Rep. Thaddeus Jones

Amends the Vital Records Act. Provides that the Department of Public Health shall issue a certificate of birth with the identity of the attending physician redacted upon request by: any person named on the certificate of birth, if the person is 18 years of age or older; a parent of the person named on the certificate of birth; the legal representative of the person named on the certificate of birth; or an attorney at law authorized in writing by the person named on the certificate of birth. Effective 120 days after becoming law. Senate Floor Amendment No. 1 Replaces everything after the enacting clause with the provisions of the introduced bill with the following changes. Requires the Department of Public Health to issue a certificate of birth with the identity of the certifier (rather than the attending physician) redacted upon request by specified persons. Provides that the Department may adopt any rules necessary to implement the amendatory provisions. House Floor Amendment No. 1 Deletes reference to: 410 ILCS 535/17.1 new Adds reference to: 20 ILCS 5/5-565 was 20 ILCS 5/6.06 20 ILCS 2105/2105-15.7 20 ILCS 5170/100-5 20 ILCS 5180/130-10 110 ILCS 330/8d 210 ILCS 85/6.28 410 ILCS 67/5-17 new 410 ILCS 67/5-15 rep. 410 ILCS 165/72-15 Replaces everything after the enacting clause. Amends the Departments of State Government Law of the Civil Administrative Code of Illinois. Provides that it shall be the duty of the State Board of Health, among other duties, to deliver to the Governor for presentation to the General Assembly a State Health Assessment and a State Health Improvement Plan, with the fifth of such deliveries to be made on December 31, 2022 (rather than June 30, 2022). Amends the Department of Professional Regulation Law of the Civil Administrative Code of Illinois. Provides that for license or registration renewals occurring on or after January 1, 2023 (rather than January 1, 2022), a health care professional who has continuing education requirements must complete at least a one-hour course in training on implicit bias awareness per renewal period. Amends the University of Illinois Hospital Act and the Hospital Licensing Act. Changes the repeal date of Sections concerning N95 masks from December 31, 2021 to December 31, 2022. Amends the Community Health Worker Certification and Reimbursement Act. Provides that the Community Health Workers Review Board shall be established to advise the Department of Public Health as it seeks to develop a Community Health Worker Certification Program. Creates the Illinois Community Health Worker Certification Program within the Department of Public Health for the development and oversight of initial community health workers certification and certification renewals for both individuals and community-based and academic training programs. Provides that the Board shall advise and recommend a certification process for and be authorized to approve training from community-based organizations, in conjunction with a statewide association of community health workers and academic institutions, in consultation with the specified entities. Contains requirements for the program. Contains provisions regarding administrative decisions, processes, review, and procedure. Provides that, subject to appropriation, the Department shall waive or pay for any administrative fees charged to a community health worker certificate holder under the Act. Contains other provisions. Repeals provisions regarding the Illinois Community Health Worker Certification Board. Amends the Special Commission on Gynecologic Cancers Act, the Anti-Racism Commission Act, and the Underlying Causes of Crime and Violence Study Act. Changes the due date of final reports from December 31, 2021 to December 31, 2022. Effective immediately. House Floor Amendment No. 2 Adds reference to: 305 ILCS 5/5-5.05 Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that, effective with dates of service on and after January 1, 2022, any general acute care hospital with more than 9,500 inpatient psychiatric Medicaid days in any calendar year shall be paid the inpatient per diem rate of no less than $630. House Floor Amendment No. 3 Adds reference to: 410 ILCS 70/1a from Ch. 111 1/2, par. 87-1a 410 ILCS 70/1a-1 410 ILCS 70/2 from Ch. 111 1/2, par. 87-2 410 ILCS 70/2-1 410 ILCS 70/2.05 410 ILCS 70/2.05-1 410 ILCS 70/2.06 410 ILCS 70/2.06-1 410 ILCS 70/2.1 from Ch. 111 1/2, par. 87-2.1 410 ILCS 70/2.1-1 410 ILCS 70/2.2 410 ILCS 70/2.2-1 410 ILCS 70/3 from Ch. 111 1/2, par. 87-3 410 ILCS 70/3-1 410 ILCS 70/5 from Ch. 111 1/2, par. 87-5 410 ILCS 70/5-1 410 ILCS 70/5.1 410 ILCS 70/5.1-1 410 ILCS 70/5.2 410 ILCS 70/5.2-1 410 ILCS 70/5.3 410 ILCS 70/5.3-1 410 ILCS 70/5.5 410 ILCS 70/5.5-1 410 ILCS 70/6.1 from Ch. 111 1/2, par. 87-6.1 410 ILCS 70/6.1-1 410 ILCS 70/6.2 from Ch. 111 1/2, par. 87-6.2 410 ILCS 70/6.2-1 410 ILCS 70/6.4 from Ch. 111 1/2, par. 87-6.4 410 ILCS 70/6.4-1 410 ILCS 70/6.5 410 ILCS 70/6.5-1 410 ILCS 70/6.6 410 ILCS 70/6.6-1 410 ILCS 70/7 from Ch. 111 1/2, par. 87-7 410 ILCS 70/7-1 410 ILCS 70/7.5 410 ILCS 70/7.5-1 410 ILCS 70/8 from Ch. 111 1/2, par. 87-8 410 ILCS 70/8-1 410 ILCS 70/10 410 ILCS 70/10-1 Amends the Sexual Assault Survivors Emergency Treatment Act. Provides that specified provisions are repealed on December 31, 2023 (rather than December 31, 2021) and that other specified provisions take effect on and after January 1, 2024 (rather than January 1, 2022 or July 1, 2021, as applicable).

