Healthcare

Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance or a managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2027 shall provide coverage for all medically necessary diagnostic testing and U.S. Food and Drug Administration-approved treatments or medications prescribed to slow the progression of Alzheimer's disease or another related dementia, in accordance with the U.S. Food and Drug Administration label, as determined by a physician licensed to practice medicine in all its branches. Provides that coverage of U.S. Food and Drug Administration-approved treatments or medications prescribed to slow the progression of Alzheimer's disease or another related dementia shall not be subject to step therapy. Amends the Counties Code, the Illinois Municipal Code, the School Code, the Health Maintenance Organization Act, the Limited Health Service Organization Act, and the Voluntary Health Services Plans Act to require coverage under those provisions. Effective immediately.

Creates the Artificial Intelligence Systems Use in Health Insurance Act. Provides that the Department of Insurance's regulatory oversight of insurers includes oversight of an insurer's use of AI systems to make or support adverse determinations that affect consumers. Provides that any insurer authorized to operate in the State is subject to review by the Department in an investigation or market conduct action regarding the development, implementation, and use of AI systems or predictive models and the outcomes from the use of those AI systems or predictive models. Provides that an insurer authorized to do business in Illinois shall not issue an adverse consumer outcome with regard to the denial, reduction, or termination of insurance plans or benefits that result solely from the use or application of any AI system or predictive model. Provides that any decision-making process for the denial, reduction, or termination of insurance plans or benefits that results from the use of AI systems or predictive models shall be meaningfully reviewed, in accordance with review procedures determined by Department rules, by an individual with authority to override the AI systems and determinations. Authorizes the Department to adopt emergency rules to implement the Act and to adopt rules concerning standards for full and fair disclosure of an insurer's use of AI systems. Makes a conforming change in the Illinois Administrative Procedure Act.

Amends the Children and Family Services Act. Provides that all youth in care shall be assigned a mental health provider to manage their mental health care needs. Requires a youth's mental health provider to visit the youth and conduct a well-being assessment within 30 days after the youth is removed from his or her home and placed in the temporary custody or guardianship of the Department of Children and Family Services. Provides that additional follow-up visits and well-being checks shall be scheduled and conducted until the youth is no longer under the custody or guardianship of the Department. Provides that any mental health care services provided to the youth shall be in addition to any care or services the youth receives from his or her primary care provider. Grants the Department rulemaking authority.

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.

Honors the life and legacy of Henrietta Lacks, an African American woman, whose contributions to medical science have had a lasting impact though her name is not widely known. Recognizes Alfred "Lacks" Carter Jr. for his work to preserve Henrietta Lacks' legacy and for his contributions in the fight against cervical cancer. Urges support for community-based research and education programs, which are vital to educating and empowering community members so they can make informed decisions about being involved in clinical research and the research process. Urges support for clinical research to reduce health disparities, to save lives, to gain insights about the safety and effectiveness of drugs and other medical treatments, and to discover treatments for various diseases.

Urges the State to increase reimbursement rates, state grants and contracts, and the minimum overhead allowance to meet the rising costs of providing essential human services in Illinois and supporting the workers who deliver those services.

Expresses opposition to the Trump healthcare cuts, which fundamentally undermine the basic dignity and financial security of working families across the country. Calls upon the United States Senate to immediately table the Trump healthcare cuts bill and instead pursue reforms such as the Illinois' Healthcare Protection Act to make healthcare more accessible and more affordable.

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.