Sen. Heather A. Steans

Filed: 4/30/2019

 

 


 

 


 
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1
AMENDMENT TO HOUSE BILL 2154

2    AMENDMENT NO. ______. Amend House Bill 2154 by replacing
3everything after the enacting clause with the following:
 
4    "Section 1. References to Act; intent; purposes. This Act
5may be referred to as the Children and Young Adult Mental
6Health Crisis Act. It is intended to fill in significant gaps
7in Illinois' mental health treatment system for children and
8young adults given that this is the age group that most mental
9health conditions begin to manifest.
 
10    Section 5. Findings. The General Assembly finds as follows:
11    (1) Over 850,000 children and young adults under age 25 in
12Illinois will experience a mental health condition. Barely
13one-third will get treatment even though treatment can lead to
14recovery and wellness.
15    (2) Every year hundreds of Illinois children with treatable
16serious mental health conditions are forced to remain in

 

 

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1psychiatric hospitals far beyond medical necessity because
2subsequent treatment options are not available.
3    (3) There are many gaps in Illinois' publicly funded mental
4health system, and private insurance does not cover proven
5treatment approaches covered by the public sector.
6    (4) Children and young adults must have access to the level
7of mental health treatment they need at the first signs of a
8problem to prevent worsening of the condition and the use of
9substances for purposes of self-medication.
10    (5) Illinois' mental health system for children and young
11adults must align with system of care principles, which were
12developed by The Georgetown University Center for Child and
13Human Development and are the nationally recognized best
14practices for developing a strong treatment system.
15    (6) This Act contains many of the crucial elements that
16Illinois requires for building an appropriate service delivery
17system and for coverage of a comprehensive array of services
18through private insurance.
 
19    Section 10. The State Employees Group Insurance Act of 1971
20is amended by changing Section 6.11 as follows:
 
21    (5 ILCS 375/6.11)
22    (Text of Section before amendment by P.A. 100-1170)
23    Sec. 6.11. Required health benefits; Illinois Insurance
24Code requirements. The program of health benefits shall provide

 

 

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1the post-mastectomy care benefits required to be covered by a
2policy of accident and health insurance under Section 356t of
3the Illinois Insurance Code. The program of health benefits
4shall provide the coverage required under Sections 356g,
5356g.5, 356g.5-1, 356m, 356u, 356w, 356x, 356z.2, 356z.4,
6356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13,
7356z.14, 356z.15, 356z.17, 356z.22, 356z.25, and 356z.26, and
8356z.29, 356z.32, and 356z.33 of the Illinois Insurance Code.
9The program of health benefits must comply with Sections
10155.22a, 155.37, 355b, 356z.19, 370c, and 370c.1 of the
11Illinois Insurance Code. The Department of Insurance shall
12enforce the requirements of this Section.
13    Rulemaking authority to implement Public Act 95-1045, if
14any, is conditioned on the rules being adopted in accordance
15with all provisions of the Illinois Administrative Procedure
16Act and all rules and procedures of the Joint Committee on
17Administrative Rules; any purported rule not so adopted, for
18whatever reason, is unauthorized.
19(Source: P.A. 99-480, eff. 9-9-15; 100-24, eff. 7-18-17;
20100-138, eff. 8-18-17; 100-863, eff. 8-14-18; 100-1024, eff.
211-1-19; 100-1057, eff. 1-1-19; 100-1102, eff. 1-1-19; revised
221-8-19.)
 
23    (Text of Section after amendment by P.A. 100-1170)
24    Sec. 6.11. Required health benefits; Illinois Insurance
25Code requirements. The program of health benefits shall provide

 

 

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1the post-mastectomy care benefits required to be covered by a
2policy of accident and health insurance under Section 356t of
3the Illinois Insurance Code. The program of health benefits
4shall provide the coverage required under Sections 356g,
5356g.5, 356g.5-1, 356m, 356u, 356w, 356x, 356z.2, 356z.4,
6356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13,
7356z.14, 356z.15, 356z.17, 356z.22, 356z.25, 356z.26, 356z.29,
8and 356z.32, and 356z.33 of the Illinois Insurance Code. The
9program of health benefits must comply with Sections 155.22a,
10155.37, 355b, 356z.19, 370c, and 370c.1 of the Illinois
11Insurance Code. The Department of Insurance shall enforce the
12requirements of this Section with respect to Sections 370c and
13370c.1 of the Illinois Insurance Code; all other requirements
14of this Section shall be enforced by the Department of Central
15Management Services.
16    Rulemaking authority to implement Public Act 95-1045, if
17any, is conditioned on the rules being adopted in accordance
18with all provisions of the Illinois Administrative Procedure
19Act and all rules and procedures of the Joint Committee on
20Administrative Rules; any purported rule not so adopted, for
21whatever reason, is unauthorized.
22(Source: P.A. 99-480, eff. 9-9-15; 100-24, eff. 7-18-17;
23100-138, eff. 8-18-17; 100-863, eff. 8-14-18; 100-1024, eff.
241-1-19; 100-1057, eff. 1-1-19; 100-1102, eff. 1-1-19;
25100-1170, eff. 6-1-19.)
 

 

 

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1    Section 15. The Counties Code is amended by changing
2Section 5-1069.3 as follows:
 
3    (55 ILCS 5/5-1069.3)
4    Sec. 5-1069.3. Required health benefits. If a county,
5including a home rule county, is a self-insurer for purposes of
6providing health insurance coverage for its employees, the
7coverage shall include coverage for the post-mastectomy care
8benefits required to be covered by a policy of accident and
9health insurance under Section 356t and the coverage required
10under Sections 356g, 356g.5, 356g.5-1, 356u, 356w, 356x,
11356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13,
12356z.14, 356z.15, 356z.22, 356z.25, and 356z.26, and 356z.29,
13356z.32, and 356z.33 of the Illinois Insurance Code. The
14coverage shall comply with Sections 155.22a, 355b, 356z.19, and
15370c of the Illinois Insurance Code. The Department of
16Insurance shall enforce the requirements of this Section. The
17requirement that health benefits be covered as provided in this
18Section is an exclusive power and function of the State and is
19a denial and limitation under Article VII, Section 6,
20subsection (h) of the Illinois Constitution. A home rule county
21to which this Section applies must comply with every provision
22of this Section.
23    Rulemaking authority to implement Public Act 95-1045, if
24any, is conditioned on the rules being adopted in accordance
25with all provisions of the Illinois Administrative Procedure

 

 

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1Act and all rules and procedures of the Joint Committee on
2Administrative Rules; any purported rule not so adopted, for
3whatever reason, is unauthorized.
4(Source: P.A. 99-480, eff. 9-9-15; 100-24, eff. 7-18-17;
5100-138, eff. 8-18-17; 100-863, eff. 8-14-18; 100-1024, eff.
61-1-19; 100-1057, eff. 1-1-19; 100-1102, eff. 1-1-19; revised
710-3-18.)
 
