Illinois 2023-2024 Regular Session

Illinois Senate Bill SB3316 Compare Versions

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11 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB3316 Introduced 2/7/2024, by Sen. Sara Feigenholtz SYNOPSIS AS INTRODUCED: See Index Amends various Acts concerning children's mental health. Amends the School Code. Provides that on or before October 1, 2024, the State Board of Education, in consultation with the Children's Behavioral Health Transformation Team, the Office of the Governor, and relevant stakeholders as needed shall release a strategy that includes a tool for measuring capacity and readiness to implement universal mental health screening of students. Provides that the State Board of Education shall issue a report to the Governor and the General Assembly on school district readiness and plan for phased approach to universal mental health screening of students on or before April 1, 2025. Repeals the Wellness Checks in Schools Program Act. Amends the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services shall implement guidance to managed care organizations and similar care coordination entities contracted with the Department, so that the managed care organizations and care coordination entities respond to lead indicators with services and interventions that are designed to help stabilize the child. Amends the Children's Mental Health Act. Provides that the Children's Mental Health Partnership shall advise the Children's Behavioral Health Transformation Initiative on designing and implementing short-term and long-term strategies to provide comprehensive and coordinated services for children from birth to age 25 and their families with the goal of addressing children's mental health needs across a full continuum of care, including social determinants of health, prevention, early identification, and treatment. Provides that the Department of Public health (rather than the Department of Healthcare and Family Services) shall provide technical and administrative support for the Partnership. Deletes provision that the Partnership shall employ an Executive Director and set the compensation of the Executive Director and other such employees and technical assistance as it deems necessary to carry out its duties. Amends the Interagency Children's Behavioral Health Services Act. Provides that the Children's Behavioral Health Transformation Team in collaboration with the Department of Human Services shall develop a program to provide one-on-one in-home respite behavioral health aids to youth requiring intensive supervision due to behavioral health needs. Effective immediately. LRB103 37223 RLC 69486 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB3316 Introduced 2/7/2024, by Sen. Sara Feigenholtz SYNOPSIS AS INTRODUCED: See Index See Index Amends various Acts concerning children's mental health. Amends the School Code. Provides that on or before October 1, 2024, the State Board of Education, in consultation with the Children's Behavioral Health Transformation Team, the Office of the Governor, and relevant stakeholders as needed shall release a strategy that includes a tool for measuring capacity and readiness to implement universal mental health screening of students. Provides that the State Board of Education shall issue a report to the Governor and the General Assembly on school district readiness and plan for phased approach to universal mental health screening of students on or before April 1, 2025. Repeals the Wellness Checks in Schools Program Act. Amends the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services shall implement guidance to managed care organizations and similar care coordination entities contracted with the Department, so that the managed care organizations and care coordination entities respond to lead indicators with services and interventions that are designed to help stabilize the child. Amends the Children's Mental Health Act. Provides that the Children's Mental Health Partnership shall advise the Children's Behavioral Health Transformation Initiative on designing and implementing short-term and long-term strategies to provide comprehensive and coordinated services for children from birth to age 25 and their families with the goal of addressing children's mental health needs across a full continuum of care, including social determinants of health, prevention, early identification, and treatment. Provides that the Department of Public health (rather than the Department of Healthcare and Family Services) shall provide technical and administrative support for the Partnership. Deletes provision that the Partnership shall employ an Executive Director and set the compensation of the Executive Director and other such employees and technical assistance as it deems necessary to carry out its duties. Amends the Interagency Children's Behavioral Health Services Act. Provides that the Children's Behavioral Health Transformation Team in collaboration with the Department of Human Services shall develop a program to provide one-on-one in-home respite behavioral health aids to youth requiring intensive supervision due to behavioral health needs. Effective immediately. LRB103 37223 RLC 69486 b LRB103 37223 RLC 69486 b A BILL FOR
22 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB3316 Introduced 2/7/2024, by Sen. Sara Feigenholtz SYNOPSIS AS INTRODUCED:
33 See Index See Index
44 See Index
55 Amends various Acts concerning children's mental health. Amends the School Code. Provides that on or before October 1, 2024, the State Board of Education, in consultation with the Children's Behavioral Health Transformation Team, the Office of the Governor, and relevant stakeholders as needed shall release a strategy that includes a tool for measuring capacity and readiness to implement universal mental health screening of students. Provides that the State Board of Education shall issue a report to the Governor and the General Assembly on school district readiness and plan for phased approach to universal mental health screening of students on or before April 1, 2025. Repeals the Wellness Checks in Schools Program Act. Amends the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services shall implement guidance to managed care organizations and similar care coordination entities contracted with the Department, so that the managed care organizations and care coordination entities respond to lead indicators with services and interventions that are designed to help stabilize the child. Amends the Children's Mental Health Act. Provides that the Children's Mental Health Partnership shall advise the Children's Behavioral Health Transformation Initiative on designing and implementing short-term and long-term strategies to provide comprehensive and coordinated services for children from birth to age 25 and their families with the goal of addressing children's mental health needs across a full continuum of care, including social determinants of health, prevention, early identification, and treatment. Provides that the Department of Public health (rather than the Department of Healthcare and Family Services) shall provide technical and administrative support for the Partnership. Deletes provision that the Partnership shall employ an Executive Director and set the compensation of the Executive Director and other such employees and technical assistance as it deems necessary to carry out its duties. Amends the Interagency Children's Behavioral Health Services Act. Provides that the Children's Behavioral Health Transformation Team in collaboration with the Department of Human Services shall develop a program to provide one-on-one in-home respite behavioral health aids to youth requiring intensive supervision due to behavioral health needs. Effective immediately.
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1111 1 AN ACT concerning health.
1212 2 Be it enacted by the People of the State of Illinois,
1313 3 represented in the General Assembly:
1414 4 Section 5. The School Code is amended by changing and
1515 5 renumbering Section 2-3.196, as added by Public Act 103-546,
1616 6 as follows:
1717 7 (105 ILCS 5/2-3.203)
1818 8 Sec. 2-3.203 2-3.196. Mental health screenings.