Mourns the death of Marion Keller.

Congratulates John Clancy on his 100th birthday.

Amends the Medical Assistance Article of the Illinois Public Aid Code. Exempts transportation services, including those transportation services provided by ground ambulance service providers, medi-car providers, service car providers, and taxi service providers, from the State's managed care medical assistance program. Provides that these services shall continue to be paid under the State's traditional fee-for-service program. House Floor Amendment No. 1 Requires the Department of Healthcare and Family Services to exempt ground ambulance services from the State's managed care medical assistance program (rather than exempt transportation services, including those transportation services provided by ground ambulance service providers, medi-car providers, service car providers, and taxi service providers).

Amends the Illinois Insurance Code. Makes a technical change in a Section concerning the short title. House Floor Amendment No. 1 Deletes reference to: 215 ILCS 5/1 Adds reference to: 215 ILCS 5/356z.43 new 215 ILCS 125/5-3 from Ch. 111 1/2, par. 1411.2 Replaces everything after the enacting clause. Amends the Illinois Insurance Code. Provides that an individual or group policy of accident and health insurance or managed care plan that is amended, delivered, issued, or renewed on or after the effective date of the amendatory Act shall provide coverage for medically necessary comprehensive cancer testing and testing of blood or constitutional tissue for cancer predisposition testing as determined by a physician licensed to practice medicine in all of its branches. Provides that the coverage shall be provided without any prior authorization requirements. Defines terms. Makes a corresponding change in the Health Maintenance Organization Act. Senate Committee Amendment No. 1 Replaces everything after the enacting clause with the provisions of the engrossed bill with the following changes. Removes provisions amending the Illinois Insurance Code that provide that coverage for comprehensive cancer testing shall be provided without any prior authorization requirements. Removes a definition of "prior authorization".

Amends the Emergency Medical Services (EMS) Systems Act. Provides that when a patient has been determined by EMS personnel to (1) have no immediate life-threatening injuries or illness, (2) not be under the influence of drugs or alcohol, (3) have no immediate or obvious need for transport to an emergency department, and (4) have an immediate need for transport to an EMS System-approved mental health facility, the EMS personnel may contact Online Medical Control or his or her EMS Medical Director or Emergency Communication Registered Nurse to request bypass or diversion of the closest emergency department and request transport to the closest or appropriate EMS System-approved mental health facility. Senate Floor Amendment No. 2 Replaces everything after the enacting clause with the provisions of the introduced bill with the following change. Provides that EMS personnel may transport a patient to an EMS System-approved urgent care or immediate care facility that meets the proper criteria and is approved by Online Medical Control or his or her EMS Medical Director or Emergency Communications Registered Nurse. House Floor Amendment No. 5 Adds reference to: 210 ILCS 50/3.10 210 ILCS 50/3.50 210 ILCS 50/3.85 Replaces everything after the enacting clause with the provisions of the engrossed bill with the following changes: Further amends the Emergency Medical Services (EMS) Systems Act. Provides that "non-emergency medical services" means the provision of, and all actions necessary before and after the provision of, Basic Life Support (BLS) Services, Advanced Life Support (ALS) Services, and critical care transport (rather than means medical care, clinical observation, or medical monitoring rendered) to specified patients using a vehicle regulated by the Act and personnel licensed under the Act (rather than only using a vehicle regulated under the Act). Removes language providing that an Emergency Medical Responder provides emergency medical response services prior to the arrival of an ambulance or specialized medical services vehicle. Requires the Department of Public Health to create standards and requirements with respect to alternative vehicle staffing models for private, nonpublic local government employers (rather than vehicle staffing models) that include an Emergency Medical Responder who drives an ambulance with a licensed EMT, EMT-I, A-EMT, Paramedic, or PHRN, as appropriate, in the patient compartment providing care to the patient pursuant to the approval of the EMS System Program Plan developed and approved by the EMS Medical Director for an EMS System. Provides that the Department shall monitor the implementation and performance of alternative staffing models and may issue a notice of termination of an alternative staffing model only upon evidence that an EMS System Program Plan is not being adhered to. Provides that an EMS System Program Plan for a Basic Life Support transport utilizing an EMR and an EMT shall include specified requirements. Makes other changes. Effective immediately.