8    Section 20. The Illinois Municipal Code is amended by
9changing Section 10-4-2.3 as follows:
 
10    (65 ILCS 5/10-4-2.3)
11    Sec. 10-4-2.3. Required health benefits. If a
12municipality, including a home rule municipality, is a
13self-insurer for purposes of providing health insurance
14coverage for its employees, the coverage shall include coverage
15for the post-mastectomy care benefits required to be covered by
16a policy of accident and health insurance under Section 356t
17and the coverage required under Sections 356g, 356g.5,
18356g.5-1, 356u, 356w, 356x, 356z.6, 356z.8, 356z.9, 356z.10,
19356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.22, 356z.25,
20and 356z.26, and 356z.29, 356z.32, and 356z.33 of the Illinois
21Insurance Code. The coverage shall comply with Sections
22155.22a, 355b, 356z.19, and 370c of the Illinois Insurance
23Code. The Department of Insurance shall enforce the
24requirements of this Section. The requirement that health

 

 

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1benefits be covered as provided in this is an exclusive power
2and function of the State and is a denial and limitation under
3Article VII, Section 6, subsection (h) of the Illinois
4Constitution. A home rule municipality to which this Section
5applies must comply with every provision of this Section.
6    Rulemaking authority to implement Public Act 95-1045, if
7any, is conditioned on the rules being adopted in accordance
8with all provisions of the Illinois Administrative Procedure
9Act and all rules and procedures of the Joint Committee on
10Administrative Rules; any purported rule not so adopted, for
11whatever reason, is unauthorized.
12(Source: P.A. 99-480, eff. 9-9-15; 100-24, eff. 7-18-17;
13100-138, eff. 8-18-17; 100-863, eff. 8-14-18; 100-1024, eff.
141-1-19; 100-1057, eff. 1-1-19; 100-1102, eff. 1-1-19; revised
1510-4-18.)
 
16    Section 25. The School Code is amended by changing Section
1710-22.3f as follows:
 
18    (105 ILCS 5/10-22.3f)
19    Sec. 10-22.3f. Required health benefits. Insurance
20protection and benefits for employees shall provide the
21post-mastectomy care benefits required to be covered by a
22policy of accident and health insurance under Section 356t and
23the coverage required under Sections 356g, 356g.5, 356g.5-1,
24356u, 356w, 356x, 356z.6, 356z.8, 356z.9, 356z.11, 356z.12,

 

 

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1356z.13, 356z.14, 356z.15, 356z.22, 356z.25, and 356z.26, and
2356z.29, 356z.32, and 356z.33 of the Illinois Insurance Code.
3Insurance policies shall comply with Section 356z.19 of the
4Illinois Insurance Code. The coverage shall comply with
5Sections 155.22a, 355b, and 370c of the Illinois Insurance
6Code. The Department of Insurance shall enforce the
7requirements of this Section.
8    Rulemaking authority to implement Public Act 95-1045, if
9any, is conditioned on the rules being adopted in accordance
10with all provisions of the Illinois Administrative Procedure
11Act and all rules and procedures of the Joint Committee on
12Administrative Rules; any purported rule not so adopted, for
13whatever reason, is unauthorized.
14(Source: P.A. 100-24, eff. 7-18-17; 100-138, eff. 8-18-17;
15100-863, eff. 8-14-18; 100-1024, eff. 1-1-19; 100-1057, eff.
161-1-19; 100-1102, eff. 1-1-19; revised 10-4-18.)
 
17    Section 30. The Illinois Insurance Code is amended by
18adding Section 356z.33 as follows:
 
19    (215 ILCS 5/356z.33 new)
20    Sec. 356z.33. Coverage of treatment models for early
21treatment of serious mental illnesses.
22    (a) For purposes of early treatment of a serious mental
23illness in a child or young adult under age 26, a group or
24individual policy of accident and health insurance, or managed

 

 

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1care plan, that is amended, delivered, issued, or renewed after
2December 31, 2020 shall provide coverage of the following
3bundled, evidence-based treatment:
4        (1) Coordinated specialty care for first episode
5    psychosis treatment, covering the elements of the
6    treatment model included in the most recent national
7    research trials conducted by the National Institute of
8    Mental Health in the Recovery After an Initial
9    Schizophrenia Episode (RAISE) trials for psychosis
10    resulting from a serious mental illness, but excluding the
11    components of the treatment model related to education and
12    employment support.
13        (2) Assertive community treatment (ACT) and community
14    support team (CST) treatment. The elements of ACT and CST
15    to be covered shall include those covered under Article V
16    of the Illinois Public Aid Code, through 89 Ill. Adm. Code
17    140.453(d)(4).
18    (b) Adherence to the clinical models. For purposes of
19ensuring adherence to the coordinated specialty care for first
20episode psychosis treatment model, only providers contracted
21with the Department of Human Services' Division of Mental
22Health to be FIRST.IL providers to deliver coordinated
23specialty care for first episode psychosis treatment shall be
24permitted to provide such treatment in accordance with this
25Section and such providers must adhere to the fidelity of the
26treatment model. For purposes of ensuring fidelity to ACT and

 

 

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1CST, only providers certified to provide ACT and CST by the
2Department of Human Services' Division of Mental Health and
3approved to provide ACT and CST by the Department of Healthcare
4and Family Services, or its designee, in accordance with 89
5Ill. Adm. Code 140, shall be permitted to provide such services
6under this Section and such providers shall be required to
7adhere to the fidelity of the models.
8    (c) Development of medical necessity criteria for
9coverage. Within 6 months after the effective date of this
10amendatory Act of the 101st General Assembly, the Department of
11Insurance shall lead and convene a workgroup that includes the
12Department of Human Services' Division of Mental Health, the
13Department of Healthcare and Family Services, providers of the
14treatment models listed in this Section, and insurers operating
15in Illinois to develop medical necessity criteria for such
16treatment models for purposes of coverage under this Section.
17The workgroup shall use the medical necessity criteria the
18State and other states use as guidance for establishing medical
19necessity for insurance coverage. The Department of Insurance
20shall adopt a rule that defines medical necessity for each of
21the 3 treatment models listed in this Section by no later than
22June 30, 2020 based on the workgroup's recommendations.
23    (d) For purposes of credentialing the mental health
24professionals and other medical professionals that are part of
25a coordinated specialty care for first episode psychosis
26treatment team, an ACT team, or a CST team, the credentialing

