Rep. Maura Hirschauer

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 Counties Code. Provides that 1% of the school facility occupation taxes collected shall be distributed to the regional superintendent of schools (currently, these moneys are deposited into the Tax Compliance and Administration Fund) to cover the costs in administering and enforcing the provisions of the school facility occupation taxes Section of the Code. Effective July 1, 2022. House Committee Amendment No. 1 Provides that 50% (rather than 1%) of the 2% deducted from the amounts collected under the provisions shall be deposited into the Tax Compliance and Administration Fund and 50% (rather than 1%) shall be distributed to the regional superintendent of schools to cover the costs in administering and enforcing the provisions of this Section.

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.

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.

Amends the Overdose Prevention and Harm Reduction Act. Provides that a pharmacist or physician may dispense drug adulterant testing supplies, such as reagents, test strips, or quantification instruments, to any person. Provides that no employee or volunteer of or participant in a program established under the Act or any employee or customer of a pharmacy, hospital, clinic, or other health care facility or medical office dispensing drug adulterant testing supplies in accordance with the Act shall be charged with or prosecuted for possession of specified materials. Provides that a law enforcement officer who, acting on good faith, arrests or charges a person who is thereafter determined to be entitled to immunity from prosecution shall not be subject to civil liability for the arrest or filing of charges. Provides that any record of a person that is created or obtained for use by a needle and hypodermic syringe access program or by a pharmacy, hospital, clinic, or other health care facility or medical office in connection with the dispensing of drug adulterant testing supplies must be kept confidential. Contains other provisions. Effective immediately. House Floor Amendment No. 1 Deletes reference to: 410 ILCS 710/15 new 410 ILCS 710/20 new Replaces everything after the enacting clause with the provisions of the introduced bill with the following changes. Removes provisions regarding waiver of criminal penalties and confidentiality. Restores language prohibiting employees or volunteers of or participants in a program established under the Act from being charged with or prosecuted for possession of certain items. Removes references to reagents, test strips, and quantification instruments. Provides that no quantity of drug adulterant testing supplies greater than necessary to conduct 5 assays of substances suspected of containing adulterants shall be dispensed in any single transaction. Removes language providing that the amendatory Act is effective immediately. Makes other changes. Senate Committee Amendment No. 1 Provides that provisions regarding the dispensing of drug adulterant testing supplies apply to advanced practice registered nurses and physician assistants. Provides that the amendatory Act is effective immediately.

Creates the Landscape Architecture Registration Act. Provides that no person shall use the title "registered landscape architect" or "landscape architect" without being registered by the Department of Financial and Professional Regulation. Creates the Registered Landscape Architecture Registration Board. Provides for the membership, meetings, and powers of the Board. Provides that the Department may seek the expert advice and knowledge of the Board on any matter relating to the enforcement of the Act, including qualifications of applicants for registration. Provides that the Department may issue certificates of registration to those who meet the requirements of the Act. Provides that the Department may authorize examinations to ascertain the fitness and qualifications of applicants for registration. Provides that the Department may conduct investigations and hearings to refuse to issue, renew, or restore registrations, revoke, suspend, place on probation, or reprimand persons registered under provisions of the Act. Provides that the Department may take disciplinary action with regard to any certificate of registration issued under the Act. Makes corresponding changes in the Park District Code, the Chicago Park District Act, the Professional Geologist Licensing Act, and the Unified Code of Corrections. Amends the Regulatory Sunset Act to repeal the Landscape Architecture Registration Act on January 1, 2032. Senate Floor Amendment No. 1 Deletes reference to: New Act 5 ILCS 80/4.41 new 70 ILCS 1205/8-50 70 ILCS 1505/26.10-4 225 ILCS 745/20 730 ILCS 5/5-5-5 from Ch. 38, par. 1005-5-5 Adds reference to: 5 ILCS 100/5-45.21 new 305 ILCS 5/5-5.2 from Ch. 23, par. 5-5.2 305 ILCS 5/5-5.8 from Ch. 23, par. 5-5.8 305 ILCS 5/5B-2 from Ch. 23, par. 5B-2 305 ILCS 5/5B-4 from Ch. 23, par. 5B-4 305 ILCS 5/5B-5 from Ch. 23, par. 5B-5 305 ILCS 5/5B-8 from Ch. 23, par. 5B-8 305 ILCS 5/5E-10 305 ILCS 5/5E-20 new Replaces everything after the enacting clause. Amends the Illinois Public Aid Code. In the Medical Assistance Article, provides that notwithstanding any other provisions of the Code, the methodologies for reimbursement of nursing services shall no longer be applicable for bills payable for nursing services rendered on or after a new reimbursement system based on the Patient Driven Payment Model (PDPM) has been fully operationalized, which shall take effect for services provided on or after the implementation of the PDPM reimbursement system begins. Establishes an implementation date for the PDPM reimbursement system if certain conditions are met. Contains provisions concerning the establishment of a variable per diem staffing add-on for nursing facilities with specified staffing levels; utilization of the Staff Time and Resource Intensity Verification study; the PDPM nursing component per diem for nursing facilities for certain dates of services; a Medicaid Access Adjustment; incentive payments determined by facility performance on specified quality measures; payments based on CNA tenure, promotion, and CNA training for the purpose of increasing CNA compensation; and other matters. In the Long-Term Care Provider Funding Article, provides that for the privilege of engaging in the occupation of long-term care provider for each occupied non-Medicare bed day, beginning July 1, 2022, an assessment is imposed upon each long-term care provider in an amount varying with the number of paid Medicaid resident days per annum in the facility. Sets forth a schedule of occupied bed tax amounts. Makes changes concerning reporting requirements, the Long-Term Care Provider Fund, and other matters. In the Nursing Home License Fee Article, provides that a specified provision imposing licensing fees on nursing home providers is repealed on July 1, 2024. Amends the Illinois Administrative Procedure Act. Grants the Department of Healthcare and Family Services emergency rulemaking authority to implement certain provisions of the amendatory Act. Effective immediately.

