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Public Act 102-0004 | ||||
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AN ACT concerning health.
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Be it enacted by the People of the State of Illinois,
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represented in the General Assembly:
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Title I. General Provisions | ||||
Article 1. | ||||
Section 1-1. This Act may be referred to as the Illinois | ||||
Health Care and Human Service Reform Act. | ||||
Section 1-5. Findings. | ||||
"We, the People of the State of Illinois in order to | ||||
provide for the health, safety and welfare of the people; | ||||
maintain a representative and orderly government; eliminate | ||||
poverty and inequality; assure legal, social and economic | ||||
justice; provide opportunity for the fullest development of | ||||
the individual; insure domestic tranquility; provide for the | ||||
common defense; and secure the blessings of freedom and | ||||
liberty to ourselves and our posterity - do ordain and | ||||
establish this Constitution for the State of Illinois." | ||||
The Illinois Legislative Black Caucus finds that, in order | ||||
to improve the health outcomes of Black residents in the State | ||||
of Illinois, it is essential to dramatically reform the | ||||
State's health and human service system. For over 3 decades, |
multiple health studies have found that health inequities at | ||
their very core are due to racism. As early as 1998 research | ||
demonstrated that Black Americans received less health care | ||
than white Americans because doctors treated patients | ||
differently on the basis of race. Yet, Illinois' health and | ||
human service system disappointingly continues to perpetuate | ||
health disparities among Black Illinoisans of all ages, | ||
genders, and socioeconomic status. | ||
In July 2020, Trinity Health announced its plans to close | ||
Mercy Hospital, an essential resource serving the Chicago | ||
South Side's predominantly Black residents. Trinity Health | ||
argued that this closure would have no impact on health access | ||
but failed to understand the community's needs. Closure of | ||
Mercy Hospital would only serve to create a health access | ||
desert and exacerbate existing health disparities. On December | ||
15, 2020, after hearing from community members and advocates, | ||
the Health Facilities and Services Review Board unanimously | ||
voted to deny closure efforts, yet Trinity still seeks to | ||
cease Mercy's operations. | ||
Prior to COVID-19, much of the social and political | ||
attention surrounding the nationwide opioid epidemic focused | ||
on the increase in overdose deaths among white, middle-class, | ||
suburban and rural users; the impact of the epidemic in Black | ||
communities was largely unrecognized. Research has shown rates | ||
of opioid use at the national scale are higher for whites than | ||
they are for Blacks, yet rates of opioid deaths are higher |
among Blacks (43%) than whites (22%). The COVID-19 pandemic | ||
will likely exacerbate this situation due to job loss, | ||
stay-at-home orders, and ongoing mitigation efforts creating a | ||
lack of physical access to addiction support and harm | ||
reduction groups. | ||
In 2018, the Illinois Department of Public Health reported | ||
that Black women were about 6 times as likely to die from a | ||
pregnancy-related cause as white women. Of those, 72% of | ||
pregnancy-related deaths and 93% of violent | ||
pregnancy-associated deaths were deemed preventable. Between | ||
2016 and 2017, Black women had the highest rate of severe | ||
maternal morbidity with a rate of 101.5 per 10,000 deliveries, | ||
which is almost 3 times as high as the rate for white women. | ||
In the City of Chicago, African American and Latinx | ||
populations are suffering from higher rates of AIDS/HIV | ||
compared to the general population. Recent data places HIV as | ||
one of the top 5 leading causes of death in African American | ||
women between the ages of 35 to 44 and the seventh ranking | ||
cause in African American women between the ages of 20 to 34. | ||
Among the Latinx population, nearly 20% with HIV exclusively | ||
depend on indigenous-led and staffed organizations for | ||
services. | ||
Cardiovascular disease (CVD) accounts for more deaths in | ||
Illinois than any other cause of death, according to the | ||
Illinois Department of Public Health; CVD is the leading cause | ||
of death among Black residents. According to the Kaiser Family |
Foundation (KFF), for every 100,000 people, 224 Black | ||
Illinoisans die of CVD compared to 158 white Illinoisans. | ||
Cancer, the second leading cause of death in Illinois, too is | ||
pervasive among African Americans. In 2019, an estimated | ||
606,880 Americans, or 1,660 people a day, died of cancer; the | ||
American Cancer Society estimated 24,410 deaths occurred in | ||
Illinois. KFF estimates that, out of every 100,000 people, 191 | ||
Black Illinoisans die of cancer compared to 152 white | ||
Illinoisans. | ||
Black Americans suffer at much higher rates from chronic | ||
diseases, including diabetes, hypertension, heart disease, | ||
asthma, and many cancers. Utilizing community health workers | ||
in patient education and chronic disease management is needed | ||
to close these health disparities. Studies have shown that | ||
diabetes patients in the care of a community health worker | ||
demonstrate improved knowledge and lifestyle and | ||
self-management behaviors, as well as decreases in the use of | ||
the emergency department. A study of asthma control among | ||
Black adolescents concluded that asthma control was reduced by | ||
35% among adolescents working with community health workers, | ||
resulting in a savings of $5.58 per dollar spent on the | ||
intervention. A study of the return on investment for | ||
community health workers employed in Colorado showed that, | ||
after a 9-month period, patients working with community health | ||
workers had an increased number of primary care visits and a | ||
decrease in urgent and inpatient care. Utilization of |
community health workers led to a $2.38 return on investment | ||
for every dollar invested in community health workers. | ||
Adverse childhood experiences (ACEs) are traumatic | ||
experiences occurring during childhood that have been found to | ||
have a profound effect on a child's developing brain structure | ||
and body which may result in poor health during a person's | ||
adulthood. ACEs studies have found a strong correlation | ||
between the number of ACEs and a person's risk for disease and | ||
negative health behaviors, including suicide, depression, | ||
cancer, stroke, ischemic heart disease, diabetes, autoimmune | ||
disease, smoking, substance abuse, interpersonal violence, | ||
obesity, unplanned pregnancies, lower educational achievement, | ||
workplace absenteeism, and lower wages. Data also shows that | ||
approximately 20% of African American and Hispanic adults in | ||
Illinois reported 4 or more ACEs, compared to 13% of | ||
non-Hispanic whites. Long-standing ACE interventions include | ||
tools such as trauma-informed care. Trauma-informed care has | ||
been promoted and established in communities across the | ||
country on a bipartisan basis, including in the states of | ||
California, Florida, Massachusetts, Missouri, Oregon, | ||
Pennsylvania, Washington, and Wisconsin. Several federal | ||
agencies have integrated trauma-informed approaches in their | ||
programs and grants which should be leveraged by the State. | ||
According to a 2019 Rush University report, a Black | ||
person's life expectancy on average is less when compared to a | ||
white person's life expectancy. For instance, when comparing |
life expectancy in Chicago's Austin neighborhood to the | ||
Chicago Loop, there is a difference of 11 years between Black | ||
life expectancy (71 years) and white life expectancy (82 | ||
years).
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In a 2015 literature review of implicit racial and ethnic | ||
bias among medical professionals, it was concluded that there | ||
is a moderate level of implicit bias in most medical | ||
professionals. Further, the literature review showed that | ||
implicit bias has negative consequences for patients, | ||
including strained patient relationships and negative health | ||
outcomes. It is critical for medical professionals to be aware | ||
of implicit racial and ethnic bias and work to eliminate bias | ||
through training. | ||
In the field of medicine, a historically racist | ||
profession, Black medical professionals have commonly been | ||
ostracized. In 1934, Dr. Roland B. Scott was the first African | ||
American to pass the pediatric board exam, yet when he applied | ||
for membership with the American Academy of Pediatrics he was | ||
rejected multiple times. Few medical organizations have | ||
confronted the roles they played in blocking opportunities for | ||
Black advancement in the medical profession until the formal | ||
apologies of the American Medical Association in 2008. For | ||
decades, organizations like the AMA predicated their | ||
membership on joining a local state medical society, several | ||
of which excluded Black physicians. | ||
In 2010, the General Assembly, in partnership with |
Treatment Alternatives for Safe Communities, published the | ||
Disproportionate Justice Impact Study. The study examined the | ||
impact of Illinois drug laws on racial and ethnic groups and | ||
the resulting over-representation of racial and ethic minority | ||
groups in the Illinois criminal justice system. Unsurprisingly | ||
and disappointingly, the study confirmed decades long | ||
injustices, such as nonwhites being arrested at a higher rate | ||
than whites relative to their representation in the general | ||
population throughout Illinois. | ||
All together, the above mentioned only begins to capture a | ||
part of a larger system of racial injustices and inequities. | ||
The General Assembly and the people of Illinois are urged to | ||
recognize while racism is a core fault of the current health | ||
and human service system, that it is a pervasive disease | ||
affecting a multiplitude of institutions which truly drive | ||
systematic health inequities: education, child care, criminal | ||
justice, affordable housing, environmental justice, and job | ||
security and so forth. For persons to live up to their full | ||
human potential, their rights to quality of life, health care, | ||
a quality job, a fair wage, housing, and education must not be | ||
inhibited. | ||
Therefore, the Illinois Legislative Black Caucus, as | ||
informed by the Senate's Health and Human Service Pillar | ||
subject matter hearings, seeks to remedy a fraction of a much | ||
larger broken system by addressing access to health care, | ||
hospital closures, managed care organization reform, community |
health worker certification, maternal and infant mortality, | ||
mental and substance abuse treatment, hospital reform, and | ||
medical implicit bias in the Illinois Health Care and Human | ||
Service Reform Act. This Act shall achieve needed change | ||
through the use of, but not limited to, the Medicaid Managed | ||
Care Oversight Commission, the Health and Human Services Task | ||
Force, and a hospital closure moratorium, in order to address | ||
Illinois' long-standing health inequities.
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Title II. Community Health Workers | ||
Article 5. | ||
Section 5-1. Short title. This Article may be cited as the | ||
Community Health Worker Certification and Reimbursement Act. | ||
References in this Article to "this Act" mean this Article. | ||
Section 5-5. Definition. In this Act, "community health | ||
worker" means a frontline public health worker who is a | ||
trusted member or has an unusually close understanding of the | ||
community served. This trusting relationship enables the | ||
community health worker to serve as a liaison, link, and | ||
intermediary between health and social services and the | ||
community to facilitate access to services and improve the | ||
quality and cultural competence of service delivery. A | ||
community health worker also builds individual and community |
capacity by increasing health knowledge and self-sufficiency | ||
through a range of activities, including outreach, community | ||
education, informal counseling, social support, and advocacy. | ||
A community health worker shall have the following core | ||
competencies: | ||
(1) communication; | ||
(2) interpersonal skills and relationship building; | ||
(3) service coordination and navigation skills; | ||
(4) capacity-building; | ||
(5) advocacy; | ||
(6) presentation and facilitation skills; | ||
(7) organizational skills; cultural competency; | ||
(8) public health knowledge; | ||
(9) understanding of health systems and basic | ||
diseases; | ||
(10) behavioral health issues; and | ||
(11) field experience. | ||
Nothing in this definition shall be construed to authorize | ||
a community health worker to provide direct care or treatment | ||
to any person or to perform any act or service for which a | ||
license issued by a professional licensing board is required. | ||
Section 5-10. Community health worker training. | ||
(a) Community health workers shall be provided with | ||
multi-tiered academic and community-based training | ||
opportunities that lead to the mastery of community health |
worker core competencies. | ||
(b) For academic-based training programs, the Department | ||
of Public Health shall collaborate with the Illinois State | ||
Board of Education, the Illinois Community College Board, and | ||
the Illinois Board of Higher Education to adopt a process to | ||
certify academic-based training programs that students can | ||
attend to obtain individual community health worker | ||
certification. Certified training programs shall reflect the | ||
approved core competencies and roles for community health | ||
workers. | ||
(c) For community-based training programs, the Department | ||
of Public Health shall collaborate with a statewide | ||
association representing community health workers to adopt a | ||
process to certify community-based programs that students can | ||
attend to obtain individual community health worker | ||
certification. | ||
(d) Community health workers may need to undergo | ||
additional training, including, but not limited to, asthma, | ||
diabetes, maternal child health, behavioral health, and social | ||
determinants of health training. Multi-tiered training | ||
approaches shall provide opportunities that build on each | ||
other and prepare community health workers for career pathways | ||
both within the community health worker profession and within | ||
allied professions. | ||
Section 5-15. Illinois Community Health Worker |
Certification Board. | ||
(a) There is created within the Department of Public | ||
Health, in shared leadership with a statewide association | ||
representing community health workers, the Illinois Community | ||
Health Worker Certification Board. The Board shall serve as | ||
the regulatory body that develops and has oversight of initial | ||
community health workers certification and certification | ||
renewals for both individuals and academic and community-based | ||
training programs. | ||
(b) A representative from the Department of Public Health, | ||
the Department of Financial and Professional Regulation, the | ||
Department of Healthcare and Family Services, and the | ||
Department of Human Services shall serve on the Board. At | ||
least one full-time professional shall be assigned to staff | ||
the Board with additional administrative support available as | ||
needed. The Board shall have balanced representation from the | ||
community health worker workforce, community health worker | ||
employers, community health worker training and educational | ||
organizations, and other engaged stakeholders. | ||
(c) The Board shall propose a certification process for | ||
and be authorized to approve training from community-based | ||
organizations, in conjunction with a statewide organization | ||
representing community health workers, and academic | ||
institutions, in consultation with the Illinois State Board of | ||
Education, the Illinois Community College Board and the | ||
Illinois Board of Higher Education. The Board shall base |
training approval on core competencies, best practices, and | ||
affordability. In addition, the Board shall maintain a | ||
registry of certification records for individually certified | ||
community health workers. | ||
(d) All training programs that are deemed certifiable by | ||
the Board shall go through a renewal process, which will be | ||
determined by the Board once established. The Board shall | ||
establish criteria to grandfather in any community health | ||
workers who were practicing prior to the establishment of a | ||
certification program. | ||
(e) To ensure high-quality service, the Illinois Community | ||
Health Worker Certification Board shall examine and consider | ||
for adoption best practices from other states that have | ||
implemented policies to allow for alternative opportunities to | ||
demonstrate competency in core skills and knowledge in | ||
addition to certification. | ||
(f) The Department of Public Health shall explore ways to | ||
compensate members of the Board. | ||
Section 5-20. Reimbursement. Community health worker | ||
services shall be covered under the medical assistance | ||
program, subject to appropriation, for persons who are | ||
otherwise eligible for medical assistance. The Department of | ||
Healthcare and Family Services shall develop services, | ||
including, but not limited to, care coordination and | ||
diagnosis-related patient services, for which community health |
workers will be eligible for reimbursement and shall request | ||
approval from the federal Centers for Medicare and Medicaid | ||
Services to reimburse community health worker services under | ||
the medical assistance program. For reimbursement under the | ||
medical assistance program, a community health worker must | ||
work under the supervision of an enrolled medical program | ||
provider, as specified by the Department, and certification | ||
shall be required for reimbursement. The supervision of | ||
enrolled medical program providers and certification are not | ||
required for community health workers who receive | ||
reimbursement through managed care administrative moneys. | ||
Noncertified community health workers are reimbursable at the | ||
discretion of managed care entities following availability of | ||
community health worker certification. In addition, the | ||
Department of Healthcare and Family Services shall amend its | ||
contracts with managed care entities to allow managed care | ||
entities to employ community health workers or subcontract | ||
with community-based organizations that employ community | ||
health workers. | ||
Section 5-23. Certification. Certification shall not be | ||
required for employment of community health workers. | ||
Noncertified community health workers may be employed through | ||
funding sources outside of the medical assistance program. | ||
Section 5-25. Rules. The Department of Public Health and |
the Department of Healthcare and Family Services may adopt | ||
rules for the implementation and administration of this Act. | ||
Title III. Hospital Reform | ||
Article 10. | ||
Section 10-5. The Hospital Licensing Act is amended by | ||
changing Section 10.4 as follows:
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(210 ILCS 85/10.4) (from Ch. 111 1/2, par. 151.4)
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Sec. 10.4. Medical staff privileges.
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(a) Any hospital licensed under this Act or any hospital | ||
organized under the
University of Illinois Hospital Act shall, | ||
prior to the granting of any medical
staff privileges to an | ||
applicant, or renewing a current medical staff member's
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privileges, request of the Director of Professional Regulation | ||
information
concerning the licensure status , proper | ||
credentials, required certificates, and any disciplinary | ||
action taken against the
applicant's or medical staff member's | ||
license, except: (1) for medical personnel who
enter a | ||
hospital to obtain organs and tissues for transplant from a | ||
donor in accordance with the Illinois Anatomical Gift Act; or | ||
(2) for medical personnel who have been granted disaster | ||
privileges pursuant to the procedures and requirements | ||
established by rules adopted by the Department. Any hospital |
and any employees of the hospital or others involved in | ||
granting privileges who, in good faith, grant disaster | ||
privileges pursuant to this Section to respond to an emergency | ||
shall not, as a result of their acts or omissions, be liable | ||
for civil damages for granting or denying disaster privileges | ||
except in the event of willful and wanton misconduct, as that | ||
term is defined in Section 10.2 of this Act. Individuals | ||
granted privileges who provide care in an emergency situation, | ||
in good faith and without direct compensation, shall not, as a | ||
result of their acts or omissions, except for acts or | ||
omissions involving willful and wanton misconduct, as that | ||
term is defined in Section 10.2 of this Act, on the part of the | ||
person, be liable for civil damages. The Director of
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Professional Regulation shall transmit, in writing and in a | ||
timely fashion,
such information regarding the license of the | ||
applicant or the medical staff
member, including the record of | ||
imposition of any periods of
supervision or monitoring as a | ||
result of alcohol or
substance abuse, as provided by Section | ||
23 of the Medical
Practice Act of 1987, and such information as | ||
may have been
submitted to the Department indicating that the | ||
application
or medical staff member has been denied, or has | ||
surrendered,
medical staff privileges at a hospital licensed | ||
under this
Act, or any equivalent facility in another state or
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territory of the United States. The Director of Professional | ||
Regulation
shall define by rule the period for timely response | ||
to such requests.
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No transmittal of information by the Director of | ||
Professional Regulation,
under this Section shall be to other | ||
than the president, chief
operating officer, chief | ||
administrative officer, or chief of
the medical staff of a | ||
hospital licensed under this Act, a
hospital organized under | ||
the University of Illinois Hospital Act, or a hospital
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operated by the United States, or any of its | ||
instrumentalities. The
information so transmitted shall be | ||
afforded the same status
as is information concerning medical | ||
studies by Part 21 of Article VIII of the
Code of Civil | ||
Procedure, as now or hereafter amended.
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(b) All hospitals licensed under this Act, except county | ||
hospitals as
defined in subsection (c) of Section 15-1 of the | ||
Illinois Public Aid Code,
shall comply with, and the medical | ||
staff bylaws of these hospitals shall
include rules consistent | ||
with, the provisions of this Section in granting,
limiting, | ||
renewing, or denying medical staff membership and
clinical | ||
staff privileges. Hospitals that require medical staff members | ||
to
possess
faculty status with a specific institution of | ||
higher education are not required
to comply with subsection | ||
(1) below when the physician does not possess faculty
status.
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(1) Minimum procedures for
pre-applicants and | ||
applicants for medical staff
membership shall include the | ||
following:
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(A) Written procedures relating to the acceptance | ||
and processing of
pre-applicants or applicants for |
medical staff membership, which should be
contained in
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medical staff bylaws.
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(B) Written procedures to be followed in | ||
determining
a pre-applicant's or
an applicant's
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qualifications for being granted medical staff | ||
membership and privileges.
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(C) Written criteria to be followed in evaluating
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a pre-applicant's or
an applicant's
qualifications.
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(D) An evaluation of
a pre-applicant's or
an | ||
applicant's current health status and current
license | ||
status in Illinois.
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(E) A written response to each
pre-applicant or
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applicant that explains the reason or
reasons for any | ||
adverse decision (including all reasons based in whole | ||
or
in part on the applicant's medical qualifications | ||
or any other basis,
including economic factors).
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(2) Minimum procedures with respect to medical staff | ||
and clinical
privilege determinations concerning current | ||
members of the medical staff shall
include the following:
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(A) A written notice of an adverse decision.
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(B) An explanation of the reasons for an adverse | ||
decision including all
reasons based on the quality of | ||
medical care or any other basis, including
economic | ||
factors.
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(C) A statement of the medical staff member's | ||
right to request a fair
hearing on the adverse |
decision before a hearing panel whose membership is
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mutually agreed upon by the medical staff and the | ||
hospital governing board. The
hearing panel shall have | ||
independent authority to recommend action to the
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hospital governing board. Upon the request of the | ||
medical staff member or the
hospital governing board, | ||
the hearing panel shall make findings concerning the
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nature of each basis for any adverse decision | ||
recommended to and accepted by
the hospital governing | ||
board.
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(i) Nothing in this subparagraph (C) limits a | ||
hospital's or medical
staff's right to summarily | ||
suspend, without a prior hearing, a person's | ||
medical
staff membership or clinical privileges if | ||
the continuation of practice of a
medical staff | ||
member constitutes an immediate danger to the | ||
public, including
patients, visitors, and hospital | ||
employees and staff. In the event that a hospital | ||
or the medical staff imposes a summary suspension, | ||
the Medical Executive Committee, or other | ||
comparable governance committee of the medical | ||
staff as specified in the bylaws, must meet as | ||
soon as is reasonably possible to review the | ||
suspension and to recommend whether it should be | ||
affirmed, lifted, expunged, or modified if the | ||
suspended physician requests such review. A |
summary suspension may not be implemented unless | ||
there is actual documentation or other reliable | ||
information that an immediate danger exists. This | ||
documentation or information must be available at | ||
the time the summary suspension decision is made | ||
and when the decision is reviewed by the Medical | ||
Executive Committee. If the Medical Executive | ||
Committee recommends that the summary suspension | ||
should be lifted, expunged, or modified, this | ||
recommendation must be reviewed and considered by | ||
the hospital governing board, or a committee of | ||
the board, on an expedited basis. Nothing in this | ||
subparagraph (C) shall affect the requirement that | ||
any requested hearing must be commenced within 15 | ||
days after the summary suspension and completed | ||
without delay unless otherwise agreed to by the | ||
parties. A fair hearing shall be
commenced within | ||
15 days after the suspension and completed without | ||
delay, except that when the medical staff member's | ||
license to practice has been suspended or revoked | ||
by the State's licensing authority, no hearing | ||
shall be necessary.
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(ii) Nothing in this subparagraph (C) limits a | ||
medical staff's right
to permit, in the medical | ||
staff bylaws, summary suspension of membership or
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clinical privileges in designated administrative |
circumstances as specifically
approved by the | ||
medical staff. This bylaw provision must | ||
specifically describe
both the administrative | ||
circumstance that can result in a summary | ||
suspension
and the length of the summary | ||
suspension. The opportunity for a fair hearing is
| ||
required for any administrative summary | ||
suspension. Any requested hearing must
be | ||
commenced within 15 days after the summary | ||
suspension and completed without
delay. Adverse | ||
decisions other than suspension or other | ||
restrictions on the
treatment or admission of | ||
patients may be imposed summarily and without a
| ||
hearing under designated administrative | ||
circumstances as specifically provided
for in the | ||
medical staff bylaws as approved by the medical | ||
staff.
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(iii) If a hospital exercises its option to | ||
enter into an exclusive
contract and that contract | ||
results in the total or partial termination or
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reduction of medical staff membership or clinical | ||
privileges of a current
medical staff member, the | ||
hospital shall provide the affected medical staff
| ||
member 60 days prior notice of the effect on his or | ||
her medical staff
membership or privileges. An | ||
affected medical staff member desiring a hearing
|
under subparagraph (C) of this paragraph (2) must | ||
request the hearing within 14
days after the date | ||
he or she is so notified. The requested hearing | ||
shall be
commenced and completed (with a report | ||
and recommendation to the affected
medical staff | ||
member, hospital governing board, and medical | ||
staff) within 30
days after the date of the | ||
medical staff member's request. If agreed upon by
| ||
both the medical staff and the hospital governing | ||
board, the medical staff
bylaws may provide for | ||
longer time periods.
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(C-5) All peer review used for the purpose of | ||
credentialing, privileging, disciplinary action, or | ||
other recommendations affecting medical staff | ||
membership or exercise of clinical privileges, whether | ||
relying in whole or in part on internal or external | ||
reviews, shall be conducted in accordance with the | ||
medical staff bylaws and applicable rules, | ||
regulations, or policies of the medical staff. If | ||
external review is obtained, any adverse report | ||
utilized shall be in writing and shall be made part of | ||
the internal peer review process under the bylaws. The | ||
report shall also be shared with a medical staff peer | ||
review committee and the individual under review. If | ||
the medical staff peer review committee or the | ||
individual under review prepares a written response to |
the report of the external peer review within 30 days | ||
after receiving such report, the governing board shall | ||
consider the response prior to the implementation of | ||
any final actions by the governing board which may | ||
affect the individual's medical staff membership or | ||
clinical privileges. Any peer review that involves | ||
willful or wanton misconduct shall be subject to civil | ||
damages as provided for under Section 10.2 of this | ||
Act.
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(D) A statement of the member's right to inspect | ||
all pertinent
information in the hospital's possession | ||
with respect to the decision.
| ||
(E) A statement of the member's right to present | ||
witnesses and other
evidence at the hearing on the | ||
decision.
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(E-5) The right to be represented by a personal | ||
attorney.
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(F) A written notice and written explanation of | ||
the decision resulting
from the hearing.
| ||
(F-5) A written notice of a final adverse decision | ||
by a hospital
governing board.
| ||
(G) Notice given 15 days before implementation of | ||
an adverse medical
staff membership or clinical | ||
privileges decision based substantially on
economic | ||
factors. This notice shall be given after the medical | ||
staff member
exhausts all applicable procedures under |
this Section, including item (iii) of
subparagraph (C) | ||
of this paragraph (2), and under the medical staff | ||
bylaws in
order to allow sufficient time for the | ||
orderly provision of patient care.
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(H) Nothing in this paragraph (2) of this | ||
subsection (b) limits a
medical staff member's right | ||
to waive, in writing, the rights provided in
| ||
subparagraphs (A) through (G) of this paragraph (2) of | ||
this subsection (b) upon
being granted the written | ||
exclusive right to provide particular services at a
| ||
hospital, either individually or as a member of a | ||
group. If an exclusive
contract is signed by a | ||
representative of a group of physicians, a waiver
| ||
contained in the contract shall apply to all members | ||
of the group unless stated
otherwise in the contract.
| ||
(3) Every adverse medical staff membership and | ||
clinical privilege decision
based substantially on | ||
economic factors shall be reported to the Hospital
| ||
Licensing Board before the decision takes effect. These | ||
reports shall not be
disclosed in any form that reveals | ||
the identity of any hospital or physician.
These reports | ||
shall be utilized to study the effects that hospital | ||
medical
staff membership and clinical privilege decisions | ||
based upon economic factors
have on access to care and the | ||
availability of physician services. The
Hospital Licensing | ||
Board shall submit an initial study to the Governor and |
the
General Assembly by January 1, 1996, and subsequent | ||
reports shall be submitted
periodically thereafter.
| ||
(4) As used in this Section:
| ||
"Adverse decision" means a decision reducing, | ||
restricting, suspending,
revoking, denying, or not | ||
renewing medical staff membership or clinical
privileges.
| ||
"Economic factor" means any information or reasons for | ||
decisions unrelated
to quality of care or professional | ||
competency.
| ||
"Pre-applicant" means a physician licensed to practice | ||
medicine in all
its
branches who requests an application | ||
for medical staff membership or
privileges.
| ||
"Privilege" means permission to provide
medical or | ||
other patient care services and permission to use hospital
| ||
resources, including equipment, facilities and personnel | ||
that are necessary to
effectively provide medical or other | ||
patient care services. This definition
shall not be | ||
construed to
require a hospital to acquire additional | ||
equipment, facilities, or personnel to
accommodate the | ||
granting of privileges.
| ||
(5) Any amendment to medical staff bylaws required | ||
because of
this amendatory Act of the 91st General | ||
Assembly shall be adopted on or
before July 1, 2001.
| ||
(c) All hospitals shall consult with the medical staff | ||
prior to closing
membership in the entire or any portion of the | ||
medical staff or a department.
If
the hospital closes |
membership in the medical staff, any portion of the medical
| ||
staff, or the department over the objections of the medical | ||
staff, then the
hospital
shall provide a detailed written | ||
explanation for the decision to the medical
staff
10 days | ||
prior to the effective date of any closure. No applications | ||
need to be
provided when membership in the medical staff or any | ||
relevant portion of the
medical staff is closed.
| ||
(Source: P.A. 96-445, eff. 8-14-09; 97-1006, eff. 8-17-12.)
| ||
Article 15. | ||
Section 15-3. The Illinois Health Finance Reform Act is | ||
amended by changing Section 4-4 as follows:
| ||
(20 ILCS 2215/4-4) (from Ch. 111 1/2, par. 6504-4)
| ||
Sec. 4-4.
(a) Hospitals shall make available to | ||
prospective patients
information on the normal charge incurred | ||
for any procedure or operation
the prospective patient is | ||
considering.
| ||
(b) The Department of Public Health shall require | ||
hospitals
to post , either by physical or electronic means, in | ||
prominent letters, in letters no more than one inch in height | ||
the established charges for
services, where applicable, | ||
including but not limited to the hospital's private
room | ||
charge, semi-private room charge, charge for a room with 3 or | ||
more beds,
intensive care room charges, emergency room charge, |
operating room charge,
electrocardiogram charge, anesthesia | ||
charge, chest x-ray charge, blood sugar
charge, blood | ||
chemistry charge, tissue exam charge, blood typing charge and | ||
Rh
factor charge. The definitions of each charge to be posted | ||
shall be determined
by the Department.
| ||
(Source: P.A. 92-597, eff. 7-1-02.)
| ||
Section 15-5. The Hospital Licensing Act is amended by | ||
changing Sections 6, 6.14c, 10.10, and 11.5 as follows:
| ||
(210 ILCS 85/6) (from Ch. 111 1/2, par. 147)
| ||
Sec. 6.
