Rep. Terra Costa Howard

Proposes to amend the Bill of Rights Article of the Illinois Constitution. Provides that no law shall be passed on or after the effective date of the Constitutional Amendment that prohibits the ability of workers to join together and collectively bargain over wages, hours, and terms and conditions of employment through a representative of their own choosing, including any law that prohibits the right of private sector employers and employees to enter into and administer union-security agreements. Allows the General Assembly to establish reasonable amendments to existing law and establish reasonable exemptions relating to collective bargaining rights. Effective upon being declared adopted.

Amends the Illinois Insurance Code. Provides that an individual or group policy of accident and health insurance or managed care plan that is amended, delivered, issued, or renewed on or after the effective date of the amendatory Act shall provide coverage for aesthetic services and restorative care provided for the treatment of physical injuries to victims of domestic violence when medically necessary as determined by a physician licensed to practice medicine in all its branches. Defines "domestic violence". Makes a conforming change in the Medical Assistance Article of the Illinois Public Aid Code.

Amends the Election Code. Allows an elector to be added to a list of permanent vote by mail status voters who receive an official vote by mail ballot for all subsequent elections. Provides that a voter whose application for permanent vote by mail status is accepted by the election authority shall remain on the permanent vote by mail list until the voter requests to be removed from permanent vote by mail status, the voter provides notice to the election authority of a change in registration, or the election authority receives confirmation that the voter has subsequently registered to vote in another county. Provides the notice to be sent by election authorities to all qualified voters before a general election for the option to be placed on the list of permanent vote by mail status voters. Provides the application form for permanent vote by mail status. Allows an election authority to combine the applications for single election vote by mail and permanent vote by mail status on one form. Makes conforming changes.

Amends the Medical Practice Act of 1987. Provides for the licensure of naturopathic physicians. Makes conforming changes in various other Acts. Effective immediately.

Amends the General Assembly Operations Act. Provides that no person may serve more than 10 consecutive years in any of the following leadership roles: Speaker of the House of Representatives, President of the Senate, Minority Leader of the House of Representatives, and Minority Leader of the Senate. Provides that the limitations imposed by the amendatory Act apply to service beginning on and after the second Wednesday in January of 2023.

Amends the Regulatory Sunset Act. Provides that the Nurse Practice Act is not repealed on January 1, 2023. Amends the Nurse Practice Act. Changes the name of the pilot program to the Medication Aide Program and makes the Program permanent. Removes provisions that provide that: no more than 10 skilled nursing homes shall be authorized to employ licensed medication aides; and to be approved as a qualified facility, the facility must have an overall 5-star quality rating of 3, 4, or 5 from the most recent data available on the Centers for Medicare and Medicaid Services' website. Changes references to the Department of Public Health to the Department of Healthcare and Family Services. Provides that the Department of Financial and Professional Regulation shall submit a report regarding patient safety, efficiency, and errors to the General Assembly no later than one year (instead of 6 months) after the implementation of the amendatory Act. Restricts licenses from being renewed or restored. Makes other changes. Effective immediately.

Amends the Illinois Highway Code. Requires the Department of Transportation to make menstrual hygiene products available, at no cost, in the bathrooms of each Interstate highway rest area.

Provides that the amendatory Act may be referred to as the Illinois Partners for Nutrient Loss Reduction Act. Provides legislative findings. Amends the State Finance Act. Provides that moneys in the Partners for Conservation Fund and the Partners for Conservation Projects Fund may be used to implement the State's Nutrient Loss Reduction Strategy, including funding for specified needs. Provides that the State Comptroller shall automatically transfer moneys to the Partners for Conservation Fund through June 30, 2027 (currently, 2021). Specifies the amount of moneys transferred to the Fund from 2022 through 2027 (currently, only for 2021). Specifies amounts and uses for moneys to be used by the Fund through specified years. Provides specified amounts to be transferred from the General Revenue Fund into the Partners for Conservation Fund for each year of 2022 through 2027. Provides that, for years 2022 through 2027, funding from the Partners for Conservation Fund shall be provided to the Environmental Protection Agency, the Department of Agriculture, and the Department of Natural Resources annually in specified amounts and for specified uses. Effective immediately.

Creates the Insulin for All Act. Provides that the Department of Public Health shall offer a discount program that allows participants to purchase insulin at a discounted, post-rebate price. Sets forth provisions concerning an insulin urgent-need program. Provides that by July 1, 2022, each manufacturer shall establish procedures to make insulin available to eligible individuals who are in urgent need of insulin or who are in need of access to an affordable insulin supply. Sets forth provisions concerning insulin urgent-need program exceptions, eligibility, forms, applications, claims and reimbursement, copayments, information sheets, navigators, and penalties. Sets forth provisions concerning an insulin patient assistance program and manufacturer responsibilities and process of the patient assistance program. Sets forth provisions concerning dispute resolution, reports, and penalties for insulin programs. Creates the Insulin Assistance Fund. Defines terms. Amends the Illinois Insurance Code. In provisions concerning cost sharing in prescription insulin drugs, provides that an insurer that provides coverage for prescription insulin drugs under the terms of a health coverage plan the insurer offers shall limit the total amount that an insured is required to pay for a 30-day supply of covered prescription insulin drugs at an amount not to exceed $35 (rather than $100). Makes a conforming change in the State Finance Act. Makes other changes. Effective immediately.

Amends the School Code. Exempts from contract bidding requirements contracts for goods, services, or management in the operation of a school's food service, including a school that participates in any of the United States Department of Agriculture's child nutrition programs. Effective immediately.