HB1364 EnrolledLRB103 24835 AWJ 51167 b

1    AN ACT concerning government.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 1. Short title. This Act may be cited as the 9-8-8
5Suicide and Crisis Lifeline Workgroup Act.
 
6    Section 5. Findings. The General Assembly finds that:
7    (1) In the summer of 2022, 31% of Illinois adults
8experienced symptoms of anxiety or depression more than half
9of the days of each week, which is an increase of 20% since
102019.
11    (2) Suicide is the third leading cause of death in
12Illinois for young adults who are 15 to 34 years of age, and it
13is the 11th leading cause of death for all Illinoisans. In
142021, 1,488 Illinois lives were lost to suicide, and an
15estimated 376,000 adults had thoughts of suicide.
16    (3) Historically, people in Illinois and nationwide have
17had few and fragmented options to call upon during a mental
18health crisis and have relied upon 9-1-1 and various privately
19funded crisis lines for help.
20    (4) In July 2022, Illinois joined the nation in launching
21the 9-8-8 Suicide and Crisis Lifeline, a universal 3-digit
22dialing code for a national suicide prevention and mental
23health hotline, meant to offer 24-hour-a-day, 7-day-a-week

 

 

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1access to trained counselors who can help people experiencing
2mental health-related distress.
3    (5) Congress delegated to the states significant
4decision-making responsibility for structuring and funding the
5states' 9-8-8 call center networks.
6    (6) States had limited data on which to base their initial
7decisions because the Substance Abuse and Mental Health
8Services Administration's projections of future increases in
9call volumes varied widely, and there was no national
10best-practice model for the number and organization of 9-8-8
11call centers.
12    (7) The Substance Abuse and Mental Health Services
13Administration described the 2022 launch of 9-8-8 as being
14just the first step toward reimagining our country's mental
15health crisis system and stipulated that long-term
16transformation will rely on the willingness of states and
17territories to build and invest strategically in every level
18of the continuum of mental health crisis care over the next
19several years.
20    (8) In 2023, the General Assembly and other State leaders
21can assess the first year of operations of the 9-8-8 call
22center system, identify legislative solutions to any funding
23and programmatic gaps that are emerging, and set the course
24for Illinois to eventually lead the country in providing
25quality and accessible 9-8-8 care and in connecting
26individuals with the mental health resources necessary to

 

 

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1sustain long-term recovery.
2    (9) The launch of the 9-8-8 Suicide and Crisis Lifeline
3has created a once-in-a-generation opportunity to improve
4mental health crisis care in Illinois.
5    (10) Illinois' success or failure in building a
6high-quality call center network in the initial years will be
7an important factor in determining whether 9-8-8 is perceived
8as a trusted resource in the State.
9    (11) Illinois' success or failure in building a
10high-quality 9-8-8 call center network will disproportionately
11affect Black, Brown, and other marginalized residents who are
12most likely to rely on crisis services to access mental health
13care and are most likely to be criminalized or harmed by the
14existing crisis response system.
 
15    Section 10. Suicide and Crisis Lifeline Workgroup.
16    (a) The Department of Human Services, Division of Mental
17Health, shall convene a workgroup that includes:
18        (1) bicameral, bipartisan members of the General
19    Assembly;
20        (2) at least one representative from the Department of
21    Human Services, Division of Substance Use Prevention and
22    Recovery; the Department of Public Health; the Department
23    of Healthcare and Family Services; and the Department of
24    Insurance;
25        (3) the State's Chief Behavioral Health Officer;

 

 

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1        (4) the Director of the Children's Behavioral Health
2    Transformation Initiative;
3        (5) service providers from the regional and statewide
4    9-8-8 call centers;
5        (6) representatives of organizations that represent
6    people with mental health conditions or substance use
7    disorders;
8        (7) representatives of organizations that operate an
9    Illinois social services helpline or crisis line other
10    than 9-8-8, including veterans' crisis services;
11        (8) more than one individual with personal or family
12    lived experience of a mental health condition or substance
13    use disorder;
14        (9) experts in research and operational evaluation;
15    and
16        (10) and any other person or persons as determined by
17    the Department of Human Services, Division of Mental
18    Health.
19    (b) On or before December 31, 2023, the Department of
20Human Services, Division of Mental Health, shall submit a
21report to the General Assembly regarding the Workgroup's
22findings under Section 15 related to the 9-8-8 call system.
 
23    Section 15. Responsibilities; action plan.
24    (a) The Workgroup has the following responsibilities:
25        (1) to review existing information about the first

 

 

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1    year of 9-8-8 call center operations in Illinois,
2    including, but not limited to, state-level and
3    county-level use data, progress around the federal
4    measures of success determined by the Substance Abuse and
5    Mental Health Services Administration, and research
6    conducted by any State-contracted partners around cost
7    projections, best-practice standards, and geographic
8    needs;
9        (2) to review other states' models and emerging best
10    practices around structuring 9-8-8 call center networks,
11    with an emphasis on promoting high-quality phone
12    interventions, coordination with other crisis lines and
13    crisis services, and connection to community-based support
14    for those in need;
15        (3) to review governmental infrastructures created in
16    other states to promote sustainability and quality in
17    9-8-8 call centers and crisis system operations;
18        (4) to review changes and new initiatives that have
19    been advanced by the Substance Abuse and Mental Health
20    Services Administration and Vibrant Emotional Health since
21    Vibrant transitioned to 9-8-8 in July 2022, such as new
22    training curricula for call takers and new technology
23    platforms;
24        (5) to consider input from call center personnel,
25    providers, and advocates about strengths, weaknesses, and
26    service gaps in Illinois; and

 

 

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1        (6) to develop an action plan with recommendations to
2    the General Assembly that include the following:
3            (A) a future structure for a network of 9-8-8 call
4        centers in Illinois that will best promote equity,
5        quality, and connection to care;
6            (B) metrics that Illinois should use to measure
7        the success of our statewide system in promoting
8        equity, quality, and connection to care and a system
9        to measure those metrics, considering the metrics
10        imposed by the Substance Abuse and Mental Health
11        Services Administration as only a starting point for
12        measurement of success in Illinois;
13            (C) recommendations to further fund and strengthen
14        the rest of Illinois' behavioral health services and
15        crisis assistance programs based on lessons learned
16        from 9-8-8 use; and
17            (D) recommendations on a long-term governmental
18        infrastructure to provide advice and recommendations
19        necessary to sustainably implement and monitor the
20        progress of the 9-8-8 Suicide and Crisis Lifeline in
21        Illinois and to make recommendations for the statewide
22        improvement of behavioral health crisis response and
23        suicide prevention services in the State.
24        The action plan shall be approved by a majority of
25    Workgroup members.
26    (b) Nothing in the action plan filed under this Section

 

 

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1shall be construed to supersede the recommendations of the
2Statewide Advisory Committee or Regional Advisory Committees
3created by the Community Emergency Services and Support Act.
 