(a) Upon receipt of an application for a permit to | ||
establish
a hospital the Director shall issue a permit if he | ||
finds (1) that the
applicant is fit, willing, and able to | ||
provide a proper standard of
hospital service for the | ||
community with particular regard to the
qualification, | ||
background, and character of the applicant, (2) that the
| ||
financial resources available to the applicant demonstrate an | ||
ability to
construct, maintain, and operate a hospital in | ||
accordance with the
standards, rules, and regulations adopted | ||
pursuant to this Act, and (3)
that safeguards are provided | ||
which assure hospital operation and
maintenance consistent | ||
with the public interest having particular regard
to safe, | ||
adequate, and efficient hospital facilities and services.
| ||
The Director may request the cooperation of county and
| ||
multiple-county health departments, municipal boards of |
health, and
other governmental and non-governmental agencies | ||
in obtaining
information and in conducting investigations | ||
relating to such
applications.
| ||
A permit to establish a hospital shall be valid only for | ||
the premises
and person named in the application for such | ||
permit and shall not be
transferable or assignable.
| ||
In the event the Director issues a permit to establish a | ||
hospital the
applicant shall thereafter submit plans and | ||
specifications to the
Department in accordance with Section 8 | ||
of this Act.
| ||
(b) Upon receipt of an application for license to open, | ||
conduct,
operate, and maintain a hospital, the Director shall | ||
issue a license if
he finds the applicant and the hospital | ||
facilities comply with
standards, rules, and regulations | ||
promulgated under this Act. A license,
unless sooner suspended | ||
or revoked, shall be renewable annually upon
approval by the | ||
Department and payment of a license fee as established | ||
pursuant to Section 5 of this Act. Each license shall be issued | ||
only for the
premises and persons named in the application and | ||
shall not be
transferable or assignable. Licenses shall be | ||
posted , either by physical or electronic means, in a | ||
conspicuous
place on the licensed premises. The Department | ||
may, either before or
after the issuance of a license, request | ||
the cooperation of the State Fire
Marshal, county
and multiple | ||
county health departments, or municipal boards of health to
| ||
make investigations to determine if the applicant or licensee |
is
complying with the minimum standards prescribed by the | ||
Department. The
report and recommendations of any such agency | ||
shall be in writing and
shall state with particularity its | ||
findings with respect to compliance
or noncompliance with such | ||
minimum standards, rules, and regulations.
| ||
The Director may issue a provisional license to any | ||
hospital which
does not substantially comply with the | ||
provisions of this Act and the
standards, rules, and | ||
regulations promulgated by virtue thereof provided
that he | ||
finds that such hospital has undertaken changes and | ||
corrections
which upon completion will render the hospital in | ||
substantial compliance
with the provisions of this Act, and | ||
the standards, rules, and
regulations adopted hereunder, and | ||
provided that the health and safety
of the patients of the | ||
hospital will be protected during the period for
which such | ||
provisional license is issued. The Director shall advise the
| ||
licensee of the conditions under which such provisional | ||
license is
issued, including the manner in which the hospital | ||
facilities fail to
comply with the provisions of the Act, | ||
standards, rules, and
regulations, and the time within which | ||
the changes and corrections
necessary for such hospital | ||
facilities to substantially comply with this
Act, and the | ||
standards, rules, and regulations of the Department
relating | ||
thereto shall be completed.
| ||
(Source: P.A. 98-683, eff. 6-30-14.)
|
(210 ILCS 85/6.14c)
| ||
Sec. 6.14c. Posting of information. Every hospital shall | ||
conspicuously post , either by physical or electronic means,
| ||
for display in an
area of its offices accessible to patients, | ||
employees, and visitors the
following:
| ||
(1) its current license;
| ||
(2) a description, provided by the Department, of | ||
complaint
procedures established under this Act and the | ||
name, address, and
telephone number of a person authorized | ||
by the Department to receive
complaints;
| ||
(3) a list of any orders pertaining to the hospital | ||
issued by the
Department during the past year and any | ||
court orders reviewing such Department
orders issued | ||
during the past year; and
| ||
(4) a list of the material available for public | ||
inspection under
Section 6.14d.
| ||
Each hospital shall post, either by physical or electronic | ||
means, in each facility that has an emergency room, a notice in | ||
a conspicuous location in the emergency room with information | ||
about how to enroll in health insurance through the Illinois | ||
health insurance marketplace in accordance with Sections 1311 | ||
and 1321 of the federal Patient Protection and Affordable Care | ||
Act. | ||
(Source: P.A. 101-117, eff. 1-1-20 .)
| ||
(210 ILCS 85/10.10) |
Sec. 10.10. Nurse Staffing by Patient Acuity.
| ||
(a) Findings. The Legislature finds and declares all of | ||
the following: | ||
(1) The State of Illinois has a substantial interest | ||
in promoting quality care and improving the delivery of | ||
health care services. | ||
(2) Evidence-based studies have shown that the basic | ||
principles of staffing in the acute care setting should be | ||
based on the complexity of patients' care needs aligned | ||
with available nursing skills to promote quality patient | ||
care consistent with professional nursing standards. | ||
(3) Compliance with this Section promotes an | ||
organizational climate that values registered nurses' | ||
input in meeting the health care needs of hospital | ||
patients. | ||
(b) Definitions. As used in this Section: | ||
"Acuity model" means an assessment tool selected and | ||
implemented by a hospital, as recommended by a nursing care | ||
committee, that assesses the complexity of patient care needs | ||
requiring professional nursing care and skills and aligns | ||
patient care needs and nursing skills consistent with | ||
professional nursing standards. | ||
"Department" means the Department of Public Health. | ||
"Direct patient care" means care provided by a registered | ||
professional nurse with direct responsibility to oversee or | ||
carry out medical regimens or nursing care for one or more |
patients. | ||
"Nursing care committee" means an existing or newly | ||
created hospital-wide committee or committees of nurses whose | ||
functions, in part or in whole, contribute to the development, | ||
recommendation, and review of the hospital's nurse staffing | ||
plan established pursuant to subsection (d). | ||
"Registered professional nurse" means a person licensed as | ||
a Registered Nurse under the Nurse
Practice Act. | ||
"Written staffing plan for nursing care services" means a | ||
written plan for guiding the assignment of patient care | ||
nursing staff based on multiple nurse and patient | ||
considerations that yield minimum staffing levels for | ||
inpatient care units and the adopted acuity model aligning | ||
patient care needs with nursing skills required for quality | ||
patient care consistent with professional nursing standards. | ||
(c) Written staffing plan. | ||
(1) Every hospital shall implement a written | ||
hospital-wide staffing plan, recommended by a nursing care | ||
committee or committees, that provides for minimum direct | ||
care professional registered nurse-to-patient staffing | ||
needs for each inpatient care unit. The written | ||
hospital-wide staffing plan shall include, but need not be | ||
limited to, the following considerations: | ||
(A) The complexity of complete care, assessment on | ||
patient admission, volume of patient admissions, | ||
discharges and transfers, evaluation of the progress |
of a patient's problems, ongoing physical assessments, | ||
planning for a patient's discharge, assessment after a | ||
change in patient condition, and assessment of the | ||
need for patient referrals. | ||
(B) The complexity of clinical professional | ||
nursing judgment needed to design and implement a | ||
patient's nursing care plan, the need for specialized | ||
equipment and technology, the skill mix of other | ||
personnel providing or supporting direct patient care, | ||
and involvement in quality improvement activities, | ||
professional preparation, and experience. | ||
(C) Patient acuity and the number of patients for | ||
whom care is being provided. | ||
(D) The ongoing assessments of a unit's patient | ||
acuity levels and nursing staff needed shall be | ||
routinely made by the unit nurse manager or his or her | ||
designee. | ||
(E) The identification of additional registered | ||
nurses available for direct patient care when | ||
patients' unexpected needs exceed the planned workload | ||
for direct care staff. | ||
(2) In order to provide staffing flexibility to meet | ||
patient needs, every hospital shall identify an acuity | ||
model for adjusting the staffing plan for each inpatient | ||
care unit. | ||
(3) The written staffing plan shall be posted , either |
by physical or electronic means, in a conspicuous and | ||
accessible location for both patients and direct care | ||
staff, as required under the Hospital Report Card Act. A | ||
copy of the written staffing plan shall be provided to any | ||
member of the general public upon request. | ||
(d) Nursing care committee. | ||
(1) Every hospital shall have a nursing care | ||
committee. A hospital shall appoint members of a committee | ||
whereby at least 50% of the members are registered | ||
professional nurses providing direct patient care. | ||
(2) A nursing care committee's recommendations must be | ||
given significant regard and weight in the hospital's | ||
adoption and implementation of a written staffing plan.
| ||
(3) A nursing care committee or committees shall | ||
recommend a written staffing plan for the hospital based | ||
on the principles from the staffing components set forth | ||
in subsection (c). In particular, a committee or | ||
committees shall provide input and feedback on the | ||
following: | ||
(A) Selection, implementation, and evaluation of | ||
minimum staffing levels for inpatient care units. | ||
(B) Selection, implementation, and evaluation of | ||
an acuity model to provide staffing flexibility that | ||
aligns changing patient acuity with nursing skills | ||
required. | ||
(C) Selection, implementation, and evaluation of a |
written staffing plan incorporating the items | ||
described in subdivisions (c)(1) and (c)(2) of this | ||
Section. | ||
(D) Review the following: nurse-to-patient | ||
staffing guidelines for all inpatient areas; and | ||
current acuity tools and measures in use. | ||
(4) A nursing care committee must address the items | ||
described in subparagraphs (A) through (D) of paragraph | ||
(3) semi-annually. | ||
(e) Nothing in this Section 10.10 shall be construed to | ||
limit, alter, or modify any of the terms, conditions, or | ||
provisions of a collective bargaining agreement entered into | ||
by the hospital.
| ||
(Source: P.A. 96-328, eff. 8-11-09; 97-423, eff. 1-1-12; | ||
97-813, eff. 7-13-12.) | ||
(210 ILCS 85/11.5)
| ||
Sec. 11.5. Uniform standards of obstetrical care | ||
regardless of
ability to pay. | ||
(a) No hospital may promulgate policies or implement | ||
practices that determine
differing standards of obstetrical | ||
care based upon a patient's source of
payment or ability
to pay | ||
for medical services.
| ||
(b) Each hospital shall develop a written policy statement | ||
reflecting the
requirements of subsection (a) and shall post , | ||
either by physical or electronic means, written notices of |
this policy in
the obstetrical admitting areas of the hospital | ||
by July 1, 2004. Notices
posted pursuant to this Section shall | ||
be posted in the predominant language or
languages spoken in | ||
the hospital's service area.
| ||
(Source: P.A. 93-981, eff. 8-23-04.) | ||
Section 15-10. The Language Assistance Services Act is | ||
amended by changing Section 15 as follows:
| ||
(210 ILCS 87/15)
| ||
Sec. 15. Language assistance services. | ||
(a) To ensure access to
health care information and | ||
services for
limited-English-speaking or non-English-speaking | ||
residents and deaf residents,
a health facility must do the | ||
following:
| ||
(1) Adopt and review annually a policy for providing | ||
language assistance
services to patients with language or | ||
communication barriers. The policy shall
include | ||
procedures for providing, to the extent possible as | ||
determined by the
facility, the use of an interpreter | ||
whenever a language or communication
barrier
exists, | ||
except where the patient, after being informed of the | ||
availability of
the interpreter service, chooses to use a | ||
family member or friend who
volunteers to interpret. The | ||
procedures shall be designed to maximize
efficient use of | ||
interpreters and minimize delays in providing interpreters |
to
patients. The procedures shall insure, to the extent | ||
possible as determined
by the facility, that
interpreters | ||
are available, either on the premises or accessible by | ||
telephone,
24 hours a day. The facility shall annually | ||
transmit to the Department of
Public Health a
copy of the | ||
updated policy and shall include a description of the | ||
facility's
efforts to
insure adequate and speedy | ||
communication between patients with language or
| ||
communication barriers and staff.
| ||
(2) Develop, and post , either by physical or | ||
electronic means, in conspicuous locations, notices that | ||
advise patients
and their families of the availability of | ||
interpreters, the procedure for
obtaining an interpreter, | ||
and the telephone numbers to call for filing
complaints | ||
concerning interpreter service problems, including, but | ||
not limited
to, a
TTY number for persons who are deaf or | ||
hard of hearing. The notices shall be posted, at a
| ||
minimum, in the emergency room, the admitting area, the | ||
facility entrance, and
the
outpatient area. Notices shall | ||
inform patients that interpreter services are
available on | ||
request, shall list the languages most commonly | ||
encountered at the facility for which interpreter services
| ||
are available, and shall instruct patients to direct | ||
complaints regarding
interpreter services to the | ||
Department of Public Health, including the
telephone
| ||
numbers to call for that purpose.
|
(3) Notify the facility's employees of the language | ||
services available at the facility and train them on how | ||
to make those language services available to patients.
| ||
(b) In addition, a health facility may do one or more of | ||
the following: | ||
(1) Identify and record a patient's primary language | ||
and dialect on one or more of the following: a patient | ||
medical chart, hospital bracelet, bedside notice, or | ||
nursing card. | ||
(2) Prepare and maintain, as needed, a list of | ||
interpreters who have been identified as proficient in | ||
sign language according to the Interpreter for the Deaf | ||
Licensure Act of 2007 and a list of the languages of the | ||
population of the geographical area served by the | ||
facility.
| ||
(3) Review all standardized written forms, waivers, | ||
documents, and
informational materials available to | ||
patients on admission to determine which
to translate into | ||
languages other than English.
| ||
(4) Consider providing its nonbilingual staff with | ||
standardized picture and
phrase sheets for use in routine | ||
communications with patients who have language
or | ||
communication barriers.
| ||
(5) Develop community liaison groups to enable the | ||
facility and the
limited-English-speaking, | ||
non-English-speaking, and deaf communities to ensure
the |
adequacy of the
interpreter services.
| ||
(Source: P.A. 98-756, eff. 7-16-14.)
| ||
Section 15-15. The Fair Patient Billing Act is amended by | ||
changing Section 15 as follows: | ||
(210 ILCS 88/15)
| ||
Sec. 15. Patient notification. | ||
(a) Each hospital shall post a sign with the following | ||
notice: | ||
"You may be eligible for financial assistance under | ||
the terms and conditions the hospital offers to qualified | ||
patients. For more information contact [hospital financial | ||
assistance representative]". | ||
(b) The sign under subsection (a) shall be posted , either | ||
by physical or electronic means, conspicuously in the | ||
admission and registration areas of the hospital. | ||
(c) The sign shall be in English, and in any other language | ||
that is the primary language of at least 5% of the patients | ||
served by the hospital annually. | ||
(d) Each hospital that has a website must post a notice in | ||
a prominent place on its website that financial assistance is | ||
available at the hospital, a description of the financial | ||
assistance application process, and a copy of the financial | ||
assistance application. | ||
(e) Within 180 days after the effective date of this |
amendatory Act of the 102nd General Assembly, each Each | ||
hospital must make available information regarding financial | ||
assistance from the hospital in the form of either a brochure, | ||
an application for financial assistance, or other written or | ||
electronic material in the emergency room, material in the | ||
hospital admission , or registration area.
| ||
(Source: P.A. 94-885, eff. 1-1-07.) | ||
Section 15-16. The Health Care Violence Prevention Act is | ||
amended by changing Section 15 as follows: | ||
(210 ILCS 160/15)
| ||
Sec. 15. Workplace safety. | ||
(a) A health care worker who contacts law enforcement or | ||
files a report with law enforcement against a patient or | ||
individual because of workplace violence shall provide notice | ||
to management of the health care provider by which he or she is | ||
employed within 3 days after contacting law enforcement or | ||
filing the report. | ||
(b) No management of a health care provider may discourage | ||
a health care worker from exercising his or her right to | ||
contact law enforcement or file a report with law enforcement | ||
because of workplace violence. | ||
(c) A health care provider that employs a health care | ||
worker shall display a notice , either by physical or | ||
electronic means, stating that verbal aggression will not be |
tolerated and physical assault will be reported to law | ||
enforcement. | ||
(d) The health care provider shall offer immediate | ||
post-incident services for a health care worker directly | ||
involved in a workplace violence incident caused by patients | ||
or their visitors, including acute treatment and access to | ||
psychological evaluation.
| ||
(Source: P.A. 100-1051, eff. 1-1-19 .) | ||
Section 15-17. The Medical Patient Rights Act is amended | ||
by changing Sections 3.4 and 5.2 as follows: | ||
(410 ILCS 50/3.4) | ||
Sec. 3.4. Rights of women; pregnancy and childbirth. | ||
(a) In addition to any other right provided under this | ||
Act, every woman has the following rights with regard to | ||
pregnancy and childbirth: | ||
(1) The right to receive health care before, during, | ||
and after pregnancy and childbirth. | ||
(2) The right to receive care for her and her infant | ||
that is consistent with generally accepted medical | ||
standards. | ||
(3) The right to choose a certified nurse midwife or | ||
physician as her maternity care professional. | ||
(4) The right to choose her birth setting from the | ||
full range of birthing options available in her community. |
(5) The right to leave her maternity care professional | ||
and select another if she becomes dissatisfied with her | ||
care, except as otherwise provided by law. | ||
(6) The right to receive information about the names | ||
of those health care professionals involved in her care. | ||
(7) The right to privacy and confidentiality of | ||
records, except as provided by law. | ||
(8) The right to receive information concerning her | ||
condition and proposed treatment, including methods of | ||
relieving pain. | ||
(9) The right to accept or refuse any treatment, to | ||
the extent medically possible. | ||
(10) The right to be informed if her caregivers wish | ||
to enroll her or her infant in a research study in | ||
accordance with Section 3.1 of this Act. | ||
(11) The right to access her medical records in | ||
accordance with Section 8-2001 of the Code of Civil | ||
Procedure. | ||
(12) The right to receive information in a language in | ||
which she can communicate in accordance with federal law. | ||
(13) The right to receive emotional and physical | ||
support during labor and birth. | ||
(14) The right to freedom of movement during labor and | ||
to give birth in the position of her choice, within | ||
generally accepted medical standards. | ||
(15) The right to contact with her newborn, except |
where necessary care must be provided to the mother or | ||
infant. | ||
(16) The right to receive information about | ||
breastfeeding. | ||
(17) The right to decide collaboratively with | ||
caregivers when she and her baby will leave the birth site | ||
for home, based on their conditions and circumstances. | ||
(18) The right to be treated with respect at all times | ||
before, during, and after pregnancy by her health care | ||
professionals. | ||
(19) The right of each patient, regardless of source | ||
of payment, to examine and receive a reasonable | ||
explanation of her total bill for services rendered by her | ||
maternity care professional or health care provider, | ||
including itemized charges for specific services received. | ||
Each maternity care professional or health care provider | ||
shall be responsible only for a reasonable explanation of | ||
those specific services provided by the maternity care | ||
professional or health care provider. | ||
(b) The Department of Public Health, Department of | ||
Healthcare and Family Services, Department of Children and | ||
Family Services, and Department of Human Services shall post , | ||
either by physical or electronic means, information about | ||
these rights on their publicly available websites. Every | ||
health care provider, day care center licensed under the Child | ||
Care Act of 1969, Head Start, and community center shall post |
information about these rights in a prominent place and on | ||
their websites, if applicable. | ||
(c) The Department of Public Health shall adopt rules to | ||
implement this Section. | ||
(d) Nothing in this Section or any rules adopted under | ||
subsection (c) shall be construed to require a physician, | ||
health care professional, hospital, hospital affiliate, or | ||
health care provider to provide care inconsistent with | ||
generally accepted medical standards or available capabilities | ||
or resources.
| ||
(Source: P.A. 101-445, eff. 1-1-20 .) | ||
(410 ILCS 50/5.2)
| ||
Sec. 5.2. Emergency room anti-discrimination notice. Every | ||
hospital shall post , either by physical or electronic means, a | ||
sign next to or in close proximity of its sign required by | ||
Section 489.20 (q)(1) of Title 42 of the Code of Federal | ||
Regulations stating the following: | ||
"You have the right not to be discriminated against by the | ||
hospital due to your race, color, or national origin if these | ||
characteristics are unrelated to your diagnosis or treatment. | ||
If you believe this right has been violated, please call | ||
(insert number for hospital grievance officer).".
| ||
(Source: P.A. 97-485, eff. 8-22-11.) | ||
Section 15-25. The Abandoned Newborn Infant Protection Act |
is amended by changing Section 22 as follows: | ||
(325 ILCS 2/22) | ||
Sec. 22. Signs. Every hospital, fire station, emergency | ||
medical facility, and police station that is required to | ||
accept a relinquished newborn infant in accordance with this | ||
Act must post , either by physical or electronic means, a sign | ||
in a conspicuous place on the exterior of the building housing | ||
the facility informing persons that a newborn infant may be | ||
relinquished at the facility in accordance with this Act. The | ||
Department shall prescribe specifications for the signs and | ||
for their placement that will ensure statewide uniformity. | ||
This Section does not apply to a hospital, fire station, | ||
emergency medical facility, or police station that has a sign | ||
that is consistent with the requirements of this Section that | ||
is posted on the effective date of this amendatory Act of the | ||
95th General Assembly.
| ||
(Source: P.A. 95-275, eff. 8-17-07.) | ||
Section 15-30. The Crime Victims Compensation Act is | ||
amended by changing Section 5.1 as follows:
| ||
(740 ILCS 45/5.1) (from Ch. 70, par. 75.1)
| ||
Sec. 5.1.
(a) Every hospital licensed under the laws of | ||
this State shall
display prominently in its emergency room | ||
posters giving notification of
the existence and general |
provisions of this Act. The posters may be displayed by | ||
physical or electronic means. Such posters shall be
provided | ||
by the Attorney General.
| ||
(b) Any law enforcement agency that investigates an | ||
offense committed
in this State shall inform the victim of the | ||
offense or his dependents concerning
the availability of an | ||
award of compensation and advise such persons that
any | ||
information concerning this Act and the filing of a claim may | ||
be obtained
from the office of the Attorney General.
| ||
(Source: P.A. 81-1013.)
| ||
Section 15-35. The Human Trafficking Resource Center | ||
Notice Act is amended by changing Sections 5 and 10 as follows: | ||
(775 ILCS 50/5) | ||
Sec. 5. Posted notice required. | ||
(a) Each of the following businesses and other | ||
establishments shall, upon the availability of the model | ||
notice described in Section 15 of this Act, post a notice that | ||
complies with the requirements of this Act in a conspicuous | ||
place near the public entrance of the establishment or in | ||
another conspicuous location in clear view of the public and | ||
employees where similar notices are customarily posted: | ||
(1) On premise consumption retailer licensees under | ||
the Liquor Control Act of 1934 where the sale of alcoholic | ||
liquor is the principal
business carried on by the |
licensee at the premises and primary to the
sale of food. | ||
(2) Adult entertainment facilities, as defined in | ||
Section 5-1097.5 of the Counties Code. | ||
(3) Primary airports, as defined in Section 47102(16) | ||
of Title 49 of the United States Code. | ||
(4) Intercity passenger rail or light rail stations. | ||
(5) Bus stations. | ||
(6) Truck stops. For purposes of this Act, "truck | ||
stop" means a privately-owned and operated facility that | ||
provides food, fuel, shower or other sanitary facilities, | ||
and lawful overnight truck parking. | ||
(7) Emergency rooms within general acute care | ||
hospitals , in which case the notice may be posted by | ||
electronic means . | ||
(8) Urgent care centers , in which case the notice may | ||
be posted by electronic means . | ||
(9) Farm labor contractors. For purposes of this Act, | ||
"farm labor contractor" means: (i) any person who for a | ||
fee or other valuable consideration recruits, supplies, or | ||
hires, or transports in connection therewith, into or | ||
within the State, any farmworker not of the contractor's | ||
immediate family to work for, or under the direction, | ||
supervision, or control of, a third person; or (ii) any | ||
person who for a fee or other valuable consideration | ||
recruits, supplies, or hires, or transports in connection | ||
therewith, into or within the State, any farmworker not of |
the contractor's immediate family, and who for a fee or | ||
other valuable consideration directs, supervises, or | ||
controls all or any part of the work of the farmworker or | ||
who disburses wages to the farmworker. However, "farm | ||
labor contractor" does not include full-time regular | ||
employees of food processing companies when the employees | ||
are engaged in recruiting for the companies if those | ||
employees are not compensated according to the number of | ||
farmworkers they recruit. | ||
(10) Privately-operated job recruitment centers. | ||
(11) Massage establishments. As used in this Act, | ||
"massage establishment" means a place of business in which | ||
any method of massage therapy is administered or practiced | ||
for compensation. "Massage establishment" does not | ||
include: an establishment at which persons licensed under | ||
the Medical Practice Act of 1987, the Illinois Physical | ||
Therapy Act, or the Naprapathic Practice Act engage in | ||
practice under one of those Acts; a business owned by a | ||
sole licensed massage therapist; or a cosmetology or | ||
esthetics salon registered under the Barber, Cosmetology, | ||
Esthetics, Hair Braiding, and Nail Technology Act of 1985. | ||
(b) The Department of Transportation shall, upon the | ||
availability of the model notice described in Section 15 of | ||
this Act, post a notice that complies with the requirements of | ||
this Act in a conspicuous place near the public entrance of | ||
each roadside rest area or in another conspicuous location in |
clear view of the public and employees where similar notices | ||
are customarily posted.
| ||
(c) The owner of a hotel or motel shall, upon the | ||
availability of the model notice described in Section 15 of | ||
this Act, post a notice that complies with the requirements of | ||
this Act in a conspicuous and accessible place in or about the | ||
premises in clear view of the employees where similar notices | ||
are customarily posted. | ||
(d) The organizer of a public gathering or special event | ||
that is conducted on property open to the public and requires | ||
the issuance of a permit from the unit of local government | ||
shall post a notice that complies with the requirements of | ||
this Act in a conspicuous and accessible place in or about the | ||
premises in clear view of the public and employees where | ||
similar notices are customarily posted. | ||
(e) The administrator of a public or private elementary | ||
school or public or private secondary school shall post a | ||
printout of the downloadable notice provided by the Department | ||
of Human Services under Section 15 that complies with the | ||
requirements of this Act in a conspicuous and accessible place | ||
chosen by the administrator in the administrative office or | ||
another location in view of school employees. School districts | ||
and personnel are not subject to the penalties provided under | ||
subsection (a) of Section 20. | ||
(f) The owner of an establishment registered under the | ||
Tattoo and Body Piercing Establishment Registration Act shall |
post a notice that complies with the requirements of this Act | ||
in a conspicuous and accessible place in clear view of | ||
establishment employees. | ||
(Source: P.A. 99-99, eff. 1-1-16; 99-565, eff. 7-1-17; | ||
100-671, eff. 1-1-19 .) | ||
(775 ILCS 50/10)
| ||
Sec. 10. Form of posted notice. | ||
(a) The notice required under this Act shall be at least 8 | ||
1/2 inches by 11 inches in size, written in a 16-point font , | ||
except that when the notice is provided by electronic means | ||
the size of the notice and font shall not be required to comply | ||
with these specifications , and shall state the following: | ||
"If you or someone you know is being forced to engage in any | ||
activity and cannot leave, whether it is commercial sex, | ||
housework, farm work, construction, factory, retail, or | ||
restaurant work, or any other activity, call the National | ||
Human Trafficking Resource Center at 1-888-373-7888 to access | ||
help and services. | ||
Victims of slavery and human trafficking are protected under | ||
United States and Illinois law.
The hotline is: | ||
* Available 24 hours a day, 7 days a week. | ||
* Toll-free. | ||
* Operated by nonprofit nongovernmental organizations. |
* Anonymous and confidential. | ||
* Accessible in more than 160 languages. | ||
* Able to provide help, referral to services, | ||
training, and general information.". | ||
(b) The notice shall be printed in English, Spanish, and | ||
in one other language that is the most widely spoken language | ||
in the county where the establishment is located and for which | ||
translation is mandated by the federal Voting Rights Act, as | ||
applicable. This subsection does not require a business or | ||
other establishment in a county where a language other than | ||
English or Spanish is the most widely spoken language to print | ||
the notice in more than one language in addition to English and | ||
Spanish.
| ||
(Source: P.A. 99-99, eff. 1-1-16 .) | ||
Article 20. | ||
Section 20-5. The University of Illinois Hospital Act is | ||
amended by adding Section 8d as follows: | ||
(110 ILCS 330/8d new) | ||
Sec. 8d. N95 masks. Pursuant to and in accordance with | ||
applicable local, State, and federal policies, guidance and | ||
recommendations of public health and infection control | ||
authorities, and taking into consideration the limitations on |
access to N95 masks caused by disruptions in local, State, | ||
national, and international supply chains, the University of | ||
Illinois Hospital shall provide N95 masks to physicians | ||
licensed under the Medical Practice Act of 1987, registered | ||
nurses and advanced practice registered nurses licensed under | ||
the Nurse Licensing Act, and any other employees or | ||
contractual workers who provide direct patient care and who, | ||
pursuant to such policies, guidance, and recommendations, are | ||
recommended to have such a mask to safely provide such direct | ||
patient care within a hospital setting. Nothing in this | ||
Section shall be construed to impose any new duty or | ||
obligation on the University of Illinois Hospital or employee | ||
that is greater than that imposed under State and federal laws | ||
in effect on the effective date of this amendatory Act of the | ||
102nd General Assembly. This Section is repealed on December | ||
31, 2021. | ||
Section 20-10. The Hospital Licensing Act is amended by | ||
adding Section 6.28 as follows: | ||
(210 ILCS 85/6.28 new) | ||
Sec. 6.28. N95 masks. Pursuant to and in accordance with | ||
applicable local, State, and federal policies, guidance and | ||
recommendations of public health and infection control | ||
authorities, and taking into consideration the limitations on | ||
access to N95 masks caused by disruptions in local, State, |
national, and international supply chains, a hospital licensed | ||
under this Act shall provide N95 masks to physicians licensed | ||
under the Medical Practice Act of 1987, registered nurses and | ||
advanced practice registered nurses licensed under the Nurse | ||
Licensing Act, and any other employees or contractual workers | ||
who provide direct patient care and who, pursuant to such | ||
policies, guidance, and recommendations, are recommended to | ||
have such a mask to safely provide such direct patient care | ||
within a hospital setting. Nothing in this Section shall be | ||
construed to impose any new duty or obligation on the hospital | ||
or employee that is greater than that imposed under State and | ||
federal laws in effect on the effective date of this | ||
amendatory Act of the 102nd General Assembly. This Section is | ||
repealed on December 31, 2021. | ||
Article 35. | ||
Section 35-5. The Illinois Public Aid Code is amended by | ||
changing Section 5-5.05 as follows: | ||
(305 ILCS 5/5-5.05) | ||
Sec. 5-5.05. Hospitals; psychiatric services. | ||
(a) On and after July 1, 2008, the inpatient, per diem rate | ||
to be paid to a hospital for inpatient psychiatric services | ||
shall be $363.77. | ||
(b) For purposes of this Section, "hospital" means the |
following: | ||
(1) Advocate Christ Hospital, Oak Lawn, Illinois. | ||
(2) Barnes-Jewish Hospital, St. Louis, Missouri. | ||
(3) BroMenn Healthcare, Bloomington, Illinois. | ||
(4) Jackson Park Hospital, Chicago, Illinois. | ||
(5) Katherine Shaw Bethea Hospital, Dixon, Illinois. | ||
(6) Lawrence County Memorial Hospital, Lawrenceville, | ||
Illinois. | ||
(7) Advocate Lutheran General Hospital, Park Ridge, | ||
Illinois. | ||
(8) Mercy Hospital and Medical Center, Chicago, | ||
Illinois. | ||
(9) Methodist Medical Center of Illinois, Peoria, | ||
Illinois. | ||
(10) Provena United Samaritans Medical Center, | ||
Danville, Illinois. | ||
(11) Rockford Memorial Hospital, Rockford, Illinois. | ||
(12) Sarah Bush Lincoln Health Center, Mattoon, | ||
Illinois. | ||
(13) Provena Covenant Medical Center, Urbana, | ||
Illinois. | ||
(14) Rush-Presbyterian-St. Luke's Medical Center, | ||
Chicago, Illinois. | ||
(15) Mt. Sinai Hospital, Chicago, Illinois. | ||
(16) Gateway Regional Medical Center, Granite City, | ||
Illinois. |
(17) St. Mary of Nazareth Hospital, Chicago, Illinois. | ||
(18) Provena St. Mary's Hospital, Kankakee, Illinois. | ||
(19) St. Mary's Hospital, Decatur, Illinois. | ||
(20) Memorial Hospital, Belleville, Illinois. | ||
(21) Swedish Covenant Hospital, Chicago, Illinois. | ||
(22) Trinity Medical Center, Rock Island, Illinois. | ||
(23) St. Elizabeth Hospital, Chicago, Illinois. | ||
(24) Richland Memorial Hospital, Olney, Illinois. | ||
(25) St. Elizabeth's Hospital, Belleville, Illinois. | ||
(26) Samaritan Health System, Clinton, Iowa. | ||
(27) St. John's Hospital, Springfield, Illinois. | ||
(28) St. Mary's Hospital, Centralia, Illinois. | ||
(29) Loretto Hospital, Chicago, Illinois. | ||
(30) Kenneth Hall Regional Hospital, East St. Louis, | ||
Illinois. | ||
(31) Hinsdale Hospital, Hinsdale, Illinois. | ||
(32) Pekin Hospital, Pekin, Illinois. | ||
(33) University of Chicago Medical Center, Chicago, | ||
Illinois. | ||
(34) St. Anthony's Health Center, Alton, Illinois. | ||
(35) OSF St. Francis Medical Center, Peoria, Illinois. | ||
(36) Memorial Medical Center, Springfield, Illinois. | ||
(37) A hospital with a distinct part unit for | ||
psychiatric services that begins operating on or after | ||
July 1, 2008. | ||
For purposes of this Section, "inpatient psychiatric |
services" means those services provided to patients who are in | ||
need of short-term acute inpatient hospitalization for active | ||
treatment of an emotional or mental disorder. | ||
(b-5) Notwithstanding any other provision of this Section, | ||
and subject to appropriation, the inpatient, per diem rate to | ||
be paid to all safety-net hospitals for inpatient psychiatric | ||
services on and after January 1, 2021 shall be at least $630. | ||
(c) No rules shall be promulgated to implement this | ||
Section. For purposes of this Section, "rules" is given the | ||
meaning contained in Section 1-70 of the Illinois | ||
Administrative Procedure Act. | ||
(d) This Section shall not be in effect during any period | ||
of time that the State has in place a fully operational | ||
hospital assessment plan that has been approved by the Centers | ||
for Medicare and Medicaid Services of the U.S. Department of | ||
Health and Human Services.
