103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB2427 Introduced 2/10/2023, by Sen. Ram Villivalam SYNOPSIS AS INTRODUCED: 20 ILCS 2105/2105-15.8 new Amends the Department of Professional Regulation Law of the Civil Administrative Code of Illinois. Requires health care professionals who have continuing education requirements to complete cultural competency training, which shall include information on sensitivity relating to and best practices for providing affirming care to people in the person's preferred language, people with disabilities, documented or undocumented immigrants, people who are intersex, people living with HIV, and people of diverse sexual orientations and gender identities. Provides that for every license or registration renewal occurring on or after the effective date of the amendatory Act, a health care professional who has continuing education requirements must complete at least 5 hours in cultural competency training. Provides that for every license or registration renewal occurring on or after the effective date of the amendatory Act, a person licensed or registered by the Department under the Medical Practice Act of 1987 and who has continuing education requirements must complete at least 10 hours in cultural competency training. Provides that these continuing education hours may count toward meeting the minimum credit hours required for continuing education. Provides for rulemaking. Effective January 1, 2024. LRB103 25651 AMQ 52000 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB2427 Introduced 2/10/2023, by Sen. Ram Villivalam SYNOPSIS AS INTRODUCED: 20 ILCS 2105/2105-15.8 new 20 ILCS 2105/2105-15.8 new Amends the Department of Professional Regulation Law of the Civil Administrative Code of Illinois. Requires health care professionals who have continuing education requirements to complete cultural competency training, which shall include information on sensitivity relating to and best practices for providing affirming care to people in the person's preferred language, people with disabilities, documented or undocumented immigrants, people who are intersex, people living with HIV, and people of diverse sexual orientations and gender identities. Provides that for every license or registration renewal occurring on or after the effective date of the amendatory Act, a health care professional who has continuing education requirements must complete at least 5 hours in cultural competency training. Provides that for every license or registration renewal occurring on or after the effective date of the amendatory Act, a person licensed or registered by the Department under the Medical Practice Act of 1987 and who has continuing education requirements must complete at least 10 hours in cultural competency training. Provides that these continuing education hours may count toward meeting the minimum credit hours required for continuing education. Provides for rulemaking. Effective January 1, 2024. LRB103 25651 AMQ 52000 b LRB103 25651 AMQ 52000 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB2427 Introduced 2/10/2023, by Sen. Ram Villivalam SYNOPSIS AS INTRODUCED: 20 ILCS 2105/2105-15.8 new 20 ILCS 2105/2105-15.8 new 20 ILCS 2105/2105-15.8 new Amends the Department of Professional Regulation Law of the Civil Administrative Code of Illinois. Requires health care professionals who have continuing education requirements to complete cultural competency training, which shall include information on sensitivity relating to and best practices for providing affirming care to people in the person's preferred language, people with disabilities, documented or undocumented immigrants, people who are intersex, people living with HIV, and people of diverse sexual orientations and gender identities. Provides that for every license or registration renewal occurring on or after the effective date of the amendatory Act, a health care professional who has continuing education requirements must complete at least 5 hours in cultural competency training. Provides that for every license or registration renewal occurring on or after the effective date of the amendatory Act, a person licensed or registered by the Department under the Medical Practice Act of 1987 and who has continuing education requirements must complete at least 10 hours in cultural competency training. Provides that these continuing education hours may count toward meeting the minimum credit hours required for continuing education. Provides for rulemaking. Effective January 1, 2024. LRB103 25651 AMQ 52000 b LRB103 25651 AMQ 52000 b LRB103 25651 AMQ 52000 b A BILL FOR SB2427LRB103 25651 AMQ 52000 b SB2427 LRB103 25651 AMQ 52000 b SB2427 LRB103 25651 AMQ 52000 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 Department of Professional Regulation Law 5 of the Civil Administrative Code of Illinois is amended by 6 adding Section 2105-15.8 as follows: 7 (20 ILCS 2105/2105-15.8 new) 8 Sec. 2105-15.8. Continuing education; health care cultural 9 competency. 