Rep. Suzanne Ness

Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance or a managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2024 and that provides coverage for prescription drugs shall provide coverage for vaginal estrogen, and that coverage for vaginal estrogen shall not impose a deductible, coinsurance, copayment, or any other cost-sharing requirement. 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, the Limited Health Service Organization Act, the Voluntary Health Services Plans Act, and the Medical Assistance Article of the Illinois Public Aid Code.

Amends the Assisted Living and Shared Housing Act. Removes a provision prohibiting a person from being accepted for residency to an assisted living establishment if the person requires sliding scale insulin administration unless self-performed or administered by a licensed health care professional.

Amends the Accident and Health Article of the Illinois Insurance Code. Provides that an insurer that provides coverage for medically necessary epinephrine injectors shall limit the total amount that an insured is required to pay for a twin-pack of medically necessary epinephrine injectors at an amount not to exceed $60, regardless of the type of epinephrine injector. Provides that nothing in the provisions prevents an insurer from reducing an insured's cost sharing by an amount greater than the specified amount. Provides that the Department of Insurance may adopt rules as necessary to implement and administer the provisions.

Amends the Abused and Neglected Child Reporting Act. Makes a technical change in a Section concerning the short title.

Amends the Nursing Home Care Act. Provides that "emergency" means a situation, physical condition, or one or more practices, methods, or operations that present imminent danger of death or serious physical or mental harm to residents of a facility and that are clinically documented in the resident's medical record (rather than only a situation, physical condition or one or more practices, methods or operations that present imminent danger of death or serious physical or mental harm to residents of a facility). Requires the need for positioning devices to be demonstrated and documented in the resident's care plan. Requires that assessment to be revisited in every comprehensive assessment of the resident. Provides that psychotropic medication shall be administered to a resident only if clinical documentation in the resident's medical record supports the benefit of the psychotropic medication over contraindications related to other prescribed medications and supports the diagnosis of the resident. Provides that, notwithstanding any other provision of law, if a resident is in a state of emergency, the emergency shall be clinically documented in the resident's medical record.

Amends the Developmental Disability and Mental Disability Services Act. Provides that the Department of Human Services shall establish the Long-Term Stabilization Support Program consisting of at least 8 homes across the State and the Short-Term Stabilization Support Program consisting of at least 10 homes across the State. Provides for the requirements of each program. Provides that the Department shall submit an annual report to the General Assembly and Governor that outlines the progress and effectiveness of the programs beginning December 31, 2025. Provides that the Department shall adopt rules to develop and implement the programs. Provides for the repeal of the Article on January 1, 2028.

Amends the Human Skeletal Remains Protection Act. Changes references from "Indian" to "Native American" and "Historic Preservation Agency" to "Department of Natural Resources". Provides that the Director of Natural Resources, in cooperation with the Illinois State Museum, may create a cemetery on existing State lands for the reburial of repatriated Native American remains and materials. Provides that the cemetery shall not be used by the public and shall be protected by the State of Illinois. Provides that the Director of Natural Resources shall cooperate with the State Archaeologist and the Illinois State Museum to coordinate reinterment in the cemetery.

Amends the Pharmacy Benefit Managers Article of the Illinois Insurance Code. Provides that a pharmacy benefit manager shall not prohibit a pharmacist or pharmacy from, or indirectly punish a pharmacist or pharmacy for, making any written or oral statement or otherwise disclosing information to any federal, State, county, or municipal official, including the Director of Insurance or law enforcement, or before any State, county, or municipal committee, body, or proceeding under specified circumstances. Provides that the provisions apply to contracts entered into or renewed on or after July 1, 2023 (rather than July 1, 2022).

Amends the Fish and Aquatic Life Code. Provides that residents of this State may obtain a 5-year fishing license. Provides that the fee for a 5-year fishing license is $62.50. Provides that for residents age 65 or older, the fee is one-half of the fee charged for a 5-year fishing license. Provides that for resident veterans of the United States Armed Forces after returning from service abroad or mobilization by the President of the United States, the fee is one-half of the fee charged for a 5-year fishing license. Provides that residents of this State may obtain a 5-year sportsmen's combination license that shall entitle the holder to the same non-commercial fishing privileges as residents holding a license and to the same hunting privileges as residents holding a license to hunt all species under the Wildlife Code. Provides that the 5-year sportsmen's combination license fee shall be $112.50. Provides that a sportsmen's combination license shall not be issued to any individual who would be ineligible for either the fishing or hunting license separately. Provides that for residents age 65 or older, the fee is one-half of the fee charged for a 5-year sportsmen's combination license. Provides that for resident veterans of the United States Armed Forces after returning from service abroad or mobilization by the President of the United States, the fee is one-half of the fee charged for a 5-year sportsmen's combination license. Amends the Wildlife Code. Provides that residents of this State may obtain a 5-year hunting license to hunt all species for $52. Provides that for residents age 65 or older and resident veterans of the United States Armed Forces after returning from service abroad or mobilization by the President of the United States, the fee is one-half of the fee charged for a 5-year hunting license.

Amends the Code of Civil Procedure. Makes a technical change in the short title Section.