103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB1816 Introduced 2/9/2023, by Sen. Ann Gillespie SYNOPSIS AS INTRODUCED: 305 ILCS 5/5-47 new Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to develop policies and procedures with the goal of increasing the capacity of behavioral health services provided by federally qualified health centers. Requires the Department to develop, no later than July 1, 2023, billing policies that provide reimbursement to federally qualified health centers for services rendered by graduate-level, sub-clinical behavioral health professionals who deliver care under the supervision of a fully licensed behavioral health clinician who is licensed as a clinical social worker, clinical professional counselor, marriage and family therapist, or clinical psychologist. Provides that to be eligible for reimbursement, a graduate-level, sub-clinical professional must meet the educational requirements set forth by the Department of Financial and Professional Regulation for licensed clinical social workers, licensed clinical professional counselors, licensed marriage and family therapists, or licensed clinical psychologists. Provides that an individual seeking to fulfill post-degree experience requirements in order to qualify for licensing as a clinical social worker, clinical professional counselor, marriage and family therapist, or clinical psychologist shall also be eligible for reimbursement so long as the individual complies with certain requirements. Requires the Department to work with a trade association representing a majority of federally qualified health centers operating in Illinois to develop the policies and procedures required under the amendatory Act. Effective immediately. LRB103 28608 KTG 54989 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB1816 Introduced 2/9/2023, by Sen. Ann Gillespie SYNOPSIS AS INTRODUCED: 305 ILCS 5/5-47 new 305 ILCS 5/5-47 new Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to develop policies and procedures with the goal of increasing the capacity of behavioral health services provided by federally qualified health centers. Requires the Department to develop, no later than July 1, 2023, billing policies that provide reimbursement to federally qualified health centers for services rendered by graduate-level, sub-clinical behavioral health professionals who deliver care under the supervision of a fully licensed behavioral health clinician who is licensed as a clinical social worker, clinical professional counselor, marriage and family therapist, or clinical psychologist. Provides that to be eligible for reimbursement, a graduate-level, sub-clinical professional must meet the educational requirements set forth by the Department of Financial and Professional Regulation for licensed clinical social workers, licensed clinical professional counselors, licensed marriage and family therapists, or licensed clinical psychologists. Provides that an individual seeking to fulfill post-degree experience requirements in order to qualify for licensing as a clinical social worker, clinical professional counselor, marriage and family therapist, or clinical psychologist shall also be eligible for reimbursement so long as the individual complies with certain requirements. Requires the Department to work with a trade association representing a majority of federally qualified health centers operating in Illinois to develop the policies and procedures required under the amendatory Act. Effective immediately. LRB103 28608 KTG 54989 b LRB103 28608 KTG 54989 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB1816 Introduced 2/9/2023, by Sen. Ann Gillespie SYNOPSIS AS INTRODUCED: 305 ILCS 5/5-47 new 305 ILCS 5/5-47 new 305 ILCS 5/5-47 new Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to develop policies and procedures with the goal of increasing the capacity of behavioral health services provided by federally qualified health centers. Requires the Department to develop, no later than July 1, 2023, billing policies that provide reimbursement to federally qualified health centers for services rendered by graduate-level, sub-clinical behavioral health professionals who deliver care under the supervision of a fully licensed behavioral health clinician who is licensed as a clinical social worker, clinical professional counselor, marriage and family therapist, or clinical psychologist. Provides that to be eligible for reimbursement, a graduate-level, sub-clinical professional must meet the educational requirements set forth by the Department of Financial and Professional Regulation for licensed clinical social workers, licensed clinical professional counselors, licensed marriage and family therapists, or licensed clinical psychologists. Provides that an individual seeking to fulfill post-degree experience requirements in order to qualify for licensing as a clinical social worker, clinical professional counselor, marriage and family therapist, or clinical psychologist shall also be eligible for reimbursement so long as the individual complies with certain requirements. Requires the Department to work with a trade association representing a majority of federally qualified health centers operating in Illinois to develop the policies and procedures required under the amendatory Act. Effective immediately. LRB103 28608 KTG 54989 b LRB103 28608 KTG 54989 b LRB103 28608 KTG 54989 b A BILL FOR SB1816LRB103 28608 KTG 54989 b SB1816 LRB103 28608 KTG 54989 b SB1816 LRB103 28608 KTG 54989 b 1 AN ACT concerning public aid. