Sen. Doris Turner

Amends the Departments of State Government Law of the Civil Administrative Code of Illinois by repealing the Section that created the Department of Natural Resources Advisory Board. Makes corresponding changes in the Wildlife Code and the Illinois Open Land Trust Act. Amends the Department of Natural Resources Act. Authorizes the Department of Natural Resources to conduct regional yearly public forums to obtain public input and comments on subjects, matters, or programs under the control of the Department of Natural Resources. Requires the Department of Natural Resources to consider all comments received during a public forum. Senate Committee Amendment No. 1 Deletes reference to: 20 ILCS 5/5-560 rep. 20 ILCS 801/1-15 Adds reference to: 20 ILCS 5/5-560 was 20 ILCS 5/6.08 Replaces everything after the enacting clause. Amends the Departments of State Government Law of the Civil Administrative Code of Illinois. Provides that the term of all incumbent members of the Advisory Board to the Department of Natural Resources shall terminate on August 1, 2022, and, requires the Governor to make appointments to fill the vacancies. Adds a provision requiring the Board to formulate and present long range recommendations (instead of policies) in certain areas. Removes a requirement for the Board to make a study of the personnel structure of the Department and make recommendations to the Governor and Director of Natural Resources. Provides that the Board may advise on (instead of "shall make studies of") the land acquisition needs of the Department. Amends the Wildlife Code. Removes the provision permitting the Board to make recommendations to the Director of Natural Resources on reductions or increases of seasons, bag or possession limits, or closure of any season. Amends the Illinois Open Land Trust Act. Removes a provision requiring approval of the Board for the Director to, by administrative rule, lengthen, shorten, or close the season. Removes a provision requiring the Department to consult with the Board in order to make grants or loans to units of government as authorized by the Act. Removes a provision requiring the Department to provide for a public meeting to be conducted by the Board prior to the Department approving grants to a unit of local government for the acquisition of open space and natural land. Senate Floor Amendment No. 2 Replaces everything after the enacting clause. Reinserts the provisions of Senate Amendment No. 1, and makes the following changes: In provisions concerning members of the Advisory Board to the Department of Natural Resources, provides that one member of the Board shall represent outdoor powersport usage interests, one shall be a member of a statewide association of trappers and represent trapping interests, and 3 members of the Board, whose interests are not otherwise specified, shall be residents of this State. In provisions concerning formulation and presentation of recommendations by the Board, removes the conservation of privately owned land from the category of protection and conservation of renewable resources of the State. Land Conveyance Appraisal Note (Dept. of Transportation) No land conveyances are included in Senate Bill 3908; therefore, there are no appraisals to be filed. Judicial Note (Admin Office of the Illinois Courts) This legislation will not increase or decrease the number of judges needed in the state of Illinois. Pension Note (Government Forecasting & Accountability) SB 3908, as engrossed, will not impact any public pension fund or retirement system in the State of Illinois. State Debt Impact Note (Government Forecasting & Accountability) SB 3908, as engrossed, would not change the amount of authorization for any type of State-issued bond, and, therefore, would not affect the level of State indebtedness. Fiscal Note (Dept. of Natural Resources) There is no financial impact expected for DNR from this bill and its amendments to date. Balanced Budget Note (Office of Management and Budget) Please be advised that the Balanced Budget Note Act does not apply to Senate Bill 3908, as amended by Senate Amendment 2 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. State Mandates Fiscal Note (Dept. of Commerce & Economic Opportunity) SB 3908 does not create a State Mandate under the State Mandates Act.

