HB2204 EngrossedLRB103 27545 KTG 53920 b HB2204 Engrossed LRB103 27545 KTG 53920 b HB2204 Engrossed LRB103 27545 KTG 53920 b 1 AN ACT concerning State government. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 5. The Substance Use Disorder Act is amended by 5 changing Sections 1-5, 1-10, 5-5, 5-10, 5-20, 10-10, 10-15, 6 15-10, 20-5, 25-5, 25-10, 30-5, 35-5, 35-10, 50-40, 55-30, and 7 55-40 as follows: 8 (20 ILCS 301/1-5) 9 Sec. 1-5. Legislative declaration. Substance use and 10 gambling disorders, as defined in this Act, constitute a 11 serious public health problem. The effects on public safety 12 and the criminal justice system cause serious social and 13 economic losses, as well as great human suffering. It is 14 imperative that a comprehensive and coordinated strategy be 15 developed under the leadership of a State agency. This 16 strategy should be implemented through the facilities of 17 federal and local government and community-based agencies 18 (which may be public or private, volunteer or professional). 19 Through local prevention, early intervention, treatment, and 20 other recovery support services, this strategy should empower 21 those struggling with these substance use disorders (and, when 22 appropriate, the families of those persons) to lead healthy 23 lives. HB2204 Engrossed LRB103 27545 KTG 53920 b HB2204 Engrossed- 2 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 2 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 2 - LRB103 27545 KTG 53920 b 1 The human, social, and economic benefits of preventing 2 these substance use disorders are great, and it is imperative 3 that there be interagency cooperation in the planning and 4 delivery of prevention, early intervention, treatment, and 5 other recovery support services in Illinois. 6 The provisions of this Act shall be liberally construed to 7 enable the Department to carry out these objectives and 8 purposes. 9 (Source: P.A. 100-759, eff. 1-1-19.) 10 (20 ILCS 301/1-10) 11 Sec. 1-10. Definitions. As used in this Act, unless the 12 context clearly indicates otherwise, the following words and 13 terms have the following meanings: 14 "Case management" means a coordinated approach to the 15 delivery of health and medical treatment, substance use 16 disorder treatment, gambling disorder treatment, mental health 17 treatment, and social services, linking patients with 18 appropriate services to address specific needs and achieve 19 stated goals. In general, case management assists patients 20 with other disorders and conditions that require multiple 21 services over extended periods of time and who face difficulty 22 in gaining access to those services. 23 "Crime of violence" means any of the following crimes: 24 murder, voluntary manslaughter, criminal sexual assault, 25 aggravated criminal sexual assault, predatory criminal sexual HB2204 Engrossed - 2 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 3 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 3 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 3 - LRB103 27545 KTG 53920 b 1 assault of a child, armed robbery, robbery, arson, kidnapping, 2 aggravated battery, aggravated arson, or any other felony that 3 involves the use or threat of physical force or violence 4 against another individual. 5 "Department" means the Department of Human Services. 6 "DUI" means driving under the influence of alcohol or 7 other drugs. 8 "Designated program" means a category of service 9 authorized by an intervention license issued by the Department 10 for delivery of all services as described in Article 40 in this 11 Act. 12 "Early intervention" means services, authorized by a 13 treatment license, that are sub-clinical and pre-diagnostic 14 and that are designed to screen, identify, and address risk 15 factors that may be related to problems associated with a 16 substance use or gambling disorder substance use disorders and 17 to assist individuals in recognizing harmful consequences. 18 Early intervention services facilitate emotional and social 19 stability and involve involves referrals for treatment, as 20 needed. 21 "Facility" means the building or premises are used for the 22 provision of licensable services, including support services, 23 as set forth by rule. 24 "Gambling disorder" means persistent and recurring 25 maladaptive gambling behavior that disrupts personal, family, 26 or vocational pursuits. HB2204 Engrossed - 3 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 4 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 4 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 4 - LRB103 27545 KTG 53920 b 1 "Gambling" means the risking of money or other items of 2 value in games of chance, including video gaming, sports 3 betting, and other games of chance. 4 "Gaming" means the action or practice of playing video 5 games. 6 "Holds itself out" means any activity that would lead one 7 to reasonably conclude that the individual or entity provides 8 or intends to provide licensable substance-related disorder 9 intervention or treatment services. Such activities include, 10 but are not limited to, advertisements, notices, statements, 11 or contractual arrangements with managed care organizations, 12 private health insurance, or employee assistance programs to 13 provide services that require a license as specified in 14 Article 15. 15 "Informed consent" means legally valid written consent, 16 given by a client, patient, or legal guardian, that authorizes 17 intervention or treatment services from a licensed 18 organization and that documents agreement to participate in 19 those services and knowledge of the consequences of withdrawal 20 from such services. Informed consent also acknowledges the 21 client's or patient's right to a conflict-free choice of 22 services from any licensed organization and the potential 23 risks and benefits of selected services. 24 "Intoxicated person" means a person whose mental or 25 physical functioning is substantially impaired as a result of 26 the current effects of alcohol or other drugs within the body. HB2204 Engrossed - 4 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 5 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 5 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 5 - LRB103 27545 KTG 53920 b 1 "Medication assisted treatment" means the prescription of 2 medications that are approved by the U.S. Food and Drug 3 Administration and the Center for Substance Abuse Treatment to 4 assist with treatment for a substance use disorder and to 5 support recovery for individuals receiving services in a 6 facility licensed by the Department. Medication assisted 7 treatment includes opioid treatment services as authorized by 8 a Department license. 9 "Off-site services" means licensable services are 10 conducted at a location separate from the licensed location of 11 the provider, and services are operated by an entity licensed 12 under this Act and approved in advance by the Department. 13 "Person" means any individual, firm, group, association, 14 partnership, corporation, trust, government or governmental 15 subdivision or agency. 16 "Prevention" means an interactive process of individuals, 17 families, schools, religious organizations, communities and 18 regional, state and national organizations whose goals are to 19 reduce the prevalence of substance use or gambling disorders, 20 prevent the use of illegal drugs and the abuse of legal drugs 21 by persons of all ages, prevent the use of alcohol by minors, 22 reduce the severity of harm in gambling by persons of all ages, 23 build the capacities of individuals and systems, and promote 24 healthy environments, lifestyles, and behaviors. 25 "Recovery" means a process of change through which 26 individuals improve their health and wellness, live a HB2204 Engrossed - 5 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 6 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 6 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 6 - LRB103 27545 KTG 53920 b 1 self-directed life, and reach their full potential. 2 "Recovery support" means services designed to support 3 individual recovery from a substance use or gambling disorder 4 that may be delivered pre-treatment, during treatment, or post 5 treatment. These services may be delivered in a wide variety 6 of settings for the purpose of supporting the individual in 7 meeting his or her recovery support goals. 8 "Secretary" means the Secretary of the Department of Human 9 Services or his or her designee. 10 "Substance use disorder" means a spectrum of persistent 11 and recurring problematic behavior that encompasses 10 12 separate classes of drugs: alcohol; caffeine; cannabis; 13 hallucinogens; inhalants; opioids; sedatives, hypnotics and 14 anxiolytics; stimulants; and tobacco; and other unknown 15 substances leading to clinically significant impairment or 16 distress. 17 "Treatment" means the broad range of emergency, 18 outpatient, and residential care (including assessment, 19 diagnosis, case management, treatment, and recovery support 20 planning) may be extended to individuals with substance use 21 disorders or to the families of those persons. 22 "Withdrawal management" means services designed to manage 23 intoxication or withdrawal episodes (previously referred to as 24 detoxification), interrupt the momentum of habitual, 25 compulsive substance use and begin the initial engagement in 26 medically necessary substance use disorder treatment. HB2204 Engrossed - 6 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 7 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 7 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 7 - LRB103 27545 KTG 53920 b 1 Withdrawal management allows patients to safely withdraw from 2 substances in a controlled medically-structured environment. 3 (Source: P.A. 100-759, eff. 1-1-19.) 