Last Week In Review
A few items to note from last week - SB111 passed out of Senate Insurance on the agreed bill list. The legislation requires anesthesia coverage for dental procedures for individuals up to 26 years old (currently 19). The Chamber was neutral.
Speaking of Senate Insurance, Sen. Oberweis' Right to Shop legislation was not called, but a subject matter was held. Members raised concerns about the implementation of letting individuals shop outside of networks for cheaper procedures, including what would happen to HMO plans. The Chamber believes there is not enough data from other states to show that such a program would result in better outcomes and more affordable services.
HB2846 passed out of House Insurance last week. It's an insurance mandate requiring that a specific code be used for reimbursement for
pediatric acute onset neuropsychiatric syndrome. The Chamber was opposed, as the legislation required using a different code than the stated illness.
On the sharps front, HB349 was reassigned from House Consumer Protection to the House Prescription Drug Affordability Committee. The Chamber is currently scheduling a meeting with the Illinois Environmental Council, the bill's chief proponent, to gauge intent behind the bill this session.
Also last week the House Prescription Drug and Affordability Committee heard subject matter testimony regarding how Medicaid addresses payments for prescription drugs. You can download the Illinois Healthcare and Family Services deck here. Illinois Department of Central Management Services' background on pharmaceuticals and the the state group health program is here. Both documents present a vary detailed look at prescription drug spend and what each entity does to control costs. This week the committee will hear testimony regarding "the patient perspective on drug prices."
Healthcare Committees Scheduled for the Week
Senate Public Health
Mar 12, 2019
SB109 - Link - SA1 adds language to the Authorized Electronic Monitoring in Long-Term Care Facilities Act clarifying that a facility includes those that treat dementia.
SB1214 - T. Cullerton - Requires the Department of Public Health to ensure that those who draw blood from children and adults with intellectual and developmental disabilities are trained, at least once every 3 years, in the most current method of drawing blood from children and adults with developmental and intellectual disabilities.
SB1291 - Morrison - Amends the Ambulatory Surgical Treatment Center Act. Adds a provision allowing an applicant facility to receive a license if the physician, podiatric physician, or dentist that performs surgery at an applicant facility does not have surgery privileges with at least one Illinois hospital, so long as that physician, podiatric physician, or dentist is credentialed by the ambulatory surgical treatment center where the procedures are to be performed.
SB1425 - Creates the office of suicide prevention within IDPH.
- Mulroe - Repeals a provision requiring the Department of Public Health to enforce provisions regarding the duty of providers of mammography services to provide specific notifications if a patient's mammogram demonstrates dense breast tissue and requires the Illinois Emergency management Agency to enforce the provisions.
SB1726 - Glowiak - Amends the Alzheimer's Disease Research Act. Changes the short title of the Act to the Alzheimer's Disease Research, Care, and Support Fund Act. Creates the full-time position of Dementia Coordinator within the Department of Public Health, who is responsible only for activities associated with and relevant to the successful implementation of the State of Illinois Alzheimer's Disease State Plan.
- Bush - Creates the Needle and Hypodermic Syringe Access Program Act. Provides that persons or entities that promote scientifically proven ways of mitigating health risks associated with drug use and other high-risk behaviors may establish and operate a needle and hypodermic syringe access program.
- Castro - Amends the Illinois Insurance Code. Requires certain group health insurance policies and other specified policies to provide coverage of medically necessary treatment for postpartum complications as determined by the woman's treating physician. 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, and the Voluntary Health Services Plans Act. The Chamber is opposed - the legislation is in response to mortality data provided by IDPH, but many of the solutions will not balance cost containment with improved outcomes.
SB1965 - Sims - mends the Health Care Worker Background Check Act. Provides that an individual otherwise qualified for and intending to apply for a direct care position who has a disqualifying conviction may initiate a fingerprint-based criminal history record check where a conditional offer of employment has not been made and such a background check has not been previously conducted, and allows those individuals to request a waiver of the prohibition of employment.
House Insurance Committee
Mar 12, 2019
Room 114 Capitol Building
HB3081 - Lilly - Amends the Hospital Licensing Act and the University of Illinois Hospital Act. Provides that hospitals licensed under the Act shall provide health insurance coverage to all of their workforce.
- Cassidy - Amends the Illinois Insurance Code. Prohibits requiring a patient to make a co-payment or a deductible for a dermatology examination.
