Rep. Joyce Mason

Amends the Illinois Insurance Code. In provisions concerning cancer screenings, provides that a group policy of accident and health insurance that provides coverage for hospital or medical treatment or services for illness on an expense-incurred basis and is amended, delivered, issued, or renewed after the effective date of the amendatory Act shall provide coverage without imposing a deductible, coinsurance, copayment, or any other cost-sharing requirement on the benefits. Provides for coverage for an annual prostate cancer screening for male insureds. Defines "prostate cancer screening" as medically viable methods for the detection and diagnosis of prostate cancer, including a digital rectal exam and the prostate-specific antigen test and associated laboratory work, and provides that the term includes subsequent follow-up testing as directed by a health care provider, including, but not limited to, urinary analysis, serum biomarkers, and medical imaging. House Floor Amendment No. 1 Replaces everything after the enacting clause with the provisions of the introduced bill with the following changes. Provides that a group policy of accident and health insurance that provides coverage for hospital or medical treatment or services for illness on an expense-incurred basis and is amended, delivered, issued, or renewed after January 1, 2024 (rather than the effective date of the amendatory Act) shall provide coverage, without imposing a deductible, coinsurance, copayment, or any other cost-sharing requirement, for specified methods of cancer testing. Specifies that the provisions do not apply to coverage of prostate cancer screenings to the extent such coverage would disqualify a high-deductible health plan from eligibility for a health savings account under the Internal Revenue Code. Defines "prostate cancer screening" to include medically necessary subsequent follow-up testing as directed by a health care provider (rather than subsequent follow-up testing as directed by a health care provider).

Amends the Nursing Home Care Act. Provides that residents shall have the right to be treated with courtesy and respect for their individuality by employees or persons providing medical services or care, and shall have their human and civil rights maintained in all aspects of medical care. Provides that all applicable rights under the Medical Patient Rights Act apply to residents under the Act. Provides that residents shall not perform labor or services for a facility unless those activities are included for therapeutic purposes and appropriately goal-related in the resident's individual medical record. Provides that every acute care inpatient facility, community-based residential program, and facility employing more than 2 people that provide outpatient mental health services shall have a written internal grievance procedure that, at a minimum: (1) sets forth the process to be followed; (2) specifies time limits, including time limits for facility response; (3) provides for the patient to have the assistance of an advocate; (4) requires a written response to written grievances; and (5) provides for a timely decision by an impartial decision maker if the grievance is not otherwise resolved. Makes other changes. Senate Committee Amendment No. 1 Adds reference to: 210 ILCS 45/2-100 new Replaces everything after the enacting clause with the provisions of the introduced bill with the following changes. Adds provisions regarding the legislative purpose of the Act and the public policy of the State. Removes language providing that: (1) all residents shall have the right to be treated with courtesy and respect for their individuality by employees or persons providing medical services or care, and shall have their human and civil rights maintained in all aspects of medical care; (2) employees and persons providing medical services or care must have up-to-date certification, licensure, and training pursuant to applicable Illinois law; (3) a resident shall have his or her basic human needs accommodated in a timely manner; (4) a resident has the right to maintain his or her autonomy as much as possible, to be a curious and self-actualizing individual, and to engage in intellectual, self-actualizing creative endeavors; and (5) all applicable rights under the Medical Patient Rights Act apply to all residents under the Act. Provides that every facility (rather than every acute care inpatient facility, community-based residential program, and facility that employs more than 2 people who provide outpatient mental health services) shall have a written internal grievance procedure. Makes changes concerning the criteria for the grievance procedure. Removes language requiring the notice of grievance procedure to include contact information for the Department of Public Health and the area nursing home ombudsman pursuant to specified federal provisions. Makes other changes. Senate Floor Amendment No. 5 Deletes reference to: 210 ILCS 45/2-100 new 210 ILCS 45/2-104 from Ch. 111 1/2, par. 4152-104 Adds reference to: 210 ILCS 45/2-113 from Ch. 111 1/2, par. 4152-113 210 ILCS 45/3-209 from Ch. 111 1/2, par. 4153-209 Replaces everything after the enacting clause. Amends the Nursing Home Care Act. Provides that residents shall have the right to be treated with courtesy and respect for their individuality by employees or persons providing medical services or care and shall have their human and civil rights maintained in all aspects of medical care. Provides that residents shall not perform labor or services for a facility unless those activities are included for therapeutic purposes and appropriately goal-related in the resident's individual medical record. Provides that every facility shall have a written internal grievance procedure that, at a minimum: (1) sets forth the process to be followed; (2) specifies time limits, including time limits for facility response; (3) informs residents of their right to have the assistance of an advocate; (4) provides for a timely response by an impartial decision maker if the grievance is not otherwise resolved; (5) requires the facility to follow applicable State and federal requirements for responding to and reporting any grievance alleging potential abuse, neglect, misappropriation of resident property, or exploitation; and (6) requires the facility to keep a copy of all grievances, responses, and outcomes for 3 years and provide the information to the Department of Public Health upon request. Requires a facility to post specified information concerning rights protection services and where complaints may be lodged. Provides that a facility shall include a link to the Long-Term Care Ombudsman Program's website on the home page of the facility's website. Makes other changes.

