Aaron Winters | Executive Director, Healthcare Council | 847-334-6411
Good morning Healthcare Council. The House and Senate are in session this week starting tomorrow. March 29 is the deadline for substantive bills to be moved out of committee in the House and March 22 is the deadline in the Senate. On to the update!
Last Week in Review
Although only the House was in session last week, the Chamber testified in several subject-matter hearings in the House Insurance and Prescription Drug Affordability committees.
In House Insurance, the Chamber testified against
, Rep. Morgan's legislation that would create a quasi-judicial body to implement health insurance rate review, and Rep. Swanson's
HB889, which would mandate insurance coverage of experimental long-term antibiotic treatments for Lyme Disease. Both bills currently remain in subcommittee for now.
The Chamber also participated in a lengthy subject matter on Friday before a joint hearing of the House Insurance and Prescription Drug Affordability committees on Friday regarding drug prices.
Four panels of experts testified:
John Peller, CEO of the Chicago AIDS Foundation
Dr. Cori Blum, Howard Blum Health
Andre Jordan, AARP
Garth Reynolds, Illinois Pharmacists Association
Ben Calcaterra, Logan Primary Pharmacy
Brian Kramer, IL Association of Long Term Care Pharmacy
Aaron Winters, Illinois Chamber Healthcare Council
Joshua Keepes, America's Health Insurance Plans
Scott Woods, Pharmaceutical Care Management Association
Courtney Christian, PhRMA
Lisa Joldersma, PhRMA
John Conrad, iBio
The pharmacist panel discussed reimbursement challenges regarding pharmacy benefit managers (PBMs). PCMA pushed back on the pharmacists and highlighted PBMs role in controlling drug costs. Rebates were a focus of the back and forth, and in particular, if rebates were being ultimately passed on to consumers. This section had the most questions from members.
The Chamber's testimony involved opposing efforts to regulate the pricing of pharmaceuticals (and the R&D consequences to companies' drug pipelines, as well as the challenges of trying to control health care costs by regulating health insurance plans.
PhRMA discussed the industry's efforts to reduce the growth of drug costs, the benefits for pharmaceutical research and a desire for a collaborative solution to addressing health care costs.
The hearing lasted nearly four hours, with limited attendance from committee members. And on this front, several of Rep. Guzzardi's anti-drug price bills have been assigned to the House Prescription Drug Affordability Committee, including
HB2880 regarding a new tax on the first sale of drugs and HB2882, which is his generic drug price gouging legislation. The Chamber is opposed to all price control bills.
Committees Scheduled for This Week
An awful lot posted out there in the healthcare space - we attempted to trim down the list for this email (although it might not seem like it!) including task forces and direct mandates on state agencies only. As always, please let us know if your organization is tracking any pieces of legislation.
Senate Public Health Committee
Mar 05, 2019
SB1506 - 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.
SB1828 - 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.
SB1909 - 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.
House Insurance Committee
Mar 05, 2019
Room 114 Capitol Building
Everything posted in House Insurance has been assigned to a subcommittee.
HB815 - Morgan. Mandates external rate review for health insurance polices. The Chamber is opposed - the market is the best way to set insurance rates.
HB889 - Swanson - Mandates coverage for experimental long-term antibiotic treatments for Lyme Disease. There isn't sufficient data showing long-term antibiotic treatments work. Chamber is opposed.
HB2042 - Wherli - reverts regulations regarding short term medical policies to the requirements issued by the Trump administration.
HB2160 - Conroy - 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. Chamber is neutral.
HB2162 - Hoffman - Initiative of the Illinois Chiropractors - prevents health insurance plans from discriminating against providers acting within the scope of their license - not being called.
HB2189 - Manley - Prevents long-term care insurance and life insurance plans from using seeking genetic testing results. An amendment has been filed that makes the Chamber neutral.
HB2347 - Harris - 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. Provides that provisions concerning emergency services prior to stabilization also apply to the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, the School Code, and the Illinois Public Aid Code.
HB2375 - Batinick - Removes state required limit of 181 days for short term medical policies (would revert to federal rules).
HB2644 - Mayfield - Provides that an insurer or producer authorized to issue policies of insurance in the State may not make a distinction or otherwise discriminate between persons, reject an applicant, cancel a policy, or demand or require a higher rate of premium for reasons based solely upon the basis that an applicant or insured has been convicted of a felony.
