Sen. Seth Lewis

Creates the Medicaid Technical Assistance Center Act. Requires the Department of Healthcare and Family Services to establish a Medicaid Technical Assistance Center (Center). Provides that the Center shall operate as a cross-system educational resource to strengthen the business infrastructure of health care provider organizations in Illinois to ultimately increase the capacity, access, health equity, and quality of Illinois' Medicaid managed care programs: HealthChoice Illinois and YouthCare. Requires the Center to be established within the Department's Office of Medicaid Innovation. Requires the Center to collaborate with public and private partners throughout the State to identify, establish, and maintain best practices necessary for health providers to ensure their capacity to participate in HealthChoice Illinois or YouthCare. Requires the Center to: (i) create and administer ongoing trainings for health care providers; (ii) maintain an independent, easy to navigate, and up-to-date website; and (iii) host regional learning collaboratives that will supplement the Center's training curriculum to bring together groups of stakeholders to share issues and best practices, and to escalate issues. Requires the Department to maximize federal financial participation for any moneys appropriated to the Department for the Medicaid Technical Assistance Center. Provides that any federal financial participation funds obtained shall be used for the further development and expansion of the Medicaid Technical Assistance Center. Amends the State Finance Act. Creates the Medicaid Technical Assistance Center Fund. Effective immediately. Senate Committee Amendment No. 1 Deletes reference to: New Act 30 ILCS 105/5.935 new Adds reference to: 305 ILCS 5/1-5 from Ch. 23, par. 1-5 Replaces everything after the enacting clause. Amends the Illinois Public Aid Code. Makes a technical change in a Section concerning construction of the Code. Senate Floor Amendment No. 2 Deletes reference to: 305 ILCS 5/1-5 Adds reference to: 305 ILCS 5/5-5e.1 305 ILCS 5/5A-2 from Ch. 23, par. 5A-2 305 ILCS 5/5A-5 from Ch. 23, par. 5A-5 305 ILCS 5/5A-8 from Ch. 23, par. 5A-8 305 ILCS 5/5A-10 from Ch. 23, par. 5A-10 305 ILCS 5/5A-12.7 305 ILCS 5/5A-14 305 ILCS 5/5-45 new 305 ILCS 5/12-4.105 20 ILCS 2310/2310-710 new 305 ILCS 5/5-5.02 from Ch. 23, par. 5-5.02 35 ILCS 5/223 35 ILCS 105/3-8 35 ILCS 110/3-8 35 ILCS 115/3-8 35 ILCS 120/2-9 Replaces everything after the enacting clause. Amends the Illinois Public Aid Code. In a provision concerning safety-net hospitals, provides that beginning July 1, 2020 and ending on December 31, 2026, a hospital that would have qualified for the rate year beginning October 1, 2020 and was designated a federal rural referral center on October 1, 2020 shall be a Safety-Net Hospital. In provisions concerning hospital provider funding, provides that certain annual assessments on inpatient services and outpatient services shall be imposed on each hospital provider for calendar years 2021 through 2026 (rather than for calendar years 2021 and 2022). Makes changes to the definition of "Assessment Adjustment". Extends the period during which certain transfers shall be made from the Hospital Provider Fund. Contains provisions concerning: (i) the applicable reimbursement factor from July 1, 2020 through December 31, 2022 and January 1, 2023 through December 31, 2026; and (ii) fee for-service supplemental payments beginning January 1, 2023. In a provision concerning the classification of Illinois hospitals for the purpose of allocating the funds included in capitation payments to managed care organizations, defines "critical access hospital" and "public hospital". Provides that, beginning January 1, 2023 and each calendar year thereafter, assignment to the safety-net class shall be based on the annual safety-net rate year beginning 15 months before the beginning of the first Payout Quarter of the calendar year. Makes changes to provisions concerning high Medicaid hospitals and defines "regional high volume hospital". Provides that, from January 1, 2023 through December 31, 2023, the Department of Healthcare and Family Services shall establish the amounts that shall be allocated to the hospital class directed payment fixed pools identified under a specified provision of the Code for the quarterly development of a uniform per unit add-on. Requires the Department to ensure that hospitals assigned to the fixed pools are paid no less than 95% of the annual initial rate for each 6-month period of each annual payout period. Contains provisions concerning directed payment amounts established by the Department for the Payout Quarter beginning January 1, 2023; pass-through payments for calendar year 2023; the sum of the total estimated annual payments to each hospital class for calendar year 2023; and other matters. Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that a general acute care hospital is authorized to file a notice with the Department of Public Health and the Health Facilities and Services Review Board to establish an acute mental illness category of service in accordance with the Illinois Health Facilities Planning Act and add authorized acute mental illness beds if the following conditions are met: (i) the general acute care hospital qualifies as a safety-net hospital as determined by the Department of Healthcare and Family Services at the time of filing the notice or for the year immediately prior to the date of filing the notice; (ii) the notice seeks to establish no more than 24 authorized acute mental illness beds; and (iii) the notice seeks to reduce the number of authorized beds in another category of service to offset the number of authorized acute mental illness beds. In provisions requiring the Department of Healthcare and Family Services to pay certain amounts to the human poison control center designated under the Poison Control System Act, provides that not less than $3,750,000 shall be paid for State fiscal years 2021 through 2026 (rather than for State fiscal year 2021 and 2022) and not less than $1,875,000 shall be paid for the period July 1, 2026 through December 31, 2026 (rather than for the period July 1, 2022 through December 31, 2022). Amends the Department of Public Health Powers and Duties Law. Provides that, by February 1, 2023, the Department of Public Health and the Department of Healthcare and Family Services shall provide a joint report to the General Assembly on options and recommendations for the establishment of a permanent Safety-Net Hospital Health Equity and Access Leadership (HEAL) Grant Program. Provides that the Departments of Public Health and Healthcare and Family Services may consult with the statewide association representing a majority of hospitals and safety-net hospitals on the report. Sets forth information that may be included in the report, including, but not limited to: (1) criteria for a safety-net hospital to be eligible for the program; (2) potential projects eligible for grant funds, which may include projects to reduce health disparities, advance health equity, or improve access to or the quality of healthcare services; and (3) potential strategies to generate federal Medicaid matching funds for expenditures under the program. Amends the Medical Assistance Article of the Illinois Public Aid Code. In provisions requiring the Department of Healthcare and Family Services to make adjustment payments for inpatient services to hospitals that meet certain requirements, provides that such adjustment payments shall be made to a hospital that reopens a previously closed hospital facility within 4 (rather than 3) calendar years of the hospital facility's closure. Amends the Illinois Income Tax Act. Extends the income tax credit for certain hospitals through taxable years ending on or before December 31, 2027 (currently, December 31, 2022). Amends the Use Tax Act, the Service Use Tax Act, the Service Occupation Tax Act, and the Retailers' Occupation Tax Act. Provides that the credit for personal property sold to or used by certain hospitals is exempt from the Acts' automatic sunset provisions. Effective immediately. Senate Floor Amendment No. 3 Deletes reference to: 305 ILCS 5/1-5 Adds reference to: 305 ILCS 5/5-5e.1 305 ILCS 5/5A-2 from Ch. 23, par. 5A-2 305 ILCS 5/5A-5 from Ch. 23, par. 5A-5 305 ILCS 5/5A-8 from Ch. 23, par. 5A-8 305 ILCS 5/5A-10 from Ch. 23, par. 5A-10 305 ILCS 5/5A-12.7 305 ILCS 5/5A-14 305 ILCS 5/5-45 new 305 ILCS 5/12-4.105 20 ILCS 2310/2310-710 new 305 ILCS 5/5-5.02 from Ch. 23, par. 5-5.02 35 ILCS 5/223 35 ILCS 105/3-8 35 ILCS 110/3-8 35 ILCS 115/3-8 35 ILCS 120/2-9 Replaces everything after the enacting clause. Amends the Illinois Public Aid Code. In a provision concerning safety-net hospitals, provides that beginning July 1, 2020 and ending on December 31, 2026, a hospital that would have qualified for the rate year beginning October 1, 2020 and was designated a federal rural referral center on October 1, 2020 shall be a Safety-Net Hospital. In provisions concerning hospital provider funding, provides that certain annual assessments on inpatient services and outpatient services shall be imposed on each hospital provider for calendar years 2021 through 2026 (rather than for calendar years 2021 and 2022). Makes changes to the definition of "Assessment Adjustment". Extends the period during which certain transfers shall be made from the Hospital Provider Fund. Contains provisions concerning: (i) the applicable reimbursement factor from July 1, 2020 