HB3130 - Skillicorn - Amends the Genetic Information Privacy Act. Includes direct-to-consumer commercial genetic testing in the definition of "genetic testing".
HB3177 - Mazzochi - Amends the Illinois Insurance Code. In provisions requiring insurance coverage for prostate-specific antigen tests and for colorectal cancer examination and screening, removes provisions requiring the testing be recommended or prescribed by a physician. Amends the Illinois Insurance Code, 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 Illinois Public Aid Code to require insurance policies to provide coverage for testing to establish the presence or absence of sexually transmitted diseases or infections.
HB3188 - Mazzochi - Amends the Illinois Insurance Code. Provides that if an insured is required to pay a deductible or copayment under a policy, an accident and health insurer must disclose to the insured the total actual payments made by the accident and health insurer to a health care provider and the basis for the deductible or copayment the insured is required to pay. Provides that if an accident and health insurer pays a claim to a healthcare provider at an agreed-upon or discounted rate, then the accident and health insurer must base the insured's deductible or copayment upon the agreed-upon or discounted rate rather than any other advertised or listed rate. Amends the Health Maintenance Organization Act and the Illinois Public Aid Code.
HB3320 - Andrade - Amends the Third Party Administrators Article of the Illinois Insurance Code. Excludes a dental service plan regulated by the Code from the definition of "administrator".
HB3323 - Buckner - Creates the Uniform Dental Electronic Transactions Act. Provides that the Act applies to all dental plan carriers. Requires all dental plan carriers and dental care providers to exchange claims and eligibility information electronically using the transactions, companion guides, implementation guides, and timelines required under the Act in order to be compensable by the dental plan carrier.
HB3435 - Carroll - Amends the Illinois Insurance Code. Provides that a policy of accident and health insurance or a managed care plan shall provide coverage for epinephrine injectors for persons 18 years of age or under.
HB3451 - Yednock - Amends the Illinois Insurance Code. Requires insurance policies to be written in language easily readable and understandable by a person of average intelligence and education.
HB3471 - Bristow - Amends the Illinois Insurance Code. Requires a group or individual policy of accident and health insurance to provide coverage for cardiopulmonary monitors for a person 18 years old or younger who has had a cardiopulmonary event.
HB3472 - Conroy - Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance shall provide coverage for the cost of opioid treatment drugs, including, but not limited to, opioid antagonists, regardless of whether or not they are generic drug formularies, and other buprenorphine-based medications meant to treat opioid addiction or prevent overdose by opioid use.
HB3473 - Conroy - Serious mental illness early intervention insurance mandate. This legislation will not be called this year - rather look to HB2572 which the Chamber is participating in a meeting this week.
HB3487 - Ortiz - Amends the University of Illinois Hospital Act and Hospital Licensing Act. Provides that each hospital shall post, in each facility that has an emergency room, a notice in a conspicuous location in the emergency room with information about how to enroll in health insurance through the Illinois health insurance marketplace.
HB3503 - Manley - requires hearing aid coverage for insurance plans to cover individuals age 65 and older. Medicare doesn't cover hearing aids - the Chamber is opposed.
HB3509 - Stuart - Amends the State Employees Group Insurance Act of 1971, Illinois Insurance Code, and the Illinois Public Aid Code. Provides that pasteurized donated human breast milk shall be covered under health insurance and the medical assistance program under the Illinois Public Aid Code. Describes the requirements that must be met to have pasteurized human breast milk covered under health insurance and the medical assistance program.
HB3673 - Harper - Amends the Managed Care Reform and Patient Rights Act. Provides that specified medical conditions are included in the definition of "emergency medical condition" regardless of the final diagnosis that is given.
HB3700 - Costa Howard - Amends the Illinois Insurance Code. Provides that a policy of accident and health insurance or managed care plan that provides coverage for prescription drugs shall provide coverage for prescription inhalants for those 18 years old or younger suffering from asthma or other life-threatening bronchial ailments.
Senate Human Services
Mar 12, 2019
SB155 - Koehler - Amends the Early Intervention Services System Act. Redefines "physical or mental condition that typically results in developmental delay" to mean a diagnosed medical disorder bearing a relatively well known expectancy for developmental outcomes within varying ranges of developmental disabilities, including elevated blood lead levels, as defined by the Department of Public Health by rule, confirmed by a venous blood test (rather than a diagnosed medical disorder bearing a relatively well known expectancy for developmental outcomes within varying ranges of developmental disabilities).
