Rep. Terra Costa Howard

Amends the School Code. Adds a provision that any parent who is deaf, or does not normally communicate using spoken English, who participates in a meeting with a representative of a local educational agency for the purposes of developing an individualized educational program, or attends a multidisciplinary conference, a 504 mediation session, or a due process hearing (instead of just a meeting with a representative of a local educational agency for the purposes of developing an individualized educational program) shall be entitled to the services of an interpreter. Requires the State Board of Education to adopt rules to implement the provisions. Effective immediately. House Committee Amendment No. 1 Replaces references to a 504 mediation session with references to a 504 meeting and a mediation session for when a parent is entitled to the services of an interpreter. Senate Floor Amendment No. 1 Adds reference to: 105 ILCS 5/14-6.01 from Ch. 122, par. 14-6.01 105 ILCS 5/14-8.02a Replaces everything after the enacting clause. Reinserts the provisions of the engrossed bill with the following changes: In provisions concerning notification of services under Section 504 of the federal Rehabilitation Act of 1973, provides that the notice shall also state that any parent who is deaf or does not typically communicate using spoken English and who participates in a Section 504 meeting with a representative of a local educational agency shall be entitled to the services of an interpreter. Removes the amendatory language that provides that those who attend a 504 meeting, a mediation session, or a due process hearing shall be entitled to the services of an interpreter. Provides that at all stages of an impartial due process hearing or mediation, the hearing officer or mediator shall require that interpreters licensed pursuant to the Interpreter for the Deaf Licensure Act of 2007 be made available by the school district for persons who are deaf or qualified interpreters be made available by the school district for persons whose normally spoken language is other than English (rather than providing that at all stages of an impartial due process hearing, the hearing officer shall require that interpreters be made available by the school district for persons who are deaf or for persons whose normally spoken language is other than English). Effective immediately.

Amends the State Commemorative Dates Act. Provides that August 1 of each year is designated as Sweet Corn Appreciation Day, to be observed throughout the State as a day to celebrate the importance of sweet corn to Illinois agriculture, and in recognition of family farmers.

Amends the Illinois Vehicle Code. Provides that an application for vehicle registration must provide space where the applicant voluntarily may indicate that the applicant, or other approved driver of the registered vehicle, has a health condition or disability that may impede effective communication with a peace officer. Provides that the application shall include a checklist of common health conditions and disabilities that impede effective communication, which the applicant may select. Provides that the checklist must also include a blank space for the applicant to specify a condition that is not listed. Provides that the Secretary of State may request verification of a condition in the form of written statements by specified health professionals. Provides that the Secretary shall provide to the Illinois State Police the vehicle registration information of a person who indicated that the person, or other approved driver of the registered vehicle, has a health condition or disability that may impede effective communication. Provides that the Secretary may not provide to the Illinois State Police information that shows the person's specific health condition or disability, or that of another approved driver of the registered vehicle, without the consent of the person. Provides that the Illinois State Police shall establish a system to include the information in the statewide Law Enforcement Agencies Data System for the purpose of alerting a peace officer who makes a traffic stop that the operator of the stopped vehicle may have a health condition or disability that may impede effective communication. Provides that the Illinois State Police may not make the information available in the statewide Law Enforcement Agencies Data System to a person who has access to the system under a contract unless the contract prohibits the person from disclosing that information to a person who is not subject to the contract. Provides that information supplied to the Secretary relating to an applicant's health condition or disability, or that of another approved driver of the registered vehicle, is for the confidential use of the Secretary and the Illinois State Police, and may not be disclosed to any person. House Floor Amendment No. 2 Specifies that every original application (currently, application) shall bear the signature of the owner and restores provisions requiring such a signature to be written in pen and ink. Expands the applicability of the amendatory language to allow a parent of a child with a communication disorder to disclose that the child has a health condition or disability that may impede effective communication with a peace officer. Adds an effective date of July 1, 2023.

