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1    AN ACT concerning health.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 1. Short title. This Act may be cited as the
5Advisory Council on Early Identification and Treatment of
6Mental Health Conditions Act.
 
7    Section 5. Findings. The General Assembly finds that:
8        (1) the medical science is clear that mental health
9    treatment works to improve mental health conditions and
10    manage symptoms but it can take, on average, 10 years for a
11    child or young adult with a significant condition to
12    receive the right diagnosis and treatment from the time the
13    first symptoms began, and nearly two-thirds of children and
14    adults never get treatment;
15        (2) long treatment lags can lead to debilitating
16    conditions and permanent disability;
17        (3) suicide, often due to untreated depression, is the
18    second leading cause of death in this State for children
19    and young adults ranging in age from 10 to 34;
20        (4) between 40% to 50% of heroin and other drug
21    addiction begins to self-medicate an underlying, untreated
22    mental health condition;
23        (5) important State reforms on improving access to

 

 

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1    mental health and substance use treatment are underway and
2    others are pending, but more needs to be done to address
3    this State's serious systemic challenges to early
4    identification and treatment of mental health conditions;
5        (6) the medical and mental health treatment
6    communities across this State are implementing many
7    evidence-based best practices on early screening,
8    identification and treatment of mental health conditions,
9    including co-located and integrated care, despite limited
10    resources and major access to care challenges across the
11    State; and
12        (7) establishing an Advisory Council on Early
13    Identification and Treatment of Mental Health Conditions
14    to:
15            (A) report and share information on evidence-based
16        best practices related to early identification and
17        treatment being implemented across this State and
18        other states;
19            (B) assist in advancing all providers to move
20        toward implementation of evidence-based best
21        practices, irrespective of payer such as Medicaid or
22        private insurance,
23            (C) identify the barriers to statewide
24        implementation of early identification and treatment
25        across all providers; and
26            (D) reduce the stigma of mental health conditions

 

 

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1        by treating them like any other medical condition will
2        outline the path to enabling thousands of children,
3        youth, and young adults in this State living with
4        mental health conditions, including those related to
5        trauma, to get the early diagnosis and treatment they
6        need to effectively manage their condition and avoid
7        potentially life-long debilitating symptoms.
 
8    Section 10. Advisory Council on Early Identification and
9Treatment of Mental Health Conditions.
10    (a) There is created the Advisory Council on Early
11Identification and Treatment of Mental Health Conditions
12within the Department of Human Services. The Department of
13Human Services shall provide administrative support for the
14Advisory Council. The report, recommendations, and action plan
15required by this Section shall reflect the consensus of a
16majority of the Council.
17    (b) The Advisory Council shall:
18        (1) review and identify evidence-based best practice
19    models and promising practices supported by peer-reviewed
20    literature being implemented in this State and other states
21    on regular screening and early identification of mental
22    health and substance use conditions in children and young
23    adults, including depression, bi-polar disorder,
24    schizophrenia, and other similar conditions, beginning at
25    the age endorsed by the American Academy of Pediatrics,

 

 

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1    through young adulthood, irrespective of coverage by
2    public or private health insurance, resulting in early
3    treatment;
4        (2) identify evidence-based mental health prevention
5    and promotion initiatives;
6        (3) identify strategies to enable additional medical
7    providers and community-based providers to implement
8    evidence-based best practices on regular screening, and
9    early identification and treatment of mental health
10    conditions;
11        (4) identify barriers to the success of early
12    screening, identification and treatment of mental health
13    conditions across this State, including but not limited to,
14    treatment access challenges, specific mental health
15    workforce issues, regional challenges, training and
16    knowledge-base needs of providers, provider infrastructure
17    needs, reimbursement and payment issues, and public and
18    private insurance coverage issues;
19        (5) based on the findings in paragraphs (1) through (4)
20    of this subsection (b), develop a set of recommendations
21    and an action plan to address the barriers to early and
22    regular screening and identification of mental health
23    conditions in children, adolescents and young adults in
24    this State;
25        (6) complete and deliver the recommendations and
26    action plan required by paragraph (5) of this subsection

 

 