HB2790 - Yednock - Amends the Illinois Insurance Code. Provides that no insurance company shall require pre-approval or pre-authorization for any treatment determined by a physician to be life-saving. Effective immediately.
HB2846 - Conroy - 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.
HB2847 - Conroy - Amends the Organ Donor Leave Act. Provides that an employer shall not retaliate against an employee for requesting or obtaining a leave of absence to donate blood, an organ, or bone marrow. Amends the Illinois Insurance Act. Provides prohibitions on denial of coverage and costs of premiums for living organ donors for life insurance, disability insurance, and long-term care insurance policies. Amends the Illinois Vehicle Code. Requires the Secretary of State to review and update certain public service announcements, websites, and other media relating to live organ donation to educate the public on the benefits of live organ donation and the impact of live organ donation on access to insurance. Effective January 1, 2020.
HB3049 - Jones - 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.
Senate Human Services Committee
Mar 05, 2019
SB1238 - 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.
SB1243 - 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.
SB1319 - Villivalam - Amends the Illinois Act on the Aging. Defines "greatest social need" for the purpose of a specified rule. Makes a conforming change. Amends the Assisted Living and Shared Housing Act. Prohibits unlawful discrimination by an owner, licensee, administrator, employee, or agent of an assisted living establishment of residents in assisted living establishments. Provides that unlawful discrimination does not include an action by an owner, licensee, administrator, employee, or agent that is required by the Act or rules adopted under the Act. Effective immediately.
SB1333 - Rose - Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that continuous glucose monitors shall be covered under the medical assistance program for children with diabetes who are under the age of 19 and otherwise eligible for medical assistance under the Article.
SB1573 - Mulroe - Amends the Illinois Public Aid Code. Makes technical changes to specify in provisions concerning provisional eligibility for long-term care services that: (i) the Department of Healthcare and Family Services must maintain the applicant's provisional Medicaid enrollment status until a final eligibility determination is approved or the applicant's appeal has been adjudicated and eligibility is denied; (ii) the Department of Healthcare and Family Services or the managed care organization, if applicable, must reimburse providers for services rendered during an applicant's provisional eligibility period; (iii) the Department of Healthcare and Family Services must submit payment vouchers for all retroactive reimbursement due to the Office of the Comptroller within 10 business days of issuing provisional eligibility to an applicant; and (iv) the Department of Healthcare and Family Services must adopt rules.
SB1696 - Steans - Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that during the first quarter of State Fiscal Year 2020, the Department of Healthcare of Family Services must convene a technical advisory group consisting of members of all trade associations representing Illinois skilled nursing providers to discuss changes necessary with the federal implementation of Medicare's Patient-Driven Payment Model.
SB1735 - 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.
SB1778 - 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.
House Human Services Committee
Mar 06, 2019
Room C-1 Stratton Building
- Bennett - Creates the Authorized Electronic Monitoring in Community-Integrated Living Arrangements and Developmental Disability Facilities Act. Provides that under certain conditions, a resident of a living arrangement certified under the Community-Integrated Living Arrangements Licensure and Certification Act and a resident of a developmental disability facility shall be permitted to use an audio and video surveillance system in his or her room at his or her own expense.
- Jones - Amends the Illinois Health Facilities Planning Act. Creates the South Suburban Trauma Center Fund as a special fund in the State treasury. Provides for the deposit and use of moneys in the fund. Provides for duties of the Health Facilities and Services Review Board regarding a south suburban trauma center. Amends the Toll Highway Act. Provides for the use of specified toll revenue. Amends the State Finance Act to provide for the South Suburban Trauma Center Fund. Effective immediately.
HB2117 - Manley - 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.
HB2314 - Mah - Amends the Illinois Act on the Aging. Defines "greatest social need" for the purpose of a specified rule. Makes a conforming change. Amends the Assisted Living and Shared Housing Act. Prohibits unlawful discrimination by an owner, licensee, administrator, employee, or agent of an assisted living establishment of residents in assisted living establishments. Provides that unlawful discrimination does not include an action by an owner, licensee, administrator, employee, or agent that is required by the Act or rules adopted under the Act.