1919 9 (a) On or before December 15, 2023, the State Board of
2020 10 Education, in consultation with the Children's Behavioral
2121 11 Health Transformation Officer, Children's Behavioral Health
2222 12 Transformation Team, and the Office of the Governor, shall
2323 13 file a report with the Governor and the General Assembly that
2424 14 includes recommendations for implementation of mental health
2525 15 screenings in schools for students enrolled in kindergarten
2626 16 through grade 12. This report must include a landscape scan of
2727 17 current district-wide screenings, recommendations for
2828 18 screening tools, training for staff, and linkage and referral
2929 19 for identified students.
3030 20 (b) On or before October 1, 2024, the State Board of
3131 21 Education, in consultation with the Children's Behavioral
3232 22 Health Transformation Team, the Office of the Governor, and
3333 23 relevant stakeholders as needed shall release a strategy that
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3737 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB3316 Introduced 2/7/2024, by Sen. Sara Feigenholtz SYNOPSIS AS INTRODUCED:
3838 See Index See Index
3939 See Index
4040 Amends various Acts concerning children's mental health. Amends the School Code. Provides that on or before October 1, 2024, the State Board of Education, in consultation with the Children's Behavioral Health Transformation Team, the Office of the Governor, and relevant stakeholders as needed shall release a strategy that includes a tool for measuring capacity and readiness to implement universal mental health screening of students. Provides that the State Board of Education shall issue a report to the Governor and the General Assembly on school district readiness and plan for phased approach to universal mental health screening of students on or before April 1, 2025. Repeals the Wellness Checks in Schools Program Act. Amends the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services shall implement guidance to managed care organizations and similar care coordination entities contracted with the Department, so that the managed care organizations and care coordination entities respond to lead indicators with services and interventions that are designed to help stabilize the child. Amends the Children's Mental Health Act. Provides that the Children's Mental Health Partnership shall advise the Children's Behavioral Health Transformation Initiative on designing and implementing short-term and long-term strategies to provide comprehensive and coordinated services for children from birth to age 25 and their families with the goal of addressing children's mental health needs across a full continuum of care, including social determinants of health, prevention, early identification, and treatment. Provides that the Department of Public health (rather than the Department of Healthcare and Family Services) shall provide technical and administrative support for the Partnership. Deletes provision that the Partnership shall employ an Executive Director and set the compensation of the Executive Director and other such employees and technical assistance as it deems necessary to carry out its duties. Amends the Interagency Children's Behavioral Health Services Act. Provides that the Children's Behavioral Health Transformation Team in collaboration with the Department of Human Services shall develop a program to provide one-on-one in-home respite behavioral health aids to youth requiring intensive supervision due to behavioral health needs. Effective immediately.
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6868 1 includes a tool for measuring capacity and readiness to
6969 2 implement universal mental health screening of students. The
7070 3 strategy shall build upon existing efforts to understand
7171 4 district needs for resources, technology, training, and
7272 5 infrastructure supports. The strategy shall include a
7373 6 framework for supporting districts in a phased approach to
7474 7 implement universal mental health screenings. The State Board
7575 8 of Education shall issue a report to the Governor and the
7676 9 General Assembly on school district readiness and plan for
7777 10 phased approach to universal mental health screening of
7878 11 students on or before April 1, 2025.
7979 12 (Source: P.A. 103-546, eff. 8-11-23; revised 9-25-23.)
8080 13 (105 ILCS 155/Act rep.)
8181 14 Section 10. The Wellness Checks in Schools Program Act is
8282 15 repealed.
8383 16 Section 15. The Illinois Public Aid Code is amended by
8484 17 changing Section 5-30.1 as follows:
8585 18 (305 ILCS 5/5-30.1)
8686 19 Sec. 5-30.1. Managed care protections.
8787 20 (a) As used in this Section:
8888 21 "Managed care organization" or "MCO" means any entity
8989 22 which contracts with the Department to provide services where
9090 23 payment for medical services is made on a capitated basis.
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101101 1 "Emergency services" include:
102102 2 (1) emergency services, as defined by Section 10 of
103103 3 the Managed Care Reform and Patient Rights Act;
104104 4 (2) emergency medical screening examinations, as
105105 5 defined by Section 10 of the Managed Care Reform and
106106 6 Patient Rights Act;
107107 7 (3) post-stabilization medical services, as defined by
108108 8 Section 10 of the Managed Care Reform and Patient Rights
109109 9 Act; and
110110 10 (4) emergency medical conditions, as defined by
111111 11 Section 10 of the Managed Care Reform and Patient Rights
112112 12 Act.
113113 13 (b) As provided by Section 5-16.12, managed care
114114 14 organizations are subject to the provisions of the Managed
115115 15 Care Reform and Patient Rights Act.
116116 16 (c) An MCO shall pay any provider of emergency services
117117 17 that does not have in effect a contract with the contracted
118118 18 Medicaid MCO. The default rate of reimbursement shall be the
119119 19 rate paid under Illinois Medicaid fee-for-service program
120120 20 methodology, including all policy adjusters, including but not
121121 21 limited to Medicaid High Volume Adjustments, Medicaid
122122 22 Percentage Adjustments, Outpatient High Volume Adjustments,
123123 23 and all outlier add-on adjustments to the extent such
124124 24 adjustments are incorporated in the development of the
125125 25 applicable MCO capitated rates.
126126 26 (d) An MCO shall pay for all post-stabilization services
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137137 1 as a covered service in any of the following situations:
138138 2 (1) the MCO authorized such services;
139139 3 (2) such services were administered to maintain the
140140 4 enrollee's stabilized condition within one hour after a
141141 5 request to the MCO for authorization of further
142142 6 post-stabilization services;
143143 7 (3) the MCO did not respond to a request to authorize
144144 8 such services within one hour;
145145 9 (4) the MCO could not be contacted; or
146146 10 (5) the MCO and the treating provider, if the treating
147147 11 provider is a non-affiliated provider, could not reach an
148148 12 agreement concerning the enrollee's care and an affiliated
149149 13 provider was unavailable for a consultation, in which case
150150 14 the MCO must pay for such services rendered by the
151151 15 treating non-affiliated provider until an affiliated
152152 16 provider was reached and either concurred with the
153153 17 treating non-affiliated provider's plan of care or assumed
154154 18 responsibility for the enrollee's care. Such payment shall
155155 19 be made at the default rate of reimbursement paid under
156156 20 Illinois Medicaid fee-for-service program methodology,
157157 21 including all policy adjusters, including but not limited
158158 22 to Medicaid High Volume Adjustments, Medicaid Percentage
159159 23 Adjustments, Outpatient High Volume Adjustments and all
160160 24 outlier add-on adjustments to the extent that such
161161 25 adjustments are incorporated in the development of the
162162 26 applicable MCO capitated rates.
