Rep. Sonya Harper

Amends the Illinois Dead Animal Disposal Act. Changes the name of the Act to the Animal Mortality Act (and amends the Criminal Code of 2012 to make a corresponding change). Provides that the Director of Agriculture may declare a mass animal mortality event. Provides that the Director shall notify the Illinois Emergency Management Agency of the declaration no later than 24 hours following the declaration. Provides that the Department of Agriculture shall create and file with the Illinois Emergency Management Agency a mass animal mortality event plan. Provides that following the Director's declaration of a mass animal mortality event, the Department shall implement the most recent mass animal mortality event plan on file with the Illinois Emergency Management Agency. Adds definitions for "mass animal mortality event", "director", "dead animal", and "operator". Senate Committee Amendment No. 1 Deletes reference to: 225 ILCS 610/1.1 from Ch. 8, par. 149.1 225 ILCS 610/17.1 new 225 ILCS 610/19a from Ch. 8, par. 167a 720 ILCS 5/48-7 Adds reference to: 225 ILCS 605/1 from Ch. 8, par. 301 Replaces everything after the enacting clause. Amends the Animal Welfare Act. Makes a technical change in a Section concerning the short title. Senate Floor Amendment No. 2 Deletes reference to: 225 ILCS 605/1 Adds reference to: 505 ILCS 89/5 505 ILCS 89/10 505 ILCS 89/15 Replaces everything after the enacting clause. Amends the Industrial Hemp Act. Adds the term "hemp" to the definition of "industrial hemp"; makes other changes to the definition of "industrial hemp". Adds and defines the definition of "hemp production plan". Removes a reference to federal law in provisions concerning the cultivation of industrial hemp in this State without a license issued by the Illinois Department of Agriculture. Requires the Illinois Department of Agriculture to submit to the Secretary of the United States Department of Agriculture a hemp production plan to allow the Illinois Department of Agriculture to monitor and regulate hemp production in this State. Provides for rulemaking. Effective immediately.

Creates the Licensed Certified Professional Midwife Practice Act. Provides for the licensure of certified professional midwives by the Department of Financial and Professional Regulation and for certain limitations on the activities of licensed certified professional midwives. Creates the Illinois Midwifery Board. Sets forth provisions concerning application; qualifications; exemptions; title protection; informed consent; consultation and referral; grounds for disciplinary action; reporting; and administrative procedures. Amends the Regulatory Sunset Act to set a repeal date for the new Act of January 1, 2032. House Floor Amendment No. 1 Deletes reference to: 5 ILCS 80/4.41 new Adds reference to: New Act 5 ILCS 80/4.37 Replaces everything after the enacting clause. Reinserts the provisions of the introduced bill with the following changes: Further amends the Licensed Certified Professional Midwife Practice Act. Creates provisions concerning Social Security Numbers on license applications; inactive status; grounds for disciplinary action; restoration of license; surrender of license; temporary suspension of license; rehearing; administrative review and certification of records; injunctions; investigation, notice, and hearings; hearing reports; hearing officers; motions for rehearing; certification of records by Department of Financial and Professional Regulation; violations; and fees. Make changes in provisions concerning definitions; exemptions; the Illinois Midwifery Board; powers and duties of the Department; licensure; expiration and renewal of licensure; scope of practice; annual reports; and vicarious liability. Further amends the Regulatory Sunset Act. Provides for repeal of the Licensed Certified Professional Midwife Practice Act on January 1, 2027 (rather than January 1, 2032). Senate Committee Amendment No. 1 Replaces everything after the enacting clause. Reinserts the provisions of the engrossed bill with the following changes: Amends the Licensed Certified Professional Midwife Practice Act. In provisions concerning the Illinois Midwifery Board, provides that all board members must be residents of the State. Provides that all board members, except for the public member, must be licensed in good standing and, at the time of appointment, actively engaged in their respective professions. In provisions concerning licensure, provides that applicants have 3 years from the date of application to complete the application process. Makes changes in provisions concerning definitions; Social Security Numbers on license applications; exemptions; informed consent; scope of practice; transfer; annual reports; grounds for disciplinary action; and investigations, notice, and hearings. Removes references to the Disciplinary Board. Adds a January 1, 2022 effective date. Senate Floor Amendment No. 2 Replaces everything after the enacting clause. Reinserts the provisions of the bill as amended by Senate Amendment No. 1 with the following changes: Provides that no physician, nurse, emergency medical personnel, hospital, or other health care institution shall be liable for any act or omission resulting from the provision of services by any licensed certified professional midwife solely on the basis that (rather than even if) the physician, nurse, emergency medical personnel, hospital, or other health care institution has consulted with or accepted a referral from the licensed certified professional midwife. Changes the effective date to October 1, 2022.