- Fine - Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires managed care organizations (MCOs) to publish, at least quarterly for the preceding quarter, on their websites: (1) the total number of claims received by the MCO; (2) the number and monetary amount of claims payments made to a service provider; (3) the dates of services rendered for the claims payments made under item (2); (4) the dates the claims were received by the MCO for the claims payments made under item (2); and (5) the dates on which claims payments under item (2) were released. Effective July 1, 2019.
- Fine - Provides that specified individuals are entitled, upon request, to obtain certain information regarding a recipient in a mental health facility if the individual declares that he or she is involved in the recipient's care or paying for the recipient's care and the individual meets specified requirements.
SB1716 - Hastings - Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that on or after July 1, 2019, all FDA approved prescription medications that are recognized by a generally accepted standard medical reference as effective in the treatment of conditions specified in the most recent Diagnostic and Statistical Manual of Mental Disorders published by the American Psychiatric Association must be covered under both fee-for-service and managed care medical assistance programs for persons who are otherwise eligible for medical assistance and shall not be subject to any (i) utilization control, (ii) prior authorization mandate, or (iii) lifetime restriction limit mandate.
- Aquinio - Amends the Illinois Public Aid Code. Provides that for purposes of determining eligibility and the amount of assistance under the Code, the Department of Human Services and local governmental units shall exclude from consideration, for a period of no more than 60 months, any financial assistance, including wages, cash transfers, or gifts, that is provided to a person who is enrolled in a program or research project that is not funded with general revenue funds and that is intended to investigate the impacts of policies or programs designed to reduce poverty, promote social mobility, or increase financial stability for Illinois residents if there is an explicit plan to collect data and evaluate the program or initiative that is developed prior to participants in the study being enrolled in the program and if a research team has been identified to oversee the evaluation.
- Morrison - Amends the Abused and Neglected Child Reporting Act. Removes the list of mandated reports under the Act and instead lists several categories of professionals required to report suspected child abuse and neglect to the Department of Children and Family Services, including: (1) medical personnel; (2) social services and mental health personnel; and (3) crisis intervention personnel.
SB2017 - Sandoval - Amends the Covering ALL KIDS Health Insurance Act. Changes the short title of the Act to the Covering ALL KIDS and Young Adults Health Insurance Act and makes conforming changes in various Acts. Changes the name of the Covering ALL KIDS Health Insurance Program to the Covering ALL KIDS Young Adults Health Insurance Program and makes conforming changes. Provides that the Department of Healthcare and Family services shall purchase or provide healthcare benefits for eligible young adults that are identical to the benefits provided for individuals under the Medical Assistance Program established under the Illinois Public Aid Code. Defines young adult.
SB2086 - Fine - Amends the Mental Health and Developmental Disabilities Administrative Act. Provides that no later than October 1, 2022, the Department of Human Services shall transfer each individual with an intellectual disability or a developmental disability residing in a non-Medicaid certified facility or residence funded by the Department to the State's Home and Community-Based Services Waiver Program for Persons with Developmental Disabilities or to a Medicaid-certified residence or facility.
SB2087 - Fine - Creates the Customized Employment for Individuals with Disabilities Act. Requires the Department of Human Services' Division of Rehabilitation Services to establish a 5-year Customized Employment Pilot Program that serves a minimum of 25 individuals by the second year of the Pilot Program.
Health Care Availability & Accessibility Committee
Mar 12, 2019
Room 122B Capitol Building
HB3511 - Flowers - Creates the Maternal Mental Health Conditions Education, Early Diagnosis, and Treatment Act. Provides that a general acute care hospital or special hospital that has a perinatal unit, in collaboration with medical staff, shall by January 1, 2021 develop and implement a program to provide education and information to appropriate health care professionals and patients about maternal mental health conditions.
House Human Services Committee
Mar 13, 2019
Room C-1 Stratton Building
HB3065 - Bryant - Provides that when conducting any investigation concerning a report of suspected abuse, neglect, financial exploitation, or self-neglect of an eligible adult, the Department on Aging shall contact as many of the eligible adult's family members, neighbors, and friends as reasonably possible under the circumstances.
HB3157 - Conroy - Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that a healthcare provider shall release to a Medicaid managed care organization, upon request, the health care information of a recipient of medical assistance, if the recipient has completed and signed a general release form that grants to the healthcare provider permission to release the recipient's health care information to the recipient's insurance carrier.
