Rep. Nick Smith

Amends the Community Mental Health Act. Makes a technical change in a Section concerning the short title. Senate Floor Amendment No. 1 Deletes reference to: 405 ILCS 20/0.1 Adds reference to: 410 ILCS 620/17.2 Replaces everything after the enacting clause. Amends the Illinois Food, Drug and Cosmetic Act. Provides that the prohibition on import for profit, sale, or offer for sale in this State of specified cosmetics developed or manufactured using an animal test does not apply to an animal test that was conducted for noncosmetic purposes in response to a requirement of a federal, State, or foreign regulatory authority unless there is (i) documented evidence of the noncosmetic intent of the test and (ii) a history of use of the ingredient outside of cosmetics at least 12 months prior to the test being conducted (rather than if no evidence derived from the test was relied upon to substantiate the safety of the cosmetic sold in Illinois by the manufacturer). Provides that cosmetic inventory that violates the provisions may be sold on or before June 1, 2020 (rather than for a period of 180 days). Makes other changes. Effective immediately. House Committee Amendment No. 2 Deletes reference to: 410 ILCS 620/17.2 Adds reference to: 405 ILCS 20/0.1 from Ch. 91 1/2, par. 300.1 Replaces everything after the enacting clause. Amends the Community Mental Health Act. Makes a technical change in a Section concerning the short title. House Floor Amendment No. 3 Deletes reference to: 405 ILCS 20/0.1 Adds reference to: New Act 110 ILCS 330/12 new 210 ILCS 85/10.12 new 210 ILCS 86/25 210 ILCS 85/6.30 new 110 ILCS 330/8d new 210 ILCS 85/6.28 new 110 ILCS 330/11 new 210 ILCS 85/6.31 new 305 ILCS 5/5-5.05 225 ILCS 60/20 from Ch. 111, par. 4400-20 225 ILCS 65/55-35 225 ILCS 65/60-40 225 ILCS 65/65-60 was 225 ILCS 65/15-45 225 ILCS 95/11.5 720 ILCS 570/414 720 ILCS 646/115 720 ILCS 570/316 320 ILCS 20/3.1 new 35 ILCS 105/3-10 35 ILCS 110/3-10 from Ch. 120, par. 439.33-10 35 ILCS 115/3-10 from Ch. 120, par. 439.103-10 35 ILCS 120/2-10 305 ILCS 5/9A-11 from Ch. 23, par. 9A-11 820 ILCS 191/5 820 ILCS 191/10 210 ILCS 45/3-206.06 new 210 ILCS 85/6.29 new 30 ILCS 805/8.45 new 305 ILCS 5/5A-12.7 20 ILCS 2205/2205-35 new 20 ILCS 5/5-565 was 20 ILCS 5/6.06 30 ILCS 105/5.936 new 105 ILCS 5/34-18.67 new 20 ILCS 3960/4 from Ch. 111 1/2, par. 1154 20 ILCS 3960/5.5 new 20 ILCS 3960/8.7 305 ILCS 5/5-30.1 305 ILCS 5/5-30.1 305 ILCS 5/5-30.15 new 305 ILCS 5/5-30.17 new 30 ILCS 105/5.935 new 30 ILCS 105/6z-124 new 305 ILCS 5/5-45 new 305 ILCS 5/5-30.16 new 305 ILCS 5/5-18.5 new Replaces everything after the enacting clause. Provides that the Act may be referred to as the Illinois Health Care and Human Service Reform Act. Contains findings. Creates the Community Health Worker Certification and Reimbursement Act. Requires community health workers to be provided with multi-tiered academic and community-based training opportunities that lead to the mastery of community health worker core competencies. Creates the Illinois Community Health Worker Certification Board to serve as the regulatory body that develops and has oversight of initial community health workers certification and certification renewals for both individuals and academic and community-based training programs. Provides that community health worker services shall be covered under the medical assistance program for persons who are otherwise eligible for medical assistance. Contains other provisions. Amends the University of Illinois Hospital Act and the Hospital Licensing Act. Requires hospitals to require an intern, resident, or physician who provides medical services at the hospital to have proper credentials and any required certificates for ongoing training at the time the intern, resident, or physician renews his or her license. Amends the Hospital Report Card Act. Requires hospitals to include in their quarterly reports the number of female patients who have died within the reporting period, the number of female patients who have died of a preventable cause within the reporting period and the number of those preventable deaths that the hospital has otherwise reported within the reporting period, and the number of physicians who were required by the hospital to undergo any amount or type of retraining during the reporting period. Amends the Hospital Licensing Act. Requires hospitals that receive a property tax exemption under a provision of the Property Tax Code concerning exemptions related to access to hospital and health care services by low-income and underserved individuals to post the hospital's charity care policy and the contact information of a financial counselor in a reasonably viewable area in the hospital's emergency room. Amends the University of Illinois Hospital Act and the Hospital Licensing Act. Requires hospitals organized or licensed under the Acts to provide N95 masks to all physicians licensed under the Medical Practice Act of 1987 and registered nurses and advanced practice registered nurses licensed under the Nurse Licensing Act if the physician, registered nurse, or advanced practice registered nurse is employed by or providing services for another employer at the hospital. Amends the University of Illinois Hospital Act and the Hospital Licensing Act. Requires hospitals organized or licensed under the Acts to report to the Department of Public Health the demographic data of individuals who have symptoms of COVID-19 and are released from, not admitted to, the hospital. Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that the inpatient, per diem rate to be paid to all community safety-net hospitals for inpatient psychiatric services on and after January 1, 2021 shall be at least $630. In provisions amending the Medical Practice Act of 1987, the Nurse Practice Act, and the Physician Assistant Practice Act of 1987, provides that the rules adopted by the Department of Financial and Professional Regulation concerning continuing education shall require that, on and after January 1, 2022, all continuing education courses for persons licensed under the Acts contain curriculum that includes the understanding of implicit bias in the practice of medicine. Provides that a continuing education course dedicated solely to research or other issues that does not include a direct patient care component is not required to contain curriculum that includes implicit bias in the practice of medicine. Specifies requirements that continuing education courses must satisfy. Amends the Illinois Controlled Substances Act and the Methamphetamine Control and Community Protection Act. Provides that a person who, in good faith, seeks or obtains emergency medical assistance for someone experiencing an overdose or who is experiencing an overdose shall not be arrested, charged, or prosecuted for controlled substance manufacture, delivery, or possession with intent to manufacture or deliver or a possession violation of the Illinois Controlled Substances Act, a drug paraphernalia violation, a methamphetamine delivery or possession violation, a drug-induced homicide violation, or an aggravated battery violation based on unlawfully delivering a controlled substance to another person and any user experiences great bodily harm or permanent disability as a result of the injection, inhalation, or ingestion of any amount of the controlled substance. Provides that these violations must not serve as the sole basis of a violation of parole, mandatory supervised release, probation or conditional discharge, a Department of Children and Family Services investigation, or any seizure of property under any State law authorizing civil forfeiture so long as the evidence for the violation was acquired as a result of the person seeking or obtaining emergency medical assistance in the event of an overdose. Provides that the limited immunity as relates to methamphetamine only applies to possession of less than 3 grams. Provides that nothing in these provisions are intended to interfere with or prevent the investigation, arrest, or prosecution of any person for the delivery or distribution of cannabis, methamphetamine, or other controlled substances, drug-induced homicide, or any other crime if the evidence of the violation is not acquired as a result of the person seeking or obtaining emergency medical assistance in the event of an overdose. Deletes provisions that the limited immunity only applies to Class 4 felony possession of a controlled, counterfeit, or look-alike substance or a controlled substance analog. Amends the Illinois Controlled Substances Act. Provides that the requirements for transmitting information to the central repository under the Prescription Monitoring Program also apply to opioid treatment programs that prescribe Schedule II, III, IV, or V controlled substances for the treatment of opioid use disorder. Amends the Adult Protective Services Act. Requires the Department on Aging to develop and implement a dementia training program that must include instruction on the identification of people with dementia, risks such as wandering, communication impairments, elder abuse, and the best practices for interacting with people with dementia. Provides that initial training of 4 hours shall be completed at the start of employment with the Adult Protective Services division and shall cover several subjects, including: (i) dementia, psychiatric, and behavioral symptoms; (ii) communication issues, including how to communicate respectfully and effectively; and (iii) protocols for connecting people living with dementia to local care resources and professionals who are skilled in dementia care to encourage cross-referral and reporting regarding incidents of abuse. Provides that annual continuing education shall include 2 hours of dementia training covering the same subjects discussed during initial training. Grants rulemaking authority. Amends the Use Tax Act, the Service Use Tax Act, the Service Occupation Tax Act, and the Retailers' Occupation Tax Act. Provides that all blood sugar testing materials are subject to the 1% reduced rate of tax (rather than urine testing materials for human use only). Amends the Illinois Public Aid Code. In provisions concerning the Department of Human Services' Child Care Assistance Program, requires the Department to update the Child Care Assistance Program Eligibility Calculator posted on the Department's website to include a question on whether a family is applying for child care assistance for the first time or is applying for a redetermination of eligibility. Amends the Employee Sick Leave Act. Provides that personal care of a parent, mother-in-law, father-in-law, grandparent, or stepparent is a permissible use of personal sick leave benefits. Amends the Nursing Home Care Act and the Hospital Licensing Act. Requires licensed long-term care facilities and hospitals to prove upon inspection that they provided testing for Legionnaires' disease and to provide the results of that testing. Creates the Child Trauma Counseling Act. Provides that: (1) a day care center shall provide the services of a trauma counselor to a child, from birth through the fifth grade, enrolled and attending the day care center who has been identified as needing trauma counseling; and (2) a school shall