4 (20 ILCS 301/5-5) 5 Sec. 5-5. Successor department; home rule. 6 (a) The Department of Human Services, as successor to the 7 Department of Alcoholism and Substance Abuse, shall assume the 8 various rights, powers, duties, and functions provided for in 9 this Act. 10 (b) It is declared to be the public policy of this State, 11 pursuant to paragraphs (h) and (i) of Section 6 of Article VII 12 of the Illinois Constitution of 1970, that the powers and 13 functions set forth in this Act and expressly delegated to the 14 Department are exclusive State powers and functions. Nothing 15 herein prohibits the exercise of any power or the performance 16 of any function, including the power to regulate, for the 17 protection of the public health, safety, morals and welfare, 18 by any unit of local government, other than the powers and 19 functions set forth in this Act and expressly delegated to the 20 Department to be exclusive State powers and functions. 21 (c) The Department shall, through accountable and 22 efficient leadership, example and commitment to excellence, 23 strive to reduce the incidence of substance use or gambling 24 disorders by: 25 (1) Fostering public understanding of substance use HB2204 Engrossed - 7 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 8 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 8 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 8 - LRB103 27545 KTG 53920 b 1 disorders and how they affect individuals, families, and 2 communities. 3 (2) Promoting healthy lifestyles. 4 (3) Promoting understanding and support for sound 5 public policies. 6 (4) Ensuring quality prevention, early intervention, 7 treatment, and other recovery support services that are 8 accessible and responsive to the diverse needs of 9 individuals, families, and communities. 10 (Source: P.A. 100-759, eff. 1-1-19.) 11 (20 ILCS 301/5-10) 12 Sec. 5-10. Functions of the Department. 13 (a) In addition to the powers, duties and functions vested 14 in the Department by this Act, or by other laws of this State, 15 the Department shall carry out the following activities: 16 (1) Design, coordinate and fund comprehensive 17 community-based and culturally and gender-appropriate 18 services throughout the State. These services must include 19 prevention, early intervention, treatment, and other 20 recovery support services for substance use disorders that 21 are accessible and address addresses the needs of at-risk 22 individuals and their families. 23 (2) Act as the exclusive State agency to accept, 24 receive and expend, pursuant to appropriation, any public 25 or private monies, grants or services, including those HB2204 Engrossed - 8 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 9 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 9 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 9 - LRB103 27545 KTG 53920 b 1 received from the federal government or from other State 2 agencies, for the purpose of providing prevention, early 3 intervention, treatment, and other recovery support 4 services for substance use or gambling disorders. 5 (2.5) In partnership with the Department of Healthcare 6 and Family Services, act as one of the principal State 7 agencies for the sole purpose of calculating the 8 maintenance of effort requirement under Section 1930 of 9 Title XIX, Part B, Subpart II of the Public Health Service 10 Act (42 U.S.C. 300x-30) and the Interim Final Rule (45 CFR 11 96.134). 12 (3) Coordinate a statewide strategy for the 13 prevention, early intervention, treatment, and recovery 14 support of substance use or gambling disorders. This 15 strategy shall include the development of a comprehensive 16 plan, submitted annually with the application for federal 17 substance use disorder block grant funding, for the 18 provision of an array of such services. The plan shall be 19 based on local community-based needs and upon data 20 including, but not limited to, that which defines the 21 prevalence of and costs associated with these substance 22 use disorders. This comprehensive plan shall include 23 identification of problems, needs, priorities, services 24 and other pertinent information, including the needs of 25 marginalized communities minorities and other specific 26 priority populations in the State, and shall describe how HB2204 Engrossed - 9 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 10 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 10 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 10 - LRB103 27545 KTG 53920 b 1 the identified problems and needs will be addressed. For 2 purposes of this paragraph, the term "marginalized 3 communities minorities and other specific priority 4 populations" may include, but shall not be limited to, 5 groups such as women, children, persons who use 6 intravenous drugs intravenous drug users, persons with 7 AIDS or who are HIV infected, veterans, African-Americans, 8 Puerto Ricans, Hispanics, Asian Americans, the elderly, 9 persons in the criminal justice system, persons who are 10 clients of services provided by other State agencies, 11 persons with disabilities and such other specific 12 populations as the Department may from time to time 13 identify. In developing the plan, the Department shall 14 seek input from providers, parent groups, associations and 15 interested citizens. 16 The plan developed under this Section shall include an 17 explanation of the rationale to be used in ensuring that 18 funding shall be based upon local community needs, 19 including, but not limited to, the incidence and 20 prevalence of, and costs associated with, these substance 21 use disorders, as well as upon demonstrated program 22 performance. 23 The plan developed under this Section shall also 24 contain a report detailing the activities of and progress 25 made through services for the care and treatment of these 26 substance use disorders among pregnant women and mothers HB2204 Engrossed - 10 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 11 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 11 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 11 - LRB103 27545 KTG 53920 b 1 and their children established under subsection (j) of 2 Section 35-5. 3 As applicable, the plan developed under this Section 4 shall also include information about funding by other 5 State agencies for prevention, early intervention, 6 treatment, and other recovery support services. 7 (4) Lead, foster and develop cooperation, coordination 8 and agreements among federal and State governmental 9 agencies and local providers that provide assistance, 10 services, funding or other functions, peripheral or 11 direct, in the prevention, early intervention, treatment, 12 and recovery support for substance use or gambling 13 disorders. This shall include, but shall not be limited 14 to, the following: 15 (A) Cooperate with and assist other State 16 agencies, as applicable, in establishing and 17 conducting these substance use disorder services among 18 the populations they respectively serve. 19 (B) Cooperate with and assist the Illinois 20 Department of Public Health in the establishment, 21 funding and support of programs and services for the 22 promotion of maternal and child health and the 23 prevention and treatment of infectious diseases, 24 including but not limited to HIV infection, especially 25 with respect to those persons who are high risk due to 26 intravenous injection of illegal drugs, or who may HB2204 Engrossed - 11 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 12 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 12 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 12 - LRB103 27545 KTG 53920 b 1 have been sexual partners of these individuals, or who 2 may have impaired immune systems as a result of a 3 substance use disorder. 4 (C) Supply to the Department of Public Health and 5 prenatal care providers a list of all providers who 6 are licensed to provide substance use disorder 7 treatment for pregnant women in this State. 8 (D) Assist in the placement of child abuse or 9 neglect perpetrators (identified by the Illinois 10 Department of Children and Family Services (DCFS)) who 11 have been determined to be in need of substance use 12 disorder treatment pursuant to Section 8.2 of the 13 Abused and Neglected Child Reporting Act. 14 (E) Cooperate with and assist DCFS in carrying out 15 its mandates to: 16 (i) identify substance use and gambling 17 disorders among its clients and their families; 18 and 19 (ii) develop services to deal with such 20 disorders. 21 These services may include, but shall not be limited 22 to, programs to prevent or treat substance use or 23 gambling disorders with DCFS clients and their 24 families, identifying child care needs within such 25 treatment, and assistance with other issues as 26 required. HB2204 Engrossed - 12 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 13 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 13 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 13 - LRB103 27545 KTG 53920 b 1 (F) Cooperate with and assist the Illinois 2 Criminal Justice Information Authority with respect to 3 statistical and other information concerning the 4 incidence and prevalence of substance use or gambling 5 disorders. 6 (G) Cooperate with and assist the State 7 Superintendent of Education, boards of education, 8 schools, police departments, the Illinois State 9 Police, courts and other public and private agencies 10 and individuals in establishing substance use or 11 gambling disorder prevention programs statewide and 12 preparing curriculum materials for use at all levels 13 of education. 14 (H) Cooperate with and assist the Illinois 15 Department of Healthcare and Family Services in the 16 development and provision of services offered to 17 recipients of public assistance for the treatment and 18 prevention of substance use or gambling disorders. 19 (I) (Blank). 20 (5) From monies appropriated to the Department from 21 the Drunk and Drugged Driving Prevention Fund, reimburse 22 DUI evaluation and risk education programs licensed by the 23 Department for providing indigent persons with free or 24 reduced-cost evaluation and risk education services 25 relating to a charge of driving under the influence of 26 alcohol or other drugs. HB2204 Engrossed - 13 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 14 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 14 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 14 - LRB103 27545 KTG 53920 b 1 (6) Promulgate regulations to identify and disseminate 2 best practice guidelines that can be utilized by publicly 3 and privately funded programs as well as for levels of 4 payment to government funded programs that provide 5 prevention, early intervention, treatment, and other 6 recovery support services for substance use or gambling 7 disorders and those services referenced in Sections 15-10 8 and 40-5. 