4    Section 20. Repeal. This Act is repealed on January 1,
52025.
 
6    Section 85. The Community Emergency Services and Support
7Act is amended by changing Sections 5, 15, 20, 25, 30, 35, 40,
845, 50, and 65 and by adding Section 70 as follows:
 
9    (50 ILCS 754/5)
10    Sec. 5. Findings. The General Assembly recognizes that the
11Illinois Department of Human Services Division of Mental
12Health is preparing to provide mobile mental and behavioral
13health services to all Illinoisans as part of the federally
14mandated adoption of the 9-8-8 phone number. The General
15Assembly also recognizes that many cities and some states have
16successfully established mobile emergency mental and
17behavioral health services as part of their emergency response
18system to support people who need such support and do not
19present a threat of physical violence to the mobile mental
20health relief providers responders. In light of that
21experience, the General Assembly finds that in order to
22promote and protect the health, safety, and welfare of the
23public, it is necessary and in the public interest to provide

 

 

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1emergency response, with or without medical transportation, to
2individuals requiring mental health or behavioral health
3services in a manner that is substantially equivalent to the
4response already provided to individuals who require emergency
5physical health care.
6(Source: P.A. 102-580, eff. 1-1-22.)
 
7    (50 ILCS 754/15)
8    Sec. 15. Definitions. As used in this Act:
9    "Division of Mental Health" means the Division of Mental
10Health of the Department of Human Services.
11    "Emergency" means an emergent circumstance caused by a
12health condition, regardless of whether it is perceived as
13physical, mental, or behavioral in nature, for which an
14individual may require prompt care, support, or assessment at
15the individual's location.
16    "Mental or behavioral health" means any health condition
17involving changes in thinking, emotion, or behavior, and that
18the medical community treats as distinct from physical health
19care.
20    "Mobile mental health relief provider" means a person
21engaging with a member of the public to provide the mobile
22mental and behavioral service established in conjunction with
23the Division of Mental Health establishing the 9-8-8 emergency
24number. "Mobile mental health relief provider" does not
25include a Paramedic (EMT-P) or EMT, as those terms are defined

 

 

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1in the Emergency Medical Services (EMS) Systems Act, unless
2that responding agency has agreed to provide a specialized
3response in accordance with the Division of Mental Health's
4services offered through its 9-8-8 number and has met all the
5requirements to offer that service through that system.
6    "Physical health" means a health condition that the
7medical community treats as distinct from mental or behavioral
8health care.
9    "PSAP" means a Public Safety Answering Point
10tele-communicator.
11    "Community services" and "community-based mental or
12behavioral health services" may include both public and
13private settings.
14    "Treatment relationship" means an active association with
15a mental or behavioral care provider able to respond in an
16appropriate amount of time to requests for care.
17    "Responder" is any person engaging with a member of the
18public to provide the mobile mental and behavioral service
19established in conjunction with the Division of Mental Health
20establishing the 9-8-8 emergency number. A responder is not an
21EMS Paramedic or EMT as defined in the Emergency Medical
22Services (EMS) Systems Act unless that responding agency has
23agreed to provide a specialized response in accordance with
24the Division of Mental Health's services offered through its
259-8-8 number and has met all the requirements to offer that
26service through that system.

 

 

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1(Source: P.A. 102-580, eff. 1-1-22.)
 
2    (50 ILCS 754/20)
3    Sec. 20. Coordination with Division of Mental Health.
4Each 9-1-1 PSAP and provider of emergency services dispatched
5through a 9-1-1 system must coordinate with the mobile mental
6and behavioral health services established by the Division of
7Mental Health so that the following State goals and State
8prohibitions are met whenever a person interacts with one of
9these entities for the purpose of seeking emergency mental and
10behavioral health care or when one of these entities
11recognizes the appropriateness of providing mobile mental or
12behavioral health care to an individual with whom they have
13engaged. The Division of Mental Health is also directed to
14provide guidance regarding whether and how these entities
15should coordinate with mobile mental and behavioral health
16services when responding to individuals who appear to be in a
17mental or behavioral health emergency while engaged in conduct
18alleged to constitute a non-violent misdemeanor.
19(Source: P.A. 102-580, eff. 1-1-22.)
 
20    (50 ILCS 754/25)
21    Sec. 25. State goals.
22    (a) 9-1-1 PSAPs, emergency services dispatched through
239-1-1 PSAPs, and the mobile mental and behavioral health
24service established by the Division of Mental Health must

 

 

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1coordinate their services so that the State goals listed in
2this Section are achieved. Appropriate mobile response service
3for mental and behavioral health emergencies shall be
4available regardless of whether the initial contact was with
59-8-8, 9-1-1 or directly with an emergency service dispatched
6through 9-1-1. Appropriate mobile response services must:
7        (1) whenever possible, ensure that individuals
8    experiencing mental or behavioral health crises are
9    diverted from hospitalization or incarceration whenever
10    possible, and are instead linked with available
11    appropriate community services;
12        (2) include the option of on-site care if that type of
13    care is appropriate and does not override the care
14    decisions of the individual receiving care. Providing care
15    in the community, through methods like mobile crisis
16    units, is encouraged. If effective care is provided on
17    site, and if it is consistent with the care decisions of
18    the individual receiving the care, further transportation
19    to other medical providers is not required by this Act;
20        (3) recommend appropriate referrals for available
21    community services if the individual receiving on-site
22    care is not already in a treatment relationship with a
23    service provider or is unsatisfied with their current
24    service providers. The referrals shall take into
25    consideration waiting lists and copayments, which may
26    present barriers to access; and

 

 