HB3245 - Flowers - provides process to end Medicaid managed care. Chamber is opposed.
HB3247 - Greenwood - Creates the Parkinson's Disease Public Awareness and Education Act. Provides that the Director of Public Health shall establish a Parkinson's Disease Public Awareness and Education Program.
HB3272 - Durkin - mends the Public Assistance Fraud Article of the Illinois Public Aid Code. Increases the criminal and civil penalties for medical assistance fraud committed by individuals and corporations.
HB3299 - Davis - 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.
HB3378 - Moeller - Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that benefits under the federal Old-Age, Survivors, and Disability Insurance Program shall not be considered in determining an individual's financial eligibility for medical assistance.
HB3459 - Yednock - Requires the Department of Public Health to annually report to the General Assembly the data collected by and reported to the Department concerning deaths in which an opioid overdose is determined to be a contributing factor. Amends the Counties Code. Provides that in every case in which an opioid overdose is determined to be a contributing factor in a death, the coroner shall report the death and the age, gender, race, and county of residence, if known, of the decedent to the Department.
HB3468 - Bristow - Provides that for hospitals, alternative health care models, Community Living Facilities, long-term care facilities, MC/DD facilities, ID/DD facilities, specialized mental health rehabilitation facilities, and community-integrated living arrangements, reasonable efforts must be made to have activated at all times the closed captioning feature on a television in a common area provided for use by the general public or in a patient's, resident's, or consumer's room or to enable the closed captioning feature when requested to do so by a member of the general public or a patient if the television includes a closed captioning feature, or if a staff member deactivates a closed captioning feature unless the deactivation was done so knowingly or intentionally, or if the closed captioning feature is deactivated by specified individuals.
HB3483 - Gabel - Removes language requiring the Department of Human Services to maintain a disability services database and instead requires the Department of Human Services to compile and maintain a Prioritization of Urgency of Need for Services (PUNS) database of Illinois residents with an intellectual disability or a developmental disability, including an autism spectrum disorder, and Illinois residents with an intellectual disability or a developmental disability who are also diagnosed with a physical disability or mental illness and are in need of disability services funded by the Department.
HB3500 - Manley - Provides that the Department of Public Health and each county or multiple-county health department or public health district may provide to a person who is at risk of experiencing or who is experiencing an opioid-related overdose a kit containing naloxone hydrochloride or any other opioid antagonist approved for the treatment of an opioid overdose by the United States Food and Drug Administration.
HB3521 - Welch - Amends the Assisted Living and Shared Housing Act. Adds provisions concerning involuntary terminations of residency, hearings when residency is involuntarily terminated, and readmission of residents.
HB3531 - Stava- Murray - Amends the Hospital Licensing Act. Provides that if a hospital has a gestational surrogacy contract on file for a gestational surrogate or has otherwise received the gestational surrogacy contract from a gestational surrogate, the hospital may not deny an intended parent entry into the delivery room where the gestational surrogate is being induced or in labor.
HB3607 - Robinson - Amends the Consent by Illinois Minors to Health Care Services Act. Provides that minors 12 years or older who may (rather than may have) come into contact with any sexually transmitted disease may give consent to the furnishing of health care services or counseling related to the prevention, diagnosis, or treatment (rather than only the diagnosis or treatment) of the disease.
HB3662 - Flowers - Amends the University of Illinois Hospital Act and the Hospital Licensing Act. Provides that before using any diagnostic algorithm to diagnose a patient, a hospital must first confirm that the diagnostic algorithm has been certified by the Department of Public Health and the Department of Innovation and Technology, has been shown to achieve as or more accurate diagnostic results than other diagnostic means, and is not the only method of diagnosis available to a patient.
HB3710 - Conroy - Amends the Nursing Home Care Act. Replaces provisions concerning designation of distressed facilities with language providing that: by January 1, 2021, and quarterly thereafter, the Department of Public Health shall generate and publish a list of no more than 10 distressed facilities at any one time; the facilities shall be selected using criteria established by rule for both certified and noncertified facilities and that certified facilities shall be selected from the Centers for Medicare and Medicaid Services' Special Focus Facility Candidate List;
Prescription Drug Affordability & Accessibility Committee
Mar 13, 2019
Room 114 Capitol Building
HB3097 - Mah - Amends the Illinois Public Aid Code. Requires the Department of Human Services to develop in collaboration with an academic institution a program designed to provide prescribing physicians under the medical assistance program with an evidence-based, non-commercial source of the latest objective information about pharmaceuticals.