HB2409 - Bourne - Amends the Mental Health and Developmental Disabilities Code. Provides that a person subject to involuntary admission on an inpatient basis may be transported to a hospital nearest to his or her residence (rather than only a mental health facility).
HB2433 - Flowers - Requires every hospital to ensure that it has the proper instruments available for taking a pregnant woman's blood pressure. Provides that the Department of Public Health shall adopt rules for the implementation of the requirement.
HB2467 - Welch - Repeals the Parental Notice of Abortion Act of 1995. Makes corresponding changes in the Counties Code, the Medical Practice Act of 1987, and the Consent by Minors to Medical Procedures Act. Effective immediately.
HB2488 - Willis - Amends the Life Care Facilities Act. Creates the Continuing Care Retirement Community Transparency Task Force to research and collect information on transparency and consumer protection issues for life care contracts. Provides that the Task Force shall review existing legal frameworks to identify all existing consumer protections for residents living in continuing care retirement communities and all areas in which more consumer protections for continuing care retirement community residents are necessary.
HB2495 - Cassidy - Creates the Reproductive Health Act. Provides that every individual has a fundamental right to make autonomous decisions about one's own reproductive health. Provides that every individual who becomes pregnant has a fundamental right to continue the pregnancy and give birth or to have an abortion, and to make autonomous decisions about how to exercise that right. Provides that a fertilized egg, embryo, or fetus does not have independent rights under the law, of this State. Provides prohibited State actions. Provides that a party aggrieved by a violation of the Act may bring a civil lawsuit. Provides that a health care professional shall report each abortion performed to the Department of Public Health. Limits home rule powers. Repeals provisions regarding abortion in the Ambulatory Surgical Treatment Center Act, the Sexual Assault Survivors Emergency Treatment Act, and the Injunction Article of the Code of Civil Procedure. Repeals the Illinois Abortion Law of 1975, the Partial-birth Abortion Ban Act, and the Abortion Performance Refusal Act. Makes corresponding changes in the Children and Family Services Act, the Counties Code, the Medical Practice Act of 1987, the Vital Records Act, the Criminal Code of 2012, and the Rights of Married Persons Act. Amends the Freedom of Information Act. Provides that information and records held by the Department collected under the Reproductive Health Act is exempt from inspection and copying. Amends the Ambulatory Surgical Treatment Center Act. Provides that that term "ambulatory surgical treatment center" does not include any facility in which the performance of abortion procedures is limited to those performed without general, epidural, or spinal anesthesia. Amends the Illinois Insurance Code. Provides insurance requirements for the coverage of abortion. Makes corresponding changes in the State Employees Group Insurance Act, the Health Maintenance Organization Act, and the Voluntary Health Services Plans Act. Amends the Nurse Practice Act. Provides that operative surgery does not include abortions performed without general, epidural, or spinal anesthesia, and other gynecological procedures related to abortions. Amends the Environmental Act. Provides that tissue and products from an abortion or miscarriage may be buried, entombed, or cremated.
HB2515 - Mazzochi - Amends the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services shall (rather than may) enforce its right to be subrogated to any right of recovery a recipient of medical assistance may have under the terms of any private or public health care coverage or casualty coverage by joining an action brought by the recipient or by instituting specified legal proceedings against any person or entity that may be liable for the recipient's health care costs.
HB2600 - Morgan - Provides that no public entity or long-term service or support (LTSS) insurance provider shall deny an individual with an LTSS disability who is eligible for institutional placement community-based long-term services and supports that enable the individual to live in the community and lead an independent life.
HB2614 - Grant - Amends the Developmental Disability and Mental Disability Services Act. Includes in the definition of in one's "own home" that an adult with a mental disability lives in a facility licensed by a unit of local government authority with 4 or 5 other adults unrelated to the adult with a mental disability who do not provide home-based services to the adult with a mental disability.
HB2658 - Evans - Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Auditor General to perform a performance and financial audit of the State's managed care medical assistance program. Provides that any safety-net hospital that received grant funding in State Fiscal Year 2019 shall not be obligated to pay any assessment amount, including penalties, that is past due and payable to the Department of Healthcare and Family Services until the Auditor General determines through the required audits that the average denial rate for MCO payments to safety-net hospitals is below 10%.
HB2659 - Hammond - Amends the Illinois Public Aid Code. Makes technical changes to specify in provisions concerning provisional eligibility for long-term care services that the Department of Healthcare and Family Services shall adopt rules. Effective immediately.
