Illinois General Assembly - Full Text of HB5412
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Full Text of HB5412  98th General Assembly


Rep. Robyn Gabel

Filed: 3/21/2014





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2    AMENDMENT NO. ______. Amend House Bill 5412 by replacing
3everything after the enacting clause with the following:
4    "Section 5. The Department of Public Health Powers and
5Duties Law of the Civil Administrative Code of Illinois is
6amended by adding Section 2310-685 as follows:
7    (20 ILCS 2310/2310-685 new)
8    Sec. 2310-685. Integrated team-based health care;
9community health workers; creation of board.
10    (a) In this Section:
11    "Community health worker" or "CHW" means a frontline public
12health worker who is a trusted member or has an unusually close
13understanding of the community served. This trusting
14relationship enables the CHW to serve as a liaison, link, and
15intermediary between health and social services and the
16community to facilitate access to services and improve the



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1quality and cultural competence of service delivery. A CHW also
2builds individual and community capacity by increasing health
3knowledge and self-sufficiency through a range of activities,
4including outreach, community education, informal counseling,
5social support, and advocacy.
6    "Community health worker practice" includes education,
7training, and experience on the core competencies in order to
8effectively provide services to the communities and
9populations served through a variety of distinct roles that are
10indicative of community health worker best practices.
11    (b) The core competencies of a community health worker
12include skills and areas of knowledge that are essential to
13bringing about expanded health and wellness in diverse
14communities and to reduce health disparities. As members of
15communities and health teams, the core competencies for
16effective community health workers may include, but are not
17limited to:
18        (1) outreach methods and strategies;
19        (2) client and community assessment;
20        (3) effective community-based and participatory
21    methods, including research;
22        (4) culturally competent communication and care;
23        (5) health education for behavior change;
24        (6) support, advocacy, and health system navigation
25    for clients;
26        (7) application of public health concepts and



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1    approaches;
2        (8) individual and community capacity building and
3    mobilization; and
4        (9) writing, oral, and technical communication skills.
5    (c) Nothing in this Section shall permit a certified or
6non-certified community health worker to engage in or perform
7any act or service for which a license issued by a professional
8licensing board is required.
9    (d) Within 90 days after the effective date of this
10amendatory Act of the 98th General Assembly, the Director shall
11establish and appoint the Illinois Community Health Worker
12Advisory Board (Board). The Board shall propose to the
13Department leadership the training and certification processes
14for community health workers. The Board shall also advise the
15Department, the Governor, and the General Assembly on all
16matters that impact the effective work of community health
18    (e) The Board shall be comprised of 11 voting members. At
19least 6 members of the Board shall be community health workers,
20representing different racial and ethnic backgrounds and
21geographic areas, one of whom shall have served as a health
22insurance marketplace navigator. One member shall be a
23representative of the community colleges, universities, and
24educational institutions that may provide CHW training. The
25remaining positions shall be filled with 4 individual
26representatives appointed from the following categories, with



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1no fewer than 3 categories being represented:
2        (1) health care or public health professionals, who are
3    not community health workers, with community health and
4    supervision experience, such as nurses and physicians; and
5        (2) training or curriculum specialists; and
6        (3) social service or social science professionals,
7    such as social workers, counselors, anthropologists, and
8    community psychologists; and
9        (4) agency administrators and CHW employer
10    representatives or program administrators, excluding upper
11    management; and
12        (5) health policy advisors, with experience in health
13    care workforce policy.
14    (f) The Board shall also include non-voting, ex-officio
15members from the following State agencies:
16        (1) the Illinois Community College Board;
17        (2) the Department on Aging;
18        (3) the Department of Children and Family Services;
19        (4) the Department of Commerce and Economic
20    Opportunity;
21        (5) the Department of Employment Security;
22        (6) the Department of Financial and Professional
23    Regulation;
24        (7) the Department of Healthcare and Family Services;
25        (8) the Department of Human Services; and
26        (9) the Department of Public Health.



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1    (g) The Director shall designate a chairperson from the 11
2voting members of the Board. The Board shall consult with
3additional experts as needed.
4    (h) The Board shall develop and submit a proposed plan by
5December 31, 2014 for the certification process of community
6health workers to the Director of Public Health, the Governor,
7and the General Assembly within 9 months after their first
8meeting that shall include:
9        (1) researching best practices and proposing
10    curriculum and training programs as models for designing an
11    Illinois certification process, including the
12    consideration of a multi-tiered educational or training
13    system, which may include statewide certification,
14    non-certification, and degree-based levels, and the
15    requirements for experience-based certification;
16        (2) recommending certification and renewal processes
17    and a system of approval and accreditation for curriculum
18    and training;
19        (3) ensuring that the content, methodology,
20    development, and delivery of any proposed programs is
21    appropriate based on cultural, geographic, and other
22    specialty needs and reflective of relevant CHW scope of
23    practice; and
24        (4) investigating and identifying best practices for
25    reimbursement options and pathways through which secure
26    funding for community health workers may be obtained.



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1    (i) Members of the Board shall serve without compensation,
2but may be reimbursed for reasonable expenses incurred as a
3result of their duties as members of the Board from funds
4appropriated by the General Assembly for that purpose.
5    (j) The Department shall provide administrative and staff
6support to the Board.
7    (k) The Board shall be dissolved on January 1, 2015.".