provide the services of a trauma counselor to a child who is enrolled and attending kindergarten through the fifth grade at that school and has been identified as needing trauma counseling. Provides that there shall be no cost for such trauma counseling to the parents or guardians of the child. Provides that a child is identified as needing trauma counseling if the child reports trauma to a day care center or a school or a parent or guardian of a child or employee of a day care center or a school reports that the child has experienced trauma. Provides for the adoption of rules to implement the Act and rules related to qualifications of trauma counselors working with children under the Act. Amends the State Mandates Act to require implementation without reimbursement. Creates the Special Commission on Gynecologic Cancer Act. Creates the Special Commission on Gynecologic Cancers to study specified issues regarding gynecologic cancers in Illinois and submit its final report to the General Assembly no later than December 31, 2021. Amends the Hospital Provider Funding Article of the Illinois Public Aid Code. Provides that, in order to address the escalating infant mortality rates among minority communities in Illinois, the State shall, subject to appropriation, create a pool of funding of at least $50,000,000 annually to be dispersed among community safety-net hospitals who maintain perinatal designation from the Department of Public Health, and that he funding shall be used to preserve or enhance OB/GYN services or other specialty services at the receiving hospital. Creates the Racial Impact Note Act. Provides that every bill which has or could have a disparate impact on racial and ethnic minorities, upon the request of any member, shall have prepared for it, before second reading in the house of introduction, a brief explanatory statement or note that shall include a reliable estimate of the anticipated impact on those racial and ethnic minorities likely to be impacted by the bill. Specifies the contents and provides for the preparation of each racial impact note. Provides that no comment or opinion shall be included in the racial impact note with regard to the merits of the measure for which the racial impact note is prepared. Provides that the fact that a racial impact note is prepared for any bill shall not preclude or restrict the appearance before any committee of the General Assembly of any official or authorized employee of the responding agency or agencies, or any other impacted State agency, who desires to be heard in support of or in opposition to the measure. Amends the Department of Healthcare and Family Services Law. Requires the Department of Healthcare and Family Services, on or before December 31, 2021, to develop: (1) a program to increase the presence of Federally Qualified Health Centers (FQHCs) in hospitals with the goal of increasing care coordination, managing chronic diseases, and addressing the social determinants of health and (2) a payment methodology to allow for care coordination services in FQHCs. 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 (currently, only a State Health Improvement Plan required). Provides further requirements concerning the State Health Assessment and the State Health Improvement Plan. Creates the Health and Human Services Task Force and Study Act establishing the Health and Human Services Task Force to undertake a systematic review of health and human service departments and programs with the goal of improving health and human service outcomes for Illinois residents. Creates the Anti-Racism Commission Act establishing the Anti-Racism Commission to identify and propose statewide policies to eliminate systemic racism and advance equitable solutions for Black and Brown people in Illinois. Creates the Sickle Cell Prevention, Care, and Treatment Program Act. Requires the Department of Healthcare and Family Services to establish a grant program for the purpose of providing for the prevention, care, and treatment of sickle cell disease and for educational programs concerning the disease. Requires the Department to: (1) develop application criteria and standards of eligibility for groups or organizations that apply for funds under the program; and (2) make available grants to groups and organizations who meet the eligibility standards set by the Department. Provides that the highest priority for grants shall be accorded to established sickle cell disease community-based organizations, and priority shall be given to ensuring the establishment of sickle cell disease centers in underserved areas that have a higher population of sickle cell disease patients. Requires the Department to determine the maximum amount available for each grant; determine policies for the expiration and renewal of grants; require that all grant funds be used for the purpose of prevention, care, and treatment of sickle cell disease or for educational programs concerning the disease; and develop a sickle cell disease educational outreach program that includes the dissemination of educational materials to specified persons and institutions. Permits the Department to contract with an entity to implement the sickle cell disease educational outreach program. Requires the Department to adopt rules. Requires the Department to conduct a study to determine the prevalence, impact, and needs of individuals with sickle cell disease and the sickle cell trait in Illinois. Provides that implementation of the Act is subject to appropriation. Amends the State Finance Act. Creates the Sickle Cell Chronic Disease Fund. Amends the Chicago School District Article of the School Code. Requires the Chicago Board of Education to establish a school nurse pilot program. Provides that under the program, the Board shall require the top 20% of the lowest performing schools in the school district, as determined by the Board, to employ a school nurse in conformance with certain provisions of the Code concerning school nurses. Requires the Board to implement this program beginning with the 2019-2020 school year. Amends the Illinois Health Facilities Planning Act. Adds 2 members to the Health Facilities and Services Review Board. Provides that, due to the COVID-19 pandemic, the State shall institute a moratorium on the closure of hospitals until December 31, 2023, and no hospital shall close or reduce capacity below the hospital's capacity as of January 1, 2020 before the end of the moratorium. Provides that, upon the completion of an application to close a health care facility or discontinue a category of service, the Health Facilities and Services Review Board shall conduct a racial equity impact assessment to determine the effect of the closure or discontinuation of service on racial and ethnic minorities, and the results of the racial equity impact assessment shall be made available to the public. Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires managed care organizations (MCOs) to publish, at least quarterly for the preceding quarter, on their websites: (1) the total number of claims received by the MCO; (2) the number and monetary amount of claims payments made to a service provider; (3) the dates of services rendered for the claims payments made under item (2); (4) the dates the claims were received by the MCO for the claims payments made under item (2); and (5) the dates on which claims payments under item (2) were released. Requires the Department of Healthcare and Family Services to require MCOs to: (i) ensure that any provider under contract with an MCO on the date of service is paid for any medically necessary service rendered to any of the MCO's enrollees, regardless of inclusion on the MCO's published and publicly available roster of available providers; and (ii) ensure that all contracted providers are listed on an updated roster within 7 days of entering into a contract with the MCO and that such roster is readily accessible to all medical assistance enrollees for purposes of selecting an approved healthcare provider. Makes other changes regarding discharge notification and facility placement of individuals and other provisions regarding MCOs. Creates the Medicaid Managed Care Oversight Commission within the Department of Healthcare and Family Services to evaluate the effectiveness of Illinois' managed care program. Amends the State Finance Act. Creates the Managed Care Oversight Fund to be used by the Department of Healthcare and Family Services to support emergency procurement and sole source contracting with women and minority-owned businesses. Provides that the Department shall not renew, re-enter, renegotiate, change orders, or amend any contract or agreement it entered with a managed care organization that was solicited under the State of Illinois Medicaid Managed Care Organization Request for Proposals. Requires any health care plan administered by a managed care organization that entered a contract with the Department under the State of Illinois Medicaid Managed Care Organization Request for Proposals shall be transitioned to the State's fee-for-service medical assistance program upon the expiration of the managed care organization's contract with the Department until such time the Department enters a new contract in accordance specified provisions of the Code. Contains other provisions. Provides that the Department shall require each managed care organization participating in the medical assistance program to satisfy any minority-owned or women-owned business subcontracting requirements to which the managed care organization is subject under the contract. Provides that the Department shall terminate its contract with any managed care organization that does not meet the minority-owned or women-owned business subcontracting requirements under its contract with the State. Provides that the Department shall reassign to another managed care plan any Medicaid recipient who will lose healthcare coverage as a result of the Department's decision to terminate its contract with the managed care organization. Provides that the Department shall terminate the contract no later than 60 days after receiving a contractually required report indicating that the managed care organization has not met the subcontracting goals. Amends the Illinois Public Aid Code. Provides that specified doula services and evidence-based home visiting services shall be covered under the medical assistance program for persons who are otherwise eligible for medical assistance. Provides that the Department of Healthcare and Family Services shall adopt rules, periodically assess the rates of reimbursement for perinatal doula and home visiting services, adjust rates accordingly, seek State plan amendments or waivers necessary to implement the new provisions, and secure federal financial participation for expenditures made in accordance with the new provisions. Provides for the repeal of certain provisions. Makes other changes. Effective immediately. House Floor Amendment No. 4 Deletes reference to: 405 ILCS 20/0.1 Adds reference to: New Act 210 ILCS 85/10.4 from Ch. 111 1/2, par. 151.4 20 ILCS 2215/4-4 from Ch. 111 1/2, par. 6504-4 210 ILCS 85/6 from Ch. 111 1/2, par. 147 210 ILCS 85/6.14c 210 ILCS 85/10.10 210 ILCS 85/11.5 210 ILCS 87/15 210 ILCS 88/15 