| ||
(e) On and after July 1, 2012, the Department shall reduce | ||
any rate of reimbursement for services or other payments or | ||
alter any methodologies authorized by this Code to reduce any | ||
rate of reimbursement for services or other payments in | ||
accordance with Section 5-5e. | ||
(Source: P.A. 97-689, eff. 6-14-12.) | ||
Title IV. Medical Implicit Bias | ||
Article 45. |
Section 45-5. The Department of Professional Regulation | ||
Law of the
Civil Administrative Code of Illinois is amended by | ||
adding Section 2105-15.7 as follows: | ||
(20 ILCS 2105/2105-15.7 new) | ||
Sec. 2105-15.7. Implicit bias awareness training. | ||
(a) As used in this Section, "health care professional" | ||
means a person licensed or registered by the Department of | ||
Financial and Professional Regulation under the following | ||
Acts: Medical Practice Act of 1987, Nurse Practice Act, | ||
Clinical Psychologist Licensing Act, Illinois Dental Practice | ||
Act, Illinois Optometric Practice Act of 1987, Pharmacy | ||
Practice Act, Illinois Physical Therapy Act, Physician | ||
Assistant Practice Act of 1987, Acupuncture Practice Act, | ||
Illinois Athletic Trainers Practice Act, Clinical Social Work | ||
and Social Work Practice Act, Dietitian Nutritionist Practice | ||
Act, Home Medical Equipment and Services Provider License Act, | ||
Naprapathic Practice Act, Nursing Home Administrators | ||
Licensing and Disciplinary Act, Illinois Occupational Therapy | ||
Practice Act, Illinois Optometric Practice Act of 1987, | ||
Podiatric Medical Practice Act of 1987, Respiratory Care | ||
Practice Act, Professional Counselor and Clinical Professional | ||
Counselor Licensing and Practice Act, Sex Offender Evaluation | ||
and Treatment Provider Act, Illinois Speech-Language Pathology | ||
and Audiology Practice Act, Perfusionist Practice Act, |
Registered Surgical Assistant and Registered Surgical | ||
Technologist Title Protection Act, and Genetic Counselor | ||
Licensing Act. | ||
(b) For license or registration renewals occurring on or | ||
after January 1, 2022, a health care professional who has | ||
continuing education requirements must complete at least a | ||
one-hour course in training on implicit bias awareness per | ||
renewal period. A health care professional may count this one | ||
hour for completion of this course toward meeting the minimum | ||
credit hours required for continuing education. Any training | ||
on implicit bias awareness applied to meet any other State | ||
licensure requirement, professional accreditation or | ||
certification requirement, or health care institutional | ||
practice agreement may count toward the one-hour requirement | ||
under this Section. | ||
(c) The Department may adopt rules for the implementation | ||
of this Section. | ||
Title V. Substance Abuse and Mental Health Treatment | ||
Article 50. | ||
Section 50-5. The Illinois Controlled Substances Act is | ||
amended by changing Section 414 as follows: | ||
(720 ILCS 570/414) |
Sec. 414. Overdose; limited immunity from prosecution . | ||
(a) For the purposes of this Section, "overdose" means a | ||
controlled substance-induced physiological event that results | ||
in a life-threatening emergency to the individual who | ||
ingested, inhaled, injected or otherwise bodily absorbed a | ||
controlled, counterfeit, or look-alike substance or a | ||
controlled substance analog. | ||
(b) A person who, in good faith, seeks or obtains | ||
emergency medical assistance for someone experiencing an | ||
overdose shall not be arrested, charged , or prosecuted for a | ||
violation of Section 401 or 402 of the Illinois Controlled | ||
Substances Act, Section 3.5 of the Drug Paraphernalia Control | ||
Act, Section 55 or 60 of the Methamphetamine Control and | ||
Community Protection Act, Section 9-3.3 of the Criminal Code | ||
of 2012, or paragraph (1) of subsection (g) of Section 12-3.05 | ||
of the Criminal Code of 2012 Class 4 felony possession of a | ||
controlled, counterfeit, or look-alike substance or a | ||
controlled substance analog if evidence for the violation | ||
Class 4 felony possession charge was acquired as a result of | ||
the person seeking or obtaining emergency medical assistance | ||
and providing the amount of substance recovered is within the | ||
amount identified in subsection (d) of this Section. The | ||
violations listed in this subsection (b) must not serve as the | ||
sole basis of a violation of parole, mandatory supervised | ||
release, probation, or conditional discharge, or any seizure | ||
of property under any State law authorizing civil forfeiture |
so long as the evidence for the violation was acquired as a | ||
result of the person seeking or obtaining emergency medical | ||
assistance in the event of an overdose. | ||
(c) A person who is experiencing an overdose shall not be | ||
arrested, charged , or prosecuted for a violation of Section | ||
401 or 402 of the Illinois Controlled Substances Act, Section | ||
3.5 of the Drug Paraphernalia Control Act, Section 9-3.3 of | ||
the Criminal Code of 2012, or paragraph (1) of subsection (g) | ||
of Section 12-3.05 of the Criminal Code of 2012 Class 4 felony | ||
possession of a controlled, counterfeit, or look-alike | ||
substance or a controlled substance analog if evidence for the | ||
violation Class 4 felony possession charge was acquired as a | ||
result of the person seeking or obtaining emergency medical | ||
assistance and providing the amount of substance recovered is | ||
within the amount identified in subsection (d) of this | ||
Section. The violations listed in this subsection (c) must not | ||
serve as the sole basis of a violation of parole, mandatory | ||
supervised release, probation, or conditional discharge, or | ||
any seizure of property under any State law authorizing civil | ||
forfeiture so long as the evidence for the violation was | ||
acquired as a result of the person seeking or obtaining | ||
emergency medical assistance in the event of an overdose. | ||
(d) For the purposes of subsections (b) and (c), the | ||
limited immunity shall only apply to a person possessing the | ||
following amount: | ||
(1) less than 3 grams of a substance containing |
heroin; | ||
(2) less than 3 grams of a substance containing | ||
cocaine; | ||
(3) less than 3 grams of a substance containing | ||
morphine; | ||
(4) less than 40 grams of a substance containing | ||
peyote; | ||
(5) less than 40 grams of a substance containing a | ||
derivative of barbituric acid or any of the salts of a | ||
derivative of barbituric acid; | ||
(6) less than 40 grams of a substance containing | ||
amphetamine or any salt of an optical isomer of | ||
amphetamine; | ||
(7) less than 3 grams of a substance containing | ||
lysergic acid diethylamide (LSD), or an analog thereof; | ||
(8) less than 6 grams of a substance containing | ||
pentazocine or any of the salts, isomers and salts of | ||
isomers of pentazocine, or an analog thereof; | ||
(9) less than 6 grams of a substance containing | ||
methaqualone or any of the salts, isomers and salts of | ||
isomers of methaqualone; | ||
(10) less than 6 grams of a substance containing | ||
phencyclidine or any of the salts, isomers and salts of | ||
isomers of phencyclidine (PCP); | ||
(11) less than 6 grams of a substance containing | ||
ketamine or any of the salts, isomers and salts of isomers |
of ketamine; | ||
(12) less than 40 grams of a substance containing a | ||
substance classified as a narcotic drug in Schedules I or | ||
II, or an analog thereof, which is not otherwise included | ||
in this subsection. | ||
(e) The limited immunity described in subsections (b) and | ||
(c) of this Section shall not be extended if law enforcement | ||
has reasonable suspicion or probable cause to detain, arrest, | ||
or search the person described in subsection (b) or (c) of this | ||
Section for criminal activity and the reasonable suspicion or | ||
probable cause is based on information obtained prior to or | ||
independent of the individual described in subsection (b) or | ||
(c) taking action to seek or obtain emergency medical | ||
assistance and not obtained as a direct result of the action of | ||
seeking or obtaining emergency medical assistance. Nothing in | ||
this Section is intended to interfere with or prevent the | ||
investigation, arrest, or prosecution of any person for the | ||
delivery or distribution of cannabis, methamphetamine or other | ||
controlled substances, drug-induced homicide, or any other | ||
crime if the evidence of the violation is not acquired as a | ||
result of the person seeking or obtaining emergency medical | ||
assistance in the event of an overdose .
| ||
(Source: P.A. 97-678, eff. 6-1-12 .)
| ||
Section 50-10. The Methamphetamine Control and Community | ||
Protection Act is amended by changing Section 115 as follows: |
(720 ILCS 646/115) | ||
Sec. 115. Overdose; limited immunity from prosecution . | ||
(a) For the purposes of this Section, "overdose" means a | ||
methamphetamine-induced physiological event that results in a | ||
life-threatening emergency to the individual who ingested, | ||
inhaled, injected, or otherwise bodily absorbed | ||
methamphetamine. | ||
(b) A person who, in good faith, seeks emergency medical | ||
assistance for someone experiencing an overdose shall not be | ||
arrested, charged or prosecuted for a violation of Section 55 | ||
or 60 of this Act or Section 3.5 of the Drug Paraphernalia | ||
Control Act, Section 9-3.3 of the Criminal Code of 2012, or | ||
paragraph (1) of subsection (g) of Section 12-3.05 of the | ||
Criminal Code of 2012 Class 3 felony possession of | ||
methamphetamine if evidence for the violation Class 3 felony | ||
possession charge was acquired as a result of the person | ||
seeking or obtaining emergency medical assistance and | ||
providing the amount of substance recovered is less than 3 | ||
grams one gram of methamphetamine or a substance containing | ||
methamphetamine. The violations listed in this subsection (b) | ||
must not serve as the sole basis of a violation of parole, | ||
mandatory supervised release, probation, or conditional | ||
discharge, or any seizure of property under any State law | ||
authorizing civil forfeiture so long as the evidence for the | ||
violation was acquired as a result of the person seeking or |
obtaining emergency medical assistance in the event of an | ||
overdose. | ||
(c) A person who is experiencing an overdose shall not be | ||
arrested, charged , or prosecuted for a violation of Section 55 | ||
or 60 of this Act or Section 3.5 of the Drug Paraphernalia | ||
Control Act, Section 9-3.3 of the Criminal Code of 2012, or | ||
paragraph (1) of subsection (g) of Section 12-3.05 of the | ||
Criminal Code of 2012 Class 3 felony possession of | ||
methamphetamine if evidence for the Class 3 felony possession | ||
charge was acquired as a result of the person seeking or | ||
obtaining emergency medical assistance and providing the | ||
amount of substance recovered is less than one gram of | ||
methamphetamine or a substance containing methamphetamine. The | ||
violations listed in this subsection (c) must not serve as the | ||
sole basis of a violation of parole, mandatory supervised | ||
release, probation, or conditional discharge, or any seizure | ||
of property under any State law authorizing civil forfeiture | ||
so long as the evidence for the violation was acquired as a | ||
result of the person seeking or obtaining emergency medical | ||
assistance in the event of an overdose. | ||
(d) The limited immunity described in subsections (b) and | ||
(c) of this Section shall not be extended if law enforcement | ||
has reasonable suspicion or probable cause to detain, arrest, | ||
or search the person described in subsection (b) or (c) of this | ||
Section for criminal activity and the reasonable suspicion or | ||
probable cause is based on information obtained prior to or |
independent of the individual described in subsection (b) or | ||
(c) taking action to seek or obtain emergency medical | ||
assistance and not obtained as a direct result of the action of | ||
seeking or obtaining emergency medical assistance. Nothing in | ||
this Section is intended to interfere with or prevent the | ||
investigation, arrest, or prosecution of any person for the | ||
delivery or distribution of cannabis, methamphetamine or other | ||
controlled substances, drug-induced homicide, or any other | ||
crime if the evidence of the violation is not acquired as a | ||
result of the person seeking or obtaining emergency medical | ||
assistance in the event of an overdose .
| ||
(Source: P.A. 97-678, eff. 6-1-12 .) | ||
Article 60. | ||
Section 60-5. The Adult Protective Services Act is amended | ||
by adding Section 3.1 as follows: | ||
(320 ILCS 20/3.1 new) | ||
Sec. 3.1. Adult protective services dementia training. | ||
(a) This Section shall apply to any person who is employed | ||
by the Department in the Adult Protective Services division, | ||
or is contracted with the
Department, and works on the | ||
development or implementation of
social services to respond to | ||
and prevent adult abuse, neglect, or exploitation. | ||
(b) The Department shall implement a dementia training |
program that must include instruction on the identification of | ||
people with dementia, risks such as wandering, communication | ||
impairments, and elder abuse, and the best practices for | ||
interacting with people with dementia. | ||
(c) Training of at least 2 hours shall be completed at the | ||
start of employment with the Adult Protective Services | ||
division. Persons who are employees of the Adult Protective | ||
Services division on the effective date of this amendatory Act | ||
of the 102nd General Assembly shall complete this training | ||
within 6 months after the effective date of this amendatory | ||
Act of the 102nd General Assembly. The training shall cover | ||
the following subjects: | ||
(1) Alzheimer's disease and dementia. | ||
(2) Safety risks. | ||
(3) Communication and behavior. | ||
(d) Annual continuing education shall include at least 2 | ||
hours of dementia training covering the subjects described in | ||
subsection (c). | ||
(e) This Section is designed to address gaps in current | ||
dementia training requirements for Adult Protective Services | ||
officials and improve the quality of training. If laws or | ||
rules existing on the effective date of this amendatory Act of | ||
the 102nd General Assembly contain more rigorous training | ||
requirements for Adult Protective Service officials, those | ||
laws or rules shall apply. Where there is overlap between this | ||
Section and other laws and rules, the Department shall |
interpret this Section to avoid duplication of requirements | ||
while ensuring that the minimum requirements set in this | ||
Section are met. | ||
(f) The Department may adopt rules for the administration | ||
of this Section. | ||
Article 65. | ||
Section 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. | ||
Section 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.
| ||
Section 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.
| ||
Section 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.
| ||
Section 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.
| ||
Section 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.
| ||
Title VI. Access to Health Care | ||
Article 70. | ||
Section 70-5. The Use Tax Act is amended by changing | ||
Section 3-10 as follows:
| ||
(35 ILCS 105/3-10)
| ||
Sec. 3-10. Rate of tax. Unless otherwise provided in this | ||
Section, the tax
imposed by this Act is at the rate of 6.25% of | ||
either the selling price or the
fair market value, if any, of | ||
the tangible personal property. In all cases
where property | ||
functionally used or consumed is the same as the property that
| ||
was purchased at retail, then the tax is imposed on the selling | ||
price of the
property. In all cases where property | ||
functionally used or consumed is a
by-product or waste product |
that has been refined, manufactured, or produced
from property | ||
purchased at retail, then the tax is imposed on the lower of | ||
the
fair market value, if any, of the specific property so used | ||
in this State or on
the selling price of the property purchased | ||
at retail. For purposes of this
Section "fair market value" | ||
means the price at which property would change
hands between a | ||
willing buyer and a willing seller, neither being under any
| ||
compulsion to buy or sell and both having reasonable knowledge | ||
of the
relevant facts. The fair market value shall be | ||
established by Illinois sales by
the taxpayer of the same | ||
property as that functionally used or consumed, or if
there | ||
are no such sales by the taxpayer, then comparable sales or | ||
purchases of
property of like kind and character in Illinois.
| ||
Beginning on July 1, 2000 and through December 31, 2000, | ||
with respect to
motor fuel, as defined in Section 1.1 of the | ||
Motor Fuel Tax
Law, and gasohol, as defined in Section 3-40 of | ||
the Use Tax Act, the tax is
imposed at the rate of 1.25%.
| ||
Beginning on August 6, 2010 through August 15, 2010, with | ||
respect to sales tax holiday items as defined in Section 3-6 of | ||
this Act, the
tax is imposed at the rate of 1.25%. | ||
With respect to gasohol, the tax imposed by this Act | ||
applies to (i) 70%
of the proceeds of sales made on or after | ||
January 1, 1990, and before
July 1, 2003, (ii) 80% of the | ||
proceeds of sales made
on or after July 1, 2003 and on or | ||
before July 1, 2017, and (iii) 100% of the proceeds of sales | ||
made
thereafter.
If, at any time, however, the tax under this |
Act on sales of gasohol is
imposed at the
rate of 1.25%, then | ||
the tax imposed by this Act applies to 100% of the proceeds
of | ||
sales of gasohol made during that time.
| ||
With respect to majority blended ethanol fuel, the tax | ||
imposed by this Act
does
not apply
to the proceeds of sales | ||
made on or after July 1, 2003 and on or before
December 31, | ||
2023 but applies to 100% of the proceeds of sales made | ||
thereafter.
| ||
With respect to biodiesel blends with no less than 1% and | ||
no more than 10%
biodiesel, the tax imposed by this Act applies | ||
to (i) 80% of the
proceeds of sales made on or after July 1, | ||
2003 and on or before December 31, 2018
and (ii) 100% of the | ||
proceeds of sales made
thereafter.
If, at any time, however, | ||
the tax under this Act on sales of biodiesel blends
with no | ||
less than 1% and no more than 10% biodiesel
is imposed at the | ||
rate of
1.25%, then the
tax imposed by this Act applies to 100% | ||
of the proceeds of sales of biodiesel
blends with no less than | ||
1% and no more than 10% biodiesel
made
during that time.
| ||
With respect to 100% biodiesel and biodiesel blends with | ||
more than 10%
but no more than 99% biodiesel, the tax imposed | ||
by this Act does not apply to
the
proceeds of sales made on or | ||
after July 1, 2003 and on or before
December 31, 2023 but | ||
applies to 100% of the proceeds of sales made
thereafter.
| ||
With respect to food for human consumption that is to be | ||
consumed off the
premises where it is sold (other than | ||
alcoholic beverages, food consisting of or infused with adult |
use cannabis, soft drinks, and
food that has been prepared for | ||
immediate consumption) and prescription and
nonprescription | ||
medicines, drugs, medical appliances, products classified as | ||
Class III medical devices by the United States Food and Drug | ||
Administration that are used for cancer treatment pursuant to | ||
a prescription, as well as any accessories and components | ||
related to those devices, modifications to a motor
vehicle for | ||
the purpose of rendering it usable by a person with a | ||
disability, and
insulin, blood sugar urine testing materials, | ||
syringes, and needles used by human diabetics, for
human use, | ||
the tax is imposed at the rate of 1%. For the purposes of this
| ||
Section, until September 1, 2009: the term "soft drinks" means | ||
any complete, finished, ready-to-use,
non-alcoholic drink, | ||
whether carbonated or not, including but not limited to
soda | ||
water, cola, fruit juice, vegetable juice, carbonated water, | ||
and all other
preparations commonly known as soft drinks of | ||
whatever kind or description that
are contained in any closed | ||
or sealed bottle, can, carton, or container,
regardless of | ||
size; but "soft drinks" does not include coffee, tea, | ||
non-carbonated
water, infant formula, milk or milk products as | ||
defined in the Grade A
Pasteurized Milk and Milk Products Act, | ||
or drinks containing 50% or more
natural fruit or vegetable | ||
juice.
| ||
Notwithstanding any other provisions of this
Act, | ||
beginning September 1, 2009, "soft drinks" means non-alcoholic | ||
beverages that contain natural or artificial sweeteners. "Soft |
drinks" do not include beverages that contain milk or milk | ||
products, soy, rice or similar milk substitutes, or greater | ||
than 50% of vegetable or fruit juice by volume. | ||
Until August 1, 2009, and notwithstanding any other | ||
provisions of this
Act, "food for human consumption that is to | ||
be consumed off the premises where
it is sold" includes all | ||
food sold through a vending machine, except soft
drinks and | ||
food products that are dispensed hot from a vending machine,
| ||
regardless of the location of the vending machine. Beginning | ||
August 1, 2009, and notwithstanding any other provisions of | ||
this Act, "food for human consumption that is to be consumed | ||
off the premises where it is sold" includes all food sold | ||
through a vending machine, except soft drinks, candy, and food | ||
products that are dispensed hot from a vending machine, | ||
regardless of the location of the vending machine.
| ||
Notwithstanding any other provisions of this
Act, | ||
beginning September 1, 2009, "food for human consumption that | ||
is to be consumed off the premises where
it is sold" does not | ||
include candy. For purposes of this Section, "candy" means a | ||
preparation of sugar, honey, or other natural or artificial | ||
sweeteners in combination with chocolate, fruits, nuts or | ||
other ingredients or flavorings in the form of bars, drops, or | ||
pieces. "Candy" does not include any preparation that contains | ||
flour or requires refrigeration. | ||
Notwithstanding any other provisions of this
Act, | ||
beginning September 1, 2009, "nonprescription medicines and |
drugs" does not include grooming and hygiene products. For | ||
purposes of this Section, "grooming and hygiene products" | ||
includes, but is not limited to, soaps and cleaning solutions, | ||
shampoo, toothpaste, mouthwash, antiperspirants, and sun tan | ||
lotions and screens, unless those products are available by | ||
prescription only, regardless of whether the products meet the | ||
definition of "over-the-counter-drugs". For the purposes of | ||
this paragraph, "over-the-counter-drug" means a drug for human | ||
use that contains a label that identifies the product as a drug | ||
as required by 21 C.F.R. § 201.66. The "over-the-counter-drug" | ||
label includes: | ||
(A) A "Drug Facts" panel; or | ||
(B) A statement of the "active ingredient(s)" with a | ||
list of those ingredients contained in the compound, | ||
substance or preparation. | ||
Beginning on the effective date of this amendatory Act of | ||
the 98th General Assembly, "prescription and nonprescription | ||
medicines and drugs" includes medical cannabis purchased from | ||
a registered dispensing organization under the Compassionate | ||
Use of Medical Cannabis Program Act. | ||
As used in this Section, "adult use cannabis" means | ||
cannabis subject to tax under the Cannabis Cultivation | ||
Privilege Tax Law and the Cannabis Purchaser Excise Tax Law | ||
and does not include cannabis subject to tax under the | ||
Compassionate Use of Medical Cannabis Program Act. | ||
If the property that is purchased at retail from a |
retailer is acquired
outside Illinois and used outside | ||
Illinois before being brought to Illinois
for use here and is | ||
taxable under this Act, the "selling price" on which
the tax is | ||
computed shall be reduced by an amount that represents a
| ||
reasonable allowance for depreciation for the period of prior | ||
out-of-state use.
| ||
(Source: P.A. 100-22, eff. 7-6-17; 101-363, eff. 8-9-19; | ||
101-593, eff. 12-4-19.)
| ||
Section 70-10. The Service Use Tax Act is amended by | ||
changing Section 3-10 as follows:
| ||
(35 ILCS 110/3-10) (from Ch. 120, par. 439.33-10)
| ||
Sec. 3-10. Rate of tax. Unless otherwise provided in this | ||
Section,
the tax imposed by this Act is at the rate of 6.25% of | ||
the selling
price of tangible personal property transferred as | ||
an incident to the sale
of service, but, for the purpose of | ||
computing this tax, in no event shall
the selling price be less | ||
than the cost price of the property to the
serviceman.
| ||
Beginning on July 1, 2000 and through December 31, 2000, | ||
with respect to
motor fuel, as defined in Section 1.1 of the | ||
Motor Fuel Tax
Law, and gasohol, as defined in Section 3-40 of | ||
the Use Tax Act, the tax is
imposed at
the rate of 1.25%.
| ||
With respect to gasohol, as defined in the Use Tax Act, the | ||
tax imposed
by this Act applies to (i) 70% of the selling price | ||
of property transferred
as an incident to the sale of service |
on or after January 1, 1990,
and before July 1, 2003, (ii) 80% | ||
of the selling price of
property transferred as an incident to | ||
the sale of service on or after July
1, 2003 and on or before | ||
July 1, 2017, and (iii)
100% of the selling price thereafter.
| ||
If, at any time, however, the tax under this Act on sales of | ||
gasohol, as
defined in
the Use Tax Act, is imposed at the rate | ||
of 1.25%, then the
tax imposed by this Act applies to 100% of | ||
the proceeds of sales of gasohol
made during that time.
| ||
With respect to majority blended ethanol fuel, as defined | ||
in the Use Tax Act,
the
tax
imposed by this Act does not apply | ||
to the selling price of property transferred
as an incident to | ||
the sale of service on or after July 1, 2003 and on or before
| ||
December 31, 2023 but applies to 100% of the selling price | ||
thereafter.
| ||
With respect to biodiesel blends, as defined in the Use | ||
Tax Act, with no less
than 1% and no
more than 10% biodiesel, | ||
the tax imposed by this Act
applies to (i) 80% of the selling | ||
price of property transferred as an incident
to the sale of | ||
service on or after July 1, 2003 and on or before December 31, | ||
2018
and (ii) 100% of the proceeds of the selling price
| ||
thereafter.
If, at any time, however, the tax under this Act on | ||
sales of biodiesel blends,
as
defined in the Use Tax Act, with | ||
no less than 1% and no more than 10% biodiesel
is imposed at | ||
the rate of 1.25%, then the
tax imposed by this Act applies to | ||
100% of the proceeds of sales of biodiesel
blends with no less | ||
than 1% and no more than 10% biodiesel
made
during that time.
|
With respect to 100% biodiesel, as defined in the Use Tax | ||
Act, and biodiesel
blends, as defined in the Use Tax Act, with
| ||
more than 10% but no more than 99% biodiesel, the tax imposed | ||
by this Act
does not apply to the proceeds of the selling price | ||
of property transferred
as an incident to the sale of service | ||
on or after July 1, 2003 and on or before
December 31, 2023 but | ||
applies to 100% of the selling price thereafter.
| ||
At the election of any registered serviceman made for each | ||
fiscal year,
sales of service in which the aggregate annual | ||
cost price of tangible
personal property transferred as an | ||
incident to the sales of service is
less than 35%, or 75% in | ||
the case of servicemen transferring prescription
drugs or | ||
servicemen engaged in graphic arts production, of the | ||
aggregate
annual total gross receipts from all sales of | ||
service, the tax imposed by
this Act shall be based on the | ||
serviceman's cost price of the tangible
personal property | ||
transferred as an incident to the sale of those services.
| ||
The tax shall be imposed at the rate of 1% on food prepared | ||
for
immediate consumption and transferred incident to a sale | ||
of service subject
to this Act or the Service Occupation Tax | ||
Act by an entity licensed under
the Hospital Licensing Act, | ||
the Nursing Home Care Act, the ID/DD Community Care Act, the | ||
MC/DD Act, the Specialized Mental Health Rehabilitation Act of | ||
2013, or the
Child Care
Act of 1969. The tax shall
also be | ||
imposed at the rate of 1% on food for human consumption that is | ||
to be
consumed off the premises where it is sold (other than |
alcoholic beverages, food consisting of or infused with adult | ||
use cannabis,
soft drinks, and food that has been prepared for | ||
immediate consumption and is
not otherwise included in this | ||
paragraph) and prescription and nonprescription
medicines, | ||
drugs, medical appliances, products classified as Class III | ||
medical devices by the United States Food and Drug | ||
Administration that are used for cancer treatment pursuant to | ||
a prescription, as well as any accessories and components | ||
related to those devices, modifications to a motor vehicle for | ||
the
purpose of rendering it usable by a person with a | ||
disability, and insulin, blood sugar urine testing
materials,
| ||
syringes, and needles used by human diabetics , for
human use . | ||
For the purposes of this Section, until September 1, 2009: the | ||
term "soft drinks" means any
complete, finished, ready-to-use, | ||
non-alcoholic drink, whether carbonated or
not, including but | ||
not limited to soda water, cola, fruit juice, vegetable
juice, | ||
carbonated water, and all other preparations commonly known as | ||
soft
drinks of whatever kind or description that are contained | ||
in any closed or
sealed bottle, can, carton, or container, | ||
regardless of size; but "soft drinks"
does not include coffee, | ||
tea, non-carbonated water, infant formula, milk or
milk | ||
products as defined in the Grade A Pasteurized Milk and Milk | ||
Products Act,
or drinks containing 50% or more natural fruit | ||
or vegetable juice.
| ||
Notwithstanding any other provisions of this
Act, | ||
beginning September 1, 2009, "soft drinks" means non-alcoholic |
beverages that contain natural or artificial sweeteners. "Soft | ||
drinks" do not include beverages that contain milk or milk | ||
products, soy, rice or similar milk substitutes, or greater | ||
than 50% of vegetable or fruit juice by volume. | ||
Until August 1, 2009, and notwithstanding any other | ||
provisions of this Act, "food for human
consumption that is to | ||
be consumed off the premises where it is sold" includes
all | ||
food sold through a vending machine, except soft drinks and | ||
food products
that are dispensed hot from a vending machine, | ||
regardless of the location of
the vending machine. Beginning | ||
August 1, 2009, and notwithstanding any other provisions of | ||
this Act, "food for human consumption that is to be consumed | ||
off the premises where it is sold" includes all food sold | ||
through a vending machine, except soft drinks, candy, and food | ||
products that are dispensed hot from a vending machine, | ||
regardless of the location of the vending machine.
| ||
Notwithstanding any other provisions of this
Act, | ||
beginning September 1, 2009, "food for human consumption that | ||
is to be consumed off the premises where
it is sold" does not | ||
include candy. For purposes of this Section, "candy" means a | ||
preparation of sugar, honey, or other natural or artificial | ||
sweeteners in combination with chocolate, fruits, nuts or | ||
other ingredients or flavorings in the form of bars, drops, or | ||
pieces. "Candy" does not include any preparation that contains | ||
flour or requires refrigeration. | ||
Notwithstanding any other provisions of this
Act, |
beginning September 1, 2009, "nonprescription medicines and | ||
drugs" does not include grooming and hygiene products. For | ||
purposes of this Section, "grooming and hygiene products" | ||
includes, but is not limited to, soaps and cleaning solutions, | ||
shampoo, toothpaste, mouthwash, antiperspirants, and sun tan | ||
lotions and screens, unless those products are available by | ||
prescription only, regardless of whether the products meet the | ||
definition of "over-the-counter-drugs". For the purposes of | ||
this paragraph, "over-the-counter-drug" means a drug for human | ||
use that contains a label that identifies the product as a drug | ||
as required by 21 C.F.R. § 201.66. The "over-the-counter-drug" | ||
label includes: | ||
(A) A "Drug Facts" panel; or | ||
(B) A statement of the "active ingredient(s)" with a | ||
list of those ingredients contained in the compound, | ||
substance or preparation. | ||
Beginning on January 1, 2014 (the effective date of Public | ||
Act 98-122), "prescription and nonprescription medicines and | ||
drugs" includes medical cannabis purchased from a registered | ||
dispensing organization under the Compassionate Use of Medical | ||
Cannabis Program Act. | ||
As used in this Section, "adult use cannabis" means | ||
cannabis subject to tax under the Cannabis Cultivation | ||
Privilege Tax Law and the Cannabis Purchaser Excise Tax Law | ||
and does not include cannabis subject to tax under the | ||
Compassionate Use of Medical Cannabis Program Act. |
If the property that is acquired from a serviceman is | ||
acquired outside
Illinois and used outside Illinois before | ||
being brought to Illinois for use
here and is taxable under | ||
this Act, the "selling price" on which the tax
is computed | ||
shall be reduced by an amount that represents a reasonable
| ||
allowance for depreciation for the period of prior | ||
out-of-state use.
| ||
(Source: P.A. 100-22, eff. 7-6-17; 101-363, eff. 8-9-19; | ||
101-593, eff. 12-4-19.) | ||
Section 70-15. The Service Occupation Tax Act is amended | ||
by changing Section 3-10 as follows:
| ||
(35 ILCS 115/3-10) (from Ch. 120, par. 439.103-10)
| ||
Sec. 3-10. Rate of tax. Unless otherwise provided in this | ||
Section,
the tax imposed by this Act is at the rate of 6.25% of | ||
the "selling price",
as defined in Section 2 of the Service Use | ||
Tax Act, of the tangible
personal property. For the purpose of | ||
computing this tax, in no event
shall the "selling price" be | ||
less than the cost price to the serviceman of
the tangible | ||
personal property transferred. The selling price of each item
| ||
of tangible personal property transferred as an incident of a | ||
sale of
service may be shown as a distinct and separate item on | ||
the serviceman's
billing to the service customer. If the | ||
selling price is not so shown, the
selling price of the | ||
tangible personal property is deemed to be 50% of the
|
serviceman's entire billing to the service customer. When, | ||
however, a
serviceman contracts to design, develop, and | ||
produce special order machinery or
equipment, the tax imposed | ||
by this Act shall be based on the serviceman's
cost price of | ||
the tangible personal property transferred incident to the
| ||
completion of the contract.
| ||
Beginning on July 1, 2000 and through December 31, 2000, | ||
with respect to
motor fuel, as defined in Section 1.1 of the | ||
Motor Fuel Tax
Law, and gasohol, as defined in Section 3-40 of | ||
the Use Tax Act, the tax is
imposed at
the rate of 1.25%.
| ||
With respect to gasohol, as defined in the Use Tax Act, the | ||
tax imposed
by this Act shall apply to (i) 70% of the cost | ||
price of property
transferred as
an incident to the sale of | ||
service on or after January 1, 1990, and before
July 1, 2003, | ||
(ii) 80% of the selling price of property transferred as an
| ||
incident to the sale of service on or after July
1, 2003 and on | ||
or before July 1, 2017, and (iii) 100%
of
the cost price
| ||
thereafter.
