Rep. Rita Mayfield

Amends the Department of Public Health Powers and Duties Law of the Civil Administrative Code of Illinois. Requires the Department of Public Health to establish women's health clinics throughout the State to provide affordable health care for women. Requires the services provided at the women's health clinic to be offered at an affordable price and to include specified services, including women's health examinations, pregnancy confirmation, prenatal care, labor and delivery services, postpartum care, family planning examinations and birth control services, and care for sexually transmitted diseases and infections. Fiscal Note (Dept. of Public Health) The legislation does not specify the total number or geographic locations of women's health clinics so there is no way to calculate the costs for the State to establish facilities directed to provide the following services: annual women's health examinations, pregnancy confirmation services, prenatal care, labor and delivery provided by an obstetrician, postpartum care and support, family planning services, sexually transmitted disease care, doulas and childbirth consultants and childbirth education and breastfeeding care. The best example to look at is federally qualified health centers (FQHCs), where all of this care is already provided, except for labor and delivery (which needs to be done at a hospital due to the need for surgical/anesthesia services). According to the federal government, the costs of FQHCs in Illinois in 2017 were $968,572,482. This figure does not include the costs for construction or obtaining building spaces, or any of the costs for the more costly care involving child birth, including surgical care, infant resuscitation teams, etc. Land Conveyance Appraisal Note (Dept. of Transportation) No land conveyances are included in this bill; therefore, there are no appraisals to be filed. State Debt Impact Note (Government Forecasting & Accountability) This bill would not change the amount of authorization for any type of State-issued or State-supported bond, and, therefore, would not affect the level of State indebtedness. Pension Note (Government Forecasting & Accountability) HB 6 amends the Department of Public Health Powers and Duties Law of the Civil Administrative Code in a way that does not impact any State pension fund. Correctional Note (Dept of Corrections) There is no fiscal or population impact on the Department. Judicial Note (Admin Office of the Illinois Courts) This legislation would neither increase nor decrease the number of judges needed in the State of Illinois. Balanced Budget Note (Office of Management and Budget) Please be advised that the Balanced Budget Note Act does not apply to this bill, as it is not a supplemental appropriation that increases or decreases appropriations. Under the Act, a balanced budget note must be prepared only for bills that change a general funds appropriation for the fiscal year in which the new bill is enacted. Housing Affordability Impact Note (Housing Development Authority) This bill will have no effect on the cost of constructing, purchasing, owning, or selling a single-family residence. State Mandates Fiscal Note (Dept. of Commerce & Economic Opportunity) This bill does not create a State mandate. Home Rule Note (Dept. of Commerce & Economic Opportunity) This bill does not pre-empt home rule authority.

Creates the State Agency and Grantee Bonus Prohibition Act. Provides that no State agency or hospital shall pay from State funds, in whole or in part, and no employee of a State agency or hospital may receive a bonus as all or part of his or her compensation, including such bonuses as may be received for work on capital projects. Provides that no grantee shall pay and no employee or contract worker of a grantee may receive a bonus paid from grant funds awarded for operational expenses as all or part of his or her compensation, including such bonuses as may be received for work on capital projects. Effective immediately.

Amends the Property Tax Code. In a Section concerning the homestead exemption for veterans with disabilities, provides that: (1) for taxable years prior to 2015, "surviving spouse" means the surviving spouse of a veteran who obtained the exemption prior to his or her death; (2) for taxable years 2015 through 2018, "surviving spouse" means (A) the surviving spouse of a veteran who obtained the exemption prior to his or her death and (B) the surviving spouse of a veteran who was killed in the line of duty in the current taxable year or any preceding taxable year; and (3) for taxable year 2019 and thereafter, "surviving spouse" means (A) the surviving spouse of a veteran who qualified for the exemption prior to his or her death, (B) the surviving spouse of a veteran who was killed in the line of duty in the current taxable year or any preceding taxable year, (C) the surviving spouse of a veteran who did not obtain the exemption before death, but who would have qualified for the exemption if he or she had survived, and (D) the surviving spouse of a veteran whose death was determined to be service-connected who is a current recipient of Dependency and Indemnity Compensation. Effective immediately.