HB3187 - Mazzochi - Amends the Illinois Insurance Code. Creates the Pharmacy Benefit Managers Article. Provides that upon request by a party contracting with a pharmacy benefit manager, a pharmacy benefit manager shall disclose any rebate amounts provided to the pharmacy benefit manager by a pharmaceutical manufacturer. Provides that upon request by a party contracting with a pharmacy benefit manager, a pharmacy benefit manager shall disclose the actual amounts paid by the pharmacy benefit manager to the pharmacy.
HB3246 - Harris - Creates the Retail Store Sharps Disposal Act. Provides that a retail store shall make sharps disposal boxes available at that retail store if it is requested by an employee of the retail store who submits a written request to the manager of the retail store and to the Department of Public Health, requested by the municipality where the retail store is located, or if an infection or contamination from needle exposure is traced back to that retail store by the Department, a local health department, or State or local law enforcement.
HB3493 - Guzzardi - Creates the Prescription Drug Affordability Act. Defines terms. Creates the Prescription Drug Affordability Board and includes provisions regarding: purpose; members; alternate members; conflict of interest; terms; additional staff; salary; compensation and reimbursement; and meetings. Creates the Prescription Drug Affordability Stakeholder Council and includes provisions regarding: purpose; members; knowledge requirements; terms; and compensation. Provides the manner in which a conflict of interest shall be disclosed. Provides that gifts or donations of services or property that indicate a potential conflict of interest may not be accepted by any member of the Board, Board staff, or third-party contractor. Includes provisions on applicability. Provides that the Board shall identify specified prescription drug products and determine whether each prescription drug product should be subject to a cost review. Provides that if the Board finds that spending on a prescription drug product creates affordability challenges, the Board shall establish an upper payment limit that applies to all purchases and payor reimbursements. Includes provisions regarding remedies and an appeal process. Creates the Prescription Drug Affordability Fund. Provides that the Board shall submit a report to the General Assembly including specified information. Includes a provision on term expiration for Board and Council members. Provides that the Board shall conduct a study of the operation of the generic drug market that includes specified information on or before June 1, 2020. Makes conforming changes in the State Finance Act.
HB3494 - Mussman - Creates the Physician Gift Ban Act. Prohibits a pharmaceutical marketer from providing any promotions, including, but not limited to, travel and prizes, to a physician to induce the physician to prescribe Tier 1 medications.
HB3647 - Edly-Allen - Amends the Pharmacy Practice Act. Requires a pharmacy to offer a kiosk to dispose of prescription and over-the-counter medications free of charge.
House Health Care Licenses Committee
Mar 13, 2019
Room 122B Capitol Building
HB3061 - Slaughter - Amends the Health Care Worker Background Check Act. Provides that an individual otherwise qualified for and intending to apply for a direct care position who has a disqualifying conviction may initiate a fingerprint-based criminal history record check where a conditional offer of employment has not been made and such a background check has not been previously conducted, and allows those individuals to request a waiver of the prohibition of employment.
HB3077 - Welch - Amends the Inspection of Records Article of the Code of Civil Procedure. Expands the definitions of "health care facility" and "health care practitioner" to include entities that contract to provide copies of protected health information. Defines "patient", "patient's representative", and "protected health information". Changes references to "health care records" to "protected health information". Makes changes concerning who may be granted access to a patient's protected health information and the charges for copies of protected health information. Provides that a health care facility or health care practitioner shall provide the patient or patient's representative with access to the protected health information in the form and format requested.
HB3192 - West - Amends the Department of Professional Regulation Law of the Civil Administrative Code of Illinois. Provides that certain health care providers licensed by the Department of Financial and Professional Regulation who have applied for license renewal shall be presumed licensed until their license renewals have been approved or denied by the Department.
HB3232 - Evans - Creates the Prescription Drug Repository Program Act. Requires the Department of Public Health to, by rule, establish a prescription drug repository program, under which any person may donate a prescription drug or supplies needed to administer a prescription drug for use by an individual who meets eligibility criteria specified by the Department.
HB3264 - Mazzochi - Provides that the Department of Public Health shall adopt rules to incentivize health care facilities to properly clean and disinfect their facilities.
HB3355 - Hoffman - Amends the Medical Practice Act of 1987. Provides that a physician licensed to practice medicine in all its branches may collaborate with a physician assistant (rather than may delegate care and treatment responsibilities to a physician assistant).