9 (7) In consultation with providers and related trade 10 associations, specify a uniform methodology for use by 11 funded providers and the Department for billing and 12 collection and dissemination of statistical information 13 regarding services related to substance use or gambling 14 disorders. 15 (8) Receive data and assistance from federal, State 16 and local governmental agencies, and obtain copies of 17 identification and arrest data from all federal, State and 18 local law enforcement agencies for use in carrying out the 19 purposes and functions of the Department. 20 (9) Designate and license providers to conduct 21 screening, assessment, referral and tracking of clients 22 identified by the criminal justice system as having 23 indications of substance use disorders and being eligible 24 to make an election for treatment under Section 40-5 of 25 this Act, and assist in the placement of individuals who 26 are under court order to participate in treatment. HB2204 Engrossed - 14 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 15 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 15 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 15 - LRB103 27545 KTG 53920 b 1 (10) Identify and disseminate evidence-based best 2 practice guidelines as maintained in administrative rule 3 that can be utilized to determine a substance use or 4 gambling disorder diagnosis. 5 (11) (Blank). 6 (12) Make grants with funds appropriated from the Drug 7 Treatment Fund in accordance with Section 7 of the 8 Controlled Substance and Cannabis Nuisance Act, or in 9 accordance with Section 80 of the Methamphetamine Control 10 and Community Protection Act, or in accordance with 11 subsections (h) and (i) of Section 411.2 of the Illinois 12 Controlled Substances Act, or in accordance with Section 13 6z-107 of the State Finance Act. 14 (13) Encourage all health and disability insurance 15 programs to include substance use and gambling disorder 16 treatment as a covered services service and to use 17 evidence-based best practice criteria as maintained in 18 administrative rule and as required in Public Act 99-0480 19 in determining the necessity for such services and 20 continued stay. 21 (14) Award grants and enter into fixed-rate and 22 fee-for-service arrangements with any other department, 23 authority or commission of this State, or any other state 24 or the federal government or with any public or private 25 agency, including the disbursement of funds and furnishing 26 of staff, to effectuate the purposes of this Act. HB2204 Engrossed - 15 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 16 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 16 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 16 - LRB103 27545 KTG 53920 b 1 (15) Conduct a public information campaign to inform 2 the State's Hispanic residents regarding the prevention 3 and treatment of substance use or gambling disorders. 4 (b) In addition to the powers, duties and functions vested 5 in it by this Act, or by other laws of this State, the 6 Department may undertake, but shall not be limited to, the 7 following activities: 8 (1) Require all organizations licensed or funded by 9 the Department to include an education component to inform 10 participants regarding the causes and means of 11 transmission and methods of reducing the risk of acquiring 12 or transmitting HIV infection and other infectious 13 diseases, and to include funding for such education 14 component in its support of the program. 15 (2) Review all State agency applications for federal 16 funds that include provisions relating to the prevention, 17 early intervention and treatment of substance use or 18 gambling disorders in order to ensure consistency. 19 (3) Prepare, publish, evaluate, disseminate and serve 20 as a central repository for educational materials dealing 21 with the nature and effects of substance use or gambling 22 disorders. Such materials may deal with the educational 23 needs of the citizens of Illinois, and may include at 24 least pamphlets that describe the causes and effects of 25 fetal alcohol spectrum disorders. 26 (4) Develop and coordinate, with regional and local HB2204 Engrossed - 16 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 17 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 17 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 17 - LRB103 27545 KTG 53920 b 1 agencies, education and training programs for persons 2 engaged in providing services for persons with substance 3 use or gambling disorders, which programs may include 4 specific HIV education and training for program personnel. 5 (5) Cooperate with and assist in the development of 6 education, prevention, early intervention, and treatment 7 programs for employees of State and local governments and 8 businesses in the State. 9 (6) Utilize the support and assistance of interested 10 persons in the community, including recovering persons, to 11 assist individuals and communities in understanding the 12 dynamics of substance use or gambling disorders, and to 13 encourage individuals with these substance use disorders 14 to voluntarily undergo treatment. 15 (7) Promote, conduct, assist or sponsor basic 16 clinical, epidemiological and statistical research into 17 substance use or gambling disorders and research into the 18 prevention of those problems either solely or in 19 conjunction with any public or private agency. 20 (8) Cooperate with public and private agencies, 21 organizations, institutions of higher education, and 22 individuals in the development of programs, and to provide 23 technical assistance and consultation services for this 24 purpose. 25 (9) (Blank). 26 (10) (Blank). HB2204 Engrossed - 17 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 18 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 18 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 18 - LRB103 27545 KTG 53920 b 1 (11) Fund, promote, or assist entities dealing with 2 substance use or gambling disorders. 3 (12) With monies appropriated from the Group Home Loan 4 Revolving Fund, make loans, directly or through 5 subcontract, to assist in underwriting the costs of 6 housing in which individuals recovering from substance use 7 or gambling disorders may reside, pursuant to Section 8 50-40 of this Act. 9 (13) Promulgate such regulations as may be necessary 10 to carry out the purposes and enforce the provisions of 11 this Act. 12 (14) Provide funding to help parents be effective in 13 preventing substance use or gambling disorders by building 14 an awareness of the family's role in preventing these 15 substance use disorders through adjusting expectations, 16 developing new skills, and setting positive family goals. 17 The programs shall include, but not be limited to, the 18 following subjects: healthy family communication; 19 establishing rules and limits; how to reduce family 20 conflict; how to build self-esteem, competency, and 21 responsibility in children; how to improve motivation and 22 achievement; effective discipline; problem solving 23 techniques; healthy gaming and play habits; appropriate 24 financial planning and investment strategies; how to talk 25 about gambling and related activities; and how to talk 26 about substance use or gambling drugs and alcohol. The HB2204 Engrossed - 18 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 19 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 19 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 19 - LRB103 27545 KTG 53920 b 1 programs shall be open to all parents. 2 (c) There is created within the Department of Human 3 Services an Office of Opioid Settlement Administration. The 4 Office shall be responsible for implementing and administering 5 approved abatement programs as described in Exhibit B of the 6 Illinois Opioid Allocation Agreement, effective December 30, 7 2021. The Office may also implement and administer other 8 opioid-related programs, including but not limited to 9 prevention, treatment, and recovery services from other funds 10 made available to the Department of Human Services. The 11 Secretary of Human Services shall appoint or assign staff as 12 necessary to carry out the duties and functions of the Office. 13 (Source: P.A. 101-10, eff. 6-5-19; 102-538, eff. 8-20-21; 14 102-699, eff. 4-19-22.) 15 (20 ILCS 301/5-20) 16 Sec. 5-20. Gambling disorders. 17 (a) Subject to appropriation, the Department shall 18 establish a program for public education, research, and 19 training regarding gambling disorders and the treatment and 20 prevention of gambling disorders. Subject to specific 21 appropriation for these stated purposes, the program must 22 include all of the following: 23 (1) Establishment and maintenance of a toll-free 24 hotline and website "800" telephone number to provide 25 crisis counseling and referral services for to families HB2204 Engrossed - 19 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 20 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 20 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 20 - LRB103 27545 KTG 53920 b 1 experiencing difficulty related to a as a result of 2 gambling disorder disorders. 3 (2) Promotion of public awareness regarding the 4 recognition and prevention of gambling disorders. 5 Promotion of public awareness to create a gambling 6 informed State regarding the impact of gambling disorders 7 on individuals, families, and communities and the stigma 8 that surrounds gambling disorders. 9 (3) Facilitation, through in-service training, 10 certification promotion, and other innovative means, of 11 the availability of effective assistance programs for 12 gambling disorders. 13 (4) Conducting studies to, and through other 14 innovative means, identify adults and juveniles in this 15 State who have, or who are at risk of developing, gambling 16 disorders. 17 (5) Utilize screening, crisis intervention, treatment, 18 public awareness, prevention, in-service training, and 19 other innovative means, to decrease the incidents of 20 suicide attempts related to a gambling disorder or 21 gambling issues. 