Amends the Illinois Insurance Code. Requires the Department of Insurance to develop a uniform electronic prior authorization form to be used by an insurer that provides prescription drug benefits when requiring prior authorization. Provides that the development of the uniform electronic prior authorization form shall include input from specified interested parties and that the Department of Insurance shall take into consideration certain existing prior authorization forms and national standards pertaining to electronic authorization. Includes procedures for when a completed and accurate uniform electronic prior authorization form is not accepted by the insurer. Amends the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to develop a uniform electronic prior authorization form to be used by a managed care organization that provides prescription drug benefits when requiring prior authorization. Provides that the development of the uniform electronic prior authorization form shall include input from specified interested parties and that the Department of Healthcare and Family Services shall take into consideration certain existing prior authorization forms and national standards pertaining to electronic authorization. Includes procedures for when a completed and accurate uniform electronic prior authorization form is not accepted by the managed care organization.
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Amends the Juvenile Court Act of 1987. Provides that all proceedings under the Act in respect to any minor automatically terminate upon his or her attaining the age of 21 years (rather than 19 years). Makes conforming changes. Effective immediately. Senate Committee Amendment No. 2 Replaces everything after the enacting clause. Amends the Juvenile Court Act of 1987. Provides that wardship concerning neglected, abused, and dependent minors terminates at 21 years of age rather than 19 years of age. Provides that a provision providing the wardship of the minor and any custodianship or guardianship respecting the minor for whom a petition was filed automatically terminates when the minor attains the age of 19 years becomes inoperative on and after the effective date of the amendatory Act. Provides that notwithstanding any provision of law to the contrary, the changes made by the amendatory Act apply to all cases that are pending on or after the effective date of the amendatory Act. Provides that when terminating wardship, if the minor is over 18, or if wardship is terminated in conjunction with an order partially or completely emancipating the minor in accordance with the Emancipation of Minors Act, the court shall also consider the following factors, in addition to the health, safety, and best interest of the minor and the public: (1) the minor's wishes regarding case closure; (2) the manner in which the minor will maintain independence without services from the Department of Children and Family Services; (3) the minor's engagement in services including placement offered by the Department; (4) if the minor is not engaged the Department's efforts to engage the minor; (5) the nature of communication between the minor and the Department; (6) the minor's involvement in other State systems or services; (7) the minor's connections with family and other community support; and (8) any other factor the court deems relevant. Effective immediately. House Committee Amendment No. 1 Deletes reference to: 705 ILCS 405/2-31 705 ILCS 405/2-33 Adds reference to: 325 ILCS 5/7.14 from Ch. 23, par. 2057.14 325 ILCS 5/7.22a new 325 ILCS 5/8.2 from Ch. 23, par. 2058.2 Replaces everything after the enacting clause. Amends the Abused and Neglected Child Reporting Act. Provides that prior to classifying a report of abuse or neglect as "indicated", "unfounded" or "undetermined", if the Department of Children and Family Services intends to classify the report as unfounded, the Department must first determine whether the report is subject to review and must complete the review process prior to classifying the report. Requires the Deputy Director of Child Protection to oversee a review process that ensures the Department reviews a random sample of at least 5% of child abuse and neglect reports in which the Department intends to be unfounded and any subject child of the report is not of compulsory school age as provided under the School Code. Provides that the review must be conducted by an area administrator outside the supervisory chain of the investigator and supervisor; and that the review shall ensure that the investigation was conducted in accordance with the Department's rules and procedures governing child abuse and neglect investigations and that the final intended finding is consistent with the goal of protecting the health, safety, and best interests of the child in all situations in which the child is vulnerable to child abuse or neglect. Provides that if the reviewer determines the investigation or final recommended unfounded finding is inconsistent with the Department's rules and procedures, the reviewer shall document the findings in an Unfounded Review Report and forward the Unfounded Review Report to specified persons to ensure corrective steps are taken in the case before the final finding is entered. Requires the Deputy Director of Child Protection to oversee a review process that ensures the Department reviews a random sample of at least 5% of indicated reports in which any subject child of the report is not of compulsory school age as provided under the School Code, the child is not a youth in care, and the Department is not opening a case for any type of services. Provides that if the reviewer determines the investigation or final finding is inconsistent with the Department's rules and procedures, the reviewer shall document the findings in an Indicated Review Report and forward the Indicated Review Report to specified persons to ensure corrective steps are taken in the case. Requires the Department to report to the General Assembly its findings on the number of Unfounded Review Reports and Indicated Review Reports it documents. Provides that incentives that discourage or reward a decision to provide family preservation services after a report is indicated or a decision to refer a child for the filing of a petition under the Juvenile Court Act of 1987 are strictly prohibited and shall not be included in any contract, quality assurance, or performance review process. Provides that any decision regarding whether to provide family preservation services after an indicated report or to refer a child for the filing of a petition under the Juvenile Court Act of 1987 shall be based solely on the child's health, safety, and best interests and on any applicable law. Requires any Department employee responsible for reviewing contracts or program plans who is aware of a violation of these provisions to immediately refer the matter to the Inspector General of the Department. Effective immediately.
