Rep. Robyn Gabel

Amends the Medical Assistance Article of the Illinois Public Aid Code. Expands the list of covered services under the medical assistance program to include services performed by a chiropractic physician licensed under the Medical Practice Act of 1987 and acting within the scope of his or her license, including, but not limited to, chiropractic manipulative treatment. Removes a provision that eliminates adult chiropractic services as a covered service under the medical assistance program.

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that beginning July 1, 2022 for State Fiscal Year 2023 and for every State fiscal year thereafter, the Medicaid add-on payment for mental health intensive outpatient services - child program provided under the S 9480 code shall increase by $35.58 per service unit, for a total add-on payment of $71.16 per service unit. Effective immediately.

Appropriates $8,000,000, or so much thereof as may be necessary, from the General Revenue Fund to the Illinois Emergency Management Agency for grants to not-for-profit organizations for security improvements that assist the organization in preventing, preparing for, or responding to acts of terrorism.

Appropriates $ 30,000,000 from the Personal Property Tax Replacement Fund to the Illinois Department of Public Health for the purpose of making Local Health Protection Grants to Certified Local Health Departments. Effective July 1, 2021.

Amends the Mental Health and Developmental Disabilities Administrative Act. Makes a technical change in a Section concerning the purpose of the Act.

Amends the Illinois Public Aid Code. Provides that effective for dates of service on or after January 1, 2023, the psychiatric standardized amount for psychiatric ambulatory services, categories of service 27 and 28, shall be no less than $402.92. Effective immediately.

Creates the Mental Health Inpatient Facility Access Act. Requires the Department of Human Services' Division of Mental Health to develop a written, strategic plan that comprehensively addresses improving access to inpatient psychiatric beds in State-operated mental health facilities for individuals needing a hospital level of care. Provides that the plan shall include annual training requirements for State-operated inpatient mental health facility clinicians, regular and periodic mental health assessments of individuals admitted to State-operated facilities, updated facility policies and procedures aimed at increasing opportunities for home visits and work programs that assist with community reintegration, steps to increase access to community-based mental health services that provide outpatient alternatives and step-down services, certification requirements for mental health clinicians, and other matters. Requires the plan to be made publicly available in one year. Prohibits the Department from making further reductions in State-operated inpatient mental health bed capacity. Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services, in collaboration with the Department of Human Services, to allow for hospital presumptive eligibility for Medicaid enrollment for individuals presenting in hospital emergency rooms who are in a psychiatric crisis and meet the federal criteria for hospital presumptive eligibility. Requires the Department of Healthcare and Family Services to amend its Illinois Continuity of Care and Administrative Simplification 1115 Waiver if necessary to implement hospital presumptive eligibility as permitted under the amendatory Act. Effective immediately.

Amends the Illinois Insurance Code. Makes a technical change in a Section relating to long-term care insurance. House Floor Amendment No. 1 Deletes reference to: 215 ILCS 5/351A-4 Adds reference to: New Act 215 ILCS 5/356z.41 Replaces everything after the enacting clause. Creates the Access to Affordable Insulin Act. Sets forth provisions concerning an insulin urgent-need program. Provides that by July 1, 2022, each manufacturer shall establish procedures to make insulin available to eligible individuals who are in urgent need of insulin or who are in need of access to an affordable insulin supply. Sets forth provisions concerning insulin urgent-need program exceptions, eligibility, forms, applications, claims and reimbursement, copayments, information sheets, navigators, and penalties. Defines terms. Amends the Illinois Insurance Code. In provisions concerning cost sharing in prescription insulin drugs, provides that an insurer that provides coverage for prescription insulin drugs under the terms of a health coverage plan the insurer offers shall limit the total amount that an insured is required to pay for a 30-day supply of covered prescription insulin drugs at an amount not to exceed $35 (rather than $100). Effective immediately.

Amends the Children and Family Services Act. Provides that the Illinois Juvenile Justice Commission shall study and make recommendations to the General Assembly regarding the availability of youth services to reduce the use of detention and prevent deeper criminal involvement. Amends the Juvenile Court Act of 1987. Provides that it is the goal of the Act to ensure that detention is the last resort and for as short a time as possible. Provides that on and after July 1, 2021, any minor 13 years of age or older arrested under this Act where there is probable cause to believe that the minor is a delinquent minor and that (i) secure custody is a matter of immediate and urgent necessity in light of a serious threat to the physical safety of a person or persons in the community or to secure the presence of the minor at the next hearing, as evidenced by a demonstrable record of willful failure to appear at a scheduled court hearing within the last 12 months, may be kept or detained in an authorized detention facility. Provides that a minor must be at least 13 (rather than 10) years of age to be placed in detention. Effective immediately. House Floor Amendment No. 1 Provides that on and after July 1, 2021, except as specified, any minor 13 years of age or older arrested under this Act where there is probable cause to believe that the minor is a delinquent minor and that secure custody is a matter of immediate and urgent necessity in light of a serious threat to the physical safety of a person or persons in the community or to secure the presence of the minor at the next hearing, as evidenced by a demonstrable record of willful failure to appear at a scheduled court hearing within the last 12 months, may be kept or detained in an authorized detention facility. Provides that individuals of 11 or 12 years of age may be detained in an authorized detention facility until a specified date if certain conditions are met. Makes other changes. Fiscal Note (Department of Juvenile Justice) Bill 3767 would have no fiscal impact on the Department of Juvenile Justice.

Amends the Environmental Protection Act. Requires the Environmental Protection Agency to annually review and update the underlying data for, and use of, indicators used to determine whether a community is designated as an environmental justice community and to establish a process by which communities not designated as environmental justice communities may petition for such a designation. Provides that an applicant for a permit for the construction of a new source that will become a major source subject to the Clean Air Act Permit Program to be located in an environmental justice community or a new source that has or will require a federally enforceable State operating permit and that will be located in an environmental justice community must conduct a public meeting prior to submission of the permit application and must submit with the permit application an environmental justice assessment identifying the potential environmental and health impacts to the area associated with the proposed project. Provides requirements for the environmental justice assessment. Provides that a supplemental fee of $200,000 for each construction permit application shall be assessed if the construction permit application is subject to the requirements regarding the construction of a new source located in an environmental justice community. Contains provisions regarding public participation requirements for permitting transactions in an environmental justice community. Provides that, if the Agency grants a permit to construct, modify, or operate a facility that emits air pollutants and is classified as a minor source, a third party may petition the Pollution Control Board for a hearing to contest the issuance of the permit. Contains provisions regarding environmental justice grievances. Defines "environmental justice community". Contains other provisions. House Floor Amendment No. 1 Adds reference to: 415 ILCS 5/39.5 from Ch. 111 1/2, par. 1039.5 Replaces everything after the enacting clause with the provisions of the introduced bill with the following changes. Removes language requiring the Environmental Protection Agency to annually review and update the underlying data for, and use of, indicators used to determine whether a community is designated as an environmental justice community. Requires the Agency to conduct an evaluation of a prospective CAAPP permit owner's or operator's prior experience in owning and operating sources of air pollution. Provides that the Agency may deny such a permit if the prospective owner or operator or any employee or officer of the prospective owner or operator or any employee or board member has a history of specified criminal actions. Removes language requiring the air dispersion modeling to examine air quality related impacts to determine estimated emissions of specified pollutants. Makes other changes.