HB2154 EnrolledLRB101 04633 KTG 49642 b

1    AN ACT concerning public aid.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
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
17psychiatric hospitals far beyond medical necessity because
18subsequent treatment options are not available.
19    (3) There are many gaps in Illinois' publicly funded mental
20health system, and private insurance does not cover proven
21treatment approaches covered by the public sector.
22    (4) Children and young adults must have access to the level
23of mental health treatment they need at the first signs of a

 

 

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1problem to prevent worsening of the condition and the use of
2substances for purposes of self-medication.
3    (5) Illinois' mental health system for children and young
4adults must align with system of care principles, which were
5developed by The Georgetown University Center for Child and
6Human Development and are the nationally recognized best
7practices for developing a strong treatment system.
8    (6) This Act contains many of the crucial elements that
9Illinois requires for building an appropriate service delivery
10system and for coverage of a comprehensive array of services
11through private insurance.
 
12    Section 10. The State Employees Group Insurance Act of 1971
13is amended by changing Section 6.11 as follows:
 
14    (5 ILCS 375/6.11)
15    (Text of Section before amendment by P.A. 100-1170)
16    Sec. 6.11. Required health benefits; Illinois Insurance
17Code requirements. The program of health benefits shall provide
18the post-mastectomy care benefits required to be covered by a
19policy of accident and health insurance under Section 356t of
20the Illinois Insurance Code. The program of health benefits
21shall provide the coverage required under Sections 356g,
22356g.5, 356g.5-1, 356m, 356u, 356w, 356x, 356z.2, 356z.4,
23356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13,
24356z.14, 356z.15, 356z.17, 356z.22, 356z.25, and 356z.26, and

 

 

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1356z.29, 356z.32, and 356z.33 of the Illinois Insurance Code.
2The program of health benefits must comply with Sections
3155.22a, 155.37, 355b, 356z.19, 370c, and 370c.1 of the
4Illinois Insurance Code. The Department of Insurance shall
5enforce the requirements 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
151-8-19.)
 
16    (Text of Section after amendment by P.A. 100-1170)
17    Sec. 6.11. Required health benefits; Illinois Insurance
18Code requirements. The program of health benefits shall provide
19the post-mastectomy care benefits required to be covered by a
20policy of accident and health insurance under Section 356t of
21the Illinois Insurance Code. The program of health benefits
22shall provide the coverage required under Sections 356g,
23356g.5, 356g.5-1, 356m, 356u, 356w, 356x, 356z.2, 356z.4,
24356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13,
25356z.14, 356z.15, 356z.17, 356z.22, 356z.25, 356z.26, 356z.29,

 

 

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1and 356z.32, and 356z.33 of the Illinois Insurance Code. The
2program of health benefits must comply with Sections 155.22a,
3155.37, 355b, 356z.19, 370c, and 370c.1 of the Illinois
4Insurance Code. The Department of Insurance shall enforce the
5requirements of this Section with respect to Sections 370c and
6370c.1 of the Illinois Insurance Code; all other requirements
7of this Section shall be enforced by the Department of Central
8Management Services.
9    Rulemaking authority to implement Public Act 95-1045, if
10any, is conditioned on the rules being adopted in accordance
11with all provisions of the Illinois Administrative Procedure
12Act and all rules and procedures of the Joint Committee on
13Administrative Rules; any purported rule not so adopted, for
14whatever reason, is unauthorized.
15(Source: P.A. 99-480, eff. 9-9-15; 100-24, eff. 7-18-17;
16100-138, eff. 8-18-17; 100-863, eff. 8-14-18; 100-1024, eff.
171-1-19; 100-1057, eff. 1-1-19; 100-1102, eff. 1-1-19;
18100-1170, eff. 6-1-19.)
 
19    Section 15. The Counties Code is amended by changing
20Section 5-1069.3 as follows:
 
21    (55 ILCS 5/5-1069.3)
22    Sec. 5-1069.3. Required health benefits. If a county,
23including a home rule county, is a self-insurer for purposes of
24providing health insurance coverage for its employees, the

 

 

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1coverage shall include coverage for the post-mastectomy care
2benefits required to be covered by a policy of accident and
3health insurance under Section 356t and the coverage required
4under Sections 356g, 356g.5, 356g.5-1, 356u, 356w, 356x,
5356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13,
6356z.14, 356z.15, 356z.22, 356z.25, and 356z.26, and 356z.29,
7356z.32, and 356z.33 of the Illinois Insurance Code. The
8coverage shall comply with Sections 155.22a, 355b, 356z.19, and
9370c of the Illinois Insurance Code. The Department of
10Insurance shall enforce the requirements of this Section. The
11requirement that health benefits be covered as provided in this
12Section is an exclusive power and function of the State and is
13a denial and limitation under Article VII, Section 6,
14subsection (h) of the Illinois Constitution. A home rule county
15to which this Section applies must comply with every provision
16of this Section.
17    Rulemaking authority to implement Public Act 95-1045, if
18any, is conditioned on the rules being adopted in accordance
19with all provisions of the Illinois Administrative Procedure
20Act and all rules and procedures of the Joint Committee on
21Administrative Rules; any purported rule not so adopted, for
22whatever reason, is unauthorized.
23(Source: P.A. 99-480, eff. 9-9-15; 100-24, eff. 7-18-17;
24100-138, eff. 8-18-17; 100-863, eff. 8-14-18; 100-1024, eff.
251-1-19; 100-1057, eff. 1-1-19; 100-1102, eff. 1-1-19; revised
2610-3-18.)
 