If, at any time, however, the tax under this Act on | ||
sales of gasohol, as
defined in
the Use Tax Act, is imposed at | ||
the rate of 1.25%, then the
tax imposed by this Act applies to | ||
100% of the proceeds of sales of gasohol
made during that time.
| ||
With respect to majority blended ethanol fuel, as defined | ||
in the Use Tax Act,
the
tax
imposed by this Act does not apply | ||
to the selling price of property transferred
as an incident to | ||
the sale of service on or after July 1, 2003 and on or before
| ||
December 31, 2023 but applies to 100% of the selling price |
thereafter.
| ||
With respect to biodiesel blends, as defined in the Use | ||
Tax Act, with no less
than 1% and no
more than 10% biodiesel, | ||
the tax imposed by this Act
applies to (i) 80% of the selling | ||
price of property transferred as an incident
to the sale of | ||
service on or after July 1, 2003 and on or before December 31, | ||
2018
and (ii) 100% of the proceeds of the selling price
| ||
thereafter.
If, at any time, however, the tax under this Act on | ||
sales of biodiesel blends,
as
defined in the Use Tax Act, with | ||
no less than 1% and no more than 10% biodiesel
is imposed at | ||
the rate of 1.25%, then the
tax imposed by this Act applies to | ||
100% of the proceeds of sales of biodiesel
blends with no less | ||
than 1% and no more than 10% biodiesel
made
during that time.
| ||
With respect to 100% biodiesel, as defined in the Use Tax | ||
Act, and biodiesel
blends, as defined in the Use Tax Act, with
| ||
more than 10% but no more than 99% biodiesel material, the tax | ||
imposed by this
Act
does not apply to the proceeds of the | ||
selling price of property transferred
as an incident to the | ||
sale of service on or after July 1, 2003 and on or before
| ||
December 31, 2023 but applies to 100% of the selling price | ||
thereafter.
| ||
At the election of any registered serviceman made for each | ||
fiscal year,
sales of service in which the aggregate annual | ||
cost price of tangible
personal property transferred as an | ||
incident to the sales of service is
less than 35%, or 75% in | ||
the case of servicemen transferring prescription
drugs or |
servicemen engaged in graphic arts production, of the | ||
aggregate
annual total gross receipts from all sales of | ||
service, the tax imposed by
this Act shall be based on the | ||
serviceman's cost price of the tangible
personal property | ||
transferred incident to the sale of those services.
| ||
The tax shall be imposed at the rate of 1% on food prepared | ||
for
immediate consumption and transferred incident to a sale | ||
of service subject
to this Act or the Service Occupation Tax | ||
Act by an entity licensed under
the Hospital Licensing Act, | ||
the Nursing Home Care Act, the ID/DD Community Care Act, the | ||
MC/DD Act, the Specialized Mental Health Rehabilitation Act of | ||
2013, or the
Child Care Act of 1969. The tax shall
also be | ||
imposed at the rate of 1% on food for human consumption that is
| ||
to be consumed off the
premises where it is sold (other than | ||
alcoholic beverages, food consisting of or infused with adult | ||
use cannabis, soft drinks, and
food that has been prepared for | ||
immediate consumption and is not
otherwise included in this | ||
paragraph) and prescription and
nonprescription medicines, | ||
drugs, medical appliances, products classified as Class III | ||
medical devices by the United States Food and Drug | ||
Administration that are used for cancer treatment pursuant to | ||
a prescription, as well as any accessories and components | ||
related to those devices, modifications to a motor
vehicle for | ||
the purpose of rendering it usable by a person with a | ||
disability, and
insulin, blood sugar urine testing materials, | ||
syringes, and needles used by human diabetics , for
human use . |
For the purposes of this Section, until September 1, 2009: the | ||
term "soft drinks" means any
complete, finished, ready-to-use, | ||
non-alcoholic drink, whether carbonated or
not, including but | ||
not limited to soda water, cola, fruit juice, vegetable
juice, | ||
carbonated water, and all other preparations commonly known as | ||
soft
drinks of whatever kind or description that are contained | ||
in any closed or
sealed can, carton, or container, regardless | ||
of size; but "soft drinks" does not
include coffee, tea, | ||
non-carbonated water, infant formula, milk or milk
products as | ||
defined in the Grade A Pasteurized Milk and Milk Products Act, | ||
or
drinks containing 50% or more natural fruit or vegetable | ||
juice.
| ||
Notwithstanding any other provisions of this
Act, | ||
beginning September 1, 2009, "soft drinks" means non-alcoholic | ||
beverages that contain natural or artificial sweeteners. "Soft | ||
drinks" do not include beverages that contain milk or milk | ||
products, soy, rice or similar milk substitutes, or greater | ||
than 50% of vegetable or fruit juice by volume. | ||
Until August 1, 2009, and notwithstanding any other | ||
provisions of this Act, "food for human consumption
that is to | ||
be consumed off the premises where it is sold" includes all | ||
food
sold through a vending machine, except soft drinks and | ||
food products that are
dispensed hot from a vending machine, | ||
regardless of the location of the vending
machine. Beginning | ||
August 1, 2009, and notwithstanding any other provisions of | ||
this Act, "food for human consumption that is to be consumed |
off the premises where it is sold" includes all food sold | ||
through a vending machine, except soft drinks, candy, and food | ||
products that are dispensed hot from a vending machine, | ||
regardless of the location of the vending machine.
| ||
Notwithstanding any other provisions of this
Act, | ||
beginning September 1, 2009, "food for human consumption that | ||
is to be consumed off the premises where
it is sold" does not | ||
include candy. For purposes of this Section, "candy" means a | ||
preparation of sugar, honey, or other natural or artificial | ||
sweeteners in combination with chocolate, fruits, nuts or | ||
other ingredients or flavorings in the form of bars, drops, or | ||
pieces. "Candy" does not include any preparation that contains | ||
flour or requires refrigeration. | ||
Notwithstanding any other provisions of this
Act, | ||
beginning September 1, 2009, "nonprescription medicines and | ||
drugs" does not include grooming and hygiene products. For | ||
purposes of this Section, "grooming and hygiene products" | ||
includes, but is not limited to, soaps and cleaning solutions, | ||
shampoo, toothpaste, mouthwash, antiperspirants, and sun tan | ||
lotions and screens, unless those products are available by | ||
prescription only, regardless of whether the products meet the | ||
definition of "over-the-counter-drugs". For the purposes of | ||
this paragraph, "over-the-counter-drug" means a drug for human | ||
use that contains a label that identifies the product as a drug | ||
as required by 21 C.F.R. § 201.66. The "over-the-counter-drug" | ||
label includes: |
(A) A "Drug Facts" panel; or | ||
(B) A statement of the "active ingredient(s)" with a | ||
list of those ingredients contained in the compound, | ||
substance or preparation. | ||
Beginning on January 1, 2014 (the effective date of Public | ||
Act 98-122), "prescription and nonprescription medicines and | ||
drugs" includes medical cannabis purchased from a registered | ||
dispensing organization under the Compassionate Use of Medical | ||
Cannabis Program Act. | ||
As used in this Section, "adult use cannabis" means | ||
cannabis subject to tax under the Cannabis Cultivation | ||
Privilege Tax Law and the Cannabis Purchaser Excise Tax Law | ||
and does not include cannabis subject to tax under the | ||
Compassionate Use of Medical Cannabis Program Act. | ||
(Source: P.A. 100-22, eff. 7-6-17; 101-363, eff. 8-9-19; | ||
101-593, eff. 12-4-19.) | ||
Section 70-20. The Retailers' Occupation Tax Act is | ||
amended by changing Section 2-10 as follows:
| ||
(35 ILCS 120/2-10)
| ||
Sec. 2-10. Rate of tax. Unless otherwise provided in this | ||
Section,
the tax imposed by this Act is at the rate of 6.25% of | ||
gross receipts
from sales of tangible personal property made | ||
in the course of business.
| ||
Beginning on July 1, 2000 and through December 31, 2000, |
with respect to
motor fuel, as defined in Section 1.1 of the | ||
Motor Fuel Tax
Law, and gasohol, as defined in Section 3-40 of | ||
the Use Tax Act, the tax is
imposed at the rate of 1.25%.
| ||
Beginning on August 6, 2010 through August 15, 2010, with | ||
respect to sales tax holiday items as defined in Section 2-8 of | ||
this Act, the
tax is imposed at the rate of 1.25%. | ||
Within 14 days after the effective date of this amendatory | ||
Act of the 91st
General Assembly, each retailer of motor fuel | ||
and gasohol shall cause the
following notice to be posted in a | ||
prominently visible place on each retail
dispensing device | ||
that is used to dispense motor
fuel or gasohol in the State of | ||
Illinois: "As of July 1, 2000, the State of
Illinois has | ||
eliminated the State's share of sales tax on motor fuel and
| ||
gasohol through December 31, 2000. The price on this pump | ||
should reflect the
elimination of the tax." The notice shall | ||
be printed in bold print on a sign
that is no smaller than 4 | ||
inches by 8 inches. The sign shall be clearly
visible to | ||
customers. Any retailer who fails to post or maintain a | ||
required
sign through December 31, 2000 is guilty of a petty | ||
offense for which the fine
shall be $500 per day per each | ||
retail premises where a violation occurs.
| ||
With respect to gasohol, as defined in the Use Tax Act, the | ||
tax imposed
by this Act applies to (i) 70% of the proceeds of | ||
sales made on or after
January 1, 1990, and before July 1, | ||
2003, (ii) 80% of the proceeds of
sales made on or after July | ||
1, 2003 and on or before July 1, 2017, and (iii) 100% of the |
proceeds of sales
made thereafter.
If, at any time, however, | ||
the tax under this Act on sales of gasohol, as
defined in
the | ||
Use Tax Act, is imposed at the rate of 1.25%, then the
tax | ||
imposed by this Act applies to 100% of the proceeds of sales of | ||
gasohol
made during that time.
| ||
With respect to majority blended ethanol fuel, as defined | ||
in the Use Tax Act,
the
tax
imposed by this Act does not apply | ||
to the proceeds of sales made on or after
July 1, 2003 and on | ||
or before December 31, 2023 but applies to 100% of the
proceeds | ||
of sales made thereafter.
| ||
With respect to biodiesel blends, as defined in the Use | ||
Tax Act, with no less
than 1% and no
more than 10% biodiesel, | ||
the tax imposed by this Act
applies to (i) 80% of the proceeds | ||
of sales made on or after July 1, 2003
and on or before | ||
December 31, 2018 and (ii) 100% of the
proceeds of sales made | ||
thereafter.
If, at any time, however, the tax under this Act on | ||
sales of biodiesel blends,
as
defined in the Use Tax Act, with | ||
no less than 1% and no more than 10% biodiesel
is imposed at | ||
the rate of 1.25%, then the
tax imposed by this Act applies to | ||
100% of the proceeds of sales of biodiesel
blends with no less | ||
than 1% and no more than 10% biodiesel
made
during that time.
| ||
With respect to 100% biodiesel, as defined in the Use Tax | ||
Act, and biodiesel
blends, as defined in the Use Tax Act, with
| ||
more than 10% but no more than 99% biodiesel, the tax imposed | ||
by this Act
does not apply to the proceeds of sales made on or | ||
after July 1, 2003
and on or before December 31, 2023 but |
applies to 100% of the
proceeds of sales made thereafter.
| ||
With respect to food for human consumption that is to be | ||
consumed off the
premises where it is sold (other than | ||
alcoholic beverages, food consisting of or infused with adult | ||
use cannabis, soft drinks, and
food that has been prepared for | ||
immediate consumption) and prescription and
nonprescription | ||
medicines, drugs, medical appliances, products classified as | ||
Class III medical devices by the United States Food and Drug | ||
Administration that are used for cancer treatment pursuant to | ||
a prescription, as well as any accessories and components | ||
related to those devices, modifications to a motor
vehicle for | ||
the purpose of rendering it usable by a person with a | ||
disability, and
insulin, blood sugar urine testing materials, | ||
syringes, and needles used by human diabetics, for
human use, | ||
the tax is imposed at the rate of 1%. For the purposes of this
| ||
Section, until September 1, 2009: the term "soft drinks" means | ||
any complete, finished, ready-to-use,
non-alcoholic drink, | ||
whether carbonated or not, including but not limited to
soda | ||
water, cola, fruit juice, vegetable juice, carbonated water, | ||
and all other
preparations commonly known as soft drinks of | ||
whatever kind or description that
are contained in any closed | ||
or sealed bottle, can, carton, or container,
regardless of | ||
size; but "soft drinks" does not include coffee, tea, | ||
non-carbonated
water, infant formula, milk or milk products as | ||
defined in the Grade A
Pasteurized Milk and Milk Products Act, | ||
or drinks containing 50% or more
natural fruit or vegetable |
juice.
| ||
Notwithstanding any other provisions of this
Act, | ||
beginning September 1, 2009, "soft drinks" means non-alcoholic | ||
beverages that contain natural or artificial sweeteners. "Soft | ||
drinks" do not include beverages that contain milk or milk | ||
products, soy, rice or similar milk substitutes, or greater | ||
than 50% of vegetable or fruit juice by volume. | ||
Until August 1, 2009, and notwithstanding any other | ||
provisions of this
Act, "food for human consumption that is to | ||
be consumed off the premises where
it is sold" includes all | ||
food sold through a vending machine, except soft
drinks and | ||
food products that are dispensed hot from a vending machine,
| ||
regardless of the location of the vending machine. Beginning | ||
August 1, 2009, and notwithstanding any other provisions of | ||
this Act, "food for human consumption that is to be consumed | ||
off the premises where it is sold" includes all food sold | ||
through a vending machine, except soft drinks, candy, and food | ||
products that are dispensed hot from a vending machine, | ||
regardless of the location of the vending machine.
| ||
Notwithstanding any other provisions of this
Act, | ||
beginning September 1, 2009, "food for human consumption that | ||
is to be consumed off the premises where
it is sold" does not | ||
include candy. For purposes of this Section, "candy" means a | ||
preparation of sugar, honey, or other natural or artificial | ||
sweeteners in combination with chocolate, fruits, nuts or | ||
other ingredients or flavorings in the form of bars, drops, or |
pieces. "Candy" does not include any preparation that contains | ||
flour or requires refrigeration. | ||
Notwithstanding any other provisions of this
Act, | ||
beginning September 1, 2009, "nonprescription medicines and | ||
drugs" does not include grooming and hygiene products. For | ||
purposes of this Section, "grooming and hygiene products" | ||
includes, but is not limited to, soaps and cleaning solutions, | ||
shampoo, toothpaste, mouthwash, antiperspirants, and sun tan | ||
lotions and screens, unless those products are available by | ||
prescription only, regardless of whether the products meet the | ||
definition of "over-the-counter-drugs". For the purposes of | ||
this paragraph, "over-the-counter-drug" means a drug for human | ||
use that contains a label that identifies the product as a drug | ||
as required by 21 C.F.R. § 201.66. The "over-the-counter-drug" | ||
label includes: | ||
(A) A "Drug Facts" panel; or | ||
(B) A statement of the "active ingredient(s)" with a | ||
list of those ingredients contained in the compound, | ||
substance or preparation.
| ||
Beginning on the effective date of this amendatory Act of | ||
the 98th General Assembly, "prescription and nonprescription | ||
medicines and drugs" includes medical cannabis purchased from | ||
a registered dispensing organization under the Compassionate | ||
Use of Medical Cannabis Program Act. | ||
As used in this Section, "adult use cannabis" means | ||
cannabis subject to tax under the Cannabis Cultivation |
Privilege Tax Law and the Cannabis Purchaser Excise Tax Law | ||
and does not include cannabis subject to tax under the | ||
Compassionate Use of Medical Cannabis Program Act. | ||
(Source: P.A. 100-22, eff. 7-6-17; 101-363, eff. 8-9-19; | ||
101-593, eff. 12-4-19.)
| ||
Article 72. | ||
Section 72-1. Short title. This Article may be cited as | ||
the Underlying Causes of Crime and Violence Study Act. | ||
Section 72-5. Legislative findings. In the State of | ||
Illinois, two-thirds of gun violence is related to suicide, | ||
and one-third is related to homicide, claiming approximately | ||
12,000 lives a year. Violence has plagued communities, | ||
predominantly poor and distressed communities in urban | ||
settings, which have always treated violence as a criminal | ||
justice issue, instead of a public health issue. On February | ||
21, 2018, Pastor Anthony Williams was informed that his son, | ||
Nehemiah William, had been shot to death. Due to this | ||
disheartening event, Pastor Anthony Williams reached out to | ||
State Representative Elizabeth "Lisa" Hernandez, urging that | ||
the issue of violence be treated as a public health crisis. In | ||
2018, elected officials from all levels of government started | ||
a coalition to address violence as a public health crisis, | ||
with the assistance of faith-based organizations, advocates, |
and community members and held a statewide listening tour from | ||
August 2018 to April 2019. The listening tour consisted of | ||
stops on the South Side and West Side of Chicago, Maywood, | ||
Springfield, and East St. Louis, with a future scheduled visit | ||
in Danville. During the statewide listening sessions, | ||
community members actively discussed neighborhood safety, | ||
defining violence and how and why violence occurs in their | ||
communities. The listening sessions provided different | ||
solutions to address violence, however, all sessions confirmed | ||
a disconnect from the priorities of government and the needs | ||
of these communities.
| ||
Section 72-10. Study. The Department of Public Health and | ||
the Department of Human Services shall study how to create a | ||
process to identify high violence communities, also known as | ||
R3 (Restore, Reinvest, and Renew) areas, and prioritize State | ||
dollars to go to these communities to fund programs as well as | ||
community and economic development projects that would address | ||
the underlying causes of crime and violence.
| ||
Due to a variety of reasons, including in particular the | ||
State's budget impasse, funds from multiple sources to | ||
establish such a comprehensive policy are subject to | ||
appropriation. Private philanthropic efforts will also be | ||
considered. Policies like R3 are needed in order to provide | ||
communities that have historically suffered from divestment, | ||
poverty, and incarceration with smart solutions that can solve |
the plague of structural violence that includes collective, | ||
interpersonal, and self-directed violence. Understanding | ||
structural violence helps explain the multiple and often | ||
intersecting forces that create and perpetuate these | ||
conditions on multiple levels. It is clear that violence is a | ||
public health problem that needs to be treated as such. | ||
Research has shown that when violence is treated in such a way | ||
that educates, fosters collaboration, and redirects the | ||
funding on a governmental level, its effects can be slowed or | ||
even halted, resulting in civility being brought to our | ||
communities in the State of Illinois. Research has shown that | ||
when violence is treated in such a way, then its effects can be | ||
slowed or even halted. | ||
Section 72-15. Report.
The Department of Public Health | ||
and the Department of Human Services are required to report | ||
their findings to the General Assembly by December 31, 2021. | ||
Article 80. | ||
Section 80-5. The Employee Sick Leave Act is amended by | ||
changing Sections 5 and 10 as follows: | ||
(820 ILCS 191/5)
| ||
Sec. 5. Definitions. In this Act: | ||
"Covered family member" means an employee's child, |
stepchild, spouse, domestic partner, sibling, parent, | ||
mother-in-law, father-in-law, grandchild, grandparent, or | ||
stepparent. | ||
"Department" means the Department of Labor. | ||
"Personal care" means activities to ensure that a covered | ||
family member's basic medical, hygiene, nutritional, or safety | ||
needs are met, or to provide transportation to medical | ||
appointments, for a covered family member who is unable to | ||
meet those needs himself or herself. "Personal care" also | ||
means being physically present to provide emotional support to | ||
a covered family member with a serious health condition who is | ||
receiving inpatient or home care. | ||
"Personal sick leave benefits" means any paid or unpaid | ||
time available to an employee as provided through an | ||
employment benefit plan or paid time off policy to be used as a | ||
result of absence from work due to personal illness, injury, | ||
or medical appointment , or for personal care of a covered | ||
family member . An employment benefit plan or paid time off | ||
policy does not include long term disability, short term | ||
disability, an insurance policy, or other comparable benefit | ||
plan or policy.
| ||
(Source: P.A. 99-841, eff. 1-1-17; 99-921, eff. 1-13-17.) | ||
(820 ILCS 191/10)
| ||
Sec. 10. Use of leave; limitations. | ||
(a) An employee may use personal sick leave benefits |
provided by the employer for absences due to an illness, | ||
injury, or medical appointment of the employee's child, | ||
stepchild, spouse, domestic partner, sibling, parent, | ||
mother-in-law, father-in-law, grandchild, grandparent, or | ||
stepparent, or for personal care of a covered family member on | ||
the same terms upon which the employee is able to use personal | ||
sick leave benefits for the employee's own illness or injury. | ||
An employer may request written verification of the employee's | ||
absence from a health care professional if such verification | ||
is required under the employer's employment benefit plan or | ||
paid time off policy. | ||
(b) An employer may limit the use of personal sick leave | ||
benefits provided by the employer for absences due to an | ||
illness, injury, or medical appointment , or personal care of | ||
the employee's covered family member of the employee's child, | ||
stepchild, spouse, domestic partner, sibling, parent, | ||
mother-in-law, father-in-law, grandchild, grandparent, or | ||
stepparent to an amount not less than the personal sick leave | ||
that would be earned or accrued during 6 months at the | ||
employee's then current rate of entitlement. For employers who | ||
base personal sick leave benefits on an employee's years of | ||
service instead of annual or monthly accrual, such employer | ||
may limit the amount of sick leave to be used under this Act to | ||
half of the employee's maximum annual grant. | ||
(c) An employer who provides personal sick leave benefits | ||
or a paid time off policy that would otherwise provide |
benefits as required under subsections (a) and (b) shall not | ||
be required to modify such benefits.
| ||
(Source: P.A. 99-841, eff. 1-1-17; 99-921, eff. 1-13-17.) | ||
Article 90. | ||
Section 90-5. The Nursing Home Care Act is amended by | ||
adding Section 3-206.06 as follows: | ||
(210 ILCS 45/3-206.06 new) | ||
Sec. 3-206.06. Testing for Legionella bacteria. A facility | ||
shall develop a policy for testing its water supply for | ||
Legionella bacteria. The policy shall include the frequency | ||
with which testing is conducted. The policy and the results of | ||
any tests shall be made available to the Department upon | ||
request. | ||
Section 90-10. The Hospital Licensing Act is amended by | ||
adding Section 6.29 as follows: | ||
(210 ILCS 85/6.29 new) | ||
Sec. 6.29. Testing for Legionella bacteria. A hospital | ||
shall develop a policy for testing its water supply for | ||
Legionella bacteria. The policy shall include the frequency | ||
with which testing is conducted. The policy and the results of | ||
any tests shall be made available to the Department upon |
request. | ||
Article 95. | ||
Section 95-5. The Child Care Act of 1969 is amended by | ||
changing Section 7 as follows:
| ||
(225 ILCS 10/7) (from Ch. 23, par. 2217)
| ||
Sec. 7. (a) The Department must prescribe and publish | ||
minimum standards
for licensing that apply to the various | ||
types of facilities for child care
defined in this Act and that | ||
are equally applicable to like institutions
under the control | ||
of the Department and to foster family homes used by and
under | ||
the direct supervision of the Department. The Department shall | ||
seek
the advice and assistance of persons representative of | ||
the various types of
child care facilities in establishing | ||
such standards. The standards
prescribed and published under | ||
this Act take effect as provided in the
Illinois | ||
Administrative Procedure Act, and are restricted to
| ||
regulations pertaining to the following matters and to any | ||
rules and regulations required or permitted by any other | ||
Section of this Act:
| ||
(1) The operation and conduct of the facility and | ||
responsibility it
assumes for child care;
| ||
(2) The character, suitability and qualifications of | ||
the applicant and
other persons directly responsible for |
the care and welfare of children
served. All child day | ||
care center licensees and employees who are required
to
| ||
report child abuse or neglect under the Abused and | ||
Neglected Child Reporting
Act shall be required to attend | ||
training on recognizing child abuse and
neglect, as | ||
prescribed by Department rules;
| ||
(3) The general financial ability and competence of | ||
the applicant to
provide necessary care for children and | ||
to maintain prescribed standards;
| ||
(4) The number of individuals or staff required to | ||
insure adequate
supervision and care of the children | ||
received. The standards shall provide
that each child care | ||
institution, maternity center, day care center,
group | ||
home, day care home, and group day care home shall have on | ||
its
premises during its hours of operation at
least one | ||
staff member certified in first aid, in the Heimlich | ||
maneuver and
in cardiopulmonary resuscitation by the | ||
American Red Cross or other
organization approved by rule | ||
of the Department. Child welfare agencies
shall not be | ||
subject to such a staffing requirement. The Department may
| ||
offer, or arrange for the offering, on a periodic basis in | ||
each community
in this State in cooperation with the | ||
American Red Cross, the American
Heart Association or | ||
other appropriate organization, voluntary programs to
| ||
train operators of foster family homes and day care homes | ||
in first aid and
cardiopulmonary resuscitation;
|
(5) The appropriateness, safety, cleanliness, and | ||
general adequacy of the
premises, including maintenance of | ||
adequate fire prevention and health
standards conforming | ||
to State laws and municipal codes to provide for the
| ||
physical comfort, care, and well-being of children | ||
received;
| ||
(6) Provisions for food, clothing, educational | ||
opportunities, program,
equipment and individual supplies | ||
to assure the healthy physical, mental,
and spiritual | ||
development of children served;
| ||
(7) Provisions to safeguard the legal rights of | ||
children served;
| ||
(8) Maintenance of records pertaining to the | ||
admission, progress, health,
and discharge of children, | ||
including, for day care centers and day care
homes, | ||
records indicating each child has been immunized as | ||
required by State
regulations. The Department shall | ||
require proof that children enrolled in
a facility have | ||
been immunized against Haemophilus Influenzae B (HIB);
| ||
(9) Filing of reports with the Department;
| ||
(10) Discipline of children;
| ||
(11) Protection and fostering of the particular
| ||
religious faith of the children served;
| ||
(12) Provisions prohibiting firearms on day care | ||
center premises
except in the possession of peace | ||
officers;
|
(13) Provisions prohibiting handguns on day care home | ||
premises except in
the possession of peace officers or | ||
other adults who must possess a handgun
as a condition of | ||
employment and who reside on the premises of a day care | ||
home;
| ||
(14) Provisions requiring that any firearm permitted | ||
on day care home
premises, except handguns in the | ||
possession of peace officers, shall be
kept in a | ||
disassembled state, without ammunition, in locked storage,
| ||
inaccessible to children and that ammunition permitted on | ||
day care home
premises shall be kept in locked storage | ||
separate from that of disassembled
firearms, inaccessible | ||
to children;
| ||
(15) Provisions requiring notification of parents or | ||
guardians enrolling
children at a day care home of the | ||
presence in the day care home of any
firearms and | ||
ammunition and of the arrangements for the separate, | ||
locked
storage of such firearms and ammunition;
| ||
(16) Provisions requiring all licensed child care | ||
facility employees who care for newborns and infants to | ||
complete training every 3 years on the nature of sudden | ||
unexpected infant death (SUID), sudden infant death | ||
syndrome (SIDS), and the safe sleep recommendations of the | ||
American Academy of Pediatrics; and | ||
(17) With respect to foster family homes, provisions | ||
requiring the Department to review quality of care |
concerns and to consider those concerns in determining | ||
whether a foster family home is qualified to care for | ||
children. | ||
By July 1, 2022, all licensed day care home providers, | ||
licensed group day care home providers, and licensed day care | ||
center directors and classroom staff shall participate in at | ||
least one training that includes the topics of early childhood | ||
social emotional learning, infant and early childhood mental | ||
health, early childhood trauma, or adverse childhood | ||
experiences. Current licensed providers, directors, and | ||
classroom staff shall complete training by July 1, 2022 and | ||
shall participate in training that includes the above topics | ||
at least once every 3 years. | ||
(b) If, in a facility for general child care, there are | ||
children
diagnosed as mentally ill or children diagnosed as | ||
having an intellectual or physical disability, who
are | ||
determined to be in need of special mental treatment or of | ||
nursing
care, or both mental treatment and nursing care, the | ||
Department shall seek
the advice and recommendation of the | ||
Department of Human Services,
the Department of Public Health, | ||
or both
Departments regarding the residential treatment and | ||
nursing care provided
by the institution.
| ||
(c) The Department shall investigate any person applying | ||
to be
licensed as a foster parent to determine whether there is | ||
any evidence of
current drug or alcohol abuse in the | ||
prospective foster family. The
Department shall not license a |
person as a foster parent if drug or alcohol
abuse has been | ||
identified in the foster family or if a reasonable suspicion
| ||
of such abuse exists, except that the Department may grant a | ||
foster parent
license to an applicant identified with an | ||
alcohol or drug problem if the
applicant has successfully | ||
participated in an alcohol or drug treatment
program, | ||
self-help group, or other suitable activities and if the | ||
Department determines that the foster family home can provide | ||
a safe, appropriate environment and meet the physical and | ||
emotional needs of children.
| ||
(d) The Department, in applying standards prescribed and | ||
published, as
herein provided, shall offer consultation | ||
through employed staff or other
qualified persons to assist | ||
applicants and licensees in meeting and
maintaining minimum | ||
requirements for a license and to help them otherwise
to | ||
achieve programs of excellence related to the care of children | ||
served.
Such consultation shall include providing information | ||
concerning education
and training in early childhood | ||
development to providers of day care home
services. The | ||
Department may provide or arrange for such education and
| ||
training for those providers who request such assistance.
| ||
(e) The Department shall distribute copies of licensing
| ||
standards to all licensees and applicants for a license. Each | ||
licensee or
holder of a permit shall distribute copies of the | ||
appropriate licensing
standards and any other information | ||
required by the Department to child
care facilities under its |
supervision. Each licensee or holder of a permit
shall | ||
maintain appropriate documentation of the distribution of the
| ||
standards. Such documentation shall be part of the records of | ||
the facility
and subject to inspection by authorized | ||
representatives of the Department.
| ||
(f) The Department shall prepare summaries of day care | ||
licensing
standards. Each licensee or holder of a permit for a | ||
day care facility
shall distribute a copy of the appropriate | ||
summary and any other
information required by the Department, | ||
to the legal guardian of each child
cared for in that facility | ||
at the time when the child is enrolled or
initially placed in | ||
the facility. The licensee or holder of a permit for a
day care | ||
facility shall secure appropriate documentation of the
| ||
distribution of the summary and brochure. Such documentation | ||
shall be a
part of the records of the facility and subject to | ||
inspection by an
authorized representative of the Department.
| ||
(g) The Department shall distribute to each licensee and
| ||
holder of a permit copies of the licensing or permit standards | ||
applicable
to such person's facility. Each licensee or holder | ||
of a permit shall make
available by posting at all times in a | ||
common or otherwise accessible area
a complete and current set | ||
of licensing standards in order that all
employees of the | ||
facility may have unrestricted access to such standards.