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173173 1 (e) The following requirements apply to MCOs in
174174 2 determining payment for all emergency services:
175175 3 (1) MCOs shall not impose any requirements for prior
176176 4 approval of emergency services.
177177 5 (2) The MCO shall cover emergency services provided to
178178 6 enrollees who are temporarily away from their residence
179179 7 and outside the contracting area to the extent that the
180180 8 enrollees would be entitled to the emergency services if
181181 9 they still were within the contracting area.
182182 10 (3) The MCO shall have no obligation to cover medical
183183 11 services provided on an emergency basis that are not
184184 12 covered services under the contract.
185185 13 (4) The MCO shall not condition coverage for emergency
186186 14 services on the treating provider notifying the MCO of the
187187 15 enrollee's screening and treatment within 10 days after
188188 16 presentation for emergency services.
189189 17 (5) The determination of the attending emergency
190190 18 physician, or the provider actually treating the enrollee,
191191 19 of whether an enrollee is sufficiently stabilized for
192192 20 discharge or transfer to another facility, shall be
193193 21 binding on the MCO. The MCO shall cover emergency services
194194 22 for all enrollees whether the emergency services are
195195 23 provided by an affiliated or non-affiliated provider.
196196 24 (6) The MCO's financial responsibility for
197197 25 post-stabilization care services it has not pre-approved
198198 26 ends when:
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209209 1 (A) a plan physician with privileges at the
210210 2 treating hospital assumes responsibility for the
211211 3 enrollee's care;
212212 4 (B) a plan physician assumes responsibility for
213213 5 the enrollee's care through transfer;
214214 6 (C) a contracting entity representative and the
215215 7 treating physician reach an agreement concerning the
216216 8 enrollee's care; or
217217 9 (D) the enrollee is discharged.
218218 10 (f) Network adequacy and transparency.
219219 11 (1) The Department shall:
220220 12 (A) ensure that an adequate provider network is in
221221 13 place, taking into consideration health professional
222222 14 shortage areas and medically underserved areas;
223223 15 (B) publicly release an explanation of its process
224224 16 for analyzing network adequacy;
225225 17 (C) periodically ensure that an MCO continues to
226226 18 have an adequate network in place;
227227 19 (D) require MCOs, including Medicaid Managed Care
228228 20 Entities as defined in Section 5-30.2, to meet
229229 21 provider directory requirements under Section 5-30.3;
230230 22 (E) require MCOs to ensure that any
231231 23 Medicaid-certified provider under contract with an MCO
232232 24 and previously submitted on a roster on the date of
233233 25 service is paid for any medically necessary,
234234 26 Medicaid-covered, and authorized service rendered to
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245245 1 any of the MCO's enrollees, regardless of inclusion on
246246 2 the MCO's published and publicly available directory
247247 3 of available providers; and
248248 4 (F) require MCOs, including Medicaid Managed Care
249249 5 Entities as defined in Section 5-30.2, to meet each of
250250 6 the requirements under subsection (d-5) of Section 10
251251 7 of the Network Adequacy and Transparency Act; with
252252 8 necessary exceptions to the MCO's network to ensure
253253 9 that admission and treatment with a provider or at a
254254 10 treatment facility in accordance with the network
255255 11 adequacy standards in paragraph (3) of subsection
256256 12 (d-5) of Section 10 of the Network Adequacy and
257257 13 Transparency Act is limited to providers or facilities
258258 14 that are Medicaid certified.
259259 15 (2) Each MCO shall confirm its receipt of information
260260 16 submitted specific to physician or dentist additions or
261261 17 physician or dentist deletions from the MCO's provider
262262 18 network within 3 days after receiving all required
263263 19 information from contracted physicians or dentists, and
264264 20 electronic physician and dental directories must be
265265 21 updated consistent with current rules as published by the
266266 22 Centers for Medicare and Medicaid Services or its
267267 23 successor agency.
268268 24 (g) Timely payment of claims.
269269 25 (1) The MCO shall pay a claim within 30 days of
270270 26 receiving a claim that contains all the essential
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281281 1 information needed to adjudicate the claim.
282282 2 (2) The MCO shall notify the billing party of its
283283 3 inability to adjudicate a claim within 30 days of
284284 4 receiving that claim.
285285 5 (3) The MCO shall pay a penalty that is at least equal
286286 6 to the timely payment interest penalty imposed under
287287 7 Section 368a of the Illinois Insurance Code for any claims
288288 8 not timely paid.
289289 9 (A) When an MCO is required to pay a timely payment
290290 10 interest penalty to a provider, the MCO must calculate
291291 11 and pay the timely payment interest penalty that is
292292 12 due to the provider within 30 days after the payment of
293293 13 the claim. In no event shall a provider be required to
294294 14 request or apply for payment of any owed timely
295295 15 payment interest penalties.
296296 16 (B) Such payments shall be reported separately
297297 17 from the claim payment for services rendered to the
298298 18 MCO's enrollee and clearly identified as interest
299299 19 payments.
300300 20 (4)(A) The Department shall require MCOs to expedite
301301 21 payments to providers identified on the Department's
302302 22 expedited provider list, determined in accordance with 89
303303 23 Ill. Adm. Code 140.71(b), on a schedule at least as
304304 24 frequently as the providers are paid under the
305305 25 Department's fee-for-service expedited provider schedule.
306306 26 (B) Compliance with the expedited provider requirement
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317317 1 may be satisfied by an MCO through the use of a Periodic
318318 2 Interim Payment (PIP) program that has been mutually
319319 3 agreed to and documented between the MCO and the provider,
320320 4 if the PIP program ensures that any expedited provider
321321 5 receives regular and periodic payments based on prior
322322 6 period payment experience from that MCO. Total payments
323323 7 under the PIP program may be reconciled against future PIP
324324 8 payments on a schedule mutually agreed to between the MCO
325325 9 and the provider.
326326 10 (C) The Department shall share at least monthly its
327327 11 expedited provider list and the frequency with which it
328328 12 pays providers on the expedited list.
