Healthcare

Creates the Parental Notice of Abortion Act of 2025, with provisions similar to those of the Parental Notice of Abortion Act of 1995. Effective immediately.

Amends the Illinois Insurance Code. Provides that a group or individual plan of accident and health insurance or managed care plan amended, delivered, issued, or renewed after January 1, 2026 must provide coverage, no less than once every 12 months, for a peripheral artery disease screening test for any at-risk individual. Amends the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, the School Code, the Health Maintenance Organization Act, the Limited Health Service Organization Act, the Voluntary Health Services Plans Act, and the Illinois Public Aid Code to require coverage under those provisions.

Amends the Illinois Insurance Code. Establishes reimbursement rates for mental health and substance use disorder treatment services for all group or individual policies of accident and health insurance or managed care plans that are amended, delivered, issued, or renewed on or after January 1, 2027 or for any contracted third party administering the behavioral health benefits for the insurer. Requires a group or individual policy of accident and health insurance or managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2026 or any contracted third party administering the behavioral health benefits for the insurer to cover certain medically necessary mental health and substance use disorder treatment services. Provides that, if the Department of Insurance determines that an insurer or a contracted third party administering the behavioral health benefits for the insurer has violated a provision concerning mental health and substance use parity, the Department shall by order assess a civil penalty of $1,000 for each violation. Excludes certain health care plans serving Medicaid populations who are enrolled under the Illinois Public Aid Code or under the Children's Health Insurance Program Act from provisions concerning mental health and substance use parity. Requires the Department to review the impact of the proposed mental health and substance abuse mandate on network adequacy for mental health and substance use disorder treatment and access to affordable mental health and substance use care. Permits the Department to examine out-of-network utilization and out-of-pocket costs for insureds for mental health and substance use treatment and services for all plans to compare with in-network utilization. Amends the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, and the School Code to require coverage under those provisions. Effective immediately.

Amends the Reproductive Health Act. Requires any health care professional, entity, person, clinic, or school to obtain the written consent from a minor's parent or guardian before any health care professional, entity, person, clinic, or school may provide a minor who is under the age of 18 years any non-emergency medical procedure, medication, pharmaceutical, or any gender-modification procedure, gender-identification counseling, or gender therapy.

Amends the Higher Education Student Assistance Act. Provides that, subject to appropriation, the Illinois Student Assistance Commission shall develop and administer a medical education grant program. Provides that the goal of the program shall be to attract capable and promising students to the medical profession, increase the employment and retention of individuals who are receiving additional clinical training in medicine, and reduce any financial barriers in the medical profession. Provides that under the program, grants shall be awarded to eligible medical students and eligible resident or fellow physicians and be used to cover the nontuition costs of attending a medical or osteopathic college or school or receiving specialty or residency training, including, but not limited to, living expenses. Effective July 1, 2025.

Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires hospitals and birthing centers to adopt and maintain written policies and procedures authorizing a patient enrolled in the medical assistance program to select an Illinois Medicaid certified and enrolled doula of the patient's choice to accompany the patient within the facility's premises for the purposes of providing support before, during, and after labor and childbirth, and during the patient's entire postpartum stay. Provides that the doula shall be considered part of the patient's care team and shall not be counted as a support person or against any guest quota. Requires hospitals and birthing centers to provide a written copy of their policies and procedures to maternity patients, the facilities' maternity health care providers, and any other person at the patient's request. Requires publication of the written policies on each facility's website. Contains provisions concerning hospital and birthing center liaisons and doulas certification acknowledgment requirements. Permits the Department of Healthcare and Family Services and the Department of Public Health to establish standing recommendations to meet Centers for Medicare and Medicaid Services requirements and ensure access to preventive services, including Medicaid-covered maternal and reproductive health supports and services.

Amends the Medical Assistance Article of the Illinois Public Aid Code. Repeals provisions that require: (i) the Department of Healthcare and Family Services to consult with stakeholders and General Assembly members for input on a plan to develop enhanced Medicaid rates for substance use disorder treatment and mental health treatment in underserved communities; and (ii) the Department of Healthcare and Family Services and the Department of Human Services to collaborate to review coverage and billing requirements for substance use prevention and recovery and mental health services with the goal of identifying disparities and streamlining coverage and billing requirements to reduce the administrative burden for providers and medical assistance beneficiaries. Effective January 1, 2026.

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that for an extended hospital stay beyond medical necessity due to multiple failed attempts to place an emergency room patient who presented for dementia or other long-term care needs into a nursing or other long-term care facility, the Department of Healthcare and Family Services shall reimburse the hospital at a rate calculated to cover the entire hospital stay if (i) the hospital presents documentation, as prescribed by the Department, of multiple unsuccessful attempts to place the patient in a nursing or other long-term care facility and (ii) if each nursing or long-term care facility the hospital solicited for placement gave a substantially similar reason for denying the patient admission.

Amends the Medical Patient Rights Act. Provides that every health care facility in this State shall permit the next of kin of a patient who is on life support to remain with the patient, at the patient's bedside, irrespective of regular hours of visitation. Provides that health care facilities may institute reasonable policies, including reasonable requirements that promote the health, safety, and welfare of the next of kin, the patient, and the employees and other patients of the health care facility without revoking the basic right afforded to the next of kin of a patient who is on life support. Defines "next of kin".

Makes appropriations for the ordinary and contingent expenses of the Department of Healthcare and Family Services for the fiscal year beginning July 1, 2025, as follows: General Funds $9,358,579,800; Other State Funds $35,543,402,100; Federal Funds $400,000,000; Total $45,301,981,900.