Amends the Illinois Insurance Guaranty Fund Article of the Illinois Insurance Code. Provides that a "covered claim" does not include a claim for fines and penalties paid to government authorities. Provides that the board of directors of the Illinois Insurance Guaranty Fund has the authority to assess to pay off a loan necessary to pay covered claims. Provides that if the loan is projected to be outstanding for 3 years or more, the board of directors has the authority to increase the assessment to 3% of net direct written premiums for the previous year until the loan has been paid in full. Makes changes in provisions that specify conditions under which the Fund is bound by certain settlements, releases, compromises, waivers, and final judgments. Provides that the Fund may also take legal action to recover from insurers and insureds in certain circumstances. Provides that the Fund may bring an action against certain third-party representatives of an insolvent insurer to obtain custody and control of all claim information related to the insolvent company. Provides that any person recovering under the Article and any insured whose liabilities are satisfied under the Article shall be deemed to have assigned the person's or insured's rights under the policy to the Fund to the extent of his or her recovery or satisfaction obtained from the Fund's payments. Provides that the Fund may also pay certain workers' compensation claims or any other third-party claims covered by a policy of an insolvent company on behalf of a high net worth insured and may recover from the high net worth insured through any action necessary to collect the full amount to the Fund's reimbursement. Effective immediately. Senate Committee Amendment No. 1 In provisions concerning actions regarding insolvent company records, provides that the Illinois Insurance Guaranty Fund has the absolute right through emergency equitable relief to obtain custody and control of certain claims information in possession of certain third-party administrators, agents, attorneys, or other representatives of an insolvent insurer (rather than the absolute right through emergency equitable relief to obtain custody and control of certain third-party administrators, agents, attorneys, or other representatives of an insolvent insurer). Senate Floor Amendment No. 2 Provides that the Illinois Insurance Guaranty Fund shall recover (rather than may recover) from the high net worth insured for all amounts paid on its behalf, all allocated claim adjusted expenses related to such claims, the Fund's attorney's fees, and all court costs in any action necessary to collect the full amount to the Fund's reimbursement. Makes a grammatical change. House Floor Amendment No. 1 Deletes reference to: 215 ILCS 5/534.3 215 ILCS 5/537.6 215 ILCS 5/537.7 215 ILCS 5/538.3 215 ILCS 5/538.4 215 ILCS 5/538.9 new 215 ILCS 5/545 Adds reference to: 215 ILCS 5/35B-25 Replaces everything after the enacting clause. Amends the Illinois Insurance Code. Provides that the Director of Insurance shall approve a plan of division unless he or she finds that each new company created by the proposed division, except a new company that is a nonsurviving party to certain mergers, that will be a member insurer of the Illinois Life and Health Insurance Guaranty Association and that will have policy liabilities allocated to it will not be licensed to do insurance business in each state where such policies were written by the dividing company.
Amends the Illinois Insurance Code. In provisions concerning treatment for pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome, provides that treatment administered or prescribed after July 18, 2017 shall be covered. Provides that for billing and diagnosis purposes, pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome shall be coded as autoimmune encephalitis until a code is assigned. Provides that coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome may not be denied due to a diagnosis of autoimmune encephalopathy or autoimmune encephalitis. Effective immediately. Senate Floor Amendment No. 2 Replaces everything after the enacting clause. Amends the Illinois Insurance Code. Provides that for billing and diagnosis purposes, pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome shall be coded as autoimmune encephalitis until the American Medical Association and the Centers for Medicare and Medicaid Services create and assign a specific code for pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome. Provides that thereafter, pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome may be coded as autoimmune encephalitis, pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections, or pediatric acute onset neuropsychiatric syndrome.
