Healthcare (Healthcare Workforce)

Amends the Nurse Practice Act. Provides that the Act does not prohibit the practice of relevant nursing care by a legally responsible caregiver or a person designated by a legally responsible caregiver who has been certified as a certified family health aide for the specified services. Amends the Illinois Public Aid Code. Establishes requirements for the Department of Healthcare and Family Services to apply for a Home and Community-Based Services State Plan amendment and federal waiver amendment necessary to reimburse a legally responsible caregiver or a person designated by a legally responsible caregiver who has achieved certification as a certified family health aide to perform the specified services. Creates the Certified Family Health Aide Program for Children and Adults Act. Establishes certification requirements for a certified family health aide through the Department of Financial and Professional Regulation. Provides that a certified family health aides must be legally responsible caregiver and 18 years or older, have a relationship with a specified family member, and be certified to perform or assist in performing the specified nursing services. Amends the Home Health, Home Services, Home Nursing Act to include a certified family health aide under a home nursing agency and provides training and recordkeeping requirements for home nursing agencies. Amends the Alternative Health Care Delivery Act and the Hospital Licensing Act to require similar training and recordkeeping requirements in children's community-based health care center and in hospitals managing the care of an individual being discharged under the care of a home nursing agency.

Amends the Medical Assistance Article of the Illinois Public Aid Code. In provisions concerning PDPM STRIVE staffing ratio calculations for nursing facilities, provides that beginning January 1, 2025, the staffing percentage used in the calculation of the per diem staffing add-on shall be its PDPM STRIVE Staffing Ratio which equals: its Reported Total Nurse Staffing Hours Per Resident Per Day as published in the most recent federal staffing report (the Provider Information file), divided by the facility's PDPM STRIVE Staffing Target. Provides that each facility's PDPM STRIVE Staffing Target is equal to .76 times the facility's Illinois Adjusted Facility Case-Mix Hours Per Resident Per Day. Provides that a facility's Illinois Adjusted Facility Case-Mix Hours Per Resident Per Day is equal to its Nursing Case-Mix (as published in the most recent federal Provider Information file) divided by 1.4627 times 3.79 (which is the Reported Total Nurse Staffing Hours Per Resident Per Day for the Nation as reported in the January 2024 State US Averages file). Effective July 1, 2025.

Amends the Pharmacy Practice Act and the Illinois Controlled Substances Act. Provides that any authorized employee (instead of an advanced practice registered nurse, practical nurse, registered nurse, or physician) of an organization that provides hospice services to a hospice patient or that provides home health services to a person may receive a patient's prescription orders, including controlled substances, and deliver the prescription orders to the patient.

Amends the School Code. Provides that, subject to appropriation, the State Board of Education shall establish a program of paid internships for students enrolled in educator preparation programs in the school support personnel endorsement areas of school social worker, school psychologist, school counselor, school nurse, and speech-language pathologist. Sets forth provisions concerning the program. Provides that, subject to appropriation, the State Board of Education shall establish and maintain a mentorship and recruitment program to develop and maintain interest in the school support personnel endorsement areas of school social worker, school psychologist, school counselor, school nurse, and speech-language pathologist. Sets forth provisions concerning the program. Amends the Higher Education Student Assistance Act. Provides that subject to appropriation, beginning with the 2025-2026 academic year, the Illinois Student Assistance Commission shall establish a school support personnel educator preparation scholarship program to annually award up to 250 scholarships for school psychology, school counseling, school nursing, and school speech-language pathology. Sets forth provisions concerning the scholarship program. Provides that, to encourage Illinois students to enter the fields of school psychology, school counseling, school nursing, and school speech-language pathology and to continue to work in those fields in public schools in this State, the Commission shall, each year, receive and consider applications for loan repayment assistance under a School Support Personnel Work Shortage Loan Repayment Program. Sets forth provisions concerning the Program. Effective immediately.

Amends the Nurse Practice Act. Provides that one of the criteria that the Board of Nursing shall take into consideration when reviewing a registered professional nurse education program is whether the program satisfies specified criteria in provisions regarding program effectiveness (rather than satisfies the measurement of program effectiveness based on a passage rate of all graduates over the 3 most recent calendar years without reference to first-time test takers). Provides that, in order for a program to obtain initial Department of Financial and Professional Regulation approval and to maintain Department approval, the passage rates of the program's graduating classes on the State-approved licensure exam must meet one of the measurements of program effectiveness (rather than be deemed satisfactory by the Department). Provides that a registered professional nurse education program meeting one of the measurements of program effectiveness shall be deemed in good standing. Provides that the Department may, without hearing, rescind the license of any person who obtained a license or other authorization to practice under the Act based on educational credits received from a registered professional nurse education program that did not meet a set of requirements during the time period when the person obtained the credits. Sets forth requirements for program effectiveness. Effective immediately.

