the remaining 21 counties have only 310 child and adolescent psychiatrists for a population of 2,450,000 children.

(10) Only 38.9% of the 121,000 Illinois youth aged 12 through 17 who experienced a major depressive episode received care.

(11) An annual average of 799,000 people in Illinois aged 12 and older need but do not receive substance use disorder treatment at specialty facilities.

(12) According to the Statewide Semiannual Opioid Report, Illinois Department of Public Health, September 2020, the number of opioid deaths in Illinois has increased 3% from 2,167 deaths in 2018 to 2,233 deaths in 2019.

(13) Behavioral health workforce shortages have led to well-documented problems of long wait times for appointments with psychiatrists (4 to 6 months in some cases), high turnover, and unfilled vacancies for social workers and other behavioral health professionals that have eroded the gains in insurance coverage for mental illness and substance use disorder under the federal Affordable Care Act and parity laws.

(14) As a result, individuals with mental illness or substance use disorders end up in hospital emergency rooms, which are the most expensive level of care, or are incarcerated and do not receive adequate care, if any.

(15) There are many organizations and institutions that are affected by behavioral health workforce shortages, but no one entity is responsible for monitoring the workforce supply and intervening to ensure it can effectively meet behavioral health needs throughout the State.

(16) Workforce shortages are more complex than simple numerical shortfalls. Identifying the optimal number, type, and location of behavioral health professionals to meet the differing needs of Illinois' diverse regions and populations across the lifespan is a difficult logistical problem at the system and practice level that requires coordinated efforts in research, education, service delivery, and policy.

(17) This State has a compelling and substantial interest in building a pipeline for behavioral health professionals and to anchor research and education for behavioral health workforce development. Beginning with the proposed Behavioral Health Workforce Education Center of Illinois, Illinois has the chance to develop a blueprint to be a national leader in behavioral health workforce development.

(18) The State must act now to improve the ability of its residents to achieve their human potential and to live healthy, productive lives by reducing the misery and suffering with unmet behavioral health needs.

(Source: P.A. 102-4, eff. 4-27-21.)

(110 ILCS 185/65-10)

Sec. 65-10. Behavioral Health Workforce Education Center of Illinois.

(a) The Behavioral Health Workforce Education Center of Illinois is created and shall be administered by a teaching, research, or both teaching and research public institution of higher education in this State. Subject to appropriation, the Center shall be operational on or before July 1, 2022.

(b) The Behavioral Health Workforce Education Center of Illinois shall leverage workforce and behavioral health resources, including, but not limited to, State, federal, and foundation grant funding, federal Workforce Investment Act of 1998 programs, the National Health Service Corps and other nongraduate medical education physician workforce training programs, and existing behavioral health partnerships, and align with reforms in Illinois.

(Source: P.A. 102-4, eff. 4-27-21.)

(110 ILCS 185/65-15)

Sec. 65-15. Structure.

(a) The Behavioral Health Workforce Education Center of Illinois shall be structured as a multisite model, and the administering public institution of higher education shall serve as the hub institution, complemented by secondary regional hubs, namely academic institutions, that serve rural and small urban areas and at least one academic institution serving a densely urban municipality with more than 1,000,000 inhabitants.

(b) The Behavioral Health Workforce Education Center of Illinois shall be located within one academic institution and shall be tasked with a convening and coordinating role for workforce research and planning, including monitoring progress toward Center goals.

(c) The Behavioral Health Workforce Education Center of Illinois shall also coordinate with key State agencies involved in behavioral health, workforce development, and higher education in order to leverage disparate resources from health care, workforce, and economic development programs in Illinois government.

(Source: P.A. 102-4, eff. 4-27-21.)

(110 ILCS 185/65-20)

Sec. 65-20. Duties. The Behavioral Health Workforce Education Center of Illinois shall perform the following duties:

(1) Organize a consortium of universities in partnerships with providers, school districts, law enforcement, consumers and their families, State agencies, and other stakeholders to implement workforce development concepts and strategies in every region of this State.