210 ILCS 160/15 410 ILCS 50/3.4 410 ILCS 50/5.2 410 ILCS 82/20 325 ILCS 2/22 740 ILCS 45/5.1 from Ch. 70, par. 75.1 775 ILCS 50/5 775 ILCS 50/10 110 ILCS 330/8d new 210 ILCS 85/6.28 new 305 ILCS 5/5-5.05 20 ILCS 2105/2105-15.7 new 720 ILCS 570/414 720 ILCS 646/115 720 ILCS 570/316 320 ILCS 20/3.1 new 35 ILCS 105/3-10 35 ILCS 110/3-10 from Ch. 120, par. 439.33-10 35 ILCS 115/3-10 from Ch. 120, par. 439.103-10 35 ILCS 120/2-10 305 ILCS 5/9A-11 from Ch. 23, par. 9A-11 820 ILCS 191/5 820 ILCS 191/10 210 ILCS 45/3-206.06 new 210 ILCS 85/6.29 new 225 ILCS 10/7 from Ch. 23, par. 2217 305 ILCS 5/5A-12.7 20 ILCS 2205/2205-35 new 20 ILCS 5/5-565 was 20 ILCS 5/6.06 30 ILCS 105/5.936 new 20 ILCS 3960/4 from Ch. 111 1/2, par. 1154 20 ILCS 3960/5.4 20 ILCS 3960/5.5 new 305 ILCS 5/5-30.1 305 ILCS 5/5-30.17 new 30 ILCS 105/5.935 new 30 ILCS 105/6z-124 new 305 ILCS 5/5-30.16 new 305 ILCS 5/14-13 305 ILCS 5/5-18.5 new Replaces everything after the enacting clause. Provides that the Act may be referred to as the Illinois Health Care and Human Service Reform Act. Contains findings. Creates the Community Health Worker Certification and Reimbursement Act. Requires community health workers to be provided with specified training opportunities that lead to the mastery of community health worker core competencies. Creates the Illinois Community Health Worker Certification Board to serve as a regulatory body that develops and has oversight of initial community health workers certification and certification renewals for individuals and specified training programs. Provides that community health worker services shall be covered under the medical assistance program for persons who are otherwise eligible for medical assistance. Contains other provisions. Amends the Hospital Licensing Act regarding proper credentials and required certificates of medical staff and applicants. Amends the Illinois Health Finance Reform Act, Hospital Licensing Act, Language Assistance Services Act, Fair Patient Billing Act, Health Care Violence Prevention Act, Medical Patient Rights Act, Smoke Free Illinois Act, Abandoned Newborn Infant Protection Act, Crime Victims Compensation Act, and Human Trafficking Resource Center Notice Act regard providing notices and signs by electronic means and other matters. Amends the University of Illinois Hospital Act and the Hospital Licensing Act. Requires hospitals to provide N95 masks to physicians, registered nurses, advanced practice registered nurses, and other employees under specified circumstances. Amends the Illinois Public Aid Code to require the inpatient, per diem rate to be paid to all safety-net hospitals for inpatient psychiatric services on and after January 1, 2021 to be at least $630. Amends the Department of Professional Regulation Law to require a health care professional who has continuing education requirements to complete at least a one-hour course in training on implicit bias awareness per renewal period. Amends the Illinois Controlled Substances Act and the Methamphetamine Control and Community Protection Act. Makes various changes concerning limited immunity for persons who, in good faith, seeks or obtains emergency medical assistance for someone experiencing an overdose. Makes changes concerning the Prescription Monitoring Program. Amends the Adult Protective Services Act by requiring the Department on Aging to develop and implement a dementia training program that must include instruction on the identification of people with dementia, risks such as wandering, communication impairments, elder abuse, and the best practices for interacting with people with dementia. Amends the Use Tax Act, the Service Use Tax Act, the Service Occupation Tax Act, and the Retailers' Occupation Tax Act. Provides that all blood sugar testing materials are subject to the 1% reduced rate of tax (rather than urine testing materials for human use only). Creates the Underlying Causes of Crime and Violence Study Act. Provides that the Department of Public Health and the Department of Human Services shall study how to create a process to identify high violence communities, also known as R3 (Restore, Reinvest, and Renew) areas, and prioritize State dollars to go to these communities to fund programs as well as community and economic development projects that would address the underlying causes of crime and violence, and submit a report to the General Assembly. Amends the Illinois Public Aid Code by requiring updating of a Child Care Assistance Program Eligibility Calculator. Amends the Employee Sick Leave Act. Provides that personal care of certain family members is a permissible use of personal sick leave benefits. Amends the Nursing Home Care Act and the Hospital Licensing Act. Requires licensed long-term care facilities and hospitals to develop a policy for testing its water supply for Legionella bacteria. Amends the Child Care Act of 1969 to require licensed day care home providers, licensed group day care home providers, and licensed day care center directors and classroom staff to participate in at least one training that includes the topics of early childhood social emotional learning, infant and early childhood mental health, early childhood trauma, or adverse childhood experiences. Creates the Special Commission on Gynecologic Cancer Act. Creates the Special Commission on Gynecologic Cancers to study specified issues regarding gynecologic cancers in Illinois and submit a report to the General Assembly. Amends the Illinois Public Aid Code to provide that the State shall, subject to appropriation, create a pool of funding of at least $50,000,000 annually to be dispersed among safety-net hospitals that maintain perinatal designation from the Department of Public Health and the funding shall be used to preserve or enhance OB/GYN services or other specialty services at the receiving hospital. Creates the Racial Impact Note Act. Provides that every bill which has or could have a disparate impact on racial and ethnic minorities, upon the request of any member, shall have prepared for it, before second reading in the house of introduction, a brief explanatory statement or note that shall include a reliable estimate of the anticipated impact on those racial and ethnic minorities likely to be impacted by the bill. Specifies the contents and provides for the preparation of each racial impact note. Provides that no comment or opinion shall be included in the racial impact note with regard to the merits of the measure for which the racial impact note is prepared. Provides that the fact that a racial impact note is prepared for any bill shall not preclude or restrict the appearance before any committee of the General Assembly of any official or authorized employee of the responding agency or agencies, or any other impacted State agency, who desires to be heard in support of or in opposition to the measure. Amends the Department of Healthcare and Family Services Law. Provides that the Department of Healthcare and Family Services shall develop a program to encourage coordination between Federally Qualified Health Centers (FQHCs) and hospitals, including, but not limited to, safety-net hospitals, with the goal of increasing care coordination, managing chronic diseases, and addressing the social determinants of health on or before December 31, 2021. Also provides that the Department shall develop a payment methodology to allow FQHCs to provide care coordination services, including, but not limited to, chronic disease management and behavioral health services. Amends the Civil Administrative Code of Illinois. Makes changes regarding the Department of Public Health's State Health Assessment and State Health Improvement Plan and other matters. Creates the Health and Human Services Task Force and Study Act establishing the Health and Human Services Task Force to undertake a systematic review of health and human service departments and programs with the goal of improving health and human service outcomes for Illinois residents. Creates the Anti-Racism Commission Act, which establishes the Anti-Racism Commission to identify and propose statewide policies to eliminate systemic racism and advance equitable solutions for Black and Brown people in Illinois. Creates the Sickle Cell Prevention, Care, and Treatment Program Act. Requires the Department of Healthcare and Family Services to establish a grant program for the purpose of providing for the prevention, care, and treatment of sickle cell disease and for educational programs concerning the disease. Requires the Department to: (1) develop application criteria and standards of eligibility for groups or organizations that apply for funds under the program; and (2) make available grants to groups and organizations who meet the eligibility standards set by the Department. Provides that the highest priority for grants shall be accorded to established sickle cell disease community-based organizations, and priority shall be given to ensuring the establishment of sickle cell disease centers in underserved areas that have a higher population of sickle cell disease patients. Requires the Department to determine the maximum amount available for each grant; determine policies for the expiration and renewal of grants; require that all grant funds be used for the purpose of prevention, care, and treatment of sickle cell disease or for educational programs concerning the disease; and develop a sickle cell disease educational outreach program that includes the dissemination of educational materials to specified persons and institutions. Permits the Department to contract with an entity to implement the sickle cell disease educational outreach program. Requires the Department to conduct a study to determine the prevalence, impact, and needs of individuals with sickle cell disease and the sickle cell trait in Illinois. Contains other provisions. Amends the State Finance Act to include the Sickle Cell Chronic Disease Fund as a special fund. Amends the Illinois Health Facilities Planning Act. Changes the membership of the Health Facilities and Services Review Board. Makes changes regarding the Safety Net Impact Statement. Provides that, due to the COVID-19 pandemic, the State shall institute a moratorium on the closure of hospitals until December 31, 2023 and no hospital shall close or reduce capacity below the hospital's capacity as of January 1, 2020 before the end of the moratorium. Amends the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services shall require managed care organizations (MCOs) to ensure that any provider under contract with an MCO on the date of service is paid for any medically necessary service rendered to any of the MCO's enrollees, regardless of inclusion on the MCO's published and publicly available roster of available providers. Makes other changes concerning claim submission requirements and other matters. Provides that the Department of Healthcare and Family Services, managed care organizations, a statewide organization representing hospitals, and a statewide organization representing safety-net hospitals shall explore ways to support billing departments in safety-net hospitals. Creates the Medicaid Managed Care Oversight Commission within the Department of Healthcare and Family Services to evaluate the