Amends the Vital Records Act. Provides that the Department of Public Health shall issue a certificate of birth with the identity of the attending physician redacted upon request by: any person named on the certificate of birth, if the person is 18 years of age or older; a parent of the person named on the certificate of birth; the legal representative of the person named on the certificate of birth; or an attorney at law authorized in writing by the person named on the certificate of birth. Effective 120 days after becoming law. Senate Floor Amendment No. 1 Replaces everything after the enacting clause with the provisions of the introduced bill with the following changes. Requires the Department of Public Health to issue a certificate of birth with the identity of the certifier (rather than the attending physician) redacted upon request by specified persons. Provides that the Department may adopt any rules necessary to implement the amendatory provisions. House Floor Amendment No. 1 Deletes reference to: 410 ILCS 535/17.1 new Adds reference to: 20 ILCS 5/5-565 was 20 ILCS 5/6.06 20 ILCS 2105/2105-15.7 20 ILCS 5170/100-5 20 ILCS 5180/130-10 110 ILCS 330/8d 210 ILCS 85/6.28 410 ILCS 67/5-17 new 410 ILCS 67/5-15 rep. 410 ILCS 165/72-15 Replaces everything after the enacting clause. Amends the Departments of State Government Law of the Civil Administrative Code of Illinois. Provides that it shall be the duty of the State Board of Health, among other duties, to deliver to the Governor for presentation to the General Assembly a State Health Assessment and a State Health Improvement Plan, with the fifth of such deliveries to be made on December 31, 2022 (rather than June 30, 2022). Amends the Department of Professional Regulation Law of the Civil Administrative Code of Illinois. Provides that for license or registration renewals occurring on or after January 1, 2023 (rather than January 1, 2022), a health care professional who has continuing education requirements must complete at least a one-hour course in training on implicit bias awareness per renewal period. Amends the University of Illinois Hospital Act and the Hospital Licensing Act. Changes the repeal date of Sections concerning N95 masks from December 31, 2021 to December 31, 2022. Amends the Community Health Worker Certification and Reimbursement Act. Provides that the Community Health Workers Review Board shall be established to advise the Department of Public Health as it seeks to develop a Community Health Worker Certification Program. Creates the Illinois Community Health Worker Certification Program within the Department of Public Health for the development and oversight of initial community health workers certification and certification renewals for both individuals and community-based and academic training programs. Provides that the Board shall advise and recommend a certification process for and be authorized to approve training from community-based organizations, in conjunction with a statewide association of community health workers and academic institutions, in consultation with the specified entities. Contains requirements for the program. Contains provisions regarding administrative decisions, processes, review, and procedure. Provides that, subject to appropriation, the Department shall waive or pay for any administrative fees charged to a community health worker certificate holder under the Act. Contains other provisions. Repeals provisions regarding the Illinois Community Health Worker Certification Board. Amends the Special Commission on Gynecologic Cancers Act, the Anti-Racism Commission Act, and the Underlying Causes of Crime and Violence Study Act. Changes the due date of final reports from December 31, 2021 to December 31, 2022. Effective immediately. House Floor Amendment No. 2 Adds reference to: 305 ILCS 5/5-5.05 Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that, effective with dates of service on and after January 1, 2022, any general acute care hospital with more than 9,500 inpatient psychiatric