329329 13 (g-5) Recognizing that the rapid transformation of the
330330 14 Illinois Medicaid program may have unintended operational
331331 15 challenges for both payers and providers:
332332 16 (1) in no instance shall a medically necessary covered
333333 17 service rendered in good faith, based upon eligibility
334334 18 information documented by the provider, be denied coverage
335335 19 or diminished in payment amount if the eligibility or
336336 20 coverage information available at the time the service was
337337 21 rendered is later found to be inaccurate in the assignment
338338 22 of coverage responsibility between MCOs or the
339339 23 fee-for-service system, except for instances when an
340340 24 individual is deemed to have not been eligible for
341341 25 coverage under the Illinois Medicaid program; and
342342 26 (2) the Department shall, by December 31, 2016, adopt
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353353 1 rules establishing policies that shall be included in the
354354 2 Medicaid managed care policy and procedures manual
355355 3 addressing payment resolutions in situations in which a
356356 4 provider renders services based upon information obtained
357357 5 after verifying a patient's eligibility and coverage plan
358358 6 through either the Department's current enrollment system
359359 7 or a system operated by the coverage plan identified by
360360 8 the patient presenting for services:
361361 9 (A) such medically necessary covered services
362362 10 shall be considered rendered in good faith;
363363 11 (B) such policies and procedures shall be
364364 12 developed in consultation with industry
365365 13 representatives of the Medicaid managed care health
366366 14 plans and representatives of provider associations
367367 15 representing the majority of providers within the
368368 16 identified provider industry; and
369369 17 (C) such rules shall be published for a review and
370370 18 comment period of no less than 30 days on the
371371 19 Department's website with final rules remaining
372372 20 available on the Department's website.
373373 21 The rules on payment resolutions shall include, but
374374 22 not be limited to:
375375 23 (A) the extension of the timely filing period;
376376 24 (B) retroactive prior authorizations; and
377377 25 (C) guaranteed minimum payment rate of no less
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389389 1 fee-for-service rate, plus all applicable add-ons,
390390 2 when the resulting service relationship is out of
391391 3 network.
392392 4 The rules shall be applicable for both MCO coverage
393393 5 and fee-for-service coverage.
394394 6 If the fee-for-service system is ultimately determined to
395395 7 have been responsible for coverage on the date of service, the
396396 8 Department shall provide for an extended period for claims
397397 9 submission outside the standard timely filing requirements.
398398 10 (g-6) MCO Performance Metrics Report.
399399 11 (1) The Department shall publish, on at least a
400400 12 quarterly basis, each MCO's operational performance,
401401 13 including, but not limited to, the following categories of
402402 14 metrics:
403403 15 (A) claims payment, including timeliness and
404404 16 accuracy;
405405 17 (B) prior authorizations;
406406 18 (C) grievance and appeals;
407407 19 (D) utilization statistics;
408408 20 (E) provider disputes;
409409 21 (F) provider credentialing; and
410410 22 (G) member and provider customer service.
411411 23 (2) The Department shall ensure that the metrics
412412 24 report is accessible to providers online by January 1,
413413 25 2017.
414414 26 (3) The metrics shall be developed in consultation
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425425 1 with industry representatives of the Medicaid managed care
426426 2 health plans and representatives of associations
427427 3 representing the majority of providers within the
428428 4 identified industry.
429429 5 (4) Metrics shall be defined and incorporated into the
430430 6 applicable Managed Care Policy Manual issued by the
431431 7 Department.
432432 8 (g-7) MCO claims processing and performance analysis. In
433433 9 order to monitor MCO payments to hospital providers, pursuant
434434 10 to Public Act 100-580, the Department shall post an analysis
435435 11 of MCO claims processing and payment performance on its
436436 12 website every 6 months. Such analysis shall include a review
437437 13 and evaluation of a representative sample of hospital claims
438438 14 that are rejected and denied for clean and unclean claims and
439439 15 the top 5 reasons for such actions and timeliness of claims
440440 16 adjudication, which identifies the percentage of claims
441441 17 adjudicated within 30, 60, 90, and over 90 days, and the dollar
442442 18 amounts associated with those claims.
443443 19 (g-8) Dispute resolution process. The Department shall
444444 20 maintain a provider complaint portal through which a provider
445445 21 can submit to the Department unresolved disputes with an MCO.
446446 22 An unresolved dispute means an MCO's decision that denies in
447447 23 whole or in part a claim for reimbursement to a provider for
448448 24 health care services rendered by the provider to an enrollee
449449 25 of the MCO with which the provider disagrees. Disputes shall
450450 26 not be submitted to the portal until the provider has availed
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461461 1 itself of the MCO's internal dispute resolution process.
462462 2 Disputes that are submitted to the MCO internal dispute
463463 3 resolution process may be submitted to the Department of
464464 4 Healthcare and Family Services' complaint portal no sooner
465465 5 than 30 days after submitting to the MCO's internal process
466466 6 and not later than 30 days after the unsatisfactory resolution
467467 7 of the internal MCO process or 60 days after submitting the
468468 8 dispute to the MCO internal process. Multiple claim disputes
469469 9 involving the same MCO may be submitted in one complaint,
470470 10 regardless of whether the claims are for different enrollees,
471471 11 when the specific reason for non-payment of the claims
472472 12 involves a common question of fact or policy. Within 10
473473 13 business days of receipt of a complaint, the Department shall
474474 14 present such disputes to the appropriate MCO, which shall then
475475 15 have 30 days to issue its written proposal to resolve the
476476 16 dispute. The Department may grant one 30-day extension of this
477477 17 time frame to one of the parties to resolve the dispute. If the
478478 18 dispute remains unresolved at the end of this time frame or the
479479 19 provider is not satisfied with the MCO's written proposal to
480480 20 resolve the dispute, the provider may, within 30 days, request
481481 21 the Department to review the dispute and make a final
482482 22 determination. Within 30 days of the request for Department
483483 23 review of the dispute, both the provider and the MCO shall
484484 24 present all relevant information to the Department for
485485 25 resolution and make individuals with knowledge of the issues
486486 26 available to the Department for further inquiry if needed.
487487
488488
489489
490490
491491
492492 SB3316 - 13 - LRB103 37223 RLC 69486 b
493493
494494
495495 SB3316- 14 -LRB103 37223 RLC 69486 b SB3316 - 14 - LRB103 37223 RLC 69486 b
496496 SB3316 - 14 - LRB103 37223 RLC 69486 b
497497 1 Within 30 days of receiving the relevant information on the
498498 2 dispute, or the lapse of the period for submitting such
499499 3 information, the Department shall issue a written decision on
500500 4 the dispute based on contractual terms between the provider
501501 5 and the MCO, contractual terms between the MCO and the
502502 6 Department of Healthcare and Family Services and applicable
503503 7 Medicaid policy. The decision of the Department shall be
504504 8 final. By January 1, 2020, the Department shall establish by
505505 9 rule further details of this dispute resolution process.