 

 

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1of the psychiatrist or the licensed clinical leader of the
2treatment team shall qualify all members of the treatment team
3to be credentialed with the insurer.
4    (e) Payment for the services performed under the treatment
5models listed in this Section shall be based on a bundled
6treatment model or payment, rather than payment for each
7separate service delivered by a treatment team member. By no
8later than 6 months after the effective date of this amendatory
9Act of the 101st General Assembly, the Department of Insurance
10shall convene a workgroup of Illinois insurance companies and
11Illinois mental health treatment providers that deliver the
12bundled treatment approaches listed in this Section to
13determine a coding solution that allows for these bundled
14treatment models to be coded and paid for as a bundle of
15services, similar to intensive outpatient treatment where
16multiple services are covered under one billing code or a
17bundled set of billing codes. The coding solution shall ensure
18that services delivered using coordinated specialty care for
19first episode psychosis treatment, ACT, or CST are provided and
20billed as a bundled service, rather than for each individual
21service provided by a treatment team member, which would
22deconstruct the evidence-based practice. The coding solution
23shall be reached prior to coverage, which shall begin for plans
24amended, delivered, issued, or renewed after December 31, 2020,
25to ensure coverage of the treatment team approaches as intended
26by this Section.

 

 

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1    (f) If, at any time, the Secretary of the United States
2Department of Health and Human Services, or its successor
3agency, adopts rules or regulations to be published in the
4Federal Register or publishes a comment in the Federal Register
5or issues an opinion, guidance, or other action that would
6require the State, under any provision of the Patient
7Protection and Affordable Care Act (P.L. 111-148), including,
8but not limited to, 42 U.S.C. 18031(d)(3)(b), or any successor
9provision, to defray the cost of any coverage for serious
10mental illnesses or serious emotional disturbances outlined in
11this Section, then the requirement that a group or individual
12policy of accident and health insurance or managed care plan
13cover the bundled treatment approaches listed in this Section
14is inoperative other than any such coverage authorized under
15Section 1902 of the Social Security Act, 42 U.S.C. 1396a, and
16the State shall not assume any obligation for the cost of the
17coverage.
18    (g) After 5 years following full implementation of this
19Section, if requested by an insurer, the Department of
20Insurance shall contract with an independent third party with
21expertise in analyzing health insurance premiums and costs to
22perform an independent analysis of the impact coverage of the
23team-based treatment models listed in this Section has had on
24insurance premiums in Illinois. If premiums increased by more
25than 1% annually solely due to coverage of these treatment
26models, coverage of these models shall no longer be required.

 

 

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1    (h) The Department of Insurance shall adopt any rules
2necessary to implement the provisions of this Section by no
3later than June 30, 2020.
 
4    Section 35. The Health Maintenance Organization Act is
5amended by changing Section 5-3 as follows:
 
6    (215 ILCS 125/5-3)  (from Ch. 111 1/2, par. 1411.2)
7    Sec. 5-3. Insurance Code provisions.
8    (a) Health Maintenance Organizations shall be subject to
9the provisions of Sections 133, 134, 136, 137, 139, 140, 141.1,
10141.2, 141.3, 143, 143c, 147, 148, 149, 151, 152, 153, 154,
11154.5, 154.6, 154.7, 154.8, 155.04, 155.22a, 355.2, 355.3,
12355b, 356g.5-1, 356m, 356v, 356w, 356x, 356y, 356z.2, 356z.4,
13356z.5, 356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 356z.12,
14356z.13, 356z.14, 356z.15, 356z.17, 356z.18, 356z.19, 356z.21,
15356z.22, 356z.25, 356z.26, 356z.29, 356z.30, 356z.32, 356z.33,
16364, 364.01, 367.2, 367.2-5, 367i, 368a, 368b, 368c, 368d,
17368e, 370c, 370c.1, 401, 401.1, 402, 403, 403A, 408, 408.2,
18409, 412, 444, and 444.1, paragraph (c) of subsection (2) of
19Section 367, and Articles IIA, VIII 1/2, XII, XII 1/2, XIII,
20XIII 1/2, XXV, and XXVI of the Illinois Insurance Code.
21    (b) For purposes of the Illinois Insurance Code, except for
22Sections 444 and 444.1 and Articles XIII and XIII 1/2, Health
23Maintenance Organizations in the following categories are
24deemed to be "domestic companies":

 

 

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1        (1) a corporation authorized under the Dental Service
2    Plan Act or the Voluntary Health Services Plans Act;
3        (2) a corporation organized under the laws of this
4    State; or
5        (3) a corporation organized under the laws of another
6    state, 30% or more of the enrollees of which are residents
7    of this State, except a corporation subject to
8    substantially the same requirements in its state of
9    organization as is a "domestic company" under Article VIII
10    1/2 of the Illinois Insurance Code.
11    (c) In considering the merger, consolidation, or other
12acquisition of control of a Health Maintenance Organization
13pursuant to Article VIII 1/2 of the Illinois Insurance Code,
14        (1) the Director shall give primary consideration to
15    the continuation of benefits to enrollees and the financial
16    conditions of the acquired Health Maintenance Organization
17    after the merger, consolidation, or other acquisition of
18    control takes effect;
19        (2)(i) the criteria specified in subsection (1)(b) of
20    Section 131.8 of the Illinois Insurance Code shall not
21    apply and (ii) the Director, in making his determination
22    with respect to the merger, consolidation, or other
23    acquisition of control, need not take into account the
24    effect on competition of the merger, consolidation, or
25    other acquisition of control;
26        (3) the Director shall have the power to require the

 

 