through December 31, 2022 and January 1, 2023 through December 31, 2026; and (ii) fee for-service supplemental payments beginning January 1, 2023. In a provision concerning the classification of Illinois hospitals for the purpose of allocating the funds included in capitation payments to managed care organizations, defines "critical access hospital" and "public hospital". Provides that, beginning January 1, 2023 and each calendar year thereafter, assignment to the safety-net class shall be based on the annual safety-net rate year beginning 15 months before the beginning of the first Payout Quarter of the calendar year. Makes changes to provisions concerning high Medicaid hospitals and defines "regional high volume hospital". Provides that, from January 1, 2023 through December 31, 2023, the Department of Healthcare and Family Services shall establish the amounts that shall be allocated to the hospital class directed payment fixed pools identified under a specified provision of the Code for the quarterly development of a uniform per unit add-on. Requires the Department to ensure that hospitals assigned to the fixed pools are paid no less than 95% of the annual initial rate for each 6-month period of each annual payout period. Contains provisions concerning directed payment amounts established by the Department for the Payout Quarter beginning January 1, 2023; pass-through payments for calendar year 2023; the sum of the total estimated annual payments to each hospital class for calendar year 2023; and other matters. Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that a general acute care hospital is authorized to file a notice with the Department of Public Health and the Health Facilities and Services Review Board to establish an acute mental illness category of service in accordance with the Illinois Health Facilities Planning Act and add authorized acute mental illness beds if the following conditions are met: (i) the general acute care hospital qualifies as a safety-net hospital as determined by the Department of Healthcare and Family Services at the time of filing the notice or for the year immediately prior to the date of filing the notice; (ii) the notice seeks to establish no more than 24 authorized acute mental illness beds; and (iii) the notice seeks to reduce the number of authorized beds in another category of service to offset the number of authorized acute mental illness beds. In provisions requiring the Department of Healthcare and Family Services to pay certain amounts to the human poison control center designated under the Poison Control System Act, provides that not less than $3,750,000 shall be paid for State fiscal years 2021 through 2026 (rather than for State fiscal year 2021 and 2022) and not less than $1,875,000 shall be paid for the period July 1, 2026 through December 31, 2026 (rather than for the period July 1, 2022 through December 31, 2022). Amends the Department of Public Health Powers and Duties Law. Provides that, by February 1, 2023, the Department of Public Health and the Department of Healthcare and Family Services shall provide a joint report to the General Assembly on options and recommendations for the establishment of a permanent Safety-Net Hospital Health Equity and Access Leadership (HEAL) Grant Program. Provides that the Departments of Public Health and Healthcare and Family Services may consult with the statewide association representing a majority of hospitals and safety-net hospitals on the report. Sets forth information that may be included in the report, including, but not limited to: (1) criteria for a safety-net hospital to be eligible for the program; (2) potential projects eligible for grant funds, which may include projects to reduce health disparities, advance health equity, or improve access to or the quality of healthcare services; and (3) potential strategies to generate federal Medicaid matching funds for expenditures under the program. Amends the Medical Assistance Article of the Illinois Public Aid Code. In provisions requiring the Department of Healthcare and Family Services to make adjustment payments for inpatient services to hospitals that meet certain requirements, provides that such adjustment payments shall be made to a hospital that reopens a previously closed hospital facility within 4 (rather than 3) calendar years of the hospital facility's closure. Amends the Illinois Income Tax Act. Extends the income tax credit for certain hospitals through taxable years ending on or before December 31, 2027 (currently, December 31, 2022). Amends the Use Tax Act, the Service Use Tax Act, the Service Occupation Tax Act, and the Retailers' Occupation Tax Act. Provides that certain hospital exemptions apply on a continuous basis. Effective immediately.

