Healthcare

Amends the Department of Human Services Act. Requires the Department of Human Services to establish and administer, no later than January 1, 2026, a 5-year pilot program that integrates an occupational therapy component into the State's home-delivered meals program, commonly known as Meals on Wheels, authorized under the federal Older Americans Act. Provides that under the pilot program, the Department shall award grants funded under the Section 14(c) transition program to eligible community agencies for the purpose of training and employing qualifying workers with disabilities to accompany Meals on Wheels drivers on their regular delivery routes and assist in the delivery of meals to homebound meal recipients who opt to participate in the pilot program. Provides that at the option of a participating homebound meal recipient, a qualifying worker may remain with the recipient for up to 2 hours after meal delivery to provide an opportunity for social engagement and interaction. Provides that a direct support professional shall travel with and supervise all deliveries made by a worker whose disability makes the worker less independent. Sets forth qualification requirements under the program for workers with disabilities. Provides that all workers with disabilities selected to participate in the pilot program shall be compensated at a rate level consistent with those wage standards applied for workers engaged in competitive integrated employment as defined in the federal Workforce Innovation and Opportunity Act and the Rehabilitation Act of 1973. Requires community agencies selected to receive grant funding under the pilot program to have active or pending subminimum wage certificates authorized under Section 14(c) of the federal Fair Labor Standards Act of 1938 and meet any other eligibility requirements established by the Department by rule. Requires the Department to conduct annual surveys during the duration of the pilot program on participating homebound meal recipients and workers with disabilities to gauge such participants' overall satisfaction with the pilot program and to document any other additional benefits to program participants. Effective July 1, 2025.

Amends the Mental Health and Developmental Disabilities Code. Makes changes to a provision concerning initial Department of Human Services investigations of a facility employee's alleged abuse, neglect, or financial exploitation of a recipient of mental health or developmental disability services. Expands the provision to include allegations of material obstruction of an investigation, physical abuse, sexual abuse, non-de minimis financial exploitation (such as financial exploitation totaling a cumulative value equal to or greater than $100), or egregious neglect. Adds provisions concerning Department investigations where a facility employee is the perpetrator of, at most, neglect, de minimis financial exploitation (such as financial exploitation totaling a cumulative value of less than $100), or mental abuse.

Amends the Unified Code of Corrections. Provides that the Prisoner Review Board shall place no additional restrictions, limitations, or requirements than that provided by the statute creating the procedure for medical release. Provides that upon a determination that the petitioner is eligible for a hearing on medical release, the Prisoner Review Board shall: (1) provide public notice of the petitioner's name, docket number, counsel, and hearing date; and (2) provide a copy of the evaluation and any medical records provided by the Department of Corrections to the petitioner or the petitioner's attorney upon scheduling the institutional hearing. Provides that a hearing on a petitioner's application for medical release is public unless the petitioner requests a non-public hearing. Provides that members of the public shall be permitted to freely attend public hearings on medical release without restriction. Provides that upon denying an eligible petitioner's application for medical release, the Prisoner Review Board shall publish a decision letter outlining the reason for denial. Provides that the decision letter must include an explanation of each statutory factor and the estimated annual cost of the petitioner's continued incarceration, including the petitioner's medical care. Makes technical changes.

Creates the Holistic Overdose Prevention and Equity Act. Creates the Harm Reduction Program Board, with certain requirements. Provides that the Department of Public Health shall issue grants to harm reduction providers, with certain requirements. Establishes a Chief Harm Reduction Officer within the Department. Provides for a place-based approach to harm reduction pilot program. Provides for local government training and continuing education. Provides that naloxone shall be made readily available to all staff and individuals in prisons and jails, with certain requirements. Provides for medication for opioid use disorder and fentanyl testing. Restricts the use of abstinence-only or sobriety requirements to housing, with certain requirements. Limits home rule powers. Makes findings. Defines terms. Amends the Department of Professional Regulation Law of the Civil Administrative Code of Illinois, the Counties Code, the County Jail Act, the Unified Code of Corrections, the Hospital Licensing Act, and the Overdose Prevention and Harm Reduction Act to make conforming changes.