22 (b) Subject to appropriation, the Department shall either 23 establish and maintain the program or contract with a private 24 or public entity for the establishment and maintenance of the 25 program. Subject to appropriation, either the Department or 26 the private or public entity shall implement the hotline and HB2204 Engrossed - 20 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 21 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 21 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 21 - LRB103 27545 KTG 53920 b 1 website toll-free telephone number, promote public awareness, 2 conduct research, fund treatment and recovery services, and 3 conduct in-service training concerning gambling disorders. 4 (c) The Department shall determine a statement regarding 5 obtaining assistance with a gambling disorder which each 6 licensed gambling establishment owner shall post and each 7 master sports wagering licensee shall include on the master 8 sports wagering licensee's portal, Internet website, or 9 computer or mobile application. Subject to appropriation, the 10 Department shall produce and supply the signs with the 11 statement as specified in Section 10.7 of the Illinois Lottery 12 Law, Section 34.1 of the Illinois Horse Racing Act of 1975, 13 Section 4.3 of the Bingo License and Tax Act, Section 8.1 of 14 the Charitable Games Act, Section 25.95 of the Sports Wagering 15 Act, and Section 13.1 of the Illinois Gambling Act, and the 16 Video Gaming Act. 17 (d) Programs; gambling disorder prevention. 18 (1) The Department may establish a program to provide 19 for the production and publication, in electronic and 20 other formats, of gambling prevention, recognition, 21 treatment, and recovery literature and other public 22 education methods. The Department may develop and 23 disseminate curricula for use by professionals, 24 organizations, individuals, or committees interested in 25 the prevention of gambling disorders. 26 (2) The Department may provide advice to State and HB2204 Engrossed - 21 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 22 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 22 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 22 - LRB103 27545 KTG 53920 b 1 local officials on gambling disorders, including the 2 prevalence of gambling disorders, programs treating or 3 promoting prevention of gambling disorders, trends in 4 gambling disorder prevalence, and the relationship between 5 gaming and gambling disorders. 6 (3) The Department may support gambling disorder 7 prevention, recognition, treatment, and recovery projects 8 by facilitating the acquisition of gambling prevention 9 curriculums, providing trainings in gambling disorder 10 prevention best practices, connecting programs to health 11 care resources, establishing learning collaboratives 12 between localities and programs, and assisting programs in 13 navigating any regulatory requirements for establishing or 14 expanding such programs. 15 (4) In supporting best practices in gambling disorder 16 prevention programming, the Department may promote the 17 following programmatic elements: 18 (A) Providing funding for community-based 19 organizations to employ community health workers or 20 peer recovery specialists who are familiar with the 21 communities served and can provide culturally 22 competent services. 23 (B) Collaborating with other community-based 24 organizations, substance use disorder treatment 25 centers, or other health care providers engaged in 26 treating individuals who are experiencing gambling HB2204 Engrossed - 22 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 23 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 23 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 23 - LRB103 27545 KTG 53920 b 1 disorder. 2 (C) Providing linkages for individuals to obtain 3 evidence-based gambling disorder treatment. 4 (D) Engaging individuals exiting jails or prisons 5 who are at a high risk of developing a gambling 6 disorder. 7 (E) Providing education and training to 8 community-based organizations who work directly with 9 individuals who are experiencing gambling disorders 10 and those individuals' families and communities. 11 (F) Providing education and training on gambling 12 disorder prevention and response to the judicial 13 system. 14 (G) Informing communities of the impact gambling 15 disorder has on suicidal ideation and suicide attempts 16 and the role health care professionals can have in 17 identifying appropriate treatment. 18 (H) Producing and distributing targeted mass media 19 materials on gambling disorder prevention and 20 response, and the potential dangers of gambling 21 related stigma. 22 (e) Grants. 23 (1) The Department may award grants, in accordance 24 with this subsection, to create or support local gambling 25 prevention, recognition, and response projects. Local 26 health departments, correctional institutions, hospitals, HB2204 Engrossed - 23 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 24 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 24 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 24 - LRB103 27545 KTG 53920 b 1 universities, community-based organizations, and 2 faith-based organizations may apply to the Department for 3 a grant under this subsection at the time and in the manner 4 the Department prescribes. 5 (2) In awarding grants, the Department shall consider 6 the necessity for gambling disorder prevention projects in 7 various settings and shall encourage all grant applicants 8 to develop interventions that will be effective and viable 9 in their local areas. 10 (3) In addition to moneys appropriated by the General 11 Assembly, the Department may seek grants from private 12 foundations, the federal government, and other sources to 13 fund the grants under this Section and to fund an 14 evaluation of the programs supported by the grants. 15 (4) The Department may award grants to create or 16 support local gambling treatment programs. Such programs 17 may include prevention, early intervention, residential 18 and outpatient treatment, and recovery support services 19 for gambling disorders. Local health departments, 20 hospitals, universities, community-based organizations, 21 and faith-based organizations may apply to the Department 22 for a grant under this subsection at the time and in the 23 manner the Department prescribes. 24 (Source: P.A. 100-759, eff. 1-1-19; 101-31, eff. 6-28-19.) 25 (20 ILCS 301/10-10) HB2204 Engrossed - 24 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 25 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 25 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 25 - LRB103 27545 KTG 53920 b 1 Sec. 10-10. Powers and duties of the Council. The Council 2 shall: 3 (a) Advise the Department on ways to encourage public 4 understanding and support of the Department's programs. 5 (b) Advise the Department on regulations and licensure 6 proposed by the Department. 7 (c) Advise the Department in the formulation, 8 preparation, and implementation of the annual plan 9 submitted with the federal Substance Use Disorder Block 10 Grant application for prevention, early intervention, 11 treatment, and other recovery support services for 12 substance use disorders. 13 (d) Advise the Department on implementation of 14 substance use and gambling disorder education and 15 prevention programs throughout the State. 16 (e) Assist with incorporating into the annual plan 17 submitted with the federal Substance Use Disorder Block 18 Grant application, planning information specific to 19 Illinois' female population. The information shall 20 contain, but need not be limited to, the types of services 21 funded, the population served, the support services 22 available, and the goals, objectives, proposed methods of 23 achievement, service projections and cost estimate for the 24 upcoming year. 25 (f) Perform other duties as requested by the 26 Secretary. HB2204 Engrossed - 25 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 26 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 26 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 26 - LRB103 27545 KTG 53920 b 1 (g) Advise the Department in the planning, 2 development, and coordination of programs among all 3 agencies and departments of State government, including 4 programs to reduce substance use and gambling disorders, 5 prevent the misuse of illegal and legal drugs by persons 6 of all ages, prevent gambling and gaming by minors, and 7 prevent the use of alcohol by minors. 8 (h) Promote and encourage participation by the private 9 sector, including business, industry, labor, and the 10 media, in programs to prevent substance use and gambling 11 disorders. 12 (i) Encourage the implementation of programs to 13 prevent substance use and gambling disorders in the public 14 and private schools and educational institutions. 15 (j) Gather information, conduct hearings, and make 16 recommendations to the Secretary concerning additions, 17 deletions, or rescheduling of substances under the 18 Illinois Controlled Substances Act. 19 (k) Report as requested to the General Assembly 20 regarding the activities and recommendations made by the 21 Council. 22 (Source: P.A. 100-759, eff. 1-1-19.) 23 (20 ILCS 301/10-15) 24 Sec. 10-15. Qualification and appointment of members. The 25 membership of the Illinois Advisory Council may, as needed, HB2204 Engrossed - 26 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 27 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 27 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 27 - LRB103 27545 KTG 53920 b 1 consist of: 2 (a) A State's Attorney designated by the President of 3 the Illinois State's Attorneys Association. 4 (b) A judge designated by the Chief Justice of the 5 Illinois Supreme Court. 6 (c) A Public Defender appointed by the President of 7 the Illinois Public Defender Association. 8 (d) A local law enforcement officer appointed by the 9 Governor. 10 (e) A labor representative appointed by the Governor. 11 (f) An educator appointed by the Governor. 12 (g) A physician licensed to practice medicine in all 13 its branches appointed by the Governor with due regard for 14 the appointee's knowledge of the field of substance use 15 disorders. 16 (h) 4 members of the Illinois House of 17 Representatives, 2 each appointed by the Speaker and 18 Minority Leader. 