effectiveness of Illinois' managed care program. Amends the State Finance Act. Creates the Managed Care Oversight Fund. Provides that available annual moneys in the Fund shall be used by the Department of Healthcare and Family Services to support contracting with women and minority-owned businesses as part of the Department's Business Enterprise Program requirements, and that the Department shall prioritize contracts for care coordination services, workforce development, and other services that support the Department's mission to promote health equity. Amends the Illinois Public Aid Code. Creates the Medicaid Business Opportunity Commission is created within the Department of Healthcare and Family Services to develop a program to support and grow minority, women, and persons with disability owned businesses. Provides that the Commission shall develop a recommendation on a Medicaid Business Opportunity Program. Sets forth other duties and requirements. Provides that the Department shall evaluate the effectiveness of the current reimbursement rate for inpatient hospital stays beyond medical necessity. Provides that specified doula services and evidence-based home visiting services shall be covered under the medical assistance program for persons who are otherwise eligible for medical assistance. Provides that the Department shall adopt rules, periodically assess the rates of reimbursement for perinatal doula and home visiting services, adjust rates accordingly, seek State plan amendments or waivers necessary to implement the new provisions, and secure federal financial participation for expenditures made in accordance with the new provisions. Makes other changes. Provides for the repeal of certain provisions. Effective immediately. Fiscal Note, House Floor Amendment No. 3 (Dept. of Human Services) The trauma counseling services are to be provided free of charge. This Act creates an unfunded mandate for day care centers and schools. The number of children in need of trauma counseling between birth and fifth grade are unknown and the estimate cost to day care centers and schools is unknown. The other impacts to IDHS included in SB 588 House Amendment 3 have minimal fiscal impact to implement Housing Affordability Impact Note, House Floor Amendment No. 4 (Housing Development Authority) This bill will have no effect on the cost of constructing, purchasing, owning, or selling a single-family residence. Pension Note, House Floor Amendment No. 4 (Government Forecasting & Accountability) SB 558, as amended by HA 4, will not impact any public pension fund or retirement system in the State of Illinois. Judicial Note, House Floor Amendment No. 4 (Admin Office of the Illinois Courts) Based on a review of the bill, it has been determined that the proposed legislation would neither increase nor decrease the number of judges needed in the state of Illinois. Land Conveyance Appraisal Note, House Floor Amendment No. 4 (Dept. of Transportation) No land conveyances are included in Senate Bill 558 House Amendment #4; therefore, there are no appraisals to be filed. State Debt Impact Note, House Floor Amendment No. 4 (Government Forecasting & Accountability) SB 0558, as amended by House Amendment 4, would not change the amount of authorization for any type of State-issued or State-supported bond, and, therefore, would not affect the level of State indebtedness. Correctional Note, House Floor Amendment No. 4 (Dept of Corrections) This amendment has no fiscal impact or population impact on the deparbnent. Balanced Budget Note, House Floor Amendment No. 4 (Office of Management and Budget) Please be advised that the Balanced Budget Note Act does not apply to Senate Bill 558, as amended by House Amendment 4 as it is not a supplemental appropriation that increases or decreases appropriations. Under the Act, a balanced budget note must be prepared only for bills that change a general funds appropriation for the fiscal year in which the new bill is enacted. Fiscal Note, House Floor Amendment No. 4 (Dept. of Healthcare & Family Services) SB 558 (H-AM 4) has the following fiscal impact: (1) $50 million for new category of safety-net perinatal hospitals; (2) $40 million for home visiting; (3) $15 million for doulas; (4) $7.2 million for hospital psychiatric services; (5) $960 million - $2.88 billion towards Community Health Workers; (6) Undetermined administrative costs to support Managed Care Oversight Commission. State Mandates Fiscal Note, House Floor Amendment No. 4 (Dept. of Commerce & Economic Opportunity) This bill does not create a State mandate. Home Rule Note, House Floor Amendment No. 4 (Dept. of Commerce & Economic Opportunity) This bill does not pre-empt home rule authority. Fiscal Note, House Floor Amendment No. 4 (Dept. of Human Services) This Act creates an unfunded mandate for day care centers and schools.The number of children in need of trauma counseling between birth and fifth grade are unknown and the estimate cost to day care centers and schools is unknown.The other impacts to IDHS included in SB 558 House Amendment 4 have minimal fiscal impact to implement. House Floor Amendment No. 5 Deletes reference to: 410 ILCS 82/20 20 ILCS 2205/2205-35 new 20 ILCS 3960/5.5 new Adds reference to: New Act 305 ILCS 5/14-14 new 20 ILCS 3960/8.7 In the Community Health Worker Certification and Reimbursement Act, provides that community health worker services shall be covered under the medical assistance program, subject to funding availability. Provides that, for reimbursement under the medical assistance program, a community health worker must work under the supervision of an enrolled medical program provider, as specified by the Department, and certification shall be required for reimbursement; the supervision of enrolled medical program providers and certification are not required for community health workers who receive reimbursement through managed care administrative dollars; and non-certified community health workers are reimbursable at the discretion of managed care entities up to 18 months following availability of community health worker certification. Provides that certification shall not be required for employment of community health workers; non-certified community health workers may be employed through funding sources outside of the medical assistance program. Deletes the language amending the Smoke Free Illinois Act. Creates the Behavioral Health Workforce Education Center of Illinois Act. Creates the Behavioral Health Workforce Education Center of Illinois, to be administered by a specified public institution of higher education for the purpose of leveraging workforce and behavioral health resources to produce reforms in Illinois. Provides for the structure and duties of the Center. Provides for the selection of the public institution of higher education to administer the Center. Provides that language that was formerly added to the Department of Healthcare and Family Services Law of the Civil Administrative Code of Illinois is instead added to the Illinois Public Aid Code. In provisions amending the Illinois Health Facilities Planning Act: changes the number of members of the Health Facilities and Services Review Board; deletes language regarding a moratorium on hospital closures due to the COVID-19 pandemic; adds language providing that the Health Facilities and Services Review Board may defer action on an application to discontinue a hospital that is pending before the Board on the effective date of the amendatory Act for up to 60 days; adds language providing that the Board may defer taking final action on an application to discontinue a hospital that is filed on or after January 12, 2021 until the earlier to occur of: (i) the expiration of the statewide disaster declaration proclaimed by the Governor of the State of Illinois due to the COVID-19 pandemic that is in effect on January 12, 2021, or any extension thereof, or July 1, 2021, whichever occurs later; or (ii) the expiration of the declaration of a public health emergency due to the COVID-19 pandemic as declared by the Secretary of the U.S. Department of Health and Human Services that is in effect on January 12, 2021, or any extension thereof, or July 1, 2021, whichever occurs later; adds language providing that certain provisions are inoperative as of the date of the expiration of the statewide disaster declaration proclaimed by the Governor of the State of Illinois due to the COVID-19 pandemic that is in effect on January 12, 2021, or any extension thereof, or July 1, 2021, whichever occurs later. Amends the Illinois Public Aid Code regarding entities that shall explore ways to support billing departments in safety-net hospitals. Makes changes concerning the membership of the Medicaid Managed Care Oversight Commission. Makes other changes.

Amends the Illinois Complete Count Commission Act. Provides that members serving on the Commission on the effective date of this amendatory Act may be reappointed as members for consecutive decennial census terms. Provides that the census outreach strategy shall have a strategic focus on addressing hard to count and underserved communities that the census historically overlooks, including, but not limited to, communities of color, urban and rural low-income households, immigrants, populations with language barriers, and young children. Provides for local complete count commissions. Provides further reporting requirements. Provides for Post-decennial census activities. Effective immediately. Senate Committee Amendment No. 1 Replaces everything after the enacting clause. Reinserts the provisions of the introduced bill with changes. Adds the Lieutenant Governor as a member of the Illinois Complete Count Commission. Provides that any vacancies occurring on or after the effective date of this amendatory Act may be filled by the Lieutenant Governor. Provides that the Lieutenant Governor (currently, Secretary of State) shall serve as chairperson of the Commission. Provides that the census outreach strategy shall have a strategic focus on addressing hard to count and underserved communities that the census historically overlooks, including, among other groups, homeless persons, senior citizens, and veterans. Provides for the creation of local Complete Count Committees (currently, local Complete Count Commissions). Requires the Commission to form relationships with specified independent organizations for the purpose of creating Complete Count Committees. Requires the Commission to issue a report (currently, final report) specifying its recommended outreach strategy for implementation for the 2020 Census no later than January 1, 2020 (currently, June 30 2019). Requires the Commission to submit a final report to the General Assembly no later than December 31, 2020 detailing the work of the Commission concerning outreach, promotion, and community support during the 2020 calendar year. Makes conforming changes. Effective immediately. House Committee Amendment No. 3 Deletes reference to: 20 ILCS 5100/5 20 ILCS 5100/15 20 ILCS 5100/20 20 ILCS 5100/25 Adds reference to: 20 ILCS 4070/1 Replaces everything after the enacting clause. Amends the Commission on Discrimination and Hate Crimes Act. Makes a technical change in a Section concerning the short title.