HB3414 - Slaughter - Creates the Prescription Drug Repository Pilot Program Act. Requires the Department of Public Health to establish a prescription drug repository program. Provides that collection efforts shall be performed by the Metropolitan Water Reclamation District.
HB3474 - Yednock - Requires the Department of Financial and Professional Regulation to adopt a standard marketing code of conduct for all pharmaceutical manufacturing companies that employ a person to sell or market prescription drugs or medical devices in the State.
HB3484 - Gabel - Amends the Medical Patient Rights Act. Provides that a patient or representative of the patient must give informed consent, or informed permission in the case of an infant, for biochemical testing for controlled substances unless there is a medical emergency and there is inadequate time to obtain consent.
HB3506 - Villanueva - Amends the Hospital Licensing Act and the University of Illinois Hospital Act. Provides that, except for billing purposes, a hospital may not inquire about a patient's financial status.
HB3559 - Moylan - Creates the Mandatory Dementia-Specific Training Act. Provides that emergency medical technicians, probate judges, paid conservators, and protective services employees shall receive dementia-specific training, including, but not limited to, training in Alzheimer's disease and dementia symptoms and care.
HB3576 - Wheeler - Amends the Health Care Violence Prevention Act. Removes the term "committed person" and replaces it with "custodial detainee" throughout the Act.
HB3684 - Ortiz - Amends the Hospital Licensing Act. Provides that the Department of Public Health may refuse to renew a license if (i) the hospital fails to provide to the Department a copy of its policy adopted under the Language Assistance Services Act, (ii) the Department determines that the hospital is not in compliance with its policy adopted under the Language Assistance Services Act, or (iii) the Department determines that the hospital is not in compliance with the Language Assistance Services Act.
Senate Licensed Activities
Mar 13, 2019
SB1135- Harmon - Amends the Hospital Licensing Act. Permits hospitals that admit patients for treatment of mental illness to grant medical staff privileges to licensed prescribing psychologists. Amends the Clinical Psychologist Licensing Act. Requires a psychologist applying for a prescribing psychologist license to have completed 30 psychology doctoral graduate credit hours and 31 credit hours in a Master of Science degree program.
SB1702 - Morrison - Amends the Mental Health and Developmental Disabilities Code. Permits an advanced practice psychiatric nurse to order restraints or seclusion for a recipient of treatment.
SB1715 - Hastings - Amends the Pharmacy Practice Act. Provides that the "practice of pharmacy" includes the administration of injections of long-term antipsychotic medications pursuant to a valid prescription by a physician licensed to practice medicine in all its branches, upon completion of appropriate training, including how to address contraindications and adverse reactions set forth by rule, with notification to the patient's physician and appropriate record retention, or pursuant to hospital pharmacy and therapeutics committee policies and procedures.
SB2151 - Hastings - Amends the Nurse Practice Act. Provides that registered professional nursing practice is a scientific process founded on a professional body of knowledge; it is a learned profession based on the understanding of the human condition across the life span and environment and includes all nursing specialties and means the performance of any nursing act based upon professional knowledge, judgment, and skills acquired by means of completion of an approved professional nursing education program.
Labor & Commerce Committee
Mar 13, 2019
Room 114 Capitol Building
Subject matter on Nursing Staff Limits (HB2604 and HB3585)
Mar 13, 2019
SB35 - Bush - first episode psychosis insurance mandate - legislation is not moving this year per the bill sponsor.
SB162 - Holmes - Amends the Counties Code, the Illinois Municipal Code, Illinois Insurance Code, the Health Maintenance Organization Act, and the Illinois Public Aid Code. In provisions concerning coverage for mammograms, provides that coverage shall also include a diagnostic mammogram when medically necessary, as determined by a physician licensed to practice medicine in all its branches, advanced practice registered nurse, or physician assistant.
SB1419 - Fine - Health insurance rate review. Chamber is opposed.
SB1420 - Murphy - Provides that a group or individual policy of accident and health insurance or managed care plan that is amended, delivered, issued, or renewed after the effective date of the amendatory Act shall provide coverage for hippotherapy and other forms of therapeutic riding. Hippotherapy is experimental and the Chamber is opposed.
- Murphy - Amends the Fair Patient Billing Act. Provides that before pursuing a collection action against an insured patient for the unpaid amount of services rendered, a health care provider must review a patient's file to ensure that the patient does not have a Medicare supplement policy or any other secondary payer health insurance plan.