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1    following information:
2            (A) certification by an independent actuary of the
3        adequacy of the reserves of the Health Maintenance
4        Organization sought to be acquired;
5            (B) pro forma financial statements reflecting the
6        combined balance sheets of the acquiring company and
7        the Health Maintenance Organization sought to be
8        acquired as of the end of the preceding year and as of
9        a date 90 days prior to the acquisition, as well as pro
10        forma financial statements reflecting projected
11        combined operation for a period of 2 years;
12            (C) a pro forma business plan detailing an
13        acquiring party's plans with respect to the operation
14        of the Health Maintenance Organization sought to be
15        acquired for a period of not less than 3 years; and
16            (D) such other information as the Director shall
17        require.
18    (d) The provisions of Article VIII 1/2 of the Illinois
19Insurance Code and this Section 5-3 shall apply to the sale by
20any health maintenance organization of greater than 10% of its
21enrollee population (including without limitation the health
22maintenance organization's right, title, and interest in and to
23its health care certificates).
24    (e) In considering any management contract or service
25agreement subject to Section 141.1 of the Illinois Insurance
26Code, the Director (i) shall, in addition to the criteria

 

 

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1specified in Section 141.2 of the Illinois Insurance Code, take
2into account the effect of the management contract or service
3agreement on the continuation of benefits to enrollees and the
4financial condition of the health maintenance organization to
5be managed or serviced, and (ii) need not take into account the
6effect of the management contract or service agreement on
7competition.
8    (f) Except for small employer groups as defined in the
9Small Employer Rating, Renewability and Portability Health
10Insurance Act and except for medicare supplement policies as
11defined in Section 363 of the Illinois Insurance Code, a Health
12Maintenance Organization may by contract agree with a group or
13other enrollment unit to effect refunds or charge additional
14premiums under the following terms and conditions:
15        (i) the amount of, and other terms and conditions with
16    respect to, the refund or additional premium are set forth
17    in the group or enrollment unit contract agreed in advance
18    of the period for which a refund is to be paid or
19    additional premium is to be charged (which period shall not
20    be less than one year); and
21        (ii) the amount of the refund or additional premium
22    shall not exceed 20% of the Health Maintenance
23    Organization's profitable or unprofitable experience with
24    respect to the group or other enrollment unit for the
25    period (and, for purposes of a refund or additional
26    premium, the profitable or unprofitable experience shall

 

 

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1    be calculated taking into account a pro rata share of the
2    Health Maintenance Organization's administrative and
3    marketing expenses, but shall not include any refund to be
4    made or additional premium to be paid pursuant to this
5    subsection (f)). The Health Maintenance Organization and
6    the group or enrollment unit may agree that the profitable
7    or unprofitable experience may be calculated taking into
8    account the refund period and the immediately preceding 2
9    plan years.
10    The Health Maintenance Organization shall include a
11statement in the evidence of coverage issued to each enrollee
12describing the possibility of a refund or additional premium,
13and upon request of any group or enrollment unit, provide to
14the group or enrollment unit a description of the method used
15to calculate (1) the Health Maintenance Organization's
16profitable experience with respect to the group or enrollment
17unit and the resulting refund to the group or enrollment unit
18or (2) the Health Maintenance Organization's unprofitable
19experience with respect to the group or enrollment unit and the
20resulting additional premium to be paid by the group or
21enrollment unit.
22    In no event shall the Illinois Health Maintenance
23Organization Guaranty Association be liable to pay any
24contractual obligation of an insolvent organization to pay any
25refund authorized under this Section.
26    (g) Rulemaking authority to implement Public Act 95-1045,

 

 

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1if any, is conditioned on the rules being adopted in accordance
2with all provisions of the Illinois Administrative Procedure
3Act and all rules and procedures of the Joint Committee on
4Administrative Rules; any purported rule not so adopted, for
5whatever reason, is unauthorized.
6(Source: P.A. 99-761, eff. 1-1-18; 100-24, eff. 7-18-17;
7100-138, eff. 8-18-17; 100-863, eff. 8-14-18; 100-1026, eff.
88-22-18; 100-1057, eff. 1-1-19; 100-1102, eff. 1-1-19; revised
910-4-18.)
 
10    Section 40. The Illinois Public Aid Code is amended by
11changing Section 5-5.23 and by adding Sections 5-36, 5-37,
125-38, and 5-39 as follows:
 
13    (305 ILCS 5/5-5.23)
14    Sec. 5-5.23. Children's mental health services.
15    (a) The Department of Healthcare and Family Services, by
16rule, shall require the screening and assessment of a child
17prior to any Medicaid-funded admission to an inpatient hospital
18for psychiatric services to be funded by Medicaid. The
19screening and assessment shall include a determination of the
20appropriateness and availability of out-patient support
21services for necessary treatment. The Department, by rule,
22shall establish methods and standards of payment for the
23screening, assessment, and necessary alternative support
24services.

 

 

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1    (b) The Department of Healthcare and Family Services, to
2the extent allowable under federal law, shall secure federal
3financial participation for Individual Care Grant expenditures
4made by the Department of Healthcare and Family Services for
5the Medicaid optional service authorized under Section 1905(h)
6of the federal Social Security Act, pursuant to the provisions
7of Section 7.1 of the Mental Health and Developmental
8Disabilities Administrative Act. The Department of Healthcare
9and Family Services may exercise the authority under this
10Section as is necessary to administer Individual Care Grants as
11authorized under Section 7.1 of the Mental Health and
12Developmental Disabilities Administrative Act.
13    (c) The Department of Healthcare and Family Services shall
14work collaboratively with the Department of Children and Family
15Services and the Division of Mental Health of the Department of
16Human Services to implement subsections (a) and (b).
17    (d) On and after July 1, 2012, the Department shall reduce
18any rate of reimbursement for services or other payments or
19alter any methodologies authorized by this Code to reduce any
20rate of reimbursement for services or other payments in
21accordance with Section 5-5e.
22    (e) All rights, powers, duties, and responsibilities
23currently exercised by the Department of Human Services related
24to the Individual Care Grant program are transferred to the
25Department of Healthcare and Family Services with the transfer
26and transition of the Individual Care Grant program to the

 

 

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1Department of Healthcare and Family Services to be completed
2and implemented within 6 months after the effective date of
3this amendatory Act of the 99th General Assembly. For the
4purposes of the Successor Agency Act, the Department of
5Healthcare and Family Services is declared to be the successor
6agency of the Department of Human Services, but only with
7respect to the functions of the Department of Human Services
8that are transferred to the Department of Healthcare and Family
9Services under this amendatory Act of the 99th General
10Assembly.
11        (1) Each act done by the Department of Healthcare and
12    Family Services in exercise of the transferred powers,
13    duties, rights, and responsibilities shall have the same
14    legal effect as if done by the Department of Human Services
15    or its offices.
16        (2) Any rules of the Department of Human Services that
17    relate to the functions and programs transferred by this
18    amendatory Act of the 99th General Assembly that are in
19    full force on the effective date of this amendatory Act of
20    the 99th General Assembly shall become the rules of the
21    Department of Healthcare and Family Services. All rules
22    transferred under this amendatory Act of the 99th General
23    Assembly are hereby amended such that the term "Department"
24    shall be defined as the Department of Healthcare and Family
25    Services and all references to the "Secretary" shall be
26    changed to the "Director of Healthcare and Family Services

