Illinois 2023-2024 Regular Session

Illinois House Bill HB5046 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB5046 Introduced , by Rep. Jenn Ladisch Douglass SYNOPSIS AS INTRODUCED: 405 ILCS 100/10405 ILCS 100/15405 ILCS 100/35405 ILCS 100/45 new Amends the Psychiatry Practice Incentive Act. Provides that the Department of Public Health shall establish a Collaborative Care Demonstration Grant program and set criteria for the program. Provides that the Director of Public Health may establish a program, and criteria for the program, to provide grants, training, and technical assistance to eligible primary health care practices to support implementation of the program. Establishes the purposes and use of the grants. Provides that grants awarded under the program shall be for a minimum amount of $100,000. Provides that the minimum award amount shall increase by $1,000 per 1% share of patients to be seen by the awardee during the applicable grant period that are expected to be enrolled in Medicaid, up to $500,000 total per award. Provides that the Director of Public Health may solicit proposals from and enter into grant agreements with eligible collaborative care technical assistance centers to provide technical assistance to primary health care practices on providing behavioral health integration services through the psychiatric Collaborative Care Model, including, but not limited to, recipients of grants under the program. Provides that the Director of Public Health may develop and implement a public awareness campaign to raise awareness about the psychiatric Collaborative Care Model. Provides that the program is subject to appropriation. Defines terms. Effective July 1, 2024. LRB103 37749 RLC 67877 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB5046 Introduced , by Rep. Jenn Ladisch Douglass SYNOPSIS AS INTRODUCED: 405 ILCS 100/10405 ILCS 100/15405 ILCS 100/35405 ILCS 100/45 new 405 ILCS 100/10 405 ILCS 100/15 405 ILCS 100/35 405 ILCS 100/45 new Amends the Psychiatry Practice Incentive Act. Provides that the Department of Public Health shall establish a Collaborative Care Demonstration Grant program and set criteria for the program. Provides that the Director of Public Health may establish a program, and criteria for the program, to provide grants, training, and technical assistance to eligible primary health care practices to support implementation of the program. Establishes the purposes and use of the grants. Provides that grants awarded under the program shall be for a minimum amount of $100,000. Provides that the minimum award amount shall increase by $1,000 per 1% share of patients to be seen by the awardee during the applicable grant period that are expected to be enrolled in Medicaid, up to $500,000 total per award. Provides that the Director of Public Health may solicit proposals from and enter into grant agreements with eligible collaborative care technical assistance centers to provide technical assistance to primary health care practices on providing behavioral health integration services through the psychiatric Collaborative Care Model, including, but not limited to, recipients of grants under the program. Provides that the Director of Public Health may develop and implement a public awareness campaign to raise awareness about the psychiatric Collaborative Care Model. Provides that the program is subject to appropriation. Defines terms. Effective July 1, 2024. LRB103 37749 RLC 67877 b LRB103 37749 RLC 67877 b A BILL FOR
2	2	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB5046 Introduced , by Rep. Jenn Ladisch Douglass SYNOPSIS AS INTRODUCED:
3	3	405 ILCS 100/10405 ILCS 100/15405 ILCS 100/35405 ILCS 100/45 new 405 ILCS 100/10 405 ILCS 100/15 405 ILCS 100/35 405 ILCS 100/45 new
4	4	405 ILCS 100/10
5	5	405 ILCS 100/15
6	6	405 ILCS 100/35
7	7	405 ILCS 100/45 new
8	8	Amends the Psychiatry Practice Incentive Act. Provides that the Department of Public Health shall establish a Collaborative Care Demonstration Grant program and set criteria for the program. Provides that the Director of Public Health may establish a program, and criteria for the program, to provide grants, training, and technical assistance to eligible primary health care practices to support implementation of the program. Establishes the purposes and use of the grants. Provides that grants awarded under the program shall be for a minimum amount of $100,000. Provides that the minimum award amount shall increase by $1,000 per 1% share of patients to be seen by the awardee during the applicable grant period that are expected to be enrolled in Medicaid, up to $500,000 total per award. Provides that the Director of Public Health may solicit proposals from and enter into grant agreements with eligible collaborative care technical assistance centers to provide technical assistance to primary health care practices on providing behavioral health integration services through the psychiatric Collaborative Care Model, including, but not limited to, recipients of grants under the program. Provides that the Director of Public Health may develop and implement a public awareness campaign to raise awareness about the psychiatric Collaborative Care Model. Provides that the program is subject to appropriation. Defines terms. Effective July 1, 2024.