Amends the Registered Interior Designers Act. Provides that nothing shall be construed as preventing or restricting persons engaging in professional services limited to the design of kitchen and bath spaces and the specification of products for kitchen and bath areas. Provides that every registered interior designer shall have a reproducible seal. Provides that the registered interior designer shall affix the signature, current date, date of registration expiration, and seal to the first sheet of any bound set or loose sheets of technical submissions. Provides that all technical submissions intended for use in the State shall be prepared and administered in accordance with standards of reasonable professional skill and diligence. Provides that prior to registration, the applicant shall provide substantial evidence to the Board of Registered Interior Design Professionals that the applicant has completed the education and work experience requirements to sit for the Council for Interior Design Qualification examination, has successfully passed the Council for Interior Design Qualification examination, and has maintained an active Council for Interior Design Qualification certification. Provides that each applicant for renewal or reinstatement of registration shall complete continuing education as set forth by the Department of Financial and Professional Regulation by rule. Makes changes in provisions concerning causes for disciplinary actions. Defines terms. House Floor Amendment No. 1 Replaces everything after the enacting clause. Amends the Registered Interior Designers Act. Defines terms. Provides that nothing in the Act shall be construed as preventing or restricting persons from engaging in professional services limited to the design of kitchen and bath spaces or the specification of products for kitchen and bath areas in noncommercial settings. Provides that every registered interior designer shall have a reproducible seal. Provides that the registered interior designer shall affix the signature, current date, date of registration expiration, and seal to the first sheet of any bound set or loose sheets of interior technical submissions. Provides that all interior technical submissions intended for use in the State shall be prepared and administered in accordance with standards of reasonable professional skill and diligence. Provides that prior to registration, the applicant shall provide substantial evidence to the Board of Registered Interior Design Professionals that the applicant has completed the education and work experience requirements to sit for the Council for Interior Design Qualification examination, has successfully passed the Council for Interior Design Qualification examination, and has maintained an active Council for Interior Design Qualification certification. Provides that each applicant for renewal or reinstatement of registration shall complete continuing education as set forth by the Department of Financial and Professional Regulation by rule. Makes changes in provisions concerning causes for disciplinary actions. Provides that the Department may refuse to issue, renew, or restore or may revoke, suspend, place on probation, reprimand or take other disciplinary action as the Department may deem proper, including fines not to exceed $10,000 (instead of $5,000) for each violation. Makes other changes. House Floor Amendment No. 3 Changes the definition of "practice of interior design" to "practice of registered interior design". Provides that the "practice of registered interior design" does not include the practice of structural engineering as defined in the Structural Engineering Practice Act of 1989, the practice of professional engineering as defined in the Professional Engineering Practice Act of 1989, or the practice of land surveying as defined in the Illinois Professional Land Surveyor Act of 1989. Provides that nothing in this Act shall authorize registered interior designers to perform services that are restricted under the Professional Engineering Practice Act of 1989, the Illinois Professional Land Surveyor Act of 1989, or the Structural Engineering Practice Act of 1989, or that are restricted under the Illinois Architecture Practice Act of 1989, except as provided in the Registered Interior Designers Act, or that registered interior designers are not authorized to perform under the Environmental Barriers Act, except as provided for in the Registered Interior Designers Act. Makes other changes.

Amends the Department of Public Health Powers and Duties Law of the Civil Administrative Code of Illinois. Requires the Department of Public Health to develop and implement a comprehensive 2-year statewide safe gun storage public awareness campaign. Provides that the campaign shall include sustained and focused messaging over the course of the 2-year campaign period, messages paired with information about enforcement or incentives for safe gun storage, and geographic and cultural considerations. Provides that the campaign shall be divided into 3 phases with specified requirements for each phase. Repeals the provisions on January 1, 2026. House Floor Amendment No. 1 Provides that the statewide safe gun storage public awareness campaign shall be developed by the Department of Public Health subject to appropriation.

Creates the Hydrogen Economy Act. Creates the Hydrogen Economy Task Force. Provides for membership of the Task Force. Provides that members of the Task Force shall serve without compensation. Provides for meetings of the Task Force. Provides that the Department of Commerce and Economic Opportunity shall provide administrative support to the Task Force. Provides for duties of the Task Force. Provides that the Task Force shall report to the Governor and the General Assembly by December 1 of each year on its activities, findings, and recommendations. Effective immediately. Senate Committee Amendment No. 1 Adds members to the Hydrogen Economy Task Force. Modifies the duties of the Task Force to specify that the duties include identifying barriers to the widespread development of hydrogen, including within environmental justice communities. Senate Floor Amendment No. 2 Provides for the appointment of an additional member to the Hydrogen Economy Task Force. House Committee Amendment No. 2 Replaces everything after the enacting clause. Reinserts the provisions of the engrossed bill with the following changes. Adds three members to the Hydrogen Economy Task Force: one member representing a non-profit energy research organization, appointed by the Governor; one representative of a trade association representing the investor-owned electric and natural gas utilities and power generation companies in the State of Illinois, appointed by the Speaker of the House of Representatives; and one representative of a trade association representing wind and solar electric generators, renewable transmission companies, appointed by the President of the Senate.

