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Aaron Winters | Executive Director, Healthcare Council | 847-334-6411
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Greetings, Healthcare Council. Session starts back up again next week with a new Senate President - Democratic state Sen. Don Harmon. And expect a rundown from the Chamber on healthcare-related priorities in Gov. Pritzker's state of the state address next week. On to the update!
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Committees Scheduled
The Executive Committee is the only committee scheduled for next week in the House, and that is a subject matter hearing on the recent automatic voter registration issue.
On the Senate side, there are two relevant committees scheduled.
Senate Public Health
Date: 1 pm, Tuesday, Jan. 28
Location:
400 Capitol - Springfield, IL
Subject Matter On: DNA Evidence Processing Delays
One healthcare-related bill also is posted:
SB2309 - Van Pelt - Creates the Unidentified Patient Act. Provides that the Act may be referred to as the Elisha Brittman Law. Provides that upon the arrival of an unidentified patient into a hospital's emergency department the hospital shall take specified efforts towards identifying the patient. Requires a hospital to contact the local law enforcement agency and request that a missing person report be completed for an unidentified patient if the specified efforts are not possible or are unsuccessful. Provides that local law enforcement should be requested to enter an unidentified patient into the Federal Bureau of Investigation's National Crime Information Center database. Requires hospital staff to contact local law enforcement to perform fingerprinting services in an effort to identify an unidentified patient. Provides that hospital staff shall make a referral to the hospital's public information officer to obtain specified identifying materials and submit them to local media outlets if the fingerprinting services are not possible or are unsuccessful. Provides that if a hospital receives a claim from an individual of being an unidentified patient's next of kin, a DNA sample may be collected from the unidentified patient and the individual and verified either on-site or at an associated laboratory, but must be provided on a voluntary basis and shall be used solely to help identify the unidentified patient and any familial relations. Provides that if law enforcement requests an unidentified patient's information to help identify a suspect, fugitive, material witness, or missing person, the hospital and hospital personnel must disclose only the information allowed under the federal Health Insurance Portability and Accountability Act of 1996. Defines terms.
Senate Human Services
Date: 3 pm, Tuesday Jan. 28
Location: 409 Capitol - Springfield, IL
SB2328 - Murphy -
Amends the Mental Health and Developmental Disabilities Administrative Act. Provides that the Department of Human Services shall create and maintain an online database and resource page on its website. Provides that the database and resource page shall contain mental health resources specifically geared toward post-secondary social workers, counselors, parents, faculty, graduate assistants, school administrators, graduate and undergraduate students, and support personnel with the goal of connecting those people with mental health resources related to crisis services, wellness, sexual health, survivor support, gender-based violence, nutrition, stress reduction, anxiety, depression, violence prevention, suicide prevention, and substance use and encouraging information sharing among educational administrators, security personnel, resource officers, faculty, students, and all other employees of a university or college. Effective immediately.
New Healthcare-Related Bills Introduced
As always, please let us know if you are taking a position on any introduced bills.
HB4223 - Davidsmeyer - Amends the Personnel Code. Provides that all positions within the Illinois School for the Deaf and the Illinois School for the Visually Impaired are completely exempt from the jurisdiction of the Department of Central Management Services concerning the selection and tenure of employees on the basis of merit and fitness. Amends the Rehabilitation of Persons with Disabilities Act. Allows the Superintendent of the Illinois School for the Deaf and the Superintendent of the Illinois School for the Visually Impaired to hire employees without being subject to the requirements of the Personnel Code. Makes conforming changes.
HB4232 - Villa -
Amends the Counties Code. Provides that the treasurer of a county shall reimburse a senior citizen, who is a resident of the treasurer's county, for public transportation costs incurred by the senior citizen within another county of the State for a medical appointment or medical services after the senior citizen provides specified documentation. Defines terms. Requires a medical provider to provide to a senior citizen, upon request, a completed uniform form, which the Department of Public Health shall prescribe for statewide use. Lists uniform form requirements. Limits home rule powers. Amends the State Mandates Act to require implementation without reimbursement.
HB4133 - Wheeler -
Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services shall reimburse epilepsy specialists, as defined by the Department by rule, who are authorized by Illinois law to provide epilepsy treatment services to persons with epilepsy or related disorders via telehealth. Provides that the Department shall establish, by rule, a method to reimburse providers for epilepsy treatment services provided by telehealth. Effective immediately.
HB4137 - Morgan -
Creates the Flood Insurance Act. Allows the Department of Insurance to require, through prior form approval, that an authorized insurer issues an insurance policy, contract, or endorsement that meets the private flood insurance requirements in a specified provision of federal law. Provides that flood coverage rates are not subject to prior approval by the Department of Insurance, but the Department may audit an insurer's residential flood insurance rates to ensure that rates are based on actuarial data, methodologies, and standards that are not excessive, inadequate, or unfairly discriminatory. Requires insurers to notify the Department at least 30 days before writing flood insurance in this State, to notify the Department of any changes in rates within 30 days after the effective date of the change, and to file a plan of operation and financial projections, or revisions to the plan. Requires an agent of an insurer to maintain certain evidence in his or her records. Authorizes the Department of Insurance to certify that a private flood insurance policy provides flood coverage which equals or exceeds the coverage offered by the National Flood Insurance Program, or that a private flood insurance policy meets federal requirements. Provides that an insurer or agent who knowingly misrepresents that a flood insurance policy is certified under this Act commits an unfair or deceptive act under the Uniform Deceptive Trade Practices Act.