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

Creates the Milwaukee Avenue Polish Heritage Corridor Act. Provides that the part of Illinois Route 21, otherwise known as Milwaukee Avenue, that begins at Sangamon Street in Chicago and ends with Greenwood Road in the Village of Niles is designated as the Milwaukee Avenue Polish Heritage Corridor. Provides that appropriate plaques may be erected by the Department of Transportation along this route in recognition of the designation.

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

Creates the Illinois Support Through Loss Act. Requires an employer to grant to each employee 24 hours of paid leave time on the employee's first workday of each calendar year. Provides that the employee shall use the paid leave time as needed during that calendar year for either (i) an absence resulting from a pregnancy loss; an unsuccessful round of intrauterine insemination or of an assisted reproductive technology procedure; a failed adoption match or an adoption that is not finalized because it is contested by another party; a failed surrogacy arrangement; or a diagnosis or event that impacts pregnancy or fertility; or (ii) an absence to care for a spouse or domestic partner who experiences a circumstance described in item (i). Requires paid leave time to be provided upon the oral or written request of an employee. Provides that any paid leave time granted shall not carry over from one calendar year to the next. Provides that any employer with a paid leave policy that is sufficient to meet the requirements of the Act shall not be required to grant an employee additional paid leave time in accordance with the Act. Prohibits an employer from requiring the employee to find a replacement employee to cover the hours during which the employee is using paid leave time. Provides that an employer is not required to provide an employee with reimbursement for granted paid leave time that has not been used. Prohibits an employer from retaliating against an employee who uses paid leave time or files a complaint alleging a violation of the Act. Exempts from the requirements of the Act an employer who is subject to the Railway Labor Act, the Railroad Unemployment Insurance Act, the Federal Employers' Liability Act, or other comparable federal law. Provides that the Director of Labor shall administer and enforce the Act. Grants an employee the right to bring an action to recover damages. Grants the Department of Labor rulemaking authority. Senate Committee Amendment No. 3 Deletes reference to: New Act Adds reference to: 820 ILCS 154/1 820 ILCS 154/5 820 ILCS 154/10 Replaces everything after the enacting clause. Amends the Child Bereavement Leave Act. Changes the name of the Act to the Family Bereavement Leave Act. Provides that all employees shall be entitled to use a maximum of 2 weeks (10 work days) of unpaid bereavement leave to be absent from work due to (i) a miscarriage; (ii) an unsuccessful round of intrauterine insemination or of an assisted reproductive technology procedure; (iii) a failed adoption match or an adoption that is not finalized because it is contested by another party; (iv) a failed surrogacy agreement; (v) a diagnosis that negatively impacts pregnancy or fertility; or (vi) a stillbirth. Provides that the employer may not require that the employee identify which category of event the leave pertains to as a condition of exercising rights under the Act. Changes references from "child" to "covered family members". Defines terms.