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 5. The Illinois Public Aid Code is amended by 5 adding Section 5-47 as follows: 6 (305 ILCS 5/5-47 new) 7 Sec. 5-47. Increasing behavioral health service capacity 8 in federally qualified health centers. The Department of 9 Healthcare and Family Services shall develop policies and 10 procedures with the goal of increasing the capacity of 11 behavioral health services provided by federally qualified 12 health centers as defined in Section 1905(l)(2)(B) of the 13 federal Social Security Act. The Department shall develop, no 14 later than July 1, 2023, billing policies that provide 15 reimbursement to federally qualified health centers for 16 services rendered by graduate-level, sub-clinical behavioral 17 health professionals who deliver care under the supervision of 18 a fully licensed behavioral health clinician who is licensed 19 as a clinical social worker, clinical professional counselor, 20 marriage and family therapist, or clinical psychologist. 21 To be eligible for reimbursement as provided for in this 22 Section, a graduate-level, sub-clinical professional must meet 23 the educational requirements set forth by the Department of 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB1816 Introduced 2/9/2023, by Sen. Ann Gillespie SYNOPSIS AS INTRODUCED: 305 ILCS 5/5-47 new 305 ILCS 5/5-47 new 305 ILCS 5/5-47 new Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to develop policies and procedures with the goal of increasing the capacity of behavioral health services provided by federally qualified health centers. Requires the Department to develop, no later than July 1, 2023, billing policies that provide reimbursement to federally qualified health centers for services rendered by graduate-level, sub-clinical behavioral health professionals who deliver care under the supervision of a fully licensed behavioral health clinician who is licensed as a clinical social worker, clinical professional counselor, marriage and family therapist, or clinical psychologist. Provides that to be eligible for reimbursement, a graduate-level, sub-clinical professional must meet the educational requirements set forth by the Department of Financial and Professional Regulation for licensed clinical social workers, licensed clinical professional counselors, licensed marriage and family therapists, or licensed clinical psychologists. Provides that an individual seeking to fulfill post-degree experience requirements in order to qualify for licensing as a clinical social worker, clinical professional counselor, marriage and family therapist, or clinical psychologist shall also be eligible for reimbursement so long as the individual complies with certain requirements. Requires the Department to work with a trade association representing a majority of federally qualified health centers operating in Illinois to develop the policies and procedures required under the amendatory Act. Effective immediately. LRB103 28608 KTG 54989 b LRB103 28608 KTG 54989 b LRB103 28608 KTG 54989 b A BILL FOR 305 ILCS 5/5-47 new LRB103 28608 KTG 54989 b SB1816 LRB103 28608 KTG 54989 b SB1816- 2 -LRB103 28608 KTG 54989 b SB1816 - 2 - LRB103 28608 KTG 54989 b SB1816 - 2 - LRB103 28608 KTG 54989 b 1 Financial and Professional Regulation for licensed clinical 2 social workers, licensed clinical professional counselors, 3 licensed marriage and family therapists, or licensed clinical 4 psychologists. An individual seeking to fulfill post-degree 5 experience requirements in order to qualify for licensing as a 6 clinical social worker, clinical professional counselor, 7 marriage and family therapist, or clinical psychologist shall 8 also be eligible for reimbursement under this Section so long 9 as the individual is in compliance with all applicable laws 10 and regulations regarding supervision, including, but not 11 limited to, the requirement that the supervised experience be 12 under the order, control, and full professional responsibility 13 of the individual's supervisor or that the individual is 14 designated by a title that clearly indicates training status. 15 The Department shall work with a trade association 16 representing a majority of federally qualified health centers 17 operating in Illinois to develop the policies and procedures 18 required under this Section. 19 Section 99. Effective date. This Act takes effect upon 20 becoming law. SB1816 - 2 - LRB103 28608 KTG 54989 b