Amends the Line of Duty Compensation Act to increase the burial benefit from $10,000 to $20,000. House Committee Amendment No. 1 Replaces everything after the enacting clause. Amends the Line of Duty Compensation Act. Makes a technical change in a Section concerning burial benefits. House Floor Amendment No. 2 Deletes reference to: 820 ILCS 315/3.5 Adds reference to: 775 ILCS 5/1-103 from Ch. 68, par. 1-103 775 ILCS 5/2-103.1 new 805 ILCS 5/14.05 from Ch. 32, par. 14.05 5 ILCS 140/7.5 30 ILCS 105/5.935 new 820 ILCS 112/10 820 ILCS 112/11 new Replaces everything after the enacting clause. Amends the Illinois Human Rights Act. Provides that it is a civil rights violation for any employer, employment agency or labor organization to use a conviction record as a basis to refuse to hire, to segregate, or to act with respect to recruitment, hiring, promotion, renewal of employment, selection for training or apprenticeship, discharge, discipline, tenure or terms, privileges or conditions of employment. Specifies further requirements concerning conviction records. Amends the Business Corporation Act of 1983. Provides that for those corporations required to file an Employer Information Report EEO-1 with the Equal Employment Opportunity Commission, information that is substantially similar to the employment data reported under Section D of the corporation's EEO-1 in a format approved by the Secretary of State shall be reported. Amends the Equal Pay Act of 2003. Provides for equal pay registration certificate requirements. Makes conforming and other changes. Effective immediately. House Floor Amendment No. 3 Amends provisions concerning equal pay registration certificate requirements. Requires a business's most recently filed Employer Information Report EEO-1 to be submitted to the Director of Labor for each county in which the business has a facility or employees. Provides that a business that has employees in multiple locations or facilities in Illinois shall submit a single application for an equal pay registration certificate to the Department of labor regarding all of its operations in Illinois. Removes provision concerning revocation of contracts. Makes conforming and other changes. Land Conveyance Appraisal Note, House Floor Amendment No. 2 (Dept. of Transportation) No land conveyances are included in Senate Bill 1480 House Amendment 2, therefore, there are no appraisals to be filed Land Conveyance Appraisal Note, House Floor Amendment No. 3 (Dept. of Transportation) No land conveyances are included in Senate Bill 1480 House Amendment 3, therefore, there are no appraisals to be filed State Debt Impact Note, House Floor Amendment No. 2 (Government Forecasting & Accountability) SB 1480, as amended by House Amendment 2, would not change the amount of authorization for any type of State-issued or State-supported bond, and, therefore, would not affect the level of State indebtedness. State Debt Impact Note, House Floor Amendment No. 3 (Government Forecasting & Accountability) SB 1480, as amended by House Amendment 3, would not change the amount of authorization for any type of State-issued or State-supported bond, and, therefore, would not affect the level of State indebtedness. Fiscal Note, House Floor Amendment No. 2 (Office of the Secretary of State) As amended by House Amendment #2, Senate Bill 1480 has little to no fiscal impact on the Secretary of State’s office. Fiscal Note, House Floor Amendment No. 3 (Office of the Secretary of State) As amended by House Amendment #3, Senate Bill 1480 has little to no fiscal impact on the Secretary of State’s office. Judicial Note, House Floor Amendment No. 2 (Admin Office of the Illinois Courts) Based on a review of the bill, it has been determined that the proposed legislation would neither increase nor decrease the number of judges needed in the state of Illinois. Judicial Note, House Floor Amendment No. 3 (Admin Office of the Illinois Courts) Based on a review of the bill, it has been determined that the proposed legislation would neither increase nor decrease the number of judges needed in the state of Illinois. Fiscal Note, House Floor Amendment No. 2 (Dept. of Human Rights) There is no fiscal impact to the Illinois Department of Human Rights. Fiscal Note, House Floor Amendment No. 3 (Dept. of Human Rights) There is no fiscal impact to the Illinois Department of Human Rights. Fiscal Note, House Floor Amendment No. 2 (Department of Labor) The Department of Labor would need to increase personnel to support enforcement of the Equal Pay Act provisions of this law by adding five Labor Conciliators, one Attorney and two Administrative Assistants. Associated administrative costs would include postage, office supplies, IT supplies/equipment, and associated indirect administrative costs. IDOL estimates a cost of$1,425,796.77 for personnel and associated costs. Fiscal Note, House Floor Amendment No. 3 (Department of Labor) The Department of Labor would need to increase personnel to support enforcement of the Equal Pay Act provisions of this law by adding five Labor Conciliators, one Attorney and two Administrative Assistants. Associated administrative costs would include postage, office supplies, IT supplies/equipment, and associated indirect administrative costs. IDOL estimates a cost of$1,425,796.77 for personnel and associated costs. Correctional Note, House Floor Amendment No. 2 (Dept of Corrections) This amendment has no fiscal impact or population impact on the department. Correctional Note, House Floor Amendment No. 3 (Dept of Corrections) This amendment has no fiscal impact or population impact on the department. Balanced Budget Note, House Floor Amendment No. 2 (Office of Management and Budget) Please be advised that the Balanced Budget Note Act does not apply to Senate Bill 1480, as runend??d by House Amendment 2 as it is not a supplemental appropriation that increases or decreases appropriations, Under the ??ct, a balanced budget note must be prepared only for bHls that change a general funds appropriation for the fiscal year in which the new bill is enacted. Balanced Budget Note, House Floor Amendment No. 3 (Office of Management and Budget) Please be advised that the Balanced Budget Note Act does not apply to Senate Bill 1480, as amended by Hous-c Amendment 3 as it is not a supplemental appropriation that increases or decreases appropriations, Under the Act,-a balanced budget note must be prepared only fol' bills that change a general funds appropriation for the fiscal year in which the new bill is" enacted. Pension Note, House Floor Amendment No. 2 (Government Forecasting & Accountability) SB 1480, as amended by HA 2, will not impact any public pension fund or retirement system in the State of Illinois. Pension Note, House Floor Amendment No. 3 (Government Forecasting & Accountability) SB 1480, as amended by HA 3, will not impact any public pension fund or retirement system in the State of Illinois. Home Rule Note, House Floor Amendment No. 2 (Dept. of Commerce & Economic Opportunity) This bill does not pre-empt home rule authority. Housing Affordability Impact Note, House Floor Amendment No. 2 (Housing Development Authority) This bill wilI have no effect on the cost of constructing, purchasing, owning, or selling a single-family residence. State Mandates Fiscal Note, House Floor Amendment No. 2 (Dept. of Commerce & Economic Opportunity) This bill does not create a State mandate. Home Rule Note, House Floor Amendment No. 3 (Dept. of Commerce & Economic Opportunity) This bill does not pre-empt home rule authority. Housing Affordability Impact Note, House Floor Amendment No. 3 (Housing Development Authority) This bill wilI have no effect on the cost of constructing, purchasing, owning, or selling a single-family residence. State Mandates Fiscal Note, House Floor Amendment No. 3 (Dept. of Commerce & Economic Opportunity) This bill does not create a State mandate.