Amends the Environmental Protection Act. Provides that the disposal by incineration of any perfluoroalkyl and polyfluoroalkyl substance, including, but not limited to, aqueous film forming foam, is prohibited. Provides the Illinois Environmental Protection Agency with rulemaking authority. Provides that if a rule or regulation is published by the USEPA regarding all or part of the subjects of these provisions, the rule or regulation shall be controlling over these provisions. Effective immediately. House Floor Amendment No. 1 Replaces everything after the enacting clause with the provisions of the introduced bill with the following change. Provides that nothing in the amendatory provisions applies to (i) the combustion of landfill gas from the decomposition of waste that may contain PFAS at a permitted sanitary landfill or (ii) the combustion of landfill gas in a landfill gas recovery facility that is located at a sanitary landfill (rather than providing that, if a rule or regulation is published by the USEPA in the Federal Register regarding all or part of the subjects of the amendatory provisions, one year after its publication the rule or regulation shall be controlling over the provisions of the amendatory provisions and any part of the amendatory provisions conflicting therewith shall be inoperative). Makes other changes. Senate Committee Amendment No. 1 Replaces everything after the enacting clause with the provisions of the engrossed bill with the following changes. Replaces the term "perfluoroalkyl and polyfluoroalkyl substances" with "Toxic Release Inventory Perfluoroalkyl and Polyfluoroalkyl Substances". Provides that "incineration" does not include thermal oxidizers when they are operated as a pollution control or resource recovery device at a facility that is using perfluoroalkyl or polyfluoroalkyl substances or chemicals containing perfluoroalkyl or polyfluoroalkyl substances (rather than using PFAS-containing chemicals). Makes other changes. Senate Floor Amendment No. 2 Further amends the Environmental Protection Act. Specifies that the prohibition on the disposal of TRI-PFAS by incineration does not apply to the incineration of waste at a permitted hospital, medical, and infectious waste incinerator that meets the requirements of specified federal provisions or the Board-adopted State Plan requirements for hospital, medical, and infectious waste incinerators, as applicable, or to the incineration of sludges, biosolids, or other solids or by-products generated at or by a municipal wastewater treatment plant or facility. Makes other technical changes.

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

Amends the Drug Court Treatment Act. Defines "clinical treatment plan" and "peer recovery coach". Provides that the assessment of the defendant shall include a validated clinical assessment. The clinical assessment shall include, but not be limited to, assessments of substance use and mental and behavioral health needs. The clinical assessment shall be administered by a qualified clinician and used to inform any Clinical Treatment Plans. Provides that the court may establish a mentorship program that provides access and support to program participants by peer recovery coaches. Amends the Veterans and Servicemembers Court Treatment Act. Provides that peer recovery coaches shall work to help facilitate participants' independence for continued success once the supports of the court are no longer available to them. Provides for education seminars for Veterans and Servicemembers, court prosecutors, judges, and public defenders. Amends the Mental Health Court Treatment Act. Provides that the court may establish a mentorship program that provides access and support to program participants by peer recovery coaches. Makes other changes. Senate Committee Amendment No. 1 Deletes reference to: 730 ILCS 167/20 Adds reference to: 730 ILCS 166/45 730 ILCS 166/50 730 ILCS 167/5 730 ILCS 167/30 730 ILCS 168/5 730 ILCS 168/30 730 ILCS 168/55 new Replaces everything after the enacting clause. Reinserts the provisions of the bill as introduced with the following changes: Further amends the Drug Court Treatment Act. Defines "validated clinical assessment". Provides that a defendant may be ordered to complete mental health counseling, comply with physician recommendations regarding medications, and receive follow up treatment for a mental health diagnosis. Provides that the court shall prioritize the least restrictive treatment option when ordering mental health or substance use treatment for participants. Provides that jail-based custodial treatment may be utilized if it is found to be the least restrictive alternative. Provides that partnerships between the State of Illinois and community mental health or behavioral health centers shall be prioritized whenever possible. Further amends the Veterans and Servicemembers Court Treatment Act. Makes similar changes. Provides that peer recovery coaches should be individuals with lived experience and that they shall work to help facilitate participant experience. Further amends the Mental Health Court Treatment Act. Makes similar changes. Provides for education seminars currently offered for Drug Court Treatment Act prosecutors, judges, and public defenders for Veterans and Servicemembers Treatment Court and Mental Health Treatment Court prosecutors, judges, and public defenders. Makes other changes. House Committee Amendment No. 2 Deletes reference to: 730 ILCS 168/55 new Adds reference to: 730 ILCS 166/15 730 ILCS 166/20 730 ILCS 166/40 730 ILCS 167/5 730 ILCS 167/10 730 ILCS 167/15 730 ILCS 167/20 730 ILCS 168/15 730 ILCS 168/41 new 730 ILCS 168/40 rep. Replaces everything after the enacting clause with the provisions of the engrossed bill. Makes additional grammatical changes. Makes other changes concerning drug courts, veterans and servicemembers courts, and mental health courts. Provides that a person is ineligible for a drug court, veterans and servicemembers court, or mental health court program if the person has been convicted of home invasion, aggravated vehicular hijacking, or aggravated driving under the influence that resulted in the death of another person or when the violation was a proximate cause of the death. Provides that the court shall consider the least restrictive treatment option when ordering mental health or substance use disorder treatment for participants and the results of clinical and risk assessments in accordance with the Illinois Supreme Court Problem-Solving Court Standards. Repeals a provision concerning the mental health court in Kane County. Effective immediately.

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).