Synopsis As Introduced Amends the University of Illinois Hospital Act and the Hospital Licensing Act. Requires a hospital organized or licensed under those Acts to provide a patient who is treated for opioid overdose at the hospital with one dose of or one prescription for an opioid antagonist upon discharge from the hospital, free of charge.
Replaces everything after the enacting clause. Provides that the Act may be referred to as the Illinois Health Care and Human Service Reform Act. Contains findings. Creates the Community Health Worker Certification and Reimbursement Act. Requires community health workers to be provided with specified training opportunities that lead to the mastery of community health worker core competencies. Creates the Illinois Community Health Worker Certification Board to serve as a regulatory body that develops and has oversight of initial community health workers certification and certification renewals for individuals and specified training programs. Provides that community health worker services shall be covered under the medical assistance program for persons who are otherwise eligible for medical assistance. Contains other provisions. Amends the Hospital Licensing Act regarding proper credentials and required certificates of medical staff and applicants. Amends the Illinois Health Finance Reform Act, Hospital Licensing Act, Language Assistance Services Act, Fair Patient Billing Act, Health Care Violence Prevention Act, Medical Patient Rights Act, Smoke Free Illinois Act, Abandoned Newborn Infant Protection Act, Crime Victims Compensation Act, and Human Trafficking Resource Center Notice Act regard providing notices and signs by electronic means and other matters. Amends the University of Illinois Hospital Act and the Hospital Licensing Act. Requires hospitals to provide N95 masks to physicians, registered nurses, advanced practice registered nurses, and other employees under specified circumstances. Amends the Illinois Public Aid Code to require the inpatient, per diem rate to be paid to all safety-net hospitals for inpatient psychiatric services on and after January 1, 2021 to be at least $630. Amends the Department of Professional Regulation Law to require a health care professional who has continuing education requirements to complete at least a one-hour course in training on implicit bias awareness per renewal period. Amends the Illinois Controlled Substances Act and the Methamphetamine Control and Community Protection Act. Makes various changes concerning limited immunity for persons who, in good faith, seeks or obtains emergency medical assistance for someone experiencing an overdose. Makes changes concerning the Prescription Monitoring Program. Amends the Adult Protective Services Act by requiring the Department on Aging to develop and implement a dementia training program that must include instruction on the identification of people with dementia, risks such as wandering, communication impairments, elder abuse, and the best practices for interacting with people with dementia. Creates the Behavioral Health Workforce Education Center of Illinois Act. Creates the Behavioral Health Workforce Education Center of Illinois, to be administered by a public institution of higher education for the purpose of leveraging workforce and behavioral health resources to produce reforms in Illinois. Provides for the structure and duties of the Center. Provides for the selection of the public institution of higher education to administer the Center. Amends the Use Tax Act, the Service Use Tax Act, the Service Occupation Tax Act, and the Retailers' Occupation Tax Act. Provides that all blood sugar testing materials are subject to the 1% reduced rate of tax (rather than urine testing materials for human use only). Creates the Underlying Causes of Crime and Violence Study Act. Provides that the Department of Public Health and the Department of Human Services shall study how to create a process to identify high violence communities, also known as R3 (Restore, Reinvest, and Renew) areas, and prioritize State dollars to go to these communities to fund programs as well as community and economic development projects that would address the underlying causes of crime and violence, and submit a report to the General Assembly. Amends the Illinois Public Aid Code by requiring updating of a Child Care Assistance Program Eligibility Calculator. Amends the Employee Sick Leave Act. Provides that personal care of certain family members is a permissible use of personal sick leave benefits. Amends the Nursing Home Care Act and the Hospital Licensing Act. Requires licensed long-term care facilities and hospitals to develop a policy for testing its water supply for Legionella bacteria. Amends the Child Care Act of 1969 to require licensed day care home providers, licensed group day care home providers, and licensed day care center directors and classroom staff to participate in at least one training that includes the topics of early childhood social emotional learning, infant and early childhood mental health, early childhood trauma, or adverse childhood experiences. Creates the Special Commission on Gynecologic Cancer Act. Creates the Special Commission on Gynecologic Cancers to study specified issues regarding gynecologic cancers in Illinois and submit a report to the General Assembly. Amends the Illinois Public Aid Code to provide that the State shall, subject to appropriation, create a pool of funding of at least $50,000,000 annually to be dispersed among safety-net hospitals that maintain perinatal designation from the Department of Public Health and the funding shall be used to preserve or enhance OB/GYN services or other specialty services at the receiving hospital. Creates the Racial Impact Note Act. Provides that every bill which has or could have a disparate impact on racial and ethnic minorities, upon the request of any member, shall have prepared for it, before second reading in the house of introduction, a brief explanatory statement or note that shall include a reliable estimate of the anticipated impact on those racial and ethnic minorities likely to be impacted by the bill. Specifies the contents and provides for the preparation of each racial impact note. Provides that no comment or opinion shall be included in the racial impact note with regard to the merits of the measure for which the racial impact note is prepared. Provides that the fact that a racial impact note is prepared for any bill shall not preclude or restrict the appearance before any committee of the General Assembly of any official or authorized employee of the responding agency or agencies, or any other impacted State agency, who desires to be heard in support of or in opposition to the measure. Amends the Civil Administrative Code of Illinois. Makes changes regarding the Department of Public Health's State Health Assessment and State Health Improvement Plan and other matters. Creates the Health and Human Services Task Force and Study Act establishing the Health and Human Services Task Force to undertake a systematic review of health and human service departments and programs with the goal of improving health and human service outcomes for Illinois residents. Creates