Medicaid days in any calendar year shall be paid the inpatient per diem rate of no less than $630. House Floor Amendment No. 3 Adds reference to: 410 ILCS 70/1a from Ch. 111 1/2, par. 87-1a 410 ILCS 70/1a-1 410 ILCS 70/2 from Ch. 111 1/2, par. 87-2 410 ILCS 70/2-1 410 ILCS 70/2.05 410 ILCS 70/2.05-1 410 ILCS 70/2.06 410 ILCS 70/2.06-1 410 ILCS 70/2.1 from Ch. 111 1/2, par. 87-2.1 410 ILCS 70/2.1-1 410 ILCS 70/2.2 410 ILCS 70/2.2-1 410 ILCS 70/3 from Ch. 111 1/2, par. 87-3 410 ILCS 70/3-1 410 ILCS 70/5 from Ch. 111 1/2, par. 87-5 410 ILCS 70/5-1 410 ILCS 70/5.1 410 ILCS 70/5.1-1 410 ILCS 70/5.2 410 ILCS 70/5.2-1 410 ILCS 70/5.3 410 ILCS 70/5.3-1 410 ILCS 70/5.5 410 ILCS 70/5.5-1 410 ILCS 70/6.1 from Ch. 111 1/2, par. 87-6.1 410 ILCS 70/6.1-1 410 ILCS 70/6.2 from Ch. 111 1/2, par. 87-6.2 410 ILCS 70/6.2-1 410 ILCS 70/6.4 from Ch. 111 1/2, par. 87-6.4 410 ILCS 70/6.4-1 410 ILCS 70/6.5 410 ILCS 70/6.5-1 410 ILCS 70/6.6 410 ILCS 70/6.6-1 410 ILCS 70/7 from Ch. 111 1/2, par. 87-7 410 ILCS 70/7-1 410 ILCS 70/7.5 410 ILCS 70/7.5-1 410 ILCS 70/8 from Ch. 111 1/2, par. 87-8 410 ILCS 70/8-1 410 ILCS 70/10 410 ILCS 70/10-1 Amends the Sexual Assault Survivors Emergency Treatment Act. Provides that specified provisions are repealed on December 31, 2023 (rather than December 31, 2021) and that other specified provisions take effect on and after January 1, 2024 (rather than January 1, 2022 or July 1, 2021, as applicable).

Amends the School Code and the Juvenile Court Act of 1987. Revises language to make certain actions permissible rather than mandatory with respect to truancy. Eliminates the requirement that the Chicago Board of Education establish an Office of Chronic Truant Adjudication. Instead, requires the chief executive officer or the chief executive officer's designee to implement a socio-emotional focused attendance approach that targets the underlying causes of chronic truancy. Makes changes concerning the Chicago school district's truancy intervention services for a pupil and the pupil's parent or guardian. Makes other changes, including changes concerning penalties. House Committee Amendment No. 1 Deletes reference to: 105 ILCS 5/26-8 105 ILCS 5/34-4.5 705 ILCS 405/3-33.5 Adds reference to: New Act Replaces everything after the enacting clause. Creates the Student-Athlete Endorsement Rights Act. Sets forth definitions, including "compensation", "student-athlete", and "postsecondary educational institution". Sets forth provisions concerning the conditions in which a student-athlete may and may not earn compensation for the use of the student-athlete's name, image, likeness, or voice while enrolled at a postsecondary education institution. Provides that an institution may impose reasonable limitations on the dates and time that a student-athlete may participate in endorsement, promotional, social media, or other activities related to the license or use of the student-athlete's name, image, likeness, or voice. Provides, among other prohibitions, that no institution, athletic association, conference, or other group or organization with authority over intercollegiate athletic programs shall uphold any contract, rule, or regulation that prevents a student-athlete from earning compensation as result of the use the student-athlete's name, image, likeness, or voice. Provides that a student-athlete's financial aid, awards, and other benefits may not be revoked, reduced, or the terms and conditions altered as a result of the student-athlete receiving compensation. Sets forth other requirements, limitations, and prohibitions on the use of a student-athlete's name, image, likeness, or voice. Sets forth provisions concerning agents, publicity rights, and third party licensees. Sets forth other provisions concerning student-athlete contracts, endorsements, or the promotion of products or services. In liability provisions, provides that no postsecondary educational institution shall be subject to a claim of any kind under the Act. Effective immediately or on July 1, 2021, whichever is later.

