Rep. Deb Conroy

Filed: 3/22/2017

 

 


 

 


 
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1
AMENDMENT TO HOUSE BILL 3502

2    AMENDMENT NO. ______. Amend House Bill 3502 by replacing
3everything after the enacting clause with the following:
 
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;

 

 

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1        (3) suicide, often due to untreated depression, is the
2    second leading cause of death in this State for children
3    and young adults ranging in age from 10 to 34;
4        (4) between 40% to 50% of heroin and other drug
5    addiction begins to self-medicate an underlying, untreated
6    mental health condition;
7        (5) important State reforms on improving access to
8    mental health and substance use treatment are underway and
9    others are pending, but more needs to be done to address
10    this State's serious systemic challenges to early
11    identification and treatment of mental health conditions;
12        (6) the medical and mental health treatment
13    communities across this State are implementing many
14    evidence-based best practices on early screening,
15    identification and treatment of mental health conditions,
16    including co-located and integrated care, despite limited
17    resources and major access to care challenges across the
18    State; and
19        (7) establishing an Advisory Council on Early
20    Identification and Treatment of Mental Health Conditions
21    to:
22            (A) report and share information on evidence-based
23        best practices related to early identification and
24        treatment being implemented across this State and
25        other states;
26            (B) assist in advancing all providers to move

 

 

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1        toward implementation of evidence-based best
2        practices, irrespective of payer such as Medicaid or
3        private insurance,
4            (C) identify the barriers to statewide
5        implementation of early identification and treatment
6        across all providers; and
7            (D) reduce the stigma of mental health conditions
8        by treating them like any other medical condition will
9        outline the path to enabling thousands of children,
10        youth, and young adults in this State living with
11        mental health conditions, including those related to
12        trauma, to get the early diagnosis and treatment they
13        need to effectively manage their condition and avoid
14        potentially life-long debilitating symptoms.
 
15    Section 10. Advisory Council on Early Identification and
16Treatment of Mental Health Conditions.
17    (a) There is created the Advisory Council on Early
18Identification and Treatment of Mental Health Conditions
19within the Department of Public Health.
20    (b) The Advisory Council shall:
21        (1) review and identify evidence-based best practice
22    models and promising practices supported by peer-reviewed
23    literature being implemented in this State and other states
24    on regular screening and early identification of mental
25    health and substance use conditions in children and young

 

 

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

 

 

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1    this State;
2        (6) complete and deliver the recommendations and
3    action plan required by paragraph (5) of this subsection
4    (b) to the Governor and the General Assembly within one
5    year of the first meeting of the Advisory Council; and
6        (7) upon completion and delivery of the
7    recommendations and action plan to the Governor and General
8    Assembly, the Advisory Council shall be dissolved.
9    (c) The Advisory Council shall be composed of no more than
1027 members and 3 ex officio members, including:
11        (1) Two members of the House of Representatives, one
12    appointed by the Speaker of the House of Representatives
13    and one appointed by the Minority Leader of the House of
14    Representatives.
15        (2) Two members of the Senate, one appointed by the
16    President of the Senate and one appointed by the Minority
17    Leader of the Senate.
18        (3) One representative of the Office of the Governor
19    appointed by the Governor.
20        (4) Twenty-two members of the public as follows;
21    however, provider representatives selected shall include a
22    balance of those delivering care to persons with private
23    health insurance and those serving underserved
24    populations:
25            (A) Four pediatricians recommended by a statewide
26        organization that represents pediatricians, one from

 

 

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

 

 

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

 

 

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1            (K) The following 3 officials shall serve as ex
2        officio members:
3                (i) the Director of Public Health, or his or
4            her designee;
5                (ii) the Director of Healthcare and Family
6            Services, or his or her designee; and
7                (iii) the Director of the Division of Mental
8            Health within the Department of Human Services, or
9            his or her designee.
10    (d) Members shall serve without compensation and are
11responsible for the cost of all reasonable and necessary travel
12expenses connected to Advisory Council business. Advisory
13Council members shall not be reimbursed by the State for these
14costs. Advisory Council members shall be appointed within 60
15days after the effective date of this Act. The Advisory Council
16shall hold its initial meeting within 60 days after at least
1750% of the members have been appointed. One representative from
18the pediatricians or primary care physicians and one
19representative from the mental health treatment community
20shall be the co-chairs of the Advisory Council. At the first
21meeting of the Advisory Council, the members shall select a 7
22person Steering Committee that include the co-chairs. The
23Advisory Council may establish committees that address
24specific issues or populations and may appoint persons with
25relevant expertise who are not appointed members of the
26Advisory Council to serve on the committees as needed.".