Healthcare

Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to create an add-on payment for safety-net hospitals with a Level 1 Trauma designation, equal to at least $35,000,000 per hospital, per year.

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 Mental Health and Developmental Disabilities Administrative Act. Provides that, beginning January 1, 2026, providers of adult day services for individuals with developmental disabilities shall receive an add-on payment of $1 for transportation, per trip, for any distance beyond 15 miles from the adult day service program location. Effective January 1, 2026.

Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to establish and implement within 12 months after the effective date of the amendatory Act a 3-year medical nutrition therapy pilot program that provides targeted populations, that otherwise meet the eligibility requirements for medical assistance, with nutrition education and counseling to prevent, delay, manage, treat, or rehabilitate a disease or condition. Provides that under the pilot program, medical nutrition therapy services shall be provided by a registered dietitian licensed under the Dietitian Nutritionist Practice Act who is acting within the scope of his or her license. Provides that program services shall include nutrition assessment, nutrition intervention, nutrition counseling, and nutrition monitoring and evaluation. Lists the populations targeted for eligibility under the pilot program. Requires the Department to identify and track the progress and health outcomes of program participants and submit a report of its findings and recommendations on possible program expansion to the Governor and the General Assembly within 3 months after the pilot program terminates. Requires the Department to adopt any rules necessary to implement the pilot program.

Creates the Paid Family and Medical Leave Insurance Program Act. Creates the Division of Paid Family and Medical Leave within the Department of Labor. Requires the Division to establish and administer a paid family and medical leave insurance program that provides benefits to employees. Provides that the program shall be administered by the Deputy Director of the Division. Sets forth eligibility requirements for benefits under the Act. Provides that a self-employed individual may elect to be covered under the Act. Contains provisions concerning disqualification from benefits; compensation for leave; the amount and duration of benefits; payments for benefits under the Paid Family and Medical Leave Insurance Program Fund; employer equivalent plans; annual reports by the Department; hearings; penalties; notice; the coordination of leave provided under the Act with leave allowed under the federal Family and Medical Leave Act of 1993, a collective bargaining agreement, or any local county or municipal ordinance; rulemaking; and other matters. Amends the State Finance Act. Creates the Paid Family and Medical Leave Insurance Program Fund. Amends the Freedom of Information Act. Exempts certain documents collected by the Division of Paid Family and Medical Leave from the Act's disclosure requirements. Effective immediately.

Amends the Compassionate Use of Medical Cannabis Program Act. Provides that all cannabis products purchased by a qualifying patient, provisional patient, or designated caregiver from a licensed dispensing organization shall be lawful products (rather than all medical cannabis products purchased by a qualifying patient at a licensed dispensing organization shall be lawful products and a distinction shall be made between medical and non-medical uses, with other requirements). Amends the Cannabis Regulation and Tax Act. Changes and adds definitions. Makes changes to provisions regarding operational requirements and prohibitions. Provides that a dispensing organization shall not sell cannabis or cannabis-infused products to a purchaser unless the purchaser has been verified to be 21 years of age or older, or the person is verified to be a registered qualified patient, provisional patient, or designated caregiver (removing requirements referencing the Compassionate Use of Medical Cannabis Program). Removes prohibitions for a dispensing organization to operate drive-through windows. Provides an exception to the prohibition for a dispensing organization to transport cannabis for delivery. In provisions regarding an inventory control system, adds that all dispensing organizations shall maintain internal, confidential records of all deliveries to any registered qualified patient, provisional patient, or designated caregiver, with certain requirements. In provisions regarding dispensing cannabis, adds a requirement that the agent verify the qualifying patient, provisional patient, or designated caregiver registration card, if applicable. Provides that a dispensing organization may offer pickup or drive-through for cannabis or cannabis-infused products to purchasers over 21 years of age and certain patients and caregivers. Provides that a dispensing organization may offer delivery for cannabis or cannabis-infused products to certain patients and caregivers. Adds requirements to provisions regarding security for a dispensing organization. Adds provisions permitting delivery by dispensing organizations to the residence of a qualifying patient, provisional patient, or designated caregiver, with certain requirements.