Amends the Community Mental Health Act. Makes a technical change in a Section concerning the short title. Senate Floor Amendment No. 2 Deletes reference to: 405 ILCS 20/0.1 from Ch. 91 1/2, par. 300.1 Adds reference to: 5 ILCS 375/6.11 20 ILCS 1305/10-23 new 20 ILCS 2310/2310-222 20 ILCS 2310/2310-470 new 55 ILCS 5/5-1069.3 65 ILCS 5/10-4-2.3 105 ILCS 5/10-22.3f 215 ILCS 5/356z.4b new 215 ILCS 5/356z.40 new 215 ILCS 125/5-3 from Ch. 111 1/2, par. 1411.2 215 ILCS 165/10 from Ch. 32, par. 604 305 ILCS 5/5-2 from Ch. 23, par. 5-2 305 ILCS 5/5-5 from Ch. 23, par. 5-5 305 ILCS 5/5-5.24 305 ILCS 5/5-18.10 new Replaces everything after the enacting clause. Provides that the amendatory Act may be referred to as the Improving Health Care for Pregnant and Postpartum Individuals Act. Amends the Department of Human Services Act. Requires the Department of Human Services to expand and update its maternal child health programs to serve any pregnant or postpartum individuals identified as high-risk using criteria established by a multi-agency working group. Contains other provisions. Amends the Department of Public Health Powers and Duties Law of the Civil Administrative Code of Illinois. In provisions regarding obstetric hemorrhage and hypertension training, requires the Department of Public Health to ensure that all birthing facilities have a written policy for providers and staff of obstetric medicine and of the emergency department and other staff that may care for pregnant or postpartum women. Requires the Department on or before June 1, 2024, in collaboration with the Department of Human Services and specified entities, to revise or add to the rules of the Maternal and Child Health Services Code that govern the High Risk Infant Follow-up, using current scientific and national and State outcomes data, to expand existing services to improve both maternal and infant outcomes overall and to reduce racial disparities in outcomes and services provided. Contains other provisions. Amends the Illinois Insurance Code. Provides that an individual or group policy of accident and health insurance or qualified health plan that is amended, delivered, issued, or renewed on or after the amendatory Act's effective date shall allow hospitals separate reimbursement for a long-acting reversible contraceptive device provided immediately postpartum in the inpatient hospital setting before hospital discharge. Provides that an individual or group policy of accident and health insurance or managed care plan amended, delivered, issued, or renewed on or after the amendatory Act's effective date shall provide coverage for pregnancy and newborn care in accordance with specified federal provisions regarding essential health benefits. Contains requirements for pregnancy and postpartum coverage benefits. Makes conforming changes in the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, the School Code, the Health Maintenance Organization Act, and the Voluntary Health Services Plans Act. Amends the Illinois Public Aid Code. Provides that, on or after July 1, 2022, individuals who are otherwise eligible for medical assistance under specified provisions shall receive coverage for perinatal depression screenings for the 12-month period beginning on the last day of their pregnancy, subject to specified conditions. Provides that within 90 days of the amendatory Act's effective date, the Department of Healthcare and Family Services shall seek federal approval of a State Plan amendment to expand coverage for family planning services that includes presumptive eligibility to individuals whose income is at or below 208% of the federal poverty level. Provides that the Department shall establish a medical assistance program to cover a universal postpartum visit within the first 3 weeks after childbirth and a comprehensive visit within 4 to 12 weeks postpartum for persons who are otherwise eligible for medical assistance under specified provisions. Makes other changes. Effective immediately. Governor Amendatory Veto Message Recommends that coverage for specified family planning services including presumptive eligibility to individuals whose income is at or below 208% of the federal poverty level shall be effective beginning no later than December 1, 2022 (rather than beginning July 1, 2022).

Amends the School Code. Provides that a school district may adopt a policy providing that if a student is suspended or expelled for any reason from any public or private school in this or any other state, the student must complete the entire term of the suspension or expulsion before being allowed to attend the school district in person (rather than before being admitted into the school district). Provides that this policy must require the provision of an educational continuity plan for suspended or expelled students; sets forth requirements for the plan. Makes changes concerning the State Board of Education's standard form that Illinois school districts are required to provide to any student who is moving out of the school district. Makes other changes concerning the transfer of a student and the suspension or expulsion of a student. Senate Floor Amendment No. 4 Deletes reference to: 105 ILCS 5/2-3.13a from Ch. 122, par. 2-3.13a 105 ILCS 5/10-22.6 from Ch. 122, par. 10-22.6 Adds reference to: 105 ILCS 5/2-3.64a-10 105 ILCS 5/22-90 Replaces everything after the enacting clause. Amends the School Code. In provisions about appointment of members by the State Superintendent of Education to a committee relating to kindergarten assessment, includes state policy advocates, early childhood administrators, and other stakeholders as members. Adds, as a goal of the Whole Child Task Force, recommending legislation, policies, and practices to prevent learning loss in students during periods of suspension and expulsion, including, but not limited to, remote instruction. House Committee Amendment No. 1 Adds one member who represents an organization representing regional offices of education to the membership of the Whole Child Task Force.