Amends the Illinois Vehicle Code. Adds a licensed physical therapist as a person who can verify that a person is a person with disabilities for the purposes of the Code. Senate Floor Amendment No. 1 Deletes reference to: 625 ILCS 5/1-159.1 Adds reference to: 605 ILCS 140/5 605 ILCS 140/90 Replaces everything after the enacting clause. Amends the Expressway Camera Act. Provides that the Illinois State Police, the Illinois Department of Transportation, and the Illinois State Toll Highway Authority shall work together to conduct a program to increase the amount of cameras along expressways and the State highway system in the counties of Boone, Bureau, Champaign, Cook, DeKalb, DuPage, Grundy, Henry, Kane, Kendall, Lake, LaSalle, Macon, Madison, McHenry, Morgan, Peoria, Rock Island, Sangamon, St. Clair, Will, and Winnebago (instead of only Cook County). Provides that any funds needed to conduct the program for use on expressways or State highway system under the jurisdiction of the Department of Transportation shall be taken from the Road Fund and shall be included in requests for qualification processes. Provides that any funds needed to conduct the program for use on expressways under the jurisdiction of the Illinois State Toll Highway Authority shall be paid for by funds from the Illinois State Tollway Highway Authority and shall be included in requests for qualification processes. Changes the Act repeal date to July 1, 2025 (instead of July 1, 2023). Effective immediately.

Amends the Illinois Controlled Substances Act. Provides that a prescriber shall offer a prescription for naloxone hydrochloride, or another similar drug approved by the Food and Drug Administration, under specified circumstances. Provides for educational information to be provided concerning overdose prevention and the use of naloxone hydrochloride. Provides that a prescriber who does not comply with specified requirements shall be subject to administrative sanctions under the appropriate licensing board. Specifies that the provisions do not create a private right of action against a prescriber, and do not limit a prescriber's liability for the negligent failure to diagnose or treat a patient. Provides that these provisions do apply to a patient receiving hospice care in accordance with the Hospice Program Licensing Act. Contains a purpose provision. Effective immediately. Senate Floor Amendment No. 2 Deletes reference to: 720 ILCS 570/322 new Adds reference to: 225 ILCS 85/19.1 720 ILCS 570/312 from Ch. 56 1/2, par. 1312 720 ILCS 570/313 from Ch. 56 1/2, par. 1313 Replaces everything after the enacting clause. Amends the Pharmacy Practice Act. In a provision regarding dispensing opioid antagonists, provides that notwithstanding any general or special law to the contrary, a licensed pharmacist shall (rather than may) dispense an opioid antagonist in accordance with written, standardized procedures or protocols developed by the Department of Financial and Professional Regulation with the Department of Public Health and the Department of Human Services and filed at the pharmacy. Provides that before dispensing an opioid a pharmacist shall inform patients that opioids are addictive and offer to dispense an opioid antagonist. Deletes language concerning a training program approved by the Department of Human Services for pharmacists to complete before dispensing an opioid. Amends the Illinois Controlled Substances Act. Provides that prescribers who issue a prescription for an opioid shall inform the patient that opioids are addictive and that opioid antagonists are available by prescription or from a pharmacy. Provides that in a hospital or institution licensed under the Hospital Licensing Act, all prescribers of an opioid shall inform the patient that opioids are addictive and that opioid antagonists are available by prescription or from a pharmacy. Provides that upon discharge any patient who has overdosed on controlled substances shall be provided with an opioid antagonist. Provides that if the patient is not able to pay for the opioid antagonist, then the State of Illinois shall reimburse the hospital for the opioid antagonist from federal grant funds to address substance use disorder or other State funds for the same purpose. Adds an effective date provision of January 1, 2022. Senate Floor Amendment No. 3 Changes the effective date of the bill from January 1, 2022 to January 1, 2023. Senate Floor Amendment No. 4 Provides that in a hospital or institution licensed under the Hospital Licensing Act, all prescribers of an opioid shall inform the patient that opioids are addictive and that opioid antagonists are available by prescription or from a pharmacy. Provides that upon discharge, any patient who has overdosed on controlled substances shall be provided with an opioid antagonist in accordance with written, standardized procedures or protocols developed by the Department of Financial and Professional Regulation with the Department of Human Services and the Department of Public Health and filed at the pharmacy before implementation and are available to the Department of Human Services upon request. Defines "opioid antagonist". Senate Floor Amendment No. 5 Deletes reference to: 720 ILCS 570/313 Deletes provisions of the bill, as amended by Senate Amendment No. 2, that relate to prescriptions of opioids in hospitals or institutions licensed under the Hospital Licensing Act and requirements for providing opioid antagonists to patients who are being discharged after having overdosed on controlled substances.