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1        (4) subject to the care decisions of the individual
2    receiving care, provide transportation for any individual
3    experiencing a mental or behavioral health emergency.
4    Transportation shall be to the most integrated and least
5    restrictive setting appropriate in the community, such as
6    to the individual's home or chosen location, community
7    crisis respite centers, clinic settings, behavioral health
8    centers, or the offices of particular medical care
9    providers with existing treatment relationships to the
10    individual seeking care.
11    (b) Prioritize requests for emergency assistance. 9-1-1
12PSAPs, emergency services dispatched through 9-1-1 PSAPs, and
13the mobile mental and behavioral health service established by
14the Division of Mental Health must provide guidance for
15prioritizing calls for assistance and maximum response time in
16relation to the type of emergency reported.
17    (c) Provide appropriate response times. From the time of
18first notification, 9-1-1 PSAPs, emergency services dispatched
19through 9-1-1 PSAPs, and the mobile mental and behavioral
20health service established by the Division of Mental Health
21must provide the response within response time appropriate to
22the care requirements of the individual with an emergency.
23    (d) Require appropriate mobile mental health relief
24provider responder training. Mobile mental health relief
25providers Responders must have adequate training to address
26the needs of individuals experiencing a mental or behavioral

 

 

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1health emergency. Adequate training at least includes:
2        (1) training in de-escalation techniques;
3        (2) knowledge of local community services and
4    supports; and
5        (3) training in respectful interaction with people
6    experiencing mental or behavioral health crises, including
7    the concepts of stigma and respectful language.
8    (e) Require minimum team staffing. The Division of Mental
9Health, in consultation with the Regional Advisory Committees
10created in Section 40, shall determine the appropriate
11credentials for the mental health providers responding to
12calls, including to what extent the mobile mental health
13relief providers responders must have certain credentials and
14licensing, and to what extent the mobile mental health relief
15providers responders can be peer support professionals.
16    (f) Require training from individuals with lived
17experience. Training shall be provided by individuals with
18lived experience to the extent available.
19    (g) Adopt guidelines directing referral to restrictive
20care settings. Mobile mental health relief providers
21Responders must have guidelines to follow when considering
22whether to refer an individual to more restrictive forms of
23care, like emergency room or hospital settings.
24    (h) Specify regional best practices. Mobile mental health
25relief providers Responders providing these services must do
26so consistently with best practices, which include respecting

 

 

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1the care choices of the individuals receiving assistance.
2Regional best practices may be broken down into sub-regions,
3as appropriate to reflect local resources and conditions. With
4the agreement of the impacted EMS Regions, providers of
5emergency response to physical emergencies may participate in
6another EMS Region for mental and behavioral response, if that
7participation shall provide a better service to individuals
8experiencing a mental or behavioral health emergency.
9    (i) Adopt system for directing care in advance of an
10emergency. The Division of Mental Health shall select and
11publicly identify a system that allows individuals who
12voluntarily chose to do so to provide confidential advanced
13care directions to individuals providing services under this
14Act. No system for providing advanced care direction may be
15implemented unless the Division of Mental Health approves it
16as confidential, available to individuals at all economic
17levels, and non-stigmatizing. The Division of Mental Health
18may defer this requirement for providing a system for advanced
19care direction if it determines that no existing systems can
20currently meet these requirements.
21    (j) Train dispatching staff. The personnel staffing 9-1-1,
223-1-1, or other emergency response intake systems must be
23provided with adequate training to assess whether coordinating
24with 9-8-8 is appropriate.
25    (k) Establish protocol for emergency responder
26coordination. The Division of Mental Health shall establish a

 

 

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1protocol for mobile mental health relief providers responders,
2law enforcement, and fire and ambulance services to request
3assistance from each other, and train these groups on the
4protocol.
5    (l) Integrate law enforcement. The Division of Mental
6Health shall provide for law enforcement to request mobile
7mental health relief provider responder assistance whenever
8law enforcement engages an individual appropriate for services
9under this Act. If law enforcement would typically request EMS
10assistance when it encounters an individual with a physical
11health emergency, law enforcement shall similarly dispatch
12mental or behavioral health personnel or medical
13transportation when it encounters an individual in a mental or
14behavioral health emergency.
15(Source: P.A. 102-580, eff. 1-1-22.)
 
16    (50 ILCS 754/30)
17    Sec. 30. State prohibitions. 9-1-1 PSAPs, emergency
18services dispatched through 9-1-1 PSAPs, and the mobile mental
19and behavioral health service established by the Division of
20Mental Health must coordinate their services so that, based on
21the information provided to them, the following State
22prohibitions are avoided:
23    (a) Law enforcement responsibility for providing mental
24and behavioral health care. In any area where mobile mental
25health relief providers responders are available for dispatch,

 

 

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1law enforcement shall not be dispatched to respond to an
2individual requiring mental or behavioral health care unless
3that individual is (i) involved in a suspected violation of
4the criminal laws of this State, or (ii) presents a threat of
5physical injury to self or others. Mobile mental health relief
6providers Responders are not considered available for dispatch
7under this Section if 9-8-8 reports that it cannot dispatch
8appropriate service within the maximum response times
9established by each Regional Advisory Committee under Section
1045.
11        (1) Standing on its own or in combination with each
12    other, the fact that an individual is experiencing a
13    mental or behavioral health emergency, or has a mental
14    health, behavioral health, or other diagnosis, is not
15    sufficient to justify an assessment that the individual is
16    a threat of physical injury to self or others, or requires
17    a law enforcement response to a request for emergency
18    response or medical transportation.
19        (2) If, based on its assessment of the threat to
20    public safety, law enforcement would not accompany medical
21    transportation responding to a physical health emergency,
22    unless requested by mobile mental health relief providers
23    responders, law enforcement may not accompany emergency
24    response or medical transportation personnel responding to
25    a mental or behavioral health emergency that presents an
26    equivalent level of threat to self or public safety.

 

 

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1        (3) Without regard to an assessment of threat to self
2    or threat to public safety, law enforcement may station
3    personnel so that they can rapidly respond to requests for
4    assistance from mobile mental health relief providers
5    responders if law enforcement does not interfere with the
6    provision of emergency response or transportation
7    services. To the extent practical, not interfering with
8    services includes remaining sufficiently distant from or
9    out of sight of the individual receiving care so that law
10    enforcement presence is unlikely to escalate the
11    emergency.
12    (b) Mobile mental health relief provider Responder
13involvement in involuntary commitment. In order to maintain
14the appropriate care relationship, mobile mental health relief
15providers responders shall not in any way assist in the
16involuntary commitment of an individual beyond (i) reporting
17to their dispatching entity or to law enforcement that they
18believe the situation requires assistance the mobile mental
19health relief providers responders are not permitted to
20provide under this Section; (ii) providing witness statements;
21and (iii) fulfilling reporting requirements the mobile mental
22health relief providers responders may have under their
23professional ethical obligations or laws of this state. This
24prohibition shall not interfere with any mobile mental health
25relief provider's responder's ability to provide physical or
26mental health care.