 

 

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1    or his or her designee". As soon as practicable hereafter,
2    the Department of Healthcare and Family Services shall
3    revise and clarify the rules to reflect the transfer of
4    rights, powers, duties, and responsibilities affected by
5    this amendatory Act of the 99th General Assembly, using the
6    procedures for recodification of rules available under the
7    Illinois Administrative Procedure Act, except that
8    existing title, part, and section numbering for the
9    affected rules may be retained. The Department of
10    Healthcare and Family Services, consistent with its
11    authority to do so as granted by this amendatory Act of the
12    99th General Assembly, shall propose and adopt any other
13    rules under the Illinois Administrative Procedure Act as
14    necessary to administer the Individual Care Grant program.
15    These rules may include, but are not limited to, the
16    application process and eligibility requirements for
17    recipients.
18        (3) All unexpended appropriations and balances and
19    other funds available for use in connection with any
20    functions of the Individual Care Grant program shall be
21    transferred for the use of the Department of Healthcare and
22    Family Services to operate the Individual Care Grant
23    program. Unexpended balances shall be expended only for the
24    purpose for which the appropriation was originally made.
25    The Department of Healthcare and Family Services shall
26    exercise all rights, powers, duties, and responsibilities

 

 

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1    for operation of the Individual Care Grant program.
2        (4) Existing personnel and positions of the Department
3    of Human Services pertaining to the administration of the
4    Individual Care Grant program shall be transferred to the
5    Department of Healthcare and Family Services with the
6    transfer and transition of the Individual Care Grant
7    program to the Department of Healthcare and Family
8    Services. The status and rights of Department of Human
9    Services employees engaged in the performance of the
10    functions of the Individual Care Grant program shall not be
11    affected by this amendatory Act of the 99th General
12    Assembly. The rights of the employees, the State of
13    Illinois, and its agencies under the Personnel Code and
14    applicable collective bargaining agreements or under any
15    pension, retirement, or annuity plan shall not be affected
16    by this amendatory Act of the 99th General Assembly. All
17    transferred employees who are members of collective
18    bargaining units shall retain their seniority, continuous
19    service, salary, and accrued benefits.
20        (5) All books, records, papers, documents, property
21    (real and personal), contracts, and pending business
22    pertaining to the powers, duties, rights, and
23    responsibilities related to the functions of the
24    Individual Care Grant program, including, but not limited
25    to, material in electronic or magnetic format and necessary
26    computer hardware and software, shall be delivered to the

 

 

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1    Department of Healthcare and Family Services; provided,
2    however, that the delivery of this information shall not
3    violate any applicable confidentiality constraints.
4        (6) Whenever reports or notices are now required to be
5    made or given or papers or documents furnished or served by
6    any person to or upon the Department of Human Services in
7    connection with any of the functions transferred by this
8    amendatory Act of the 99th General Assembly, the same shall
9    be made, given, furnished, or served in the same manner to
10    or upon the Department of Healthcare and Family Services.
11        (7) This amendatory Act of the 99th General Assembly
12    shall not affect any act done, ratified, or canceled or any
13    right occurring or established or any action or proceeding
14    had or commenced in an administrative, civil, or criminal
15    cause regarding the Department of Human Services before the
16    effective date of this amendatory Act of the 99th General
17    Assembly; and those actions or proceedings may be defended,
18    prosecuted, and continued by the Department of Human
19    Services.
20    (f) (Blank). The Individual Care Grant program shall be
21inoperative during the calendar year in which implementation
22begins of any remedies in response to litigation against the
23Department of Healthcare and Family Services related to
24children's behavioral health and the general status of
25children's behavioral health in this State. Individual Care
26Grant recipients in the program the year it becomes inoperative

 

 

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1shall continue to remain in the program until it is clinically
2appropriate for them to step down in level of care.
3    (g) Family Support Program. The Department of Healthcare
4and Family Services shall restructure the Family Support
5Program, formerly known as the Individual Care Grant program,
6to enable early treatment of youth, emerging adults, and
7transition-age adults with a serious mental illness or serious
8emotional disturbance.
9        (1) As used in this subsection and in subsections (h)
10    through (s):
11            (A) "Youth" means a person under the age of 18.
12            (B) "Emerging adult" means a person who is 18
13        through 20 years of age.
14            (C) "Transition-age adult" means a person who is 21
15        through 25 years of age.
16        (2) The Department shall amend 89 Ill. Adm. Code 139 in
17    accordance with this Section and consistent with the
18    timelines outlined in this Section.
19        (3) Implementation of any amended requirements shall
20    be completed within 8 months of the adoption of any
21    amendment to 89 Ill. Adm. Code 139 that is consistent with
22    the provisions of this Section.
23        (4) To align the Family Support Program with the
24    Medicaid system of care, the services available to a youth,
25    emerging adult, or transition-age adult through the Family
26    Support Program shall include all Medicaid community-based

 

 

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1    mental health treatment services and all Family Support
2    Program services included under 89 Ill. Adm. Code 139. No
3    person receiving services through the Family Support
4    Program or the Specialized Family Support Program shall
5    become a Medicaid enrollee unless Medicaid eligibility
6    criteria are met and the person is enrolled in Medicaid. No
7    part of this Section creates an entitlement to services
8    through the Family Support Program, the Specialized Family
9    Support Program, or the Medicaid program.
10        (5) The Family Support Program shall align with the
11    following system of care principles:
12            (A) Treatment and support services shall be based
13        on the results of an integrated behavioral health
14        assessment and treatment plan using an instrument
15        approved by the Department of Healthcare and Family
16        Services.
17            (B) Strong interagency collaboration between all
18        State agencies the parent or legal guardian is involved
19        with for services, including the Department of
20        Healthcare and Family Services, the Department of
21        Human Services, the Department of Children and Family
22        Services, the Department of Juvenile Justice, and the
23        Illinois State Board of Education.
24            (C) Individualized, strengths-based practices and
25        trauma-informed treatment approaches.
26            (D) For a youth, full participation of the parent

 

 