 

 

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1    Section 20. The Illinois Municipal Code is amended by
2changing Section 10-4-2.3 as follows:
 
3    (65 ILCS 5/10-4-2.3)
4    Sec. 10-4-2.3. Required health benefits. If a
5municipality, including a home rule municipality, is a
6self-insurer for purposes of providing health insurance
7coverage for its employees, the coverage shall include coverage
8for the post-mastectomy care benefits required to be covered by
9a policy of accident and health insurance under Section 356t
10and the coverage required under Sections 356g, 356g.5,
11356g.5-1, 356u, 356w, 356x, 356z.6, 356z.8, 356z.9, 356z.10,
12356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.22, 356z.25,
13and 356z.26, and 356z.29, 356z.32, and 356z.33 of the Illinois
14Insurance Code. The coverage shall comply with Sections
15155.22a, 355b, 356z.19, and 370c of the Illinois Insurance
16Code. The Department of Insurance shall enforce the
17requirements of this Section. The requirement that health
18benefits be covered as provided in this is an exclusive power
19and function of the State and is a denial and limitation under
20Article VII, Section 6, subsection (h) of the Illinois
21Constitution. A home rule municipality to which this Section
22applies must comply with every provision of this Section.
23    Rulemaking authority to implement Public Act 95-1045, if
24any, is conditioned on the rules being adopted in accordance

 

 

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1with all provisions of the Illinois Administrative Procedure
2Act and all rules and procedures of the Joint Committee on
3Administrative Rules; any purported rule not so adopted, for
4whatever reason, is unauthorized.
5(Source: P.A. 99-480, eff. 9-9-15; 100-24, eff. 7-18-17;
6100-138, eff. 8-18-17; 100-863, eff. 8-14-18; 100-1024, eff.
71-1-19; 100-1057, eff. 1-1-19; 100-1102, eff. 1-1-19; revised
810-4-18.)
 
9    Section 25. The School Code is amended by changing Section
1010-22.3f as follows:
 
11    (105 ILCS 5/10-22.3f)
12    Sec. 10-22.3f. Required health benefits. Insurance
13protection and benefits for employees shall provide the
14post-mastectomy care benefits required to be covered by a
15policy of accident and health insurance under Section 356t and
16the coverage required under Sections 356g, 356g.5, 356g.5-1,
17356u, 356w, 356x, 356z.6, 356z.8, 356z.9, 356z.11, 356z.12,
18356z.13, 356z.14, 356z.15, 356z.22, 356z.25, and 356z.26, and
19356z.29, 356z.32, and 356z.33 of the Illinois Insurance Code.
20Insurance policies shall comply with Section 356z.19 of the
21Illinois Insurance Code. The coverage shall comply with
22Sections 155.22a, 355b, and 370c of the Illinois Insurance
23Code. The Department of Insurance shall enforce the
24requirements of this Section.

 

 

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1    Rulemaking authority to implement Public Act 95-1045, if
2any, is conditioned on the rules being adopted in accordance
3with all provisions of the Illinois Administrative Procedure
4Act and all rules and procedures of the Joint Committee on
5Administrative Rules; any purported rule not so adopted, for
6whatever reason, is unauthorized.
7(Source: P.A. 100-24, eff. 7-18-17; 100-138, eff. 8-18-17;
8100-863, eff. 8-14-18; 100-1024, eff. 1-1-19; 100-1057, eff.
91-1-19; 100-1102, eff. 1-1-19; revised 10-4-18.)
 
10    Section 30. The Illinois Insurance Code is amended by
11adding Section 356z.33 as follows:
 
12    (215 ILCS 5/356z.33 new)
13    Sec. 356z.33. Coverage of treatment models for early
14treatment of serious mental illnesses.
15    (a) For purposes of early treatment of a serious mental
16illness in a child or young adult under age 26, a group or
17individual policy of accident and health insurance, or managed
18care plan, that is amended, delivered, issued, or renewed after
19December 31, 2020 shall provide coverage of the following
20bundled, evidence-based treatment:
21        (1) Coordinated specialty care for first episode
22    psychosis treatment, covering the elements of the
23    treatment model included in the most recent national
24    research trials conducted by the National Institute of

 

 

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1    Mental Health in the Recovery After an Initial
2    Schizophrenia Episode (RAISE) trials for psychosis
3    resulting from a serious mental illness, but excluding the
4    components of the treatment model related to education and
5    employment support.
6        (2) Assertive community treatment (ACT) and community
7    support team (CST) treatment. The elements of ACT and CST
8    to be covered shall include those covered under Article V
9    of the Illinois Public Aid Code, through 89 Ill. Adm. Code
10    140.453(d)(4).
11    (b) Adherence to the clinical models. For purposes of
12ensuring adherence to the coordinated specialty care for first
13episode psychosis treatment model, only providers contracted
14with the Department of Human Services' Division of Mental
15Health to be FIRST.IL providers to deliver coordinated
16specialty care for first episode psychosis treatment shall be
17permitted to provide such treatment in accordance with this
18Section and such providers must adhere to the fidelity of the
19treatment model. For purposes of ensuring fidelity to ACT and
20CST, only providers certified to provide ACT and CST by the
21Department of Human Services' Division of Mental Health and
22approved to provide ACT and CST by the Department of Healthcare
23and Family Services, or its designee, in accordance with 89
24Ill. Adm. Code 140, shall be permitted to provide such services
25under this Section and such providers shall be required to
26adhere to the fidelity of the models.