(2) Be responsible for developing and implementing a strategic plan for the recruitment, education, and retention of a qualified, diverse, and evolving behavioral health workforce in this State. Its planning and activities shall include:

(A) convening and organizing vested stakeholders spanning government agencies, clinics, behavioral health facilities, prevention programs, hospitals, schools, jails, prisons and juvenile justice, police and emergency medical services, consumers and their families, and other stakeholders;

(B) collecting and analyzing data on the behavioral health workforce in Illinois, with detailed information on specialties, credentials, additional qualifications (such as training or experience in particular models of care), location of practice, and demographic characteristics, including age, gender, race and ethnicity, and languages spoken;

(C) building partnerships with school districts, public institutions of higher education, and workforce investment agencies to create pipelines to behavioral health careers from high schools and colleges, pathways to behavioral health specialization among health professional students, and expanded behavioral health residency and internship opportunities for graduates;

(D) evaluating and disseminating information about evidence-based practices emerging from research regarding promising modalities of treatment, care coordination models, and medications;

(E) developing systems for tracking the utilization of evidence-based practices that most effectively meet behavioral health needs; and

(F) providing technical assistance to support professional training and continuing education programs that provide effective training in evidence-based behavioral health practices.

(3) Coordinate data collection and analysis, including systematic tracking of the behavioral health workforce and datasets that support workforce planning for an accessible, high-quality behavioral health system. In the medium to long-term, the Center shall develop Illinois behavioral workforce data capacity by:

(A) filling gaps in workforce data by collecting information on specialty, training, and qualifications for specific models of care, demographic characteristics, including gender, race, ethnicity, and languages spoken, and participation in public and private insurance networks;

(B) identifying the highest priority geographies, populations, and occupations for recruitment and training;

(C) monitoring the incidence of behavioral health conditions to improve estimates of unmet need; and

(D) compiling up-to-date, evidence-based practices, monitoring utilization, and aligning training resources to improve the uptake of the most effective practices.

(4) Work to grow and advance peer and parent-peer workforce development by:

(A) assessing the credentialing and reimbursement processes and recommending reforms;

(B) evaluating available peer-parent training models, choosing a model that meets Illinois' needs, and working with partners to implement it universally in child-serving programs throughout this State; and

(C) including peer recovery specialists and parent-peer support professionals in interdisciplinary training programs.

(5) Focus on the training of behavioral health professionals in telehealth techniques, including taking advantage of a telehealth network that exists, and other innovative means of care delivery in order to increase access to behavioral health services for all persons within this State.

(6) No later than December 1 of every odd-numbered year, prepare a report of its activities under this Act. The report shall be filed electronically with the General Assembly, as provided under Section 3.1 of the General Assembly Organization Act, and shall be provided electronically to any member of the General Assembly upon request.

(Source: P.A. 102-4, eff. 4-27-21.)

(110 ILCS 185/65-25)

Sec. 65-25. Selection process.

(a) No later than 90 days after the effective date of this Act, the Board of Higher Education shall select a public institution of higher education, with input and assistance from the Division of Mental Health of the Department of Human Services, to administer the Behavioral Health Workforce Education Center of Illinois.

(b) The selection process shall articulate the principles of the Behavioral Health Workforce Education Center of Illinois, not inconsistent with this Act.

(c) The Board of Higher Education, with input and assistance from the Division of Mental Health of the Department of Human Services, shall make its selection of a public institution of higher education based on its ability and willingness to execute the following tasks:

(1) Convening academic institutions providing behavioral health education to:

(A) develop curricula to train future behavioral health professionals in evidence-based practices that meet the most urgent needs of Illinois' residents;

(B) build capacity to provide clinical training and supervision; and

(C) facilitate telehealth services to every region of the State.

(2) Functioning as a clearinghouse for research, education, and training efforts to identify and disseminate evidence-based practices across the State.

(3) Leveraging financial support from grants and social impact loan funds.

(4) Providing infrastructure to organize regional behavioral health education and outreach. As budgets allow, this shall include conference and training space, research and faculty staff time, telehealth, and distance learning equipment.

(5) Working with regional hubs that assess and serve the workforce needs of specific, well-defined regions and specialize in specific research and training areas, such as telehealth or mental health-criminal justice partnerships, for which the regional hub can serve as a statewide leader.