Amends the Rehabilitation of Persons with Disabilities Act. In provisions concerning the Department of Human Services' Home Services Program, provides that subject to federal approval the Department shall allow a recipient's spouse to serve as his or her provider of personal care or similar services. Effective immediately.

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 the effective date of the amendatory Act shall provide coverage for hormone therapy treatment to treat menopause that has been induced by a hysterectomy. 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. House Floor Amendment No. 1 Deletes reference to: 215 ILCS 130/4003 Replaces everything after the enacting clause with the provisions of the introduced bill with the following changes. 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 (rather than the effective date of the amendatory Act) shall provide coverage for medically necessary hormone therapy treatment to treat menopause that has been induced by a hysterectomy. Removes provisions amending the Limited Health Service Organization Act.

Amends the Food Handling Regulation Enforcement Act. Provides that a farmer who sells meat, poultry, eggs, or dairy products from the premises of the farmer's farm is exempt from licensing by the farmer's local health department under specified conditions. Provides that local health departments may issue Farmers' Market Retail Permits for the sale of products at farmers' markets and at semi-permanent events not to exceed 100 days of operation in a calendar year. Provides that a Farmers' Market Retail Permit shall be valid for one year and that the fee for obtaining a Farmers' Market Retail Permit shall not exceed $150. Removes provisions regarding administrative rules, produce, and food products for farmers' markets. Contains other provisions. Effective January 1, 2023. Senate Floor Amendment No. 1 Replaces everything after the enacting clause. Amends the Food Handling Regulation Enforcement Act. In provisions regarding farmers' markets, removes language regarding administrative rules. Provides that a farmer who engages in the sale of specified products shall obtain a Farmers' Market Permit from each local health department of any unit of local government in which a sale takes place and that chooses to require a Farmers' Market Permit. Contains specified requirements that may apply to the permit. Provides that a Farmers' Market Permit shall be valid for one year. Provides that a fee for a limited egg Farmers' Market Permit shall not exceed $75 and a fee for a full Farmers' Market Permit shall not exceed $175. Provides that the fee limits shall be raised by 10% at specified times. Contains procedural requirements for creating, setting, or amending the fee required for a Farmers' Market Permit. Preempts home rule. Removes language listing produce and food products coming within the scope of the provisions. Makes other changes.

Amends the School Code. Requires the school board of each school district to grant full-time employees of the district 5 mental health days each school year at full pay. Provides that the employee is not required to provide a medical note or other documentation to use the mental health day. Provides that used and uncompensated mental health days are not eligible for pensionable service credit under the Illinois Pension Code. Effective immediately. Senate Floor Amendment No. 1 Deletes reference to: 105 ILCS 5/24-6.5 new Adds reference to: 105 ILCS 5/24-6 Replaces everything after the enacting clause. Amends the School Code. In provisions concerning sick leave for full-time teachers and eligible employees, adds mental or behavioral health complications to the enumerated interpretations of sick leave. Adds that the school board may require a certificate from a mental health professional licensed in Illinois providing ongoing care or treatment to the teacher or employee. Effective immediately. Senate Floor Amendment No. 2 Adds reference to: 105 ILCS 5/34-18.78 new Adds provisions to the bill as amended by Senate Amendment No. 1. Amends the Chicago School District Article of the School Code. Provides that, in addition to any interpretation or definition included in a collective bargaining agreement or board of education or district policy, sick leave, or its equivalent, to which a teacher or other eligible employee is entitled shall be interpreted to include mental or behavioral health complications. Provides that, unless contrary to a collective bargaining agreement or board of education or district policy, the board may require a certificate from a mental health professional licensed in Illinois providing ongoing care or treatment to the teacher or employee as a basis for pay during leave after an absence of 3 days for mental or behavioral health complications. Effective immediately.