HB2690 - Feigenholtz - Requires each managed care organization contracted with the Department of Healthcare and Family Services to file an annual cost report in a form and manner prescribed by the Department. Provides that the Department must make all cost reports available to the public, including, but not limited to, posting the cost reports on the Department's website.
HB2715 - Gabel - Require managed care organizations (MCOs) to ensure (i) that contracted providers shall be paid for any medically necessary service rendered to any of the MCO's enrollees, regardless of inclusion on the MCO's published and publicly available roster of available providers; and (ii) that all contracted providers are contained on an updated roster within 7 days of entering into a contract with the MCO and that such roster be readily accessible by all medical assistance enrollees for purposes of selecting an approved healthcare provider
HB2716 - Gabel - Provides that, on January 1, 2020, all powers and duties of the Department of Human Services related to processing and administering eligibility for individuals with Medicaid long-term care benefits and any and all individuals applying for Medicaid who also apply for Medicaid long-term care benefits shall be transferred to the Department of Healthcare and Family Services.
HB2730 - Morgan - Provides that a provider who has exhausted the written internal appeals process of a managed care organization (MCO) shall be entitled to an external independent third-party review of the MCO's final decision that denies, in whole or in part, a health care service to an enrollee or a claim for reimbursement to a provider for a health care service rendered to an enrollee of the Medicaid managed care organization.
HB2765 - Hurley - Provides that the State of Illinois shall establish a Medicaid technical assistance grant to fund the creation or procurement of a third-party administrator to assist community-based organizations to effectively and efficiently engage with Medicaid managed care organizations, including billing, contracting, and data sharing. Provides that the State shall provide for: the use of the third-party administrator by eligible organizations, including community-based organizations, local health departments, and other units of government; funding mechanisms; and the scope of the third-party administrator.
HB2814 - Lilly - Requires the Department of Healthcare and Family Services to require managed care organizations (MCOs) to ensure: (1) that any provider under contract with an MCO on the date of service shall be paid for any medically necessary service rendered to any of the MCO's enrollees, regardless of inclusion on the MCO's published and publicly available roster of available providers; (2) that all contracted providers are listed on an updated roster within 7 days of entering into a contract with the MCO; and (3) that the roster under item (2) is readily accessible by all medical assistance enrollees for purposes of selecting an approved healthcare provider.
HB2944 - Davis - Amends the Illinois Public Aid Code. Requires managed care organizations (MCOs) to participate in the Non-Emergency Transportation Services Prior Approval Program (NETSPAP) established under the Code beginning 90 days after the effective date of the amendatory Act.
HB2985 - Harper - Requires Medicaid managed care organizations to verify payer source using the Medical Electronic Data Interchange (MEDI) System, or its successor, prior to denying a claim for services provided to a nursing home resident not assigned to the managed care organization on the most recent patient credit file.
HB3000 - Davidsmeyer - Amends the Emergency Medical Services (EMS) Systems Act. Provides that a Vehicle Service Provider that serves a rural or semi-rural population of 10,000 or fewer inhabitants and exclusively uses volunteers, paid-on-call, or a combination thereof to provide patient care may apply for alternate rural staffing authorization from the Department of Public Health to authorize the ambulance, Non-Transport Vehicle, Special-Use Vehicle, or Limited Operation Vehicle to be staffed by one EMT licensed at or above the level at which the vehicle is licensed, plus one Emergency Medical Responder when 2 licensed Emergency Services personnel are not available to respond. Provides that an alternate rural staffing authorization shall not expire. Effective immediately.
HB3035 - Unes - Amends the Nursing Home Care Act. Provides that if a licensee has a civil monetary penalty imposed (rather than having paid a civil monetary penalty that has been imposed) pursuant to the Medicare and Medicaid Certification Program for the equivalent federal violation giving rise to a fine under specified provisions of the Act, the Department of Public Health shall offset the fine by the amount of the civil monetary penalty.
HB3036 - Unes - Requires the Department of Healthcare and Family Services to make expedited payments to long-term care facilities if at least 60% of their residents are eligible for medical assistance.
HB3037 - Unes - Requires the Department of Healthcare and Family Services to make all room and board payments directly to long-term care providers and all hospice care payments directly to hospice care providers whenever recipients of medical assistance opt to receive hospice care at long-term care facilities.