Amends the Nursing Home Care Act. Makes a technical change in a Section concerning the short title. Senate Committee Amendment No. 1 Deletes reference to: 210 ILCS 45/1-101 Adds reference to: 210 ILCS 45/2-106.1 210 ILCS 45/2-204 from Ch. 111 1/2, par. 4152-204 210 ILCS 45/3-202.05 210 ILCS 45/3-209 from Ch. 111 1/2, par. 4153-209 210 ILCS 45/3-305 from Ch. 111 1/2, par. 4153-305 210 ILCS 45/3-305.8 new Replaces everything after the enacting clause. Amends the Nursing Home Care Act. Removes language that requires light intermediate care to be staffed at the same staffing ratio as intermediate care. Provides that for purposes of minimum staffing ratios, all residents shall be classified as requiring either skilled care or intermediate care. Defines "intermediate care" and "skilled care". Provides that the Department of Public Health shall adopt rules on or before January 1, 2020 establishing a system for determining compliance with minimum direct care staffing standards and establishing penalties for noncompliance with minimum direct care staffing ratios. Provides that monetary penalties shall be imposed beginning no later than October 1, 2020 and quarterly thereafter. Provides that a violation of the minimum staffing requirements is, at minimum, a Type "B" violation. Provides that a facility that has received a notice of violation for having violated the minimum staffing requirements shall display a notice stating that the facility did not have enough staff to meet the needs of the facility's residents during the quarter cited in the notice of violation. Adds members to the Long-Term Care Facility Advisory Board. Provides that the affirmative vote of 7 (instead of 6) members of the Board shall be necessary for Board action. Provides that a prescribing clinician must obtain voluntary informed consent, in writing, from a resident or the resident's legal representative before authorizing the administration of a psychotropic medication to that resident. Provides that a violation of certain provisions concerning informed consent is a Type "A" violation and shall serve as prima facie evidence of abuse or criminal neglect of a person in a long-term care facility under the Criminal Code of 2012. Provides that no facility or managed care plan shall deny admission or continued residency to a person or resident based on the refusal of the administration of psychotropic medication, unless the prescribing clinician or facility can demonstrate that the resident's refusal would place the health and safety of the resident, the facility staff, other residents, or visitors at risk. Makes other changes. Effective immediately. Senate Floor Amendment No. 2 Deletes reference to: 210 ILCS 45/3-305 from Ch. 111 1/2, par. 4153-305 Replaces everything after the enacting clause with the provisions of the introduced bill as amended by Senate Amendment No. 1 with the following changes: Throughout the Act, replaces references to a resident's authorized representative with references to a resident's surrogate decision maker. Contains provisions regarding the Department of Public Health's informed consent protocol. Provides that the Department shall utilize the rules, protocols, and forms previously developed and implemented under the Specialized Mental Health Rehabilitation Act of 2013, unless specified exceptions apply. Provides that informed consent forms may include side effects that the Department reasonably believes are more common. Provides that informed consent shall be sought by the facility from the resident unless the resident's attending physician determines that the resident lacks decisional capacity, as determined under the Health Care Surrogate Act. Provides that if the resident lacks decisional capacity, the facility shall seek informed consent from the resident's surrogate decision maker. Provides that no monetary penalty may be issued during the implementation period of rules establishing those penalties. Provides that the implementation period shall be July 1, 2020, through September 30, 2020. Provides that if a violation of staffing requirements is not more than a 5% deviation of the required minimum staffing requirements, the Department shall have the discretion to determine the gravity of the violation and, taking into account mitigating and aggravating circumstances and facts, may adjust any penalty or type or class of violation. Provides a notice form for facilities that do not meet the minimum staffing ratios. Makes other changes. Effective immediately. House Committee Amendment No. 2 Deletes reference to: 210 ILCS 45/2-106.1 210 ILCS 45/2-204 from Ch. 111 1/2, par. 4152-204 210 ILCS 45/3-202.05 210 ILCS 45/3-209 from Ch. 111 1/2, par. 4153-209 210 ILCS 45/3-305 from Ch. 111 1/2, par. 4153-305 210 ILCS 45/3-305.8 new Adds reference to: 210 ILCS 45/1-101 Replaces everything after the enacting clause. Amends the Nursing Home Care Act. Makes a technical change in a Section concerning the short title. House Floor Amendment No. 3 Deletes reference to: 210 ILCS 45/1-101 Adds reference to: New Act 305 ILCS 5/5A-2.1 new 305 ILCS 5/5A-2 from Ch. 23, par. 5A-2 305 ILCS 5/5-5.07 305 ILCS 5/14-12 305 ILCS 5/12-4.53 210 ILCS 45/3-206 from Ch. 111 1/2, par. 4153-206 225 ILCS 65/55-35 225 ILCS 65/60-40 225 ILCS 70/11 from Ch. 111, par. 3661 Replaces everything after the enacting clause. Amends the Illinois Public Aid Code. Reenacts provisions regarding assessments on inpatient and outpatient services imposed on hospitals. Provides for the continuity of effect of the reenacted provisions between July 1, 2020 and the effective date of the amendatory Act. Validates actions taken in reliance on or pursuant to the reenacted provisions. In a Section concerning the Department of Children and Family Services' per diem rate for an inpatient psychiatric stay beyond medical necessity, provides that the Section is inoperative on and after July 1, 2021 (instead of July 1, 2020). Provides that notwithstanding the provision of Public Act 101-209 stating that the Section is inoperative on and after July 1, 2020, the Section is operative from July 1, 2020 through June 30, 2021. Provides that beginning July 1, 2012 and ending on December 31, 2022, a hospital that would have qualified for the rate year beginning October 1, 2012 shall be a Safety-Net Hospital. Requires the Department of Healthcare and Family Services to establish a health care transformation program which shall be supported by the transformation funding pool. Provides that it is the intention of the General Assembly that innovative partnerships funded by the pool must be designed to establish or improve integrated health care delivery systems that will provide significant access to the Medicaid and uninsured populations in their communities, as well as improve health care equity. Provides that during State fiscal years 2021 through 2027, the hospital and health care transformation program shall be supported by an annual transformation funding pool of up to $150,000,000, pending federal matching funds, to be allocated during the specified fiscal years for the purpose of facilitating hospital and health care transformation. Provides that funding agreements made in accordance with the transformation program shall be considered purchases of care under the Illinois Procurement Code and funds shall be expended by the Department in a manner that maximizes federal funding to expend the entire allocated amount. Contains provisions concerning the criteria for transformation proposals; entities eligible for funding under the transformation program; the process for submitting transformation projects; the Department's process for evaluating and approving transformation proposals; and other matters. In a provision concerning Prospective Payment System rates for federally qualified health centers (FQHCs), provides that one method to increase such rates is to use an alternative payment method acceptable to the Centers for Medicare and Medicaid Services and the FQHCs, including an across the board percentage increase to existing rates. Creates the COVID-19 Medically Necessary Diagnostic Testing Act. Provides that a health plan shall not impose utilization management requirements on COVID-19 diagnostic tests for nursing home employees. Provides that medically necessary COVID-19 testing is urgent care, and health plans shall not extend the applicable wait time for a COVID-19 testing appointment, even if such an extension would otherwise be permitted. Requires a health plan to reimburse the testing provider for medically necessary COVID-19 testing at the contracted rate if the health plan has a contract with the testing provider. Amends the Medical Assistance Article of the Illinois Public Aid Code. Amends the Nursing Home Care Act. Requires the Department of Public Health to accept on-the-job experience in lieu of clinical training from any individual who participated in the temporary nursing assistant program during the COVID-19 pandemic before the end date of the temporary nursing assistant program and left the program in good standing. Requires the Department of Public Health to notify all approved certified nurse assistant training programs in the State of this requirement. Defines "temporary nursing assistant program". Provides that an individual employed during the COVID-19 pandemic as a nursing assistant in accordance with any Executive Orders, emergency rules, or policy memoranda related to COVID-19 shall be assumed to meet competency standards and may continue to be employed as a certified nurse assistant when the pandemic ends and the Executive Orders or emergency rules lapse. Amends the Hospital Licensing Act. Provides that whenever a public health emergency has resulted in pre-admission screenings to be waived in lieu of screenings post admission to a nursing home and the case coordination unit, upon being timely notified of the need to complete the post-admission screen, fails to complete the screen within the allotted time, the nursing facility shall not be penalized and shall be reimbursed for care from the date of admission. Effective immediately.

Amends the Soil and Water Conservation Districts Act. Provides that the purposes of soil and water conservation districts include the conservation of soil health, organic matter in soil and plants, and water quality (rather than just water); and the improvement of resilience to droughts, floods, and other extreme weather. Defines "soil health". Allows districts to initiate and conduct specified activities regarding improvement of soil health, including surveys, investigations, research, development of comprehensive plans, entering into agreements with or cooperating with other entities, and making agricultural and engineering machinery and equipment available to landowners or occupiers within the district. Makes other changes. House Committee Amendment No. 1 Deletes reference to: 70 ILCS 405/2 from Ch. 5, par. 107 70 ILCS 405/3.23 new 70 ILCS 405/10 from Ch. 5, par. 115 70 ILCS 405/22.01 from Ch. 5, par. 127.1 70 ILCS 405/22.03 from Ch. 5, par. 127.3 70 ILCS 405/22.05 from Ch. 5, par. 127.5 70 ILCS 405/22.07a from Ch. 5, par. 127.7a Adds reference to: 70 ILCS 405/1 from Ch. 5, par. 106 Replaces everything after the enacting clause. Amends the Soil and Water Conservation Districts Act. Makes a technical change to a Section concerning the short title. House Floor Amendment No. 2 Deletes reference to: 70 ILCS 405/1 Adds reference to: 35 ILCS 200/21-295 35 ILCS 200/21-310 35 ILCS 200/21-355 310 ILCS 10/8.10a new 310 ILCS 10/8.23 310 ILCS 10/17 from Ch. 67 1/2, par. 17 310 ILCS 10/25 from Ch. 67 1/2, par. 25 310 ILCS 10/25.01 new 310 ILCS 10/25.02 new 50 ILCS 825/3 new Replaces everything after the enacting clause. Amends the Property Tax Code. Makes changes in a Section concerning the creation of an indemnity fund. Amends the Housing Authorities Act. Requires housing authorities to collect information concerning the denial of assistance on the basis criminal history records. Specifies further requirements concerning notice and use of criminal history records as related to housing. Effective immediately. Land Conveyance Appraisal Note, House Floor Amendment No. 2 (Dept. of Transportation) No land conveyances are included in Senate Bill 1980 House Amendment #2; therefore, there are no appraisals to be filed. State Debt Impact Note, House Floor Amendment No. 2 (Government Forecasting & Accountability) SB 1980, as amended by House Amendment 2, would not change the amount of authorization for any type of State­issued or State-supported bond, and, therefore, would not affect the level of State indebtedness. Fiscal Note, House Floor Amendment No. 2 (Dept. of Commerce & Economic Opportunity) SB1980 does not require any change in operation for DCEO and therefore will not have any fiscal impact. State Mandates Fiscal Note, House Floor Amendment No. 2 (Dept. of Commerce & Economic Opportunity) SB 1980 HA-2 does not create a State Mandate. Correctional Note, House Floor Amendment No. 2 (Dept of Corrections) This amendment has no fiscal impact or population impact on the department. Fiscal Note, House Floor Amendment No. 2 (Criminal Justice Information Authority) Although the Criminal Justice Information Authority's ("CJIA") would not be responsible for collection of the data, already compiles and reports information to other pubiic bodies and currently mantains a public website, the bill will have a minimal fiscal impact and pose additional administrative duties on "CJLA" Pension Note, House Floor Amendment No. 2 (Government Forecasting & Accountability) SB 1980, as amended by HA 2, will not impact any public pension fund or retirement system in the State of Illinois. Judicial Note, House Floor Amendment No. 2 (Admin Office of the Illinois Courts) Based on a review of the bill, it has been determined that the proposed legislation would neither increase nor decrease the number of judges needed in the state of Illinois. Housing Affordability Impact Note, House Floor Amendment No. 2 (Housing Development Authority) This bill will have no effect on the cost of constructing, purchasing, owning, or selling a single-family residence. Balanced Budget Note, House Floor Amendment No. 2 (Office of Management and Budget) Please be advised that the Balanced Budget Note Act does not apply to Senate Bill 1980, as amended by House Amendment 2 as it is not a supplemental appropriation that increases or decreases appropriations. Under the Act, a balanced budget note must be prepared only for bills that change a general funds appropriation for the fiscal year in which the new bill is enacted.