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1    (b) to the Governor and the General Assembly within one
2    year of the first meeting of the Advisory Council; and
3        (7) upon completion and delivery of the
4    recommendations and action plan to the Governor and General
5    Assembly, the Advisory Council shall be dissolved.
6    (c) The Advisory Council shall be composed of no more than
727 members and 3 ex officio members, including:
8        (1) Two members of the House of Representatives, one
9    appointed by the Speaker of the House of Representatives
10    and one appointed by the Minority Leader of the House of
11    Representatives.
12        (2) Two members of the Senate, one appointed by the
13    President of the Senate and one appointed by the Minority
14    Leader of the Senate.
15        (3) One representative of the Office of the Governor
16    appointed by the Governor.
17        (4) Twenty-two members of the public as follows;
18    however, provider representatives selected shall include a
19    balance of those delivering care to persons with private
20    health insurance and those serving underserved
21    populations:
22            (A) Four pediatricians recommended by a statewide
23        organization that represents pediatricians, one from
24        the Chicago area, one from suburban Chicago, one from
25        central Illinois, and one from downstate Illinois,
26        appointed by the Speaker of the House of

 

 

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1        Representatives.
2            (B) Four family primary care physicians
3        recommended by a statewide organization that
4        represents family physicians, one from the Chicago
5        area, one from suburban Chicago, one from central
6        Illinois, and one from downstate Illinois, appointed
7        by the President of the Senate.
8            (C) Two advanced practice nurses recommended by a
9        statewide organization that represents advanced
10        practice nurses, one from Chicago and one from central
11        or downstate Illinois, appointed by the Speaker of the
12        House of Representatives.
13            (D) Two psychiatrists, including one child
14        psychiatrist, recommended by a statewide organization
15        that represents psychiatrists, one from the Chicago
16        metropolitan region and one from central or downstate
17        Illinois, appointed by the President of the Senate.
18            (E) Two psychologists, including one child
19        psychologist, recommended by a statewide organization
20        that represents psychologists, one from the Chicago
21        metropolitan region and one from central or downstate
22        Illinois, appointed by the Speaker of the House of
23        Representatives.
24            (F) One representative from an organization that
25        advocates for families and youth with mental health
26        conditions who is a parent with a child living with a

 

 

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1        mental health condition, appointed by the President of
2        the Senate.
3            (G) Two community mental health service providers
4        recommended by a statewide organization that
5        represents community mental health providers, one from
6        the Chicago metropolitan region and one from central
7        Illinois or downstate Illinois, appointed by the
8        Speaker of the House of Representatives.
9            (H) Two substance use treatment providers
10        recommended by a statewide organization that
11        represents substance use treatment providers, one from
12        the Chicago metropolitan region, one from central or
13        downstate Illinois, appointed by the President of the
14        Senate.
15            (I) One representative from an organization that
16        advocates for families and youth with mental health
17        conditions who is an individual with lived experience
18        of a mental health condition, appointed by the
19        President of the Senate.
20            (J) Two representatives from private insurance
21        companies, one appointed by the Speaker of the House of
22        Representatives and one appointed by the President of
23        the Senate.
24            (K) The following 3 officials shall serve as ex
25        officio members:
26                (i) the Director of Public Health, or his or

 

 

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1            her designee;
2                (ii) the Director of Healthcare and Family
3            Services, or his or her designee; and
4                (iii) the Director of the Division of Mental
5            Health within the Department of Human Services, or
6            his or her designee.
7    (d) Members shall serve without compensation and are
8responsible for the cost of all reasonable and necessary travel
9expenses connected to Advisory Council business. Advisory
10Council members shall not be reimbursed by the State for these
11costs. Advisory Council members shall be appointed within 60
12days after the effective date of this Act. The Advisory Council
13shall hold its initial meeting within 60 days after at least
1450% of the members have been appointed. One representative from
15the pediatricians or primary care physicians and one
16representative from the mental health treatment community
17shall be the co-chairs of the Advisory Council. At the first
18meeting of the Advisory Council, the members shall select a 7
19person Steering Committee that include the co-chairs. The
20Advisory Council may establish committees that address
21specific issues or populations and may appoint persons with
22relevant expertise who are not appointed members of the
23Advisory Council to serve on the committees as needed.