Sen. Sara Feigenholtz

Amends the Illinois Public Aid Code. Provides that notwithstanding any law, pre-existing contract, or rule to the contrary, the Department of Healthcare and Family Services shall not enter into a contract or agreement with a managed care organization that includes any incentive for denying authorization of a requested service. Provides that for the purposes of the amendatory Act, incentives shall include, but are not limited to, incentives of any kind, including financial and material. Effective immediately.

Appropriates $3,000,000 from the Road Fund to the Rail Division of the Illinois Department of Transportation for the hiring of additional employees. Appropriates $5,000,000 from the Road Fund to the Illinois Department of Transportation High Speed Rail Commission for support and planning purposes. Appropriates $10,000,000 from the Road Fund to the Illinois Department of Transportation for engineering support. Effective July 1, 2022.

Amends the Vital Records Act. Makes a technical change in a Section concerning fees.

Amends the University of Illinois Act, the Southern Illinois University Management Act, the Chicago State University Law, the Eastern Illinois University Law, the Governors State University Law, the Illinois State University Law, the Northeastern Illinois University Law, the Northern Illinois University Law, the Western Illinois University Law, and the Public Community College Act. Requires a university or community college to provide all necessary coursework materials for rental, free of charge to any student under this Section who meets all of the following qualifications: (a) the student is a resident of the State; (b) the student graduated from an approved high school in the State; (c) the student is enrolled for the upcoming semester or term at the university or community college; and (d) as applicable to a university, the student has not previously earned or received a bachelor's degree or attended 135 credit hours or equivalent of coursework or as applicable to a community college, the student has not previously earned or received an associate's degree or attended 60 credit hours or equivalent of coursework. Defines terms. Effective immediately.

Amends the Illinois Insurance Code. Removes the age limitation for coverage in provisions concerning coverage for epinephrine injectors. Effective immediately.

Creates the Mental Health Assessment Reform Act. Provides that the purpose of the Act is to remove barriers to care in the Medicaid mental health assessment and treatment planning process. Provides that, within 3 months after the effective date of the Act, the Department of Healthcare and Family Services shall clearly identify the minimum information necessary to establish and document medical necessity in an individual's medical record for each community mental health general rehabilitation option service through the use of the Department's standardized assessment and treatment planning tool required in the integrated assessment and treatment planning process. Requires minimum medical necessity documentation requirements to be publicly available to all community mental health centers and behavioral health clinics. Provides that an individual is immediately eligible to receive any community mental health service upon documentation of the specified medical necessity criteria in his or her medical record, and the provider shall be reimbursed for such delivered services. Provides that the integrated assessment and treatment planning process shall be required no more frequently than annually for specified community mental health services. Contains provisions requiring the Department to establish a workgroup to resolve certain issues identified by the Department with the assessment tool and the integrated assessment and treatment planning process. Requires the Department to submit a report to the General Assembly that outlines the issues and recommendations discussed by the workgroup. Contains provisions concerning the Department's development of a billing code, modifier, or other mechanism to reimburse providers for the full time spent on the integrated assessment and treatment planning process; assessment tool training; and other matters. Requires the Department to seek federal approval, if required to implement the Act. Permits the Department, with input from the Department's workgroup, to adopt emergency rules in accordance with the Illinois Administrative Procedure Act. Effective immediately.

Appropriates $350,000, or so much thereof as may be necessary, from the General Revenue Fund to the Department of Commerce and Economic Opportunity for a grant to the Illinois Association of Museums. Effective July 1, 2021.

Amends the Radiation Protection Act of 1990. Provides that the requirements in provisions concerning limitations on the application of radiation and accreditation of administrators of radiation shall not apply to an advanced practice registered nurse licensed under the Nurse Practice Act administering radiation to a human being through a fluoroscope. 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.

Amends the Illinois Public Aid Code. Adds the Nursing Facility Oversight Committee Article to the Code. Provides that a Nursing Facility Oversight Committee shall be named by the 4 legislative leaders to oversee, assess, and provide direction to the Department of Healthcare and Family Services as it relates to long-term care services, including, but not limited to, Medicaid reimbursement, bed assessments, managed long-term care, and Medicaid long-term care eligibility. Provides that the Committee shall be expressly charged with overseeing, assessing, and providing leadership to the Department on issues related to nursing facilities and to provide ongoing evaluation of the effectiveness of any related policies, regulatory rules, and State Plan amendments. Provides that the Committee shall be comprised of 12 voting members with each legislative leader appointing 2 legislative members and a member of the general public recommended by membership-based nursing home trade associations. Requires the co-chairs to call the first meeting within 30 days after the effective date of the amendatory Act, but no later than 10 business days prior to the Department's initial submission of any State Plan amendment related to nursing facilities. Requires the Department to provide copies of all documents at least 10 days in advance of a meeting at which the Department is asking the Committee to give comment or approval. Contains provisions concerning scheduled meetings and proxies; administrative support from the Department; and annual open forums held by the Committee to accept comments on the implementation of policies, regulatory rules, and State Plan amendments concerning nursing facilities. Requires the Department to seek the Committee's advice and consent prior to filing emergency or permanent administrative rules with the Secretary of State or submitting Medicaid State Plan amendments to the Centers for Medicare and Medicaid Services.