Amends the Public Utilities Act. Requires the Illinois Commerce Commission to contract with an independent consultant selected through a request for proposal process to produce a report analyzing the potential costs and benefits of energy storage systems. Provides that the independent consultant must analyze: cost savings to ratepayers from the provision of services; direct-cost savings to customers that deploy energy storage systems; an improved ability to integrate renewable resources; improved reliability and power quality; the effect on retail electric rates over the useful life of a given energy storage system compared to the impact on retail electric rates using a nonenergy storage system alternative over the useful life of the nonenergy storage system alternative; reduced greenhouse gas emissions; and any other value reasonably related to the application of energy storage system technology. Requires the Illinois Commerce Commission to submit the report to the General Assembly and the Governor by December 31, 2019. Effective immediately. House Committee Amendment No. 2 Deletes reference to: 220 ILCS 5/16-107.7 new Adds reference to: 220 ILCS 5/1-101 from Ch. 111 2/3, par. 1-101 Replaces everything after the enacting clause. Amends the Public Utilities Act. Makes a technical change in a Section concerning the short title. House Floor Amendment No. 3 Deletes reference to: 220 ILCS 5/1-101 Adds reference to: New Act 505 ILCS 72/25 new 410 ILCS 705/10-45 new 20 ILCS 605/605-870 new 30 ILCS 105/5.935 new 220 ILCS 5/8-306 415 ILCS 5/17.12 new 415 ILCS 5/17.11 rep. 20 ILCS 1205/6 from Ch. 17, par. 106 205 ILCS 670/1 from Ch. 17, par. 5401 205 ILCS 670/15 from Ch. 17, par. 5415 205 ILCS 670/15d from Ch. 17, par. 5419 205 ILCS 670/17.5 205 ILCS 670/17.1 rep. 205 ILCS 670/17.2 rep. 205 ILCS 670/17.3 rep. 205 ILCS 670/17.4 rep. 815 ILCS 122/1-10 815 ILCS 122/2-5 815 ILCS 122/2-10 815 ILCS 122/2-15 815 ILCS 122/2-20 815 ILCS 122/2-30 815 ILCS 122/2-40 815 ILCS 122/2-45 815 ILCS 122/4-5 815 ILCS 205/4 from Ch. 17, par. 6404 815 ILCS 205/4a from Ch. 17, par. 6410 815 ILCS 375/21 from Ch. 121 1/2, par. 581 815 ILCS 375/26.1 new 815 ILCS 405/27 from Ch. 121 1/2, par. 527 815 ILCS 405/28 from Ch. 121 1/2, par. 528 815 ILCS 405/33.1 new 815 ILCS 505/2Z from Ch. 121 1/2, par. 262Z 20 ILCS 605/605-1055 new Replaces everything after the enacting clause. Amends the Farmer Equity Act. Requires the Department of Agriculture to conduct a study and use the data collected to determine economic and other disparities associated with farm ownership and farm operations in this State. Amends the Cannabis Regulation and Tax Act. Creates the Cannabis Equity Commission. Creates the Lead Service Line Replacement and Notification Act. Amends the Department of Commerce and Economic Opportunity Law of the Civil Administrative Code of Illinois. Provides for the low-income water assistance policy and program. Requires the Department of Commerce and Economic Opportunity to conduct a beauty supply industry disparity study. Amends the Environmental Protection Act. Requires specified entities to provide water cost information. Creates the Predatory Loan Prevention Act for specified purposes. Makes conforming and other changes. Effective immediately. House Floor Amendment No. 4 Amends the Predatory Loan Prevention Act. In provisions concerning evasion from the requirements of the Act, provides that if a loan exceeds the rate permitted by specified provisions, a person or entity is a lender subject to the requirements of the Act. Restores a provision specifying that a certified database provider shall indemnify the licensee against all claims and actions arising from illegal or willful or wanton acts on the part of the certified database provider. Changes the name of the "beauty supply industry disparity study" to the "personal care products industry supplier disparity study". Modifies the contents of the disparity study to be compiled and published by the Department of Commerce and Economic Opportunity. Removes the Lead Service Line Replacement and Notification Act provisions. Removes the low-income water assistance policy and program provisions. Removes provisions concerning utilities and environmental protections. Modifies effective date provisions. Land Conveyance Appraisal Note, House Floor Amendment No. 4 (Dept. of Transportation) No land conveyances are included in Senate Bill 1792 House Amendment #4 ; therefore, there are no appraisals to be filed. Pension Note, House Floor Amendment No. 4 (Government Forecasting & Accountability) SB 1792, as amended by HA 4, will not impact any public pension fund or retirement system in the State of Illinois. State Debt Impact Note, House Floor Amendment No. 4 (Government Forecasting & Accountability) SB 1792, as amended by House Amendment 4, would not change the amount of authorization for any type of State-issued or State-supported bond, and, therefore, would not affect the level of State indebtedness. Fiscal Note, House Floor Amendment No. 3 (Illinois Environmental Protection Agency) Illinois EPA anticipates that this bill, if enacted would necessitate the hiring of 7-9 new FTE long-term (scientists and engineers for lead service line replacement plan review and approval, and compliance and field inspection staff); short-term assistance may include 2 FTE {dedicated DOIT personnel) for a period of 2 years for the development and/or expansion of necessary database management systems. The Drinking Water Loan Program may see an increased demand on funding of lead service line replacement projects and corresponding principal forgiveness requests. The amendment does allocate 3% of available dollars from the Lead Service Line Replacement Fund to Illinois EPA for personnel costs associated with administering the provisions of the Act; the Fund would be funded via a water utility fee, to be set by Illinois EPA in consultation with a newly-created Lead Service line Replacement Advisory Board. Fiscal Note, House Floor Amendment No. 4 (Illinois Environmental Protection Agency) SB 1792, as amended by House Amendment #4, removes the Lead Service Line Replacement and Notifcation Act, as well as previous provisions under the Environmental Protection Act. Therefore, there is no fiscal impact to the Illinois EPA. State Debt Impact Note, House Floor Amendment No. 3 (Government Forecasting & Accountability) SB 1792, as amended by House Amendment 4, would not change the amount of authorization for any type of State-issued or State-supported bond, and, therefore, would not affect the level of State indebtedness. Judicial Note, House Floor Amendment No. 3 (Admin Office of the Illinois Courts) Based on a review of the bill, it has been determined that the proposed legislation would neither increase nor decrease the number of judges needed in the state of Illinois. Judicial Note, House Floor Amendment No. 4 (Admin Office of the Illinois Courts) Based on a review of the bill, it has been determined that the proposed legislation would neither increase nor decrease the number of judges needed in the state of Illinois. Land Conveyance Appraisal Note, House Floor Amendment No. 3 (Dept. of Transportation) No land conveyances are included in Senate Bill 1792 House Amendment #3 ; therefore, there are no appraisals to be filed. Correctional Note, House Floor Amendment No. 3 (Dept of Corrections) This amendment has no fiscal impact or population impact on the department. Correctional Note, House Floor Amendment No. 4 (Dept of Corrections) This amendment has no fiscal impact or population impact on the department. Pension Note, House Floor Amendment No. 3 (Government Forecasting & Accountability) SB 1792, as amended by HA 3, will not impact any public pension fund or retirement system in the State of Illinois. Fiscal Note, House Floor Amendment No. 3 (Dept. of Commerce & Economic Opportunity) The amendment to the Cannabis Regulation and Tax Act requires the DCEO Director to have a seat on the Cannabis Equity Commission. No fiscal impact is anticipated. Changes to the Department of Commerce and Economic Opportunity Law of the Civil Administrative Code, creating the low-income water assistance policy and program. With appropriated program and administrative funds for the program the Department anticipates no significant fiscal pressures beyond that of compensating staff for time spent administering the program. Article 20 of the bill requires DCEO to conduct a beauty supply industry disparity study. Due to the investigative nature of a disparity study the Department will need funds appropriated to fulfill the mandate. A more defined scope of the study is needed in order to determine the true fiscal need. Balanced Budget Note, House Floor Amendment No. 3 (Office of Management and Budget) Please be advised that the Balanced Budget Note Act does not apply to Senate Bill 1792, as amended by House Amendment 3 as it is not a supplemental appropriation l??iat increases or decreases appropriations. Under the Act, a balanced budg??t note must be prepared only for bills that change a general funds appropriation for the fiscal year in which the new bill is enacted. Fiscal Note, House Floor Amendment No. 3 (Dept. of Agriculture) The Department of Agriculture has determined the mandated Disparity Study will have a potential associated cost to the Department between $100,000 and $200,000. Balanced Budget Note, House Floor Amendment No. 4 (Office of Management and Budget) Please be advised that the Balanced Budget Note Act does not apply to Senate Bill 1792, as amended by House Amendment 4 as it is not a supplemental appropriation l??iat increases or decreases appropriations. Under the Act, a balanced budg??t note must be prepared only for bills that change a general funds appropriation for the fiscal year in which the new bill is enacted. Fiscal Note, House Floor Amendment No. 4 (Dept. of Commerce & Economic Opportunity) Due to the investigative nature of a disparity study the Department will need funds appropriated to fulfill the request to complete the personal care products industry supplier disparity study. A more defined scope of the study will influence the true fiscal needs of the department, initial estimates to complete the study exceed $100,000. Housing Affordability Impact Note, House Floor Amendment No. 3 (Housing Development Authority) This bill wilI have no effect on the cost of constructing, purchasing, owning, or selling a single-family residence. Housing Affordability Impact Note, House Floor Amendment No. 4 (Housing Development Authority) This bill wilI have no effect on the cost of constructing, purchasing, owning, or selling a single-family residence.