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that on and after January 1, 2026, the reimbursement rates for all dental services for children shall be increased 50% above the rates in effect on December 31, 2025. Effective January 1, 2026.

Amends the Unified Code of Corrections. Creates the Tamms Minimum Security Unit Task Force. Provides for membership on the Task Force. Provides that the Task Force shall study the subject of a practical, efficient, and beneficial repurposing of the Tamms Minimum Security Unit and its property for the benefit of the public, including the possibility of providing mental health services, health services, public safety, law enforcement training purposes, fire services, medical training and any other option for repurposing that the Task Force deems appropriate. Provides that each member of the Task Force shall serve without compensation. Provides that the Task Force shall meet 2 times per year or at the call of the Chairperson. Provides that the Department of Corrections shall provide administrative support to the Task Force. Provides that the Task Force shall submit a report to the Governor and the General Assembly on or before December 31, 2025 with its recommendations and is dissolved on January 1, 2026. Repeals these provisions on January 1, 2026. Effective immediately.

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that subject to federal approval, the Department of Healthcare and Family Services shall increase the base rate of reimbursement for both base charges and mileage charges for medical transportation services provided by means of an air ambulance to a level not lower than 75% of the Medicare ambulance fee schedule rates, by designated Medicare locality.

Creates the Naturopathic Medical Practice Act. Provides for the licensure of naturopathic doctors. Sets forth the qualifications for licensure. Provides the scope of practice of naturopathic doctors. Requires a person licensed under the Act to use specified titles and prohibits a person not licensed under the Act from using specified titles. Creates the Naturopathic Medical Board to oversee the licensure of naturopathic doctors and matters relating to training and licensure of naturopathic doctors. Sets forth the membership and duties of the Board. Contains provisions concerning approved naturopathic medical educational programs; displaying licenses; written collaboration agreements; prohibited actions by a licensee; exemptions; license expiration, renewal, denial, revocation, and continuing education; grounds for disciplinary action; investigations, notice, and hearings; records of proceedings at formal hearings; and confidentiality. Amends the Medical Practice Act of 1987. Authorizes physicians to collaborate with a naturopathic doctor in accordance with the requirements of the Naturopathic Medical Practice Act. Amends the Illinois Controlled Substances Act. Adds naturopathic doctors to meaning of "prescriber" and "prescription". Effective immediately.

Declares May 28, 2025 as Giant Axonal Neuropathy Awareness Day in the State of Illinois to raise public awareness of Giant Axonal Neuropathy (GAN), encourage research efforts, and support affected individuals and their families. Encourages the collaboration of public and private entities, healthcare professionals, and research institutions to advance medical research and treatment options for GAN.

Amends the Substance Use Disorder Act. Requires the Department of Human Services to establish a mechanism to collect research and data regarding overdose prevention sites (OPSs) and prepare a report for the General Assembly within 12 months after the effective date of the amendatory Act. Provides that the report shall contain information on (1) current research on the effectiveness of an OPS as an overdose prevention strategy; (2) OPS best practices for staffing, placement, and activities; and (3) the benefits and challenges of different OPS models - structures and settings. Requires the Department, in collaboration with people with lived experience, to develop a pilot service, subject to available funding, aimed at saving the lives of people who use substances that shall include the establishment of at least one OPS. Requires the pilot OPSs to offer people, who are most likely to use drugs in public, unobserved, high-risk, and unsanitary locations, a safe space to use pre-obtained substances and connect to community supports or other existing treatment and recovery programs, harm reduction services, and health care. Contains provisions concerning certain principles pilot OPSs must abide by; OPS staffing and location requirements; pilot OPS services; and other matters. Permits the Department to approve an entity to operate a pilot program in one or more jurisdictions. Grants criminal and civil immunity to persons who use pilot OPSs services; pilot OPS staff; and any real property owner upon which the OPS site is located or operates. Contains provisions on public awareness outreach; OPS reporting requirements; home rule exemption; and other matters. Effective immediately.