 

 

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1    (c) Use of law enforcement for transportation. In any area
2where mobile mental health relief providers responders are
3available for dispatch, unless requested by mobile mental
4health relief providers responders, law enforcement shall not
5be used to provide transportation to access mental or
6behavioral health care, or travel between mental or behavioral
7health care providers, except where no alternative is
8available.
9    (d) Reduction of educational institution obligations. The
10services coordinated under this Act may not be used to replace
11any service an educational institution is required to provide
12to a student. It shall not substitute for appropriate special
13education and related services that schools are required to
14provide by any law.
15    (e) Subsections (a), (c), and (d) are operative beginning
16on the date the 3 conditions in Section 65 are met or July 1,
172024, whichever is earlier. Subsection (b) is operative
18beginning on July 1, 2024.
19(Source: P.A. 102-580, eff. 1-1-22.)
 
20    (50 ILCS 754/35)
21    Sec. 35. Non-violent misdemeanors. The Division of Mental
22Health's Guidance for 9-1-1 PSAPs and emergency services
23dispatched through 9-1-1 PSAPs for coordinating the response
24to individuals who appear to be in a mental or behavioral
25health emergency while engaging in conduct alleged to

 

 

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1constitute a non-violent misdemeanor shall promote the
2following:
3        (a) Prioritization of Health Care. To the greatest
4    extent practicable, community-based mental or behavioral
5    health services should be provided before addressing law
6    enforcement objectives.
7        (b) Diversion from Further Criminal Justice
8    Involvement. To the greatest extent practicable,
9    individuals should be referred to health care services
10    with the potential to reduce the likelihood of further law
11    enforcement engagement and referral to a pre-arrest or
12    pre-booking case management unit should be prioritized in
13    any areas served by pre-arrest or pre-booking case
14    management.
15(Source: P.A. 102-580, eff. 1-1-22.)
 
16    (50 ILCS 754/40)
17    Sec. 40. Statewide Advisory Committee.
18    (a) The Division of Mental Health shall establish a
19Statewide Advisory Committee to review and make
20recommendations for aspects of coordinating 9-1-1 and the
219-8-8 mobile mental health response system most appropriately
22addressed on a State level.
23    (b) Issues to be addressed by the Statewide Advisory
24Committee include, but are not limited to, addressing changes
25necessary in 9-1-1 call taking protocols and scripts used in

 

 

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19-1-1 PSAPs where those protocols and scripts are based on or
2otherwise dependent on national providers for their operation.
3    (c) The Statewide Advisory Committee shall recommend a
4system for gathering data related to the coordination of the
59-1-1 and 9-8-8 systems for purposes of allowing the parties
6to make ongoing improvements in that system. As practical, the
7system shall attempt to determine issues including, but not
8limited to:
9        (1) the volume of calls coordinated between 9-1-1 and
10    9-8-8;
11        (2) the volume of referrals from other first
12    responders to 9-8-8;
13        (3) the volume and type of calls deemed appropriate
14    for referral to 9-8-8 but could not be served by 9-8-8
15    because of capacity restrictions or other reasons;
16        (4) the appropriate information to improve
17    coordination between 9-1-1 and 9-8-8; and
18        (5) the appropriate information to improve the 9-8-8
19    system, if the information is most appropriately gathered
20    at the 9-1-1 PSAPs.
21    (d) The Statewide Advisory Committee shall consist of:
22        (1) the Statewide 9-1-1 Administrator, ex officio;
23        (2) one representative designated by the Illinois
24    Chapter of National Emergency Number Association (NENA);
25        (3) one representative designated by the Illinois
26    Chapter of Association of Public Safety Communications

 

 

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1    Officials (APCO);
2        (4) one representative of the Division of Mental
3    Health;
4        (5) one representative of the Illinois Department of
5    Public Health;
6        (6) one representative of a statewide organization of
7    EMS responders;
8        (7) one representative of a statewide organization of
9    fire chiefs;
10        (8) two representatives of statewide organizations of
11    law enforcement;
12        (9) two representatives of mental health, behavioral
13    health, or substance abuse providers; and
14        (10) four representatives of advocacy organizations
15    either led by or consisting primarily of individuals with
16    intellectual or developmental disabilities, individuals
17    with behavioral disabilities, or individuals with lived
18    experience.
19    (e) The members of the Statewide Advisory Committee, other
20than the Statewide 9-1-1 Administrator, shall be appointed by
21the Secretary of Human Services.
22    (f) The Statewide Advisory Committee shall continue to
23meet until this Act has been fully implemented, as determined
24by the Division of Mental Health, and mobile mental health
25relief providers are available in all parts of Illinois. The
26Division of Mental Health may reconvene the Statewide Advisory

 

 

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1Committee at its discretion after full implementation of this
2Act.
3(Source: P.A. 102-580, eff. 1-1-22.)
 
4    (50 ILCS 754/45)
5    Sec. 45. Regional Advisory Committees.
6    (a) The Division of Mental Health shall establish Regional
7Advisory Committees in each EMS Region to advise on regional
8issues related to emergency response systems for mental and
9behavioral health. The Secretary of Human Services shall
10appoint the members of the Regional Advisory Committees. Each
11Regional Advisory Committee shall consist of:
12        (1) representatives of the 9-1-1 PSAPs in the region;
13        (2) representatives of the EMS Medical Directors
14    Committee, as constituted under the Emergency Medical
15    Services (EMS) Systems Act, or other similar committee
16    serving the medical needs of the jurisdiction;
17        (3) representatives of law enforcement officials with
18    jurisdiction in the Emergency Medical Services (EMS)
19    Regions;
20        (4) representatives of both the EMS providers and the
21    unions representing EMS or emergency mental and behavioral
22    health responders, or both; and
23        (5) advocates from the mental health, behavioral
24    health, intellectual disability, and developmental
25    disability communities.