All | ||
employees of the facility shall have reviewed the standards | ||
and any
subsequent changes. Each licensee or holder of a | ||
permit shall maintain
appropriate documentation of the current |
review of licensing standards by
all employees. Such records | ||
shall be part of the records of the facility
and subject to | ||
inspection by authorized representatives of the Department.
| ||
(h) Any standards involving physical examinations, | ||
immunization,
or medical treatment shall include appropriate | ||
exemptions for children
whose parents object thereto on the | ||
grounds that they conflict with the
tenets and practices of a | ||
recognized church or religious organization, of
which the | ||
parent is an adherent or member, and for children who should | ||
not
be subjected to immunization for clinical reasons.
| ||
(i) The Department, in cooperation with the Department of | ||
Public Health, shall work to increase immunization awareness | ||
and participation among parents of children enrolled in day | ||
care centers and day care homes by publishing on the | ||
Department's website information about the benefits of | ||
immunization against vaccine preventable diseases, including | ||
influenza and pertussis. The information for vaccine | ||
preventable diseases shall include the incidence and severity | ||
of the diseases, the availability of vaccines, and the | ||
importance of immunizing children and persons who frequently | ||
have close contact with children. The website content shall be | ||
reviewed annually in collaboration with the Department of | ||
Public Health to reflect the most current recommendations of | ||
the Advisory Committee on Immunization Practices (ACIP). The | ||
Department shall work with day care centers and day care homes | ||
licensed under this Act to ensure that the information is |
annually distributed to parents in August or September. | ||
(j) Any standard adopted by the Department that requires | ||
an applicant for a license to operate a day care home to | ||
include a copy of a high school diploma or equivalent | ||
certificate with his or her application shall be deemed to be | ||
satisfied if the applicant includes a copy of a high school | ||
diploma or equivalent certificate or a copy of a degree from an | ||
accredited institution of higher education or vocational | ||
institution or equivalent certificate. | ||
(Source: P.A. 99-143, eff. 7-27-15; 99-779, eff. 1-1-17; | ||
100-201, eff. 8-18-17.)
| ||
Article 100. | ||
Section 100-1. Short title. This Article may be cited as | ||
the Special Commission on Gynecologic Cancers Act. | ||
Section 100-5. Creation; members; duties; report. | ||
(a) The Special Commission on Gynecologic Cancers is | ||
created. Membership of the Commission shall be as follows: | ||
(1) A representative of the Illinois Comprehensive | ||
Cancer Control Program, appointed by the Director of | ||
Public Health; | ||
(2) The Director of Insurance, or his or her designee; | ||
and | ||
(3) 20 members who shall be appointed as follows: |
(A) three members appointed by the Speaker of | ||
the House of Representatives, one of whom shall be a | ||
survivor of ovarian cancer, one of whom shall be a | ||
survivor of cervical, vaginal, vulvar, or uterine | ||
cancer, and one of whom shall be a medical specialist | ||
in gynecologic cancers; | ||
(B) three members appointed by the Senate | ||
President, one of whom shall be a survivor of ovarian | ||
cancer, one of whom shall be a survivor of cervical, | ||
vaginal, vulvar, or uterine cancer, and one of whom | ||
shall be a medical specialist in gynecologic cancers; | ||
(C) three members appointed by the House | ||
Minority Leader, one of whom shall be a survivor of | ||
ovarian cancer, one of whom shall be a survivor of | ||
cervical, vaginal, vulvar, or uterine cancer, and one | ||
of whom shall be a medical specialist in gynecologic | ||
cancers; | ||
(D) three members appointed by the Senate | ||
Minority Leader, one of whom shall be a survivor of | ||
ovarian cancer, one of whom shall be a survivor of | ||
cervical, vaginal, vulvar, or uterine cancer, and one | ||
of whom shall be a medical specialist in gynecologic | ||
cancers; and | ||
(E) eight members appointed by the Governor, | ||
one of whom shall be a caregiver of a woman diagnosed | ||
with a gynecologic cancer, one of whom shall be a |
medical specialist in gynecologic cancers, one of whom | ||
shall be an individual with expertise in community | ||
based health care and issues affecting underserved and | ||
vulnerable populations, 2 of whom shall be individuals | ||
representing gynecologic cancer awareness and support | ||
groups in the State, one of whom shall be a researcher | ||
specializing in gynecologic cancers, and 2 of whom | ||
shall be members of the public with demonstrated | ||
expertise in issues relating to the work of the | ||
Commission. | ||
(b) Members of the Commission shall serve without | ||
compensation or reimbursement from the Commission. Members | ||
shall select a Chair from among themselves and the Chair shall | ||
set the meeting schedule. | ||
(c) The Illinois Department of Public Health shall provide | ||
administrative support to the Commission. | ||
(d) The Commission is charged with the study of the | ||
following: | ||
(1) establishing a mechanism to ascertain the | ||
prevalence of gynecologic cancers in the State and, to the | ||
extent possible, to collect statistics relative to the | ||
timing of diagnosis and risk factors associated with | ||
gynecologic cancers; | ||
(2) determining how to best effectuate early diagnosis | ||
and treatment for gynecologic cancer patients; | ||
(3) determining best practices for closing disparities |
in outcomes for gynecologic cancer patients and innovative | ||
approaches to reaching underserved and vulnerable | ||
populations; | ||
(4) determining any unmet needs of persons with | ||
gynecologic cancers and those of their families; and | ||
(5) providing recommendations for additional | ||
legislation, support programs, and resources to meet the | ||
unmet needs of persons with gynecologic cancers and their | ||
families. | ||
(e) The Commission shall file its final report with the | ||
General Assembly no later than December 31, 2021 and, upon the | ||
filing of its report, is dissolved. | ||
Section 100-90. Repeal. This Article is repealed on | ||
January 1, 2023.
| ||
Article 105. | ||
Section 105-5. The Illinois Public Aid Code is amended by | ||
changing Section 5A-12.7 as follows: | ||
(305 ILCS 5/5A-12.7) | ||
(Section scheduled to be repealed on December 31, 2022) | ||
Sec. 5A-12.7. Continuation of hospital access payments on | ||
and after July 1, 2020. | ||
(a) To preserve and improve access to hospital services, |
for hospital services rendered on and after July 1, 2020, the | ||
Department shall, except for hospitals described in subsection | ||
(b) of Section 5A-3, make payments to hospitals or require | ||
capitated managed care organizations to make payments as set | ||
forth in this Section. Payments under this Section are not due | ||
and payable, however, until: (i) the methodologies described | ||
in this Section are approved by the federal government in an | ||
appropriate State Plan amendment or directed payment preprint; | ||
and (ii) the assessment imposed under this Article is | ||
determined to be a permissible tax under Title XIX of the | ||
Social Security Act. In determining the hospital access | ||
payments authorized under subsection (g) of this Section, if a | ||
hospital ceases to qualify for payments from the pool, the | ||
payments for all hospitals continuing to qualify for payments | ||
from such pool shall be uniformly adjusted to fully expend the | ||
aggregate net amount of the pool, with such adjustment being | ||
effective on the first day of the second month following the | ||
date the hospital ceases to receive payments from such pool. | ||
(b) Amounts moved into claims-based rates and distributed | ||
in accordance with Section 14-12 shall remain in those | ||
claims-based rates. | ||
(c) Graduate medical education. | ||
(1) The calculation of graduate medical education | ||
payments shall be based on the hospital's Medicare cost | ||
report ending in Calendar Year 2018, as reported in the | ||
Healthcare Cost Report Information System file, release |
date September 30, 2019. An Illinois hospital reporting | ||
intern and resident cost on its Medicare cost report shall | ||
be eligible for graduate medical education payments. | ||
(2) Each hospital's annualized Medicaid Intern | ||
Resident Cost is calculated using annualized intern and | ||
resident total costs obtained from Worksheet B Part I, | ||
Columns 21 and 22 the sum of Lines 30-43, 50-76, 90-93, | ||
96-98, and 105-112 multiplied by the percentage that the | ||
hospital's Medicaid days (Worksheet S3 Part I, Column 7, | ||
Lines 2, 3, 4, 14, 16-18, and 32) comprise of the | ||
hospital's total days (Worksheet S3 Part I, Column 8, | ||
Lines 14, 16-18, and 32). | ||
(3) An annualized Medicaid indirect medical education | ||
(IME) payment is calculated for each hospital using its | ||
IME payments (Worksheet E Part A, Line 29, Column 1) | ||
multiplied by the percentage that its Medicaid days | ||
(Worksheet S3 Part I, Column 7, Lines 2, 3, 4, 14, 16-18, | ||
and 32) comprise of its Medicare days (Worksheet S3 Part | ||
I, Column 6, Lines 2, 3, 4, 14, and 16-18). | ||
(4) For each hospital, its annualized Medicaid Intern | ||
Resident Cost and its annualized Medicaid IME payment are | ||
summed, and, except as capped at 120% of the average cost | ||
per intern and resident for all qualifying hospitals as | ||
calculated under this paragraph, is multiplied by 22.6% to | ||
determine the hospital's final graduate medical education | ||
payment. Each hospital's average cost per intern and |
resident shall be calculated by summing its total | ||
annualized Medicaid Intern Resident Cost plus its | ||
annualized Medicaid IME payment and dividing that amount | ||
by the hospital's total Full Time Equivalent Residents and | ||
Interns. If the hospital's average per intern and resident | ||
cost is greater than 120% of the same calculation for all | ||
qualifying hospitals, the hospital's per intern and | ||
resident cost shall be capped at 120% of the average cost | ||
for all qualifying hospitals. | ||
(d) Fee-for-service supplemental payments. Each Illinois | ||
hospital shall receive an annual payment equal to the amounts | ||
below, to be paid in 12 equal installments on or before the | ||
seventh State business day of each month, except that no | ||
payment shall be due within 30 days after the later of the date | ||
of notification of federal approval of the payment | ||
methodologies required under this Section or any waiver | ||
required under 42 CFR 433.68, at which time the sum of amounts | ||
required under this Section prior to the date of notification | ||
is due and payable. | ||
(1) For critical access hospitals, $385 per covered | ||
inpatient day contained in paid fee-for-service claims and | ||
$530 per paid fee-for-service outpatient claim for dates | ||
of service in Calendar Year 2019 in the Department's | ||
Enterprise Data Warehouse as of May 11, 2020. | ||
(2) For safety-net hospitals, $960 per covered | ||
inpatient day contained in paid fee-for-service claims and |
$625 per paid fee-for-service outpatient claim for dates | ||
of service in Calendar Year 2019 in the Department's | ||
Enterprise Data Warehouse as of May 11, 2020. | ||
(3) For long term acute care hospitals, $295 per | ||
covered inpatient day contained in paid fee-for-service | ||
claims for dates of service in Calendar Year 2019 in the | ||
Department's Enterprise Data Warehouse as of May 11, 2020. | ||
(4) For freestanding psychiatric hospitals, $125 per | ||
covered inpatient day contained in paid fee-for-service | ||
claims and $130 per paid fee-for-service outpatient claim | ||
for dates of service in Calendar Year 2019 in the | ||
Department's Enterprise Data Warehouse as of May 11, 2020. | ||
(5) For freestanding rehabilitation hospitals, $355 | ||
per covered inpatient day contained in paid | ||
fee-for-service claims for dates of service in Calendar | ||
Year 2019 in the Department's Enterprise Data Warehouse as | ||
of May 11, 2020. | ||
(6) For all general acute care hospitals and high | ||
Medicaid hospitals as defined in subsection (f), $350 per | ||
covered inpatient day for dates of service in Calendar | ||
Year 2019 contained in paid fee-for-service claims and | ||
$620 per paid fee-for-service outpatient claim in the | ||
Department's Enterprise Data Warehouse as of May 11, 2020. | ||
(7) Alzheimer's treatment access payment. Each | ||
Illinois academic medical center or teaching hospital, as | ||
defined in Section 5-5e.2 of this Code, that is identified |
as the primary hospital affiliate of one of the Regional | ||
Alzheimer's Disease Assistance Centers, as designated by | ||
the Alzheimer's Disease Assistance Act and identified in | ||
the Department of Public Health's Alzheimer's Disease | ||
State Plan dated December 2016, shall be paid an | ||
Alzheimer's treatment access payment equal to the product | ||
of the qualifying hospital's State Fiscal Year 2018 total | ||
inpatient fee-for-service days multiplied by the | ||
applicable Alzheimer's treatment rate of $226.30 for | ||
hospitals located in Cook County and $116.21 for hospitals | ||
located outside Cook County. | ||
(e) The Department shall require managed care | ||
organizations (MCOs) to make directed payments and | ||
pass-through payments according to this Section. Each calendar | ||
year, the Department shall require MCOs to pay the maximum | ||
amount out of these funds as allowed as pass-through payments | ||
under federal regulations. The Department shall require MCOs | ||
to make such pass-through payments as specified in this | ||
Section. The Department shall require the MCOs to pay the | ||
remaining amounts as directed Payments as specified in this | ||
Section. The Department shall issue payments to the | ||
Comptroller by the seventh business day of each month for all | ||
MCOs that are sufficient for MCOs to make the directed | ||
payments and pass-through payments according to this Section. | ||
The Department shall require the MCOs to make pass-through | ||
payments and directed payments using electronic funds |
transfers (EFT), if the hospital provides the information | ||
necessary to process such EFTs, in accordance with directions | ||
provided monthly by the Department, within 7 business days of | ||
the date the funds are paid to the MCOs, as indicated by the | ||
"Paid Date" on the website of the Office of the Comptroller if | ||
the funds are paid by EFT and the MCOs have received directed | ||
payment instructions. If funds are not paid through the | ||
Comptroller by EFT, payment must be made within 7 business | ||
days of the date actually received by the MCO. The MCO will be | ||
considered to have paid the pass-through payments when the | ||
payment remittance number is generated or the date the MCO | ||
sends the check to the hospital, if EFT information is not | ||
supplied. If an MCO is late in paying a pass-through payment or | ||
directed payment as required under this Section (including any | ||
extensions granted by the Department), it shall pay a penalty, | ||
unless waived by the Department for reasonable cause, to the | ||
Department equal to 5% of the amount of the pass-through | ||
payment or directed payment not paid on or before the due date | ||
plus 5% of the portion thereof remaining unpaid on the last day | ||
of each 30-day period thereafter. Payments to MCOs that would | ||
be paid consistent with actuarial certification and enrollment | ||
in the absence of the increased capitation payments under this | ||
Section shall not be reduced as a consequence of payments made | ||
under this subsection. The Department shall publish and | ||
maintain on its website for a period of no less than 8 calendar | ||
quarters, the quarterly calculation of directed payments and |
pass-through payments owed to each hospital from each MCO. All | ||
calculations and reports shall be posted no later than the | ||
first day of the quarter for which the payments are to be | ||
issued. | ||
(f)(1) For purposes of allocating the funds included in | ||
capitation payments to MCOs, Illinois hospitals shall be | ||
divided into the following classes as defined in | ||
administrative rules: | ||
(A) Critical access hospitals. | ||
(B) Safety-net hospitals, except that stand-alone | ||
children's hospitals that are not specialty children's | ||
hospitals will not be included. | ||
(C) Long term acute care hospitals. | ||
(D) Freestanding psychiatric hospitals. | ||
(E) Freestanding rehabilitation hospitals. | ||
(F) High Medicaid hospitals. As used in this Section, | ||
"high Medicaid hospital" means a general acute care | ||
hospital that is not a safety-net hospital or critical | ||
access hospital and that has a Medicaid Inpatient | ||
Utilization Rate above 30% or a hospital that had over | ||
35,000 inpatient Medicaid days during the applicable | ||
period. For the period July 1, 2020 through December 31, | ||
2020, the applicable period for the Medicaid Inpatient | ||
Utilization Rate (MIUR) is the rate year 2020 MIUR and for | ||
the number of inpatient days it is State fiscal year 2018. | ||
Beginning in calendar year 2021, the Department shall use |
the most recently determined MIUR, as defined in | ||
subsection (h) of Section 5-5.02, and for the inpatient | ||
day threshold, the State fiscal year ending 18 months | ||
prior to the beginning of the calendar year. For purposes | ||
of calculating MIUR under this Section, children's | ||
hospitals and affiliated general acute care hospitals | ||
shall be considered a single hospital. | ||
(G) General acute care hospitals. As used under this | ||
Section, "general acute care hospitals" means all other | ||
Illinois hospitals not identified in subparagraphs (A) | ||
through (F). | ||
(2) Hospitals' qualification for each class shall be | ||
assessed prior to the beginning of each calendar year and the | ||
new class designation shall be effective January 1 of the next | ||
year. The Department shall publish by rule the process for | ||
establishing class determination. | ||
(g) Fixed pool directed payments. Beginning July 1, 2020, | ||
the Department shall issue payments to MCOs which shall be | ||
used to issue directed payments to qualified Illinois | ||
safety-net hospitals and critical access hospitals on a | ||
monthly basis in accordance with this subsection. Prior to the | ||
beginning of each Payout Quarter beginning July 1, 2020, the | ||
Department shall use encounter claims data from the | ||
Determination Quarter, accepted by the Department's Medicaid | ||
Management Information System for inpatient and outpatient | ||
services rendered by safety-net hospitals and critical access |
hospitals to determine a quarterly uniform per unit add-on for | ||
each hospital class. | ||
(1) Inpatient per unit add-on. A quarterly uniform per | ||
diem add-on shall be derived by dividing the quarterly | ||
Inpatient Directed Payments Pool amount allocated to the | ||
applicable hospital class by the total inpatient days | ||
contained on all encounter claims received during the | ||
Determination Quarter, for all hospitals in the class. | ||
(A) Each hospital in the class shall have a | ||
quarterly inpatient directed payment calculated that | ||
is equal to the product of the number of inpatient days | ||
attributable to the hospital used in the calculation | ||
of the quarterly uniform class per diem add-on, | ||
multiplied by the calculated applicable quarterly | ||
uniform class per diem add-on of the hospital class. | ||
(B) Each hospital shall be paid 1/3 of its | ||
quarterly inpatient directed payment in each of the 3 | ||
months of the Payout Quarter, in accordance with | ||
directions provided to each MCO by the Department. | ||
(2) Outpatient per unit add-on. A quarterly uniform | ||
per claim add-on shall be derived by dividing the | ||
quarterly Outpatient Directed Payments Pool amount | ||
allocated to the applicable hospital class by the total | ||
outpatient encounter claims received during the | ||
Determination Quarter, for all hospitals in the class. | ||
(A) Each hospital in the class shall have a |
quarterly outpatient directed payment calculated that | ||
is equal to the product of the number of outpatient | ||
encounter claims attributable to the hospital used in | ||
the calculation of the quarterly uniform class per | ||
claim add-on, multiplied by the calculated applicable | ||
quarterly uniform class per claim add-on of the | ||
hospital class. | ||
(B) Each hospital shall be paid 1/3 of its | ||
quarterly outpatient directed payment in each of the 3 | ||
months of the Payout Quarter, in accordance with | ||
directions provided to each MCO by the Department. | ||
(3) Each MCO shall pay each hospital the Monthly | ||
Directed Payment as identified by the Department on its | ||
quarterly determination report. | ||
(4) Definitions. As used in this subsection: | ||
(A) "Payout Quarter" means each 3 month calendar | ||
quarter, beginning July 1, 2020. | ||
(B) "Determination Quarter" means each 3 month | ||
calendar quarter, which ends 3 months prior to the | ||
first day of each Payout Quarter. | ||
(5) For the period July 1, 2020 through December 2020, | ||
the following amounts shall be allocated to the following | ||
hospital class directed payment pools for the quarterly | ||
development of a uniform per unit add-on: | ||
(A) $2,894,500 for hospital inpatient services for | ||
critical access hospitals. |
(B) $4,294,374 for hospital outpatient services | ||
for critical access hospitals. | ||
(C) $29,109,330 for hospital inpatient services | ||
for safety-net hospitals. | ||
(D) $35,041,218 for hospital outpatient services | ||
for safety-net hospitals. | ||
(h) Fixed rate directed payments. Effective July 1, 2020, | ||
the Department shall issue payments to MCOs which shall be | ||
used to issue directed payments to Illinois hospitals not | ||
identified in paragraph (g) on a monthly basis. Prior to the | ||
beginning of each Payout Quarter beginning July 1, 2020, the | ||
Department shall use encounter claims data from the | ||
Determination Quarter, accepted by the Department's Medicaid | ||
Management Information System for inpatient and outpatient | ||
services rendered by hospitals in each hospital class | ||
identified in paragraph (f) and not identified in paragraph | ||
(g). For the period July 1, 2020 through December 2020, the | ||
Department shall direct MCOs to make payments as follows: | ||
(1) For general acute care hospitals an amount equal | ||
to $1,750 multiplied by the hospital's category of service | ||
20 case mix index for the determination quarter multiplied | ||
by the hospital's total number of inpatient admissions for | ||
category of service 20 for the determination quarter. | ||
(2) For general acute care hospitals an amount equal | ||
to $160 multiplied by the hospital's category of service | ||
21 case mix index for the determination quarter multiplied |
by the hospital's total number of inpatient admissions for | ||
category of service 21 for the determination quarter. | ||
(3) For general acute care hospitals an amount equal | ||
to $80 multiplied by the hospital's category of service 22 | ||
case mix index for the determination quarter multiplied by | ||
the hospital's total number of inpatient admissions for | ||
category of service 22 for the determination quarter. | ||
(4) For general acute care hospitals an amount equal | ||
to $375 multiplied by the hospital's category of service | ||
24 case mix index for the determination quarter multiplied | ||
by the hospital's total number of category of service 24 | ||
paid EAPG (EAPGs) for the determination quarter. | ||
(5) For general acute care hospitals an amount equal | ||
to $240 multiplied by the hospital's category of service | ||
27 and 28 case mix index for the determination quarter | ||
multiplied by the hospital's total number of category of | ||
service 27 and 28 paid EAPGs for the determination | ||
quarter. | ||
(6) For general acute care hospitals an amount equal | ||
to $290 multiplied by the hospital's category of service | ||
29 case mix index for the determination quarter multiplied | ||
by the hospital's total number of category of service 29 | ||
paid EAPGs for the determination quarter. | ||
(7) For high Medicaid hospitals an amount equal to | ||
$1,800 multiplied by the hospital's category of service 20 | ||
case mix index for the determination quarter multiplied by |
the hospital's total number of inpatient admissions for | ||
category of service 20 for the determination quarter. | ||
(8) For high Medicaid hospitals an amount equal to | ||
$160 multiplied by the hospital's category of service 21 | ||
case mix index for the determination quarter multiplied by | ||
the hospital's total number of inpatient admissions for | ||
category of service 21 for the determination quarter. | ||
(9) For high Medicaid hospitals an amount equal to $80 | ||
multiplied by the hospital's category of service 22 case | ||
mix index for the determination quarter multiplied by the | ||
hospital's total number of inpatient admissions for | ||
category of service 22 for the determination quarter. | ||
(10) For high Medicaid hospitals an amount equal to | ||
$400 multiplied by the hospital's category of service 24 | ||
case mix index for the determination quarter multiplied by | ||
the hospital's total number of category of service 24 paid | ||
EAPG outpatient claims for the determination quarter. | ||
(11) For high Medicaid hospitals an amount equal to | ||
$240 multiplied by the hospital's category of service 27 | ||
and 28 case mix index for the determination quarter | ||
multiplied by the hospital's total number of category of | ||
service 27 and 28 paid EAPGs for the determination | ||
quarter. | ||
(12) For high Medicaid hospitals an amount equal to | ||
$290 multiplied by the hospital's category of service 29 | ||
case mix index for the determination quarter multiplied by |
the hospital's total number of category of service 29 paid | ||
EAPGs for the determination quarter. | ||
(13) For long term acute care hospitals the amount of | ||
$495 multiplied by the hospital's total number of | ||
inpatient days for the determination quarter. | ||
(14) For psychiatric hospitals the amount of $210 | ||
multiplied by the hospital's total number of inpatient | ||
days for category of service 21 for the determination | ||
quarter. | ||
(15) For psychiatric hospitals the amount of $250 | ||
multiplied by the hospital's total number of outpatient | ||
claims for category of service 27 and 28 for the | ||
determination quarter. | ||
(16) For rehabilitation hospitals the amount of $410 | ||
multiplied by the hospital's total number of inpatient | ||
days for category of service 22 for the determination | ||
quarter. | ||
(17) For rehabilitation hospitals the amount of $100 | ||
multiplied by the hospital's total number of outpatient | ||
claims for category of service 29 for the determination | ||
quarter. | ||
(18) Each hospital shall be paid 1/3 of their | ||
quarterly inpatient and outpatient directed payment in | ||
each of the 3 months of the Payout Quarter, in accordance | ||
with directions provided to each MCO by the Department. | ||
(19) Each MCO shall pay each hospital the Monthly |
Directed Payment amount as identified by the Department on | ||
its quarterly determination report. | ||
Notwithstanding any other provision of this subsection, if | ||
the Department determines that the actual total hospital | ||
utilization data that is used to calculate the fixed rate | ||
directed payments is substantially different than anticipated | ||
when the rates in this subsection were initially determined | ||
(for unforeseeable circumstances such as the COVID-19 | ||
pandemic), the Department may adjust the rates specified in | ||
this subsection so that the total directed payments | ||
approximate the total spending amount anticipated when the | ||
rates were initially established. | ||
Definitions. As used in this subsection: | ||
(A) "Payout Quarter" means each calendar quarter, | ||
beginning July 1, 2020. | ||
(B) "Determination Quarter" means each calendar | ||
quarter which ends 3 months prior to the first day of | ||
each Payout Quarter. | ||
(C) "Case mix index" means a hospital specific | ||
calculation. For inpatient claims the case mix index | ||
is calculated each quarter by summing the relative | ||
weight of all inpatient Diagnosis-Related Group (DRG) | ||
claims for a category of service in the applicable | ||
Determination Quarter and dividing the sum by the | ||
number of sum total of all inpatient DRG admissions | ||
for the category of service for the associated claims. |
The case mix index for outpatient claims is calculated | ||
each quarter by summing the relative weight of all | ||
paid EAPGs in the applicable Determination Quarter and | ||
dividing the sum by the sum total of paid EAPGs for the | ||
associated claims. | ||
(i) Beginning January 1, 2021, the rates for directed | ||
payments shall be recalculated in order to spend the | ||
additional funds for directed payments that result from | ||
reduction in the amount of pass-through payments allowed under | ||
federal regulations. The additional funds for directed | ||
payments shall be allocated proportionally to each class of | ||
hospitals based on that class' proportion of services. | ||
(j) Pass-through payments. | ||
(1) For the period July 1, 2020 through December 31, | ||
2020, the Department shall assign quarterly pass-through | ||
payments to each class of hospitals equal to one-fourth of | ||
the following annual allocations: | ||
(A) $390,487,095 to safety-net hospitals. | ||
(B) $62,553,886 to critical access hospitals. | ||
(C) $345,021,438 to high Medicaid hospitals. | ||
(D) $551,429,071 to general acute care hospitals. | ||
(E) $27,283,870 to long term acute care hospitals. | ||
(F) $40,825,444 to freestanding psychiatric | ||
hospitals. | ||
(G) $9,652,108 to freestanding rehabilitation | ||
hospitals. |
(2) The pass-through payments shall at a minimum | ||
ensure hospitals receive a total amount of monthly | ||
payments under this Section as received in calendar year | ||
2019 in accordance with this Article and paragraph (1) of | ||
subsection (d-5) of Section 14-12, exclusive of amounts | ||
received through payments referenced in subsection (b). | ||
(3) For the calendar year beginning January 1, 2021, | ||
and each calendar year thereafter, each hospital's | ||
pass-through payment amount shall be reduced | ||
proportionally to the reduction of all pass-through | ||
payments required by federal regulations. | ||
(k) At least 30 days prior to each calendar year, the | ||
Department shall notify each hospital of changes to the | ||
payment methodologies in this Section, including, but not | ||
limited to, changes in the fixed rate directed payment rates, | ||
the aggregate pass-through payment amount for all hospitals, | ||
and the hospital's pass-through payment amount for the | ||
upcoming calendar year. | ||
(l) Notwithstanding any other provisions of this Section, | ||
the Department may adopt rules to change the methodology for | ||
directed and pass-through payments as set forth in this | ||
Section, but only to the extent necessary to obtain federal | ||
approval of a necessary State Plan amendment or Directed | ||
Payment Preprint or to otherwise conform to federal law or | ||
federal regulation. | ||
(m) As used in this subsection, "managed care |
organization" or "MCO" means an entity which contracts with | ||
the Department to provide services where payment for medical | ||
services is made on a capitated basis, excluding contracted | ||
entities for dual eligible or Department of Children and | ||
Family Services youth populations.
| ||
(n) In order to address the escalating infant mortality | ||
rates among minority communities in Illinois, the State shall, | ||
subject to appropriation, create a pool of funding of at least | ||
$50,000,000 annually to be disbursed among safety-net | ||
hospitals that maintain perinatal designation from the | ||
Department of Public Health. The funding shall be used to | ||
preserve or enhance OB/GYN services or other specialty | ||
services at the receiving hospital, with the distribution of | ||
funding to be established by rule and with consideration to | ||
perinatal hospitals with safe birthing levels and quality | ||
metrics for healthy mothers and babies. | ||
(Source: P.A. 101-650, eff. 7-7-20.)
| ||
Article 110. | ||
Section 110-1. Short title. This Article may be cited as | ||
the Racial Impact Note Act. | ||
Section 110-5. Racial impact note. | ||
(a) Every bill which has or could have a disparate impact | ||
on racial and ethnic minorities, upon the request of any |
member, shall have prepared for it, before second reading in | ||
the house of introduction, a brief explanatory statement or | ||
note that shall include a reliable estimate of the anticipated | ||
impact on those racial and ethnic minorities likely to be | ||
impacted by the bill. Each racial impact note must include, | ||
for racial and ethnic minorities for which data are available: | ||
(i) an estimate of how the proposed legislation would impact | ||
racial and ethnic minorities; (ii) a statement of the | ||
methodologies and assumptions used in preparing the estimate; | ||
(iii) an estimate of the racial and ethnic composition of the | ||
population who may be impacted by the proposed legislation, | ||
including those persons who may be negatively impacted and | ||
those persons who may benefit from the proposed legislation; | ||
and (iv) any other matter that a responding agency considers | ||
appropriate in relation to the racial and ethnic minorities | ||
likely to be affected by the bill. | ||
Section 110-10. Preparation. | ||
(a) The sponsor of each bill for which a request under | ||
Section 110-5 has been made shall present a copy of the bill | ||
with the request for a racial impact note to the appropriate | ||
responding agency or agencies under subsection (b). The | ||
responding agency or agencies shall prepare and submit the | ||
note to the sponsor of the bill within 5 calendar days, except | ||
that whenever, because of the complexity of the measure, | ||
additional time is required for the preparation of the racial |
impact note, the responding agency or agencies may inform the | ||
sponsor of the bill, and the sponsor may approve an extension | ||
of the time within which the note is to be submitted, not to | ||
extend, however, beyond June 15, following the date of the | ||
request. If, in the opinion of the responding agency or | ||
agencies, there is insufficient information to prepare a | ||
reliable estimate of the anticipated impact, a statement to | ||
that effect can be filed and shall meet the requirements of | ||
this Act. | ||
(b) If a bill concerns arrests, convictions, or law | ||
enforcement, a statement shall be prepared by the Illinois | ||
Criminal Justice Information Authority specifying the impact | ||
on racial and ethnic minorities. If a bill concerns | ||
corrections, sentencing, or the placement of individuals | ||
within the Department of Corrections, a statement shall be | ||
prepared by the Department of Corrections specifying the | ||
impact on racial and ethnic minorities. If a bill concerns | ||
local government, a statement shall be prepared by the | ||
Department of Commerce and Economic Opportunity specifying the | ||
impact on racial and ethnic minorities. If a bill concerns | ||
education, one of the following agencies shall prepare a | ||
statement specifying the impact on racial and ethnic | ||
minorities: (i) the Illinois Community College Board, if the | ||
bill affects community colleges; (ii) the Illinois State Board | ||
of Education, if the bill affects primary and secondary | ||
education; or (iii) the Illinois Board of Higher Education, if |
the bill affects State universities. Any other State agency | ||
impacted or responsible for implementing all or part of this | ||
bill shall prepare a statement of the racial and ethnic impact | ||
of the bill as it relates to that agency. | ||
Section 110-15. Requisites and contents. The note shall be | ||
factual in nature, as brief and concise as may be, and, in | ||
addition, it shall include both the immediate effect and, if | ||
determinable or reasonably foreseeable, the long range effect | ||
of the measure on racial and ethnic minorities. If, after | ||
careful investigation, it is determined that such an effect is | ||
not ascertainable, the note shall contain a statement to that | ||
effect, setting forth the reasons why no ascertainable effect | ||
can be given. | ||
Section 110-20. Comment or opinion; technical or | ||
mechanical defects. No comment or opinion shall be included | ||
in the racial impact note with regard to the merits of the | ||
measure for which the racial impact note is prepared; however, | ||
technical or mechanical defects may be noted.
| ||
Section 110-25. Appearance of State officials and | ||
employees in support or opposition of measure. The fact that a | ||
racial impact note is prepared for any bill shall not preclude | ||
or restrict the appearance before any committee of the General | ||
Assembly of any official or authorized employee of the |
responding agency or agencies, or any other impacted State | ||
agency, who desires to be heard in support of or in opposition | ||
to the measure. | ||
Article 115. | ||
Section 115-5. The Illinois Public Aid Code is amended by | ||
adding Section 14-14 as follows: | ||
(305 ILCS 5/14-14 new) | ||
Sec. 14-14. Increasing access to primary care in | ||
hospitals. The Department of Healthcare and Family Services | ||
shall develop a program to facilitate coordination between | ||
Federally Qualified Health Centers (FQHCs) and safety net | ||
hospitals, with the goal of increasing care coordination, | ||
managing chronic diseases, and addressing the social | ||
determinants of health on or before December 31, 2021. | ||
Coordination between FQHCs and safety hospitals may include, | ||
but is not limited to, embedding FQHC staff in hospitals, | ||
utilizing health information technology for care coordination, | ||
and enabling FQHCs to connect hospital patients to | ||
community-based resources when needed to provide whole-person | ||
care. In addition, the Department shall develop a payment | ||
methodology to allow FQHCs to provide care coordination | ||
services, including, but not limited to, chronic disease | ||
management and behavioral health services. The Department of |
Healthcare and Family Services shall develop a payment | ||
methodology to allow for FQHC care coordination services by no | ||
later than December 31, 2021. | ||
Article 120. | ||
Section 120-5. The Civil Administrative Code of Illinois | ||
is amended by changing Section 5-565 as follows:
| ||
(20 ILCS 5/5-565) (was 20 ILCS 5/6.06)
| ||
Sec. 5-565. In the Department of Public Health.
| ||
(a) The General Assembly declares it to be the public | ||
policy of this
State that all residents citizens of Illinois | ||
are entitled to lead healthy lives.