HB3038 - Unes - Amends the Sexual Assault Survivors Emergency Treatment Act. Provides that an adult sexual assault survivor, in addition to a treatment hospital, may be transferred to any treatment hospital with approved pediatric transfer. Effective immediately.
HB3039 - Unes - Provides that, if a recipient resides at a long-term care facility, the Department of Healthcare and Family Services shall send the notice of its decision to terminate to the recipient and the long-term care facility.
HB3040 - Unes - Amends the Illinois Public Aid Code. Provides that if an individual has transferred to another long-term care facility, any annual notice concerning redetermination of eligibility must be sent to the long-term care facility where the individual resides as well as to the individual.
Senate Appropriations I Committee
March 6, 2019
212 Capitol - Springfield, IL
FY 20 Budget Request For The Following Agencies: SB 2220- Central Management Services (Including Group Health), SB 2209- IEMA, SB 2176- Procurement Policy Board, SB 2157- Department of Insurance, SB 2220, SB 2209, SB 2176, SB 2157
House Health Care Licenses
Mar 06, 2019
Room 122B Capitol Building
- Flowers - Amends the Pharmacy Practice Act. Requires that at least one registered pharmacy technician be on duty whenever the practice of pharmacy is conducted. Requires that pharmacies fill no more than 10 prescriptions per hour. Chamber is opposed.
- Flowers - Amends the Illinois Insurance Code, the Pharmacy Practice Act, and the Wholesale Drug Distribution Licensing Act. Prohibits the licensure, transference, use, or sale of any records relative to prescription information containing patient-identifiable or prescriber-identifiable data by any licensee or registrant of the Acts for commercial purposes.
- Amends the Pharmacy Practice Act. Requires that at least one registered pharmacy technician be on duty whenever the practice of pharmacy is conducted. Requires that pharmacies fill no more than 10 prescriptions per hour. Requires 10 pharmacy technician hours per 100 prescriptions filled. Chamber is opposed.
- Flowers - Amends the Medical Practice Act of 1987. Removes provisions prohibiting the Department of Financial and Professional Regulation from disciplining a physician for experimental treatments for Lyme disease or other tick-borne diseases.
- Willis - Amends the Department of Public Health Powers and Duties Law of the Civil Administrative Code of Illinois. 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.
- Mussman - Amends the Department of Public Health Powers and Duties Law of the Civil Administrative Code of Illinois. Provides that the Director of Public Health, if a physician licensed to practice medicine in all its branches in Illinois, shall establish a standing order complete with the issuance of a prescription for a hormonal contraceptive in accordance with the requirements of the provisions. Provides that if the Director is not a physician licensed to practice medicine in all its branches in Illinois, the Medical Director of the Department of Public Health shall establish the standing order. Amends the Illinois Insurance Code. Requires a group or individual policy of accident and health insurance or managed care plan to provide coverage for patient care services provided by a pharmacist. Makes conforming changes in the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, and the School Code. Amends the Pharmacy Practice Act. Provides that the definition of "practice of pharmacy" includes the dispensing of hormonal contraceptives pursuant to the standing order under provisions of the Department of Public Health Powers and Duties Law of the Civil Administrative Code of Illinois. Amends the Illinois Public Aid Code. Requires the medical assistance program to cover patient care services provided by a pharmacist for hormonal contraceptives assessment and consultation. Chamber is neutral.
- Greenwood - Amends the Departments of State Government Law. Provides that expedited temporary occupational or professional licenses issued to service members and the spouses of service members meeting specified requirements shall be valid for 3 years (currently, valid 6 months) after the date of issuance or until a license is granted or a notice to deny a license is issued in accordance with rules adopted by the department issuing the license, whichever occurs first. Provides that the required fee paid in the application process for an expedited temporary occupational or professional license issued to service members and the spouses of service members shall be refundable (currently, not refundable).
HB2328 - Thapedi - Amends the Hospital Licensing Act. Provides that employment agreements between hospitals and physicians may not contain any provision to restrict the ability of a physician to leave employment with the hospital or hospital affiliate and immediately continue to practice in the same field of medicine in the same geographic area.
HB2338 - Gabel - Amends the Medical Practice Act of 1987. Provides for the licensure of naturopathic physicians.