Amends the Emergency Medical Services (EMS) Systems Act. Provides that when a patient has been determined by EMS personnel to (1) have no immediate life-threatening injuries or illness, (2) not be under the influence of drugs or alcohol, (3) have no immediate or obvious need for transport to an emergency department, and (4) have an immediate need for transport to an EMS System-approved mental health facility, the EMS personnel may contact Online Medical Control or his or her EMS Medical Director or Emergency Communication Registered Nurse to request bypass or diversion of the closest emergency department and request transport to the closest or appropriate EMS System-approved mental health facility. Senate Floor Amendment No. 2 Replaces everything after the enacting clause with the provisions of the introduced bill with the following change. Provides that EMS personnel may transport a patient to an EMS System-approved urgent care or immediate care facility that meets the proper criteria and is approved by Online Medical Control or his or her EMS Medical Director or Emergency Communications Registered Nurse. House Floor Amendment No. 5 Adds reference to: 210 ILCS 50/3.10 210 ILCS 50/3.50 210 ILCS 50/3.85 Replaces everything after the enacting clause with the provisions of the engrossed bill with the following changes: Further amends the Emergency Medical Services (EMS) Systems Act. Provides that "non-emergency medical services" means the provision of, and all actions necessary before and after the provision of, Basic Life Support (BLS) Services, Advanced Life Support (ALS) Services, and critical care transport (rather than means medical care, clinical observation, or medical monitoring rendered) to specified patients using a vehicle regulated by the Act and personnel licensed under the Act (rather than only using a vehicle regulated under the Act). Removes language providing that an Emergency Medical Responder provides emergency medical response services prior to the arrival of an ambulance or specialized medical services vehicle. Requires the Department of Public Health to create standards and requirements with respect to alternative vehicle staffing models for private, nonpublic local government employers (rather than vehicle staffing models) that include an Emergency Medical Responder who drives an ambulance with a licensed EMT, EMT-I, A-EMT, Paramedic, or PHRN, as appropriate, in the patient compartment providing care to the patient pursuant to the approval of the EMS System Program Plan developed and approved by the EMS Medical Director for an EMS System. Provides that the Department shall monitor the implementation and performance of alternative staffing models and may issue a notice of termination of an alternative staffing model only upon evidence that an EMS System Program Plan is not being adhered to. Provides that an EMS System Program Plan for a Basic Life Support transport utilizing an EMR and an EMT shall include specified requirements. Makes other changes. Effective immediately.