Amends the Mental Health and Developmental Disabilities Code. Makes a technical change in a Section concerning the definition of "care and custody". House Floor Amendment No. 1 Deletes reference to: 405 ILCS 5/1-102 Adds reference to: New Act 50 ILCS 705/6 from Ch. 85, par. 506 50 ILCS 705/6.8 new 30 ILCS 105/5.970 new Replaces everything after the enacting clause. Creates the First Responder Mental Health Grant Program Act. Provides that, subject to appropriation, there is created within the Department of Human Services a First Responder Behavioral Health Grant Program to provide grants to the following recipients: (1) units of local government; (2) law enforcement agencies; (3) fire protection districts; (4) school districts; (5) public or private hospitals; or (6) ambulance services that employ first responders. Creates a First Responder Behavioral Health Grant Fund in the State treasury, which shall be used by the Secretary of Human Services to make grants to eligible recipients. Provides that recipients eligible for grants shall use the grants for expenses related to behavioral health care services for first responders, including, but not limited to, telehealth services. Provides that an employer may not reduce behavioral health care provided through a first responder's employee benefit package as a result of the receipt of grant funds under the Act. Provides that all records, notes, and conclusions by a treatment provider providing behavioral health care to first responders whose employers receive grants under the Act shall not be shared with the employer unless otherwise mandated by law. Amends the State Finance Act to make conforming changes. Amends the Illinois Police Training Act. Replaces provisions stating that the Illinois Law Enforcement Training Standards Board has the power and duty to establish statewide standards regarding regular mental health screenings of probationary and permanent police officers with provisions giving the Board the power and duty to establish statewide minimum standards regarding: (1) psychological screenings of recruit officers hired after the standards go into effect and annual psychological screenings of probationary and permanent officers; and (2) regular, confidential mental health counseling for probationary and permanent police officers in addition to the mental health counseling related to an officer's fitness for duty examinations. Lists specific items required to be included in the standards relating to psychological screenings and mental health counseling. Provides that records of psychological screenings and mental health counseling sessions, as well as any portions of documents referencing the psychological screenings or mental health counseling sessions that contain a personally identifiable information of an officer who underwent the screening or counseling session, are exempt from disclosure under the Freedom of Information Act. House Floor Amendment No. 2 Deletes reference to: 405 ILCS 5/1-102 Adds reference to: New Act Replaces everything after the enacting clause. Creates the First Responder Mental Health Grant Program Act. Provides that, subject to appropriation, there is created within the Department of Human Services a First Responder Behavioral Health Grant Program to provide grants to the following recipients: (1) units of local government; (2) law enforcement agencies; (3) fire protection districts; (4) school districts; (5) public or private hospitals; or (6) ambulance services that employ first responders. Creates a First Responder Behavioral Health Grant Fund in the State treasury, which shall be used by the Secretary of Human Services to make grants to eligible recipients. Provides that recipients eligible for grants shall use the grants for expenses related to behavioral health care services for first responders, including, but not limited to, telehealth services. Provides that an employer may not reduce behavioral health care provided through a first responder's employee benefit package as a result of the receipt of grant funds under the Act. Provides that all records, notes, and conclusions by a treatment provider providing behavioral health care to first responders whose employers receive grants under the Act shall not be shared with the employer unless otherwise mandated by law. House Floor Amendment No. 3 Adds reference to: 30 ILCS 105/5.970 new Makes changes to the bill as amended by House Amendment No. 2 to provide that the First Responder Behavioral Health Grant Fund is a special fund in the State treasury. Adds provisions amending the State Finance Act to make conforming changes.

Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance that is amended, delivered, issued, or renewed on or after January 1, 2024 shall provide coverage for the cost of the genetic testing of the BRCA1 and BRCA2 genes to detect an increased risk for breast and ovarian cancer if recommended by a health care provider in accordance with the United States Preventive Services Task Force's recommendations for testing.

Amends the Children and Family Services Act. Requires the Department of Children and Family Services and the Department of Human Services to jointly develop and administer a program that provides free and accessible child care services to parenting youth in foster care. Grants the Departments rulemaking authority. House Committee Amendment No. 1 Deletes reference to: 20 ILCS 505/5.21 new Adds reference to: 305 ILCS 5/9A-11 from Ch. 23, par. 9A-11 Replaces everything after the enacting clause. Amends the Illinois Public Aid Code. Expands eligibility under the Department of Human Services' Child Care Assistance Program to include the following categories of families: (i) foster parents or caregivers of youth in care, regardless of whether they are working or participating in Department-approved employment or education or training programs; (ii) youth in care who are parents, regardless of whether they are working or participating in Department-approved employment or education or training programs; (iii) parents who have custody of their children and their children are the subjects of pending cases under Article II of the Juvenile Court Act of 1987, regardless of whether they are working or participating in Department-approved employment or education or training programs; (iv) families with children who have an open intact family services case with the Department of Children and Family Services (rather than families with children under the age of 5 who have an open intact family services case with the Department of Children and Family Services); and (v) families receiving Extended Family Support Program services from the Department of Children and Family Services, regardless of whether they are working or participating in Department-approved employment or education or training programs. Provides that youth in care who are parents and parents whose children are the subjects of pending cases under Article II of the Juvenile Court Act of 1987 shall receive extended child care eligibility for a specified period of time, regardless of whether they are working or participating in Department-approved employment or education or training programs. Effective July 1, 2023. Senate Committee Amendment No. 1 Adds reference to: 20 ILCS 505/5a from Ch. 23, par. 5005a 325 ILCS 20/3 Replaces everything after the enacting clause. Amends the Illinois Public Aid Code. Expands eligibility under the Department of Human Services' Child Care Assistance Program to include the following categories of families: (i) youth in care who are parents, regardless of income or whether they are working or participating in Department-approved employment or education or training programs; and (ii) families receiving Extended Family Support Program services from the Department of Children and Family Services, regardless of income or whether they are working or participating in Department-approved employment or education or training programs. Provides that beginning October 1, 2023, and every October 1 thereafter, the Department of Children and Family Services shall report to the General Assembly on the number of children who received child care via vouchers paid for by the Department of Children and Family Services during the preceding fiscal year. Requires the report to include the ages of children who received child care, the type of child care they received, and the number of months they received child care. Amends the Early Intervention Services System Act. Expands the definition of "eligible infants and toddlers" to include any child under the age of 3 who is the subject of a substantiated case of child abuse or neglect as defined in the federal Child Abuse Prevention and Treatment Act. Amends the Children and Family Services Act. Provides that the rates paid to day care providers by the Department of Children and Family Services shall match the rates paid to child care providers by the Department of Human Services under the child care assistance program, including base rates and any relevant rate enhancements. Effective immediately, except that certain provisions take effect on July 1, 2023.