9	9	LRB103 37749 RLC 67877 b LRB103 37749 RLC 67877 b
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11	11	A BILL FOR
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14	14	1 AN ACT concerning health.
15	15	2 Be it enacted by the People of the State of Illinois,
16	16	3 represented in the General Assembly:
17	17	4 Section 5. The Psychiatry Practice Incentive Act is
18	18	5 amended by changing Sections 10, 15, and 35 and by adding
19	19	6 Section 45 as follows:
20	20	7 (405 ILCS 100/10)
21	21	8 Sec. 10. Definitions. In this Act, unless the context
22	22	9 otherwise requires:
23	23	10 "Collaborative care technical assistance center" means a
24	24	11 health care organization that can provide educational support
25	25	12 and technical assistance related to the psychiatric
26	26	13 Collaborative Care Model, including an academic medical
27	27	14 center.
28	28	15 "Department" means the Department of Public Health.
29	29	16 "Director" means the Director of Public Health.
30	30	17 "Designated shortage area" means an area designated by the
31	31	18 Director as a psychiatric or mental health physician shortage
32	32	19 area, as defined by the United States Department of Health and
33	33	20 Human Services or as further defined by the Department to
34	34	21 enable it to effectively fulfill the purpose stated in Section
35	35	22 5 of this Act. Such areas may include the following:
36	36	23 (1) an urban or rural area that is a rational area for
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40	40	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB5046 Introduced , by Rep. Jenn Ladisch Douglass SYNOPSIS AS INTRODUCED:
41	41	405 ILCS 100/10405 ILCS 100/15405 ILCS 100/35405 ILCS 100/45 new 405 ILCS 100/10 405 ILCS 100/15 405 ILCS 100/35 405 ILCS 100/45 new
42	42	405 ILCS 100/10
43	43	405 ILCS 100/15
44	44	405 ILCS 100/35
45	45	405 ILCS 100/45 new
46	46	Amends the Psychiatry Practice Incentive Act. Provides that the Department of Public Health shall establish a Collaborative Care Demonstration Grant program and set criteria for the program. Provides that the Director of Public Health may establish a program, and criteria for the program, to provide grants, training, and technical assistance to eligible primary health care practices to support implementation of the program. Establishes the purposes and use of the grants. Provides that grants awarded under the program shall be for a minimum amount of $100,000. Provides that the minimum award amount shall increase by $1,000 per 1% share of patients to be seen by the awardee during the applicable grant period that are expected to be enrolled in Medicaid, up to $500,000 total per award. Provides that the Director of Public Health may solicit proposals from and enter into grant agreements with eligible collaborative care technical assistance centers to provide technical assistance to primary health care practices on providing behavioral health integration services through the psychiatric Collaborative Care Model, including, but not limited to, recipients of grants under the program. Provides that the Director of Public Health may develop and implement a public awareness campaign to raise awareness about the psychiatric Collaborative Care Model. Provides that the program is subject to appropriation. Defines terms. Effective July 1, 2024.
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48	48	LRB103 37749 RLC 67877 b
49	49	A BILL FOR
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57	57	405 ILCS 100/35
58	58	405 ILCS 100/45 new
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77	77	1 the delivery of health services;
78	78	2 (2) a population group; or
79	79	3 (3) a public or nonprofit private medical facility.
80	80	4 "Eligible medical student" means a person who meets all of
81	81	5 the following qualifications:
82	82	6 (1) He or she is an Illinois resident at the time of
83	83	7 application for assistance under the program established
84	84	8 by this Act.
85	85	9 (2) He or she is studying medicine in a medical school
86	86	10 located in Illinois.
87	87	11 (3) He or she exhibits financial need, as determined
88	88	12 by the Department.
89	89	13 (4) He or she agrees to practice full time in a
90	90	14 designated shortage area as a psychiatrist for one year
91	91	15 for each year that he or she receives assistance under
92	92	16 this Act.