Creates the Lead Service Line Replacement and Notification Act. Creates the Lead Service Line Replacement Fund to be used to finance and administer programs and activities specified under the Act. Provides that the Environmental Protection Agency shall be responsible for the administration of the Fund and shall allocate moneys on the basis of priorities established by the Agency. Makes a conforming change in the State Finance Act. Requires a lead in drinking water protection fee be imposed on billing water usage in specified amounts to be collected by all community water supplies. Requires the owner or operator of each community water supply to perform specified activities. Creates the Lead Service Line Replacement Advisory Board within the Agency to perform specified duties. Contains other provisions. Amends the Department of Commerce and Economic Opportunity Law of the Civil Administrative Code of Illinois. Requires the Department of Commerce and Economic Opportunity to establish a comprehensive low-income water assistance policy and program with specified requirements. Amends the Public Utilities Act. Provides that the Illinois Commerce Commission may allow or direct a water utility to establish a customer assistance program that provides financial relief to residential customers who qualify for income-related assistance. Makes other changes. Amends the Environmental Protection Act. Requires specified entities to provide to the Environmental Protection Agency by December 31, 2023, and again by December 31, 2025, specified information as it relates to the cost of providing water service. Provides that the Agency shall publish the information on the Agency's website. Provides that the Agency may adopt rules setting forth the general requirements for submittal of the information. Repeals the provisions regarding the information on January 1, 2026. Repeals a Section regarding lead in drinking water notifications and inventories. House Floor Amendment No. 1 Deletes reference to: New Act 30 ILCS 105/5.935 new 220 ILCS 5/8-306 Adds reference to: 30 ILCS 105/5.938 new Replaces everything after the enacting clause. Provides that the amendatory Act may be referred to as the Lead Service Line Replacement and Notification Act. Amends the Department of Commerce and Economic Opportunity Law of the Civil Administrative Code of Illinois. Requires the Department of Commerce and Economic Opportunity to establish a comprehensive low-income water assistance policy and program with specified requirements. Amends the Environmental Protection Act. Requires the owner or operator of each community water supply to perform specified activities. Creates the Lead Service Line Replacement Advisory Board within the Environmental Protection Agency to perform specified duties. Creates the Lead Service Line Replacement Fund to be used to finance and administer programs and activities specified under the amendatory provisions. Makes a conforming change in the State Finance Act. Provides that, within one year after the amendatory Act's effective date, the Agency shall design a program with specified requirements for the purpose of administering lead service line replacement funds. Contains other provisions. Repeals a Section of the Environmental Protection Act regarding lead in drinking water notifications and inventories. Senate Committee Amendment No. 1 Replaces everything after the enacting clause with the provisions of the engrossed bill, and makes the following changes. Requires that when an owner or operator of a community water supply awards a contract under the Act, contracts representing at least 11% of the total projects (rather than of the total annual premiums or fees) shall be awarded to minority-owned businesses; contracts representing at least 7% of the total projects (rather than of the total annual premiums or fees) shall be awarded to women-owned businesses; and contracts representing at least 2% of the total projects (rather than of the total annual premiums or fees) shall be awarded to businesses owned by persons with disabilities. In provisions requiring every owner or operator of a community water supply to create a plan to replace specified service lines, requires a proposed lead service line replacement schedule to also include 10-year goals. Requires the owner or operator of a community water supply to submit a report detailing progress toward plan goals to the Environmental Protection Agency. Specifies requirements for the reports. Provides that corporate authorities of a municipality may exercise the authority provided under specified provisions of the Property Tax Code and Illinois Municipal Code for costs associated with lead service line remediation and replacement (instead of impose a tax, fee, surcharge, charge, assessment, or other amount payable or imposed as deemed necessary, by ordinance or resolution by the corporate authorities, to be used solely for costs incurred by the municipality associated with lead service line remediation). In provisions specifying the replacement rates and timelines for replacement of lead service lines by an owner or operator of a community water supply, requires that a community water supply reporting more than 99,999 lead service lines in its final inventory and replacement plan shall replace all lead service lines, at an annual rate of no less than 2% of the amount described in the final inventory, with a timeline of up to 50 years for completion. Authorizes the Agency to grant one extension of additional time equal to not more than 20% of the original replacement timeline, except in situations of extreme hardship in which the Agency may consider a second additional extension equal to not more than 10% of the original replacement timeline. Removes language limiting the purposes and amounts for which moneys in the Lead Service Line Replacement Fund may be used. Requires the Agency to design rules for a program (rather than design a program) for the purpose of administering lead service line replacement funds. Makes changes to provisions concerning the requirements for the program. Removes language specifying the information that must be included in the annual consumer confidence report required under the United States Environmental Protection Agency's National Primary Drinking Water Regulations. Makes other changes. Senate Floor Amendment No. 2 Makes a technical change in the citation of sections of the Property Tax Code.