Amends the Substance Use Disorder Act. Provides that disclosure of nonexempt records protected under the Act may be disclosed for research activities under the Domestic Violence Fatality Review Act. Amends the AIDS Confidentiality Act and the Mental Health and Developmental Disabilities Confidentiality Act. Provides that staff and any designee of the Illinois Criminal Justice Information Authority, members of the Ad Hoc Statewide Domestic Violence Fatality Review Committee of the Illinois Criminal Justice Information Authority Board, and the regional domestic violence fatality review teams are entitled to receive, inspect, copy, and share HIV-related information of any person subject to a domestic violence fatality review as part of and in accordance with the provisions of the Domestic Violence Fatality Review Act. Provides that the information disclosed is subject to the confidentiality requirements of the Domestic Violence Fatality Review Act. Effective immediately.

Creates the Nondiscrimination in State Contracts and Grants Act. Prohibits the State from awarding a contract or grant to any person, business, or entity that engages in discrimination as defined in the Act. Defines "discrimination" to mean if the business or entity engages in "sexual orientation change efforts" or "conversion therapy". "Sexual orientation change efforts" or "conversion therapy" means any practices or treatments that seek to change an individual's sexual orientation, as defined by in the Illinois Human Rights Act, including efforts to change behaviors or gender expressions or to eliminate or reduce sexual or romantic attractions or feelings towards individuals of the same sex. "Sexual orientation change efforts" or "conversion therapy" does not include counseling or mental health services that provide acceptance, support, and understanding of a person without seeking to change sexual orientation or mental health services that facilitate a person's coping, social support, and gender identity exploration and development, including sexual orientation neutral interventions to prevent or address unlawful conduct or unsafe sexual practices, without seeking to change sexual orientation.

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that for the calendar year beginning January 1, 2026, and each calendar year thereafter, a nursing facility must spend at least 90% of its adjusted total revenue on resident care and other resident-related costs, as defined. Requires each nursing facility to provide as part of its financial reporting information necessary for the Department of Healthcare and Family Services to administer and enforce the provisions of the amendatory Act. Provides that such information shall be subject to audit provisions and comply with any applicable uniform standards under the Code. Provides that all non-allowable costs, related party adjustments, or compensation to owners reported shall be excluded from the calculation of the amount spent on resident care and other resident-related costs. Requires 25% of costs associated with contract nursing staff to be deducted from the amount spent on resident care and other resident-related costs. Provides that for the calendar year beginning January 1, 2027, and each calendar year thereafter, the Department shall use the required financial reporting submissions to determine whether each nursing facility has met the minimum resident care percent requirement. Provides that if a facility has not met the minimum resident care percent requirement, the amount defined by the facility's total adjusted revenue shall be treated as a vendor overpayment. Requires the Department to recover the full amount of any vendor overpayment by reducing future payments, requiring direct payment to the Department, or any other method permitted under the Code. Requires the Department to adopt rules.

Amends the Mental Health and Developmental Disabilities Administrative Act. Requires the Department of Human Services to establish reimbursement rates that build toward livable wages for front-line personnel in residential and day programs and service coordination agencies serving persons with intellectual and developmental disabilities. Provides that for community-based providers serving persons with intellectual or developmental disabilities, subject to federal approval, the rates taking effect for services delivered on or after July 1, 2025 shall be increased sufficiently to: (i) provide a minimum $2.00 per hour wage increase over the wages in effect on June 30, 2025 for front-line personnel; and (ii) provide wages for all other residential non-executive direct care staff, excluding direct support professionals, at the U.S. Department of Labor's average wage as defined, by rule, by the Department. Amends the Illinois Public Aid Code. Provides that for ID/DD facilities and MC/DD facilities, the rates taking effect for services delivered on or after July 1, 2025, shall be increased sufficiently to: (i) provide a minimum $2.00 per hour wage increase over the wages in effect on June 30, 2025 for front-line personnel; and (ii) provide wages for all other residential non-executive direct care staff, excluding direct support professionals, at the U.S. Department of Labor's average wage as defined, by rule, by the Department. Requires the same increase for front-line personnel employed at community-based providers serving persons with intellectual or developmental disabilities. Amends the Illinois Administrative Procedure Act. Grants the Departments of Human Services and Healthcare and Family Services emergency rulemaking authority. Effective immediately.