Governmental public health | ||
has a specific responsibility to ensure that a
public health | ||
system is in place to allow the public health mission to be | ||
achieved. The public health system is the collection of | ||
public, private, and voluntary entities as well as individuals | ||
and informal associations that contribute to the public's | ||
health within the State. To
develop a public health system | ||
requires certain core functions to be performed by
government. | ||
The State Board of Health is to assume the leadership role in
| ||
advising the Director in meeting the following functions:
| ||
(1) Needs assessment.
| ||
(2) Statewide health objectives.
| ||
(3) Policy development.
|
(4) Assurance of access to necessary services.
| ||
There shall be a State Board of Health composed of 20 | ||
persons,
all of
whom shall be appointed by the Governor, with | ||
the advice and consent of the
Senate for those appointed by the | ||
Governor on and after June 30, 1998,
and one of whom shall be a
| ||
senior citizen age 60 or over. Five members shall be | ||
physicians licensed
to practice medicine in all its branches, | ||
one representing a medical school
faculty, one who is board | ||
certified in preventive medicine, and one who is
engaged in | ||
private practice. One member shall be a chiropractic | ||
physician. One member shall be a dentist; one an
environmental | ||
health practitioner; one a local public health administrator;
| ||
one a local board of health member; one a registered nurse; one | ||
a physical therapist; one an optometrist; one a
veterinarian; | ||
one a public health academician; one a health care industry
| ||
representative; one a representative of the business | ||
community; one a representative of the non-profit public | ||
interest community; and 2 shall be citizens at large.
| ||
The terms of Board of Health members shall be 3 years, | ||
except that members shall continue to serve on the Board of | ||
Health until a replacement is appointed. Upon the effective | ||
date of Public Act 93-975 (January 1, 2005) this amendatory | ||
Act of the 93rd General Assembly , in the appointment of the | ||
Board of Health members appointed to vacancies or positions | ||
with terms expiring on or before December 31, 2004, the | ||
Governor shall appoint up to 6 members to serve for terms of 3 |
years; up to 6 members to serve for terms of 2 years; and up to | ||
5 members to serve for a term of one year, so that the term of | ||
no more than 6 members expire in the same year.
All members | ||
shall
be legal residents of the State of Illinois. The duties | ||
of the Board shall
include, but not be limited to, the | ||
following:
| ||
(1) To advise the Department of ways to encourage | ||
public understanding
and support of the Department's | ||
programs.
| ||
(2) To evaluate all boards, councils, committees, | ||
authorities, and
bodies
advisory to, or an adjunct of, the | ||
Department of Public Health or its
Director for the | ||
purpose of recommending to the Director one or
more of the | ||
following:
| ||
(i) The elimination of bodies whose activities
are | ||
not consistent with goals and objectives of the | ||
Department.
| ||
(ii) The consolidation of bodies whose activities | ||
encompass
compatible programmatic subjects.
| ||
(iii) The restructuring of the relationship | ||
between the various
bodies and their integration | ||
within the organizational structure of the
Department.
| ||
(iv) The establishment of new bodies deemed | ||
essential to the
functioning of the Department.
| ||
(3) To serve as an advisory group to the Director for
| ||
public health emergencies and
control of health hazards.
|
(4) To advise the Director regarding public health | ||
policy,
and to make health policy recommendations | ||
regarding priorities to the
Governor through the Director.
| ||
(5) To present public health issues to the Director | ||
and to make
recommendations for the resolution of those | ||
issues.
| ||
(6) To recommend studies to delineate public health | ||
problems.
| ||
(7) To make recommendations to the Governor through | ||
the Director
regarding the coordination of State public | ||
health activities with other
State and local public health | ||
agencies and organizations.
| ||
(8) To report on or before February 1 of each year on | ||
the health of the
residents of Illinois to the Governor, | ||
the General Assembly, and the
public.
| ||
(9) To review the final draft of all proposed | ||
administrative rules,
other than emergency or peremptory | ||
preemptory rules and those rules that another
advisory | ||
body must approve or review within a statutorily defined | ||
time
period, of the Department after September 19, 1991 | ||
(the effective date of
Public Act
87-633). The Board shall | ||
review the proposed rules within 90
days of
submission by | ||
the Department. The Department shall take into | ||
consideration
any comments and recommendations of the | ||
Board regarding the proposed rules
prior to submission to | ||
the Secretary of State for initial publication. If
the |
Department disagrees with the recommendations of the | ||
Board, it shall
submit a written response outlining the | ||
reasons for not accepting the
recommendations.
| ||
In the case of proposed administrative rules or | ||
amendments to
administrative
rules regarding immunization | ||
of children against preventable communicable
diseases | ||
designated by the Director under the Communicable Disease | ||
Prevention
Act, after the Immunization Advisory Committee | ||
has made its
recommendations, the Board shall conduct 3 | ||
public hearings, geographically
distributed
throughout the | ||
State. At the conclusion of the hearings, the State Board | ||
of
Health shall issue a report, including its | ||
recommendations, to the Director.
The Director shall take | ||
into consideration any comments or recommendations made
by | ||
the Board based on these hearings.
| ||
(10) To deliver to the Governor for presentation to | ||
the General Assembly a State Health Assessment (SHA) and a | ||
State Health Improvement Plan (SHIP) . The first 5 3 such | ||
plans shall be delivered to the Governor on January 1, | ||
2006, January 1, 2009, and January 1, 2016 , January 1, | ||
2021, and June 30, 2022, and then every 5 years | ||
thereafter. | ||
The State Health Assessment and State Health | ||
Improvement Plan Plan shall assess and recommend | ||
priorities and strategies to improve the public health | ||
system , and the health status of Illinois residents, |
reduce health disparities and inequities, and promote | ||
health equity. The State Health Assessment and State | ||
Health Improvement Plan development and implementation | ||
shall conform to national Public Health Accreditation | ||
Board Standards. The State Health Assessment and State | ||
Health Improvement Plan development and implementation | ||
process shall be carried out with the administrative and | ||
operational support of the Department of Public Health | ||
taking into consideration national health objectives and | ||
system standards as frameworks for assessment . | ||
The State Health Assessment shall include | ||
comprehensive, broad-based data and information from a | ||
variety of sources on health status and the public health | ||
system including: | ||
(i) quantitative data, if it is available, on the | ||
demographics and health status of the population, | ||
including data over time on health by gender identity, | ||
sexual orientation, race, ethnicity, age, | ||
socio-economic factors, geographic region, disability | ||
status, and other indicators of disparity; | ||
(ii) quantitative data on social and structural | ||
issues affecting health (social and structural | ||
determinants of health), including, but not limited | ||
to, housing, transportation, educational attainment, | ||
employment, and income inequality; | ||
(iii) priorities and strategies developed at the |
community level through the Illinois Project for Local | ||
Assessment of Needs (IPLAN) and other local and | ||
regional community health needs assessments; | ||
(iv) qualitative data representing the | ||
population's input on health concerns and well-being, | ||
including the perceptions of people experiencing | ||
disparities and health inequities; | ||
(v) information on health disparities and health | ||
inequities; and | ||
(vi) information on public health system strengths | ||
and areas for improvement. | ||
The Plan shall also take into consideration priorities | ||
and strategies developed at the community level through | ||
the Illinois Project for Local Assessment of Needs (IPLAN) | ||
and any regional health improvement plans that may be | ||
developed.
| ||
The State Health Improvement Plan Plan shall focus on | ||
prevention , social determinants of health, and promoting | ||
health equity as key strategies as a key strategy for | ||
long-term health improvement in Illinois. | ||
The State Health Improvement Plan Plan shall identify | ||
priority State health issues and social issues affecting | ||
health, and shall examine and make recommendations on the | ||
contributions and strategies of the public and private | ||
sectors for improving health status and the public health | ||
system in the State. In addition to recommendations on |
health status improvement priorities and strategies for | ||
the population of the State as a whole, the State Health | ||
Improvement Plan Plan shall make recommendations , provided | ||
that data exists to support such recommendations, | ||
regarding priorities and strategies for reducing and | ||
eliminating health disparities and health inequities in | ||
Illinois; including racial, ethnic, gender identification , | ||
sexual orientation, age, disability, socio-economic , and | ||
geographic disparities. The State Health Improvement Plan | ||
shall make recommendations regarding social determinants | ||
of health, such as housing, transportation, educational | ||
attainment, employment, and income inequality. | ||
The development and implementation of the State Health | ||
Assessment and State Health Improvement Plan shall be a | ||
collaborative public-private cross-agency effort overseen | ||
by the SHA and SHIP Partnership. The Director of Public | ||
Health shall consult with the Governor to ensure | ||
participation by the head of State agencies with public | ||
health responsibilities (or their designees) in the SHA | ||
and SHIP Partnership, including, but not limited to, the | ||
Department of Public Health, the Department of Human | ||
Services, the Department of Healthcare and Family | ||
Services, the Department of Children and Family Services, | ||
the Environmental Protection Agency, the Illinois State | ||
Board of Education, the Department on Aging, the Illinois | ||
Housing Development Authority, the Illinois Criminal |
Justice Information Authority, the Department of | ||
Agriculture, the Department of Transportation, the | ||
Department of Corrections, the Department of Commerce and | ||
Economic Opportunity, and the Chair of the State Board of | ||
Health to also serve on the Partnership. A member of the | ||
Governor's staff shall participate in the Partnership and | ||
serve as a liaison to the Governor's office. | ||
The Director of the Illinois Department of Public | ||
Health shall appoint a minimum of 15 other members of the | ||
SHA and SHIP Partnership representing a Planning Team that | ||
includes a range of public, private, and voluntary sector | ||
stakeholders and participants in the public health system. | ||
For the first SHA and SHIP Partnership after the effective | ||
date of this amendatory Act of the 102nd General Assembly, | ||
one-half of the members shall be appointed for a 3-year | ||
term, and one-half of the members shall be appointed for a | ||
5-year term. Subsequently, members shall be appointed to | ||
5-year terms. Should any member not be able to fulfill his | ||
or her term, the Director may appoint a replacement to | ||
complete that term. The Director, in consultation with the | ||
SHA and SHIP Partnership, may engage additional | ||
individuals and organizations to serve on subcommittees | ||
and ad hoc efforts to conduct the State Health Assessment | ||
and develop and implement the State Health Improvement | ||
Plan. Members of the SHA and SHIP Partnership shall | ||
receive no compensation for serving as members, but may be |
reimbursed for their necessary expenses if departmental | ||
resources allow. | ||
The SHA and SHIP Partnership This Team shall include: | ||
the directors of State agencies with public health | ||
responsibilities (or their designees), including but not | ||
limited to the Illinois Departments of Public Health and | ||
Department of Human Services, representatives of local | ||
health departments , representatives of local community | ||
health partnerships, and individuals with expertise who | ||
represent an array of organizations and constituencies | ||
engaged in public health improvement and prevention , such | ||
as non-profit public interest groups, groups serving | ||
populations that experience health disparities and health | ||
inequities, groups addressing social determinants of | ||
health, health issue groups, faith community groups, | ||
health care providers, businesses and employers, academic | ||
institutions, and community-based organizations . | ||
The Director shall endeavor to make the membership of | ||
the Partnership diverse and inclusive of the racial, | ||
ethnic, gender, socio-economic, and geographic diversity | ||
of the State. The SHA and SHIP Partnership shall be | ||
chaired by the Director of Public Health or his or her | ||
designee. | ||
The SHA and SHIP Partnership shall develop and | ||
implement a community engagement process that facilitates | ||
input into the development of the State Health Assessment |
and State Health Improvement Plan. This engagement process | ||
shall ensure that individuals with lived experience in the | ||
issues addressed in the State Health Assessment and State | ||
Health Improvement Plan are meaningfully engaged in the | ||
development and implementation of the State Health | ||
Assessment and State Health Improvement Plan. | ||
The State Board of Health shall hold at least 3 public | ||
hearings addressing a draft of the State Health | ||
Improvement Plan drafts of the Plan in representative | ||
geographic areas of the State.
Members of the Planning | ||
Team shall receive no compensation for their services, but | ||
may be reimbursed for their necessary expenses.
| ||
Upon the delivery of each State Health Improvement | ||
Plan, the Governor shall appoint a SHIP Implementation | ||
Coordination Council that includes a range of public, | ||
private, and voluntary sector stakeholders and | ||
participants in the public health system. The Council | ||
shall include the directors of State agencies and entities | ||
with public health system responsibilities (or their | ||
designees), including but not limited to the Department of | ||
Public Health, Department of Human Services, Department of | ||
Healthcare and Family Services, Environmental Protection | ||
Agency, Illinois State Board of Education, Department on | ||
Aging, Illinois Violence Prevention Authority, Department | ||
of Agriculture, Department of Insurance, Department of | ||
Financial and Professional Regulation, Department of |
Transportation, and Department of Commerce and Economic | ||
Opportunity and the Chair of the State Board of Health. | ||
The Council shall include representatives of local health | ||
departments and individuals with expertise who represent | ||
an array of organizations and constituencies engaged in | ||
public health improvement and prevention, including | ||
non-profit public interest groups, health issue groups, | ||
faith community groups, health care providers, businesses | ||
and employers, academic institutions, and community-based | ||
organizations. The Governor shall endeavor to make the | ||
membership of the Council representative of the racial, | ||
ethnic, gender, socio-economic, and geographic diversity | ||
of the State. The Governor shall designate one State | ||
agency representative and one other non-governmental | ||
member as co-chairs of the Council. The Governor shall | ||
designate a member of the Governor's office to serve as | ||
liaison to the Council and one or more State agencies to | ||
provide or arrange for support to the Council. The members | ||
of the SHIP Implementation Coordination Council for each | ||
State Health Improvement Plan shall serve until the | ||
delivery of the subsequent State Health Improvement Plan, | ||
whereupon a new Council shall be appointed. Members of the | ||
SHIP Planning Team may serve on the SHIP Implementation | ||
Coordination Council if so appointed by the Governor. | ||
Upon the delivery of each State Health Assessment and | ||
State Health Improvement Plan, the SHA and SHIP |
Partnership The SHIP Implementation Coordination Council | ||
shall coordinate the efforts and engagement of the public, | ||
private, and voluntary sector stakeholders and | ||
participants in the public health system to implement each | ||
SHIP. The Partnership Council shall serve as a forum for | ||
collaborative action; coordinate existing and new | ||
initiatives; develop detailed implementation steps, with | ||
mechanisms for action; implement specific projects; | ||
identify public and private funding sources at the local, | ||
State and federal level; promote public awareness of the | ||
SHIP; and advocate for the implementation of the SHIP . The | ||
SHA and SHIP Partnership shall implement strategies to | ||
ensure that individuals and communities affected by health | ||
disparities and health inequities are engaged in the | ||
process throughout the 5-year cycle. The SHA and SHIP | ||
Partnership shall regularly evaluate and update the State | ||
Health Assessment and track implementation of the State | ||
Health Improvement Plan with revisions as necessary. The | ||
SHA and SHIP Partnership shall not have the authority to | ||
direct any public or private entity to take specific | ||
action to implement the SHIP. ; and develop an annual | ||
report to the Governor, General Assembly, and public | ||
regarding the status of implementation of the SHIP. The | ||
Council shall not, however, have the authority to direct | ||
any public or private entity to take specific action to | ||
implement the SHIP. |
The State Board of Health shall submit a report by | ||
January 31 of each year on the status of State Health | ||
Improvement Plan implementation and community engagement | ||
activities to the Governor, General Assembly, and public. | ||
In the fifth year, the report may be consolidated into the | ||
new State Health Assessment and State Health Improvement | ||
Plan. | ||
(11) Upon the request of the Governor, to recommend to | ||
the Governor
candidates for Director of Public Health when | ||
vacancies occur in the position.
| ||
(12) To adopt bylaws for the conduct of its own | ||
business, including the
authority to establish ad hoc | ||
committees to address specific public health
programs | ||
requiring resolution.
| ||
(13) (Blank). | ||
Upon appointment, the Board shall elect a chairperson from | ||
among its
members.
| ||
Members of the Board shall receive compensation for their | ||
services at the
rate of $150 per day, not to exceed $10,000 per | ||
year, as designated by the
Director for each day required for | ||
transacting the business of the Board
and shall be reimbursed | ||
for necessary expenses incurred in the performance
of their | ||
duties. The Board shall meet from time to time at the call of | ||
the
Department, at the call of the chairperson, or upon the | ||
request of 3 of its
members, but shall not meet less than 4 | ||
times per year.
|
(b) (Blank).
| ||
(c) An Advisory Board on Necropsy Service to Coroners, | ||
which shall
counsel and advise with the Director on the | ||
administration of the Autopsy
Act. The Advisory Board shall | ||
consist of 11 members, including
a senior citizen age 60 or | ||
over, appointed by the Governor, one of
whom shall be | ||
designated as chairman by a majority of the members of the
| ||
Board. In the appointment of the first Board the Governor | ||
shall appoint 3
members to serve for terms of 1 year, 3 for | ||
terms of 2 years, and 3 for
terms of 3 years. The members first | ||
appointed under Public Act 83-1538 shall serve for a term of 3 | ||
years. All members appointed thereafter
shall be appointed for | ||
terms of 3 years, except that when an
appointment is made
to | ||
fill a vacancy, the appointment shall be for the remaining
| ||
term of the position vacant. The members of the Board shall be | ||
citizens of
the State of Illinois. In the appointment of | ||
members of the Advisory Board
the Governor shall appoint 3 | ||
members who shall be persons licensed to
practice medicine and | ||
surgery in the State of Illinois, at least 2 of whom
shall have | ||
received post-graduate training in the field of pathology; 3
| ||
members who are duly elected coroners in this State; and 5 | ||
members who
shall have interest and abilities in the field of | ||
forensic medicine but who
shall be neither persons licensed to | ||
practice any branch of medicine in
this State nor coroners. In | ||
the appointment of medical and coroner members
of the Board, | ||
the Governor shall invite nominations from recognized medical
|
and coroners organizations in this State respectively. Board | ||
members, while
serving on business of the Board, shall receive | ||
actual necessary travel and
subsistence expenses while so | ||
serving away from their places of residence.
| ||
(Source: P.A. 98-463, eff. 8-16-13; 99-527, eff. 1-1-17; | ||
revised 7-17-19.)
| ||
Article 125. | ||
Section 125-1. Short title. This Article may be cited as | ||
the Health and Human Services Task Force and Study Act. | ||
References in this Article to "this Act" mean this Article. | ||
Section 125-5. Findings. The General Assembly finds that:
| ||
(1) The State is committed to improving the health and | ||
well-being of Illinois residents and families.
| ||
(2) According to data collected by the Kaiser | ||
Foundation, Illinois had over 905,000 uninsured residents | ||
in 2019, with a total uninsured rate of 7.3%. | ||
(3) Many Illinois residents and families who have | ||
health insurance cannot afford to use it due to high | ||
deductibles and cost sharing.
| ||
(4) Lack of access to affordable health care services | ||
disproportionately affects minority communities | ||
throughout the State, leading to poorer health outcomes | ||
among those populations.
|
(5) Illinois Medicaid beneficiaries are not receiving | ||
the coordinated and effective care they need to support | ||
their overall health and well-being.
| ||
(6) Illinois has an opportunity to improve the health | ||
and well-being of a historically underserved and | ||
vulnerable population by providing more coordinated and | ||
higher quality care to its Medicaid beneficiaries.
| ||
(7) The State of Illinois has a responsibility to help | ||
crime victims access justice, assistance, and the support | ||
they need to heal.
| ||
(8) Research has shown that people who are repeatedly | ||
victimized are more likely to face mental health problems | ||
such as depression, anxiety, and symptoms related to | ||
post-traumatic stress disorder and chronic trauma.
| ||
(9) Trauma-informed care has been promoted and | ||
established in communities across the country on a | ||
bipartisan basis, and numerous federal agencies have | ||
integrated trauma-informed approaches into their programs | ||
and grants, which should be leveraged by the State of | ||
Illinois.
| ||
(10) Infants, children, and youth and their families | ||
who have experienced or are at risk of experiencing | ||
trauma, including those who are low-income, homeless, | ||
involved with the child welfare system, involved in the | ||
juvenile or adult justice system, unemployed, or not | ||
enrolled in or at risk of dropping out of an educational |
institution and live in a community that has faced acute | ||
or long-term exposure to substantial discrimination, | ||
historical oppression, intergenerational poverty, a high | ||
rate of violence or drug overdose deaths, should have an | ||
opportunity for improved outcomes; this means increasing | ||
access to greater opportunities to meet educational, | ||
employment, health, developmental, community reentry, | ||
permanency from foster care, or other key goals.
| ||
Section 125-10. Health and Human Services Task Force. The | ||
Health and Human Services Task Force is created within the | ||
Department of Human Services to undertake a systematic review | ||
of health and human service departments and programs with the | ||
goal of improving health and human service outcomes for | ||
Illinois residents. | ||
Section 125-15. Study.
| ||
(1) The Task Force shall review all health and human | ||
service departments and programs and make recommendations for | ||
achieving a system that will improve interagency | ||
interoperability with respect to improving access to | ||
healthcare, healthcare disparities, workforce competency and | ||
diversity, social determinants of health, and data sharing and | ||
collection. These recommendations shall include, but are not | ||
limited to, the following elements: | ||
(i) impact on infant and maternal mortality;
|
(ii) impact of hospital closures, including safety-net | ||
hospitals, on local communities; and
| ||
(iii) impact on Medicaid Managed Care Organizations. | ||
(2) The Task Force shall review and make recommendations | ||
on ways the Medicaid program can partner and cooperate with | ||
other agencies, including but not limited to the Department of | ||
Agriculture, the Department of Insurance, the Department of | ||
Human Services, the Department of Labor, the Environmental | ||
Protection Agency, and the Department of Public Health, to | ||
better address social determinants of public health, | ||
including, but not limited to, food deserts, affordable | ||
housing, environmental pollutions, employment, education, and | ||
public support services. This shall include a review and | ||
recommendations on ways Medicaid and the agencies can share | ||
costs related to better health outcomes. | ||
(3) The Task Force shall review the current partnership, | ||
communication, and cooperation between Federally Qualified | ||
Health Centers (FQHCs) and safety-net hospitals in Illinois | ||
and make recommendations on public policies that will improve | ||
interoperability and cooperations between these entities in | ||
order to achieve improved coordinated care and better health | ||
outcomes for vulnerable populations in the State. | ||
(4) The Task Force shall review and examine public | ||
policies affecting trauma and social determinants of health, | ||
including trauma-informed care, and make recommendations on | ||
ways to improve and integrate trauma-informed approaches into |
programs and agencies in the State, including, but not limited | ||
to, Medicaid and other health care programs administered by | ||
the State, and increase awareness of trauma and its effects on | ||
communities across Illinois.
| ||
(5) The Task Force shall review and examine the connection | ||
between access to education and health outcomes particularly | ||
in African American and minority communities and make | ||
recommendations on public policies to address any gaps or | ||
deficiencies.
| ||
Section 125-20. Membership; appointments; meetings; | ||
support.
| ||
(1) The Task Force shall include representation from both | ||
public and private organizations, and its membership shall | ||
reflect regional, racial, and cultural diversity to ensure | ||
representation of the needs of all Illinois citizens. Task | ||
Force members shall include one member appointed by the | ||
President of the Senate, one member appointed by the Minority | ||
Leader of the Senate, one member appointed by the Speaker of | ||
the House of Representatives, one member appointed by the | ||
Minority Leader of the House of Representatives, and other | ||
members appointed by the Governor. The Governor's appointments | ||
shall include, without limitation, the following:
| ||
(A) One member of the Senate, appointed by the Senate | ||
President, who shall serve as Co-Chair; | ||
(B) One member of the House of Representatives, |
appointed by the Speaker of the House, who shall serve as | ||
Co-Chair; | ||
(C) Eight members of the General Assembly representing | ||
each of the majority and minority caucuses of each | ||
chamber. | ||
(D) The Directors or Secretaries of the following | ||
State agencies or their designees: | ||
(i) Department of Human Services. | ||
(ii) Department of Children and Family Services. | ||
(iii) Department of Healthcare and Family | ||
Services. | ||
(iv) State Board of Education. | ||
(v) Department on Aging. | ||
(vi) Department of Public Health. | ||
(vii) Department of Veterans' Affairs. | ||
(viii) Department of Insurance. | ||
(E) Local government stakeholders and nongovernmental | ||
stakeholders with an interest in human services, including | ||
representation among the following private-sector fields | ||
and constituencies: | ||
(i) Early childhood education and development. | ||
(ii) Child care. | ||
(iii) Child welfare. | ||
(iv) Youth services. | ||
(v) Developmental disabilities. | ||
(vi) Mental health. |
(vii) Employment and training. | ||
(viii) Sexual and domestic violence. | ||
(ix) Alcohol and substance abuse. | ||
(x) Local community collaborations among human | ||
services programs. | ||
(xi) Immigrant services. | ||
(xii) Affordable housing. | ||
(xiii) Food and nutrition. | ||
(xiv) Homelessness. | ||
(xv) Older adults. | ||
(xvi) Physical disabilities. | ||
(xvii) Maternal and child health. | ||
(xviii) Medicaid managed care organizations. | ||
(xix) Healthcare delivery. | ||
(xx) Health insurance. | ||
(2) Members shall serve without compensation for the | ||
duration of the Task Force. | ||
(3) In the event of a vacancy, the appointment to fill the | ||
vacancy shall be made in the same manner as the original | ||
appointment. | ||
(4) The Task Force shall convene within 60 days after the | ||
effective date of this Act. The initial meeting of the Task | ||
Force shall be convened by the co-chair selected by the | ||
Governor. Subsequent meetings shall convene at the call of the | ||
co-chairs. The Task Force shall meet on a quarterly basis, or | ||
more often if necessary. |
(5) The Department of Human Services shall provide | ||
administrative support to the Task Force. | ||
Section 125-25. Report. The Task Force shall report to the | ||
Governor and the General Assembly on the Task Force's progress | ||
toward its goals and objectives by June 30, 2021, and every | ||
June 30 thereafter. | ||
Section 125-30. Transparency. In addition to whatever | ||
policies or procedures it may adopt, all operations of the | ||
Task Force shall be subject to the provisions of the Freedom of | ||
Information Act and the Open Meetings Act. This Section shall | ||
not be construed so as to preclude other State laws from | ||
applying to the Task Force and its activities. | ||
Section 125-40. Repeal. This Article is repealed June 30, | ||
2023. | ||
Article 130. | ||
Section 130-1. Short title. This Article may be cited as | ||
the Anti-Racism Commission Act. References in this Article to | ||
"this Act" mean this Article. | ||
Section 130-5. Findings. The General Assembly finds and | ||
declares all of the following:
|
(1) Public health is the science and art of preventing | ||
disease, of protecting and improving the health of people, | ||
entire populations, and their communities; this work is | ||
achieved by promoting healthy lifestyles and choices, | ||
researching disease, and preventing injury.
| ||
(2) Public health professionals try to prevent | ||
problems from happening or recurring through implementing | ||
educational programs, recommending policies, | ||
administering services, and limiting health disparities | ||
through the promotion of equitable and accessible | ||
healthcare.
| ||
(3) According to the Centers for Disease Control and | ||
Prevention, racism and segregation in the State of | ||
Illinois have exacerbated a health divide, resulting in | ||
Black residents having lower life expectancies than white | ||
citizens of this State and being far more likely than | ||
other races to die prematurely (before the age of 75) and | ||
to die of heart disease or stroke; Black residents of | ||
Illinois have a higher level of infant mortality, lower | ||
birth weight babies, and are more likely to be overweight | ||
or obese as adults, have adult diabetes, and have | ||
long-term complications from diabetes that exacerbate | ||
other conditions, including the susceptibility to | ||
COVID-19.
| ||
(4) Black and Brown people are more likely to | ||
experience poor health outcomes as a consequence of their |
social determinants of health, health inequities stemming | ||
from economic instability, education, physical | ||
environment, food, and access to health care systems.
| ||
(5) Black residents in Illinois are more likely than | ||
white residents to experience violence-related trauma as a | ||
result of socioeconomic conditions resulting from systemic | ||
racism.
| ||
(6) Racism is a social system with multiple dimensions | ||
in which individual racism is internalized or | ||
interpersonal and systemic racism is institutional or | ||
structural and is a system of structuring opportunity and | ||
assigning value based on the social interpretation of how | ||
one looks; this unfairly disadvantages specific | ||
individuals and communities, while unfairly giving | ||
advantages to other individuals and communities; it saps | ||
the strength of the whole society through the waste of | ||
human resources.
| ||
(7) Racism causes persistent racial discrimination | ||
that influences many areas of life, including housing, | ||
education, employment, and criminal justice; an emerging | ||
body of research demonstrates that racism itself is a | ||
social determinant of health.
| ||
(8) More than 100 studies have linked racism to worse | ||
health outcomes.
| ||
(9) The American Public Health Association launched a | ||
National Campaign against Racism.
|
(10) Public health's responsibilities to address | ||
racism include reshaping our discourse and agenda so that | ||
we all actively engage in racial justice work.
| ||
Section 130-10. Anti-Racism Commission.
| ||
(a) The Anti-Racism Commission is hereby created to | ||
identify and propose statewide policies to eliminate systemic | ||
racism and advance equitable solutions for Black and Brown | ||
people in Illinois.
| ||
(b) The Anti-Racism Commission shall consist of the | ||
following members, who shall serve without compensation:
| ||
(1) one member of the House of Representatives, | ||
appointed by the Speaker of the House of Representatives, | ||
who shall serve as co-chair;
| ||
(2) one member of the Senate, appointed by the Senate | ||
President, who shall serve as co-chair;
| ||
(3) one member of the House of Representatives, | ||
appointed by the Minority Leader of the House of | ||
Representatives;
| ||
(4) one member of the Senate, appointed by the | ||
Minority Leader of the Senate;
| ||
(5) the Director of Public Health, or his or her | ||
designee;
| ||
(6) the Chair of the House Black Caucus;
| ||
(7) the Chair of the Senate Black Caucus;
| ||
(8) the Chair of the Joint Legislative Black Caucus;
|
(9) the director of a statewide association | ||
representing public health departments, appointed by the | ||
Speaker of the House of Representatives; | ||
(10) the Chair of the House Latino Caucus;
| ||
(11) the Chair of the Senate Latino Caucus;
| ||
(12) one community member appointed by the House Black | ||
Caucus Chair;
| ||
(13) one community member appointed by the Senate | ||
Black Caucus Chair;
| ||
(14) one community member appointed by the House | ||
Latino Caucus Chair; and
| ||
(15) one community member appointed by the Senate | ||
Latino Caucus Chair.
| ||
(c) The Department of Public Health shall provide | ||
administrative support for the Commission.
| ||
(d) The Commission is charged with, but not limited to, | ||
the following tasks:
| ||
(1) Working to create an equity and justice-oriented | ||
State government.
| ||
(2) Assessing the policy and procedures of all State | ||
agencies to ensure racial equity is a core element of | ||
State government.
| ||
(3) Developing and incorporating into the | ||
organizational structure of State government a plan for | ||
educational efforts to understand, address, and dismantle | ||
systemic racism in government actions.
|
(4) Recommending and advocating for policies that | ||
improve health in Black and Brown people and support | ||
local, State, regional, and federal initiatives that | ||
advance efforts to dismantle systemic racism.
| ||
(5) Working to build alliances and partnerships with | ||
organizations that are confronting racism and encouraging | ||
other local, State, regional, and national entities to | ||
recognize racism as a public health crisis.
| ||
(6) Promoting community engagement, actively engaging | ||
citizens on issues of racism and assisting in providing | ||
tools to engage actively and authentically with Black and | ||
Brown people.
| ||
(7) Reviewing all portions of codified State laws | ||
through the lens of racial equity.
| ||
(8) Working with the Department of Central Management | ||
Services to update policies that encourage diversity in | ||
human resources, including hiring, board appointments, and | ||
vendor selection by agencies, and to review all grant | ||
management activities with an eye toward equity and | ||
workforce development.
| ||
(9) Recommending policies that promote racially | ||
equitable economic and workforce development practices.
| ||
(10) Promoting and supporting all policies that | ||
prioritize the health of all people, especially people of | ||
color, by mitigating exposure to adverse childhood | ||
experiences and trauma in childhood and ensuring |
implementation of health and equity in all policies.
| ||
(11) Encouraging community partners and stakeholders | ||
in the education, employment, housing, criminal justice, | ||
and safety arenas to recognize racism as a public health | ||
crisis and to implement policy recommendations.
| ||
(12) Identifying clear goals and objectives, including | ||
specific benchmarks, to assess progress.
| ||
(13) Holding public hearings across Illinois to | ||
continue to explore and to recommend needed action by the | ||
General Assembly.
| ||
(14) Working with the Governor and the General | ||
Assembly to identify the necessary funds to support the | ||
Anti-Racism Commission and its endeavors.
| ||
(15) Identifying resources to allocate to Black and | ||
Brown communities on an annual basis.
| ||
(16) Encouraging corporate investment in anti-racism | ||
policies in Black and Brown communities.
| ||
(e) The Commission shall submit its final report to the | ||
Governor and the General Assembly no later than December 31, | ||
2021. The Commission is dissolved upon the filing of its | ||
report.
| ||
Section 130-15. Repeal. This Article is repealed on | ||
January 1, 2023. | ||
Article 131. |
Section 131-1. Short title. This Article may be cited as | ||
the Sickle Cell Prevention, Care, and Treatment Program Act. | ||
References in this Article to "this Act" mean this Article. | ||
Section 131-5. Definitions. As used in this Act: | ||
"Department" means the Department of Public Health. | ||
"Program" means the Sickle Cell Prevention, Care, and | ||
Treatment Program. | ||
Section 131-10. Sickle Cell Prevention, Care, and | ||
Treatment Program. The Department shall establish a grant | ||
program for the purpose of providing for the prevention, care, | ||
and treatment of sickle cell disease and for educational | ||
programs concerning the disease. | ||
Section 131-15. Grants; eligibility standards. | ||
(a) The Department shall do the following: | ||
(1)(A) Develop application criteria and standards of | ||
eligibility for groups
or organizations who apply for | ||
funds under the program. | ||
(B) Make available grants to groups and organizations | ||
who meet
the eligibility standards set by the Department. | ||
However: | ||
(i) the highest priority for grants shall be | ||
accorded to
established sickle cell disease
|
community-based organizations throughout Illinois; and | ||
(ii) priority shall also be given to ensuring the
| ||
establishment of sickle cell disease centers in | ||
underserved
areas that have a higher population of | ||
sickle cell disease
patients. | ||
(2) Determine the maximum amount available for each | ||
grant provided under subparagraph (B) of paragraph (1). | ||
(3) Determine policies for the expiration and renewal | ||
of grants provided under subparagraph (B) of paragraph | ||
(1). | ||
(4) Require that all grant funds be used for the | ||
purpose of
prevention, care, and treatment of sickle cell | ||
disease or
for educational programs concerning the | ||
disease.
