Healthcare

Amends the Underserved Health Care Provider Workforce Act. Changes the definition of "designated shortage area" to mean an area designated as a medically underserved area or a health professional shortage area (rather than a physician shortage area, a medically underserved area, or a critical health manpower shortage area). Changes the term "eligible medical student" to "eligible student", and includes in the definition of that term a person who is studying optometry in an optometry college or institution located in Illinois and that a person may agree to practice full-time in a designated shortage area as an optometrist or anesthesiologist one year for each year he or she is a scholarship recipient. Includes a rural health center, a federally qualified health center, a federally qualified health center look alike, and an optometric office in the definition of "medical facility". Includes an optometrist in the definition of "eligible health care provider". Includes an obstetrician or gynecologist in the definition of "primary care physician". Includes loan repayment recipients in a provision regarding scholarship recipients who fail to fulfill specified obligations, and provides that the amounts paid by these scholarship or loan repayment recipients shall be deposited into the fund where the payment originated from (rather than the Community Health Center Care Fund). Repeals a different provision defining "primary care physician". Effective January 1, 2026.

Amends the Administration Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services, in consultation with the Department of Human Services, to submit the necessary application to the federal Centers for Medicare and Medicaid Services to amend the State's home and community-based services waiver programs for children and adults with developmental disabilities to provide coverage under the Home-Based Services Program for any therapeutic recreation programs offered by park districts, health clubs, and community colleges.

Amends the Comprehensive Healthcare Workforce Planning Act. Requires the State Healthcare Workforce Council to coordinate the State's health workforce education and training to develop a health workforce that meets the State's health care needs. Requires the Council to work with graduate medical education and training programs, health professions, and consumer representatives to address specified issues. Amends the Board of Higher Education Act. Requires the Board of Higher Education to establish a program to provide: (1) funding for medical residency positions that are not funded by the federal Centers for Medicare and Medicaid Services or other established funding source; (2) technical assistance for entities that wish to establish a residency program; and (3) startup funding for entities that wish to establish a residency program. Sets forth provisions concerning the application process and priority. Requires the Board to establish an application process for an entity seeking funding. Provides that the State Healthcare Workforce Council shall provide information annually to the Board related to workforce shortages to assist in the development of the application and shall be responsible for reviewing applications and making recommendations to the Board regarding funding recipients. Creates the Medical Residency Education Fund to expand graduate medical education opportunities in the State and maximize the delivery of medical care and physician services to specific areas of the State where there is a recognized unmet priority need for medical care and physician services. Makes other changes. Makes a conforming change in the State Finance Act.

Amends the Telehealth Act. Adds acupuncturist to providers included in the meaning of "health care professional". Amends the Acupuncture Practice Act. Provides that the standard of care for a patient under the Act shall be the same whether a patient is seen in person, through telemedicine, or through another method of electronically-enabled health care. Requires the Department of Financial and Professional Regulation, by rule, to determine the appropriate acupuncture services allowed via telemedicine in consultation with the Board of Acupuncture. Provides that a person who engages in the practice of telemedicine without a license issued under the Act shall be subject to the penalties provided in the Act. Provides that, if the Department has reason to believe that a person has violated the provisions regarding telemedicine, the Department may issue a rule to show cause stating the reasons why an order to cease and desist should not be entered against the person. Provides that the rule shall clearly set forth the grounds relied upon by the Department and shall provide the person with a period of 7 days after the date of the rule to file an answer to the satisfaction of the Department. Provides that failure to answer to the satisfaction of the Department shall cause an order to cease and desist to be issued immediately. Provides that a person residing out-of-state that provides services through telemedicine to a patient residing in the State submits himself or herself to the jurisdiction of the Department and the courts of the State.

Amends the Personnel Code. Provides that certain provisions related to probationary separation, term appointments, and veterans hospital visits are subject to Jurisdiction B. Changes references to veterans hospital visits to references to veterans medical appointments. Provides that an employee who is also a veteran shall be permitted 4 days per year to receive medical care authorized by the U.S. Department of Veterans Affairs, at any type of health care provider or health care facility (rather than permitted 4 days per year to visit a veterans hospital or clinic), for examination or treatment (rather than for examination) of a military service-connected condition (rather than service-connected disability).

Creates the Nonopioid Alternatives for Pain Act. Allows the Department of Public Health to develop and publish on its website a nonopioid alternatives pamphlet, with certain requirements. Prohibits a health insurance issuer to deny coverage of a nonopioid prescription drug in favor of an opioid prescription drug. Amends the Illinois Public Aid Code. Provides that coverage shall not be denied for a nonopioid prescription drug in favor of an opioid prescription drug. Requires that nonopioid drugs preferred on a specific list for the treatment or management of pain shall not be disadvantaged or discouraged with respect to coverage relative to any opioid or narcotic drug for the treatment or management of pain. Effective July 1, 2027.

Amends the Nursing Mothers in the Workplace Act. Provides that an employer shall provide 30 minutes of paid break time (rather than reasonable break time) to an employee who needs to express breast milk for her nursing infant child each time the employee has the need to express milk for one year after the child's birth. Provides that the employee may use other paid break time or meal time for any time needed in excess of 30 minutes. Provides that an employer shall provide paid break time (rather than reasonable break time) as needed by the employee unless to do so would create an undue hardship.

Amends the Emergency Medical Services (EMS) Systems Act. Creates the Emergency Medical Service Response Task Force to investigate and provide legislative and policy recommendations regarding slow and dangerous response times for ambulance and EMS services in parts of the State, in particular services in rural communities. Provides that the Emergency Medical Service Response Task Force shall address, study, and provide recommendations on any aspect of the response time crisis deemed appropriate by the Task Force, including the sustainability of Emergency Medical Services (EMS) Systems in rural communities throughout the State; any regulatory or administrative burdens or staffing restrictions placed on providers that contribute to staffing issues or slow response times; revenue shortfalls that challenge the sustainability and survival of ambulance or emergency medical services; and the report, findings, and any recommendations of the EMT Training, Recruitment, and Retention Task Force. Sets forth provisions concerning the appointment of members. Requires members to convene at the call of the co-chairs for at least 6 meetings, and provides that members shall serve without compensation. Requires the Task Force to submit its final report containing legislative and policy decisions to the General Assembly and the Governor no later than September 1, 2026, and upon the submission of its final report, the Task Force shall be dissolved.

Amends the Public Safety Employee Benefits Act. Provides that, if the injured employee subsequently dies, the employer shall continue to pay the entire health insurance premium for the surviving spouse (rather than the surviving spouse until remarried) and for the dependent children under specified conditions.

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that, in accordance with federal guidance issued by the federal Centers for Medicare and Medicaid Services, the Department of Healthcare and Family Services shall exempt from electronic visit verification requirements all live-in caregivers who provide Medicaid-funded personal care services or home health care services under the Illinois Title XIX State Plan or a waiver of the plan, including personal care services and home health care services provided under various home and community-based services waiver programs authorized under the Social Security Act. Defines "live-in caregiver". Grants the Department rulemaking authority. Effective immediately.