Rep. Camille Lilly

Amends the Medical Patient Rights Act. Requires that, during the pendency of a proclamation issued by the Governor under the Illinois Emergency Management Agency Act declaring that a public health-related emergency exists, a health professional: shall permit people eligible for critical or intensive care services to remain eligible regardless of a patient's age or disability; shall provide individual patient assessments based on the best available objective medical evidence; shall not deny a patient's care based on stereotypes, assessments of a patient's quality of life, or assessments related to disability or other identity factor; and shall not make decisions on health care resources based on age, ancestry, color, creed, disability, domestic partnership or civil union status, ethnicity, gender identity or expression, health insurance status, marital status, national origin, nationality, place of residence, race, sex, sexual orientation, or socioeconomic status if the characteristics are not relevant to the patient's medical diagnosis and treatment. Defines "health professional". Effective immediately.

Makes appropriations for the ordinary and contingent expenses of the Department of Healthcare and Family Services for the fiscal year beginning July 1, 2022, as follows: General Funds $8,080,074,300; Other State Funds $24,790,381,000; Federal Funds $205,000,000; Total $33,075,455,300.

Creates the Health and Wellness Impact Note Act. Requires the Department of Public Health to prepare health and wellness impact notes on bills introduced in the General Assembly.

Creates the Rebuild Illinois Mental Health Workforce Act. Provides that the purpose of the Act is to preserve and expand access to Medicaid community mental health care in Illinois to prevent unnecessary hospitalizations and avoid the criminalization of mental health conditions. Establishes add-on payments for the following community mental health services to be paid beginning with State Fiscal Year 2023 and continuing for each State fiscal year thereafter: individual therapy services; community support-individual services; case management services; and assertive community treatment services. Requires monthly directed payments to community mental health providers of community support team services or assertive community treatment services. Provides that such directed payments shall be based on the number of Medicaid users, as defined, who receive services from the provider in the base year. Provides that the add-on payments established under the Act shall apply to Medicaid services provided by a contracted managed care organization or entity and services paid for directly by the Department of Healthcare and Family Services. Provides that no base Medicaid rate or Medicaid rate add-on payment or any other payment for the provision of Medicaid community mental health services in place on July 1, 2021 shall be diminished or changed to make the reimbursement changes required under the Act. Requires the Department to apply for federal approval to implement the Act. Provides that implementation of the add-on payments is conditioned on the receipt of federal financial participation for such payments. Effective immediately.

Makes appropriations for the ordinary and contingent expenses of the Department of Children and Family Services for the fiscal year beginning July 1, 2022: General Funds $1,324,643,600; Other State Funds; $467,597,900; Federal Funds; $14,178,267; Total $1,806,419,767.

Amends the Illinois Public Aid Code. Provides that it shall be a matter of State policy that the Department of Healthcare and Family Services shall set nursing facility rates by rule utilizing an evidenced-based methodology that rewards appropriate staffing, quality-of-life improvements for nursing facility residents, including the cessation of payments for rooms with 3 or more people residing in them by January 1, 2027, and the reduction of racial inequities and health disparities for nursing facility residents enrolled in Medicaid. Provides that the new nursing services reimbursement methodology taking effect January 1, 2022, upon federal approval, shall utilize the Patient Driven Payment Model (PDPM) (rather than the RUG-IV 48 grouper model). Sets the statewide base rate for dates of service on and after January 1, 2022 at $85.25. Requires the Department to establish, by rule, a multiplier based on information from the Payroll Based Journal. Provides that, beginning on and after January 1, 2022, the Department shall allocate funding, by rule, for per diem add-ons to the PDPM methodology for each resident with a diagnosis of Alzheimer's disease. Contains provisions concerning funds allocated for certain incentive payments to nursing facilities; emergency rules; payments to improve the quality of care delivered by nursing facilities; long-term care provider assessments; and other matters. Amends the Nurse Agency Licensing Act. Prohibits nurse agencies from entering into covenants not to compete with certified nurse aides. Amends the Illinois Administrative Procedure Act. Permits the Department of Healthcare and Family Services to adopt emergency rules. Effective immediately.

Amends the Illinois Public Aid Code. Provides that, beginning July 1, 2021, a family eligible for child care services whose income is at or below 185% of the most recent United States Department of Health and Human Services Federal Poverty Guidelines for the applicable family size shall pay a $1 monthly fee as a co-payment for child care services. Deletes a provision that: (i) requires the Department of Human Services to establish, by rule, a co-payment scale that provides for cost sharing by families that receive child care services, including parents whose only income is from assistance under this Code; and (ii) that require co-payments to be based on family income and family size and other factors as appropriate. Removes a provision that authorizes the Department to raise parent co-payments. Effective immediately.

Amends the Alzheimer's Disease and Related Dementias Services Act. Repeals provisions regarding the Act's repealer. Effective immediately.

Amends the Illinois Public Aid Code. Makes a technical change in a Section concerning supportive living facilities. Senate Floor Amendment No. 1 Deletes reference to: 305 ILCS 5/5-5.01a Adds reference to: 305 ILCS 5/5-30.1 Replaces everything after the enacting clause. Amends the Medical Assistance Article of the Illinois Public Aid Code. Removes a provision that requires the Department of Healthcare and Family Services to post the contracted claims report required by HealthChoice Illinois on its website every 3 months. Effective immediately. House Floor Amendment No. 3 Deletes reference to: 305 ILCS 5/5-30.1 Adds reference to: New Act Replaces everything after the enacting clause. Creates the Consumer Choice in Maternal Care for African-American Mothers Program Act. Requires the Task Force on Infant and Maternal Mortality Among African Americans to partner with Holistic Birth Collective to develop rules for a Medicaid voucher program to expand consumer choice for Black mothers that includes planned home birth services and in-home perinatal and postpartum care services provided by racially concordant nationally accredited certified professional midwives who are licensed and registered in Illinois. Requires the Task Force to submit reports to the General Assembly, beginning January 1, 2024, and each January 1 thereafter, that provide a status update on the program and annual impact measure reporting. Provides that the program shall implement a maternity episode payment model that provides a single payment for all services across the prenatal, intrapartum, and postnatal period which covers the 9 months of pregnancy plus 12 weeks of postpartum. Requires the Department of Healthcare and Family Services to make available to the Task Force all relevant data related to maternal care expenditures made under the State's Medical Assistance Program so that budget-neutral reimbursement rates can be established for bundled maternal care services spanning the prenatal, labor and delivery, and postpartum phases of a maternity episode. Effective January 1, 2022. House Floor Amendment No. 4 Replaces everything after the enacting clause. Reinserts House Amendment No. 3 with the following changes. Provides that the Task Force on Infant and Maternal Mortality Among African Americans shall partner with Holistic Birth Collective to advise the Department of Healthcare and Family Services on the development of a Medicaid voucher program that is eligible for federal dollars to expand consumer choice for Black mothers that includes planned home birth services and in-home perinatal and postpartum care services provided by racially concordant nationally accredited certified professional midwives who are licensed and registered in Illinois. Provides that the Department of Healthcare and Family Services and the Department of Public Health are authorized to adopt rules to implement the new provisions. Provides that the Department of Healthcare and Family Services must apply for a State Plan amendment no later than December 31, 2022.

Makes appropriations for the ordinary and contingent expenses of the Department of Veterans’ Affairs for the fiscal year beginning July 1, 2022, as follows: General Funds $158,781,800; Other State Funds $21,359,600; Federal Funds $ 2,273,100; Total $182,414,500.