19 (i) 4 members of the Illinois Senate, 2 each appointed 20 by the President and Minority Leader. 21 (j) The Chief Executive Officer of the Illinois 22 Association for Behavioral Health or his or her designee. 23 (k) An advocate for the needs of youth appointed by 24 the Governor. 25 (l) The President of the Illinois State Medical 26 Society or his or her designee. HB2204 Engrossed - 27 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 28 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 28 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 28 - LRB103 27545 KTG 53920 b 1 (m) The President of the Illinois Hospital Association 2 or his or her designee. 3 (n) The President of the Illinois Nurses Association 4 or a registered nurse designated by the President. 5 (o) The President of the Illinois Pharmacists 6 Association or a licensed pharmacist designated by the 7 President. 8 (p) The President of the Illinois Chapter of the 9 Association of Labor-Management Administrators and 10 Consultants on Alcoholism. 11 (p-1) The Chief Executive Officer of the Community 12 Behavioral Healthcare Association of Illinois or his or 13 her designee. 14 (q) The Attorney General or his or her designee. 15 (r) The State Comptroller or his or her designee. 16 (s) 20 public members, 8 appointed by the Governor, 3 17 of whom shall be representatives of substance use or 18 gambling disorder treatment programs and one of whom shall 19 be a representative of a manufacturer or importing 20 distributor of alcoholic liquor licensed by the State of 21 Illinois, and 3 public members appointed by each of the 22 President and Minority Leader of the Senate and the 23 Speaker and Minority Leader of the House. 24 (t) The Director, Secretary, or other chief 25 administrative officer, ex officio, or his or her 26 designee, of each of the following: the Department on HB2204 Engrossed - 28 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 29 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 29 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 29 - LRB103 27545 KTG 53920 b 1 Aging, the Department of Children and Family Services, the 2 Department of Corrections, the Department of Juvenile 3 Justice, the Department of Healthcare and Family Services, 4 the Department of Revenue, the Department of Public 5 Health, the Department of Financial and Professional 6 Regulation, the Illinois State Police, the Administrative 7 Office of the Illinois Courts, the Criminal Justice 8 Information Authority, and the Department of 9 Transportation. 10 (u) Each of the following, ex officio, or his or her 11 designee: the Secretary of State, the State Superintendent 12 of Education, and the Chairman of the Board of Higher 13 Education. 14 The public members may not be officers or employees of the 15 executive branch of State government; however, the public 16 members may be officers or employees of a State college or 17 university or of any law enforcement agency. In appointing 18 members, due consideration shall be given to the experience of 19 appointees in the fields of medicine, law, prevention, 20 correctional activities, and social welfare. Vacancies in the 21 public membership shall be filled for the unexpired term by 22 appointment in like manner as for original appointments, and 23 the appointive members shall serve until their successors are 24 appointed and have qualified. Vacancies among the public 25 members appointed by the legislative leaders shall be filled 26 by the leader of the same house and of the same political party HB2204 Engrossed - 29 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 30 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 30 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 30 - LRB103 27545 KTG 53920 b 1 as the leader who originally appointed the member. 2 Each non-appointive member may designate a representative 3 to serve in his place by written notice to the Department. All 4 General Assembly members shall serve until their respective 5 successors are appointed or until termination of their 6 legislative service, whichever occurs first. The terms of 7 office for each of the members appointed by the Governor shall 8 be for 3 years, except that of the members first appointed, 3 9 shall be appointed for a term of one year, and 4 shall be 10 appointed for a term of 2 years. The terms of office of each of 11 the public members appointed by the legislative leaders shall 12 be for 2 years. 13 (Source: P.A. 102-538, eff. 8-20-21.) 14 (20 ILCS 301/15-10) 15 Sec. 15-10. Licensure categories and services. No person 16 or program may provide the services or conduct the activities 17 described in this Section without first obtaining a license 18 therefor from the Department, unless otherwise exempted under 19 this Act. The Department shall, by rule, provide requirements 20 for each of the following types of licenses and categories of 21 service: 22 (a) Treatment: Categories of treatment service for a 23 substance use or gambling disorder authorized by a 24 treatment license are Early Intervention, Outpatient, 25 Intensive Outpatient/Partial Hospitalization, Subacute HB2204 Engrossed - 30 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 31 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 31 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 31 - LRB103 27545 KTG 53920 b 1 Residential/Inpatient, and Withdrawal Management. 2 Medication assisted treatment that includes methadone used 3 for an opioid use disorder can be licensed as an adjunct to 4 any of the treatment levels of care specified in this 5 Section. 6 (b) Intervention: Categories of intervention service 7 authorized by an intervention license are DUI Evaluation, 8 DUI Risk Education, Designated Program, and Recovery Homes 9 for persons in any stage of recovery from a substance use 10 or gambling disorder. Harm reduction, which includes harm 11 reduction services, is another category of intervention 12 licensure that can be issued if and when legal 13 authorization is adopted to allow for this service and 14 upon adoption of administrative or funding rules that 15 govern the delivery of the service. 16 The Department may, under procedures established by rule 17 and upon a showing of good cause for such, exempt off-site 18 services from having to obtain a separate license for services 19 conducted away from the provider's licensed location. 20 (Source: P.A. 100-759, eff. 1-1-19.) 21 (20 ILCS 301/20-5) 22 Sec. 20-5. Development of statewide prevention system. 23 (a) The Department shall develop and implement a 24 comprehensive, statewide, community-based strategy to reduce 25 substance use and gambling disorders and prevent the misuse of HB2204 Engrossed - 31 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 32 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 32 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 32 - LRB103 27545 KTG 53920 b 1 illegal and legal drugs by persons of all ages, and to prevent 2 the use of alcohol by minors. The system created to implement 3 this strategy shall be based on the premise that coordination 4 among and integration between all community and governmental 5 systems will facilitate effective and efficient program 6 implementation and utilization of existing resources. 7 (b) The statewide system developed under this Section may 8 be adopted by administrative rule or funded as a grant award 9 condition and shall be responsible for: 10 (1) Providing programs and technical assistance to 11 improve the ability of Illinois communities and schools to 12 develop, implement and evaluate prevention programs. 13 (2) Initiating and fostering continuing cooperation 14 among the Department, Department-funded prevention 15 programs, other community-based prevention providers and 16 other State, regional, or local systems or agencies that 17 have an interest in substance use disorder prevention. 18 (c) In developing, implementing, and advocating for this 19 statewide strategy and system, the Department may engage in, 20 but shall not be limited to, the following activities: 21 (1) Establishing and conducting programs to provide 22 awareness and knowledge of the nature and extent of 23 substance use and gambling disorders and their effect on 24 individuals, families, and communities. 25 (2) Conducting or providing prevention skill building 26 or education through the use of structured experiences. HB2204 Engrossed - 32 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 33 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 33 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 33 - LRB103 27545 KTG 53920 b 1 (3) Developing, supporting, and advocating with new 2 and existing local community coalitions or 3 neighborhood-based grassroots networks using action 4 planning and collaborative systems to initiate change 5 regarding substance use and gambling disorders in their 6 communities. 7 (4) Encouraging, supporting, and advocating for 8 programs and activities that emphasize alcohol-free and 9 other drug-free lifestyles. 10 (5) Drafting and implementing efficient plans for the 11 use of available resources to address issues of substance 12 use disorder prevention. 13 (6) Coordinating local programs of alcoholism and 14 other drug abuse education and prevention. 15 (7) Encouraging the development of local advisory 16 councils. 17 (d) In providing leadership to this system, the Department 18 shall take into account, wherever possible, the needs and 19 requirements of local communities. The Department shall also 20 involve, wherever possible, local communities in its statewide 21 planning efforts. These planning efforts shall include, but 22 shall not be limited to, in cooperation with local community 23 representatives and Department-funded agencies, the analysis 24 and application of results of local needs assessments, as well 25 as a process for the integration of an evaluation component 26 into the system. The results of this collaborative planning HB2204 Engrossed - 33 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 34 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 34 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 34 - LRB103 27545 KTG 53920 b 1 effort shall be taken into account by the Department in making 2 decisions regarding the allocation of prevention resources. 