HEALTH CARE AFFORD/INFO/KIDNEY

Amends the Smoke Free Illinois Act. Includes the use of alternative nicotine products and electronic cigarettes in the definition of "smoke" or "smoking". Defines "electronic cigarette", "nicotine", and "tobacco product". Amends the Prevention of Tobacco Use by Minors and Sale and Distribution of Tobacco Products Act. Provides that "alternative nicotine product" does not include electronic cigarettes. Effective January 1, 2020. Senate Floor Amendment No. 2 Deletes reference to: 720 ILCS 675/1.5 Replaces everything after the enacting clause. Amends the Smoke Free Illinois Act. Includes the use of alternative nicotine products and electronic cigarettes in the definition of "smoke" or "smoking". Defines "electronic cigarette", "nicotine", and "tobacco product". Effective January 1, 2020. House Committee Amendment No. 4 Deletes reference to: 410 ILCS 82/10 Adds reference to: 410 ILCS 82/1 Replaces everything after the enacting clause. Amends the Smoke Free Illinois Act. Makes a technical change in a Section concerning the short title. Fiscal Note, House Floor Amendment No. 5 (Dept. of Insurance) Due to the requirements being performed by existing staff, SB1864, HA005 would have minimal fiscal impact on the Department of Insurance. Fiscal Note, House Floor Amendment No. 5 (Dept. of Human Services) The expected state fiscal impact for SB1864 will primarily fall to the HFS. The cost to IDHS for IES is unknown at this time. Fiscal Note, House Floor Amendment No. 5 (Dept. of Healthcare & Family Services) The fiscal impact for SB 1864 HFA #5 is up to $1 million for health care feasibility study. Additional cost due to unknown eligibility increase due to COVID-19; estimated state cost of treatment is around $1,900 per person. House Floor Amendment No. 6 Deletes reference to: 410 ILCS 82/1 Adds reference to: New Act 5 ILCS 140/7.5 20 ILCS 3860/10 20 ILCS 3860/20 20 ILCS 3860/25 20 ILCS 3860/30 20 ILCS 3860/35 20 ILCS 3860/40 20 ILCS 3860/15 rep. 215 ILCS 106/7 215 ILCS 106/8 new 215 ILCS 170/7 215 ILCS 170/8 new 225 ILCS 85/39.5 new 305 ILCS 5/5-1.5 new 305 ILCS 5/5-2 from Ch. 23, par. 5-2 305 ILCS 5/5-4.2 from Ch. 23, par. 5-4.2 305 ILCS 5/5-5.27 new 305 ILCS 5/5-5e 305 ILCS 5/5-16.8 305 ILCS 5/5B-4 from Ch. 23, par. 5B-4 305 ILCS 5/11-5.1 305 ILCS 5/12-21.21 new 410 ILCS 50/3 from Ch. 111 1/2, par. 5403 410 ILCS 513/10 740 ILCS 110/2 from Ch. 91 1/2, par. 802 740 ILCS 110/9.5 740 ILCS 110/9.6 740 ILCS 110/9.8 740 ILCS 110/9.9 740 ILCS 110/9.11 Replaces everything after the enacting clause. Creates the Health Care Affordability Act. Requires the Department of Healthcare and Family Services, in consultation with the Department of Insurance, to oversee a feasibility study to explore options to make health insurance more affordable for Illinois residents. Provides that the Departments shall develop and submit a proposal to the General Assembly and the Governor concerning the design, costs, benefits, and implementation of a State option for health care coverage that leverages existing State infrastructure. Creates the Kidney Disease Prevention and Education Task Force Act. Creates the Kidney Disease Prevention and Education Task Force. Provides for membership and meetings of the Task Force. Requires the Task Force to develop a sustainable plan to raise awareness about early detection, promote health equity, and reduce the burden of kidney disease throughout the State and submit a final report to the General Assembly on or before December 21, 2022. Repeals the Act on June 1, 2022. Amends the Pharmacy Practice Act. Provides that an offsite institutional pharmacy may supply emergency kits to a licensed facility. Makes other changes. Amends the Illinois Public Aid Code. Provides that the medical assistance program shall provide coverage for routine care costs that are incurred in the course of an approved clinical trial if the medical assistance program would provide coverage for the same routine care costs not incurred in a clinical trial. Defines "approved clinical trial" to mean a phase I, II, III, or IV clinical trial involving the prevention, detection, or treatment of cancer or any other life-threatening disease or condition. Provides that "routine care cost" shall be defined by the Department of Healthcare and Family Services by rule. Provides that implementation of this coverage for routine care costs shall be contingent upon federal approval. Requires the Department of Healthcare and Family Services and the Department of Human Services to jointly submit the necessary application to the federal Centers for Medicare and Medicaid Services for a waiver or State Plan amendment to allow remote monitoring and support services as a waiver-reimbursable service for persons with intellectual and developmental disabilities. Provides that the application shall be submitted no later than January 1, 2021. Amends the Illinois Health Information Exchange and Technology Act. Changes the name of the Health Information Exchange Authority to the Health Information Exchange Office. Provides that staff employed by the Illinois Health Information Exchange Authority on the effective date of the amendatory Act shall transfer to the Health Information Exchange Office within the Department of Healthcare and Family Services. Makes conforming changes to several Acts including the Medical Patient Rights Act, Genetic Information Privacy Act, and the Mental Health and Developmental Disabilities Confidentiality Act. Amends the Children's Health Insurance Program Act, the Covering ALL KIDS Health Insurance Act, and the Medical Assistance Article of the Illinois Public Aid Code. Permits the Department of Healthcare and Family Services to take necessary actions to address the COVID-19 public health emergency to the extent such actions are required, approved, or authorized by the Centers for Medicare and Medicaid Services. Provides that such actions may continue throughout the public health emergency and for up to 12 months after the period ends, and may include, but are not limited to: accepting an applicant's or recipient's attestation of income, incurred medical expenses, residency, and insured status when electronic verification is not available. Further amends the Illinois Public Aid Code. Permits the Department of Healthcare and Family Services to cover the treatment of COVID-19 to persons who qualify for medical assistance under federal law and regulations and to noncitizens. Contains provisions concerning payment claims for ambulance providers that are unable to obtain a Physician Certification Statement; assessment forms for long-term care facilities; income verification for medical assistance recipients; remote monitoring and support services as a waiver-reimbursable service for persons with intellectual and developmental disabilities; and other matters. Effective immediately.