Amends the Electric Vehicle Act and the Electric Vehicle Rebate Act. Deletes language providing that "electric vehicle" does not include electric motorcycles. Effective immediately. Senate Floor Amendment No. 1 Adds reference to: 415 ILCS 120/27 In provisions amending the Electric Vehicle Act and the Electric Vehicle Rebate Act, provides that "electric vehicle" does not include electric mopeds or electric off-highway vehicles. Further amends the Electric Vehicle Rebate Act. Provides that only electric vehicles that are not an electric motorcycle qualify for specified rebates. Provides that, beginning July 1, 2022, each person shall be eligible to apply for a $1,500 rebate for the purchase of an electric vehicle that is an electric motorcycle. Provides that purchasers applying for a rebate must continue to reside in Illinois (rather than a covered area) for a minimum of 12 consecutive months immediately after the vehicle purchase date. Provides that rebates administered under the provisions shall be available for both new and used electric vehicles (rather than for new and used passenger electric vehicles). House Floor Amendment No. 2 In the Electric Vehicle Rebate Act, provides that beginning July 1, 2028, each person shall be eligible to apply for a $1,500 (rather than $1,000) rebate for the purchase of an electric vehicle that is not an electric motorcycle.

Amends the Department of Commerce and Economic Opportunity Law of the Civil Administrative Code of Illinois. Provides that each regional office of the Department may hire an individual to serve as Citizen Services Coordinator. Provides that each Citizen Services Coordinator shall assist citizens in the region in seeking out and obtaining State services and shall monitor citizen inquiries to determine which services are most in demand in the region. Senate Floor Amendment No. 1 Deletes reference to: 20 ILCS 605/605-1055 new Adds reference to: New Act 305 ILCS 5/12-4.11-5 new Replaces everything after the enacting clause. Creates the Murdered Children Funeral and Burial Assistance Act. Provides that the Act may be referred to as the Mychal Moultry, Jr. Funeral and Burial Assistance Act. Provides that, with respect to the provision of burial rights and funeral and burial services and merchandise within the applicable scope of practice, a funeral establishment or cemetery authority is entitled to disbursement under the Act if within one year of the occurrence of the crime upon which a disbursement request is made, the funeral establishment or cemetery authority submits the request to the Department. Provides that the total amount of disbursement for funeral and burial expenses for a child victim shall be no more than $10,000, to be apportioned between the funeral establishment and cemetery authority by those eligible survivors authorized to direct the disposition of remains pursuant to the Disposition of Remains Act. Provides that the Department shall develop a brochure informing the public of the existence of funeral and burial assistance for the families of murdered children under the Act and make the brochure available on its website. Provides that any law enforcement agency that investigates an offense committed in this State shall inform the parent or guardian of the child victim concerning the availability of assistance for funeral and burial expenses under the Act and advise such persons that any information concerning the Act may be obtained from the Department. Amends the Illinois Public Aid Code. Provides that the Department of Human Services shall by rule administer the Murdered Children Funeral and Burial Assistance Program. Provides that the Department of Human Services, beginning July 1, 2023 and subject to appropriation, shall make eligibility determinations and make disbursements for eligible cases to a funeral establishment or cemetery authority as provided under the Murdered Children Funeral and Burial Assistance Act. Effective immediately.

Amends the Public Library District Act of 1991. Makes a technical change in a Section concerning captions. Senate Floor Amendment No. 1 Deletes reference to: 75 ILCS 16/1-50 Adds reference to: 70 ILCS 3720/0.001 Replaces everything after the enacting clause. Amends the Water Commission Act of 1985. Defines "territorial municipality". Provides that the chairperson of a water commission shall be a resident of the home county for chairperson appointments made after the effective date of the amendatory Act. Provides that, upon receipt of water by any territorial municipality, one commissioner from a territorial municipality shall be appointed by the chairperson of the county board of the home county with the advice and consent of the county board and one commissioner from a territorial municipality shall be appointed by the majority vote of the mayors of those territorial municipalities. Makes conforming changes.

Declares June 12, 2022 as "Women's Veterans Day" to commemorate the day women were officially added as regular members of the United States military, to recognize the critical role of women in the military forces, and to commemorate the sacrifices and valor displayed by Illinois women veterans.

Rescinds Illinois' 1863 ratification of the Corwin Amendment to the United States Constitution.