10 (a) The General Assembly finds and declares the following: 11 (1) Health and equity and equitable access to 12 affirming health care are essential values of the State. 13 However, despite patient demographics in the State 14 changing rapidly since 2000, the State still does not have 15 a formal requirement for health care professionals to stay 16 abreast of the trends needed to meet the social and 17 cultural needs of an evolving patient base. This lack of 18 updated social and cultural knowledge by health care 19 professionals impacts communities of color, people with 20 disabilities, immigrants with or without status, people 21 who are intersex, people living with HIV, and LGBTQ+ 22 people, among other populations. 23 (2) According to a citation in "I Am Not The Doctor For 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB2427 Introduced 2/10/2023, by Sen. Ram Villivalam SYNOPSIS AS INTRODUCED: 20 ILCS 2105/2105-15.8 new 20 ILCS 2105/2105-15.8 new 20 ILCS 2105/2105-15.8 new Amends the Department of Professional Regulation Law of the Civil Administrative Code of Illinois. Requires health care professionals who have continuing education requirements to complete cultural competency training, which shall include information on sensitivity relating to and best practices for providing affirming care to people in the person's preferred language, people with disabilities, documented or undocumented immigrants, people who are intersex, people living with HIV, and people of diverse sexual orientations and gender identities. Provides that for every license or registration renewal occurring on or after the effective date of the amendatory Act, a health care professional who has continuing education requirements must complete at least 5 hours in cultural competency training. Provides that for every license or registration renewal occurring on or after the effective date of the amendatory Act, a person licensed or registered by the Department under the Medical Practice Act of 1987 and who has continuing education requirements must complete at least 10 hours in cultural competency training. Provides that these continuing education hours may count toward meeting the minimum credit hours required for continuing education. Provides for rulemaking. Effective January 1, 2024. LRB103 25651 AMQ 52000 b LRB103 25651 AMQ 52000 b LRB103 25651 AMQ 52000 b A BILL FOR 20 ILCS 2105/2105-15.8 new LRB103 25651 AMQ 52000 b SB2427 LRB103 25651 AMQ 52000 b SB2427- 2 -LRB103 25651 AMQ 52000 b SB2427 - 2 - LRB103 25651 AMQ 52000 b SB2427 - 2 - LRB103 25651 AMQ 52000 b 1 You: Physicians' Attitudes About Caring for People With 2 Disabilities" in the October 2022 edition of Health 3 Affairs, regarding care for people with disabilities, only 4 41% of physicians reported that they were very confident 5 about their ability to provide the same quality of care to 6 people with disabilities as those without, and just 57% of 7 physicians strongly agreed that they welcomed people with 8 disabilities into their practices. 9 (3) According to the Center for American Progress, 10 about half of transgender people in the United States have 11 been mistreated by a health care professional. Per the 12 2015 U.S. Transgender Survey data for the State, 33% of 13 those who saw a health care provider in the past year 14 reported having at least one negative experience related 15 to being transgender, and 24% of respondents did not see a 16 doctor when they needed to because of fear of being 17 mistreated as a transgender person. 18 (4) According to a survey by Healthgrades in 2022, 25% 19 of patients said their doctors could benefit from more 20 training. The number jumps to 29% among non-white patients 21 in the survey. 22 (5) Many providers recognize the importance of 23 cultural competency for their personal education. 24 According to the Healthgrades survey, 31% of physicians 25 agree that their level of cultural competency can impact 26 their ability to provide optimal patient care somewhat or SB2427 - 2 - LRB103 25651 AMQ 52000 b SB2427- 3 -LRB103 25651 AMQ 52000 b SB2427 - 3 - LRB103 25651 AMQ 52000 b SB2427 - 3 - LRB103 25651 AMQ 52000 b 1 a lot. Furthermore, the generational divide among 2 physicians is strong on additional training that would 3 better equip them to care for patients of different 4 gender, racial, sexual, or cultural identities. Two in 5 5 younger physicians with less than 10 years of training are 6 interested in additional training. Only one in 5 of older 7 physicians with more than 20 years of practice express 8 interest in cultural competency training. 9 (6) In 2019, the American Medical Association adopted 10 a policy that included recognition of the importance of 11 cultural competency to patient experience and treatment 12 plan adherence and encouraged the implementation of 13 cultural competency practices across health care settings. 