Amends the Medical Assistance Article of the Illinois Public Aid Code. In a provision requiring the Department of Healthcare and Family Services to establish, by rule, a process by which a provider of ambulance services can appeal a denied request for payment of ambulance services (rather than payment of non-emergency transportation by means of ground ambulance service), provides that for all appeals concerning ambulance services provided on and after December 15, 2012, the provider shall establish the medical necessity of the transport utilizing the patient care report and any other materials available in accordance with specified criteria established under the Code. Provides that a Physician Certification Statement, Certificate of Transportation Services, or Medical Certification for Non-Emergency Ambulance form is not necessary to establish subject matter jurisdiction for appeal or medical necessity on appeal but may be considered if available. Provides that all Department rules, or parts thereof, in conflict with the provisions of the amendatory Act shall not apply. Provides that nothing in the amendatory Act shall be construed to affect any rights, actions, or causes of action that accrued prior to the effective date of the amendatory Act, except that the non-necessity of a Physician Certification Statement, Certificate of Transportation Services, or Medical Certification for Non-Emergency Ambulance form as provided in the amendatory Act shall be retroactively applied to the full extent permissible. Senate Floor Amendment No. 1 Replaces everything after the enacting clause. Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that for all claims concerning ambulance services provided to fee-for-service Medicaid beneficiaries denied for failure of submittal of a valid Physician Certification Statement, Certificate of Transportation Services, or Medical Certification for Non-Emergency Ambulance provided on and after December 15, 2012, the provider shall be able to appeal such denial and establish the medical necessity of the transport utilizing the patient care report and any other materials available in accordance with specified criteria established under the Code. Provides that a Physician Certification Statement, Certificate of Transportation Services, or Medical Certification for Non-Emergency Ambulance form is not necessary to establish subject matter jurisdiction for appeal or medical necessity on appeal but may be considered if available. Provides that all Department rules, or parts thereof, in conflict with the provisions of the amendatory Act shall not apply. Provides that nothing in the amendatory Act shall be construed to affect any rights, actions, or causes of action that accrued prior to the effective date of the amendatory Act, except that the non-necessity of a Physician Certification Statement, Certificate of Transportation Services, or Medical Certification for Non-Emergency Ambulance form as provided in the amendatory Act shall be retroactively applied to the full extent permissible, including allowing any claims denied for failure to 4procure such form which were not appealed at the time of denial to have an opportunity for proper appeal. House Floor Amendment No. 1 Replaces everything after the enacting clause. Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that for non-emergency ground ambulance claims properly denied under the policy of the Department of Healthcare and Family Services at the time the claim is filed due to failure to submit a valid Medical Certification for Non-Emergency Ambulance on and after December 15, 2012 and prior to January 1, 2021, the Department shall allot $2,000,000 to a pool to reimburse such claims if the provider proves medical necessity for the service by other means. Requires providers to submit any such denied claims for which they seek compensation to the Department no later than December 31, 2021 along with documentation of medical necessity. Provides that no later than May 31, 2022, the Department shall determine for which claims medical necessity was established. Provides that such claims for which medical necessity was established shall be paid at the rate in effect at the time of the service, provided the $2,000,000 is sufficient to pay at those rates. Provides that if the pool is not sufficient, claims shall be paid at a uniform percentage of the applicable rate such that the pool of $2,000,000 is exhausted. Provides that the appeal process described in a specified provision of the Code shall not be applicable to the Department's determinations. Effective immediately.