 

 

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1    (c) Development of medical necessity criteria for
2coverage. Within 6 months after the effective date of this
3amendatory Act of the 101st General Assembly, the Department of
4Insurance shall lead and convene a workgroup that includes the
5Department of Human Services' Division of Mental Health, the
6Department of Healthcare and Family Services, providers of the
7treatment models listed in this Section, and insurers operating
8in Illinois to develop medical necessity criteria for such
9treatment models for purposes of coverage under this Section.
10The workgroup shall use the medical necessity criteria the
11State and other states use as guidance for establishing medical
12necessity for insurance coverage. The Department of Insurance
13shall adopt a rule that defines medical necessity for each of
14the 3 treatment models listed in this Section by no later than
15June 30, 2020 based on the workgroup's recommendations.
16    (d) For purposes of credentialing the mental health
17professionals and other medical professionals that are part of
18a coordinated specialty care for first episode psychosis
19treatment team, an ACT team, or a CST team, the credentialing
20of the psychiatrist or the licensed clinical leader of the
21treatment team shall qualify all members of the treatment team
22to be credentialed with the insurer.
23    (e) Payment for the services performed under the treatment
24models listed in this Section shall be based on a bundled
25treatment model or payment, rather than payment for each
26separate service delivered by a treatment team member. By no

 

 

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1later than 6 months after the effective date of this amendatory
2Act of the 101st General Assembly, the Department of Insurance
3shall convene a workgroup of Illinois insurance companies and
4Illinois mental health treatment providers that deliver the
5bundled treatment approaches listed in this Section to
6determine a coding solution that allows for these bundled
7treatment models to be coded and paid for as a bundle of
8services, similar to intensive outpatient treatment where
9multiple services are covered under one billing code or a
10bundled set of billing codes. The coding solution shall ensure
11that services delivered using coordinated specialty care for
12first episode psychosis treatment, ACT, or CST are provided and
13billed as a bundled service, rather than for each individual
14service provided by a treatment team member, which would
15deconstruct the evidence-based practice. The coding solution
16shall be reached prior to coverage, which shall begin for plans
17amended, delivered, issued, or renewed after December 31, 2020,
18to ensure coverage of the treatment team approaches as intended
19by this Section.
20    (f) If, at any time, the Secretary of the United States
21Department of Health and Human Services, or its successor
22agency, adopts rules or regulations to be published in the
23Federal Register or publishes a comment in the Federal Register
24or issues an opinion, guidance, or other action that would
25require the State, under any provision of the Patient
26Protection and Affordable Care Act (P.L. 111-148), including,

 

 

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1but not limited to, 42 U.S.C. 18031(d)(3)(b), or any successor
2provision, to defray the cost of any coverage for serious
3mental illnesses or serious emotional disturbances outlined in
4this Section, then the requirement that a group or individual
5policy of accident and health insurance or managed care plan
6cover the bundled treatment approaches listed in this Section
7is inoperative other than any such coverage authorized under
8Section 1902 of the Social Security Act, 42 U.S.C. 1396a, and
9the State shall not assume any obligation for the cost of the
10coverage.
11    (g) After 5 years following full implementation of this
12Section, if requested by an insurer, the Department of
13Insurance shall contract with an independent third party with
14expertise in analyzing health insurance premiums and costs to
15perform an independent analysis of the impact coverage of the
16team-based treatment models listed in this Section has had on
17insurance premiums in Illinois. If premiums increased by more
18than 1% annually solely due to coverage of these treatment
19models, coverage of these models shall no longer be required.
20    (h) The Department of Insurance shall adopt any rules
21necessary to implement the provisions of this Section by no
22later than June 30, 2020.
 
23    Section 35. The Health Maintenance Organization Act is
24amended by changing Section 5-3 as follows:
 

 

 

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1    (215 ILCS 125/5-3)  (from Ch. 111 1/2, par. 1411.2)
2    Sec. 5-3. Insurance Code provisions.
3    (a) Health Maintenance Organizations shall be subject to
4the provisions of Sections 133, 134, 136, 137, 139, 140, 141.1,
5141.2, 141.3, 143, 143c, 147, 148, 149, 151, 152, 153, 154,
6154.5, 154.6, 154.7, 154.8, 155.04, 155.22a, 355.2, 355.3,
7355b, 356g.5-1, 356m, 356v, 356w, 356x, 356y, 356z.2, 356z.4,
8356z.5, 356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 356z.12,
9356z.13, 356z.14, 356z.15, 356z.17, 356z.18, 356z.19, 356z.21,
10356z.22, 356z.25, 356z.26, 356z.29, 356z.30, 356z.32, 356z.33,
11364, 364.01, 367.2, 367.2-5, 367i, 368a, 368b, 368c, 368d,
12368e, 370c, 370c.1, 401, 401.1, 402, 403, 403A, 408, 408.2,
13409, 412, 444, and 444.1, paragraph (c) of subsection (2) of
14Section 367, and Articles IIA, VIII 1/2, XII, XII 1/2, XIII,
15XIII 1/2, XXV, and XXVI of the Illinois Insurance Code.
16    (b) For purposes of the Illinois Insurance Code, except for
17Sections 444 and 444.1 and Articles XIII and XIII 1/2, Health
18Maintenance Organizations in the following categories are
19deemed to be "domestic companies":
20        (1) a corporation authorized under the Dental Service
21    Plan Act or the Voluntary Health Services Plans Act;
22        (2) a corporation organized under the laws of this
23    State; or
24        (3) a corporation organized under the laws of another
25    state, 30% or more of the enrollees of which are residents
26    of this State, except a corporation subject to

 

 