Amends the Department of Commerce and Economic Opportunity Law of the Civil Administrative Code of Illinois. Requires the Department of Commerce and Economic Opportunity to create a Clean Water Workforce Pipeline Program to provide grants and other financial assistance to individuals for careers in water infrastructure. Provides requirements for funding, grants, and other financial assistance from the Program on a competitive and annual basis for specified activities. Provides that the Program shall have an annual goal of training and placing 2,500 specified individuals in water sector jobs annually. Directs the Department to coordinate with the Environmental Protection Agency, Illinois Finance Authority, and other State agencies that provide financial support for water infrastructure projects in order to encourage the employment of individuals trained through the Program onto projects receiving State financial assistance. Provides that the Department may select a Program Administrator to oversee the allocation of funds and select organizations that receive funding. Requires recipients under the Program to report annually to the Department on the success of their efforts and their contribution to reaching the goals of the Program. Requires the Department to compile the information and report specified information to the General Assembly annually. Within 90 days after the amendatory Act's effective date, requires the Department to propose a draft plan to implement amendatory Act's provisions for public comment and to finalize the plan within 180 days after the amendatory Act's effective date. Grants rulemaking authority to the Department to implement the Program and ensure compliance with the amendatory Act's provisions. Provides that moneys in the Water Workforce Development Fund shall only be used to fund the Program and to assist and enable implementation of clean water infrastructure capital investments. Amends the State Finance Act. Creates the Water Workforce Development Fund. Senate Floor Amendment No. 1 Replaces everything after the enacting clause with the provisions of the introduced bill with the following changes: Provides that the Program shall be funded by appropriations from the Build Illinois Bond Fund, Capital Development Fund, or General Revenue Fund or other funds as identified by the Department of Commerce and Economic Opportunity. Provides that grants may be made, among other entities, to multi-craft labor organizations (currently, labor unions). Removes language providing that the continuing education for individuals to prepare for and build on workforce training and the training of individuals in various skill and trades necessary to build and maintain clean water infrastructure are activities for which grants and other financial assistance may be awarded. Provides that an annual goal of the Program is to train and place at least 300, or 25% of the number of annual jobs created by State financed water infrastructure projects, whichever is greater (currently, 2,500), specified persons in water sector-related apprenticeships (currently, jobs) annually. Provides that the Environmental Protection Agency, the Illinois Finance Authority, and other State agencies that provide financial support for water infrastructure projects shall support the Program in attaining the goal of employing specified individuals. Provides that the Water Workforce Development Fund shall receive moneys from the Build Illinois Bond, the Capital Development Fund, the General Revenue Fund, and any other funds. House Committee Amendment No. 1 Provides that "multi-craft labor organization" includes a labor-management apprenticeship program that is registered with and approved by a labor organization that has an accredited training program through the Higher Learning Commission or the Illinois Community College Board.
Amends the Illinois Insurance Code. Provides that no individual or group policy of accident and health insurance shall require a patient to make a co-payment or a deductible for a dermatology examination. Effective January 1, 2020. House Committee Amendment No. 1 Replaces everything after the enacting clause. Amends the Illinois Insurance Code. Provides that an individual or group policy of accident and health insurance shall cover one annual medically necessary screening for skin cancer that is not otherwise provided as part of a routine dermatology examination. Provides that a policy shall not impose a deductible, coinsurance, copayment, or any other cost-sharing requirement on the coverage provided. Provides the requirements do not apply to the extent such coverage would disqualify a high-deductible health plan from eligibility for a health savings account pursuant to specified provisions of the Internal Revenue Code. Effective January 1, 2020. Senate Committee Amendment No. 1 Replaces everything after the enacting clause. Amends the Illinois Insurance Code. Requires an individual or group policy of accident and health insurance to cover one annual office visit for a whole body skin examination for lesions suspicious for skin cancer. Requires that the appropriate procedural and diagnosis codes be used and that certain cost-sharing requirements shall not be imposed on the patient for coverage. Effective January 1, 2020. Senate Floor Amendment No. 3 Provides that the provisions do not apply to the extent the coverage would disqualify a high-deductible health plan from eligibility for a health savings account pursuant to specified provisions of the Internal Revenue Code.