506506 10 Disputes between MCOs and providers presented to the
507507 11 Department for resolution are not contested cases, as defined
508508 12 in Section 1-30 of the Illinois Administrative Procedure Act,
509509 13 conferring any right to an administrative hearing.
510510 14 (g-9)(1) The Department shall publish annually on its
511511 15 website a report on the calculation of each managed care
512512 16 organization's medical loss ratio showing the following:
513513 17 (A) Premium revenue, with appropriate adjustments.
514514 18 (B) Benefit expense, setting forth the aggregate
515515 19 amount spent for the following:
516516 20 (i) Direct paid claims.
517517 21 (ii) Subcapitation payments.
518518 22 (iii) Other claim payments.
519519 23 (iv) Direct reserves.
520520 24 (v) Gross recoveries.
521521 25 (vi) Expenses for activities that improve health
522522 26 care quality as allowed by the Department.
523523
524524
525525
526526
527527
528528 SB3316 - 14 - LRB103 37223 RLC 69486 b
529529
530530
531531 SB3316- 15 -LRB103 37223 RLC 69486 b SB3316 - 15 - LRB103 37223 RLC 69486 b
532532 SB3316 - 15 - LRB103 37223 RLC 69486 b
533533 1 (2) The medical loss ratio shall be calculated consistent
534534 2 with federal law and regulation following a claims runout
535535 3 period determined by the Department.
536536 4 (g-10)(1) "Liability effective date" means the date on
537537 5 which an MCO becomes responsible for payment for medically
538538 6 necessary and covered services rendered by a provider to one
539539 7 of its enrollees in accordance with the contract terms between
540540 8 the MCO and the provider. The liability effective date shall
541541 9 be the later of:
542542 10 (A) The execution date of a network participation
543543 11 contract agreement.
544544 12 (B) The date the provider or its representative
545545 13 submits to the MCO the complete and accurate standardized
546546 14 roster form for the provider in the format approved by the
547547 15 Department.
548548 16 (C) The provider effective date contained within the
549549 17 Department's provider enrollment subsystem within the
550550 18 Illinois Medicaid Program Advanced Cloud Technology
551551 19 (IMPACT) System.
552552 20 (2) The standardized roster form may be submitted to the
553553 21 MCO at the same time that the provider submits an enrollment
554554 22 application to the Department through IMPACT.
555555 23 (3) By October 1, 2019, the Department shall require all
556556 24 MCOs to update their provider directory with information for
557557 25 new practitioners of existing contracted providers within 30
558558 26 days of receipt of a complete and accurate standardized roster
559559
560560
561561
562562
563563
564564 SB3316 - 15 - LRB103 37223 RLC 69486 b
565565
566566
567567 SB3316- 16 -LRB103 37223 RLC 69486 b SB3316 - 16 - LRB103 37223 RLC 69486 b
568568 SB3316 - 16 - LRB103 37223 RLC 69486 b
569569 1 template in the format approved by the Department provided
570570 2 that the provider is effective in the Department's provider
571571 3 enrollment subsystem within the IMPACT system. Such provider
572572 4 directory shall be readily accessible for purposes of
573573 5 selecting an approved health care provider and comply with all
574574 6 other federal and State requirements.
575575 7 (g-11) The Department shall work with relevant
576576 8 stakeholders on the development of operational guidelines to
577577 9 enhance and improve operational performance of Illinois'
578578 10 Medicaid managed care program, including, but not limited to,
579579 11 improving provider billing practices, reducing claim
580580 12 rejections and inappropriate payment denials, and
581581 13 standardizing processes, procedures, definitions, and response
582582 14 timelines, with the goal of reducing provider and MCO
583583 15 administrative burdens and conflict. The Department shall
584584 16 include a report on the progress of these program improvements
585585 17 and other topics in its Fiscal Year 2020 annual report to the
586586 18 General Assembly.
587587 19 (g-12) Notwithstanding any other provision of law, if the
588588 20 Department or an MCO requires submission of a claim for
589589 21 payment in a non-electronic format, a provider shall always be
590590 22 afforded a period of no less than 90 business days, as a
591591 23 correction period, following any notification of rejection by
592592 24 either the Department or the MCO to correct errors or
593593 25 omissions in the original submission.
594594 26 Under no circumstances, either by an MCO or under the
595595
596596
597597
598598
599599
600600 SB3316 - 16 - LRB103 37223 RLC 69486 b
601601
602602
603603 SB3316- 17 -LRB103 37223 RLC 69486 b SB3316 - 17 - LRB103 37223 RLC 69486 b
604604 SB3316 - 17 - LRB103 37223 RLC 69486 b
605605 1 State's fee-for-service system, shall a provider be denied
606606 2 payment for failure to comply with any timely submission
607607 3 requirements under this Code or under any existing contract,
608608 4 unless the non-electronic format claim submission occurs after
609609 5 the initial 180 days following the latest date of service on
610610 6 the claim, or after the 90 business days correction period
611611 7 following notification to the provider of rejection or denial
612612 8 of payment.
613613 9 (h) The Department shall not expand mandatory MCO
614614 10 enrollment into new counties beyond those counties already
615615 11 designated by the Department as of June 1, 2014 for the
616616 12 individuals whose eligibility for medical assistance is not
617617 13 the seniors or people with disabilities population until the
618618 14 Department provides an opportunity for accountable care
619619 15 entities and MCOs to participate in such newly designated
620620 16 counties.