Amends the Managed Care Reform and Patient Rights Act. Provides that every health insurance carrier that provides coverage for prescription drugs shall ensure that no fewer than 25% of certain individual and group plans offered shall apply a pre-deductible, flat-dollar copayment structure to the entire drug benefit. Provides that the flat-dollar copayment structure for prescription drugs must be reasonably graduated and proportionately related in all tier levels such that the copayment structure as a whole does not discriminate against or discourage the enrollment of individuals with significant health care needs. Requires the health insurance carriers to clearly and appropriately name the plans to aid in consumer or plan-sponsor plan selection. Requires the health insurance carriers to market the plans in the same manner as their other plans. Provides that if a health insurance carrier offers fewer than 4 plans, the health insurance carrier shall ensure that one plan shall use the drug benefit structure, including cost-sharing requirements. Requires the Department of Insurance to adopt rules necessary to implement and enforce the provisions. Effective January 1, 2020. Senate Floor Amendment No. 2 Deletes reference to: 215 ILCS 134/45.3 new Adds reference to: 5 ILCS 80/4.32 5 ILCS 80/4.31 rep. 20 ILCS 687/6-7 20 ILCS 3855/1-130 50 ILCS 750/3 from Ch. 134, par. 33 50 ILCS 750/15.3 from Ch. 134, par. 45.3 50 ILCS 750/15.3a 50 ILCS 750/15.6b 50 ILCS 750/30 50 ILCS 750/99 220 ILCS 5/13-1200 220 ILCS 5/21-401 220 ILCS 5/21-1601 415 ILCS 98/55 625 ILCS 57/34 770 ILCS 60/6 from Ch. 82, par. 6 P.A. 101-221, Sec. 99-99 Replaces everything after the enacting clause. Extends the repeal of the following by one year: the Crematory Regulation Act; the Cemetery Oversight Act; the Illinois Health Information Exchange and Technology Act; the Radiation Protection Act of 1990; the Renewable Energy, Energy Efficiency, and Coal Resources Development Law of 1997; a provision of the Illinois Power Agency Act concerning home rule preemption; the Emergency Telephone System Act; the Telecommunications Article of the Public Utilities Act; provisions of the Cable and Video Competition Article of the Public Utilities Act; the Mercury Thermostat Collection Act; and the Transportation Network Providers Act. Further amends the Emergency Telephone System Act to delay the required implementation of Next Generation 9-1-1 service until December 31, 2021 (rather than July 1, 2020) and to make conforming changes throughout the Act. Further amends the Cable and Video Competition Article of the Public Utilities Act to extend State-issued authorizations to provide cable or video service by one year. Amends the Mechanics Lien Act. In provisions concerning fixing or stipulating time for the completion of a contract or a time for payment in a contract in order to obtain a lien, extends the date that certain provisions are operative for one year. Amends Public Act 101-221. Delays, from July 1, 2020 until March 1, 2021, the effective date of the Hotel and Casino Employee Safety Act. Effective immediately.

Amends the State Fire Marshal Act. Provides that the Office of the State Fire Marshal shall adopt new rules for the storage, handling, and use of ethylene oxide for sterilization and fumigation in accordance with Section 55 of the National Fire Protection Association Code.

Congratulates Helen Drobnick on her 100th birthday.

Creates the Mental Health Modernization and Access Improvement Act. Requires the Department of Healthcare and Family Services to apply for a Medicaid waiver or State Plan amendment, or both, within 6 months after the effective date of the Act to develop and implement a regulatory framework that allows, incentivizes, and fosters payment reform models for all Medicaid community mental health services provided by community mental health centers or behavioral health clinics. Requires the regulatory framework to: (i) allow for and incentivize service innovation that is aimed at producing the best health outcomes for Medicaid enrollees with mental health conditions; (ii) reward high-quality care through annual incentive payments to community mental health centers and behavioral health clinics; (iii) require community mental health centers and behavioral health clinics to report on specified quality and outcomes metrics; and other matters. Provides that all documentation and reporting requirements under the regulatory framework must comply with the federal Mental Health Parity and Addiction Equity Act of 2008 and the State mental health parity requirements under the Illinois Insurance Code. Contains provisions concerning quality and outcomes metrics reporting; data sharing; the establishment of a Stakeholder Quality and Outcomes Metrics Development Working Group; statewide in-person trainings to ensure provider readiness for the regulatory framework; quality and patient safety protections; implementation timeline; certification of community mental health centers that opt into the regulatory framework; and other matters. Provides that the Act shall be implemented upon federal approval and only to the extent that federal financial participation is available. Effective immediately.

Mourns the passing of Justice Charles E. Freeman.

Directs the Illinois Gaming Board to conduct a disparity study on whether minority-owned businesses face any barriers that prevent their equitable participation in the business of legalized sports wagering.

Commends essential workers, whose sacrifice makes the health and safety of all remain possible. Mourns the loss of those who have died in the line of duty as a result of COVID-19. Further offers the deepest appreciation and heartfelt support for the medical professionals, first responders, and all essential workers who remain on the job to keep communities and the State strong.