93	93	17 (5) He or she agrees to accept medical payments, as
94	94	18 defined in this Act, and to serve targeted populations.
95	95	19 "Medical facility" means a facility for the delivery of
96	96	20 health services. "Medical facility" includes a hospital, State
97	97	21 mental health institution, public health center, outpatient
98	98	22 medical facility, rehabilitation facility, long-term care
99	99	23 facility, federally-qualified health center, migrant health
100	100	24 center, community health center, community mental health
101	101	25 center, or State correctional institution.
102	102	26 "Medicaid" means the medical assistance program defined in
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113	113	1 Article V of the Illinois Public Aid Code.
114	114	2 "Medical payments" means compensation provided to
115	115	3 physicians for services rendered under Article V of the
116	116	4 Illinois Public Aid Code.
117	117	5 "Medically underserved area" means an urban or rural area
118	118	6 designated by the Secretary of the United States Department of
119	119	7 Health and Human Services as an area with a shortage of
120	120	8 personal health services or as otherwise designated by the
121	121	9 Department of Public Health.
122	122	10 "Medically underserved population" means (i) the
123	123	11 population of an urban or rural area designated by the
124	124	12 Secretary of the United States Department of Health and Human
125	125	13 Services as an area with a shortage of personal health
126	126	14 services, (ii) a population group designated by the Secretary
127	127	15 of the United States Department of Health and Human Services
128	128	16 as having a shortage of personal health services, or (iii) as
129	129	17 otherwise designated by the Department of Public Health.
130	130	18 "Primary health care physician" means a person licensed to
131	131	19 practice medicine in all of its branches under the Medical
132	132	20 Practice Act of 1987 with board eligibility or certification
133	133	21 in the specialty of family medicine, internal medicine,
134	134	22 pediatrics, obstetrics, gynecology, or geriatrics, as defined
135	135	23 by recognized standards of professional medical practice.
136	136	24 "Primary health care practice" means a medical practice of
137	137	25 primary health care physicians, including a practice within a
138	138	26 larger health care system.
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149	149	1 "Psychiatric
150	150	Collaborative Care Model" means an
151	151	2 evidence-based, integrated behavioral health service delivery
152	152	3 method, which includes a formal collaborative arrangement
153	153	4 among a primary care team consisting of a primary care
154	154	5 provider, a care manager, and a psychiatric consultant as
155	155	6 defined in Section 356z.39 of the Illinois Insurance Code.
156	156	7 "Psychiatric physician" means a person licensed to
157	157	8 practice medicine in all of its branches under the Medical
158	158	9 Practice Act of 1987 with board eligibility or certification
159	159	10 in the specialty of psychiatry, as defined by recognized
160	160	11 standards of professional medical practice.
161	161	12 "Psychiatric practice residency program" means a program
162	162	13 accredited by the Residency Review Committee for Psychiatry of
163	163	14 the Accreditation Council for Graduate Medical Education or
164	164	15 the American Osteopathic Association.
165	165	16 "Targeted populations" means one or more of the following:
166	166	17 (i) a medically underserved population, (ii) persons in a
167	167	18 medically underserved area, (iii) an uninsured population of
168	168	19 this State, and (iv) persons enrolled in a medical program
169	169	20 administered by the Illinois Department of Healthcare and
170	170	21 Family Services.
171	171	22 "Uninsured population" means persons who (i) do not own
172	172	23 private health care insurance, (ii) are not part of a group
173	173	24 insurance plan, and (iii) are not eligible for any State or
174	174	25 federal government-sponsored health care program.
175	175	26 (Source: P.A. 96-1411, eff. 1-1-11.)
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186	186	1 (405 ILCS 100/15)
187	187	2 Sec. 15. Powers and duties of the Department. The
188	188	3 Department shall have all of the following powers and duties:
189	189	4 (1) To allocate funds to psychiatric practice
190	190	5 residency and child and adolescent fellowship programs
191	191	6 according to the following priorities:
192	192	7 (A) to increase the number of psychiatric
193	193	8 physicians in designated shortage areas;
194	194	9 (B) to increase the percentage of psychiatric
195	195	10 physicians establishing practice within the State upon
196	196	11 completion of residency;
197	197	12 (C) to increase the number of accredited
198	198	13 psychiatric practice residencies within the State; and
199	199	14 (D) to increase the percentage of psychiatric
200	200	15 practice physicians establishing practice within the
201	201	16 State upon completion of residency.