621621 17 (h-5) Leading indicator data sharing. By January 1, 2024,
622622 18 the Department shall obtain input from the Department of Human
623623 19 Services, the Department of Juvenile Justice, the Department
624624 20 of Children and Family Services, the State Board of Education,
625625 21 managed care organizations, providers, and clinical experts to
626626 22 identify and analyze key indicators and data elements that can
627627 23 be used in an analysis of lead indicators from assessments and
628628 24 data sets available to the Department that can be shared with
629629 25 managed care organizations and similar care coordination
630630 26 entities contracted with the Department as leading indicators
631631
632632
633633
634634
635635
636636 SB3316 - 17 - LRB103 37223 RLC 69486 b
637637
638638
639639 SB3316- 18 -LRB103 37223 RLC 69486 b SB3316 - 18 - LRB103 37223 RLC 69486 b
640640 SB3316 - 18 - LRB103 37223 RLC 69486 b
641641 1 for elevated behavioral health crisis risk for children,
642642 2 including data sets such as the Illinois Medicaid
643643 3 Comprehensive Assessment of Needs and Strengths (IM-CANS),
644644 4 calls made to the State's Crisis and Referral Entry Services
645645 5 (CARES) hotline, school district data contained in the
646646 6 statewide Illinois Longitudinal Data System (ILDS), health
647647 7 services information from Health and Human Services
648648 8 Innovators, or other data sets that may include key
649649 9 indicators. The workgroup shall complete its recommendations
650650 10 for leading indicator data elements on or before September 1,
651651 11 2024. To the extent permitted by State and federal law, the
652652 12 identified leading indicators shall be shared with managed
653653 13 care organizations and similar care coordination entities
654654 14 contracted with the Department on or before December 1, 2024
655655 15 within 6 months of identification for the purpose of improving
656656 16 care coordination with the early detection of elevated risk.
657657 17 Leading indicators shall be reassessed annually with
658658 18 stakeholder input. The Department shall implement guidance to
659659 19 managed care organizations and similar care coordination
660660 20 entities contracted with the Department, so that the managed
661661 21 care organizations and care coordination entities respond to
662662 22 lead indicators with services and interventions that are
663663 23 designed to help stabilize the child.
664664 24 (i) The requirements of this Section apply to contracts
665665 25 with accountable care entities and MCOs entered into, amended,
666666 26 or renewed after June 16, 2014 (the effective date of Public
667667
668668
669669
670670
671671
672672 SB3316 - 18 - LRB103 37223 RLC 69486 b
673673
674674
675675 SB3316- 19 -LRB103 37223 RLC 69486 b SB3316 - 19 - LRB103 37223 RLC 69486 b
676676 SB3316 - 19 - LRB103 37223 RLC 69486 b
677677 1 Act 98-651).
678678 2 (j) Health care information released to managed care
679679 3 organizations. A health care provider shall release to a
680680 4 Medicaid managed care organization, upon request, and subject
681681 5 to the Health Insurance Portability and Accountability Act of
682682 6 1996 and any other law applicable to the release of health
683683 7 information, the health care information of the MCO's
684684 8 enrollee, if the enrollee has completed and signed a general
685685 9 release form that grants to the health care provider
686686 10 permission to release the recipient's health care information
687687 11 to the recipient's insurance carrier.
688688 12 (k) The Department of Healthcare and Family Services,
689689 13 managed care organizations, a statewide organization
690690 14 representing hospitals, and a statewide organization
691691 15 representing safety-net hospitals shall explore ways to
692692 16 support billing departments in safety-net hospitals.
693693 17 (l) The requirements of this Section added by Public Act
694694 18 102-4 shall apply to services provided on or after the first
695695 19 day of the month that begins 60 days after April 27, 2021 (the
696696 20 effective date of Public Act 102-4).
697697 21 (Source: P.A. 102-4, eff. 4-27-21; 102-43, eff. 7-6-21;
698698 22 102-144, eff. 1-1-22; 102-454, eff. 8-20-21; 102-813, eff.
699699 23 5-13-22; 103-546, eff. 8-11-23.)
700700 24 Section 20. The Children's Mental Health Act is amended by
701701 25 changing Section 5 as follows:
702702
703703
704704
705705
706706
707707 SB3316 - 19 - LRB103 37223 RLC 69486 b
708708
709709
710710 SB3316- 20 -LRB103 37223 RLC 69486 b SB3316 - 20 - LRB103 37223 RLC 69486 b
711711 SB3316 - 20 - LRB103 37223 RLC 69486 b
712712 1 (405 ILCS 49/5)
713713 2 Sec. 5. Children's Mental Health Partnership; Children's
714714 3 Mental Health Plan.
715715 4 (a) The Children's Mental Health Partnership (hereafter
716716 5 referred to as "the Partnership") created under Public Act
717717 6 93-495 and continued under Public Act 102-899 shall advise
718718 7 State agencies and the Children's Behavioral Health
719719 8 Transformation Initiative on designing and implementing
720720 9 short-term and long-term strategies to provide comprehensive
721721 10 and coordinated services for children from birth to age 25 and
722722 11 their families with the goal of addressing children's mental
723723 12 health needs across a full continuum of care, including social
724724 13 determinants of health, prevention, early identification, and
725725 14 treatment. The recommended strategies shall build upon the
726726 15 recommendations in the Children's Mental Health Plan of 2022
727727 16 and may include, but are not limited to, recommendations
728728 17 regarding the following:
729729 18 (1) Increasing public awareness on issues connected to
730730 19 children's mental health and wellness to decrease stigma,
731731 20 promote acceptance, and strengthen the ability of
732732 21 children, families, and communities to access supports.
733733 22 (2) Coordination of programs, services, and policies
734734 23 across child-serving State agencies to best monitor and
735735 24 assess spending, as well as foster innovation of adaptive
736736 25 or new practices.
737737
738738
739739
740740
741741
742742 SB3316 - 20 - LRB103 37223 RLC 69486 b
743743
744744
745745 SB3316- 21 -LRB103 37223 RLC 69486 b SB3316 - 21 - LRB103 37223 RLC 69486 b
746746 SB3316 - 21 - LRB103 37223 RLC 69486 b
747747 1 (3) Funding and resources for children's mental health
748748 2 prevention, early identification, and treatment across
749749 3 child-serving State agencies.
750750 4 (4) Facilitation of research on best practices and
751751 5 model programs and dissemination of this information to
752752 6 State policymakers, practitioners, and the general public.
753753 7 (5) Monitoring programs, services, and policies
754754 8 addressing children's mental health and wellness.
755755 9 (6) Growing, retaining, diversifying, and supporting
756756 10 the child-serving workforce, with special emphasis on
757757 11 professional development around child and family mental
758758 12 health and wellness services.
759759 13 (7) Supporting the design, implementation, and
760760 14 evaluation of a quality-driven children's mental health
761761 15 system of care across all child services that prevents
762762 16 mental health concerns and mitigates trauma.