(d) The Board of Higher Education may adopt such rules as may be necessary to implement and administer this Section.

(Source: P.A. 102-4, eff. 4-27-21.)

(110 ILCS 185/Art. 70 heading) Article 70. (Amendatory provisions; text omitted)(Source: P.A. 102-4, eff. 4-27-21.)

(110 ILCS 185/Art. 72 heading) Article 72. (The Underlying Causes of Crime and Violence Study Act is compiled at 410 ILCS 165/)(Source: P.A. 102-4, eff. 4-27-21.)

(110 ILCS 185/Art. 80 heading) Article 80. (Amendatory provisions; text omitted)(Source: P.A. 102-4, eff. 4-27-21.)

(110 ILCS 185/Art. 90 heading) Article 90. (Amendatory provisions; text omitted)(Source: P.A. 102-4, eff. 4-27-21.)

(110 ILCS 185/Art. 95 heading) Article 95. (Amendatory provisions; text omitted)(Source: P.A. 102-4, eff. 4-27-21.)

(110 ILCS 185/Art. 100 heading) Article 100. (The Special Commission on Gynecologic Cancers Act is compiled at 20 ILCS 5170/)(Source: P.A. 102-4, eff. 4-27-21.)

(110 ILCS 185/Art. 105 heading) Article 105. (Amendatory provisions; text omitted)(Source: P.A. 102-4, eff. 4-27-21.)

(110 ILCS 185/Art. 110 heading) Article 110. (The Racial Impact Note Act is compiled at 25 ILCS 83/)(Source: P.A. 102-4, eff. 4-27-21.)

(110 ILCS 185/Art. 115 heading) Article 115. (Amendatory provisions; text omitted)(Source: P.A. 102-4, eff. 4-27-21.)

(110 ILCS 185/Art. 120 heading) Article 120. (Amendatory provisions; text omitted)(Source: P.A. 102-4, eff. 4-27-21.)

(110 ILCS 185/Art. 125 heading) Article 125. (The Health and Human Services Task Force and Study Act is compiled at 20 ILCS 5175/)(Source: P.A. 102-4, eff. 4-27-21.)

(110 ILCS 185/Art. 130 heading) Article 130. (The Anti-Racism Commission Act is compiled at 20 ILCS 5180/)(Source: P.A. 102-4, eff. 4-27-21.)

(110 ILCS 185/Art. 131 heading) Article 131. (The Sickle Cell Prevention, Care, and Treatment Program Act is compiled at 410 ILCS 460/)(Source: P.A. 102-4, eff. 4-27-21.)

(110 ILCS 185/Art. 135 heading) Article 135. (Amendatory provisions; text omitted)(Source: P.A. 102-4, eff. 4-27-21.)

(110 ILCS 185/Art. 150 heading) Article 150. (Amendatory provisions; text omitted)(Source: P.A. 102-4, eff. 4-27-21.)

(110 ILCS 185/Art. 155 heading) Article 155. (Amendatory provisions; text omitted)(Source: P.A. 102-4, eff. 4-27-21.)

(110 ILCS 185/Art. 160 heading) Article 160. (Amendatory provisions; text omitted)(Source: P.A. 102-4, eff. 4-27-21.)

(110 ILCS 185/Art. 170 heading) Article 170. (Amendatory provisions; text omitted)(Source: P.A. 102-4, eff. 4-27-21.)

(110 ILCS 185/Art. 172 heading) Article 172. (Amendatory provisions; text omitted)(Source: P.A. 102-4, eff. 4-27-21.)

(110 ILCS 185/Art. 175 heading) Article 175. (Amendatory provisions; text omitted)(Source: P.A. 102-4, eff. 4-27-21.)

(110 ILCS 185/Art. 185 heading) Article 185. (The Medicaid Technical Assistance Act is compiled at 305 ILCS 75/)(Source: P.A. 102-4, eff. 4-27-21.)

(110 ILCS 185/Art. 999 heading) Article 999.

(Source: P.A. 102-4, eff. 4-27-21.)

(110 ILCS 185/999-99)

Sec. 999-99. Effective date. This Act takes effect upon becoming law.

(Source: P.A. 102-4, eff. 4-27-21.)