Amends the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to waive estate recovery under specified provisions of the Code where recovery would not be cost-effective, would work an undue hardship, or for any other just reason. Provides that when an estate is not valued at a minimum of $25,000, it is not cost-effective to pursue recovery. Requires the Department to pursue a State Plan amendment to establish a cost-effectiveness threshold of $25,000. Sets forth the circumstances under which an estate may apply for an undue hardship waiver. Requires the Department to make information about estate recovery and hardship waivers easily accessible. Requires the Department to maintain on its website information on how to request a hardship waiver in English, Spanish, and the next 4 most commonly used languages. In a provision concerning eligibility verification for medical assistance, requires the Department to include seniors and persons with disabilities in ex parte renewals. Requires the Department to use its asset verification system, accept the data provided about an individual's assets, and automatically renew the individual's coverage for medical assistance. Requires the Department to pursue a State Plan amendment, if required, by July 1, 2022 to implement ex parte renewals. In order to achieve efficiencies in the Medicare Savings Program's enrollment process, requires the Department to investigate how to align the eligibility criteria under the Medicare Savings Program with the criteria used by the Medicare Part D Low-Income Subsidy (LIS) program. Requires the Department to issue a report, by July 1, 2022, with its recommendations on alignment and outreach. Provides that by October 31, 2022, the Department shall change the Medicare Savings Program's eligibility criteria to facilitate the use of LIS leads data to automate or streamline enrollment into Medicare Savings Program benefits. Repeals several provisions concerning the State's authority to place a lien on a recipient's real property interests in order to recover payments made by the State on the recipient's behalf under the Aid to the Aged, Blind or Disabled program or the Medical Assistance program. Effective immediately. House Committee Amendment No. 1 Adds reference to: 305 ILCS 5/5-1.6 new Replaces everything after the enacting clause. Reinserts the provisions of the introduced bill with the following changes: Requires the Department of Healthcare and Family Services to seek a State Plan amendment or any federal waivers necessary to implement 12 months of continuous eligibility for adults participating in the medical assistance program. Requires the Department to secure federal financial participation in accordance with the amendatory Act for expenditures made in State Fiscal Year 2023 and every State fiscal year thereafter. Requires the Department to seek a State Plan amendment or any federal waivers or approvals necessary to implement an ex parte redetermination process for persons experiencing homelessness or who are without income at the time of application or redetermination. Requires the Department and the Department of Human Services to make necessary technical and rule changes to implement the ex parte redetermination process. Requires the Department to report on a monthly basis on its website the percentage of medical assistance recipients whose eligibility is renewed through the ex parte redetermination process. Requires the Department to share the data with the Medicaid Advisory Committee and the Medicaid Advisory Committee Public Education Subcommittee. Effective immediately. House Floor Amendment No. 3 Replaces everything after the enacting clause. Amends the Illinois Public Aid Code. Provides that by July 1, 2022, the Department of Healthcare and Family Services shall seek a State Plan amendment or any federal waivers necessary to make changes to the medical assistance program. Requires the Department to apply for federal approval to implement 12 months of continuous eligibility for adults participating in the medical assistance program. Requires the Department to secure federal financial participation for expenditures made by the Department in State Fiscal Year 2023 and every State fiscal year thereafter. Provides that by July 1, 2022, the Department shall seek a State Plan amendment or any federal waivers or approvals necessary to make changes to the medical assistance redetermination process for people without any income at the time of redetermination. Provides that within 60 days after federal approval or guidance, the Department and the Department of Human Services shall make necessary technical and rule changes to implement changes to the redetermination process. Requires the Department to publish on its website monthly reports on the percentage of medical assistance recipients whose eligibility is renewed through the ex parte redetermination process. Requires the Department to waive any claim against the first $25,000 of any estate to prevent