3 (e) Prevention programs funded in whole or in part by the 4 Department shall maintain staff whose skills, training, 5 experiences and cultural awareness demonstrably match the 6 needs of the people they are serving. 7 (f) The Department may delegate the functions and 8 activities described in subsection (c) of this Section to 9 local, community-based providers. 10 (Source: P.A. 100-759, eff. 1-1-19.) 11 (20 ILCS 301/25-5) 12 Sec. 25-5. Establishment of comprehensive treatment 13 system. The Department shall develop, fund and implement a 14 comprehensive, statewide, community-based system for the 15 provision of early intervention, treatment, and recovery 16 support services for persons suffering from substance use or 17 gambling disorders. The system created under this Section 18 shall be based on the premise that coordination among and 19 integration between all community and governmental systems 20 will facilitate effective and efficient program implementation 21 and utilization of existing resources. 22 (Source: P.A. 100-759, eff. 1-1-19.) 23 (20 ILCS 301/25-10) 24 Sec. 25-10. Promulgation of regulations. The Department HB2204 Engrossed - 34 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 35 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 35 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 35 - LRB103 27545 KTG 53920 b 1 shall adopt regulations for licensure, certification for 2 Medicaid reimbursement, and to identify evidence-based best 3 practice criteria that can be utilized for intervention and 4 treatment services, taking into consideration available 5 resources and facilities, for the purpose of early and 6 effective treatment of substance use and gambling disorders. 7 (Source: P.A. 100-759, eff. 1-1-19.) 8 (20 ILCS 301/30-5) 9 Sec. 30-5. Patients' rights established. 10 (a) For purposes of this Section, "patient" means any 11 person who is receiving or has received early intervention, 12 treatment, or other recovery support services under this Act 13 or any category of service licensed as "intervention" under 14 this Act. 15 (b) No patient shall be deprived of any rights, benefits, 16 or privileges guaranteed by law, the Constitution of the 17 United States of America, or the Constitution of the State of 18 Illinois solely because of his or her status as a patient. 19 (c) Persons who have substance use or gambling disorders 20 who are also suffering from medical conditions shall not be 21 discriminated against in admission or treatment by any 22 hospital that receives support in any form supported in whole 23 or in part by funds appropriated to any State department or 24 agency. 25 (d) Every patient shall have impartial access to services HB2204 Engrossed - 35 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 36 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 36 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 36 - LRB103 27545 KTG 53920 b 1 without regard to race, religion, sex, ethnicity, age, sexual 2 orientation, gender identity, marital status, or other 3 disability. 4 (e) Patients shall be permitted the free exercise of 5 religion. 6 (f) Every patient's personal dignity shall be recognized 7 in the provision of services, and a patient's personal privacy 8 shall be assured and protected within the constraints of his 9 or her individual treatment. 10 (g) Treatment services shall be provided in the least 11 restrictive environment possible. 12 (h) Each patient receiving treatment services shall be 13 provided an individual treatment plan, which shall be 14 periodically reviewed and updated as mandated by 15 administrative rule. 16 (i) Treatment shall be person-centered, meaning that every 17 patient shall be permitted to participate in the planning of 18 his or her total care and medical treatment to the extent that 19 his or her condition permits. 20 (j) A person shall not be denied treatment solely because 21 he or she has withdrawn from treatment against medical advice 22 on a prior occasion or had prior treatment episodes. 23 (k) The patient in residential treatment shall be 24 permitted visits by family and significant others, unless such 25 visits are clinically contraindicated. 26 (l) A patient in residential treatment shall be allowed to HB2204 Engrossed - 36 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 37 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 37 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 37 - LRB103 27545 KTG 53920 b 1 conduct private telephone conversations with family and 2 friends unless clinically contraindicated. 3 (m) A patient in residential treatment shall be permitted 4 to send and receive mail without hindrance, unless clinically 5 contraindicated. 6 (n) A patient shall be permitted to manage his or her own 7 financial affairs unless the patient or the patient's 8 guardian, or if the patient is a minor, the patient's parent, 9 authorizes another competent person to do so. 10 (o) A patient shall be permitted to request the opinion of 11 a consultant at his or her own expense, or to request an 12 in-house review of a treatment plan, as provided in the 13 specific procedures of the provider. A treatment provider is 14 not liable for the negligence of any consultant. 15 (p) Unless otherwise prohibited by State or federal law, 16 every patient shall be permitted to obtain from his or her own 17 physician, the treatment provider, or the treatment provider's 18 consulting physician complete and current information 19 concerning the nature of care, procedures, and treatment that 20 he or she will receive. 21 (q) A patient shall be permitted to refuse to participate 22 in any experimental research or medical procedure without 23 compromising his or her access to other, non-experimental 24 services. Before a patient is placed in an experimental 25 research or medical procedure, the provider must first obtain 26 his or her informed written consent or otherwise comply with HB2204 Engrossed - 37 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 38 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 38 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 38 - LRB103 27545 KTG 53920 b 1 the federal requirements regarding the protection of human 2 subjects contained in 45 CFR Part 46. 3 (r) All medical treatment and procedures shall be 4 administered as ordered by a physician and in accordance with 5 all Department rules. 6 (s) Every patient in treatment shall be permitted to 7 refuse medical treatment and to know the consequences of such 8 action. Such refusal by a patient shall free the treatment 9 licensee from the obligation to provide the treatment. 10 (t) Unless otherwise prohibited by State or federal law, 11 every patient, patient's guardian, or parent, if the patient 12 is a minor, shall be permitted to inspect and copy all clinical 13 and other records kept by the intervention or treatment 14 licensee or by his or her physician concerning his or her care 15 and maintenance. The licensee or physician may charge a 16 reasonable fee for the duplication of a record. 17 (u) No owner, licensee, administrator, employee, or agent 18 of a licensed intervention or treatment program shall abuse or 19 neglect a patient. It is the duty of any individual who becomes 20 aware of such abuse or neglect to report it to the Department 21 immediately. 22 (v) The licensee may refuse access to any person if the 23 actions of that person are or could be injurious to the health 24 and safety of a patient or the licensee, or if the person seeks 25 access for commercial purposes. 26 (w) All patients admitted to community-based treatment HB2204 Engrossed - 38 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 39 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 39 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 39 - LRB103 27545 KTG 53920 b 1 facilities shall be considered voluntary treatment patients 2 and such patients shall not be contained within a locked 3 setting. 4 (x) Patients and their families or legal guardians shall 5 have the right to present complaints to the provider or the 6 Department concerning the quality of care provided to the 7 patient, without threat of discharge or reprisal in any form 8 or manner whatsoever. The complaint process and procedure 9 shall be adopted by the Department by rule. The treatment 10 provider shall have in place a mechanism for receiving and 11 responding to such complaints, and shall inform the patient 12 and the patient's family or legal guardian of this mechanism 13 and how to use it. The provider shall analyze any complaint 14 received and, when indicated, take appropriate corrective 15 action. Every patient and his or her family member or legal 16 guardian who makes a complaint shall receive a timely response 17 from the provider that substantively addresses the complaint. 18 The provider shall inform the patient and the patient's family 19 or legal guardian about other sources of assistance if the 20 provider has not resolved the complaint to the satisfaction of 21 the patient or the patient's family or legal guardian. 22 (y) A patient may refuse to perform labor at a program 23 unless such labor is a part of the patient's individual 24 treatment plan as documented in the patient's clinical record. 25 (z) A person who is in need of services may apply for 26 voluntary admission in the manner and with the rights provided HB2204 Engrossed - 39 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 40 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 40 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 40 - LRB103 27545 KTG 53920 b 1 for under regulations promulgated by the Department. If a 2 person is refused admission, then staff, subject to rules 3 promulgated by the Department, shall refer the person to 4 another facility or to other appropriate services. 5 (aa) No patient shall be denied services based solely on 6 HIV status. Further, records and information governed by the 7 AIDS Confidentiality Act and the AIDS Confidentiality and 8 Testing Code (77 Ill. Adm. Code 697) shall be maintained in 9 accordance therewith. 