 

 

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1    If no person is willing or available to fill a member's
2seat for one of the required areas of representation on a
3Regional Advisory Committee under paragraphs (1) through (5),
4the Secretary of Human Services shall adopt procedures to
5ensure that a missing area of representation is filled once a
6person becomes willing and available to fill that seat.
7    (b) The majority of advocates on the Regional Advisory
8Emergency Response Equity Committee must either be individuals
9with a lived experience of a condition commonly regarded as a
10mental health or behavioral health disability, developmental
11disability, or intellectual disability, or be from
12organizations primarily composed of such individuals. The
13members of the Committee shall also reflect the racial
14demographics of the jurisdiction served. To achieve the
15requirements of this subsection, the Division of Mental Health
16must establish a clear plan and regular course of action to
17engage, recruit, and sustain areas of established
18participation. The plan and actions taken must be shared with
19the general public.
20    (c) Subject to the oversight of the Department of Human
21Services Division of Mental Health, the EMS Medical Directors
22Committee is responsible for convening the meetings of the
23committee. Impacted units of local government may also have
24representatives on the committee subject to approval by the
25Division of Mental Health, if this participation is structured
26in such a way that it does not give undue weight to any of the

 

 

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1groups represented.
2(Source: P.A. 102-580, eff. 1-1-22.)
 
3    (50 ILCS 754/50)
4    Sec. 50. Regional Advisory Committee responsibilities.
5Each Regional Advisory Committee is responsible for designing
6the local protocol to allow its region's 9-1-1 call center and
7emergency responders to coordinate their activities with 9-8-8
8as required by this Act and monitoring current operation to
9advise on ongoing adjustments to the local protocol. Included
10in this responsibility, each Regional Advisory Committee must:
11        (1) negotiate the appropriate amendment of each 9-1-1
12    PSAP emergency dispatch protocols, in consultation with
13    each 9-1-1 PSAP in the EMS Region and consistent with
14    national certification requirements;
15        (2) set maximum response times for 9-8-8 to provide
16    service when an in-person response is required, based on
17    type of mental or behavioral health emergency, which, if
18    exceeded, constitute grounds for sending other emergency
19    responders through the 9-1-1 system;
20        (3) report, geographically by police district if
21    practical, the data collected through the direction
22    provided by the Statewide Advisory Committee in
23    aggregated, non-individualized monthly reports. These
24    reports shall be available to the Regional Advisory
25    Committee members, the Department of Human Service

 

 

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1    Division of Mental Health, the Administrator of the 9-1-1
2    Authority, and to the public upon request; and
3        (4) convene, after the initial regional policies are
4    established, at least every 2 years to consider amendment
5    of the regional policies, if any, and also convene
6    whenever a member of the Committee requests that the
7    Committee consider an amendment; and .
8        (5) identify regional resources and supports for use
9    by the mobile mental health relief providers as they
10    respond to the requests for services.
11(Source: P.A. 102-580, eff. 1-1-22.)
 
12    (50 ILCS 754/65)
13    Sec. 65. PSAP and emergency service dispatched through a
149-1-1 PSAP; coordination of activities with mobile and
15behavioral health services. Each 9-1-1 PSAP and emergency
16service dispatched through a 9-1-1 PSAP must begin
17coordinating its activities with the mobile mental and
18behavioral health services established by the Division of
19Mental Health once all 3 of the following conditions are met,
20but not later than July 1, 2024 2023:
21        (1) the Statewide Committee has negotiated useful
22    protocol and 9-1-1 operator script adjustments with the
23    contracted services providing these tools to 9-1-1 PSAPs
24    operating in Illinois;
25        (2) the appropriate Regional Advisory Committee has

 

 

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1    completed design of the specific 9-1-1 PSAP's process for
2    coordinating activities with the mobile mental and
3    behavioral health service; and
4        (3) the mobile mental and behavioral health service is
5    available in their jurisdiction.
6(Source: P.A. 102-580, eff. 1-1-22; 102-1109, eff. 12-21-22.)
 
7    (50 ILCS 754/70 new)
8    Sec. 70. Report. On or before July 1, 2023 and on a
9quarterly basis thereafter, the Division of Mental Health
10shall submit a report to the General Assembly on its progress
11in implementing this Act, which shall include, but not be
12limited to, a strategic assessment that evaluates the success
13toward current strategy, identification of future targets for
14implementation that help estimate the potential for success
15and provides a basis for assessing future performance, and key
16benchmarks to provide a comparison to set in context and help
17stakeholders understand their positions.
 
18    Section 90. The Illinois Insurance Code is amended by
19changing Section 370c.1 as follows:
 
20    (215 ILCS 5/370c.1)
21    Sec. 370c.1. Mental, emotional, nervous, or substance use
22disorder or condition parity.
23    (a) On and after July 23, 2021 (the effective date of

 

 

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1Public Act 102-135), every insurer that amends, delivers,
2issues, or renews a group or individual policy of accident and
3health insurance or a qualified health plan offered through
4the Health Insurance Marketplace in this State providing
5coverage for hospital or medical treatment and for the
6treatment of mental, emotional, nervous, or substance use
7disorders or conditions shall ensure prior to policy issuance
8that:
9        (1) the financial requirements applicable to such
10    mental, emotional, nervous, or substance use disorder or
11    condition benefits are no more restrictive than the
12    predominant financial requirements applied to
13    substantially all hospital and medical benefits covered by
14    the policy and that there are no separate cost-sharing
15    requirements that are applicable only with respect to
16    mental, emotional, nervous, or substance use disorder or
17    condition benefits; and
18        (2) the treatment limitations applicable to such
19    mental, emotional, nervous, or substance use disorder or
20    condition benefits are no more restrictive than the
21    predominant treatment limitations applied to substantially
22    all hospital and medical benefits covered by the policy
23    and that there are no separate treatment limitations that
24    are applicable only with respect to mental, emotional,
25    nervous, or substance use disorder or condition benefits.
26    (b) The following provisions shall apply concerning

 

 

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1aggregate lifetime limits:
2        (1) In the case of a group or individual policy of
3    accident and health insurance or a qualified health plan
4    offered through the Health Insurance Marketplace amended,
5    delivered, issued, or renewed in this State on or after
6    September 9, 2015 (the effective date of Public Act
7    99-480) that provides coverage for hospital or medical
8    treatment and for the treatment of mental, emotional,
9    nervous, or substance use disorders or conditions the
10    following provisions shall apply:
11            (A) if the policy does not include an aggregate
12        lifetime limit on substantially all hospital and
13        medical benefits, then the policy may not impose any
14        aggregate lifetime limit on mental, emotional,
15        nervous, or substance use disorder or condition
16        benefits; or
17            (B) if the policy includes an aggregate lifetime
18        limit on substantially all hospital and medical
19        benefits (in this subsection referred to as the
20        "applicable lifetime limit"), then the policy shall
21        either:
22                (i) apply the applicable lifetime limit both
23            to the hospital and medical benefits to which it
24            otherwise would apply and to mental, emotional,
25            nervous, or substance use disorder or condition
26            benefits and not distinguish in the application of