Amends the Illinois Public Aid Code. Provides that, to ensure full access to the benefits set forth in provisions regarding the Healthy Kids Program, on and after January 1, 2022, the Department of Healthcare and Family Services shall ensure that provider and hospital reimbursements for immunization as required under the provisions are no lower than the Medicare reimbursement rate. Amends the Immunization Data Registry Act. Provides that health care providers, physician's designees, or pharmacist's designees shall (rather than may) provide immunization data to be entered into the immunization data registry. Removes language providing that the immunization data need not be provided if the patient or the patient's parent or guardian, if the patient is less than 18 years of age, has completed and filed with the provider, physician's designee, or pharmacist's designee a written immunization data exemption form. Provides that the written information and the immunization data exemption forms must include information that the health care provider shall (rather than may) report immunization data to the Department of Public Health to be entered into the immunization data registry. Effective January 1, 2022. House Floor Amendment No. 2 In provisions amending the Illinois Public Aid Code, provides that the Department of Healthcare and Family Services shall ensure that provider and hospital reimbursements for immunization are no lower than 70% of the regional maximum administration fee as established by the U.S. Department of Health and Human Services' Centers for Medicare and Medicaid Services (rather than the Medicare reimbursement rate). Fiscal Note, House Floor Amendment No. 2 (Dept. of Healthcare & Family Services) Based on limited data availability, the annual impact of using 70% of Medicare rates for vaccine services for Medicaid participants under age 21 is estimated at $5.7 million, with $0. 9 million for FFS claims and about $4.8 million impact to the MCO capitation rates. The FY 2022 impact for providing six months of services at the new rates would be about $2. 9 million. There would be substantial administrative costs to change the pricing methodology to the provider level and for storage and programming changes to the claims processing and provider enrollment systems. Planning and implementation may take up to 12 months to complete, which would exceed the time available with the January 1, 2022 effective date. Senate Floor Amendment No. 2 Deletes reference to: 305 ILCS 5/5-19 from Ch. 23, par. 5-19 410 ILCS 527/15 Adds reference to: 410 ILCS 70/1a from Ch. 111 1/2, par. 87-1a 410 ILCS 70/1a-1 410 ILCS 70/2 from Ch. 111 1/2, par. 87-2 410 ILCS 70/2-1 410 ILCS 70/2.1 from Ch. 111 1/2, par. 87-2.1 410 ILCS 70/2.1-1 410 ILCS 70/5 from Ch. 111 1/2, par. 87-5 410 ILCS 70/5-1 410 ILCS 70/5.4 410 ILCS 70/9.5 Replaces everything after the enacting clause. Amends the Sexual Assault Survivors Emergency Treatment Act. Provides that "pediatric health care facility" means a clinic or physician's office that provides medical services to patients under the age of 18 (rather than to pediatric patients). Provides that a hospital must submit a plan to provide specified services and that the failure to provide that plan is subject to a fine of up to $500 per day until the hospital submits a plan. Provides that certain fines may not be taken or assessed until 12 months after the amendatory Act's effective date. Provides that if an approved pediatric facility submits 2 Plans of Correction that are found to not be acceptable by the Department of Public Health, the approved pediatric health care facility shall become subject to the imposition of a fine by the Department and the termination of its approved sexual assault treatment plan. Provides that an approved pediatric health care facility may provide medical forensic services to all sexual assault survivors under the age of 18 (instead of pediatric sexual assault survivors) who present for medical forensic services in relation to injuries or trauma resulting from a sexual assault. Provides that the Department of Public Health shall approve a proposed plan submitted by a pediatric health care facility if it finds that the proposed plan meets certain minimum requirements and that implementation of the proposed plan would provide medical forensic services for sexual assault survivors under the age of 18 (instead of pediatric sexual assault survivors). Prohibits a pediatric health care facility from providing medical forensic services to sexual assault survivors under the age of 18 (instead of pediatric sexual assault survivors) who present with a complaint of sexual assault within a minimum of the last 7 days or who have disclosed past sexual assault by a specific individual and were in the care of that individual within a minimum of the last 7 days until the Department has approved a treatment plan. Provides that a transfer hospital, treatment hospital with approved pediatric transfer, or approved pediatric health care facility may transfer a sexual assault survivor to an out-of-state hospital that is located in a county that borders Illinois (rather than to an out-of-state hospital that has been designated as a trauma center by the Department under specified provisions of the Emergency Medical Services (EMS) Systems Act) if the out-of-state hospital meets specified requirements. Specifies that a provision regarding out-of-state hospitals is inoperative on and after January 1, 2029 (rather than January 1, 2024). In provisions regarding the Sexual Assault Medical Forensic Services Implementation Task Force, requires the Task Force's report to the General Assembly to be submitted by January 1, 2024 (rather than January 1, 2023) and include the status of pediatric sexual assault care. Makes other changes. Effective January 1, 2023, except that changes to provisions concerning the Sexual Assault Medical Forensic Services Implementation Task Force take effect upon becoming law.

Mourns the death of Arlyn Lober of Springfield.

Mourns the passing of Kenneth R. "Wasy" Wasylenko of Gillespie.

Mourns the passing of Mark N. Kessler of Springfield.