Amends the Illinois Dental Practice Act. Creates a license for dental therapists. Sets forth requirements for licensure, a written collaborative management agreement, the examination of applicants, and the scope of practice. Requires the Department of Financial and Professional Regulation to maintain a list of the names and addresses of all dentists, dental therapists, and dental hygienists and of all persons whose licenses have been suspended or revoked, together with other information relative to the enforcement of the Act. Makes conforming changes.

Amends the Department of Early Childhood Act. Expands the definition of "eligible infants and toddlers" to list infants having a birth weight less than 1,000 grams. Requires the Department of Early Childhood, as the designated lead agency to administer the system of early intervention services on and after July 1, 2026, to develop informational materials and handouts for hospitals to distribute to the parents or legal guardians of severely premature infants, explaining that infants having a birth weight of less than 1,000 grams automatically qualify for early intervention services up until their 3rd birthday. Provides that the informational materials and handouts shall also contain information on the benefits of early intervention services for severely premature infants, the website addresses and phone numbers that parents and legal guardians can access to obtain more information on early intervention services, and the contact information of the early intervention regional intake entity designated to coordinate services for eligible infants. Requires the statewide system of coordinated, comprehensive, interagency and interdisciplinary early intervention programs to include in its public awareness program, a special focus on the early identification of infants who automatically qualify for early intervention services on account of having a birth weight less than 1,000 grams. Amends the Hospital Licensing Act. Requires hospitals to distribute, free of charge, to the parents or legal guardians of each severely premature infant having a birth weight of less than 1,000 grams informational materials and handouts developed by the Department of Early Childhood on the availability of early intervention services for severely premature infants. Requires a nurse or physical therapist to review the proffered materials with the infant's parents or legal guardians prior to discharge and explain that premature infants having a birth weight of less than 1,000 grams automatically qualify for early intervention services up until their 3rd birthday, including speech, physical, occupational, and other therapies.

Amends the Illinois Occupational Therapy Practice Act. Requires a licensed occupational therapist or licensed occupational therapy assistant who intends to provide services for individuals, groups, and populations concerning occupational therapy needs without a referral to do so within the licensee's scope of practice. Provides that a referral is not required for the purpose of providing consultations, habilitation services, screenings, education, wellness services, preventions services, environmental assessments, and work-related ergonomic services. Provides that, except for occupational therapy services within the licensee's scope of practice at the time of evaluation and services provided pursuant to provisions concerning when referrals are not required, an occupational therapist shall refer a patient to the patient's treating health care professional of record, or to a health care professional of the patient's choosing if there is no health care professional of record, if the patient meets certain criteria. Provides that an occupational therapist shall refer a patient to the patient's treating health care professional of record, or to a health care professional of the patient's choosing if there is no health care professional of record if the patient does not demonstrate measurable or function improvement after 10 visits (rather than after 10 visits or 15 business days, whichever occurs first).

Amends the Mental Health and Developmental Disabilities Administrative Act. To provide for the safety of mental health care patients and staff members, provides for no fewer than 2 registered nurses and no fewer than 2 mental health technicians to be assigned to any unit at any time in the following State-operated hospitals: (1) the Alton Mental Health Center, at Alton; (2) the Chicago-Read Mental Health Center, at Chicago; (3) the Clyde L. Choate Mental Health and Developmental Center, at Anna; (4) the Elgin Mental Health Center, at Elgin; (5) the John J. Madden Mental Health Center, at Hines; and (6) the Elizabeth Parsons Ware Packard Mental Health Center, at Springfield. Provides that, if a registered nurse or mental health technician is assigned to 2 or more units, the calculation of the number of registered nurses or mental health technicians who are assigned to a unit shall be calculated for each registered nurse or mental health technician as one divided by the number of units to which the registered nurse or mental health technician is assigned. Effective immediately.

Amends the Mental Health Early Action on Campus Act. Provides that the expert panel designated by the board of trustees to develop and implement policies and procedures shall be comprised of at least 2 administrators, 2 members of faculty, and one mental health professional. Requires each public college or university to provide at least 3 on-site licensed clinical professional counselors or licensed clinical social workers.