Rep. Janet Yang Rohr

Amends the Mental Health and Developmental Disabilities Administrative Act. Requires the Department of Healthcare and Family Services, in collaboration with the Department of Human Services, to file an amendment to the Home and Community-Based Services Waiver Program for Adults with Developmental Disabilities that shall include an increase in the rate methodology sufficient to provide for a wage rate of 150% of the statewide, regional, or local minimum wage for services delivered on or after January 1, 2026, for all direct support personnel and all other frontline personnel who are not subject to the Bureau of Labor Statistics' average wage increases and who work in residential and community day services settings. Provides that for services delivered on or after January 1, 2026, the rates shall include adjustments to employment-related expenses as defined by rule by the Department of Human Services. Requires the Department of Human Services to adopt rules, including emergency rules, to implement the rate increases. Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to submit a Title XIX State Plan amendment to the federal Centers for Medicare and Medicaid Services that shall include an increase in the rate methodology sufficient to provide for a wage rate of 150% of the statewide, regional, or local minimum wage for services delivered on or after January 1, 2026, for all direct support personnel and all other frontline personnel at ID/DD and MC/DD facilities. Provides that the State Plan amendment shall provide wage increases for all residential non-executive direct care staff. Effective immediately.

Amends the Environmental Protection Act. Provides that no person shall conduct a carbon sequestration activity within a sequestration facility that overlies, underlies, or passes through a sole-source aquifer. Defines "sole-source aquifer". Effective immediately.

Creates the Homeschool Act. Requires the State Board of Education to create a Homeschool Declaration Form to be used by a homeschool administrator to submit information indicating that a child is enrolled in a homeschool program to the principal of the public school or to the school district that the homeschooled child would otherwise attend. Provides that a student enrolled in a homeschool program in which the homeschool administrator has not notified the public school or school district with the Homeschool Declaration Form is considered truant, with penalties applying. Provides that if a child in a homeschool program seeks to enroll part time in a public school or participate in any public school activities taking place on or off of school grounds, the homeschool administrator must submit proof that the child has received all required immunizations and health examinations or a signed Certificate of Religious Exemption. Sets forth requirements for homeschool administrators and programs and reporting requirements. Makes conforming and other changes in the Freedom of Information Act, the School Code, and the Illinois School Student Records Act, including requiring (rather than allowing) nonpublic schools to register with the State Board of Education.

Creates the Nonopioid Alternatives for Pain Act. Allows the Department of Public Health to develop and publish on its website a nonopioid alternatives pamphlet, with certain requirements. Prohibits a health insurance issuer to deny coverage of a nonopioid prescription drug in favor of an opioid prescription drug. Amends the Illinois Public Aid Code. Provides that coverage shall not be denied for a nonopioid prescription drug in favor of an opioid prescription drug. Requires that nonopioid drugs preferred on a specific list for the treatment or management of pain shall not be disadvantaged or discouraged with respect to coverage relative to any opioid or narcotic drug for the treatment or management of pain. Effective July 1, 2027.

Amends the Community Emergency Services and Support Act. Modifies legislative findings. Provides that appropriate mobile response services must, among other things, subject to the care decisions of the individual receiving care, coordinate transportation for any individual experiencing a mental or behavioral health emergency to the least restrictive setting feasible (rather than provide transportation for any individual experiencing a mental or behavioral health emergency). Provides that adequate mobile mental health relief provider training includes, among other things, training in recognizing and working with people with neurodivergent and developmental disability diagnoses and in the techniques available to help stabilize and connect them to further services and training in the involuntary commitment process, in identification of situations that meet the standards for involuntary commitment, and in cultural competencies and social biases to guard against any group being disproportionately subjected to the involuntary commitment process or the use of the process not warranted under the legal standard for involuntary commitment. Provides that mobile mental health relief providers may only participate in the involuntary commitment process to the extent permitted under the Mental Health and Developmental Disabilities Code. Requires the system for gathering information developed by the Statewide Advisory Committee to determine the number of instances of mobile mental health relief providers initiating petitions for involuntary commitment. Provides that the exemption from civil liability for emergency care provided in the Good Samaritan Act applies to anyone providing care under the Act. Provides that each 9-1-1 public safety answering point and emergency service dispatched through a 9-1-1 public safety answering point must begin coordinating its activities with the mobile mental and behavioral health services established by the Division of Mental Health once all 3 of the following conditions are met, but not later than July 1, 2027 (rather than July 1, 2025). Adds definitions and modifies existing definitions. Effective immediately.

Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance or a managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2027 shall provide coverage for all medically necessary diagnostic testing and U.S. Food and Drug Administration-approved treatments or medications prescribed to slow the progression of Alzheimer's disease or another related dementia, in accordance with the U.S. Food and Drug Administration label, as determined by a physician licensed to practice medicine in all its branches. Provides that coverage of U.S. Food and Drug Administration-approved treatments or medications prescribed to slow the progression of Alzheimer's disease or another related dementia shall not be subject to step therapy. Amends the Counties Code, the Illinois Municipal Code, the School Code, the Health Maintenance Organization Act, the Limited Health Service Organization Act, and the Voluntary Health Services Plans Act to require coverage under those provisions. Effective immediately.

Amends the Department of Early Childhood Act. Requires the Department of Early Childhood to establish an Early Childhood Integrated Data System (ECIDS) to make equity driven, inclusive, and data-informed decisions that create a simpler, better, and fairer system for all Illinois children and families. Provides that the Department shall develop public analytic portals and query tools for parents and communities to access aggregated integrated data from the ECIDS system to the extent permitted by State and federal confidentiality requirements.

Maddy summaryHB 473 amends the School Code to correct a technical error in the section that defines the code's short title. This change is purely administrative and does not alter any educational policies, programs, or requirements. The bill affects no specific groups, schools, or students, as it only updates the official reference language within the code. It has no substantive impact on education funding, curriculum, or school operations.

Amends the Preventing Sexual Violence in Higher Education Act. Makes changes concerning definitions. Requires a higher education institution's comprehensive policy to include digital sexual harassment and doxing. Makes changes concerning the components of the comprehensive policy and the notification of a survivor's rights and options, including providing a summary of the higher education institution's process for protecting survivors from retaliation. Provides that a confidential advisor is separate from the advisor specific to a complaint resolution procedure, and makes other changes concerning advisors. Makes changes concerning complaint resolution procedures, including prohibiting a higher education institution from distributing any evidence that includes a private or intentionally digitally altered sexual image by physical or electronic means and requiring a higher education institution to enact and implement a policy and process for early resolution of any retaliatory report, claim, counterclaim, or complaint made to the higher education institution by a respondent or any other individual against a survivor. Makes changes concerning training. Provides that a survivor has a cause of action against any higher education institution that fails to exercise due diligence in responding to sexual violence, domestic violence, dating violence, stalking, doxing, digital sexual harassment, or any other sex-based harassment that the higher education institution knew or should have known about. Sets forth the relief a prevailing survivor is entitled to. Effective immediately.

Amends the School Code. Provides that if a school district receives an order of protection protecting the identity and location of a school in which the petitioner's child or children attend, the school district must notify and deliver a copy of the order of protection to the school resource officer.