763763 17 (8) Improving the system to more effectively meet the
764764 18 emergency and residential placement needs for all children
765765 19 with severe mental and behavioral challenges.
766766 20 (b) The Partnership shall have the responsibility of
767767 21 developing and updating the Children's Mental Health Plan and
768768 22 advising the relevant State agencies on implementation of the
769769 23 Plan. The Children's Mental Health Partnership shall be
770770 24 comprised of the following members:
771771 25 (1) The Governor or his or her designee.
772772 26 (2) The Attorney General or his or her designee.
773773
774774
775775
776776
777777
778778 SB3316 - 21 - LRB103 37223 RLC 69486 b
779779
780780
781781 SB3316- 22 -LRB103 37223 RLC 69486 b SB3316 - 22 - LRB103 37223 RLC 69486 b
782782 SB3316 - 22 - LRB103 37223 RLC 69486 b
783783 1 (3) The Secretary of the Department of Human Services
784784 2 or his or her designee.
785785 3 (4) The State Superintendent of Education or his or
786786 4 her designee.
787787 5 (5) The Director of the Department of Children and
788788 6 Family Services or his or her designee.
789789 7 (6) The Director of the Department of Healthcare and
790790 8 Family Services or his or her designee.
791791 9 (7) The Director of the Department of Public Health or
792792 10 his or her designee.
793793 11 (8) The Director of the Department of Juvenile Justice
794794 12 or his or her designee.
795795 13 (9) The Executive Director of the Governor's Office of
796796 14 Early Childhood Development or his or her designee.
797797 15 (10) The Director of the Criminal Justice Information
798798 16 Authority or his or her designee.
799799 17 (11) One member of the General Assembly appointed by
800800 18 the Speaker of the House.
801801 19 (12) One member of the General Assembly appointed by
802802 20 the President of the Senate.
803803 21 (13) One member of the General Assembly appointed by
804804 22 the Minority Leader of the Senate.
805805 23 (14) One member of the General Assembly appointed by
806806 24 the Minority Leader of the House.
807807 25 (15) Up to 25 representatives from the public
808808 26 reflecting a diversity of age, gender identity, race,
809809
810810
811811
812812
813813
814814 SB3316 - 22 - LRB103 37223 RLC 69486 b
815815
816816
817817 SB3316- 23 -LRB103 37223 RLC 69486 b SB3316 - 23 - LRB103 37223 RLC 69486 b
818818 SB3316 - 23 - LRB103 37223 RLC 69486 b
819819 1 ethnicity, socioeconomic status, and geographic location,
820820 2 to be appointed by the Governor. Those public members
821821 3 appointed under this paragraph must include, but are not
822822 4 limited to:
823823 5 (A) a family member or individual with lived
824824 6 experience in the children's mental health system;
825825 7 (B) a child advocate;
826826 8 (C) a community mental health expert,
827827 9 practitioner, or provider;
828828 10 (D) a representative of a statewide association
829829 11 representing a majority of hospitals in the State;
830830 12 (E) an early childhood expert or practitioner;
831831 13 (F) a representative from the K-12 school system;
832832 14 (G) a representative from the healthcare sector;
833833 15 (H) a substance use prevention expert or
834834 16 practitioner, or a representative of a statewide
835835 17 association representing community-based mental health
836836 18 substance use disorder treatment providers in the
837837 19 State;
838838 20 (I) a violence prevention expert or practitioner;
839839 21 (J) a representative from the juvenile justice
840840 22 system;
841841 23 (K) a school social worker; and
842842 24 (L) a representative of a statewide organization
843843 25 representing pediatricians.
844844 26 (16) Two co-chairs appointed by the Governor, one
845845
846846
847847
848848
849849
850850 SB3316 - 23 - LRB103 37223 RLC 69486 b
851851
852852
853853 SB3316- 24 -LRB103 37223 RLC 69486 b SB3316 - 24 - LRB103 37223 RLC 69486 b
854854 SB3316 - 24 - LRB103 37223 RLC 69486 b
855855 1 being a representative from the public and one being the
856856 2 Director of Public Health a representative from the State.
857857 3 The members appointed by the Governor shall be appointed
858858 4 for 4 years with one opportunity for reappointment, except as
859859 5 otherwise provided for in this subsection. Members who were
860860 6 appointed by the Governor and are serving on January 1, 2023
861861 7 (the effective date of Public Act 102-899) shall maintain
862862 8 their appointment until the term of their appointment has
863863 9 expired. For new appointments made pursuant to Public Act
864864 10 102-899, members shall be appointed for one-year, 2-year, or
865865 11 4-year terms, as determined by the Governor, with no more than
866866 12 9 of the Governor's new or existing appointees serving the
867867 13 same term. Those new appointments serving a one-year or 2-year
868868 14 term may be appointed to 2 additional 4-year terms. If a
869869 15 vacancy occurs in the Partnership membership, the vacancy
870870 16 shall be filled in the same manner as the original appointment
871871 17 for the remainder of the term.
872872 18 The Partnership shall be convened no later than January
873873 19 31, 2023 to discuss the changes in Public Act 102-899.
874874 20 The members of the Partnership shall serve without
875875 21 compensation but may be entitled to reimbursement for all
876876 22 necessary expenses incurred in the performance of their
877877 23 official duties as members of the Partnership from funds
878878 24 appropriated for that purpose.
879879 25 The Partnership may convene and appoint special committees
880880 26 or study groups to operate under the direction of the
881881
882882
883883
884884
885885
886886 SB3316 - 24 - LRB103 37223 RLC 69486 b
887887
888888
889889 SB3316- 25 -LRB103 37223 RLC 69486 b SB3316 - 25 - LRB103 37223 RLC 69486 b
890890 SB3316 - 25 - LRB103 37223 RLC 69486 b
891891 1 Partnership. Persons appointed to such special committees or
892892 2 study groups shall only receive reimbursement for reasonable
893893 3 expenses.