Amends the Department of Commerce and Economic Opportunity Law of the Civil Administrative Code of Illinois. Provides that the Department of Commerce and Economic Opportunity shall establish criteria and guidelines for State-designated cultural districts. Specifies powers and duties of the Department. Provides requirements concerning certification of State-designated cultural districts. Provides State-designated cultural district reporting requirements. Defines "State-designated cultural district". Senate Committee Amendment No. 1 Replaces everything after the enacting clause. Reinserts the provisions of the introduced bill with changes. Requires the Department of Commerce and Economic Opportunity to establish an advisory committee to advise the Department on program rules and the certification process. Provides for the members of the advisory committee. Modifies and provides further requirements concerning certification of State-designated cultural districts. Makes other changes. Senate Floor Amendment No. 2 Replaces everything after the enacting clause with the provisions of Senate Amendment No. 1, and makes a change providing that the advisory committee to advise the Department of Commerce and Economic Opportunity on program rules and the certification process shall include 4 community representatives (rather than 2) appointed by the Governor representing diverse racial, ethnic, and geographic groups not captured in the membership of the other designees, with the input of community and stakeholder groups. House Floor Amendment No. 2 Deletes reference to: 20 ILCS 605/605-1055 new Adds reference to: 20 ILCS 605/605-1057 new Replaces everything after the enacting clause. Reinserts the provisions of the engrossed bill with changes. Modifies the powers and duties of the Department of Commerce and Economic Opportunity regarding the establishment of State-designated cultural districts. Modifies the composition of the advisory committee. Provides that the advisory committee shall reflect the diversity of the State of Illinois, including geographic, racial, and ethnic diversity. Provides further requirements concerning certification of State-designated cultural districts. Provides that the Department shall award no more than 5 State-designated cultural districts every year, and that the total amount of State-designated cultural districts shall be more than 15. Provides that any State-designated cultural district that fails to file the specified required report for 2 consecutive years shall lose its status. Repeals provisions on July 1, 2031. Makes other changes. House Floor Amendment No. 3 Provides for the appointment of members to the advisory committee by the Minority Leaders of the House of Representatives and the Senate.

Amends the Community Benefits Act. Provides that the Act applies to all nonprofit and public hospitals licensed under the Hospital Licensing Act or operated under the University of Illinois Hospital Act (rather than not applying to a hospital operated by a unit of government, a hospital located outside of a metropolitan statistical area, or a hospital with 100 or fewer beds). Requires community benefits plans to describe activities the hospital is undertaking to address health equity, reduce health disparities, and improve community health. Provides that, in order to increase transparency and accessibility of charity care and financial assistance data, the Attorney General shall post on the Attorney General's website: all community benefits plans contained in reports submitted by hospitals; and a compiled report that summarizes information from completed community benefits plans. Provides that an electronic version of the compiled report shall be sent to the Governor and each member of the General Assembly. Provides a late filing fee for nonprofit hospitals for community benefits plans of $2,500 per month that the report is late (rather than $100). Makes other changes. Amends the Hospital Uninsured Patient Discount Act. Provides that a hospital, other than a rural hospital or a Critical Access Hospital, shall provide a discount from charges to specified uninsured patients for all medically necessary health care services exceeding $150 (rather than $300) in any one inpatient admission or outpatient encounter. Provides for civil monetary penalties of $1,000 to $5,000 (rather than $500) for a violation. Requires the Attorney General to publish an annual report that outlines complaints received related to hospital uninsured discount programs and financial assistance applications. Makes other changes. Effective immediately. Senate Floor Amendment No. 1 Deletes reference to: 210 ILCS 76/5 210 ILCS 76/25 Replaces everything after the enacting clause with the provisions of the introduced bill and makes the following changes. Removes language specifying that the Act applies to all nonprofit and public hospitals licensed under the Hospital Licensing Act or operated under the University of Illinois Hospital Act. Removes language changing the provisions concerning a nonprofit hospital that fails to make a report of the community benefits plan. Removes language increasing civil monetary penalties. Provides that hospitals shall permit an uninsured patient to apply for a discount within 90 days (rather than 60 days) of the date of discharge or date of service. Provides that hospitals shall offer uninsured patients who receive community-based primary care provided by a community health center or a free and charitable clinic, are referred by such an entity to the hospital, and seek access to nonemergency hospital-based health care services with an opportunity to be screened for and assistance with applying for public health insurance programs if there is a reasonable basis to believe that the uninsured patient may be eligible for a public health insurance program. Changes the effective date from immediate to January 1, 2022. Makes other changes. House Committee Amendment No. 1 In provisions of the Hospital Uninsured Patient Discount Act regarding patient responsibility, provides that hospitals may make the availability of a discount and the maximum collectible amount under the Act contingent upon the uninsured patient first applying for coverage under public health insurance programs (rather than public programs) if there is a reasonable basis to believe that the uninsured patient may be eligible for such program.