Creates the Community Emergency Services and Supports Act. Provides that the Act applies to every unit of local government that provides or coordinates ambulance or similar emergency medical response or transportation services for individuals with emergency medical needs. A home rule unit may not respond to or provide services for a mental or behavioral health emergency, or create a transportation plan or other regulation, relating to the provision of mental or behavioral health services in a manner inconsistent with this Act. Provides that one plan shall describe how the EMS Region will provide mobile emergency mental and behavioral health services to individuals who do not present as a threat to the responders, and are not involved in criminal activity at the time of the response. Provides that the plan shall conform to the requirements of the Act and, recognizing the variety of systems, services, and needs across the State, provide the specific requirements and guidance appropriate for that region. Provides that the plan shall be identified as the region's community emergency services and supports plan. Provides that the second plan shall describe the manner and extent to which responders operating under the region's Community Emergency Services and Supports Plan coordinate with law enforcement when responding to individuals who appear to be in a mental or behavioral health emergency while engaged in conduct alleged to constitute a non-violent misdemeanor. Provides that the plan shall be identified as the region's Non-Violent Misdemeanor Coordination Plan. Amends the Emergency Telephone System Act to make conforming changes. Effective immediately. Fiscal Note (Dept. of Human Services) The fiscal impact to IDHS to provide for the establishment and oversight on the committees would be minimal. House Floor Amendment No. 1 Replaces everything after the enacting clause. Creates the Community Emergency Services and Support Act. Provides that each 9-1-1 call center and provider of emergency services dispatched through a 9-1-1 system must coordinate with the mobile mental and behavioral health services established by the Division of Mental Health of the Department of Human Services so that the following State goals and State prohibitions are met whenever a person interacts with one of these entities for the purpose seeking emergency mental and behavioral health care or when one of these entities recognizes the appropriateness of providing mobile mental or behavioral health care to an individual with whom they have engaged. Provides that the Division of Mental Health is also directed to provide guidance regarding whether and how these entities should coordinate with mobile mental and behavioral health services when responding to individuals who appear to be in a mental or behavioral health emergency while engaged in conduct alleged to constitute a non-violent misdemeanor. Provides that 9-1-1 call centers, emergency services dispatched through 9-1-1 call centers, and the mobile mental and behavioral health service established by the Division of Mental Health must coordinate their services so that certain specified State prohibitions are avoided. Provides that the Division of Mental Health shall establish regional advisory committees in each EMS Region to advise on emergency response systems for mental and behavioral health. Provides that the Act applies to persons of all ages, both children and adults. Provides that the Act does not limit an individual's right to control his or her own medical care. No provision of this Act shall be interpreted in such a way as to limit an individual's right to choose his or her preferred course of care or to reject care. Provides that no provision of this Act shall be interpreted to promote or provide justification for the use of restraints when providing mental or behavioral health care. Amends the Emergency Telephone System Act to make conforming changes. Senate Committee Amendment No. 1 Deletes reference to: 50 ILCS 750/4 Replaces everything after the enacting clause. Creates the Community Emergency Services and Support Act. Provides that each 9-1-1 call center and provider of emergency services dispatched through a 9-1-1 system must coordinate with the mobile mental and behavioral health services established by the Division of Mental Health of the Department of Human Services so that the following State goals and State prohibitions are met whenever a person interacts with one of these entities for the purpose seeking emergency mental and behavioral health care or when one of these entities recognizes the appropriateness of providing mobile mental or behavioral health care to an individual with whom they have engaged. The Division of Mental Health is also directed to provide guidance regarding whether and how these entities should coordinate with mobile mental and behavioral health services when responding to individuals who appear to be in a mental or behavioral health emergency while engaged in conduct alleged to constitute a non-violent misdemeanor. Provides that 9-1-1 PSAPs, emergency services dispatched through 9-1-1 PSAPs, and the mobile mental and behavioral health service established by the Division of Mental Health must coordinate their services so that the State goals listed in this Section are achieved. Appropriate mobile response service for mental and behavioral health emergencies shall be available regardless of whether the initial contact was with 9-8-8, 9-1-1 or directly with an emergency service dispatched through 9-1-1. Provides that the Division of Mental Health shall establish a Statewide Advisory Committee to review and make recommendations for aspects of coordinating 9-1-1 and the 9-8-8 mobile mental health response system most appropriately addressed on a State level. Provides that the Division of Mental Health shall establish Regional Advisory Committees in each EMS Region to advise on regional issues related to emergency response systems for mental and behavioral health. Provides that the exemptions from civil liability in the Emergency Telephone Systems Act apply to any act or omission in the development, design, installation, operation, maintenance, performance, or provision of service directed by the Act. Provides that the Act applies to persons of all ages, both children and adults. This Act does not limit an individual's right to control his or her own medical care. No provision of this Act shall be interpreted in such a way as to limit an individual's right to choose his or her preferred course of care or to reject care. No provision of this Act shall be interpreted to promote or provide justification for the use of restraints when providing mental or behavioral health care. Senate Floor Amendment No. 2 Make technical and stylistic changes in the bill as amended by Senate Amendment No. 1. Adds additional responsibilities for 9-1-1 Public Safety Answering Point telecommunicators and emergency service providers. Places the applicability and home rule preemption provisions in a separate Section of the bill.