Creates the Ensuring a More Qualified, Competent, and Diverse Community Behavioral Health Workforce Act. Requires the Department of Human Services, Division of Mental Health, to award grants or contracts to licensed community mental health centers or behavioral health clinics to establish or enhance training and supervision of interns and behavioral health providers-in-training pursuing licensure as a licensed clinical social worker, licensed clinical professional counselor, and licensed marriage and family therapist. Creates the Mental Health Assessment Reform Act to remove barriers to care in the Medicaid mental health assessment and treatment planning process. Creates the Recovery and Mental Health Tax Credit Act. Requires the Department to establish and administer a recovery tax credit program to provide tax incentives to qualified employers who employ eligible individuals in recovery from a substance use disorder or mental illness in part-time and full-time positions. Creates an Advisory Council to advise the Department regarding employment of persons with mental illnesses and substance use disorders in minority communities. Amends the Illinois Income Tax Act to make conforming changes. Amends the Department of Healthcare and Family Services Law of the Civil Administrative Code. Requires the Department of Healthcare and Family Services to take all necessary action to ensure that proposed modifications, additions, deletions, or amendments to the healthcare and behavioral healthcare (mental health and substance use disorder) provisions of the Illinois Public Aid Code are announced, shared, disseminated, and explained prior to the Department undertaking such proposed modifications, if legally possible and subject to federal law. Amends the Clinical Social Work and Social Work Practice Act. Provides that an individual applying for licensure as a clinical social worker who has been licensed at the independent level in another jurisdiction for 5 (rather than 10) consecutive years without discipline is not required to submit proof of completion of education and supervised clinical professional experience. Makes similar changes to the Marriage and Family Therapy Licensing Act and to the Professional Counselor and Clinical Professional Counselor Licensing and Practice Act. Effective immediately. Senate Committee Amendment No. 1 Adds reference to: 225 ILCS 15/13 from Ch. 111, par. 5363 225 ILCS 20/11 from Ch. 111, par. 6361 225 ILCS 107/50 Reinserts the provisions creating the Recovery and Mental Health Tax Credit Act with the following changes: Requires the Department of Human Services to maintain an electronic listing of the tax credit certificates it issues under the recovery tax credit program so that the Department of Revenue may confirm the eligibility of qualified employers for the tax credit. Provides that the tax credit authorized under the Act may not be carried forward. Contains provisions concerning tax credits for partners, shareholders of S corporations, and owners of limited liability companies. Makes other changes. Amends the Illinois Income Tax Act. Provides that a taxpayer who has been awarded a credit under the Recovery and Mental Health Tax Credit Act is entitled to a credit against the tax imposed under specified provisions of the Illinois Income Tax Act. Amends the Clinical Psychologist Licensing Act, the Clinical Social Work and Social Work Practice Act, and the Professional Counselor and Clinical Professional Counselor Licensing and Practice Act. Provides that notwithstanding any other provision of law certain requirements set forth in those Acts to restore an inactive or expired license of 5 years or less are suspended for specified licensed clinicians who have had no disciplinary action taken against their licenses in this State or in any other jurisdiction during the entire period of licensure. Senate Floor Amendment No. 2 Deletes reference to: 5 ILCS 100/5-45.21 new Removes provisions creating the Mental Health Assessment Reform Act. Removes amendatory changes made to the Illinois Administrative Procedure Act permitting the Department of Healthcare and Family Services to adopt emergency rules to implement the Mental Health Assessment Reform Act. Senate Floor Amendment No. 3 Reinserts the provisions creating the Recovery and Mental Health Tax Credit Act with the following changes: Requires the Department of Human Services to maintain an electronic listing of the certificates of tax credit issued by which the Department of Revenue may verify tax credit certificates issued to qualifying employers. Provides that the tax credit authorized under the Act may not be carried forward. Provides that a taxpayer who is a qualified employer who has received a certificate of tax credit from the Department shall be allowed a credit against the tax imposed equal to the amount shown on such certificate of tax credit. Provides that if the taxpayer is a partnership or Subchapter S corporation the credit shall be allowed to the partners or shareholders in accordance with the determination of income and distributive share of income as provided under specified provisions of the Internal Revenue Code. Makes other changes. Amends the Illinois Income Tax Act. Provides that for taxable years beginning on or after January 1, 2023, a taxpayer who has been awarded a credit under the Recovery and Mental Health Tax Credit Act is entitled to a credit against the tax imposed under specified provisions of the Illinois Income Tax Act. Senate Floor Amendment No. 5 Deletes reference to: 20 ILCS 2205/2205-40 new Removes the amendatory changes made to the Department of Healthcare and Family Services Law requiring the Department of Healthcare and Family Services to take all necessary action to ensure that proposed modifications, additions, deletions, or amendments to the healthcare and behavioral healthcare (mental health and substance use disorder) provisions of the Illinois Public Aid Code are announced, shared, disseminated, and explained prior to the Department undertaking such proposed modifications, if legally possible. House Floor Amendment No. 1 Further amends the Clinical Psychologist Licensing Act. In a provision suspending the requirements under the Act for restoration of an inactive or expired clinical psychologist license, provides that an individual may not restore his or her license more than once. Further amends the Clinical Social Work and Social Work Practice Act. In a provision suspending the requirements under the Act for restoration of an inactive or expired clinical social worker license, provides that an individual may not restore his or her license more than once. Removes a provision exempting individuals applying for a clinical social worker license who are licensed in another jurisdiction from submitting proof of passage of the examination for the practice of clinical social work as authorized by the Department of Financial and Professional Regulation. Further amends the Professional Counselor and Clinical Professional Counselor Licensing and Practice Act. In a provision suspending the requirements under the Act for restoration of an inactive or expired clinical professional counselor license, provides that an individual may not restore his or her license more than once. Makes other changes. House Floor Amendment No. 3 Adds reference to: 210 ILCS 49/1-102 Further amends the Specialized Mental Health Rehabilitation Act of 2013. Defines the term "APRN". Provides that, for purposes of the Act, any required psychiatric visit to a consumer may be conducted by an APRN or by a physician.