Amends the Department of Central Management Services Law of the Civil Administrative Code of Illinois. Provides that each State agency shall designate one or more persons with hiring responsibilities to annually attend a presentation provided by the Department of Central Management Services regarding programs created by the Department that were developed and implemented to increase the number of qualified employees with disabilities working in the State. Effective immediately. House Committee Amendment No. 1 Adds language to the engrossed bill requiring the Department of Central Management Services to conduct the annual presentation.
Amends the Illinois Insurance Code. In provisions concerning coverage for anesthetics provided in conjunction with dental care to an individual diagnosed with autism spectrum disorder, removes the requirement that anesthetics be provided by a dentist licensed under the Illinois Dental Practice Act and changes the age of the individual that treatment shall be covered to under age 26 (rather than under age 19). Senate Committee Amendment No. 1 Replaces everything after the enacting clause. Amends the Illinois Insurance Code. In provisions concerning coverage for anesthetics provided in conjunction with dental care to an individual diagnosed with autism spectrum disorder, requires coverage for anesthetics provided by a physician licensed to practice medicine in all of its branches under the Medical Practice Act of 1987 and changes the age of the individual for which treatment shall be covered to under age 26 (rather than under age 19). House Floor Amendment No. 1 Replaces everything after the enacting clause. Amends the Illinois Insurance Code. In provisions concerning coverage for anesthetics provided in conjunction with dental care to an individual diagnosed with autism spectrum disorder, changes the age of the individual that treatment shall be covered to under age 26 (rather than under age 19).
Amends the Illinois Public Aid Code. Changes all references to "Food Stamp Program" to "Supplemental Nutrition Assistance (SNAP) Program". Changes all references to the "Food Stamp Employment and Training Program" to the "SNAP Employment and Training Program". Provides that the SNAP Employment and Training Program shall be voluntary in every county except those in which the Department of Human Services can show that there are sufficient program slots for at least the majority of the county's current non-exempt work registrants. Provides that persons who fail to cooperate with the SNAP Employment and Training Program in counties where available program slots exist for at least the majority of that county's current work registrants shall become ineligible for SNAP benefits according to SNAP regulations. Effective immediately. House Committee Amendment No. 1 Provides that the Supplemental Nutrition Assistance Program Employment and Training (SNAP E&T) program operated by the Department of Human Services may only be mandatory in counties where the Department can show that there are sufficient program slots for at least the majority of the county's current non-exempt work registrants (rather than the SNAP E&T program shall be voluntary in every county except those in which the Department can show that there are sufficient program slots for at least the majority of the county's current non-exempt work registrants). Provides that nothing in the amendatory Act shall prevent the Department from operating a fully voluntary SNAP E&T program.
Amends the Mental Health and Developmental Disabilities Code. Provides that a person admitted to a developmental disability facility and receiving habilitation shall have access to sex education, related resources, and treatment planning that supports his or her right to sexual health and healthy sexual practices and to be free from sexual exploitation and abuse. Provides that the person receiving habilitation shall be assessed: (1) on whether he or she has decision making capacity to give consent to sexual activity and (2) for developmentally appropriate sex education materials and resources. Provides that as part of the assessments, consideration shall be given to medical, psychological, and psycho-social evaluations. Provides that the person's decision making capacity to consent to sexual activity and the developmentally appropriate sex education materials and resources shall be determined by the treatment team that includes the individual, professionals who have knowledge of the individual, and the individual's guardian, if appointed. Guardian decision making shall be made in accordance with the court order of appointment and the standards of decision making established by the Probate Act of 1975. Provides that the Department of Human Services shall approve course material in sex education. Establishes standards for the course materials and instruction. Defines "healthy sexual practices". Fiscal Note (Dept. of Human Services) Minimal fiscal impact exists for the Department of Human Services. These services are already within the scope of services provided at the developmental disability facilities. State Mandates Fiscal Note (Dept. of Commerce & Economic Opportunity) This bill does create a State Mandate.