Amends the Illinois Insurance Code. In provisions concerning enterprise risk filings, describes insurance holding company systems that are required to file an annual group capital calculation and those that are exempt from filing a group capital calculation. Provides that the ultimate controlling person of every insurer subject to registration and scoped into the NAIC Liquidity Stress Test Framework shall file the results of a specific year's liquidity stress test. Sets forth restrictions on insurer publishing. In provisions concerning credit allowed for domestic ceding insurers, provides terms by which credit is allowed for reinsurance. Provides that credit shall be allowed when reinsurance is ceded to an assuming insurer that meets specified conditions. Provides that the Director shall timely create and publish a list of reciprocal jurisdictions. Provides that the Director shall timely create and publish a list of assuming insurers that have satisfied specified conditions and to which cessions shall be granted. Provides that the Director may revoke or suspend the eligibility of the assuming insurer. Provides that the ceding insurer or its representative may seek and obtain an order requiring that the assuming insurer post security for all outstanding ceded liabilities under specified conditions. Provides that credit may be taken only for reinsurance agreements entered into, amended, or renewed on or after the effective date of the amendatory Act and only for losses incurred and reported on or after specified dates. Provides that the amendatory Act shall not limit or in any way alter the capacity of parties to a reinsurance agreement to agree on requirements for security or other terms in that reinsurance agreement except as expressly prohibited by applicable law or regulation, shall not authorize an assuming insurer to withdraw or reduce the security provided under any reinsurance agreement except as permitted by the terms of the agreement, and shall not limit or in any way alter the capacity of parties to any reinsurance agreement to renegotiate the agreement. Defines "group capital calculation instructions", "NAIC Liquidity Stress Test Framework", and "scope criteria". Makes other changes. Effective December 31, 2022. Senate Committee Amendment No. 1 In provisions of the Insurance Holding Company Systems Article of the Illinois Insurance Code concerning confidential treatment of documents, materials, or other information, makes changes concerning the information reported or provided to the Department of Insurance that is recognized by the State as being proprietary and to contain trade secrets, and is confidential by law and privileged, not subject to the Freedom of Information Act, not subject to subpoena, and not subject to discovery or admissible in evidence in any private civil action.

Amends the Department of Transportation Law of the Civil Administrative Code of Illinois. Requires the Department of Transportation to establish and implement a transportation performance program for all transportation facilities under its jurisdiction. Provides that the Department shall develop a risk-based, statewide highway system asset management plan to preserve and improve the conditions of highway and bridge assets and enhance the performance of the system while minimizing life-cycle cost. Provides that the asset management plan shall include, at a minimum, strategies leading to a program of projects that would make progress toward achievement of targets for asset condition and performance of the State highway system. Provides that the asset management plan shall be made publicly available on the Department's website. Provides that the Department shall develop a needs-based asset management plan for State-supported public transportation assets, including vehicles, facilities, equipment, and other infrastructure. Limits the plan to certain transit services. Provides that the Department shall develop a performance-based project selection process to prioritize taxpayer investment in transportation assets that go above and beyond maintaining the existing system in a state of good repair and to evaluate projects that add capacity. Adds various requirements regarding the new asset management plan and performance-based programming. Effective immediately. House Floor Amendment No. 1 Adds reference to: 70 ILCS 3615/2.39 new Replaces everything after the enacting clause. Amends the Department of Transportation Law of the Civil Administrative Code. Requires the Department of Transportation to develop and publish a statewide multi-modal transportation improvement program for all transportation facilities under its jurisdiction and outlines the methods for developing the program. Requires the Department to develop a needs-based transit asset management plan for State-supported public transportation assets and make the plan publicly available on the Department's website. Requires the Department to develop a performance-based project selection process to prioritize taxpayer investment in State-owned transportation assets that add capacity, with input from specified stakeholders. Requires a summary of the project evaluation process, measures, program, and scores for all candidate projects to be published on the Department website in a timely manner. Amends the Regional Transportation Authority Act. Requires the Regional Transportation Authority to develop a transparent prioritization process for Northeastern Illinois transit projects receiving State capital funding. Requires a summary of the project evaluation process, measures, program, and scores or prioritization criteria for all candidate projects to be published on the Authority's website in a timely manner. Provides that, starting April 1, 2022, no project shall be included in the 5-year capital program, or amendments to that program, without being evaluated under the selection process. Effective immediately.