 

 

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1            the limit between the hospital and medical
2            benefits and mental, emotional, nervous, or
3            substance use disorder or condition benefits; or
4                (ii) not include any aggregate lifetime limit
5            on mental, emotional, nervous, or substance use
6            disorder or condition benefits that is less than
7            the applicable lifetime limit.
8        (2) In the case of a policy that is not described in
9    paragraph (1) of subsection (b) of this Section and that
10    includes no or different aggregate lifetime limits on
11    different categories of hospital and medical benefits, the
12    Director shall establish rules under which subparagraph
13    (B) of paragraph (1) of subsection (b) of this Section is
14    applied to such policy with respect to mental, emotional,
15    nervous, or substance use disorder or condition benefits
16    by substituting for the applicable lifetime limit an
17    average aggregate lifetime limit that is computed taking
18    into account the weighted average of the aggregate
19    lifetime limits applicable to such categories.
20    (c) The following provisions shall apply concerning annual
21limits:
22        (1) In the case of a group or individual policy of
23    accident and health insurance or a qualified health plan
24    offered through the Health Insurance Marketplace amended,
25    delivered, issued, or renewed in this State on or after
26    September 9, 2015 (the effective date of Public Act

 

 

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1    99-480) that provides coverage for hospital or medical
2    treatment and for the treatment of mental, emotional,
3    nervous, or substance use disorders or conditions the
4    following provisions shall apply:
5            (A) if the policy does not include an annual limit
6        on substantially all hospital and medical benefits,
7        then the policy may not impose any annual limits on
8        mental, emotional, nervous, or substance use disorder
9        or condition benefits; or
10            (B) if the policy includes an annual limit on
11        substantially all hospital and medical benefits (in
12        this subsection referred to as the "applicable annual
13        limit"), then the policy shall either:
14                (i) apply the applicable annual limit both to
15            the hospital and medical benefits to which it
16            otherwise would apply and to mental, emotional,
17            nervous, or substance use disorder or condition
18            benefits and not distinguish in the application of
19            the limit between the hospital and medical
20            benefits and mental, emotional, nervous, or
21            substance use disorder or condition benefits; or
22                (ii) not include any annual limit on mental,
23            emotional, nervous, or substance use disorder or
24            condition benefits that is less than the
25            applicable annual limit.
26        (2) In the case of a policy that is not described in

 

 

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1    paragraph (1) of subsection (c) of this Section and that
2    includes no or different annual limits on different
3    categories of hospital and medical benefits, the Director
4    shall establish rules under which subparagraph (B) of
5    paragraph (1) of subsection (c) of this Section is applied
6    to such policy with respect to mental, emotional, nervous,
7    or substance use disorder or condition benefits by
8    substituting for the applicable annual limit an average
9    annual limit that is computed taking into account the
10    weighted average of the annual limits applicable to such
11    categories.
12    (d) With respect to mental, emotional, nervous, or
13substance use disorders or conditions, an insurer shall use
14policies and procedures for the election and placement of
15mental, emotional, nervous, or substance use disorder or
16condition treatment drugs on their formulary that are no less
17favorable to the insured as those policies and procedures the
18insurer uses for the selection and placement of drugs for
19medical or surgical conditions and shall follow the expedited
20coverage determination requirements for substance abuse
21treatment drugs set forth in Section 45.2 of the Managed Care
22Reform and Patient Rights Act.
23    (e) This Section shall be interpreted in a manner
24consistent with all applicable federal parity regulations
25including, but not limited to, the Paul Wellstone and Pete
26Domenici Mental Health Parity and Addiction Equity Act of

 

 

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12008, final regulations issued under the Paul Wellstone and
2Pete Domenici Mental Health Parity and Addiction Equity Act of
32008 and final regulations applying the Paul Wellstone and
4Pete Domenici Mental Health Parity and Addiction Equity Act of
52008 to Medicaid managed care organizations, the Children's
6Health Insurance Program, and alternative benefit plans.
7    (f) The provisions of subsections (b) and (c) of this
8Section shall not be interpreted to allow the use of lifetime
9or annual limits otherwise prohibited by State or federal law.
10    (g) As used in this Section:
11    "Financial requirement" includes deductibles, copayments,
12coinsurance, and out-of-pocket maximums, but does not include
13an aggregate lifetime limit or an annual limit subject to
14subsections (b) and (c).
15    "Mental, emotional, nervous, or substance use disorder or
16condition" means a condition or disorder that involves a
17mental health condition or substance use disorder that falls
18under any of the diagnostic categories listed in the mental
19and behavioral disorders chapter of the current edition of the
20International Classification of Disease or that is listed in
21the most recent version of the Diagnostic and Statistical
22Manual of Mental Disorders.
23    "Treatment limitation" includes limits on benefits based
24on the frequency of treatment, number of visits, days of
25coverage, days in a waiting period, or other similar limits on
26the scope or duration of treatment. "Treatment limitation"

 

 

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1includes both quantitative treatment limitations, which are
2expressed numerically (such as 50 outpatient visits per year),
3and nonquantitative treatment limitations, which otherwise
4limit the scope or duration of treatment. A permanent
5exclusion of all benefits for a particular condition or
6disorder shall not be considered a treatment limitation.
7"Nonquantitative treatment" means those limitations as
8described under federal regulations (26 CFR 54.9812-1).
9"Nonquantitative treatment limitations" include, but are not
10limited to, those limitations described under federal
11regulations 26 CFR 54.9812-1, 29 CFR 2590.712, and 45 CFR
12146.136.
13    (h) The Department of Insurance shall implement the
14following education initiatives:
15        (1) By January 1, 2016, the Department shall develop a
16    plan for a Consumer Education Campaign on parity. The
17    Consumer Education Campaign shall focus its efforts
18    throughout the State and include trainings in the
19    northern, southern, and central regions of the State, as
20    defined by the Department, as well as each of the 5 managed
21    care regions of the State as identified by the Department
22    of Healthcare and Family Services. Under this Consumer
23    Education Campaign, the Department shall: (1) by January
24    1, 2017, provide at least one live training in each region
25    on parity for consumers and providers and one webinar
26    training to be posted on the Department website and (2)