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1        or legal guardian at all levels of treatment through a
2        process that is family-centered and youth-focused. The
3        process shall include consideration of the services
4        and supports the parent, legal guardian, or caregiver
5        requires for family stabilization, and shall connect
6        such person or persons to services based on available
7        insurance coverage.
8    (h) Eligibility for the Family Support Program.
9Eligibility criteria established under 89 Ill. Adm. Code 139
10for the Family Support Program shall include the following:
11        (1) Individuals applying to the program must be under
12    the age of 26.
13        (2) Requirements for parental or legal guardian
14    involvement are applicable to youth and to emerging adults
15    or transition-age adults who have a guardian appointed
16    under Article XIa of the Probate Act.
17        (3) Youth, emerging adults, and transition-age adults
18    are eligible for services under the Family Support Program
19    upon their third inpatient admission to a hospital or
20    similar treatment facility for the primary purpose of
21    psychiatric treatment within the most recent 12 months and
22    are hospitalized for the purpose of psychiatric treatment.
23        (4) School participation for emerging adults applying
24    for services under the Family Support Program may be waived
25    by request of the individual at the sole discretion of the
26    Department of Healthcare and Family Services.

 

 

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1        (5) School participation is not applicable to
2    transition-age adults.
3    (i) Notification of Family Support Program and Specialized
4Family Support Program services.
5        (1) Within 12 months after the effective date of this
6    amendatory Act of the 101st General Assembly, the
7    Department of Healthcare and Family Services, with
8    meaningful stakeholder input through a working group of
9    psychiatric hospitals, Family Support Program providers,
10    family support organizations, the Community and
11    Residential Services Authority, and foster care alumni
12    advocates, shall establish a clear process by which a
13    youth's or emerging adult's parents, guardian, or
14    caregiver, or the emerging adult or transition-age adult,
15    is identified, notified, and educated about the Family
16    Support Program and the Specialized Family Support Program
17    upon a first psychiatric inpatient hospital admission, and
18    any following psychiatric inpatient admissions.
19    Notification and education may take place through a Family
20    Support Program coordinator, a mobile crisis response
21    provider, a Comprehensive Community Based Youth Services
22    provider, the Community and Residential Services
23    Authority, or any other designated provider or coordinator
24    identified by the Department of Healthcare and Family
25    Services. In developing this process, the Department of
26    Healthcare and Family Services and the working group shall

 

 

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1    take into account the unique needs of emerging adults and
2    transition-age adults without parental involvement who are
3    eligible for services under the Family Support Program. The
4    Department of Healthcare and Family Services and the
5    working group shall ensure the appropriate provider or
6    coordinator is required to assist individuals and their
7    parents, guardians, or caregivers, as applicable, in the
8    completion of the application or referral process for the
9    Family Support Program or the Specialized Family Support
10    Program.
11        (2) Upon a youth's, emerging adult's or transition-age
12    adult's second psychiatric inpatient hospital admission,
13    the hospital must ensure that the youth's parents,
14    guardian, or caregiver, or the emerging adult or
15    transition-age adult, have been notified of the Family
16    Support Program and the Specialized Family Support Program
17    prior to hospital discharge.
18        (3) Psychiatric lockout as last resort.
19            (A) Prior to referring any youth to the Department
20        of Children and Family Services for the filing of a
21        petition in accordance with subparagraph (c) of
22        paragraph (1) of Section 2-4 of the Juvenile Court Act
23        of 1987 alleging that the youth is dependent because
24        the youth was left in a psychiatric hospital beyond
25        medical necessity, the hospital shall educate the
26        youth and the youth's parents, guardian, or caregiver

 

 

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1        about the Family Support Program and the Specialized
2        Family Support Program and shall assist with
3        connections to the designated Family Support Program
4        coordinator in the service area. Once this process has
5        begun, any such youth shall be considered a youth for
6        whom an application for the Family Support Program is
7        pending with the Department of Healthcare and Family
8        Services or an active application for the Family
9        Support Program was being reviewed by the Department
10        for the purposes of subparagraph (b) of paragraph (1)
11        of Section 2-4 of the Juvenile Court Act of 1987.
12            (B) No state agency or hospital shall coach a
13        parent or guardian of a youth in a psychiatric hospital
14        inpatient unit to lock out or otherwise relinquish
15        custody of a youth to the Department of Children and
16        Family Services for the sole purpose of obtaining
17        necessary mental health treatment for the youth. In the
18        absence of abuse or neglect, a psychiatric lockout or
19        custody relinquishment to the Department of Children
20        and Family Services shall only be considered as the
21        option of last resort.
22        (4) Development of new Family Support Program
23    services.
24            (A) Development of specialized therapeutic
25        residential treatment for youth and emerging adults
26        with high-acuity mental health conditions. Through a

 

 

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1        working group led by the Department of Healthcare and
2        Family Services that includes the Department of
3        Children and Family Services and residential treatment
4        providers for youth and emerging adults, the
5        Department of Healthcare and Family Services, within
6        12 months after the effective date of this amendatory
7        Act of the 101st General Assembly, shall develop a plan
8        for the development of specialized therapeutic
9        residential treatment beds similar to a qualified
10        residential treatment program, as defined in the
11        federal Family First Prevention Services Act, for
12        youth in the Family Support Program with high-acuity
13        mental health needs. The Department of Healthcare and
14        Family Services and the Department of Children and
15        Family Services shall work together to maximize
16        federal funding through Medicaid and Title IV-E of the
17        Social Security Act in the development and
18        implementation of this plan.
19            (B) Using the Department of Children and Family
20        Services' beyond medical necessity data over the last 5
21        years and any other relevant, available data, the
22        Department of Healthcare and Family Services shall
23        assess the estimated number of these specialized
24        high-acuity residential treatment beds that are needed
25        in each region of the State based on the number of
26        youth remaining in psychiatric hospitals beyond

 

 

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1        medical necessity and the number of youth placed
2        out-of-state who need this level of care. The
3        Department of Healthcare and Family Services shall
4        report the results of this assessment to the General
5        Assembly by no later than December 31, 2020.
6            (C) Development of an age-appropriate therapeutic
7        residential treatment model for emerging adults and
8        transition-age adults. Within 30 months after the
9        effective date of this amendatory Act of the 101st
10        General Assembly, the Department of Healthcare and
11        Family Services, in partnership with the Department of
12        Human Services' Division of Mental Health and with
13        significant and meaningful stakeholder input through a
14        working group of providers and other stakeholders,
15        shall develop a supportive housing model for emerging
16        adults and transition-age adults receiving services
17        through the Family Support Program who need
18        residential treatment and support to enable recovery.
19        Such a model shall be age-appropriate and shall allow
20        the residential component of the model to be in a
21        community-based setting combined with intensive
22        community-based mental health services.
23    (j) Workgroup to develop a plan for improving access to
24substance use treatment. The Department of Healthcare and
25Family Services and the Department of Human Services' Division
26of Substance Use Prevention and Recovery shall co-lead a