202	202	17 (2) To determine the procedures for the distribution
203	203	18 of the funds to psychiatric residency programs, including
204	204	19 the establishment of eligibility criteria in accordance
205	205	20 with the following guidelines:
206	206	21 (A) preference for programs that are to be
207	207	22 established at locations that exhibit potential for
208	208	23 extending psychiatric practice physician availability
209	209	24 to designated shortage areas;
210	210	25 (B) preference for programs that are located away
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221	221	1 from communities in which medical schools are located;
222	222	2 and
223	223	3 (C) preference for programs located in hospitals
224	224	4 that have affiliation agreements with medical schools
225	225	5 located within the State.
226	226	6 In distributing such funds, the Department may also
227	227	7 consider as secondary criteria whether or not a
228	228	8 psychiatric practice residency program has (i) adequate
229	229	9 courses of instruction in the child and adolescent
230	230	10 behavioral disorder sciences; (ii) availability and
231	231	11 systematic utilization of opportunities for residents to
232	232	12 gain experience through local health departments,
233	233	13 community mental health centers, or other preventive or
234	234	14 occupational medical facilities; (iii) a continuing
235	235	15 program of community oriented research in such areas as
236	236	16 risk factors in community populations; (iv) sufficient
237	237	17 mechanisms for maintenance of quality training, such as
238	238	18 peer review, systematic progress reviews, referral system,
239	239	19 and maintenance of adequate records; and (v) an
240	240	20 appropriate course of instruction in societal,
241	241	21 institutional, and economic conditions affecting
242	242	22 psychiatric practice.
243	243	23 (3) To receive and disburse federal funds in
244	244	24 accordance with the purpose stated in Section 5 of this
245	245	25 Act.
246	246	26 (4) To enter into contracts or agreements with any
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257	257	1 agency or department of this State or the United States to
258	258	2 carry out the provisions of this Act.
259	259	3 (5) To coordinate the psychiatric residency grants
260	260	4 program established under this Act with other student
261	261	5 assistance and residency programs administered by the
262	262	6 Department and the Board of Higher Education under the
263	263	7 Health Services Education Grants Act.
264	264	8 (6) To design and coordinate a study for the purpose
265	265	9 of assessing the characteristics of practice resulting
266	266	10 from the psychiatric practice residency programs
267	267	11 including, but not limited to, information regarding the
268	268	12 nature and scope of practices, location of practices,
269	269	13 years of active practice following completion of residency
270	270	14 and other information deemed necessary for the
271	271	15 administration of this Act.
272	272	16 (7) To establish a program, and the criteria for such
273	273	17 program, for the repayment of the educational loans of
274	274	18 physicians who agree to (i) serve in designated shortage
275	275	19 areas for a specified period of time, no less than 3 years,
276	276	20 (ii) accept medical payments, as defined in this Act, and
277	277	21 (iii) serve targeted populations to the extent required by
278	278	22 the program. Payments under this program may be made for
279	279	23 the principal, interest, and related expenses of
280	280	24 government and commercial loans received by the individual
281	281	25 for tuition expenses and all other reasonable educational
282	282	26 expenses incurred by the individual. Payments made under
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293	293	1 this provision are exempt from State income tax, as
294	294	2 provided by law.
295	295	3 (8) To require psychiatric practice residency programs
296	296	4 seeking grants under this Act to make application
297	297	5 according to procedures consistent with the priorities and
298	298	6 guidelines established in items (1) and (2) of this
299	299	7 Section.
300	300	8 (9) To adopt rules and regulations that are necessary
301	301	9 for the establishment and maintenance of the programs
302	302	10 required by this Act.
303	303	11 (10) To establish a Collaborative Care Demonstration
304	304	12 Grant program and set criteria for the program, as
305	305	13 described in Section 45.
306	306	14 (Source: P.A. 96-1411, eff. 1-1-11.)