10 (bb) Records of the identity, diagnosis, prognosis or 11 treatment of any patient maintained in connection with the 12 performance of any service or activity relating to substance 13 use or gambling disorder education, early intervention, 14 intervention, training, or treatment that is regulated, 15 authorized, or directly or indirectly assisted by any 16 Department or agency of this State or under any provision of 17 this Act shall be confidential and may be disclosed only in 18 accordance with the provisions of federal law and regulations 19 concerning the confidentiality of substance use disorder 20 patient records as contained in 42 U.S.C. Sections 290dd-2 and 21 42 CFR Part 2, or any successor federal statute or regulation. 22 (1) The following are exempt from the confidentiality 23 protections set forth in 42 CFR Section 2.12(c): 24 (A) Veteran's Administration records. 25 (B) Information obtained by the Armed Forces. 26 (C) Information given to qualified service HB2204 Engrossed - 40 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 41 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 41 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 41 - LRB103 27545 KTG 53920 b 1 organizations. 2 (D) Communications within a program or between a 3 program and an entity having direct administrative 4 control over that program. 5 (E) Information given to law enforcement personnel 6 investigating a patient's commission of a crime on the 7 program premises or against program personnel. 8 (F) Reports under State law of incidents of 9 suspected child abuse and neglect; however, 10 confidentiality restrictions continue to apply to the 11 records and any follow-up information for disclosure 12 and use in civil or criminal proceedings arising from 13 the report of suspected abuse or neglect. 14 (2) If the information is not exempt, a disclosure can 15 be made only under the following circumstances: 16 (A) With patient consent as set forth in 42 CFR 17 Sections 2.1(b)(1) and 2.31, and as consistent with 18 pertinent State law. 19 (B) For medical emergencies as set forth in 42 CFR 20 Sections 2.1(b)(2) and 2.51. 21 (C) For research activities as set forth in 42 CFR 22 Sections 2.1(b)(2) and 2.52. 23 (D) For audit evaluation activities as set forth 24 in 42 CFR Section 2.53. 25 (E) With a court order as set forth in 42 CFR 26 Sections 2.61 through 2.67. HB2204 Engrossed - 41 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 42 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 42 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 42 - LRB103 27545 KTG 53920 b 1 (3) The restrictions on disclosure and use of patient 2 information apply whether the holder of the information 3 already has it, has other means of obtaining it, is a law 4 enforcement or other official, has obtained a subpoena, or 5 asserts any other justification for a disclosure or use 6 that is not permitted by 42 CFR Part 2. Any court orders 7 authorizing disclosure of patient records under this Act 8 must comply with the procedures and criteria set forth in 9 42 CFR Sections 2.64 and 2.65. Except as authorized by a 10 court order granted under this Section, no record referred 11 to in this Section may be used to initiate or substantiate 12 any charges against a patient or to conduct any 13 investigation of a patient. 14 (4) The prohibitions of this subsection shall apply to 15 records concerning any person who has been a patient, 16 regardless of whether or when the person ceases to be a 17 patient. 18 (5) Any person who discloses the content of any record 19 referred to in this Section except as authorized shall, 20 upon conviction, be guilty of a Class A misdemeanor. 21 (6) The Department shall prescribe regulations to 22 carry out the purposes of this subsection. These 23 regulations may contain such definitions, and may provide 24 for such safeguards and procedures, including procedures 25 and criteria for the issuance and scope of court orders, 26 as in the judgment of the Department are necessary or HB2204 Engrossed - 42 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 43 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 43 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 43 - LRB103 27545 KTG 53920 b 1 proper to effectuate the purposes of this Section, to 2 prevent circumvention or evasion thereof, or to facilitate 3 compliance therewith. 4 (cc) Each patient shall be given a written explanation of 5 all the rights enumerated in this Section and a copy, signed by 6 the patient, shall be kept in every patient record. If a 7 patient is unable to read such written explanation, it shall 8 be read to the patient in a language that the patient 9 understands. A copy of all the rights enumerated in this 10 Section shall be posted in a conspicuous place within the 11 program where it may readily be seen and read by program 12 patients and visitors. 13 (dd) The program shall ensure that its staff is familiar 14 with and observes the rights and responsibilities enumerated 15 in this Section. 16 (ee) Licensed organizations shall comply with the right of 17 any adolescent to consent to treatment without approval of the 18 parent or legal guardian in accordance with the Consent by 19 Minors to Health Care Services Act. 20 (ff) At the point of admission for services, licensed 21 organizations must obtain written informed consent, as defined 22 in Section 1-10 and in administrative rule, from each client, 23 patient, or legal guardian. 24 (Source: P.A. 102-813, eff. 5-13-22.) 25 (20 ILCS 301/35-5) HB2204 Engrossed - 43 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 44 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 44 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 44 - LRB103 27545 KTG 53920 b 1 Sec. 35-5. Services for pregnant women and mothers. 2 (a) In order to promote a comprehensive, statewide and 3 multidisciplinary approach to serving pregnant women and 4 mothers, including those who are minors, and their children 5 who are affected by substance use or gambling disorders, the 6 Department shall have responsibility for an ongoing exchange 7 of referral information among the following: 8 (1) those who provide medical and social services to 9 pregnant women, mothers and their children, whether or not 10 there exists evidence of a substance use or gambling 11 disorder. These include any other State-funded medical or 12 social services to pregnant women. 13 (2) providers of treatment services to women affected 14 by substance use or gambling disorders. 15 (b) (Blank). 16 (c) (Blank). 17 (d) (Blank). 18 (e) (Blank). 19 (f) The Department shall develop and maintain an updated 20 and comprehensive directory of licensed providers that deliver 21 treatment and intervention services. The Department shall post 22 on its website a licensed provider directory updated at least 23 quarterly. 24 (g) As a condition of any State grant or contract, the 25 Department shall require that any treatment program for women 26 with substance use or gambling disorders provide services, HB2204 Engrossed - 44 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 45 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 45 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 45 - LRB103 27545 KTG 53920 b 1 either by its own staff or by agreement with other agencies or 2 individuals, which include but need not be limited to the 3 following: 4 (1) coordination with any program providing case 5 management services to ensure ongoing monitoring and 6 coordination of services after the addicted woman has 7 returned home. 8 (2) coordination with medical services for individual 9 medical care of pregnant women, including prenatal care 10 under the supervision of a physician. 11 (3) coordination with child care services. 12 (h) As a condition of any State grant or contract, the 13 Department shall require that any nonresidential program 14 receiving any funding for treatment services accept women who 15 are pregnant, provided that such services are clinically 16 appropriate. Failure to comply with this subsection shall 17 result in termination of the grant or contract and loss of 18 State funding. 19 (i)(1) From funds appropriated expressly for the purposes 20 of this Section, the Department shall create or contract with 21 licensed, certified agencies to develop a program for the care 22 and treatment of pregnant women, mothers and their children. 23 The program shall be in Cook County in an area of high density 24 population having a disproportionate number of women with 25 substance use and other disorders and a high infant mortality 26 rate. HB2204 Engrossed - 45 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 46 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 46 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 46 - LRB103 27545 KTG 53920 b 1 (2) From funds appropriated expressly for the purposes of 2 this Section, the Department shall create or contract with 3 licensed, certified agencies to develop a program for the care 4 and treatment of low income pregnant women. The program shall 5 be located anywhere in the State outside of Cook County in an 6 area of high density population having a disproportionate 7 number of low income pregnant women. 8 (3) In implementing the programs established under this 9 subsection, the Department shall contract with existing 10 residential treatment or recovery homes in areas having a 11 disproportionate number of women with substance use and other 12 disorders who need residential treatment. Priority shall be 13 given to women who: 14 (A) are pregnant, especially if they are intravenous 15 drug users, 16 (B) have minor children, 17 (C) are both pregnant and have minor children, or 18 (D) are referred by medical personnel because they 19 either have given birth to a baby with a substance use 20 disorder, or will give birth to a baby with a substance use 21 disorder. 22 (4) The services provided by the programs shall include 23 but not be limited to: 24 (A) individual medical care, including prenatal care, 25 under the supervision of a physician. 26 (B) temporary, residential shelter for pregnant women, HB2204 Engrossed - 46 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 47 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 47 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 47 - LRB103 27545 KTG 53920 b 1 mothers and children when necessary. 