HB2438 - Flowers - Requires an accident and health insurer to develop a maternal mental health program designed to promote quality and cost-effective outcomes. Amends the Medical Practice Act of 1987, the Nurse Practice Act, and the Physician Assistant Practice Act of 1987. Provides that licensed physicians, advanced practice registered nurses, and physician's assistants who provide prenatal and postpartum care for a patient shall ensure that the mother is offered screening or is appropriately screened for mental health conditions. Makes other changes. Effective immediately.
HB2449 - Gabel - Creates the Home Birth Safety Act. Provides for the licensure of midwives by the Department of Financial and Professional Regulation and for certain limitations on the activities of licensed midwives.
HB2474 - Tarver - Provides that, if the Department of Financial and Professional Regulation refuses to issue a license or certificate or grant registration to an applicant based upon a criminal conviction or convictions, the Department shall include in its notification to the applicant an explanation of how the conviction directly relates to and would prevent the person from effectively engaging in the position for which a license, registration, or certificate is sought.
HB2676 - Zalewski - Changes the definition of "public health dental hygienist."
HB2702 - Rita - extends various licensure sunsets, including the Orthotics, Prosthetics and Pedorthics Practice Act Pharmacy Practice Act and Perfusionist Practice Act.
HB2710 - Willis - Creates the Behavior Analyst Licensing Act. Provides for licensure of behavior analysts and assistant behavior analysts.
HB2812 - Moeller - Requires the Department of Financial and Professional Regulation to employ an investigator who is required to devote at least 50% of his or her time to the investigation of complaints that allege a violation of the Illinois Optometric Practice Act of 1987 or its rules.
HB2813 - Moeller - Amends the Nurse Practice Act. Provides that collaboration does not require an employment relationship between the collaborating physician, podiatric physician, or dentist and the advanced practice registered nurse.
Prescription Drug Affordability & Accessibility Committee
Mar 06, 2019
Room 114 Capitol Building
- Flowers - Requires manufacturers of brand name or generic prescription drugs to notify State purchasers, health insurers, health care service plan providers, pharmacy benefit managers, and the General Assembly of specified increases in drug prices at least 60 days before such increase and the cost of specified new prescription drugs within 3 days after approval by the U.S. Food and Drug Administration. Chamber is opposed.
- Creates the Prescription Drug Pricing Transparency Act. Requires health insurers to disclose certain rate and spending information concerning prescription drugs and certain prescription drug pricing information to the Department of Public Health. Requires the Department and health insurers to create annual lists of prescription drugs on which the State spends significant health care dollars and for which costs have increased at a certain rate over time. Requires the Department and health insurers to provide their lists to the Attorney General. Requires prescription drug manufacturers to notify the Attorney General if they are introducing a new prescription drug at a wholesale acquisition cost that exceeds the threshold set for a specialty drug under the Medicare Part D program. Chamber is opposed.
- Sosnowski - Amends the Illinois Insurance Code. Creates the Pharmacy Benefits Managers Article. Chamber is neutral.
- Moeller - Creates the Wholesale Importation of Prescription Drugs Act. Requires the Department of Public Health to design an importation program where the State is the licensed wholesaler of imported drugs from licensed, regulated Canadian suppliers. Chamber is opposed.
- Willis - Amends the Managed Care Reform and Patient Rights Act. Provides that every health insurance carrier that provides coverage for prescription drugs shall ensure that no fewer than 25% of certain individual and group plans offered shall apply a pre-deductible, flat-dollar copayment structure to the entire drug benefit. The Chamber is opposed.
HB2638 - Evans - Amends the Illinois Controlled Substances Act. Provides that a prescriber shall offer a prescription for naloxone hydrochloride or another drug approved by the United States Food and Drug Administration for the complete or partial reversal of opioid depression to a patient when one or more of the following conditions are present: (1) the prescription dosage for the patient is 90 or more morphine milligram equivalents of an opioid medication per day; (2) an opioid medication is prescribed concurrently with a prescription for benzodiazepine; (3) the patient presents with an increased risk for overdose, including a patient with a history of overdose, a patient with a history of substance use disorder, or a patient at risk for returning to a high dose of opioid medication to which the patient is no longer tolerant.