 

 

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1    establish a consumer hotline to assist consumers in
2    navigating the parity process by March 1, 2017. By January
3    1, 2018 the Department shall issue a report to the General
4    Assembly on the success of the Consumer Education
5    Campaign, which shall indicate whether additional training
6    is necessary or would be recommended.
7        (2) The Department, in coordination with the
8    Department of Human Services and the Department of
9    Healthcare and Family Services, shall convene a working
10    group of health care insurance carriers, mental health
11    advocacy groups, substance abuse patient advocacy groups,
12    and mental health physician groups for the purpose of
13    discussing issues related to the treatment and coverage of
14    mental, emotional, nervous, or substance use disorders or
15    conditions and compliance with parity obligations under
16    State and federal law. Compliance shall be measured,
17    tracked, and shared during the meetings of the working
18    group. The working group shall meet once before January 1,
19    2016 and shall meet semiannually thereafter. The
20    Department shall issue an annual report to the General
21    Assembly that includes a list of the health care insurance
22    carriers, mental health advocacy groups, substance abuse
23    patient advocacy groups, and mental health physician
24    groups that participated in the working group meetings,
25    details on the issues and topics covered, and any
26    legislative recommendations developed by the working

 

 

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1    group.
2        (3) Not later than January 1 of each year, the
3    Department, in conjunction with the Department of
4    Healthcare and Family Services, shall issue a joint report
5    to the General Assembly and provide an educational
6    presentation to the General Assembly. The report and
7    presentation shall:
8            (A) Cover the methodology the Departments use to
9        check for compliance with the federal Paul Wellstone
10        and Pete Domenici Mental Health Parity and Addiction
11        Equity Act of 2008, 42 U.S.C. 18031(j), and any
12        federal regulations or guidance relating to the
13        compliance and oversight of the federal Paul Wellstone
14        and Pete Domenici Mental Health Parity and Addiction
15        Equity Act of 2008 and 42 U.S.C. 18031(j).
16            (B) Cover the methodology the Departments use to
17        check for compliance with this Section and Sections
18        356z.23 and 370c of this Code.
19            (C) Identify market conduct examinations or, in
20        the case of the Department of Healthcare and Family
21        Services, audits conducted or completed during the
22        preceding 12-month period regarding compliance with
23        parity in mental, emotional, nervous, and substance
24        use disorder or condition benefits under State and
25        federal laws and summarize the results of such market
26        conduct examinations and audits. This shall include:

 

 

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1                (i) the number of market conduct examinations
2            and audits initiated and completed;
3                (ii) the benefit classifications examined by
4            each market conduct examination and audit;
5                (iii) the subject matter of each market
6            conduct examination and audit, including
7            quantitative and nonquantitative treatment
8            limitations; and
9                (iv) a summary of the basis for the final
10            decision rendered in each market conduct
11            examination and audit.
12            Individually identifiable information shall be
13        excluded from the reports consistent with federal
14        privacy protections.
15            (D) Detail any educational or corrective actions
16        the Departments have taken to ensure compliance with
17        the federal Paul Wellstone and Pete Domenici Mental
18        Health Parity and Addiction Equity Act of 2008, 42
19        U.S.C. 18031(j), this Section, and Sections 356z.23
20        and 370c of this Code.
21            (E) The report must be written in non-technical,
22        readily understandable language and shall be made
23        available to the public by, among such other means as
24        the Departments find appropriate, posting the report
25        on the Departments' websites.
26    (i) The Parity Advancement Fund is created as a special

 

 

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1fund in the State treasury. Moneys from fines and penalties
2collected from insurers for violations of this Section shall
3be deposited into the Fund. Moneys deposited into the Fund for
4appropriation by the General Assembly to the Department shall
5be used for the purpose of providing financial support of the
6Consumer Education Campaign, parity compliance advocacy, and
7other initiatives that support parity implementation and
8enforcement on behalf of consumers.
9    (j) (Blank). The Department of Insurance and the
10Department of Healthcare and Family Services shall convene and
11provide technical support to a workgroup of 11 members that
12shall be comprised of 3 mental health parity experts
13recommended by an organization advocating on behalf of mental
14health parity appointed by the President of the Senate; 3
15behavioral health providers recommended by an organization
16that represents behavioral health providers appointed by the
17Speaker of the House of Representatives; 2 representing
18Medicaid managed care organizations recommended by an
19organization that represents Medicaid managed care plans
20appointed by the Minority Leader of the House of
21Representatives; 2 representing commercial insurers
22recommended by an organization that represents insurers
23appointed by the Minority Leader of the Senate; and a
24representative of an organization that represents Medicaid
25managed care plans appointed by the Governor.
26    The workgroup shall provide recommendations to the General

 

 

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1Assembly on health plan data reporting requirements that
2separately break out data on mental, emotional, nervous, or
3substance use disorder or condition benefits and data on other
4medical benefits, including physical health and related health
5services no later than December 31, 2019. The recommendations
6to the General Assembly shall be filed with the Clerk of the
7House of Representatives and the Secretary of the Senate in
8electronic form only, in the manner that the Clerk and the
9Secretary shall direct. This workgroup shall take into account
10federal requirements and recommendations on mental health
11parity reporting for the Medicaid program. This workgroup
12shall also develop the format and provide any needed
13definitions for reporting requirements in subsection (k). The
14research and evaluation of the working group shall include,
15but not be limited to:
16        (1) claims denials due to benefit limits, if
17    applicable;
18        (2) administrative denials for no prior authorization;
19        (3) denials due to not meeting medical necessity;
20        (4) denials that went to external review and whether
21    they were upheld or overturned for medical necessity;
22        (5) out-of-network claims;
23        (6) emergency care claims;
24        (7) network directory providers in the outpatient
25    benefits classification who filed no claims in the last 6
26    months, if applicable;

 

 