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1    substantially the same requirements in its state of
2    organization as is a "domestic company" under Article VIII
3    1/2 of the Illinois Insurance Code.
4    (c) In considering the merger, consolidation, or other
5acquisition of control of a Health Maintenance Organization
6pursuant to Article VIII 1/2 of the Illinois Insurance Code,
7        (1) the Director shall give primary consideration to
8    the continuation of benefits to enrollees and the financial
9    conditions of the acquired Health Maintenance Organization
10    after the merger, consolidation, or other acquisition of
11    control takes effect;
12        (2)(i) the criteria specified in subsection (1)(b) of
13    Section 131.8 of the Illinois Insurance Code shall not
14    apply and (ii) the Director, in making his determination
15    with respect to the merger, consolidation, or other
16    acquisition of control, need not take into account the
17    effect on competition of the merger, consolidation, or
18    other acquisition of control;
19        (3) the Director shall have the power to require the
20    following information:
21            (A) certification by an independent actuary of the
22        adequacy of the reserves of the Health Maintenance
23        Organization sought to be acquired;
24            (B) pro forma financial statements reflecting the
25        combined balance sheets of the acquiring company and
26        the Health Maintenance Organization sought to be

 

 

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1        acquired as of the end of the preceding year and as of
2        a date 90 days prior to the acquisition, as well as pro
3        forma financial statements reflecting projected
4        combined operation for a period of 2 years;
5            (C) a pro forma business plan detailing an
6        acquiring party's plans with respect to the operation
7        of the Health Maintenance Organization sought to be
8        acquired for a period of not less than 3 years; and
9            (D) such other information as the Director shall
10        require.
11    (d) The provisions of Article VIII 1/2 of the Illinois
12Insurance Code and this Section 5-3 shall apply to the sale by
13any health maintenance organization of greater than 10% of its
14enrollee population (including without limitation the health
15maintenance organization's right, title, and interest in and to
16its health care certificates).
17    (e) In considering any management contract or service
18agreement subject to Section 141.1 of the Illinois Insurance
19Code, the Director (i) shall, in addition to the criteria
20specified in Section 141.2 of the Illinois Insurance Code, take
21into account the effect of the management contract or service
22agreement on the continuation of benefits to enrollees and the
23financial condition of the health maintenance organization to
24be managed or serviced, and (ii) need not take into account the
25effect of the management contract or service agreement on
26competition.

 

 

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1    (f) Except for small employer groups as defined in the
2Small Employer Rating, Renewability and Portability Health
3Insurance Act and except for medicare supplement policies as
4defined in Section 363 of the Illinois Insurance Code, a Health
5Maintenance Organization may by contract agree with a group or
6other enrollment unit to effect refunds or charge additional
7premiums under the following terms and conditions:
8        (i) the amount of, and other terms and conditions with
9    respect to, the refund or additional premium are set forth
10    in the group or enrollment unit contract agreed in advance
11    of the period for which a refund is to be paid or
12    additional premium is to be charged (which period shall not
13    be less than one year); and
14        (ii) the amount of the refund or additional premium
15    shall not exceed 20% of the Health Maintenance
16    Organization's profitable or unprofitable experience with
17    respect to the group or other enrollment unit for the
18    period (and, for purposes of a refund or additional
19    premium, the profitable or unprofitable experience shall
20    be calculated taking into account a pro rata share of the
21    Health Maintenance Organization's administrative and
22    marketing expenses, but shall not include any refund to be
23    made or additional premium to be paid pursuant to this
24    subsection (f)). The Health Maintenance Organization and
25    the group or enrollment unit may agree that the profitable
26    or unprofitable experience may be calculated taking into

 

 

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1    account the refund period and the immediately preceding 2
2    plan years.
3    The Health Maintenance Organization shall include a
4statement in the evidence of coverage issued to each enrollee
5describing the possibility of a refund or additional premium,
6and upon request of any group or enrollment unit, provide to
7the group or enrollment unit a description of the method used
8to calculate (1) the Health Maintenance Organization's
9profitable experience with respect to the group or enrollment
10unit and the resulting refund to the group or enrollment unit
11or (2) the Health Maintenance Organization's unprofitable
12experience with respect to the group or enrollment unit and the
13resulting additional premium to be paid by the group or
14enrollment unit.
15    In no event shall the Illinois Health Maintenance
16Organization Guaranty Association be liable to pay any
17contractual obligation of an insolvent organization to pay any
18refund authorized under this Section.
19    (g) Rulemaking authority to implement Public Act 95-1045,
20if any, is conditioned on the rules being adopted in accordance
21with all provisions of the Illinois Administrative Procedure
22Act and all rules and procedures of the Joint Committee on
23Administrative Rules; any purported rule not so adopted, for
24whatever reason, is unauthorized.
25(Source: P.A. 99-761, eff. 1-1-18; 100-24, eff. 7-18-17;
26100-138, eff. 8-18-17; 100-863, eff. 8-14-18; 100-1026, eff.

 

 

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18-22-18; 100-1057, eff. 1-1-19; 100-1102, eff. 1-1-19; revised
210-4-18.)
 
