HB1349
A BILL FOR
103RD GENERAL ASSEMBLY
State of Illinois
2023 and 2024
HB1349
Introduced , by Rep. Lakesia Collins
SYNOPSIS AS INTRODUCED:
Provides background information. Appropriates specified
amounts to the Department of Public Health for grants,
expenses, and administrative costs of programs relating to
acquired immunodeficiency syndrome and human immunodeficiency
virus; the Getting to Zero-Illinois plan to end the HIV epidemic
by 2030; the prevention, screening, and treatment services to
address sexually transmitted infection cases; and the
PrEP4Illinois Program to provide client navigation for pre -
exposure prophylaxis servic es and medication access. Contains
other provisions. Effective July 1, 2023.
LRB103 05187 CPF 50203 b
HB1349 LRB103 05187 CPF 50203 b
AN ACT concerning appropriations. 1
Be it enacted by the People of the State of Illinois, represented 2
in the General Assembly: 3
Section 1. Background. 4
(a) For more than 4 decades, HIV/AIDS has ravaged 5
communities across America and Illinois, doubling down on the 6
racial health disparities also laid bare across the opioid 7
epidemic, maternal and infant mortality rates, COVID -19 8
mortality and morbidity rates, and the rising rates of sexually 9
transmitted infections (such as chlamydia, gonorrhea, and 10
syphilis). 11
(b) According to the Centers for Disease Control and 12
Prevention (CDC), HIV transmission can be virtually eliminated 13
when linkage to HIV medications and medical care are widely 14
accessible. Treatment and prevention strategies such as Pre -15
Exposure Prophylaxis (PrEP) and Undetectable=Untransmittable 16
(U=U) are time-tested, science-based interventions that prevent 17
new HIV diagnoses. Pre -Exposure Prophylaxis (PrEP) is a 18
prevention strategy that involves sexually active HIV -negative 19
adults and adolescents taking prescrip tion medications to 20
prevent HIV acquisition. PrEP is 99% effective in preventing 21
HIV when taken as prescribed. U=U acknowledges the proven 22
science that people living with HIV who have an undetectable 23 HB1349 -2- LRB103 05187 CPF 50203 b
viral load pose no chance of transmitting the virus sexu ally. 1
However, issues relating to access to health care, housing, 2
steady and sufficient income, mental health and substance -use 3
services, HIV treatment, addressing HIV -related stigma, and 4
access to PrEP persist as barriers to lowering the HIV incidence 5
rates across Illinois. 6
(c) To advance the goals and strategies of the Getting to 7
Zero Illinois plan to end the HIV epidemic in Illinois by 2030, 8
the State of Illinois will need to develop and support programs 9
in health care, health disparities, housing, edu cation, and 10
awareness. These new State funding opportunities for fiscal 11
year 2024 aim to increase access to clinical and supportive 12
services for HIV treatment and PrEP. 13
(d) Additionally, these investments are grounded in racial 14
health equity to address t he health disparities experienced by 15
people living with or vulnerable to HIV, especially among 16
Illinois' Black, Latino/a/x, and LGBTQIA communities. 17
Section 5. The following named amounts, or so much thereof 18
as may be necessary, are appropriated to the Department of 19
Public Health for expenses of programs related to Acquired 20
Immunodeficiency Syndrome (AIDS) and Human Immunodeficiency 21
Virus (HIV): 22
OFFICE OF HEALTH PROTECTION: AIDS/HIV 23 HB1349 -3- LRB103 05187 CPF 50203 b
No less than one-half (50%) of all funds appropriated in 1
any fiscal year to the Department of Public Health's Office of 2
Health Protection: AIDS/HIV Division shall be used for expenses 3
pursuant to HIV/AIDS programs serving minority populations. 4
Payable from the General Revenue Fund: 5
For Expenses of AIDS/HIV Education, Drugs, 6
Services, Counseling, Testing, Outreach to 7
Minority Populations, Costs Associated with 8
Correctional Facilities Counseling, Testing 9
Referral and Partner Notification (CTRPN) , 10
and Patient and Worker Notification Pursuant 11
to Public Act 87-763 .......................... $27,562,400 12
For Grants and Other Expenses for the Prevention 13
and Treatment of HIV/AIDS and the Creation of an 14
HIV/AIDS Service Delivery System to Reduce the 15
the Disparity of HIV Infection and AIDS Cases 16
Between African Americans and Other 17
Population Groups .............................. $1,218,000 18
Payable from the Public Health Services Fund: 19
For Expenses of Programs for 20
Prevention of AIDS/HIV ........................... $7,250,000 21
HB1349 -4- LRB103 05187 CPF 50203 b
For Expenses for Surveillance Programs and 1
Seroprevalence Studies of AIDS/HIV .............$2,750,000 2
For Expenses Associated with the Ryan White 3
Comprehensive AIDS Resource Emergency Act of 4
1990 (CARE) and other AIDS/HIV services ......$100,000,000 5
Payable from the Quality of Life Endowment Fund: 6
For Grants and Expenses Associated with HIV/AIDS 7
Prevention and Education ....................... $1,000,000 8
Total ................................ ........$139,780,400 9
Section 10. The sum of $15,000,000, or so much thereof as 10
may be necessary, is appropriated from the African -American 11
HIV/AIDS Response Fund to the Department of Public Health for 12
grants and administrative expenses associated with the 13
prevention and treatment of HIV/AIDS and the creation of an 14
HIV/AIDS service delivery system to reduce the disparity of HIV 15
infection and AIDS case s among African-Americans for purposes 16
allowed by Section 9901 of the federal American Rescue Plan Act 17
of 2021 and any associated federal guidance. 18
Section 15. The sum of $10,000,000, or so much thereof as 19
may be necessary, is appropriated to the Depart ment of Public 20 HB1349 -5- LRB103 05187 CPF 50203 b
Health from the General Revenue Fund for expenses of programs 1
related to the acquired immunodeficiency syndrome (AIDS) and 2
human immunodeficiency virus (HIV) and specifically to the 3
Getting to Zero-Illinois (GTZ) plan to end the HIV epidemi c by 4
2030. 5
Section 20. The sum of $1,000,000, or so much thereof as 6
may be necessary, is appropriated to the Department of Public 7
Health from the General Revenue Fund for expenses of programs 8
related to the prevention, screening, and treatment services 9
to address sexually transmitted infection (STI) cases. 10
Section 25. The sum of $5,000,000, or so much thereof as 11
may be necessary, is appropriated to the Department of Public 12
Health from the General Revenue Fund for expenses of programs 13
related to the Pr EP4Illinois Program to provide client 14
navigation for pre-exposure prophylaxis services and medication 15
access. A portion of this funding must be spent on establishing 16
the mechanism, process, policy, or system needed to allow the 17
PrEP4Illinois program to pay for the ancillary services 18
(including, but not limited to, provider office visits or labs) 19
associated with being on pre -exposure prophylaxis, as well as 20
to begin covering the cost of such ancillary services for the 21
uninsured and underinsured people in the Department of Public 22
Health's PrEP4Illinois program. 23 HB1349 -6- LRB103 05187 CPF 50203 b
Section 99. Effective date. This Act takes effect July 1, 1
2023. 2