 

 

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1working group that includes Family Support Program providers,
2family support organizations, and other stakeholders over a
312-month period beginning in the first quarter of calendar year
42020 to develop a plan for increasing access to substance use
5treatment services for youth, emerging adults, and
6transition-age adults who are eligible for Family Support
7Program services.
8    (k) Appropriation. Implementation of this Section shall be
9limited by the State's annual appropriation to the Family
10Support Program. Spending within the Family Support Program
11appropriation shall be further limited for the new Family
12Support Program services to be developed accordingly:
13        (1) Targeted use of specialized therapeutic
14    residential treatment for youth and emerging adults with
15    high-acuity mental health conditions through appropriation
16    limitation. No more than 12% of all annual Family Support
17    Program funds shall be spent on this level of care in any
18    given state fiscal year.
19        (2) Targeted use of residential treatment model
20    established for emerging adults and transition-age adults
21    through appropriation limitation. No more than one-quarter
22    of all annual Family Support Program funds shall be spent
23    on this level of care in any given state fiscal year.
24    (l) Exhausting third party insurance coverage first.
25        (A) A parent, legal guardian, emerging adult, or
26    transition-age adult with private insurance coverage shall

 

 

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1    work with the Department of Healthcare and Family Services,
2    or its designee, to identify insurance coverage for any and
3    all benefits covered by their plan. If insurance
4    cost-sharing by any method for treatment is
5    cost-prohibitive for the parent, legal guardian, emerging
6    adult, or transition-age adult, Family Support Program
7    funds may be applied as a payer of last resort toward
8    insurance cost-sharing for purposes of using private
9    insurance coverage to the fullest extent for the
10    recommended treatment. If the Department, or its agent, has
11    a concern relating to the parent's, legal guardian's,
12    emerging adult's, or transition-age adult's insurer's
13    compliance with Illinois or federal insurance requirements
14    relating to the coverage of mental health or substance use
15    disorders, it shall refer all relevant information to the
16    applicable regulatory authority.
17        (B) The Department of Healthcare and Family Services
18    shall use Medicaid funds first for an individual who has
19    Medicaid coverage if the treatment or service recommended
20    using an integrated behavioral health assessment and
21    treatment plan (using the instrument approved by the
22    Department of Healthcare and Family Services) is covered by
23    Medicaid.
24        (C) If private or public insurance coverage does not
25    cover the needed treatment or service, Family Support
26    Program funds shall be used to cover the services offered

 

 

10100HB2154sam001- 34 -LRB101 04633 KTG 60062 a

1    through the Family Support Program.
2    (m) Service authorization. A youth, emerging adult, or
3transition-age adult enrolled in the Family Support Program or
4the Specialized Family Support Program shall be eligible to
5receive a mental health treatment service covered by the
6applicable program if the medical necessity criteria
7established by the Department of Healthcare and Family Services
8are met.
9    (n) Streamlined application. The Department of Healthcare
10and Family Services shall revise the Family Support Program
11applications and the application process to reflect the changes
12made to this Section by this amendatory Act of the 101st
13General Assembly within 8 months after the adoption of any
14amendments to 89 Ill. Adm. Code 139.
15    (o) Study of reimbursement policies during planned and
16unplanned absences of youth and emerging adults in Family
17Support Program residential treatment settings. The Department
18of Healthcare and Family Services shall undertake a study of
19those standards of the Department of Children and Family
20Services and other states for reimbursement of residential
21treatment during planned and unplanned absences to determine if
22reimbursing residential providers for such unplanned absences
23positively impacts the availability of residential treatment
24for youth and emerging adults. The Department of Healthcare and
25Family Services shall begin the study on July 1, 2019 and shall
26report its findings and the results of the study to the General

 

 

10100HB2154sam001- 35 -LRB101 04633 KTG 60062 a

1Assembly, along with any recommendations for or against
2adopting a similar policy, by December 31, 2020.
3    (p) Public awareness and educational campaign for all
4relevant providers. The Department of Healthcare and Family
5Services shall engage in a public awareness campaign to educate
6hospitals with psychiatric units, crisis response providers
7such as Screening, Assessment and Support Services providers
8and Comprehensive Community Based Youth Services agencies,
9schools, and other community institutions and providers across
10Illinois on the changes made by this amendatory Act of the
11101st General Assembly to the Family Support Program. The
12Department of Healthcare and Family Services shall produce
13written materials geared for the appropriate target audience,
14develop webinars, and conduct outreach visits over a 12-month
15period beginning after implementation of the changes made to
16this Section by this amendatory Act of the 101st General
17Assembly.
18    (q) Maximizing federal matching funds for the Family
19Support Program and the Specialized Family Support Program. The
20Department of Healthcare and Family Services, as the sole
21Medicaid State agency, shall seek approval from the federal
22Centers for Medicare and Medicaid Services within 12 months
23after the effective date of this amendatory Act of the 101st
24General Assembly to draw additional federal Medicaid matching
25funds for individuals served under the Family Support Program
26or the Specialized Family Support Program who are not covered

 

 

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1by the Department's medical assistance programs. The
2Department of Children and Family Services, as the State agency
3responsible for administering federal funds pursuant to Title
4IV-E of the Social Security Act, shall submit a State Plan to
5the federal government within 12 months after the effective
6date of this amendatory Act of the 101st General Assembly to
7maximize the use of federal Title IV-E prevention funds through
8the federal Family First Prevention Services Act, to provide
9mental health and substance use disorder treatment services and
10supports, including, but not limited to, the provision of
11short-term crisis and transition beds post-hospitalization for
12youth who are at imminent risk of entering Illinois' youth
13welfare system solely due to the inability to access mental
14health or substance use treatment services.
15    (r) Outcomes and data reported annually to the General
16Assembly. Beginning in 2021, the Department of Healthcare and
17Family Services shall submit an annual report to the General
18Assembly that includes the following information with respect
19to the time period covered by the report:
20        (1) The number and ages of youth, emerging adults, and
21    transition-age adults who requested services under the
22    Family Support Program and the Specialized Family Support
23    Program and the services received.
24        (2) The number and ages of youth, emerging adults, and
25    transition-age adults who requested services under the
26    Specialized Family Support Program who were eligible for

 

 

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1    services based on the number of hospitalizations.
2        (3) The number and ages of youth, emerging adults, and
3    transition-age adults who applied for Family Support
4    Program or Specialized Family Support Program services but
5    did not receive any services.
6    (s) Rulemaking authority. Unless a timeline is otherwise
7specified in a subsection, if amendments to 89 Ill. Adm. Code
8139 are needed for implementation of this Section, such
9amendments shall be filed by the Department of Healthcare and
10Family Services within one year after the effective date of
11this amendatory Act of the 101st General Assembly.
12(Source: P.A. 99-479, eff. 9-10-15.)
 