3    Section 40. The Illinois Public Aid Code is amended by
4changing Section 5-5.23 and by adding Sections 5-36, 5-37, and
55-38 as follows:
 
6    (305 ILCS 5/5-5.23)
7    Sec. 5-5.23. Children's mental health services.
8    (a) The Department of Healthcare and Family Services, by
9rule, shall require the screening and assessment of a child
10prior to any Medicaid-funded admission to an inpatient hospital
11for psychiatric services to be funded by Medicaid. The
12screening and assessment shall include a determination of the
13appropriateness and availability of out-patient support
14services for necessary treatment. The Department, by rule,
15shall establish methods and standards of payment for the
16screening, assessment, and necessary alternative support
17services.
18    (b) The Department of Healthcare and Family Services, to
19the extent allowable under federal law, shall secure federal
20financial participation for Individual Care Grant expenditures
21made by the Department of Healthcare and Family Services for
22the Medicaid optional service authorized under Section 1905(h)
23of the federal Social Security Act, pursuant to the provisions
24of Section 7.1 of the Mental Health and Developmental

 

 

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1Disabilities Administrative Act. The Department of Healthcare
2and Family Services may exercise the authority under this
3Section as is necessary to administer Individual Care Grants as
4authorized under Section 7.1 of the Mental Health and
5Developmental Disabilities Administrative Act.
6    (c) The Department of Healthcare and Family Services shall
7work collaboratively with the Department of Children and Family
8Services and the Division of Mental Health of the Department of
9Human Services to implement subsections (a) and (b).
10    (d) On and after July 1, 2012, the Department shall reduce
11any rate of reimbursement for services or other payments or
12alter any methodologies authorized by this Code to reduce any
13rate of reimbursement for services or other payments in
14accordance with Section 5-5e.
15    (e) All rights, powers, duties, and responsibilities
16currently exercised by the Department of Human Services related
17to the Individual Care Grant program are transferred to the
18Department of Healthcare and Family Services with the transfer
19and transition of the Individual Care Grant program to the
20Department of Healthcare and Family Services to be completed
21and implemented within 6 months after the effective date of
22this amendatory Act of the 99th General Assembly. For the
23purposes of the Successor Agency Act, the Department of
24Healthcare and Family Services is declared to be the successor
25agency of the Department of Human Services, but only with
26respect to the functions of the Department of Human Services

 

 

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1that are transferred to the Department of Healthcare and Family
2Services under this amendatory Act of the 99th General
3Assembly.
4        (1) Each act done by the Department of Healthcare and
5    Family Services in exercise of the transferred powers,
6    duties, rights, and responsibilities shall have the same
7    legal effect as if done by the Department of Human Services
8    or its offices.
9        (2) Any rules of the Department of Human Services that
10    relate to the functions and programs transferred by this
11    amendatory Act of the 99th General Assembly that are in
12    full force on the effective date of this amendatory Act of
13    the 99th General Assembly shall become the rules of the
14    Department of Healthcare and Family Services. All rules
15    transferred under this amendatory Act of the 99th General
16    Assembly are hereby amended such that the term "Department"
17    shall be defined as the Department of Healthcare and Family
18    Services and all references to the "Secretary" shall be
19    changed to the "Director of Healthcare and Family Services
20    or his or her designee". As soon as practicable hereafter,
21    the Department of Healthcare and Family Services shall
22    revise and clarify the rules to reflect the transfer of
23    rights, powers, duties, and responsibilities affected by
24    this amendatory Act of the 99th General Assembly, using the
25    procedures for recodification of rules available under the
26    Illinois Administrative Procedure Act, except that

 

 

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

 

 

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

 

 

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1    amendatory Act of the 99th General Assembly, the same shall
2    be made, given, furnished, or served in the same manner to
3    or upon the Department of Healthcare and Family Services.
4        (7) This amendatory Act of the 99th General Assembly
5    shall not affect any act done, ratified, or canceled or any
6    right occurring or established or any action or proceeding
7    had or commenced in an administrative, civil, or criminal
8    cause regarding the Department of Human Services before the
9    effective date of this amendatory Act of the 99th General
10    Assembly; and those actions or proceedings may be defended,
11    prosecuted, and continued by the Department of Human
12    Services.
13    (f) (Blank). The Individual Care Grant program shall be
14inoperative during the calendar year in which implementation
15begins of any remedies in response to litigation against the
16Department of Healthcare and Family Services related to
17children's behavioral health and the general status of
18children's behavioral health in this State. Individual Care
19Grant recipients in the program the year it becomes inoperative
20shall continue to remain in the program until it is clinically
21appropriate for them to step down in level of care.
22    (g) Family Support Program. The Department of Healthcare
23and Family Services shall restructure the Family Support
24Program, formerly known as the Individual Care Grant program,
25to enable early treatment of youth, emerging adults, and
26transition-age adults with a serious mental illness or serious

 

 

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1emotional disturbance.
2        (1) As used in this subsection and in subsections (h)
3    through (s):
4            (A) "Youth" means a person under the age of 18.
5            (B) "Emerging adult" means a person who is 18
6        through 20 years of age.
7            (C) "Transition-age adult" means a person who is 21
8        through 25 years of age.
9        (2) The Department shall amend 89 Ill. Adm. Code 139 in
10    accordance with this Section and consistent with the
11    timelines outlined in this Section.
12        (3) Implementation of any amended requirements shall
13    be completed within 8 months of the adoption of any
14    amendment to 89 Ill. Adm. Code 139 that is consistent with
15    the provisions of this Section.
16        (4) To align the Family Support Program with the
17    Medicaid system of care, the services available to a youth,
18    emerging adult, or transition-age adult through the Family
19    Support Program shall include all Medicaid community-based
20    mental health treatment services and all Family Support
21    Program services included under 89 Ill. Adm. Code 139. No
22    person receiving services through the Family Support
23    Program or the Specialized Family Support Program shall
24    become a Medicaid enrollee unless Medicaid eligibility
25    criteria are met and the person is enrolled in Medicaid. No
26    part of this Section creates an entitlement to services