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1        (8) the impact of existing and pertinent limitations
2    and restrictions related to approved services, licensed
3    providers, reimbursement levels, and reimbursement
4    methodologies within the Division of Mental Health, the
5    Division of Substance Use Prevention and Recovery
6    programs, the Department of Healthcare and Family
7    Services, and, to the extent possible, federal regulations
8    and law; and
9        (9) when reporting and publishing should begin.
10    Representatives from the Department of Healthcare and
11Family Services, representatives from the Division of Mental
12Health, and representatives from the Division of Substance Use
13Prevention and Recovery shall provide technical advice to the
14workgroup.
15    (k) An insurer that amends, delivers, issues, or renews a
16group or individual policy of accident and health insurance or
17a qualified health plan offered through the health insurance
18marketplace in this State providing coverage for hospital or
19medical treatment and for the treatment of mental, emotional,
20nervous, or substance use disorders or conditions shall submit
21an annual report, the format and definitions for which will be
22determined developed by the workgroup in subsection (j), to
23the Department and , or, with respect to medical assistance,
24the Department of Healthcare and Family Services and posted on
25their respective websites, starting on September 1, 2023 and
26annually thereafter, or before July 1, 2020 that contains the

 

 

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1following information separately for inpatient in-network
2benefits, inpatient out-of-network benefits, outpatient
3in-network benefits, outpatient out-of-network benefits,
4emergency care benefits, and prescription drug benefits in the
5case of accident and health insurance or qualified health
6plans, or inpatient, outpatient, emergency care, and
7prescription drug benefits in the case of medical assistance:
8        (1) A summary of the plan's pharmacy management
9    processes for mental, emotional, nervous, or substance use
10    disorder or condition benefits compared to those for other
11    medical benefits.
12        (2) A summary of the internal processes of review for
13    experimental benefits and unproven technology for mental,
14    emotional, nervous, or substance use disorder or condition
15    benefits and those for other medical benefits.
16        (3) A summary of how the plan's policies and
17    procedures for utilization management for mental,
18    emotional, nervous, or substance use disorder or condition
19    benefits compare to those for other medical benefits.
20        (4) A description of the process used to develop or
21    select the medical necessity criteria for mental,
22    emotional, nervous, or substance use disorder or condition
23    benefits and the process used to develop or select the
24    medical necessity criteria for medical and surgical
25    benefits.
26        (5) Identification of all nonquantitative treatment

 

 

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1    limitations that are applied to both mental, emotional,
2    nervous, or substance use disorder or condition benefits
3    and medical and surgical benefits within each
4    classification of benefits.
5        (6) The results of an analysis that demonstrates that
6    for the medical necessity criteria described in
7    subparagraph (A) and for each nonquantitative treatment
8    limitation identified in subparagraph (B), as written and
9    in operation, the processes, strategies, evidentiary
10    standards, or other factors used in applying the medical
11    necessity criteria and each nonquantitative treatment
12    limitation to mental, emotional, nervous, or substance use
13    disorder or condition benefits within each classification
14    of benefits are comparable to, and are applied no more
15    stringently than, the processes, strategies, evidentiary
16    standards, or other factors used in applying the medical
17    necessity criteria and each nonquantitative treatment
18    limitation to medical and surgical benefits within the
19    corresponding classification of benefits; at a minimum,
20    the results of the analysis shall:
21            (A) identify the factors used to determine that a
22        nonquantitative treatment limitation applies to a
23        benefit, including factors that were considered but
24        rejected;
25            (B) identify and define the specific evidentiary
26        standards used to define the factors and any other

 

 

HB1364 Enrolled- 42 -LRB103 24835 AWJ 51167 b

1        evidence relied upon in designing each nonquantitative
2        treatment limitation;
3            (C) provide the comparative analyses, including
4        the results of the analyses, performed to determine
5        that the processes and strategies used to design each
6        nonquantitative treatment limitation, as written, for
7        mental, emotional, nervous, or substance use disorder
8        or condition benefits are comparable to, and are
9        applied no more stringently than, the processes and
10        strategies used to design each nonquantitative
11        treatment limitation, as written, for medical and
12        surgical benefits;
13            (D) provide the comparative analyses, including
14        the results of the analyses, performed to determine
15        that the processes and strategies used to apply each
16        nonquantitative treatment limitation, in operation,
17        for mental, emotional, nervous, or substance use
18        disorder or condition benefits are comparable to, and
19        applied no more stringently than, the processes or
20        strategies used to apply each nonquantitative
21        treatment limitation, in operation, for medical and
22        surgical benefits; and
23            (E) disclose the specific findings and conclusions
24        reached by the insurer that the results of the
25        analyses described in subparagraphs (C) and (D)
26        indicate that the insurer is in compliance with this

 

 

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1        Section and the Mental Health Parity and Addiction
2        Equity Act of 2008 and its implementing regulations,
3        which includes 42 CFR Parts 438, 440, and 457 and 45
4        CFR 146.136 and any other related federal regulations
5        found in the Code of Federal Regulations.
6        (7) Any other information necessary to clarify data
7    provided in accordance with this Section requested by the
8    Director, including information that may be proprietary or
9    have commercial value, under the requirements of Section
10    30 of the Viatical Settlements Act of 2009.
11    (l) An insurer that amends, delivers, issues, or renews a
12group or individual policy of accident and health insurance or
13a qualified health plan offered through the health insurance
14marketplace in this State providing coverage for hospital or
15medical treatment and for the treatment of mental, emotional,
16nervous, or substance use disorders or conditions on or after
17January 1, 2019 (the effective date of Public Act 100-1024)
18shall, in advance of the plan year, make available to the
19Department or, with respect to medical assistance, the
20Department of Healthcare and Family Services and to all plan
21participants and beneficiaries the information required in
22subparagraphs (C) through (E) of paragraph (6) of subsection
23(k). For plan participants and medical assistance
24beneficiaries, the information required in subparagraphs (C)
25through (E) of paragraph (6) of subsection (k) shall be made
26available on a publicly-available website whose web address is

 

 

HB1364 Enrolled- 44 -LRB103 24835 AWJ 51167 b

1prominently displayed in plan and managed care organization
2informational and marketing materials.
3    (m) In conjunction with its compliance examination program
4conducted in accordance with the Illinois State Auditing Act,
5the Auditor General shall undertake a review of compliance by
6the Department and the Department of Healthcare and Family
7Services with Section 370c and this Section. Any findings
8resulting from the review conducted under this Section shall
9be included in the applicable State agency's compliance
10examination report. Each compliance examination report shall
11be issued in accordance with Section 3-14 of the Illinois
12State Auditing Act. A copy of each report shall also be
13delivered to the head of the applicable State agency and
14posted on the Auditor General's website.
15(Source: P.A. 102-135, eff. 7-23-21; 102-579, eff. 8-25-21;
16102-813, eff. 5-13-22.)
 
17    Section 99. Effective date. This Act takes effect upon
18becoming law.