substantial and unreasonable hardship. Requires the Department to make information about estate recovery and hardship waivers easily accessible. Provides that it is the determination of the General Assembly that the Department must (i) include seniors and persons with disabilities in ex parte renewals and (ii) use its asset verification system to assist in the determination of whether an individual's coverage can be renewed using the ex parte process. Requires the Department to pursue a State Plan amendment by July 1, 2022, if necessary. Repeals several provisions concerning the State's authority to place a lien on a recipient's real property interests in order to recover payments made by the State on the recipient's behalf under the Aid to the Aged, Blind or Disabled program or the Medical Assistance program. Effective immediately. Senate Floor Amendment No. 1 Adds reference to: New Act 305 ILCS 5/14-12 305 ILCS 5/5-18.5 305 ILCS 5/5-4 from Ch. 23, par. 5-4 305 ILCS 5/5-5.05d new 305 ILCS 5/5-5.05e new 305 ILCS 5/5-5.05f new 305 ILCS 5/5-5.05g new 305 ILCS 5/5-5.06c new 305 ILCS 5/5-5.06d new 305 ILCS 5/5-5.06e new 305 ILCS 5/5-5 from Ch. 23, par. 5-5 20 ILCS 2310/2310-434 new 210 ILCS 9/77 new 210 ILCS 45/3-613 new 210 ILCS 46/3-613 new 210 ILCS 47/3-613 new 305 ILCS 5/5-5.01b new 5 ILCS 100/5-45.21 new 5 ILCS 100/5-45.22 new 305 ILCS 5/5-1.6 new 305 ILCS 5/5-13.1 new 305 ILCS 5/11-5.1 305 ILCS 5/11-5.5 new 305 ILCS 5/3-10 rep. 305 ILCS 5/3-10.1 rep. 305 ILCS 5/3-10.2 rep. 305 ILCS 5/3-10.3 rep. 305 ILCS 5/3-10.4 rep. 305 ILCS 5/3-10.5 rep. 305 ILCS 5/3-10.6 rep. 305 ILCS 5/3-10.7 rep. 305 ILCS 5/3-10.8 rep. 305 ILCS 5/3-10.9 rep. 305 ILCS 5/3-10.10 rep. 305 ILCS 5/5-13.5 rep. 305 ILCS 5/5-5.07 305 ILCS 5/5-4.2 305 ILCS 5/5-30d new Replaces everything after the enacting clause. Reinserts the provisions of the engrossed bill with the following changes: Creates the Wellness Checks in Schools Program Act. Provides that subject to appropriation, the Department of Healthcare and Family Services shall establish the Wellness Checks in Schools Collaborative for school districts that wish to implement wellness checks to identify students in grades 7 through 12 who are at risk of mental health conditions, including depression or other mental health issues. Requires the Department to work with school districts that have a high percentage of students enrolled in Medicaid and a high number of referrals to the State's Crisis and Referral Entry Services (CARES) hotline. Provides that subject to appropriation, the Department shall establish and implement a program to provide wellness checks in public schools in accordance with the Act. Amends the Illinois Public Aid Code. In the Hospital Services Trust Fund Article, provides that beginning with dates of service on and after January 1, 2023, any general acute care hospital with more than 500 outpatient psychiatric Medicaid services to persons under 19 years of age in any calendar year shall be paid the outpatient add-on payment of no less than $113. In the Medical Assistance Article, provides that beginning January 1, 2023, licensed certified professional midwife services shall be covered under the medical assistance program, subject to appropriation, for persons who are otherwise eligible for medical assistance. Requires the Department of Healthcare and Family Services to consult with midwives on reimbursement rates for midwifery services. Provides that subject to federal approval, beginning January 1, 2023, the community spouse resource allowance shall be established and maintained at a base amount of $109,560 plus an additional amount of $2,784 added to the base amount each year for a period of 10 years commencing with calendar year 2024 through calendar year 2034. Requires yearly increases up to the maximum resource allowance permitted under the Social Security Act. Provides that subject to federal approval, beginning January 1, 2034 the community spouse resource allowance shall be established and maintained at the maximum amount permitted under the Social Security Act, or an amount set after a fair hearing. Provides that subject to federal approval, beginning January 1, 2023 the monthly maintenance allowance for the community spouse shall be established and maintained at the maximum amount higher of $2,739 per month or the minimum level permitted under the Social Security Act. Contains provisions requiring the Department of Human Services to develop a program designed to provide behavioral health providers with academic detailing and clinical consultation over the phone on how to best care for patients with severe mental illness or a developmental disability. Contains provisions requiring the Department of Human Services to track the availability of beds for withdrawal management services that are licensed by the Department and are available to medical assistance beneficiaries. Contains provisions concerning coverage for peer recovery support services under the medical assistance program; the