 

 

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1    through the Family Support Program, the Specialized Family
2    Support Program, or the Medicaid program.
3        (5) The Family Support Program shall align with the
4    following system of care principles:
5            (A) Treatment and support services shall be based
6        on the results of an integrated behavioral health
7        assessment and treatment plan using an instrument
8        approved by the Department of Healthcare and Family
9        Services.
10            (B) Strong interagency collaboration between all
11        State agencies the parent or legal guardian is involved
12        with for services, including the Department of
13        Healthcare and Family Services, the Department of
14        Human Services, the Department of Children and Family
15        Services, the Department of Juvenile Justice, and the
16        Illinois State Board of Education.
17            (C) Individualized, strengths-based practices and
18        trauma-informed treatment approaches.
19            (D) For a youth, full participation of the parent
20        or legal guardian at all levels of treatment through a
21        process that is family-centered and youth-focused. The
22        process shall include consideration of the services
23        and supports the parent, legal guardian, or caregiver
24        requires for family stabilization, and shall connect
25        such person or persons to services based on available
26        insurance coverage.

 

 

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1    (h) Eligibility for the Family Support Program.
2Eligibility criteria established under 89 Ill. Adm. Code 139
3for the Family Support Program shall include the following:
4        (1) Individuals applying to the program must be under
5    the age of 26.
6        (2) Requirements for parental or legal guardian
7    involvement are applicable to youth and to emerging adults
8    or transition-age adults who have a guardian appointed
9    under Article XIa of the Probate Act.
10        (3) Youth, emerging adults, and transition-age adults
11    are eligible for services under the Family Support Program
12    upon their third inpatient admission to a hospital or
13    similar treatment facility for the primary purpose of
14    psychiatric treatment within the most recent 12 months and
15    are hospitalized for the purpose of psychiatric treatment.
16        (4) School participation for emerging adults applying
17    for services under the Family Support Program may be waived
18    by request of the individual at the sole discretion of the
19    Department of Healthcare and Family Services.
20        (5) School participation is not applicable to
21    transition-age adults.
22    (i) Notification of Family Support Program and Specialized
23Family Support Program services.
24        (1) Within 12 months after the effective date of this
25    amendatory Act of the 101st General Assembly, the
26    Department of Healthcare and Family Services, with

 

 

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1    meaningful stakeholder input through a working group of
2    psychiatric hospitals, Family Support Program providers,
3    family support organizations, the Community and
4    Residential Services Authority, a statewide association
5    representing a majority of hospitals, and foster care
6    alumni advocates, shall establish a clear process by which
7    a youth's or emerging adult's parents, guardian, or
8    caregiver, or the emerging adult or transition-age adult,
9    is identified, notified, and educated about the Family
10    Support Program and the Specialized Family Support Program
11    upon a first psychiatric inpatient hospital admission, and
12    any following psychiatric inpatient admissions.
13    Notification and education may take place through a Family
14    Support Program coordinator, a mobile crisis response
15    provider, a Comprehensive Community Based Youth Services
16    provider, the Community and Residential Services
17    Authority, or any other designated provider or coordinator
18    identified by the Department of Healthcare and Family
19    Services. In developing this process, the Department of
20    Healthcare and Family Services and the working group shall
21    take into account the unique needs of emerging adults and
22    transition-age adults without parental involvement who are
23    eligible for services under the Family Support Program. The
24    Department of Healthcare and Family Services and the
25    working group shall ensure the appropriate provider or
26    coordinator is required to assist individuals and their

 

 

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1    parents, guardians, or caregivers, as applicable, in the
2    completion of the application or referral process for the
3    Family Support Program or the Specialized Family Support
4    Program.
5        (2) Upon a youth's, emerging adult's or transition-age
6    adult's second psychiatric inpatient hospital admission,
7    the hospital must ensure that the youth's parents,
8    guardian, or caregiver, or the emerging adult or
9    transition-age adult, have been notified of the Family
10    Support Program and the Specialized Family Support Program
11    prior to hospital discharge.
12        (3) Psychiatric lockout as last resort.
13            (A) Prior to referring any youth to the Department
14        of Children and Family Services for the filing of a
15        petition in accordance with subparagraph (c) of
16        paragraph (1) of Section 2-4 of the Juvenile Court Act
17        of 1987 alleging that the youth is dependent because
18        the youth was left in a psychiatric hospital beyond
19        medical necessity, the hospital shall educate the
20        youth and the youth's parents, guardian, or caregiver
21        about the Family Support Program and the Specialized
22        Family Support Program and shall assist with
23        connections to the designated Family Support Program
24        coordinator in the service area. Once this process has
25        begun, any such youth shall be considered a youth for
26        whom an application for the Family Support Program is

 

 

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

 

 

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1        Act of the 101st General Assembly, shall develop a plan
2        for the development of specialized therapeutic
3        residential treatment beds similar to a qualified
4        residential treatment program, as defined in the
5        federal Family First Prevention Services Act, for
6        youth in the Family Support Program with high-acuity
7        mental health needs. The Department of Healthcare and
8        Family Services and the Department of Children and
9        Family Services shall work together to maximize
10        federal funding through Medicaid and Title IV-E of the
11        Social Security Act in the development and
12        implementation of this plan.
13            (B) Using the Department of Children and Family
14        Services' beyond medical necessity data over the last 5
15        years and any other relevant, available data, the
16        Department of Healthcare and Family Services shall
17        assess the estimated number of these specialized
18        high-acuity residential treatment beds that are needed
19        in each region of the State based on the number of
20        youth remaining in psychiatric hospitals beyond
21        medical necessity and the number of youth placed
22        out-of-state who need this level of care. The
23        Department of Healthcare and Family Services shall
24        report the results of this assessment to the General
25        Assembly by no later than December 31, 2020.
26            (C) Development of an age-appropriate therapeutic