14 (7) Furthermore, many thousands of health care 15 professionals in the State, including tens of thousands of 16 physicians and nurses, are already required to comply with 17 the cultural competency requirements in the State's 18 contract with managed care organizations, which states 19 that contractors shall implement a cultural competence 20 plan, and covered services shall be provided in a 21 culturally competent manner by ensuring the cultural 22 competence of all contractor staff, including clerical to 23 executive management, and providers. 24 (8) As a next step to ensuring all health care 25 professionals are trained and equipped in cultural 26 competency, the State should join jurisdictions like SB2427 - 3 - LRB103 25651 AMQ 52000 b SB2427- 4 -LRB103 25651 AMQ 52000 b SB2427 - 4 - LRB103 25651 AMQ 52000 b SB2427 - 4 - LRB103 25651 AMQ 52000 b 1 Connecticut, New Jersey, and the District of Columbia to 2 require that health care professionals be trained in 3 cultural competency as part of continuing education. 4 Having such a requirement will increase the ability of 5 medical providers to meet the social and cultural needs of 6 their diversifying patient base. 7 (b) As used in this Section: 8 "Cultural competency" means a set of integrated attitudes, 9 knowledge, and skills that enables a health care professional 10 or organization to care effectively for patients from diverse 11 cultures, groups, and communities. "Cultural competency" 12 includes, but is not limited to: (i) applying linguistic 13 skills to communicate effectively with the target population; 14 (ii) utilizing cultural information to establish therapeutic 15 relationships; (iii) eliciting and incorporating pertinent 16 cultural data in diagnosis and treatment; and (iv) 17 understanding and applying cultural and ethnic data to the 18 process of clinic care. 19 "Health care professional" means a person licensed or 20 registered by the Department of Financial and Professional 21 Regulation under the Nurse Practice Act, the Clinical 22 Psychologist Licensing Act, the Illinois Dental Practice Act, 23 the Pharmacy Practice Act, the Illinois Physical Therapy Act, 24 the Physician Assistant Practice Act of 1987, the Acupuncture 25 Practice Act, the Illinois Athletic Trainers Practice Act, the 26 Clinical Social Work and Social Work Practice Act, the SB2427 - 4 - LRB103 25651 AMQ 52000 b SB2427- 5 -LRB103 25651 AMQ 52000 b SB2427 - 5 - LRB103 25651 AMQ 52000 b SB2427 - 5 - LRB103 25651 AMQ 52000 b 1 Dietitian Nutritionist Practice Act, the Naprapathic Practice 2 Act, the Nursing Home Administrators Licensing and 3 Disciplinary Act, the Illinois Occupational Therapy Practice 4 Act, the Illinois Optometric Practice Act of 1987, the 5 Podiatric Medical Practice Act of 1987, the Respiratory Care 6 Practice Act, the Professional Counselor and Clinical 7 Professional Counselor Licensing and Practice Act, the Sex 8 Offender Evaluation and Treatment Provider Act, the Illinois 9 Speech-Language Pathology and Audiology Practice Act, the 10 Perfusionist Practice Act, the Genetic Counselor Licensing 11 Act, the Licensed Certified Professional Midwife Practice Act, 12 the Marriage and Family Therapy Licensing Act, the Behavior 13 Analyst Licensing Act, the Music Therapy Licensing and 14 Practice Act, the Environmental Health Practitioner Licensing 15 Act, and the Orthotics, Prosthetics, and Pedorthics Practice 16 Act. 17 (c) The cultural competency training required by this 18 Section shall include information on sensitivity relating to 19 and best practices for providing affirming care to people in 20 the person's preferred language, people with disabilities, 21 documented or undocumented immigrants, people who are 22 intersex, people living with HIV, and people of diverse sexual 23 orientations and gender identities, including, but not limited 24 to, lesbian, gay, bisexual, transgender, queer, pansexual, 25 asexual, and questioning individuals. 26 (d) For every license or registration renewal occurring on SB2427 - 5 - LRB103 25651 AMQ 52000 b SB2427- 6 -LRB103 25651 AMQ 52000 b SB2427 - 6 - LRB103 25651 AMQ 52000 b SB2427 - 6 - LRB103 25651 AMQ 52000 b 1 or after the effective date of this amendatory Act of the 103rd 2 General Assembly, a health care professional who has 3 continuing education requirements must complete at least 5 4 hours in cultural competency training. 5 (e) For every license or registration renewal occurring on 6 or after the effective date of this amendatory Act of the 103rd 7 General Assembly, a person licensed or registered by the 8 Department under the Medical Practice Act of 1987 and who has 9 continuing education requirements must complete at least 10 10 hours in cultural competency training. 11 (f) The hours required by this Section may count toward 12 meeting the minimum credit hours required for continuing 13 education. Any cultural competency training applied to meet 14 any other State licensure requirement, professional 15 accreditation or certification requirement, or health care 16 institutional practice agreement may count toward the 17 requirements under this Section. 18 (g) The Department may adopt rules for the implementation 19 and administration of this Section. 20 Section 99. Effective date. This Act takes effect January 21 1, 2024. SB2427 - 6 - LRB103 25651 AMQ 52000 b