the Anti-Racism Commission Act, which establishes the Anti-Racism Commission to identify and propose statewide policies to eliminate systemic racism and advance equitable solutions for Black and Brown people in Illinois. Creates the Sickle Cell Prevention, Care, and Treatment Program Act. Requires the Department of Healthcare and Family Services to establish a grant program for the purpose of providing for the prevention, care, and treatment of sickle cell disease and for educational programs concerning the disease. Requires the Department to: (1) develop application criteria and standards of eligibility for groups or organizations that apply for funds under the program; and (2) make available grants to groups and organizations who meet the eligibility standards set by the Department. Provides that the highest priority for grants shall be accorded to established sickle cell disease community-based organizations, and priority shall be given to ensuring the establishment of sickle cell disease centers in underserved areas that have a higher population of sickle cell disease patients. Requires the Department to determine the maximum amount available for each grant; determine policies for the expiration and renewal of grants; require that all grant funds be used for the purpose of prevention, care, and treatment of sickle cell disease or for educational programs concerning the disease; and develop a sickle cell disease educational outreach program that includes the dissemination of educational materials to specified persons and institutions. Permits the Department to contract with an entity to implement the sickle cell disease educational outreach program. Requires the Department to conduct a study to determine the prevalence, impact, and needs of individuals with sickle cell disease and the sickle cell trait in Illinois. Contains other provisions. Amends the State Finance Act to include the Sickle Cell Chronic Disease Fund as a special fund. Amends the Illinois Health Facilities Planning Act. Changes the membership of the Health Facilities and Services Review Board. Makes changes regarding the Safety Net Impact Statement. Provides that the Health Facilities and Services Review Board may defer action on an application to discontinue a hospital under specified circumstances. Amends the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services shall require managed care organizations (MCOs) to ensure that any provider under contract with an MCO on the date of service is paid for any medically necessary service rendered to any of the MCO's enrollees, regardless of inclusion on the MCO's published and publicly available roster of available providers. Provides that the Department of Healthcare and Family Services shall develop a program to encourage coordination between Federally Qualified Health Centers (FQHCs) and hospitals, including, but not limited to, safety-net hospitals, with the goal of increasing care coordination, managing chronic diseases, and addressing the social determinants of health on or before December 31, 2021. Also provides that the Department shall develop a payment methodology to allow FQHCs to provide care coordination services, including, but not limited to, chronic disease management and behavioral health services. Makes other changes concerning claim submission requirements and other matters. Provides that the Department of Healthcare and Family Services, managed care organizations, a statewide organization representing hospitals, and a statewide organization representing safety-net hospitals shall explore ways to support billing departments in safety-net hospitals. Creates the Medicaid Managed Care Oversight Commission within the Department of Healthcare and Family Services to evaluate the effectiveness of Illinois' managed care program. Amends the State Finance Act. Creates the Managed Care Oversight Fund. Provides that available annual moneys in the Fund shall be used by the Department of Healthcare and Family Services to support contracting with women and minority-owned businesses as part of the Department's Business Enterprise Program requirements, and that the Department shall prioritize contracts for care coordination services, workforce development, and other services that support the Department's mission to promote health equity. Amends the Illinois Public Aid Code. Creates the Medicaid Business Opportunity Commission within the Department of Healthcare and Family Services to develop a program to support and grow minority, women, and persons with disability owned businesses. Provides that the Commission shall develop a recommendation on a Medicaid Business Opportunity Program. Sets forth other duties and requirements. Provides that the Department shall evaluate the effectiveness of the current reimbursement rate for inpatient hospital stays beyond medical necessity. Provides that specified doula services and evidence-based home visiting services shall be covered under the medical assistance program for persons who are otherwise eligible for medical assistance. Provides that the Department shall adopt rules, periodically assess the rates of reimbursement for perinatal doula and home visiting services, adjust rates accordingly, seek State plan amendments or waivers necessary to implement the new provisions, and secure federal financial participation for expenditures made in accordance with the new provisions. Makes other changes. Provides for the repeal of certain provisions. Creates the Medicaid Technical Assistance Center Act. Requires the Department of Healthcare and Family Services to establish a Medicaid Technical Assistance Center (Center). Provides that the Center shall operate as a cross-system educational resource to strengthen the business infrastructure of health care provider organizations in Illinois to ultimately increase the capacity, access, and quality of Illinois' Medicaid managed care program, HealthChoice Illinois. Requires the Center to be established within the Department's Office of Medicaid Innovation. Requires the Center to collaborate with public and private partners throughout the State to identify, establish, and maintain best practices necessary for health providers to ensure their capacity to participate in HealthChoice Illinois. Requires the Center to: (i) create and administer ongoing trainings for health care providers; (ii) maintain an independent, easy to navigate, and up-to-date website that includes, but is not limited to, recorded training archives, a training calendar, and provider resources and tools; and (iii) host regional learning collaboratives that will supplement the Center's training curriculum to bring together groups of stakeholders to share issues, best practices, and escalate issues. Provides that the Department, to the extent allowable under federal law, shall maximize federal financial participation for any moneys appropriated to the Department for the Medicaid Technical Assistance Center. Provides that any federal financial participation funds obtained shall be used for the further development and expansion of the Medicaid Technical Assistance Center. Amends the State Finance Act. Creates the Medicaid Technical Assistance Center Fund. Effective immediately.