307	307	15 (405 ILCS 100/35)
308	308	16 Sec. 35. Annual report. The Department may annually report
309	309	17 to the General Assembly and the Governor the results and
310	310	18 progress of all programs established under this Act.
311	311	19 The annual report to the General Assembly and the Governor
312	312	20 must include the impact of programs established under this Act
313	313	21 on the ability of designated shortage areas to attract and
314	314	22 retain physicians and other health care personnel and
315	315	23 integration of behavioral health care into primary care
316	316	24 settings in designated shortage areas. The report shall
317	317	25 include recommendations to improve that ability.
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328	328	1 The requirement for reporting to the General Assembly
329	329	2 shall be satisfied by filing copies of the report as required
330	330	3 by Section 3.1 of the General Assembly Organization Act, and
331	331	4 by filing such additional copies with the State Government
332	332	5 Report Distribution Center for the General Assembly as is
333	333	6 required under paragraph (t) of Section 7 of the State Library
334	334	7 Act.
335	335	8 (Source: P.A. 99-933, eff. 1-27-17; 100-1148, eff. 12-10-18.)
336	336	9 (405 ILCS 100/45 new)
337	337	10 Sec. 45. Collaborative Care Demonstration Grants.
338	338	11 (a) The Director may establish a program and criteria for
339	339	12 the program to provide grants, training, and technical
340	340	13 assistance to eligible primary health care practices to
341	341	14 support implementation of the psychiatric Collaborative Care
342	342	15 Model.
343	343	16 (b) Grants awarded under subsection (a) may be used for
344	344	17 one or more of the following purposes:
345	345	18 (1) hiring staff;
346	346	19 (2) identifying and formalizing contractual
347	347	20 relationships with other health care providers, including
348	348	21 providers who will function as psychiatric consultants and
349	349	22 behavioral health care managers in providing behavioral
350	350	23 health integration services through the psychiatric
351	351	24 Collaborative Care Model;
352	352	25 (3) purchasing or maintaining software and other
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363	363	1 resources needed to appropriately provide behavioral
364	364	2 health integration services through the Collaborative Care
365	365	3 Model, including resources needed to establish a patient
366	366	4 registry and implement measurement-based care; and
367	367	5 (4) for other purposes as the Director may determine
368	368	6 to be necessary.
369	369	7 (c) Grants awarded under subsection (a) shall be for a
370	370	8 minimum amount of $100,000. The minimum award amount under
371	371	9 this subsection (c) shall increase by $1,000 per 1% share of
372	372	10 patients to be seen by the awardee during the applicable grant
373	373	11 period that are expected to be enrolled in Medicaid, up to
374	374	12 $500,000 total per award.
375	375	13 (d) The Director may solicit proposals from and enter into
376	376	14 grant agreements with eligible collaborative care technical
377	377	15 assistance centers to provide technical assistance to primary
378	378	16 health care practices on providing behavioral health
379	379	17 integration services through the psychiatric Collaborative
380	380	18 Care Model, including, but not limited to, recipients of
381	381	19 grants described in subsection (a). The technical assistance
382	382	20 center shall provide technical assistance to primary care
383	383	21 physicians for:
384	384	22 (1) developing financial models and budgets for
385	385	23 program launch and sustainability based on practice size;
386	386	24 (2) developing staffing models for essential staff
387	387	25 roles, including care managers and consulting
388	388	26 psychiatrists;
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399	399	1 (3) providing information technology expertise to
400	400	2 assist with building the model requirements into
401	401	3 electronic health records, including assistance with care
402	402	4 manager tools, patient registry, ongoing patient
403	403	5 monitoring, and patient records;
404	404	6 (4) training support for all key staff and operational
405	405	7 consultation to develop practice workflows;
406	406	8 (5) establishing methods to ensure the sharing of best
407	407	9 practices and operational knowledge among primary care
408	408	10 physicians that provide behavioral health integration
409	409	11 services through the Collaborative Care Model; and
410	410	12 (6) for other purposes that the Director may determine
411	411	13 to be necessary.
412	412	14 (f) The Director may develop and implement a public
413	413	15 awareness campaign to raise awareness about the psychiatric
414	414	16 Collaborative Care Model.
415	415	17 (g) This Section is subject to appropriation.
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