alignment of substance use prevention and recovery and mental health policy; increased rates for prenatal and postpartum care; the external cephalic version rate; increased funding for dental services; and coverage for acupuncture services under the medical assistance program. Amends the Department of Public Health Powers and Duties Law. Requires the Department of Public Health to establish or approve a Certified Nursing Assistant Intern Program to address the increasing need for trained health care workers and provide additional pathways for individuals to become certified nursing assistants. Amends the Assisted Living and Shared Housing Act, the Nursing Home Care Act, the MC/DD Act, and the ID/DD Community Care Act to establish certain employment requirements for certified nursing assistant interns and establishments that employ certified nursing assistant interns. Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to establish or approve a Certified Nursing Assistant Intern Program to address the increasing need for trained health care workers for the supporting living facilities program. Sets forth classroom and on-the-job training requirements for certified nursing assistant interns. Provides that the Certified Nursing Assistant Intern Program shall end upon the termination of the Secretary of Health and Human Services' public health emergency declaration for COVID-19 or 3 years after the date that the Program becomes operational, whichever occurs later. Grants the Departments of Public Health and Healthcare and Family Services emergency rulemaking authority. Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that by July 1, 2022, the Department of Healthcare and Family Services shall seek a State Plan amendment or any federal waivers or approvals necessary to make changes to the medical assistance redetermination process by allowing all people without income to be considered for ex parte redetermination. Requires the Department of Healthcare and Family Services to waive estate recovery under the medical assistance program where recovery would not be cost-effective, would work an undue hardship, or for any other just reason. Requires the Department of Human Services to compile on a monthly basis data on the percentage of medical assistance beneficiaries whose eligibility is renewed through ex parte redeterminations. Requires the Department of Healthcare and Family Services to seek a State Plan amendment by July 1, 2022 that permits the use of its asset verification system to assist in determining whether the ex parte process can be used to renew the medical assistance coverage of a senior or a person with a disability. Contains provisions concerning streamlining enrollment into the Medicare Savings Program. Repeals provisions under the Aid to the Aged, Blind or Disabled Article of the Illinois Public Aid Code concerning liens on recipients real property interests. In a provision requiring the Department of Healthcare and Family Services to pay the DCFS per diem rate for inpatient psychiatric stays at free-standing psychiatric hospitals or hospitals with a pediatric or adolescent inpatient psychiatric unit, removes language making the provision operative only through July 1, 2023. Amends the Medical Assistance Article of the Illinois Public Aid Code. In provisions concerning ground ambulance services, provides that, within 90 days after the effective date of the amendatory Act, the Department of Healthcare and Family Services shall file rules to allow for the approval of ground ambulance services when the sole purpose of the transport is for the navigation of stairs or the assisting or lifting of a patient at a medical facility or during a medical appointment in instances where the Department or a contracted Medicaid managed care organization or their transportation broker is unable to secure transportation through any other transportation provider. Provides that beginning no later than January 1, 2023 and subject to federal approval, the amount allocated to fund rates for medi-car, service car, and attendant services provided to adults and children under the medical assistance program shall be increased by an approximate amount of $24,000,000. Effective immediately. Senate Floor Amendment No. 2 Adds reference to: New Act 305 ILCS 5/14-12 305 ILCS 5/5-18.5 305 ILCS 5/5-4 from Ch. 23, par. 5-4 305 ILCS 5/5-5.05d new 305 ILCS 5/5-5.05e new 305 ILCS 5/5-5.05f new 305 ILCS 5/5-5.05g new 305 ILCS 5/5-5.06c new 305 ILCS 5/5-5.06d new 305 ILCS 5/5-5.06e new 305 ILCS 5/5-5 from Ch. 23, par. 5-5 20 ILCS 2310/2310-434 new 210 ILCS 9/77 new 210 ILCS 45/3-613 new 210 ILCS 46/3-613 new 210 ILCS 47/3-613 new 305 ILCS 5/5-5.01b new 5 ILCS 100/5-45.21 new 5 ILCS 100/5-45.22 new 305 ILCS 5/5-1.6 new 305 ILCS 5/5-13.1 new 305 ILCS 5/11-5.1 305 ILCS 5/11-5.5 new 305 ILCS 5/3-10 rep. 305 ILCS 5/3-10.1 rep. 305 ILCS 5/3-10.2 rep. 305 ILCS 5/3-10.3 rep. 305 ILCS 5/3-10.4 rep. 305 ILCS 5/3-10.5 rep. 305 ILCS 5/3-10.6 rep. 305 ILCS 5/3-10.7 rep. 