 

 

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1        residential treatment model for emerging adults and
2        transition-age adults. Within 30 months after the
3        effective date of this amendatory Act of the 101st
4        General Assembly, the Department of Healthcare and
5        Family Services, in partnership with the Department of
6        Human Services' Division of Mental Health and with
7        significant and meaningful stakeholder input through a
8        working group of providers and other stakeholders,
9        shall develop a supportive housing model for emerging
10        adults and transition-age adults receiving services
11        through the Family Support Program who need
12        residential treatment and support to enable recovery.
13        Such a model shall be age-appropriate and shall allow
14        the residential component of the model to be in a
15        community-based setting combined with intensive
16        community-based mental health services.
17    (j) Workgroup to develop a plan for improving access to
18substance use treatment. The Department of Healthcare and
19Family Services and the Department of Human Services' Division
20of Substance Use Prevention and Recovery shall co-lead a
21working group that includes Family Support Program providers,
22family support organizations, and other stakeholders over a
2312-month period beginning in the first quarter of calendar year
242020 to develop a plan for increasing access to substance use
25treatment services for youth, emerging adults, and
26transition-age adults who are eligible for Family Support

 

 

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1Program services.
2    (k) Appropriation. Implementation of this Section shall be
3limited by the State's annual appropriation to the Family
4Support Program. Spending within the Family Support Program
5appropriation shall be further limited for the new Family
6Support Program services to be developed accordingly:
7        (1) Targeted use of specialized therapeutic
8    residential treatment for youth and emerging adults with
9    high-acuity mental health conditions through appropriation
10    limitation. No more than 12% of all annual Family Support
11    Program funds shall be spent on this level of care in any
12    given state fiscal year.
13        (2) Targeted use of residential treatment model
14    established for emerging adults and transition-age adults
15    through appropriation limitation. No more than one-quarter
16    of all annual Family Support Program funds shall be spent
17    on this level of care in any given state fiscal year.
18    (l) Exhausting third party insurance coverage first.
19        (A) A parent, legal guardian, emerging adult, or
20    transition-age adult with private insurance coverage shall
21    work with the Department of Healthcare and Family Services,
22    or its designee, to identify insurance coverage for any and
23    all benefits covered by their plan. If insurance
24    cost-sharing by any method for treatment is
25    cost-prohibitive for the parent, legal guardian, emerging
26    adult, or transition-age adult, Family Support Program

 

 

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

 

 

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1established by the Department of Healthcare and Family Services
2are met.
3    (n) Streamlined application. The Department of Healthcare
4and Family Services shall revise the Family Support Program
5applications and the application process to reflect the changes
6made to this Section by this amendatory Act of the 101st
7General Assembly within 8 months after the adoption of any
8amendments to 89 Ill. Adm. Code 139.
9    (o) Study of reimbursement policies during planned and
10unplanned absences of youth and emerging adults in Family
11Support Program residential treatment settings. The Department
12of Healthcare and Family Services shall undertake a study of
13those standards of the Department of Children and Family
14Services and other states for reimbursement of residential
15treatment during planned and unplanned absences to determine if
16reimbursing residential providers for such unplanned absences
17positively impacts the availability of residential treatment
18for youth and emerging adults. The Department of Healthcare and
19Family Services shall begin the study on July 1, 2019 and shall
20report its findings and the results of the study to the General
21Assembly, along with any recommendations for or against
22adopting a similar policy, by December 31, 2020.
23    (p) Public awareness and educational campaign for all
24relevant providers. The Department of Healthcare and Family
25Services shall engage in a public awareness campaign to educate
26hospitals with psychiatric units, crisis response providers

 

 

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1such as Screening, Assessment and Support Services providers
2and Comprehensive Community Based Youth Services agencies,
3schools, and other community institutions and providers across
4Illinois on the changes made by this amendatory Act of the
5101st General Assembly to the Family Support Program. The
6Department of Healthcare and Family Services shall produce
7written materials geared for the appropriate target audience,
8develop webinars, and conduct outreach visits over a 12-month
9period beginning after implementation of the changes made to
10this Section by this amendatory Act of the 101st General
11Assembly.
12    (q) Maximizing federal matching funds for the Family
13Support Program and the Specialized Family Support Program. The
14Department of Healthcare and Family Services, as the sole
15Medicaid State agency, shall seek approval from the federal
16Centers for Medicare and Medicaid Services within 12 months
17after the effective date of this amendatory Act of the 101st
18General Assembly to draw additional federal Medicaid matching
19funds for individuals served under the Family Support Program
20or the Specialized Family Support Program who are not covered
21by the Department's medical assistance programs. The
22Department of Children and Family Services, as the State agency
23responsible for administering federal funds pursuant to Title
24IV-E of the Social Security Act, shall submit a State Plan to
25the federal government within 12 months after the effective
26date of this amendatory Act of the 101st General Assembly to

 

 