HB4139 - Mazzochi -
Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that if a Medicaid enrollee of a managed care organization selects a plan based on the in-network status of (i) an existing primary care provider or (ii) up to 2 existing specialty care providers for an existing condition that is under active treatment, the managed care organization may not change the Medicaid enrollee's selected provider in (i) or (ii) for the remainder of the 12-month period following enrollment in the managed care health plan without permission by the Medicaid enrollee. Permits the Department of Healthcare and Family Services to adopt any rules necessary to administer the amendatory Act. Provides that nothing in the amendatory Act shall be construed to prohibit a Medicaid enrollee from changing his or her primary care provider as authorized by Department rules.
HB4140 - Mazzochi -
Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that if a Medicaid enrollee of a managed care organization is referred by his or her primary care provider to another provider who was on the in-network referral list provided by the managed care organization for a medical service, the managed care organization must cover the medical service from that provider if it was a covered service on the date of referral.
HB4147 - Gong-Gershowitz -
Amends the Illinois Insurance Code. Provides that issuers of all long-term care policies issued, amended, renewed, or delivered after the effective date of the amendatory Act must submit all proposed rate changes to the Director of Insurance for approval. Provides that the Director shall disapprove of rate increases he or she does not find to be reasonable in relation to benefits under the policy and that all rates are subject to all minimum loss ratio requirements under the Illinois Administrative Code. Requires the Department of Insurance to accept comments on specified rates and, on and after January 1, 2021, to submit an annual report regarding long-term rate changes in the Illinois market to the General Assembly. Effective immediately.
HB4162 - Spain -
Amends the Illinois Insurance Code. Provides that individual or group policies of accident or health insurance that cover telehealth services must provide coverage for telehealth services used to treat a mental, emotional, nervous, or substance use disorder or condition.
HB4184 - Willis -
Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that, on and after July 1, 2020, targeted dental services that are provided to adults and children under the Medical Assistance Program shall be established and paid at no less than the rates established under the State of Illinois Dental Benefit Schedule and shall include specified dental procedures. Sets forth the reimbursement rates for certain anesthesia services. Effective immediately.
SB2470 - 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. Provides that during a contract period, insureds shall have the protection and continuity of their providers, medication, covered benefits, and formulary during the contract period. Amends the Illinois Public Aid Code making conforming changes.
SB2484 - Morrison -
Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that the medical assistance program shall cover charges incurred, and anesthetics provided, in conjunction with dental care that is provided to an individual in a hospital or an ambulatory surgical treatment center if the individual is otherwise eligible for medical assistance and any of the following applies: (1) the individual has a medical condition that requires hospitalization or general anesthesia for dental care; or (2) the individual is a person with a disability. Defines "person with a disability" to mean a person, regardless of age, with a chronic disability if the chronic disability meets specified conditions. Provides that the medical assistance program shall cover charges incurred, and anesthetics provided by a dentist with a permit provided under the Illinois Dental Practice Act, in conjunction with dental care that is provided to an individual in a dental office, oral surgeon's office, hospital, or ambulatory surgical treatment center if the individual, regardless of age, is otherwise eligible for medical assistance and has been diagnosed with (i) an autism spectrum disorder as defined in the Autism Spectrum Disorders Reporting Act or (ii) a developmental disability. Defines "developmental disability". Requires the Department of Healthcare and Family Services to reimburse providers of services covered under the amendatory Act at the same rates as the Medicare program's rates for similar services.
SB2493 - Morrison -
Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that, on and after July 1, 2020, targeted dental services that are provided to adults and children under the Medical Assistance Program shall be established and paid at no less than the rates established under the State of Illinois Dental Benefit Schedule and shall include specified dental procedures. Sets forth the reimbursement rates for certain anesthesia services. Effective immediately.
JCAR Update
DPH proposed amendments to Child and Student Health Examination and Immunization Code (77 IAC 665; 44 Ill Reg 1779) implementing Public Act 100-829, which requires dental examinations for students in 9th grade (currently, this requirement applies to students in kindergarten, 2nd and 6th grades). The dental exam must be performed between Nov. 15 of the previous school year and May 15 of the school year for which it is required. Students who fail to present proof of dental examination by May 15 of the applicable school year may have their report cards withheld until they document that an examination has been completed or has been scheduled within the next 60 days.
The DEPARTMENT ON AGING proposed amendments to Community Care Program (89 IAC 240; 44 Ill Reg 1724) clarifying requirements for certification as providers of in-home services, adult day services, emergency home response services or automated medication dispensing services.
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