Amends the Illinois Insurance Code. Provides that when an insured receives emergency services or covered ancillary services from a nonparticipating provider or a nonparticipating facility, the health insurance issuer shall ensure that cost-sharing requirements are applied as though the services had been received from a participating provider or facility, and that the insured or any group policyholder or plan sponsor shall not be liable to or billed by the health insurance issuer, the nonparticipating provider, or the facility beyond the cost-sharing amount. Contains provisions concerning a notice and consent process for out-of-network coverage; billing for reasonable administrative fees; assignment of benefits to nonparticipating providers; and cost-sharing amounts and deductibles. Amends the Illinois Insurance Code and the Health Maintenance Organization Act to make a change in provisions concerning disclosure of nonparticipating provider benefits. Amends the Network Adequacy and Transparency Act. Provides that a beneficiary who receives care at a participating health care facility shall not be required to search for participating providers under certain circumstances. Amends the Managed Care Reform and Patient Rights Act. Provides that prior authorization or approval by the plan shall not be required for post-stabilization services that constitute emergency services. Amends the Health Maintenance Organization Act and the Voluntary Health Services Plans Act to provide that health maintenance organizations and voluntary health services plans are subject to provisions of the Illinois Insurance Code concerning billing and cost sharing. Makes other changes. Effective July 1, 2022, except that certain changes take effect January 1, 2023. House Floor Amendment No. 1 In provisions concerning cost sharing for emergency services and cost sharing for non-emergency services, provides that if the cost sharing for the same item or service furnished by a participating provider would have been a flat-dollar copayment, that amount shall be the cost-sharing amount unless the provider has billed a lesser total amount. Provides that upon receipt of the provider's bill or facility's bill, the health insurance issuer shall provide the nonparticipating provider or the facility with a written explanation of benefits (rather than the health insurance issuer shall provide the nonparticipating provider or the facility with a written explanation of benefits). Provides that the arbitrator shall not establish a rebuttable presumption that the qualifying payment amount should be the total amount owed to the provider or facility by the combination of the issuer and the insured, beneficiary, or enrollee. Defines "qualifying payment amount". Makes other changes.

Amends the Children and Family Services Act, the Illinois Youthbuild Act, the Mental Health and Developmental Disabilities Administrative Act, the School Code, the Public University Uniform Admission Pilot Program Act, the Public Community College Act, the Higher Education Student Assistance Act, the Illinois Insurance Code, the Pharmacy Practice Act, the Structural Pest Control Act, the Community Association Manager Licensing and Disciplinary Act, the Home Inspector License Act, the Real Estate License Act of 2000, the Illinois Public Aid Code, the Firearm Concealed Carry Act, the Illinois Vehicle Code, and the Unified Code of Corrections. Changes references from high school equivalency certificate to State of Illinois High School Diploma. Senate Floor Amendment No. 2 In the provisions of the School Code concerning high school equivalency, specifies that a State of Illinois High School Diploma is a recognized high school equivalency certificate for purposes of reciprocity with other states and a high school equivalency certificate from another state is equivalent to a State of Illinois High School Diploma.

Amends the Illinois Income Tax Act. Creates an income tax checkoff for donations to the 100 Club of Illinois Fund. Amends the State Finance Act to create the Fund. Provides that moneys deposited into the Fund shall be used to make grants to the 100 Club of Illinois for services in Illinois. Effective immediately.

Amends the State Fair Act. Removes provisions requiring all income derived from the sale of advertising at the Illinois State Fair to be deposited in the Illinois State Fair Fund. Removes provisions requiring all income derived from the sale of advertising at the DuQuoin State Fair to be deposited in the Agricultural Premium Fund. Provides that all revenues from the operation and use of any facilities of the Illinois State Fair, the Springfield State Fairgrounds, the DuQuoin State Fair, and the DuQuoin State Fairgrounds (rather than only the Illinois State Fair and the Springfield State Fairgrounds) shall be deposited in the Illinois State Fair Fund. Removes provisions requiring all revenues from the operation and use of any facilities of the DuQuoin State Fair and the DuQuoin State Fairgrounds to be deposited into the Agricultural Premium Fund. Provides that the annual appropriation for the "Land of Lincoln Breeders Awards for Purebred or Registered Livestock" shall be made from the Agricultural Premium Fund or the Illinois State Fair Fund (rather than only the Agricultural Premium Fund).