Grant funds shall be used for one or more of the | ||
following purposes: | ||
(A) Assisting in the development and expansion of | ||
care for the
treatment of individuals with sickle cell | ||
disease, particularly
for adults, including the | ||
following types of care: | ||
(i) Self-administered care. | ||
(ii) Preventive care. | ||
(iii) Home care. | ||
(iv) Other evidence-based medical procedures | ||
and
techniques designed to provide maximum control | ||
over
sickling episodes typical of occurring to an | ||
individual with
the disease. |
(B) Increasing access to health care for | ||
individuals with sickle cell disease. | ||
(C) Establishing additional sickle cell disease | ||
infusion centers. | ||
(D) Increasing access to mental health resources | ||
and pain management therapies for individuals with | ||
sickle cell disease. | ||
(E) Providing counseling to any individual, at no | ||
cost, concerning sickle cell disease and sickle cell | ||
trait, and the characteristics, symptoms, and | ||
treatment of the disease. | ||
(i) The counseling described in this | ||
subparagraph (E) may consist of any of the | ||
following: | ||
(I) Genetic counseling for an individual | ||
who tests positive for the sickle cell trait. | ||
(II) Psychosocial counseling for an | ||
individual who tests positive for sickle cell | ||
disease, including any of the following: | ||
(aa) Social service counseling. | ||
(bb) Psychological counseling. | ||
(cc) Psychiatric counseling.
| ||
(5) Develop a sickle cell disease educational
outreach | ||
program that includes the dissemination of
educational | ||
materials to the following concerning sickle cell
disease | ||
and sickle cell trait:
|
(A) Medical residents. | ||
(B) Immigrants. | ||
(C) Schools and universities. | ||
(6) Adopt any rules necessary to implement the | ||
provisions of this Act. | ||
(b) The Department may contract with an entity to
| ||
implement the sickle cell disease educational outreach program
| ||
described in paragraph (5) of subsection (a).
| ||
Section 131-20. Sickle Cell Chronic Disease Fund. | ||
(a) The Sickle Cell Chronic Disease Fund is
created as a | ||
special fund in the State treasury for the purpose of carrying | ||
out the provisions of this
Act and for no other
purpose. The | ||
Fund shall be administered by the Department.
Expenditures | ||
from the Fund shall be subject to appropriation. | ||
(b) The Fund shall consist of: | ||
(1) Any moneys appropriated to the Department for the | ||
Sickle Cell Prevention, Care, and Treatment Program. | ||
(2) Gifts, bequests, and other sources of funding. | ||
(3) All interest earned on moneys in the Fund.
| ||
Section 131-25. Study. | ||
(a) Before July 1, 2022, and on a
biennial basis | ||
thereafter, the Department, with the assistance
of: | ||
(1) the Center for Minority Health Services; | ||
(2) health care providers that treat individuals with |
sickle cell
disease; | ||
(3) individuals diagnosed with sickle cell disease; | ||
(4) representatives of community-based organizations | ||
that
serve individuals with sickle cell disease; and | ||
(5) data collected via newborn screening for sickle | ||
cell disease;
| ||
shall perform a study to determine the prevalence, impact, and
| ||
needs of individuals with sickle cell disease and the sickle | ||
cell trait in
Illinois.
| ||
(b) The study must include the following: | ||
(1) The prevalence, by geographic location, of | ||
individuals
diagnosed with sickle cell disease in | ||
Illinois. | ||
(2) The prevalence, by geographic location, of | ||
individuals
diagnosed as sickle cell trait carriers in | ||
Illinois. | ||
(3) The availability and affordability of screening | ||
services in
Illinois for the sickle cell trait.
| ||
(4) The location and capacity of the following for the
| ||
treatment of sickle cell disease and sickle cell trait | ||
carriers:
| ||
(A) Treatment centers. | ||
(B) Clinics. | ||
(C) Community-based social service organizations. | ||
(D) Medical specialists.
| ||
(5) The unmet medical, psychological, and social needs
|
encountered by individuals in Illinois with sickle cell | ||
disease. | ||
(6) The underserved areas of Illinois for the | ||
treatment of
sickle cell disease.
| ||
(7) Recommendations for actions to address any | ||
shortcomings
in the State identified under this Section. | ||
(c) The Department shall submit a report on the study | ||
performed
under this Section to the General Assembly. | ||
Section 131-30. Implementation subject to appropriation. | ||
Implementation of this Act is subject to appropriation. | ||
Section 131-90. The State Finance Act is amended by adding | ||
Section 5.937 as follows: | ||
(30 ILCS 105/5.937 new) | ||
Sec. 5.937. The Sickle Cell Chronic Disease Fund. | ||
Title VII. Hospital Closure | ||
Article 135. | ||
Section 135-5. The Illinois Health Facilities Planning Act | ||
is amended by changing Sections 4, 5.4, and 8.7 as follows:
| ||
(20 ILCS 3960/4) (from Ch. 111 1/2, par. 1154)
|
(Section scheduled to be repealed on December 31, 2029)
| ||
Sec. 4. Health Facilities and Services Review Board; | ||
membership; appointment; term;
compensation; quorum. | ||
(a) There is created the Health
Facilities and Services | ||
Review Board, which
shall perform the functions described in | ||
this
Act. The Department shall provide operational support to | ||
the Board as necessary, including the provision of office | ||
space, supplies, and clerical, financial, and accounting | ||
services. The Board may contract for functions or operational | ||
support as needed. The Board may also contract with experts | ||
related to specific health services or facilities and create | ||
technical advisory panels to assist in the development of | ||
criteria, standards, and procedures used in the evaluation of | ||
applications for permit and exemption.
| ||
(b) The State Board shall consist of 11 9 voting members. | ||
All members shall be residents of Illinois and at least 4 shall | ||
reside outside the Chicago Metropolitan Statistical Area. | ||
Consideration shall be given to potential appointees who | ||
reflect the ethnic and cultural diversity of the State. | ||
Neither Board members nor Board staff shall be convicted | ||
felons or have pled guilty to a felony. | ||
Each member shall have a reasonable knowledge of the | ||
practice, procedures and principles of the health care | ||
delivery system in Illinois, including at least 5 members who | ||
shall be knowledgeable about health care delivery systems, | ||
health systems planning, finance, or the management of health |
care facilities currently regulated under the Act. One member | ||
shall be a representative of a non-profit health care consumer | ||
advocacy organization. One member shall be a representative | ||
from the community with experience on the effects of | ||
discontinuing health care services or the closure of health | ||
care facilities on the surrounding community; provided, | ||
however, that all other members of the Board shall be | ||
appointed before this member shall be appointed. A spouse, | ||
parent, sibling, or child of a Board member cannot be an | ||
employee, agent, or under contract with services or facilities | ||
subject to the Act. Prior to appointment and in the course of | ||
service on the Board, members of the Board shall disclose the | ||
employment or other financial interest of any other relative | ||
of the member, if known, in service or facilities subject to | ||
the Act. Members of the Board shall declare any conflict of | ||
interest that may exist with respect to the status of those | ||
relatives and recuse themselves from voting on any issue for | ||
which a conflict of interest is declared. No person shall be | ||
appointed or continue to serve as a member of the State Board | ||
who is, or whose spouse, parent, sibling, or child is, a member | ||
of the Board of Directors of, has a financial interest in, or | ||
has a business relationship with a health care facility. | ||
Notwithstanding any provision of this Section to the | ||
contrary, the term of
office of each member of the State Board | ||
serving on the day before the effective date of this | ||
amendatory Act of the 96th General Assembly is abolished on |
the date upon which members of the 9-member Board, as | ||
established by this amendatory Act of the 96th General | ||
Assembly, have been appointed and can begin to take action as a | ||
Board.
| ||
(c) The State Board shall be appointed by the Governor, | ||
with the advice
and consent of the Senate. Not more than 6 5 of | ||
the
appointments shall be of the same political party at the | ||
time of the appointment.
| ||
The Secretary of Human Services, the Director of | ||
Healthcare and Family Services, and
the Director of Public | ||
Health, or their designated representatives,
shall serve as | ||
ex-officio, non-voting members of the State Board.
| ||
(d) Of those 9 members initially appointed by the Governor | ||
following the effective date of this
amendatory Act of the | ||
96th General Assembly, 3 shall serve for terms expiring
July | ||
1, 2011, 3 shall serve for terms expiring July 1, 2012, and 3 | ||
shall serve
for terms expiring July 1, 2013. Thereafter, each
| ||
appointed member shall
hold office for a term of 3 years, | ||
provided that any member
appointed to fill a vacancy
occurring | ||
prior to the expiration of the
term for which his or her | ||
predecessor was appointed shall be appointed for the
remainder | ||
of such term and the term of office of each successor shall
| ||
commence on July 1 of the year in which his predecessor's term | ||
expires. Each
member shall hold office until his or her | ||
successor is appointed and qualified. The Governor may | ||
reappoint a member for additional terms, but no member shall |
serve more than 3 terms, subject to review and re-approval | ||
every 3 years.
| ||
(e) State Board members, while serving on business of the | ||
State Board,
shall receive actual and necessary travel and | ||
subsistence expenses while
so serving away from their places
| ||
of residence. Until March 1, 2010, a
member of the State Board | ||
who experiences a significant financial hardship
due to the | ||
loss of income on days of attendance at meetings or while | ||
otherwise
engaged in the business of the State Board may be | ||
paid a hardship allowance, as
determined by and subject to the | ||
approval of the Governor's Travel Control
Board.
| ||
(f) The Governor shall designate one of the members to | ||
serve as the Chairman of the Board, who shall be a person with | ||
expertise in health care delivery system planning, finance or | ||
management of health care facilities that are regulated under | ||
the Act. The Chairman shall annually review Board member | ||
performance and shall report the attendance record of each | ||
Board member to the General Assembly. | ||
(g) The State Board, through the Chairman, shall prepare a | ||
separate and distinct budget approved by the General Assembly | ||
and shall hire and supervise its own professional staff | ||
responsible for carrying out the responsibilities of the | ||
Board.
| ||
(h) The State Board shall meet at least every 45 days, or | ||
as often as
the Chairman of the State Board deems necessary, or | ||
upon the request of
a majority of the members.
|
(i) Six
Five members of the State Board shall constitute a | ||
quorum.
The affirmative vote of 6 5 of the members of the State | ||
Board shall be
necessary for
any action requiring a vote to be | ||
taken by the State
Board. A vacancy in the membership of the | ||
State Board shall not impair the
right of a quorum to exercise | ||
all the rights and perform all the duties of the
State Board as | ||
provided by this Act.
| ||
(j) A State Board member shall disqualify himself or | ||
herself from the
consideration of any application for a permit | ||
or
exemption in which the State Board member or the State Board | ||
member's spouse,
parent, sibling, or child: (i) has
an | ||
economic interest in the matter; or (ii) is employed by, | ||
serves as a
consultant for, or is a member of the
governing | ||
board of the applicant or a party opposing the application.
| ||
(k) The Chairman, Board members, and Board staff must | ||
comply with the Illinois Governmental Ethics Act. | ||
(Source: P.A. 99-527, eff. 1-1-17; 100-681, eff. 8-3-18 .)
| ||
(20 ILCS 3960/5.4) | ||
(Section scheduled to be repealed on December 31, 2029) | ||
Sec. 5.4. Safety Net Impact Statement. | ||
(a) General review criteria shall include a requirement | ||
that all health care facilities, with the exception of skilled | ||
and intermediate long-term care facilities licensed under the | ||
Nursing Home Care Act, provide a Safety Net Impact Statement, | ||
which shall be filed with an application for a substantive |
project or when the application proposes to discontinue a | ||
category of service. | ||
(b) For the purposes of this Section, "safety net | ||
services" are services provided by health care providers or | ||
organizations that deliver health care services to persons | ||
with barriers to mainstream health care due to lack of | ||
insurance, inability to pay, special needs, ethnic or cultural | ||
characteristics, or geographic isolation. Safety net service | ||
providers include, but are not limited to, hospitals and | ||
private practice physicians that provide charity care, | ||
school-based health centers, migrant health clinics, rural | ||
health clinics, federally qualified health centers, community | ||
health centers, public health departments, and community | ||
mental health centers. | ||
(c) As developed by the applicant, a Safety Net Impact | ||
Statement shall describe all of the following: | ||
(1) The project's material impact, if any, on | ||
essential safety net services in the community, including | ||
the impact on racial and health care disparities in the | ||
community, to the extent that it is feasible for an | ||
applicant to have such knowledge. | ||
(2) The project's impact on the ability of another | ||
provider or health care system to cross-subsidize safety | ||
net services, if reasonably known to the applicant. | ||
(3) How the discontinuation of a facility or service | ||
might impact the remaining safety net providers in a given |
community, if reasonably known by the applicant. | ||
(d) Safety Net Impact Statements shall also include all of | ||
the following: | ||
(1) For the 3 fiscal years prior to the application, a | ||
certification describing the amount of charity care | ||
provided by the applicant. The amount calculated by | ||
hospital applicants shall be in accordance with the | ||
reporting requirements for charity care reporting in the | ||
Illinois Community Benefits Act. Non-hospital applicants | ||
shall report charity care, at cost, in accordance with an | ||
appropriate methodology specified by the Board. | ||
(2) For the 3 fiscal years prior to the application, a | ||
certification of the amount of care provided to Medicaid | ||
patients. Hospital and non-hospital applicants shall | ||
provide Medicaid information in a manner consistent with | ||
the information reported each year to the State Board | ||
regarding "Inpatients and Outpatients Served by Payor | ||
Source" and "Inpatient and Outpatient Net Revenue by Payor | ||
Source" as required by the Board under Section 13 of this | ||
Act and published in the Annual Hospital Profile. | ||
(3) Any information the applicant believes is directly | ||
relevant to safety net services, including information | ||
regarding teaching, research, and any other service. | ||
(e) The Board staff shall publish a notice, that an | ||
application accompanied by a Safety Net Impact Statement has | ||
been filed, in a newspaper having general circulation within |
the area affected by the application. If no newspaper has a | ||
general circulation within the county, the Board shall post | ||
the notice in 5 conspicuous places within the proposed area. | ||
(f) Any person, community organization, provider, or | ||
health system or other entity wishing to comment upon or | ||
oppose the application may file a Safety Net Impact Statement | ||
Response with the Board, which shall provide additional | ||
information concerning a project's impact on safety net | ||
services in the community. | ||
(g) Applicants shall be provided an opportunity to submit | ||
a reply to any Safety Net Impact Statement Response. | ||
(h) The State Board Staff Report shall include a statement | ||
as to whether a Safety Net Impact Statement was filed by the | ||
applicant and whether it included information on charity care, | ||
the amount of care provided to Medicaid patients, and | ||
information on teaching, research, or any other service | ||
provided by the applicant directly relevant to safety net | ||
services. The report shall also indicate the names of the | ||
parties submitting responses and the number of responses and | ||
replies, if any, that were filed.
| ||
(Source: P.A. 100-518, eff. 6-1-18 .) | ||
(20 ILCS 3960/8.7) | ||
(Section scheduled to be repealed on December 31, 2029) | ||
Sec. 8.7. Application for permit for discontinuation of a | ||
health care facility or category of service; public notice and |
public hearing. | ||
(a) Upon a finding that an application to close a health | ||
care facility or discontinue a category of service is | ||
complete, the State Board shall publish a legal notice on 3 | ||
consecutive days in a newspaper of general circulation in the | ||
area or community to be affected and afford the public an | ||
opportunity to request a hearing. If the application is for a | ||
facility located in a Metropolitan Statistical Area, an | ||
additional legal notice shall be published in a newspaper of | ||
limited circulation, if one exists, in the area in which the | ||
facility is located. If the newspaper of limited circulation | ||
is published on a daily basis, the additional legal notice | ||
shall be published on 3 consecutive days. The legal notice | ||
shall also be posted on the Health Facilities and Services | ||
Review Board's website and sent to the State Representative | ||
and State Senator of the district in which the health care | ||
facility is located. In addition, the health care facility | ||
shall provide notice of closure to the local media that the | ||
health care facility would routinely notify about facility | ||
events. | ||
An application to close a health care facility shall only | ||
be deemed complete if it includes evidence that the health | ||
care facility provided written notice at least 30 days prior | ||
to filing the application of its intent to do so to the | ||
municipality in which it is located, the State Representative | ||
and State Senator of the district in which the health care |
facility is located, the State Board, the Director of Public | ||
Health, and the Director of Healthcare and Family Services. | ||
The changes made to this subsection by this amendatory Act of | ||
the 101st General Assembly shall apply to all applications | ||
submitted after the effective date of this amendatory Act of | ||
the 101st General Assembly. | ||
(b) No later than 30 days after issuance of a permit to | ||
close a health care facility or discontinue a category of | ||
service, the permit holder shall give written notice of the | ||
closure or discontinuation to the State Senator and State | ||
Representative serving the legislative district in which the | ||
health care facility is located. | ||
(c) (1) If there is a pending lawsuit that challenges an | ||
application to discontinue a health care facility that either | ||
names the Board as a party or alleges fraud in the filing of | ||
the application, the Board may defer action on the application | ||
for up to 6 months after the date of the initial deferral of | ||
the application. | ||
(2) The Board may defer action on an application to | ||
discontinue a hospital that is pending before the Board as of | ||
the effective date of this amendatory Act of the 102nd General | ||
Assembly for up to 60 days after the effective date of this | ||
amendatory Act of the 102nd General Assembly. | ||
(3) The Board may defer taking final action on an | ||
application to discontinue a hospital that is filed on or | ||
after January 12, 2021, until the earlier to occur of: (i) the |
expiration of the statewide disaster declaration proclaimed by | ||
the Governor of the State of Illinois due to the COVID-19 | ||
pandemic that is in effect on January 12, 2021, or any | ||
extension thereof, or July 1, 2021, whichever occurs later; or | ||
(ii) the expiration of the declaration of a public health | ||
emergency due to the COVID-19 pandemic as declared by the | ||
Secretary of the U.S. Department of Health and Human Services | ||
that is in effect on January 12, 2021, or any extension | ||
thereof, or July 1, 2021, whichever occurs later. This | ||
paragraph (3) is repealed as of the date of the expiration of | ||
the statewide disaster declaration proclaimed by the Governor | ||
of the State of Illinois due to the COVID-19 pandemic that is | ||
in effect on January 12, 2021, or any extension thereof, or | ||
July 1, 2021, whichever occurs later. | ||
(d) The changes made to this Section by this amendatory | ||
Act of the 101st General Assembly shall apply to all | ||
applications submitted after the effective date of this | ||
amendatory Act of the 101st General Assembly.
| ||
(Source: P.A. 101-83, eff. 7-15-19; 101-650, eff. 7-7-20.) | ||
Title VIII. Managed Care Organization Reform | ||
Article 150. | ||
Section 150-5. The Illinois Public Aid Code is amended by | ||
changing Section 5-30.1 as follows: |
(305 ILCS 5/5-30.1) | ||
Sec. 5-30.1. Managed care protections. | ||
(a) As used in this Section: | ||
"Managed care organization" or "MCO" means any entity | ||
which contracts with the Department to provide services where | ||
payment for medical services is made on a capitated basis. | ||
"Emergency services" include: | ||
(1) emergency services, as defined by Section 10 of | ||
the Managed Care Reform and Patient Rights Act; | ||
(2) emergency medical screening examinations, as | ||
defined by Section 10 of the Managed Care Reform and | ||
Patient Rights Act; | ||
(3) post-stabilization medical services, as defined by | ||
Section 10 of the Managed Care Reform and Patient Rights | ||
Act; and | ||
(4) emergency medical conditions, as defined by
| ||
Section 10 of the Managed Care Reform and Patient Rights
| ||
Act. | ||
(b) As provided by Section 5-16.12, managed care | ||
organizations are subject to the provisions of the Managed | ||
Care Reform and Patient Rights Act. | ||
(c) An MCO shall pay any provider of emergency services | ||
that does not have in effect a contract with the contracted | ||
Medicaid MCO. The default rate of reimbursement shall be the | ||
rate paid under Illinois Medicaid fee-for-service program |
methodology, including all policy adjusters, including but not | ||
limited to Medicaid High Volume Adjustments, Medicaid | ||
Percentage Adjustments, Outpatient High Volume Adjustments, | ||
and all outlier add-on adjustments to the extent such | ||
adjustments are incorporated in the development of the | ||
applicable MCO capitated rates. | ||
(d) An MCO shall pay for all post-stabilization services | ||
as a covered service in any of the following situations: | ||
(1) the MCO authorized such services; | ||
(2) such services were administered to maintain the | ||
enrollee's stabilized condition within one hour after a | ||
request to the MCO for authorization of further | ||
post-stabilization services; | ||
(3) the MCO did not respond to a request to authorize | ||
such services within one hour; | ||
(4) the MCO could not be contacted; or | ||
(5) the MCO and the treating provider, if the treating | ||
provider is a non-affiliated provider, could not reach an | ||
agreement concerning the enrollee's care and an affiliated | ||
provider was unavailable for a consultation, in which case | ||
the MCO
must pay for such services rendered by the | ||
treating non-affiliated provider until an affiliated | ||
provider was reached and either concurred with the | ||
treating non-affiliated provider's plan of care or assumed | ||
responsibility for the enrollee's care. Such payment shall | ||
be made at the default rate of reimbursement paid under |
Illinois Medicaid fee-for-service program methodology, | ||
including all policy adjusters, including but not limited | ||
to Medicaid High Volume Adjustments, Medicaid Percentage | ||
Adjustments, Outpatient High Volume Adjustments and all | ||
outlier add-on adjustments to the extent that such | ||
adjustments are incorporated in the development of the | ||
applicable MCO capitated rates. | ||
(e) The following requirements apply to MCOs in | ||
determining payment for all emergency services: | ||
(1) MCOs shall not impose any requirements for prior | ||
approval of emergency services. | ||
(2) The MCO shall cover emergency services provided to | ||
enrollees who are temporarily away from their residence | ||
and outside the contracting area to the extent that the | ||
enrollees would be entitled to the emergency services if | ||
they still were within the contracting area. | ||
(3) The MCO shall have no obligation to cover medical | ||
services provided on an emergency basis that are not | ||
covered services under the contract. | ||
(4) The MCO shall not condition coverage for emergency | ||
services on the treating provider notifying the MCO of the | ||
enrollee's screening and treatment within 10 days after | ||
presentation for emergency services. | ||
(5) The determination of the attending emergency | ||
physician, or the provider actually treating the enrollee, | ||
of whether an enrollee is sufficiently stabilized for |
discharge or transfer to another facility, shall be | ||
binding on the MCO. The MCO shall cover emergency services | ||
for all enrollees whether the emergency services are | ||
provided by an affiliated or non-affiliated provider. | ||
(6) The MCO's financial responsibility for | ||
post-stabilization care services it has not pre-approved | ||
ends when: | ||
(A) a plan physician with privileges at the | ||
treating hospital assumes responsibility for the | ||
enrollee's care; | ||
(B) a plan physician assumes responsibility for | ||
the enrollee's care through transfer; | ||
(C) a contracting entity representative and the | ||
treating physician reach an agreement concerning the | ||
enrollee's care; or | ||
(D) the enrollee is discharged. | ||
(f) Network adequacy and transparency. | ||
(1) The Department shall: | ||
(A) ensure that an adequate provider network is in | ||
place, taking into consideration health professional | ||
shortage areas and medically underserved areas; | ||
(B) publicly release an explanation of its process | ||
for analyzing network adequacy; | ||
(C) periodically ensure that an MCO continues to | ||
have an adequate network in place; and | ||
(D) require MCOs, including Medicaid Managed Care |
Entities as defined in Section 5-30.2, to meet | ||
provider directory requirements under Section 5-30.3 ; | ||
and . | ||
(E) require MCOs to ensure that any | ||
Medicaid-certified provider
under contract with an MCO | ||
and previously submitted on a roster on the date of | ||
service is
paid for any medically necessary, | ||
Medicaid-covered, and authorized service rendered to
| ||
any of the MCO's enrollees, regardless of inclusion on
| ||
the MCO's published and publicly available directory | ||
of
available providers. | ||
(2) Each MCO shall confirm its receipt of information | ||
submitted specific to physician or dentist additions or | ||
physician or dentist deletions from the MCO's provider | ||
network within 3 days after receiving all required | ||
information from contracted physicians or dentists, and | ||
electronic physician and dental directories must be | ||
updated consistent with current rules as published by the | ||
Centers for Medicare and Medicaid Services or its | ||
successor agency. | ||
(g) Timely payment of claims. | ||
(1) The MCO shall pay a claim within 30 days of | ||
receiving a claim that contains all the essential | ||
information needed to adjudicate the claim. | ||
(2) The MCO shall notify the billing party of its | ||
inability to adjudicate a claim within 30 days of |
receiving that claim. | ||
(3) The MCO shall pay a penalty that is at least equal | ||
to the timely payment interest penalty imposed under | ||
Section 368a of the Illinois Insurance Code for any claims | ||
not timely paid. | ||
(A) When an MCO is required to pay a timely payment | ||
interest penalty to a provider, the MCO must calculate | ||
and pay the timely payment interest penalty that is | ||
due to the provider within 30 days after the payment of | ||
the claim. In no event shall a provider be required to | ||
request or apply for payment of any owed timely | ||
payment interest penalties. | ||
(B) Such payments shall be reported separately | ||
from the claim payment for services rendered to the | ||
MCO's enrollee and clearly identified as interest | ||
payments. | ||
(4)(A) The Department shall require MCOs to expedite | ||
payments to providers identified on the Department's | ||
expedited provider list, determined in accordance with 89 | ||
Ill. Adm. Code 140.71(b), on a schedule at least as | ||
frequently as the providers are paid under the | ||
Department's fee-for-service expedited provider schedule. | ||
(B) Compliance with the expedited provider | ||
requirement may be satisfied by an MCO through the use | ||
of a Periodic Interim Payment (PIP) program that has | ||
been mutually agreed to and documented between the MCO |
and the provider, if and the PIP program ensures that | ||
any expedited provider receives regular and periodic | ||
payments based on prior period payment experience from | ||
that MCO. Total payments under the PIP program may be | ||
reconciled against future PIP payments on a schedule | ||
mutually agreed to between the MCO and the provider. | ||
(C) The Department shall share at least monthly | ||
its expedited provider list and the frequency with | ||
which it pays providers on the expedited list. | ||
(g-5) Recognizing that the rapid transformation of the | ||
Illinois Medicaid program may have unintended operational | ||
challenges for both payers and providers: | ||
(1) in no instance shall a medically necessary covered | ||
service rendered in good faith, based upon eligibility | ||
information documented by the provider, be denied coverage | ||
or diminished in payment amount if the eligibility or | ||
coverage information available at the time the service was | ||
rendered is later found to be inaccurate in the assignment | ||
of coverage responsibility between MCOs or the | ||
fee-for-service system, except for instances when an | ||
individual is deemed to have not been eligible for | ||
coverage under the Illinois Medicaid program; and | ||
(2) the Department shall, by December 31, 2016, adopt | ||
rules establishing policies that shall be included in the | ||
Medicaid managed care policy and procedures manual | ||
addressing payment resolutions in situations in which a |
provider renders services based upon information obtained | ||
after verifying a patient's eligibility and coverage plan | ||
through either the Department's current enrollment system | ||
or a system operated by the coverage plan identified by | ||
the patient presenting for services: | ||
(A) such medically necessary covered services | ||
shall be considered rendered in good faith; | ||
(B) such policies and procedures shall be | ||
developed in consultation with industry | ||
representatives of the Medicaid managed care health | ||
plans and representatives of provider associations | ||
representing the majority of providers within the | ||
identified provider industry; and | ||
(C) such rules shall be published for a review and | ||
comment period of no less than 30 days on the | ||
Department's website with final rules remaining | ||
available on the Department's website. | ||
The rules on payment resolutions shall include, but not be | ||
limited to: | ||
(A) the extension of the timely filing period; | ||
(B) retroactive prior authorizations; and | ||
(C) guaranteed minimum payment rate of no less than | ||
the current, as of the date of service, fee-for-service | ||
rate, plus all applicable add-ons, when the resulting | ||
service relationship is out of network. | ||
The rules shall be applicable for both MCO coverage and |
fee-for-service coverage. | ||
If the fee-for-service system is ultimately determined to | ||
have been responsible for coverage on the date of service, the | ||
Department shall provide for an extended period for claims | ||
submission outside the standard timely filing requirements. | ||
(g-6) MCO Performance Metrics Report. | ||
(1) The Department shall publish, on at least a | ||
quarterly basis, each MCO's operational performance, | ||
including, but not limited to, the following categories of | ||
metrics: | ||
(A) claims payment, including timeliness and | ||
accuracy; | ||
(B) prior authorizations; | ||
(C) grievance and appeals; | ||
(D) utilization statistics; | ||
(E) provider disputes; | ||
(F) provider credentialing; and | ||
(G) member and provider customer service. | ||
(2) The Department shall ensure that the metrics | ||
report is accessible to providers online by January 1, | ||
2017. | ||
(3) The metrics shall be developed in consultation | ||
with industry representatives of the Medicaid managed care | ||
health plans and representatives of associations | ||
representing the majority of providers within the | ||
identified industry. |
(4) Metrics shall be defined and incorporated into the | ||
applicable Managed Care Policy Manual issued by the | ||
Department. | ||
(g-7) MCO claims processing and performance analysis. In | ||
order to monitor MCO payments to hospital providers, pursuant | ||
to this amendatory Act of the 100th General Assembly, the | ||
Department shall post an analysis of MCO claims processing and | ||
payment performance on its website every 6 months. Such | ||
analysis shall include a review and evaluation of a | ||
representative sample of hospital claims that are rejected and | ||
denied for clean and unclean claims and the top 5 reasons for | ||
such actions and timeliness of claims adjudication, which | ||
identifies the percentage of claims adjudicated within 30, 60, | ||
90, and over 90 days, and the dollar amounts associated with | ||
those claims. The Department shall post the contracted claims | ||
report required by HealthChoice Illinois on its website every | ||
3 months. | ||
(g-8) Dispute resolution process. The Department shall | ||
maintain a provider complaint portal through which a provider | ||
can submit to the Department unresolved disputes with an MCO. | ||
An unresolved dispute means an MCO's decision that denies in | ||
whole or in part a claim for reimbursement to a provider for | ||
health care services rendered by the provider to an enrollee | ||
of the MCO with which the provider disagrees. Disputes shall | ||
not be submitted to the portal until the provider has availed | ||
itself of the MCO's internal dispute resolution process. |
Disputes that are submitted to the MCO internal dispute | ||
resolution process may be submitted to the Department of | ||
Healthcare and Family Services' complaint portal no sooner | ||
than 30 days after submitting to the MCO's internal process | ||
and not later than 30 days after the unsatisfactory resolution | ||
of the internal MCO process or 60 days after submitting the | ||
dispute to the MCO internal process. Multiple claim disputes | ||
involving the same MCO may be submitted in one complaint, | ||
regardless of whether the claims are for different enrollees, | ||
when the specific reason for non-payment of the claims | ||
involves a common question of fact or policy. Within 10 | ||
business days of receipt of a complaint, the Department shall | ||
present such disputes to the appropriate MCO, which shall then | ||
have 30 days to issue its written proposal to resolve the | ||
dispute. The Department may grant one 30-day extension of this | ||
time frame to one of the parties to resolve the dispute. If the | ||
dispute remains unresolved at the end of this time frame or the | ||
provider is not satisfied with the MCO's written proposal to | ||
resolve the dispute, the provider may, within 30 days, request | ||
the Department to review the dispute and make a final | ||
determination. Within 30 days of the request for Department | ||
review of the dispute, both the provider and the MCO shall | ||
present all relevant information to the Department for | ||
resolution and make individuals with knowledge of the issues | ||
available to the Department for further inquiry if needed. | ||
Within 30 days of receiving the relevant information on the |
dispute, or the lapse of the period for submitting such | ||
information, the Department shall issue a written decision on | ||
the dispute based on contractual terms between the provider | ||
and the MCO, contractual terms between the MCO and the | ||
Department of Healthcare and Family Services and applicable | ||
Medicaid policy. The decision of the Department shall be | ||
final. By January 1, 2020, the Department shall establish by | ||
rule further details of this dispute resolution process. | ||
Disputes between MCOs and providers presented to the | ||
Department for resolution are not contested cases, as defined | ||
in Section 1-30 of the Illinois Administrative Procedure Act, | ||
conferring any right to an administrative hearing. | ||
(g-9)(1) The Department shall publish annually on its | ||
website a report on the calculation of each managed care | ||
organization's medical loss ratio showing the following: | ||
(A) Premium revenue, with appropriate adjustments. | ||
(B) Benefit expense, setting forth the aggregate | ||
amount spent for the following: | ||
(i) Direct paid claims. | ||
(ii) Subcapitation payments. | ||
(iii)
Other claim payments. | ||
(iv)
Direct reserves. | ||
(v)
Gross recoveries. | ||
(vi)
Expenses for activities that improve health | ||
care quality as allowed by the Department. | ||
(2) The medical loss ratio shall be calculated consistent |
with federal law and regulation following a claims runout | ||
period determined by the Department. | ||
(g-10)(1) "Liability effective date" means the date on | ||
which an MCO becomes responsible for payment for medically | ||
necessary and covered services rendered by a provider to one | ||
of its enrollees in accordance with the contract terms between | ||
the MCO and the provider. The liability effective date shall | ||
be the later of: | ||
(A) The execution date of a network participation | ||
contract agreement. | ||
(B) The date the provider or its representative | ||
submits to the MCO the complete and accurate standardized | ||
roster form for the provider in the format approved by the | ||
Department. | ||
(C) The provider effective date contained within the | ||
Department's provider enrollment subsystem within the | ||
Illinois Medicaid Program Advanced Cloud Technology | ||
(IMPACT) System. | ||
(2) The standardized roster form may be submitted to the | ||
MCO at the same time that the provider submits an enrollment | ||
application to the Department through IMPACT. | ||
(3) By October 1, 2019, the Department shall require all | ||
MCOs to update their provider directory with information for | ||
new practitioners of existing contracted providers within 30 | ||
days of receipt of a complete and accurate standardized roster | ||
template in the format approved by the Department provided |
that the provider is effective in the Department's provider | ||
enrollment subsystem within the IMPACT system. Such provider | ||
directory shall be readily accessible for purposes of | ||
selecting an approved health care provider and comply with all | ||
other federal and State requirements. | ||
(g-11) The Department shall work with relevant | ||
stakeholders on the development of operational guidelines to | ||
enhance and improve operational performance of Illinois' | ||
Medicaid managed care program, including, but not limited to, | ||
improving provider billing practices, reducing claim | ||
rejections and inappropriate payment denials, and | ||
standardizing processes, procedures, definitions, and response | ||
timelines, with the goal of reducing provider and MCO | ||
administrative burdens and conflict. The Department shall | ||
include a report on the progress of these program improvements | ||
and other topics in its Fiscal Year 2020 annual report to the | ||
General Assembly. | ||
(g-12) Notwithstanding any other provision of law, if the
| ||
Department or an MCO requires submission of a claim for | ||
payment
in a non-electronic format, a provider shall always be | ||
afforded
a period of no less than 90 business days, as a | ||
correction
period, following any notification of rejection by | ||
either the
Department or the MCO to correct errors or | ||
omissions in the
original submission. | ||
Under no circumstances, either by an MCO or under the
| ||
State's fee-for-service system, shall a provider be denied
|
payment for failure to comply with any timely submission
| ||
requirements under this Code or under any existing contract,
| ||
unless the non-electronic format claim submission occurs after
| ||
the initial 180 days following the latest date of service on
| ||
the claim, or after the 90 business days correction period
| ||
following notification to the provider of rejection or denial
| ||
of payment. | ||
(h) The Department shall not expand mandatory MCO | ||
enrollment into new counties beyond those counties already | ||
designated by the Department as of June 1, 2014 for the | ||
individuals whose eligibility for medical assistance is not | ||
the seniors or people with disabilities population until the | ||
Department provides an opportunity for accountable care | ||
entities and MCOs to participate in such newly designated | ||
counties. | ||
(i) The requirements of this Section apply to contracts | ||
with accountable care entities and MCOs entered into, amended, | ||
or renewed after June 16, 2014 (the effective date of Public | ||
Act 98-651).