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1maximize the use of federal Title IV-E prevention funds through
2the federal Family First Prevention Services Act, to provide
3mental health and substance use disorder treatment services and
4supports, including, but not limited to, the provision of
5short-term crisis and transition beds post-hospitalization for
6youth who are at imminent risk of entering Illinois' youth
7welfare system solely due to the inability to access mental
8health or substance use treatment services.
9    (r) Outcomes and data reported annually to the General
10Assembly. Beginning in 2021, the Department of Healthcare and
11Family Services shall submit an annual report to the General
12Assembly that includes the following information with respect
13to the time period covered by the report:
14        (1) The number and ages of youth, emerging adults, and
15    transition-age adults who requested services under the
16    Family Support Program and the Specialized Family Support
17    Program and the services received.
18        (2) The number and ages of youth, emerging adults, and
19    transition-age adults who requested services under the
20    Specialized Family Support Program who were eligible for
21    services based on the number of hospitalizations.
22        (3) The number and ages of youth, emerging adults, and
23    transition-age adults who applied for Family Support
24    Program or Specialized Family Support Program services but
25    did not receive any services.
26    (s) Rulemaking authority. Unless a timeline is otherwise

 

 

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1specified in a subsection, if amendments to 89 Ill. Adm. Code
2139 are needed for implementation of this Section, such
3amendments shall be filed by the Department of Healthcare and
4Family Services within one year after the effective date of
5this amendatory Act of the 101st General Assembly.
6(Source: P.A. 99-479, eff. 9-10-15.)
 
7    (305 ILCS 5/5-36 new)
8    Sec. 5-36. Education on mental health and substance use
9treatment services for children and young adults. The
10Department of Healthcare and Family Services shall develop a
11layman's guide to the mental health and substance use treatment
12services available in Illinois through the Medical Assistance
13Program and through the Family Support Program, or other
14publicly funded programs, similar to what Massachusetts
15developed, to help families understand what services are
16available to them when they have a child in need of treatment
17or support. The guide shall be in easy-to-understand language,
18be prominently available on the Department of Healthcare and
19Family Services' website, and be part of a statewide
20communications campaign to ensure families are aware of Family
21Support Program services. It shall briefly explain the service
22and whether it is covered by the Medical Assistance Program,
23the Family Support Program, or any other public funding source.
24Within one year after the effective date of this amendatory Act
25of the 101st General Assembly, the Department of Healthcare and

 

 

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1Family Services shall complete this guide, have it available on
2its website, and launch the communications campaign.
 
3    (305 ILCS 5/5-37 new)
4    Sec. 5-37. Billing mechanism for preventive mental health
5services delivered to children.
6    (a) The General Assembly finds:
7        (1) It is common for children to have mental health
8    needs but to not have a full-blown diagnosis of a mental
9    illness. Examples include, but are not limited to, children
10    who have mild or emerging symptoms of a mental health
11    condition (such as meeting some but not all the criteria
12    for a diagnosis, including, but not limited to, symptoms of
13    depression, attentional deficits, anxiety or prodromal
14    symptoms of bipolar disorder or schizophrenia); cutting or
15    engaging in other forms of self-harm; or experiencing
16    violence or trauma).
17        (2) The federal requirement that Medicaid-covered
18    children have access to Early and Periodic Screening,
19    Diagnostic and Treatment services includes ensuring that
20    Medicaid-covered children who have a mental health need but
21    do not have a mental health diagnosis have access to
22    treatment.
23        (3) The Department of Healthcare and Family Services'
24    existing policy acknowledges this federal requirement by
25    allowing for Medicaid billing for mental health services

 

 

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

 

 

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1The working group shall ensure that the recommended solution
2works in practice and does not deter clinicians from delivering
3prevention and early treatment to children with mental health
4needs but who do not have a diagnosed mental illness. The
5Department of Healthcare and Family Services shall meet with
6this working group at least 4 times prior to finalizing the
7solution to enable and allow for mental health services for a
8child without a mental health diagnosis for purposes of
9prevention and early treatment when recommended by a licensed
10practitioner of the healing arts. If the Department of
11Healthcare and Family Services determines that an Illinois
12Title XIX State Plan amendment is necessary to implement this
13Section, the State Plan amendment shall be filed with the
14federal Centers for Medicare and Medicaid Services by no later
15than 12 months after the effective date of this amendatory Act
16of the 101st General Assembly. If rulemaking is required to
17implement this Section, the rule shall be filed by the
18Department of Healthcare and Family Services with the Joint
19Committee on Administrative Rules by no later than 12 months
20after the effective date of this amendatory Act of the 101st
21General Assembly, or if federal approval is required, within 6
22months after federal approval. If federal approval is required
23but not granted, this Section shall become inoperative.
 
24    (305 ILCS 5/5-38 new)
25    Sec. 5-38. Alignment of children's mental health treatment

 

 

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1systems. The Governor's Office shall establish, convene, and
2lead a working group that includes the Director of Healthcare
3and Family Services, the Secretary of Human Services, the
4Director of Public Health, the Director of Children and Family
5Services, the Director of Juvenile Justice, the State
6Superintendent of Education, and the appropriate agency staff
7who will be responsible for implementation or oversight of
8reforms to children's behavioral health services. The working
9group shall meet at least quarterly to foster interagency
10collaboration and work toward the goal of aligning services and
11programs to begin to create a coordinated children's behavioral
12health system consistent with system of care principles that
13spans across State agencies, rather than separate siloed
14systems with different requirements, rates, and administrative
15processes and standards.
 
16    Section 95. No acceleration or delay. Where this Act makes
17changes in a statute that is represented in this Act by text
18that is not yet or no longer in effect (for example, a Section
19represented by multiple versions), the use of that text does
20not accelerate or delay the taking effect of (i) the changes
21made by this Act or (ii) provisions derived from any other
22Public Act.
 
23    Section 99. Effective date. This Act takes effect January
241, 2020.