Declares that it is in the best interest of the people of Illinois for the Governor of the State of Illinois to immediately act to shape a narrowly tailored approach to drastically improve the housing stock, communities, and conditions of and for people of African descent residing in the State of Illinois. Urges the Governor of the State of Illinois and the Illinois General Assembly to invoke the principles of the Equitable Economic Land Use Plan of 2020 with all deliberate speed. Declares that funding should be directed toward low-income communities in Illinois for infrastructure, housing, and other economic development. Declares that the Illinois Code of Civil Procedure and the Mortgage Act should be reformed and to further fund existing housing programs that will assist people of African descent in the facilitation of the Equitable Economic Land Use Plan of 2020. Declares that the Menard Correctional Center should revert back to its original name, Southern Illinois Penitentiary.

Creates the Racial Impact Note Act. Provides that every bill which has or could have a disparate impact on racial and ethnic minorities, upon the request of any member, shall have prepared for it, before second reading in the house of introduction, a brief explanatory statement or note that shall include a reliable estimate of the anticipated impact on those racial and ethnic minorities likely to be impacted by the bill. Specifies the contents and provides for the preparation of each racial impact note. Amends the State Officials and Employees Ethics Act. Prohibits racial discrimination and harassment by State officers and employees. Provides that each State officer and employee shall annually complete a racial bias, discrimination, and harassment training program approved by the appropriate jurisdictional authority. Expands the jurisdiction of the Executive Ethics Commission to include allegations of racial discrimination and harassment by persons registered under the Lobbyist Registration Act. Provides that the personnel policies of units of local government shall prohibit racial discrimination and harassment. Defines "racial discrimination and harassment". Provides for rulemaking, including emergency rulemaking. Amends the Secretary of State Act. Provides the Secretary of State's Inspector General with jurisdiction to investigate complaints of racial discrimination and harassment by persons registered under the Lobbyist Registration Act. Amends the Lobbyist Registration Act. Prohibits racial discrimination and harassment by persons registered under the Lobbyist Registration Act. Provides that each registered lobbyist shall annually complete a racial bias, discrimination, and harassment training program approved by the Secretary of State. Defines "racial discrimination and harassment". Amends the Illinois Human Rights Act. Requires the Department of Human Rights to establish a racial discrimination and harassment hotline for the anonymous reporting of racial discrimination and harassment in both public and private places of employment, and to provide for reporting by both telephone and Internet. Amends the Illinois Administrative Procedure Act to provide for emergency rulemaking. Effective immediately. House Committee Amendment No. 1 Deletes reference to: New Act 5 ILCS 100/5-45 5 ILCS 430/5-5 5 ILCS 430/5-10.10 new 5 ILCS 430/5-70 new 5 ILCS 430/50-5 5 ILCS 430/70-5 15 ILCS 305/14 25 ILCS 170/4.8 new 25 ILCS 170/5 25 ILCS 170/10 775 ILCS 5/2-108 new Adds reference to: 20 ILCS 4085/1 Replaces everything after the enacting clause. Amends the Commission to Study Disproportionate Justice Impact Act. Makes a technical change to a Section concerning the short title.

Amends the Illinois Educational Labor Relations Act. Removes language concerning impasse procedures involving an educational employer whose territorial boundaries are coterminous with those of a city having a population in excess of 500,000. Repeals provisions concerning subjects of collective bargaining with that educational employer. Effective immediately. State Mandates Fiscal Note (Dept. of Commerce & Economic Opportunity) This bill does not create a State mandate. Home Rule Note (Dept. of Commerce & Economic Opportunity) This bill does not pre-empt home rule authority. Fiscal Note (IL Educational Labor Relations Board) This bill is not expected to have any measurable fiscal impact on the Illinois Educational Labor Relations Board.

Amends the Illinois Educational Labor Relations Act. Makes a technical change in a Section concerning the Illinois Educational Labor Relations Board. Senate Floor Amendment No. 1 Deletes reference to: 115 ILCS 5/5 Adds reference to: 105 ILCS 5/14-7.02c new Replaces everything after the enacting clause. Amends the Children with Disabilities Article of the School Code. Provides that the Illinois Purchased Care Review Board must accept amended student enrollment data from special education private therapeutic day schools that have specialized contractual agreements with a school district having a population exceeding 500,000 inhabitants in the 2016-2017 and 2017-2018 school years. Provides that the amended student enrollment data must be based on actual monthly enrollment days where a student placed by the school district was formally enrolled and began to receive services through the last date he or she was formally exited from the therapeutic day school. Provides that all enrolled days must be confined to the official beginning and end dates of the therapeutic day school's official calendar on file with the State Board of Education. Provides that a school district having a population of 500,000 or less inhabitants must be billed at the per diem rate approved by the Illinois Purchased Care Review Board based on days enrolled. House Committee Amendment No. 1 Deletes reference to: 105 ILCS 5/14-7.02c new Adds reference to: 105 ILCS 5/1-2 from Ch. 122, par. 1-2 Replaces everything after the enacting clause. Amends the School Code. Makes a technical change in a Section concerning the School Code's construction. Fiscal Note, House Floor Amendment No. 3 (IL State Board of Education) SB 458 (H-AM 3)includes new requirements for the State Board of Education (Board) and school districts that will have a fiscal impact. This fiscal impact estimate only addresses known or estimated costs for the Board and PreK-12 public school districts and not costs to other State agencies or other entities impacted by the amendments. The Board is tasked with providing staff support to 3 new advisory conm1ittees and one expanded advisory committee (KIDS Advisory Committee, Whole Child Task Force, and Inclusive History Commission; Professional Review Panel), adopting new learning standards (computer science and social science), overseeing the creation and/or expansion of programs (Freedom Schools), and will provide technical assistance to districts in implementing new mandates implemented, While existing staff will be able to take on some of the new work, new staff will likely be hired, The Board estimates that each additional staff member needed will cost $115,000 annually. To implement the requirements of these amendments, ISBE estimates needed an additional 3 staff for a total cost of $345,000. The legislation creates the Freedom Schools Grant Program which is subject to appropriation. ISBE estimates this program would cost $85,000 for every 120 students enrolled (this estimate is based on the EBF Cost factor of 1 teacher for every 120 students for Extended Day Supports). The legislation includes new requirements for school districts including expanded accelerated placement opportunities for students and new graduation and coursework requirements (computer literacy, computer science, foreign language and laboratory science). Additionally, once the Board completes adoption of new learning standards school districts will be required to implement these new standards. It is not known what these new requirements will cost school districts.