| ||
(j) Health care information released to managed care | ||
organizations. A health care provider shall release to a | ||
Medicaid managed care organization, upon request, and subject | ||
to the Health Insurance Portability and Accountability Act of | ||
1996 and any other law applicable to the release of health | ||
information, the health care information of the MCO's | ||
enrollee, if the enrollee has completed and signed a general |
release form that grants to the health care provider | ||
permission to release the recipient's health care information | ||
to the recipient's insurance carrier. | ||
(k) The Department of Healthcare and Family Services, | ||
managed care organizations, a statewide organization | ||
representing hospitals, and a statewide organization | ||
representing safety-net hospitals shall explore ways to | ||
support billing departments in safety-net hospitals. | ||
(l) The requirements of this Section added by this
| ||
amendatory Act of the 102nd General Assembly shall apply to
| ||
services provided on or after the first day of the month that
| ||
begins 60 days after the effective date of this amendatory Act
| ||
of the 102nd General Assembly. | ||
(Source: P.A. 100-201, eff. 8-18-17; 100-580, eff. 3-12-18; | ||
100-587, eff. 6-4-18; 101-209, eff. 8-5-19.) | ||
Article 155. | ||
Section 155-5. The Illinois Public Aid Code is amended by | ||
adding Section 5-30.17 as follows: | ||
(305 ILCS 5/5-30.17 new) | ||
Sec. 5-30.17. Medicaid Managed Care Oversight Commission. | ||
(a) The Medicaid Managed Care Oversight Commission is | ||
created within the Department of Healthcare and Family | ||
Services to evaluate the effectiveness of Illinois' managed |
care program. | ||
(b) The Commission shall consist of the following members: | ||
(1) One member of the Senate, appointed by the Senate | ||
President, who shall serve as co-chair. | ||
(2) One member of the House of Representatives, | ||
appointed by the Speaker of the House of Representatives, | ||
who shall serve as co-chair. | ||
(3) One member of the House of Representatives, | ||
appointed by the Minority Leader of the House of | ||
Representatives. | ||
(4) One member of the Senate, appointed by the Senate | ||
Minority Leader. | ||
(5) One member representing the Department of | ||
Healthcare and Family Services, appointed by the Governor. | ||
(6) One member representing the Department of Public | ||
Health, appointed by the Governor. | ||
(7) One member representing the Department of Human | ||
Services, appointed by the Governor. | ||
(8) One member representing the Department of Children | ||
and Family Services, appointed by the Governor. | ||
(9) One member of a statewide association representing | ||
Medicaid managed care plans, appointed by the Governor. | ||
(10) One member of a statewide association | ||
representing a majority of hospitals, appointed by the | ||
Governor. | ||
(11) Two academic experts on Medicaid managed care |
programs, appointed by the Governor. | ||
(12) One member of a statewide association | ||
representing primary care providers, appointed by the | ||
Governor. | ||
(13) One member of a statewide association | ||
representing behavioral health providers, appointed by the | ||
Governor. | ||
(14) Members representing Federally
Qualified Health | ||
Centers, a long-term care association, a dental | ||
association, pharmacies, pharmacists, a developmental | ||
disability association, a Medicaid consumer advocate, a | ||
Medicaid consumer, an association representing physicians, | ||
a behavioral health association, and an association | ||
representing pediatricians, appointed by the Governor. | ||
(15) A member of a statewide association representing | ||
only safety-net hospitals, appointed by the Governor. | ||
(c) The Director of Healthcare and Family Services and | ||
chief of staff, or their designees, shall serve as the | ||
Commission's executive administrators in providing | ||
administrative support, research support, and other | ||
administrative tasks requested by the Commission's co-chairs. | ||
Any expenses, including, but not limited to, travel and | ||
housing, shall be paid for by the Department's existing | ||
budget. | ||
(d) The members of the Commission shall receive no | ||
compensation for their services as members of the Commission. |
(e) The Commission shall meet quarterly beginning as soon | ||
as is practicable after the effective date of this amendatory | ||
Act of the 102nd General Assembly. | ||
(f) The Commission shall: | ||
(1) review data on health outcomes of Medicaid managed | ||
care members; | ||
(2) review current care coordination and case | ||
management efforts and make recommendations on expanding | ||
care coordination to additional populations with a focus | ||
on the social determinants of health; | ||
(3) review and assess the appropriateness of metrics | ||
used in the Pay-for-Performance programs; | ||
(4) review the Department's prior authorization and | ||
utilization management requirements and recommend | ||
adaptations for the Medicaid population; | ||
(5) review managed care performance in meeting | ||
diversity contracting goals and the use of funds dedicated | ||
to meeting such goals, including, but not limited to, | ||
contracting requirements set forth in the Business | ||
Enterprise for Minorities, Women, and Persons with | ||
Disabilities Act; recommend strategies to increase | ||
compliance with diversity contracting goals in | ||
collaboration with the Chief Procurement Officer for | ||
General Services and the Business Enterprise Council for | ||
Minorities, Women, and Persons with Disabilities; and | ||
recoup any misappropriated funds for diversity |
contracting; | ||
(6) review data on the effectiveness of processing to | ||
medical providers; | ||
(7) review member access to health care services in | ||
the Medicaid Program, including specialty care services; | ||
(8) review value-based and other alternative payment | ||
methodologies to make recommendations to enhance program | ||
efficiency and improve health outcomes; | ||
(9) review the compliance of all managed care entities | ||
in State contracts and recommend reasonable financial | ||
penalties for any noncompliance; | ||
(10) produce an annual report detailing the | ||
Commission's findings based upon its review of research | ||
conducted under this Section, including specific | ||
recommendations, if any, and any other information the | ||
Commission may deem proper in furtherance of its duties | ||
under this Section; | ||
(11) review provider availability and make | ||
recommendations to increase providers where needed, | ||
including reviewing the regulatory environment and making | ||
recommendations for reforms; | ||
(12) review capacity for culturally competent | ||
services, including translation services among providers; | ||
and | ||
(13) review and recommend changes to the safety-net | ||
hospital definition to create different classifications of |
safety-net hospitals. | ||
(f-5) The Department shall make available upon request the | ||
analytics of Medicaid managed care clearinghouse data | ||
regarding processing. | ||
(g) Beginning January 1, 2022, and for each year | ||
thereafter, the Commission shall submit a report of its | ||
findings and recommendations to the General Assembly. The | ||
report to the General Assembly shall be filed with the Clerk of | ||
the House of Representatives and the Secretary of the Senate | ||
in electronic form only, in the manner that the Clerk and the | ||
Secretary shall direct. | ||
Article 160. | ||
Section 160-5. The State Finance Act is amended by adding | ||
Sections 5.935 and 6z-124 as follows: | ||
(30 ILCS 105/5.935 new) | ||
Sec. 5.935. The Managed Care Oversight Fund. | ||
(30 ILCS 105/6z-124 new) | ||
Sec. 6z-124. Managed Care Oversight Fund. The Managed Care | ||
Oversight Fund is created as a special fund in the State | ||
treasury. Subject to appropriation, available annual moneys in | ||
the Fund shall be used by the Department of Healthcare and | ||
Family Services to support contracting with women and |
minority-owned businesses as part of the Department's Business | ||
Enterprise Program requirements. The Department shall | ||
prioritize contracts for care coordination services, workforce | ||
development, and other services that support the Department's | ||
mission to promote health equity. Funds may not be used for any | ||
administrative costs of the Department. | ||
Article 170. | ||
Section 170-5. The Illinois Public Aid Code is amended by | ||
adding Section 5-30.16 as follows: | ||
(305 ILCS 5/5-30.16 new) | ||
Sec. 5-30.16. Medicaid Business Opportunity Commission. | ||
(a) The Medicaid Business Opportunity Commission is
| ||
created within the Department of Healthcare and Family | ||
Services
to develop a program to support and grow minority, | ||
women, and persons with disability owned businesses. | ||
(b) The Commission shall consist of the following members: | ||
(1) Two members appointed by the Illinois Legislative | ||
Black Caucus. | ||
(2) Two members appointed by the Illinois Legislative | ||
Latino Caucus. | ||
(3) Two members appointed by the Conference of Women | ||
Legislators of the Illinois General Assembly. | ||
(4) Two members representing a statewide Medicaid |
health plan association, appointed by the Governor. | ||
(5) One member representing the Department of | ||
Healthcare and Family Services, appointed by the Governor. | ||
(6) Three members representing businesses currently | ||
registered with the Business Enterprise Program, appointed | ||
by the Governor. | ||
(7) One member representing the disability community, | ||
appointed by the Governor. | ||
(8) One member representing the Business Enterprise | ||
Council, appointed by the Governor. | ||
(c) The Director of Healthcare and Family Services and | ||
chief of staff, or their designees, shall serve as the | ||
Commission's executive administrators in providing | ||
administrative support, research support, and other | ||
administrative tasks requested by the Commission's co-chairs. | ||
Any expenses, including, but not limited to, travel and | ||
housing, shall be paid for by the Department's existing | ||
budget. | ||
(d) The members of the Commission shall receive no | ||
compensation for their services as members of the Commission. | ||
(e) The members of the Commission shall designate | ||
co-chairs of the Commission to lead their efforts at the first | ||
meeting of the Commission. | ||
(f) The Commission shall meet at least monthly beginning | ||
as soon as is practicable after the effective date of this | ||
amendatory Act of the 102nd General Assembly. |
(g) The Commission shall: | ||
(1) Develop a recommendation on a Medicaid Business | ||
Opportunity Program for Minority, Women, and Persons with | ||
Disability Owned business contracting requirements to be | ||
included in the contracts between the Department of | ||
Healthcare and Family Services and the Managed Care | ||
entities for the provision of Medicaid Services. | ||
(2) Make recommendations on the process by which | ||
vendors or providers would be certified as eligible to be | ||
included in the program and appropriate eligibility | ||
standards relative to the healthcare industry. | ||
(3) Make a recommendation on whether to include not | ||
for profit organizations, diversity councils, or diversity | ||
chambers as eligible for certification. | ||
(4) Make a recommendation on whether diverse staff | ||
shall be considered within the goals set for managed care | ||
entities. | ||
(5) Make a recommendation on whether a new platform | ||
for certification is necessary to administer this program | ||
or if the existing platform for the Business Enterprise | ||
Program is capable of including recommended changes coming | ||
from this Commission. | ||
(6) Make a recommendation on the ongoing activity of | ||
the Commission including structure, frequency of meetings, | ||
and agendas to ensure ongoing oversight of the program by | ||
the Commission. |
(h) The Commission shall provide recommendations to the | ||
Department and the General assembly by April 15, 2021 in order | ||
to ensure prompt implementation of the Medicaid Business | ||
Opportunity Program. | ||
(i) Beginning January 1, 2022, and for each year | ||
thereafter, the Commission shall submit a report of its | ||
findings and recommendations to the General Assembly. The | ||
report to the General Assembly shall be filed with the Clerk of | ||
the House of Representatives and the Secretary of the Senate | ||
in electronic form only, in the manner that the Clerk and the | ||
Secretary shall direct. | ||
Article 172. | ||
Section 172-5. The Illinois Public Aid Code is amended by | ||
changing Section 14-13 as follows: | ||
(305 ILCS 5/14-13) | ||
Sec. 14-13. Reimbursement for inpatient stays extended | ||
beyond medical necessity. | ||
(a) By October 1, 2019, the Department shall by rule | ||
implement a methodology effective for dates of service July 1, | ||
2019 and later to reimburse hospitals for inpatient stays | ||
extended beyond medical necessity due to the inability of the | ||
Department or the managed care organization in which a | ||
recipient is enrolled or the hospital discharge planner to |
find an appropriate placement after discharge from the | ||
hospital. The Department shall evaluate the effectiveness of | ||
the current reimbursement rate for inpatient hospital stays | ||
beyond medical necessity. | ||
(b) The methodology shall provide reasonable compensation | ||
for the services provided attributable to the days of the | ||
extended stay for which the prevailing rate methodology | ||
provides no reimbursement. The Department may use a day | ||
outlier program to satisfy this requirement. The reimbursement | ||
rate shall be set at a level so as not to act as an incentive | ||
to avoid transfer to the appropriate level of care needed or | ||
placement, after discharge. | ||
(c) The Department shall require managed care | ||
organizations to adopt this methodology or an alternative | ||
methodology that pays at least as much as the Department's | ||
adopted methodology unless otherwise mutually agreed upon | ||
contractual language is developed by the provider and the | ||
managed care organization for a risk-based or innovative | ||
payment methodology. | ||
(d) Days beyond medical necessity shall not be eligible | ||
for per diem add-on payments under the Medicaid High Volume | ||
Adjustment (MHVA) or the Medicaid Percentage Adjustment (MPA) | ||
programs. | ||
(e) For services covered by the fee-for-service program, | ||
reimbursement under this Section shall only be made for days | ||
beyond medical necessity that occur after the hospital has |
notified the Department of the need for post-discharge | ||
placement. For services covered by a managed care | ||
organization, hospitals shall notify the appropriate managed | ||
care organization of an admission within 24 hours of | ||
admission. For every 24-hour period beyond the initial 24 | ||
hours after admission that the hospital fails to notify the | ||
managed care organization of the admission, reimbursement | ||
under this subsection shall be reduced by one day.
| ||
(Source: P.A. 101-209, eff. 8-5-19.) | ||
Title IX. Maternal and Infant Mortality | ||
Article 175. | ||
Section 175-5. The Illinois Public Aid Code is amended by | ||
adding Section 5-18.5 as follows: | ||
(305 ILCS 5/5-18.5 new) | ||
Sec. 5-18.5. Perinatal doula and evidence-based home | ||
visiting services. | ||
(a) As used in this Section: | ||
"Home visiting" means a voluntary, evidence-based strategy | ||
used to support pregnant people, infants, and young children | ||
and their caregivers to promote infant, child, and maternal | ||
health, to foster educational development and school | ||
readiness, and to help prevent child abuse and neglect. Home |
visitors are trained professionals whose visits and activities | ||
focus on promoting strong parent-child attachment to foster | ||
healthy child development. | ||
"Perinatal doula" means a trained provider who provides | ||
regular, voluntary physical, emotional, and educational | ||
support, but not medical or midwife care, to pregnant and | ||
birthing persons before, during, and after childbirth, | ||
otherwise known as the perinatal period. | ||
"Perinatal doula training" means any doula training that | ||
focuses on providing support throughout the prenatal, labor | ||
and delivery, or postpartum period, and reflects the type of | ||
doula care that the doula seeks to provide. | ||
(b) Notwithstanding any other provision of this Article, | ||
perinatal doula services and evidence-based home visiting | ||
services shall be covered under the medical assistance | ||
program, subject to appropriation, for persons who are | ||
otherwise eligible for medical assistance under this Article. | ||
Perinatal doula services include regular visits beginning in | ||
the prenatal period and continuing into the postnatal period, | ||
inclusive of continuous support during labor and delivery, | ||
that support healthy pregnancies and positive birth outcomes. | ||
Perinatal doula services may be embedded in an existing | ||
program, such as evidence-based home visiting. Perinatal doula | ||
services provided during the prenatal period may be provided | ||
weekly, services provided during the labor and delivery period | ||
may be provided for the entire duration of labor and the time |
immediately following birth, and services provided during the | ||
postpartum period may be provided up to 12 months postpartum. | ||
(c) The Department of Healthcare and Family Services shall | ||
adopt rules to administer this Section. In this rulemaking, | ||
the Department shall consider the expertise of and consult | ||
with doula program experts, doula training providers, | ||
practicing doulas, and home visiting experts, along with State | ||
agencies implementing perinatal doula services and relevant | ||
bodies under the Illinois Early Learning Council. This body of | ||
experts shall inform the Department on the credentials | ||
necessary for perinatal doula and home visiting services to be | ||
eligible for Medicaid reimbursement and the rate of | ||
reimbursement for home visiting and perinatal doula services | ||
in the prenatal, labor and delivery, and postpartum periods. | ||
Every 2 years, the Department shall assess the rates of | ||
reimbursement for perinatal doula and home visiting services | ||
and adjust rates accordingly. | ||
(d) The Department shall seek such State plan amendments | ||
or waivers as may be necessary to implement this Section and | ||
shall secure federal financial participation for expenditures | ||
made by the Department in accordance with this Section. | ||
Title X. Medicaid Managed Care Reform | ||
Article 185. |
Section 185-1. Short title. This Article may be cited as | ||
the Medicaid Technical Assistance Act. References in this | ||
Article to "this Act" mean this Article. | ||
Section 185-3. Findings. The General Assembly finds as | ||
follows: | ||
(1) This Act seeks to remedy a fraction of a much | ||
larger broken system by addressing access to health care, | ||
managed care organization reform, mental and substance | ||
abuse treatment services, and services to address the | ||
social determinants of health. | ||
(2) Illinois transitioned Medicaid services to managed | ||
care with the goals of achieving better health outcomes | ||
for the Medicaid population and reducing the per capita | ||
costs of health care. | ||
(3) Illinois benefits when people have support | ||
constructing the sturdy foundation of health and | ||
well-being that we all need to reach our potential. | ||
Medicaid managed care can be a vital tool in ensuring that | ||
people have the full range of supports that form this | ||
foundation, including services from community providers | ||
that address behavioral health needs, as well as related | ||
services that help people access food, housing, and | ||
employment.
| ||
(4) However, there are barriers that prevent Illinois | ||
from fully realizing the benefits of Medicaid managed |
care. The 2 devastating years of the State budget impasse | ||
resulted in 2 years of lost opportunity for community | ||
providers to invest in the people, systems, and technology | ||
that are necessary for them to participate in Medicaid | ||
managed care. A recent survey by the Illinois | ||
Collaboration on Youth of more than 130 community | ||
providers revealed that the majority do not have contracts | ||
with managed care organizations, and most do not have | ||
adequate billing and technology infrastructure sufficient | ||
for Medicaid billing now or in the future. The survey also | ||
revealed that community-based providers primarily serving | ||
people of color are the least prepared to participate in | ||
Medicaid managed care. | ||
(5) The disparity in readiness between providers | ||
primarily serving people of color and those who serve a | ||
more mixed or white clientele is especially urgent because | ||
62% of Illinois' Medicaid recipients are people of color. | ||
Racial disparities in behavioral health care result in | ||
significant human and financial costs to both the | ||
individual and to the State.
| ||
(6) The COVID-19 pandemic has further exacerbated the | ||
health disparities experienced by communities of color. | ||
COVID-19 has increased both the Medicaid-eligible | ||
population in Illinois, and increased the demand for | ||
behavioral health services, as Illinois residents grapple | ||
with trauma, death, job loss, depression, suicide, |
addiction, and exposure to violence. In addition, COVID-19 | ||
threatens the stability and viability of community-based | ||
providers, further straining the health care safety net | ||
for people who depend on Medicaid for these essential | ||
services. | ||
(7) Lack of support for a diversity of providers | ||
reduces choice for Medicaid recipients and may incentivize | ||
managed care organizations to focus on a narrow selection | ||
of community partners. Having some choice in which | ||
providers people see for these essential services and | ||
having access to providers who understand their community, | ||
culture, and language has been demonstrated to reduce | ||
disparities in health outcomes and improve health and | ||
well-being across the life span.
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(8) The Medicaid managed care system lacks consistent, | ||
statewide support for community providers, creating | ||
inefficiency and duplication. Providers need targeted | ||
trainings focused on their levels of readiness, learning | ||
collaboratives to provide group-level support for those | ||
experiencing similar challenges, and a mechanism to | ||
identify problems that need systemic solutions. Illinois | ||
could receive up to 70% in Medicaid matching funds from | ||
the federal government to supplement the costs of | ||
operating a Medicaid Technical Assistance Center. | ||
(9) When community-based health care providers are | ||
able to contract with managed care organizations to |
deliver Medicaid services, people can access the care they | ||
need, in their communities, from providers they trust.
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Section 185-5. Definitions. As used in this Act: | ||
"Behavioral health providers" means mental health and | ||
substance use disorder providers. | ||
"Department" means the Department of Healthcare and Family | ||
Services. | ||
"Health care providers" means organizations who provide | ||
physical, mental, substance use disorder, or social | ||
determinant of health services. | ||
"Health equity" means providing care that does not vary in | ||
quality because of personal characteristics such as gender, | ||
ethnicity, geographic location, and socioeconomic status.
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"Network adequacy" means a Medicaid beneficiaries' ability | ||
to access all necessary provider types within time and | ||
distance standards as defined in the Managed Care Organization | ||
model contract. | ||
"Service deserts" means geographic areas of the State with | ||
no or limited Medicaid providers that accept Medicaid. | ||
"Social determinants of health" means any conditions that | ||
impact an individual's health, including, but not limited to, | ||
access to healthy food, safety, education, and housing | ||
stability. | ||
"Stakeholders" means, but are not limited to, health care | ||
providers, advocacy organizations, managed care organizations, |
Medicaid beneficiaries, and State and city partners. | ||
Section 185-10. Medicaid Technical Assistance Center. The | ||
Department of Healthcare and Family Services shall establish a | ||
Medicaid Technical Assistance Center. The Medicaid Technical | ||
Assistance Center shall operate as a cross-system educational | ||
resource to strengthen the business infrastructure of health | ||
care provider organizations in Illinois to ultimately increase | ||
the capacity, access, health equity, and quality of Illinois' | ||
Medicaid managed care program, HealthChoice Illinois, and | ||
YouthCare, the Medicaid managed care program for children and | ||
youth who receive Medicaid health services through the | ||
Department of Children and Family Services. The Medicaid | ||
Technical Assistance Center shall be established within the | ||
Department's Office of Medicaid Innovation. | ||
Section 185-15. Collaboration. The Medicaid Technical | ||
Assistance Center shall collaborate with public and private | ||
partners throughout the State to identify, establish, and | ||
maintain best practices necessary for health providers to | ||
ensure their capacity to participate in HealthChoice Illinois | ||
or YouthCare. The Medicaid Technical Assistance Center shall | ||
administer the following: | ||
(1) Outreach and engagement: The Medicaid Technical | ||
Assistance Center shall undertake efforts to identify and | ||
engage community-based providers offering behavioral |
health services or services addressing the social | ||
determinants of health, especially those predominantly | ||
serving communities of color or those operating within or | ||
near service deserts, for the purpose of offering training | ||
and technical assistance to them through the Medicaid | ||
Technical Assistance Center. Outreach and engagement | ||
services may be subcontracted. | ||
(2) Trainings: The Medicaid Technical Assistance | ||
Center shall create and administer ongoing trainings for | ||
health care providers. Trainings may be subcontracted. The | ||
Medicaid Technical Assistance Center shall provide | ||
in-person and web-based trainings. In-person training | ||
shall be conducted throughout the State. All trainings | ||
must be free of charge. The Medicaid Technical Assistance | ||
Center shall administer post-training surveys and | ||
incorporate feedback. Training content and delivery must | ||
be reflective of Illinois providers' varying levels of | ||
readiness, resources, and client populations. | ||
(3) Web-based resources: The Medicaid Technical | ||
Assistance Center shall maintain an independent, easy to | ||
navigate, and up-to-date website that includes, but is not | ||
limited to: recorded training archives, a training | ||
calendar, provider resources and tools, up-to-date | ||
explanations of Department and managed care organization | ||
guidance, a running database of frequently asked questions | ||
and contact information for key staff members of the |
Department, managed care organizations, and the Medicaid | ||
Technical Assistance Center. | ||
(4) Learning collaboratives: The Medicaid Technical | ||
Assistance Center shall host regional learning | ||
collaboratives that will supplement the Medicaid Technical | ||
Assistance Center training curriculum to bring together | ||
groups of stakeholders to share issues and best practices, | ||
and to escalate issues. Leadership of the Department and | ||
managed care organizations shall attend learning | ||
collaboratives on a quarterly basis. | ||
(5) Network adequacy reports: The Medicaid Technical | ||
Assistance Center shall publicly release a report on | ||
Medicaid provider network adequacy within the first 3 | ||
years of implementation and annually thereafter. The | ||
reports shall identify provider service deserts and health | ||
care disparities by race and ethnicity. | ||
(6) Equitable delivery system: The Medicaid Technical | ||
Assistance Center is committed to the principle that all | ||
Medicaid recipients have accessible and equitable physical | ||
and mental health care services. All providers served | ||
through the Medicaid Technical Assistance Center shall | ||
deliver services notwithstanding the patient's race, | ||
color, gender, gender identity, age, ancestry, marital | ||
status, military status, religion, national origin, | ||
disability status, sexual orientation, order of protection | ||
status, as defined under Section 1-103 of the Illinois |
Human Rights Act, or immigration status. | ||
Section 185-20. Federal financial participation. The | ||
Department of Healthcare and Family Services, to the extent | ||
allowable under federal law, shall maximize federal financial | ||
participation for any moneys appropriated to the Department | ||
for the Medicaid Technical Assistance Center. Any federal | ||
financial participation funds obtained in accordance with this | ||
Section shall be used for the further development and | ||
expansion of the Medicaid Technical Assistance Center. All | ||
federal financial participation funds obtained under this | ||
subsection shall be deposited into the Medicaid Technical | ||
Assistance Center Fund created under Section 25. | ||
Section 185-25. Medicaid Technical Assistance Center Fund. | ||
The Medicaid Technical Assistance Center Fund is created as a | ||
special fund in the State treasury. The Fund shall consist of | ||
any moneys appropriated to the Department of Healthcare and | ||
Family Services for the purposes of this Act and any federal | ||
financial participation funds obtained as provided under | ||
Section 20. Subject to appropriation, moneys in the Fund shall | ||
be used for carrying out the purposes of this Act and for no | ||
other purpose. All interest earned on the moneys in the Fund | ||
shall be deposited into the Fund. | ||
Section 185-90. The State Finance Act is amended by adding |
Section 5.935 as follows: | ||
(30 ILCS 105/5.935 new) | ||
Sec. 5.935. The Medicaid Technical Assistance Center Fund. | ||
Title XI. Miscellaneous | ||
Article 999.
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Section 999-99. Effective date. This Act takes effect upon | ||
becoming law.
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