- Morrison - Amends the Illinois Insurance Code. Provides that every insurer that amends, delivers, issues, or renews a group or individual policy or certificate of disability insurance or disability income insurance shall ensure parity for the payment of mental, emotional, nervous, or substance use disorders or conditions. Changes the definition of "treatment limitation" to include benefit payments under disability insurance or disability income insurance.
- Mulroe -Amends the Insurance Code. Provides that a court shall consider a delay in a company's settling of an insurance-related claim that exceeds 120 days prima facie evidence that such delay is vexatious and unreasonable.
SB2026 - Rezin - Prohibits the State from applying for any federal waiver that would reduce or eliminate any protection or coverage required under the Patient Protection and Affordable Care Act (ACA) that was in effect on January 1, 2017, including, but not limited to, any protection for persons with pre-existing conditions and coverage for services identified as essential health benefits under the ACA.
SB2028 - Mulroe - Amends the Illinois Life and Health Insurance Guaranty Association Law of the Illinois Insurance Code. Provides that an Association must submit a plan of operation to the Director of Insurance within 200 days.
SB2047 - Rezin - Amends the Illinois Insurance Code. Provides that a health insurer that provides prescription drug benefits shall offer generic alternatives to brand name epinephrine and insulin auto-injectors, where available.
SB2056 - Murphy - Amends the Illinois Insurance Code. Provides that no individual or group policy of accident and health insurance or managed care organization shall change an insured's eligibility or coverage during a contract period.
SB2085 - Fine - Amends the Illinois Insurance Code. Requires an individual or group policy of accident and health insurance or managed care organization that provides mental health benefits to provide reimbursement for benefits that are delivered through the psychiatric Collaborative Care Model.
Appropriations-Human Services Committee
Mar 14, 2019
Room C-1 Stratton Building
SUBJECT MATTER: Appropriations hearings for ICDD, GAC, HRC, HB 2637 (supportive living facilities)
Mental Health Committee
Mar 14, 2019
Room C-1 Stratton Building
HB2486 - Conroy - Creates the Mental Health Modernization and Access Improvement Act. Requires the Department of Healthcare and Family Services to apply for a Medicaid waiver or State Plan amendment, or both, within 6 months after the effective date of the Act to develop and implement a regulatory framework that allows, incentivizes, and fosters payment reform models for all Medicaid community mental health services provided by community mental health centers or behavioral health clinics.
HB2511 - Mazzochi - Creates the Suicide Prevention Act. Provides that for a person 18 years of age or older who is receiving or has received mental health services for an attempted suicide, the person's therapist shall identify a family member or other person who shall consult with the therapist every 30 days following a suicide attempt for the period of one year. Provides that the period may be extended by the therapist based on need.
HB2845 - Conroy - Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that a Medicaid managed care plan amended, delivered, issued, or renewed after the effective date of the amendatory Act must provide individuals under 21 years of age coverage for the diagnosis of autism spectrum disorders and for the treatment of autism spectrum disorders to the extent that the diagnosis and treatment of autism spectrum disorders are not already covered by the Medicaid managed care plan.
HB2897 - Flowers - Amends the Department of Public Health Powers and Duties Law of the Civil Administrative Code of Illinois. Provides that the Department shall investigate and apply for federal funding opportunities, including, but not limited to, a specified federal grant, to support maternal mental health, to the extent that programs are financed, in whole, by federal funds.
HB3091 - Lilly - Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services, in supplying medical assistance, to provide for the legally authorized services of persons licensed under the Professional Counselor and Clinical Professional Counselor Licensing and Practice Act as clinical professional counselors.
The Board of Higher Education proposed amendments to Nursing School Grant Program (23 IAC 1100; 43 Ill Reg 3106) to replace an emergency rule that was effective 8/6/18 and expired 1/2/19. The rulemaking combines what were formerly two categories of grants to nursing schools (expansion grants and improvement grants) into a single category, includes master's degree entry programs as well as bachelor's degree programs, establishes priorities for program appropriations, lists acceptable uses of grant funds, and outlines the application and award determination process. Factors to be considered in awarding grants include performance measures from the previous 3 years, such as the number of nursing degrees conferred, the first-year retention rate, the nursing exam pass rate for first-time test takers, and job placement within 6 months after degree completion. Institutions of higher education that offer nursing degrees are affected by this rulemaking.