13    (305 ILCS 5/5-36 new)
14    Sec. 5-36. Education on mental health and substance use
15treatment services for children and young adults. The
16Department of Healthcare and Family Services shall develop a
17layman's guide to the mental health and substance use treatment
18services available in Illinois through the Medical Assistance
19Program and through the Family Support Program, or other
20publicly funded programs, similar to what Massachusetts
21developed, to help families understand what services are
22available to them when they have a child in need of treatment
23or support. The guide shall be in easy-to-understand language,
24be prominently available on the Department of Healthcare and
25Family Services' website, and be part of a statewide

 

 

10100HB2154sam001- 38 -LRB101 04633 KTG 60062 a

1communications campaign to ensure families are aware of Family
2Support Program services. It shall briefly explain the service
3and whether it is covered by the Medical Assistance Program,
4the Family Support Program, or any other public funding source.
5Within one year after the effective date of this amendatory Act
6of the 101st General Assembly, the Department of Healthcare and
7Family Services shall complete this guide, have it available on
8its website, and launch the communications campaign.
 
9    (305 ILCS 5/5-37 new)
10    Sec. 5-37. Billing mechanism for preventive mental health
11services delivered to children.
12    (a) The General Assembly finds:
13        (1) It is common for children to have mental health
14    needs but to not have a full-blown diagnosis of a mental
15    illness. Examples include, but are not limited to, children
16    who have mild or emerging symptoms of a mental health
17    condition (such as meeting some but not all the criteria
18    for a diagnosis, including, but not limited to, symptoms of
19    depression, attentional deficits, anxiety or prodromal
20    symptoms of bipolar disorder or schizophrenia); cutting or
21    engaging in other forms of self-harm; or experiencing
22    violence or trauma).
23        (2) The federal requirement that Medicaid-covered
24    children have access to Early and Periodic Screening,
25    Diagnostic and Treatment services includes ensuring that

 

 

10100HB2154sam001- 39 -LRB101 04633 KTG 60062 a

1    Medicaid-covered children who have a mental health need but
2    do not have a mental health diagnosis have access to
3    treatment.
4        (3) The Department of Healthcare and Family Services'
5    existing policy acknowledges this federal requirement by
6    allowing for Medicaid billing for mental health services
7    for children who have a need for services but who do not
8    have a mental health diagnosis in Section 207.3.3 of the
9    Community-Based Behavioral Services Provider Handbook.
10    However, the current policy of the Department of Healthcare
11    and Family Services requires clinicians to specify a
12    diagnosis code and make a notation in the child's medical
13    record that the service is preventive. This effectively
14    requires the clinician to associate a diagnosis with the
15    child and is a major barrier for services because many
16    clinicians rightly are unwilling to document a mental
17    health diagnosis in the medical record when a diagnosis is
18    not medically appropriate.
19    (b) Consistent with the existing policy of the Department
20of Healthcare and Family Services and the federal Early and
21Periodic Screening, Diagnostic and Treatment requirement,
22within 3 months after the effective date of this amendatory Act
23of the 101st General Assembly, the Department of Healthcare and
24Family Services shall convene a working group that includes
25children's mental health providers to receive input on
26recommendations to develop a medically appropriate and

 

 

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1practical solution that enables mental health providers and
2professionals to deliver and receive reimbursement for
3medically necessary mental health services provided to a
4Medicaid-eligible child under age 21 that has a mental health
5need but does not have a mental health diagnosis in order to
6prevent the development of a serious mental health condition.
7The working group shall ensure that the recommended solution
8works in practice and does not deter clinicians from delivering
9prevention and early treatment to children with mental health
10needs but who do not have a diagnosed mental illness. The
11Department of Healthcare and Family Services shall meet with
12this working group at least 4 times prior to finalizing the
13solution to enable and allow for mental health services for a
14child without a mental health diagnosis for purposes of
15prevention and early treatment when recommended by a licensed
16practitioner of the healing arts. If the Department of
17Healthcare and Family Services determines that an Illinois
18Title XIX State Plan amendment is necessary to implement this
19Section, the State Plan amendment shall be filed with the
20federal Centers for Medicare and Medicaid Services by no later
21than 12 months after the effective date of this amendatory Act
22of the 101st General Assembly. If rulemaking is required to
23implement this Section, the rule shall be filed by the
24Department of Healthcare and Family Services with the Joint
25Committee on Administrative Rules by no later than 12 months
26after the effective date of this amendatory Act of the 101st

 

 

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1General Assembly, or if federal approval is required, within 6
2months after federal approval. If federal approval is required
3but not granted, this Section shall become inoperative.
 
4    (305 ILCS 5/5-38 new)
5    Sec. 5-38. Alignment of children's mental health treatment
6systems. The Governor's Office shall establish, convene, and
7lead a working group that includes the Director of Healthcare
8and Family Services, the Secretary of Human Services, the
9Director of Public Health, the Director of Children and Family
10Services, the Director of Juvenile Justice, the State
11Superintendent of Education, and the appropriate agency staff
12who will be responsible for implementation or oversight of
13reforms to children's behavioral health services. The working
14group shall meet at least quarterly to foster interagency
15collaboration and work toward the goal of aligning services and
16programs to begin to create a coordinated children's behavioral
17health system consistent with system of care principles that
18spans across State agencies, rather than separate siloed
19systems with different requirements, rates, and administrative
20processes and standards.
 
21    Section 95. No acceleration or delay. Where this Act makes
22changes in a statute that is represented in this Act by text
23that is not yet or no longer in effect (for example, a Section
24represented by multiple versions), the use of that text does

 

 

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1not accelerate or delay the taking effect of (i) the changes
2made by this Act or (ii) provisions derived from any other
3Public Act.
 
4    Section 99. Effective date. This Act takes effect upon
5becoming law.".