2 (C) a range of educational or counseling services. 3 (D) comprehensive and coordinated social services, 4 including therapy groups for the treatment of substance 5 use disorders; family therapy groups; programs to develop 6 positive self-awareness; parent-child therapy; and 7 residential support groups. 8 (5) (Blank). 9 (Source: P.A. 100-759, eff. 1-1-19.) 10 (20 ILCS 301/35-10) 11 Sec. 35-10. Adolescent Family Life Program. 12 (a) The General Assembly finds and declares the following: 13 (1) In Illinois, a substantial number of babies are 14 born each year to adolescent mothers between 12 and 19 15 years of age. 16 (2) A substantial percentage of pregnant adolescents 17 have substance use disorders or live in environments in 18 which substance use disorders occur and thus are at risk 19 of exposing their infants to dangerous and harmful 20 circumstances. 21 (3) It is difficult to provide substance use disorder 22 counseling for adolescents in settings designed to serve 23 adults. 24 (b) To address the findings set forth in subsection (a), 25 and subject to appropriation, the Department may establish and HB2204 Engrossed - 47 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 48 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 48 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 48 - LRB103 27545 KTG 53920 b 1 fund treatment strategies to meet the developmental, social, 2 and educational needs of high-risk pregnant adolescents and 3 shall do the following: 4 (1) To the maximum extent feasible and appropriate, 5 utilize existing services and funding rather than create 6 new, duplicative services. 7 (2) Include plans for coordination and collaboration 8 with existing perinatal substance use disorder services. 9 (3) Include goals and objectives for reducing the 10 incidence of high-risk pregnant adolescents. 11 (4) Be culturally and linguistically appropriate to 12 the population being served. 13 (5) Include staff development training by substance 14 use and other disorder counselors. 15 As used in this Section, "high-risk pregnant adolescent" 16 means a person at least 12 but not more than 18 years of age 17 with a substance use or other disorder who is pregnant. 18 (c) (Blank). 19 (Source: P.A. 100-759, eff. 1-1-19.) 20 (20 ILCS 301/50-40) 21 Sec. 50-40. Group Home Loan Revolving Fund. 22 (a) There is hereby established the Group Home Loan 23 Revolving Fund, referred to in this Section as the "fund", to 24 be held as a separate fund within the State Treasury. Monies in 25 this fund shall be appropriated to the Department on a HB2204 Engrossed - 48 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 49 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 49 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 49 - LRB103 27545 KTG 53920 b 1 continuing annual basis. With these funds, the Department 2 shall, directly or through subcontract, make loans to assist 3 in underwriting the costs of housing in which there may reside 4 individuals who are recovering from substance use or gambling 5 disorders, and who are seeking an alcohol-free, gambling-free, 6 or drug-free environment in which to live. Consistent with 7 federal law and regulation, the Department may establish 8 guidelines for approving the use and management of monies 9 loaned from the fund, the operation of group homes receiving 10 loans under this Section and the repayment of monies loaned. 11 (b) There shall be deposited into the fund such amounts 12 including, but not limited to: 13 (1) All receipts, including principal and interest 14 payments and royalties, from any applicable loan agreement 15 made from the fund. 16 (2) All proceeds of assets of whatever nature received 17 by the Department as a result of default or delinquency 18 with respect to loan agreements made from the fund, 19 including proceeds from the sale, disposal, lease or 20 rental of real or personal property that the Department 21 may receive as a result thereof. 22 (3) Any direct appropriations made by the General 23 Assembly, or any gifts or grants made by any person to the 24 fund. 25 (4) Any income received from interest on investments 26 of monies in the fund. HB2204 Engrossed - 49 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 50 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 50 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 50 - LRB103 27545 KTG 53920 b 1 (c) The Treasurer may invest monies in the fund in 2 securities constituting obligations of the United States 3 government, or in obligations the principal of and interest on 4 which are guaranteed by the United States government, or in 5 certificates of deposit of any State or national bank which 6 are fully secured by obligations guaranteed as to principal 7 and interest by the United States government. 8 (Source: P.A. 100-759, eff. 1-1-19.) 9 (20 ILCS 301/55-30) 10 Sec. 55-30. Rate increase. 11 (a) The Department shall by rule develop the increased 12 rate methodology and annualize the increased rate beginning 13 with State fiscal year 2018 contracts to licensed providers of 14 community-based substance use and gambling disorders disorder 15 intervention or treatment, based on the additional amounts 16 appropriated for the purpose of providing a rate increase to 17 licensed providers. The Department shall adopt rules, 18 including emergency rules under subsection (y) of Section 5-45 19 of the Illinois Administrative Procedure Act, to implement the 20 provisions of this Section. 21 (b) (Blank). 22 (c) Beginning on July 1, 2022, the Division of Substance 23 Use Prevention and Recovery shall increase reimbursement rates 24 for all community-based substance use and gambling disorders 25 disorder treatment and intervention services by 47%, HB2204 Engrossed - 50 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 51 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 51 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 51 - LRB103 27545 KTG 53920 b 1 including, but not limited to, all of the following: 2 (1) Admission and Discharge Assessment. 3 (2) Level 1 (Individual). 4 (3) Level 1 (Group). 5 (4) Level 2 (Individual). 6 (5) Level 2 (Group). 7 (6) Case Management. 8 (7) Psychiatric Evaluation. 9 (8) Medication Assisted Recovery. 10 (9) Community Intervention. 11 (10) Early Intervention (Individual). 12 (11) Early Intervention (Group). 13 Beginning in State Fiscal Year 2023, and every State 14 fiscal year thereafter, reimbursement rates for those 15 community-based substance use and gambling disorders disorder 16 treatment and intervention services shall be adjusted upward 17 by an amount equal to the Consumer Price Index-U from the 18 previous year, not to exceed 2% in any State fiscal year. If 19 there is a decrease in the Consumer Price Index-U, rates shall 20 remain unchanged for that State fiscal year. The Department 21 shall adopt rules, including emergency rules in accordance 22 with the Illinois Administrative Procedure Act, to implement 23 the provisions of this Section. 24 As used in this subsection, "consumer price index-u" means 25 the index published by the Bureau of Labor Statistics of the 26 United States Department of Labor that measures the average HB2204 Engrossed - 51 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 52 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 52 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 52 - LRB103 27545 KTG 53920 b 1 change in prices of goods and services purchased by all urban 2 consumers, United States city average, all items, 1982-84 = 3 100. 4 (Source: P.A. 101-81, eff. 7-12-19; 102-699, eff. 4-19-22.) 5 (20 ILCS 301/55-40) 6 Sec. 55-40. Recovery residences. 7 (a) As used in this Section, "recovery residence" means a 8 sober, safe, and healthy living environment that promotes 9 recovery from alcohol and other drug use and associated 10 problems. These residences are not subject to Department 11 licensure as they are viewed as independent living residences 12 that only provide peer support and a lengthened exposure to 13 the culture of recovery. 14 (b) The Department shall develop and maintain an online 15 registry for recovery residences that operate in Illinois to 16 serve as a resource for individuals seeking continued recovery 17 assistance. 18 (c) Non-licensable recovery residences are encouraged to 19 register with the Department and the registry shall be 20 publicly available through online posting. 21 (d) The registry shall indicate any accreditation, 22 certification, or licensure that each recovery residence has 23 received from an entity that has developed uniform national 24 standards. The registry shall also indicate each recovery 25 residence's location in order to assist providers and HB2204 Engrossed - 52 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 53 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 53 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 53 - LRB103 27545 KTG 53920 b 1 individuals in finding alcohol, gambling, and drug free 2 housing options with like-minded residents who are committed 3 to alcohol, gambling, and drug free living. 4 (e) Registrants are encouraged to seek national 5 accreditation from any entity that has developed uniform State 6 or national standards for recovery residences. 7 (f) The Department shall include a disclaimer on the 8 registry that states that the recovery residences are not 9 regulated by the Department and their listing is provided as a 10 resource but not as an endorsement by the State. 11 (Source: P.A. 100-1062, eff. 1-1-19; 101-81, eff. 7-12-19.) HB2204 Engrossed- 54 -LRB103 27545 KTG 53920 b 1 INDEX 2 Statutes amended in order of appearance HB2204 Engrossed- 54 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 54 - LRB103 27545 KTG 53920 b 1 INDEX 2 Statutes amended in order of appearance HB2204 Engrossed- 54 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 54 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 54 - LRB103 27545 KTG 53920 b 1 INDEX 2 Statutes amended in order of appearance HB2204 Engrossed - 53 - LRB103 27545 KTG 53920 b HB2204 Engrossed- 54 -LRB103 27545 KTG 53920 b HB2204 Engrossed - 54 - LRB103 27545 KTG 53920 b HB2204 Engrossed - 54 - LRB103 27545 KTG 53920 b 1 INDEX 2 Statutes amended in order of appearance HB2204 Engrossed - 54 - LRB103 27545 KTG 53920 b