HB2880 - Guzzardi - Creates the Prescription Drug Price Increase Tax Act. Imposes a tax on each establishment that makes the first sale of a covered outpatient drug within the State. Provides that the term "first sale" means an initial sale of a covered outpatient drug from a manufacturer to a wholesaler or from a wholesaler to a pharmacy. Provides that the tax shall be charged against and paid by the establishment making the first sale and shall not be added as a separate charge or line item or otherwise passed down on any invoice to the customer. Provides that the proceeds shall be deposited into the Prescription Drug Fairness Fund and used by the Department of Healthcare and Family Services. Amends the State Finance Act to create the Prescription Drug Fairness Fund. Chamber is opposed.
HB2882 - Guzzardi - Creates the Pharmaceutical and Health Affordability: Restrictions on Manufacturers' Amoral Behavior Through Reasonable Oversight Act. Provides that a manufacturer or wholesale drug distributor shall not engage in price gouging in the sale of an essential off-patent or generic drug. Provides that the Director of Healthcare and Family Services or Director of Central Management Services may notify the Attorney General of any increase in the price of any essential off-patent or generic drug under the Medical Assistance Program under the Illinois Public Aid Code or a State health plan, respectively, that amounts to price gouging. Chamber is opposed.
Elementary & Secondary Education: School Curriculum & Policies Committee
Mar 06, 2019
Room 413 Stratton Building
HB191 - Ford - Requires metal detectors at all hospital entrances, among other public buildings. Chamber is opposed.
Senate Insurance Committee
March 6, 2019
Location: Room 212 Capitol
ABR - Short Description Last Action
SB111 - Morrison - 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).
SB174 - Mulroe - Creates the In-Office Membership Care Act. Provides the requirements for an in-office membership care agreement between a primary care provider and patient.
SB1187 - Oberweis - Right to Shop Act - allows individuals to go out of network if they can find cheaper services. The Chamber is opposed - opening up networks is a problematic step that doesn't value quality of service.
SB1377 - Mulroe - 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.
SB1421 - 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.
SB1449 - 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.
SB1557 - Stadelman - Amends the Illinois Insurance Code. Creates the Pharmacy Benefits Managers Article. Provides that a pharmacy benefits manager may not prohibit a pharmacy or pharmacist from providing a customer with a more affordable alternative if a more affordable alternative is available.
- Ellman - Amends the Illinois Insurance Code. Provides that all entities providing prescription drug coverage shall permit and apply a prorated daily cost-sharing rate to prescriptions that are dispensed by a pharmacy for less than a 30-day supply if the prescriber or pharmacist indicates the fill or refill could be in the best interest of the patient or is for the purpose of synchronizing the patient's chronic medications. Provides that no entity providing prescription drug coverage shall deny coverage for the dispensing of any drug prescribed for the treatment of a chronic illness that is made in accordance with a plan among the insured, the prescriber, and a pharmacist to synchronize the refilling of multiple prescriptions for the insured. Provides that no entity providing prescription drug coverage shall use payment structures incorporating prorated dispensing fees determined by calculation of the days' supply of medication dispensed. Provides that dispensing fees shall be determined exclusively on the total number of prescriptions dispensed. Establishes criteria for an entity conducting audits (either on-site or remotely) of pharmacy records. Provides that the Department of Insurance and Director of Insurance shall have the authority to enforce the provisions of the Act and impose financial penalties. Effective January 1, 2020.
SB1812 - 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.
Appropriations-Human Services Committee
Mar 08, 2019
C-600, 6th Floor Michael A. Bilandic Building
SUBJECT MATTER: Keep Westlake Hospital Open.
There were no healthcare-related rules proposed since our last update.
Second Annual Women in Business Conference
The Illinois Chamber of Commerce is hosting its second Women in Business conference on March 15
, 2019 at Pinstripes in Oak Brook, IL. The event will bring together business leaders from across the State to encourage women to invest in themselves, become courageous leaders, and be a force in their careers.
Our panel topics this year focus on practices to better diversify corporations and understanding why diversity brings more business success; individual communication tactics to send a message of confidence; and learning from proven influencers on the skills that can help you get to where you want to be professionally. These panels will be capped with keynote addresses by inspiring speakers to embolden attendees to blaze their own path. The event will end with a networking and social event.
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to contact Jeanette Anderson