305 ILCS 5/3-10.8 rep. 305 ILCS 5/3-10.9 rep. 305 ILCS 5/3-10.10 rep. 305 ILCS 5/5-13.5 rep. 305 ILCS 5/5-5.07 305 ILCS 5/5-4.2 305 ILCS 5/5-30d new 5 ILCS 100/5-45.23 new 305 ILCS 5/12-4.35 Replaces everything after the enacting clause. Reinserts the provisions of the engrossed bill with the following changes: Creates the Wellness Checks in Schools Program Act. Provides that subject to appropriation, the Department of Healthcare and Family Services shall establish the Wellness Checks in Schools Collaborative for school districts that wish to implement wellness checks to identify students in grades 7 through 12 who are at risk of mental health conditions, including depression or other mental health issues. Requires the Department to work with school districts that have a high percentage of students enrolled in Medicaid and a high number of referrals to the State's Crisis and Referral Entry Services (CARES) hotline. Provides that subject to appropriation, the Department shall establish and implement a program to provide wellness checks in public schools in accordance with the Act. Amends the Illinois Public Aid Code. In the Hospital Services Trust Fund Article, provides that beginning with dates of service on and after January 1, 2023, any general acute care hospital with more than 500 outpatient psychiatric Medicaid services to persons under 19 years of age in any calendar year shall be paid the outpatient add-on payment of no less than $113. In the Medical Assistance Article, provides that beginning January 1, 2023, licensed certified professional midwife services shall be covered under the medical assistance program, subject to appropriation, for persons who are otherwise eligible for medical assistance. Requires the Department of Healthcare and Family Services to consult with midwives on reimbursement rates for midwifery services. Provides that subject to federal approval, beginning January 1, 2023, the community spouse resource allowance shall be established and maintained at a base amount of $109,560 plus an additional amount of $2,784 added to the base amount each year for a period of 10 years commencing with calendar year 2024 through calendar year 2034. Requires yearly increases up to the maximum resource allowance permitted under the Social Security Act. Provides that subject to federal approval, beginning January 1, 2034 the community spouse resource allowance shall be established and maintained at the maximum amount permitted under the Social Security Act, or an amount set after a fair hearing. Provides that subject to federal approval, beginning January 1, 2023 the monthly maintenance allowance for the community spouse shall be established and maintained at the maximum amount higher of $2,739 per month or the minimum level permitted under the Social Security Act. Contains provisions requiring the Department of Human Services to develop a program designed to provide behavioral health providers with academic detailing and clinical consultation over the phone on how to best care for patients with severe mental illness or a developmental disability. Contains provisions requiring the Department of Human Services to track the availability of beds for withdrawal management services that are licensed by the Department and are available to medical assistance beneficiaries. Contains provisions concerning coverage for peer recovery support services under the medical assistance program; the alignment of substance use prevention and recovery and mental health policy; increased rates for prenatal and postpartum care; the external cephalic version rate; increased funding for dental services; and coverage for acupuncture services under the medical assistance program. Amends the Department of Public Health Powers and Duties Law. Requires the Department of Public Health to establish or approve a Certified Nursing Assistant Intern Program to address the increasing need for trained health care workers and provide additional pathways for individuals to become certified nursing assistants. Amends the Assisted Living and Shared Housing Act, the Nursing Home Care Act, the MC/DD Act, and the ID/DD Community Care Act to establish certain employment requirements for certified nursing assistant interns and establishments that employ certified nursing assistant interns. Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to establish or approve a Certified Nursing Assistant Intern Program to address the increasing need for trained health care workers for the supporting living facilities program. Sets forth classroom and on-the-job training requirements for certified nursing assistant interns. Provides that the Certified Nursing Assistant Intern Program shall end upon the termination of the Secretary of Health and Human Services' public health emergency declaration for COVID-19 or 3 years after the date that the Program becomes operational, whichever occurs later. Grants the Departments of Public Health and Healthcare and Family Services emergency rulemaking authority. Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that by July 1, 2022, the Department of Healthcare and Family Services shall seek a State Plan amendment or any federal waivers or approvals necessary to make changes to the medical assistance redetermination process by allowing all people without income to be considered for ex parte redetermination. Requires the Department of Healthcare and Family Services to waive estate recovery under the medical assistance program where recovery would not be cost-effective, would work an undue hardship, or for any other just reason. Requires the Department of Human Services to compile on a monthly basis data on the percentage of medical assistance beneficiaries whose eligibility is renewed through ex parte redeterminations. Requires the Department of Healthcare and Family Services to seek a State Plan amendment by July 1, 2022 that permits the use of its asset verification system to assist in determining whether the ex parte process can be used to renew the medical assistance coverage of a senior or a person with a disability. Contains provisions concerning streamlining enrollment into the Medicare Savings Program. Repeals provisions under the Aid to the Aged, Blind or Disabled Article of the Illinois Public Aid Code concerning liens on recipients real property interests. In a provision requiring the Department of Healthcare and Family Services to pay the DCFS per diem rate for inpatient psychiatric stays at free-standing psychiatric hospitals or hospitals with a pediatric or adolescent inpatient psychiatric unit, removes language making the provision operative only through July 1, 2023. Amends the Medical Assistance Article of the Illinois Public Aid Code. In provisions concerning ground ambulance services, provides that, within 90 days after the effective date of the amendatory Act, the Department of Healthcare and Family Services shall file rules to allow for the approval of ground ambulance services when the sole purpose of the transport is for the navigation of stairs or the assisting or lifting of a patient at a medical facility or during a medical appointment in instances where the Department or a contracted Medicaid managed care organization or their transportation broker is unable to secure transportation through any other transportation provider. Provides that beginning no later than January 1, 2023 and subject to federal approval, the amount allocated to fund rates for medi-car, service car, and attendant services provided to adults and children under the medical assistance program shall be increased by an approximate amount of $24,000,000. Amends the Illinois Public Aid Code. Provides that by May 1, 2023, the Department of Healthcare and Family Services may provide medical services to noncitizens 42 years of age through 54 years of age who (i) are not eligible for medical assistance under Article V of the Code due to their not meeting the otherwise applicable provisions of the Code concerning citizenship and (ii) have income at or below 133% of the federal poverty level plus 5% for the applicable family size as determined under applicable federal law and regulations. Amends the Illinois Administrative Procedure Act. Grants the Department of Healthcare and Family Services emergency rulemaking authority to provide medical services to noncitizens 42 years of age through 54 years of age. Effective immediately. Senate Floor Amendment No. 3 Further amends the Medical Assistance Article of the Illinois Public Aid Code. In provisions permitting the Department of Healthcare and Family Services to provide medical services to noncitizens 42 years of age through 54 years of age, permits the Department to provide such medical services by July 1, 2022 (rather than May 1, 2023).

Amends the Illinois Insurance Code. Prohibits an individual or group policy of accident and health insurance amended, delivered, issued, or renewed in the State after the effective date of the amendatory Act that provides coverage for naloxone hydrochloride from imposing a copayment on the coverage provided. Amends the Medical Assistance Article of the Illinois Public Aid Code. Prohibits the Department of Healthcare and Family Services from imposing a copayment on the coverage provided for naloxone hydrochloride under the medical assistance program. House Committee Amendment No. 1 Replaces everything after the enacting clause. Reinserts the provisions of the introduced bill but with the following change: Further amends the Illinois Insurance Code. In the provision prohibiting an individual or group policy of accident and health insurance that provides coverage for naloxone hydrochloride from imposing a copayment on the coverage provided, provides that the prohibition does not apply to coverage of naloxone hydrochloride to the extent such coverage would disqualify a high-deductible health plan from eligibility for a health savings account under a specified provision of the Internal Revenue Code.