894894 4 (b-5) The Partnership shall include an adjunct council
895895 5 comprised of no more than 6 youth aged 14 to 25 and 4
896896 6 representatives of 4 different community-based organizations
897897 7 that focus on youth mental health. Of the community-based
898898 8 organizations that focus on youth mental health, one of the
899899 9 community-based organizations shall be led by an
900900 10 LGBTQ-identified person, one of the community-based
901901 11 organizations shall be led by a person of color, and one of the
902902 12 community-based organizations shall be led by a woman. Of the
903903 13 representatives appointed to the council from the
904904 14 community-based organizations, at least one representative
905905 15 shall be LGBTQ-identified, at least one representative shall
906906 16 be a person of color, and at least one representative shall be
907907 17 a woman. The council members shall be appointed by the Chair of
908908 18 the Partnership and shall reflect the racial, gender identity,
909909 19 sexual orientation, ability, socioeconomic, ethnic, and
910910 20 geographic diversity of the State, including rural, suburban,
911911 21 and urban appointees. The council shall make recommendations
912912 22 to the Partnership regarding youth mental health, including,
913913 23 but not limited to, identifying barriers to youth feeling
914914 24 supported by and empowered by the system of mental health and
915915 25 treatment providers, barriers perceived by youth in accessing
916916 26 mental health services, gaps in the mental health system,
917917
918918
919919
920920
921921
922922 SB3316 - 25 - LRB103 37223 RLC 69486 b
923923
924924
925925 SB3316- 26 -LRB103 37223 RLC 69486 b SB3316 - 26 - LRB103 37223 RLC 69486 b
926926 SB3316 - 26 - LRB103 37223 RLC 69486 b
927927 1 available resources in schools, including youth's perceptions
928928 2 and experiences with outreach personnel, agency websites, and
929929 3 informational materials, methods to destigmatize mental health
930930 4 services, and how to improve State policy concerning student
931931 5 mental health. The mental health system may include services
932932 6 for substance use disorders and addiction. The council shall
933933 7 meet at least 4 times annually.
934934 8 (c) (Blank).
935935 9 (d) The Illinois Children's Mental Health Partnership has
936936 10 the following powers and duties:
937937 11 (1) Conducting research assessments to determine the
938938 12 needs and gaps of programs, services, and policies that
939939 13 touch children's mental health.
940940 14 (2) Developing policy statements for interagency
941941 15 cooperation to cover all aspects of mental health
942942 16 delivery, including social determinants of health,
943943 17 prevention, early identification, and treatment.
944944 18 (3) Recommending policies and providing information on
945945 19 effective programs for delivery of mental health services.
946946 20 (4) Using funding from federal, State, or
947947 21 philanthropic partners, to fund pilot programs or research
948948 22 activities to resource innovative practices by
949949 23 organizational partners that will address children's
950950 24 mental health. However, the Partnership may not provide
951951 25 direct services.
952952 26 (4.1) The Partnership shall work with community
953953
954954
955955
956956
957957
958958 SB3316 - 26 - LRB103 37223 RLC 69486 b
959959
960960
961961 SB3316- 27 -LRB103 37223 RLC 69486 b SB3316 - 27 - LRB103 37223 RLC 69486 b
962962 SB3316 - 27 - LRB103 37223 RLC 69486 b
963963 1 networks and the Children's Behavioral Health
964964 2 Transformation Initiative team to implement a community
965965 3 needs assessment, that will raise awareness of gaps in
966966 4 existing community-based services for youth.
967967 5 (5) Submitting an annual report, on or before December
968968 6 30 of each year, to the Governor and the General Assembly
969969 7 on the progress of the Plan, any recommendations regarding
970970 8 State policies, laws, or rules necessary to fulfill the
971971 9 purposes of the Act, and any additional recommendations
972972 10 regarding mental or behavioral health that the Partnership
973973 11 deems necessary.
974974 12 (6) (Blank). Employing an Executive Director and
975975 13 setting the compensation of the Executive Director and
976976 14 other such employees and technical assistance as it deems
977977 15 necessary to carry out its duties under this Section.
978978 16 The Partnership may designate a fiscal and administrative
979979 17 agent that can accept funds to carry out its duties as outlined
980980 18 in this Section.
981981 19 The Department of Public Health Healthcare and Family
982982 20 Services shall provide technical and administrative support
983983 21 for the Partnership.
984984 22 (e) The Partnership may accept monetary gifts or grants
985985 23 from the federal government or any agency thereof, from any
986986 24 charitable foundation or professional association, or from any
987987 25 reputable source for implementation of any program necessary
988988 26 or desirable to carry out the powers and duties as defined
989989
990990
991991
992992
993993
994994 SB3316 - 27 - LRB103 37223 RLC 69486 b
995995
996996
997997 SB3316- 28 -LRB103 37223 RLC 69486 b SB3316 - 28 - LRB103 37223 RLC 69486 b
998998 SB3316 - 28 - LRB103 37223 RLC 69486 b
999999 1 under this Section.
10001000 2 (f) On or before January 1, 2027, the Partnership shall
10011001 3 submit recommendations to the Governor and General Assembly
10021002 4 that includes recommended updates to the Act to reflect the
10031003 5 current mental health landscape in this State.
10041004 6 (Source: P.A. 102-16, eff. 6-17-21; 102-116, eff. 7-23-21;
10051005 7 102-899, eff. 1-1-23; 102-1034, eff. 1-1-23; 103-154, eff.
10061006 8 6-30-23.)
10071007 9 Section 25. The Interagency Children's Behavioral Health
10081008 10 Services Act is amended by adding Section 6 as follows:
10091009 11 (405 ILCS 165/6 new)
10101010 12 Sec. 6. Personal support workers. The Children's
10111011 13 Behavioral Health Transformation Team in collaboration with
10121012 14 the Department of Human Services shall develop a program to
10131013 15 provide one-on-one in-home respite behavioral health aids to
10141014 16 youth requiring intensive supervision due to behavioral health
10151015 17 needs.
10161016 18 Section 99. Effective date. This Act takes effect upon
10171017 19 becoming law.
10181018 SB3316- 29 -LRB103 37223 RLC 69486 b 1 INDEX 2 Statutes amended in order of appearance SB3316- 29 -LRB103 37223 RLC 69486 b SB3316 - 29 - LRB103 37223 RLC 69486 b 1 INDEX 2 Statutes amended in order of appearance
10191019 SB3316- 29 -LRB103 37223 RLC 69486 b SB3316 - 29 - LRB103 37223 RLC 69486 b
10201020 SB3316 - 29 - LRB103 37223 RLC 69486 b
10211021 1 INDEX
10221022 2 Statutes amended in order of appearance
10231023
10241024
10251025
10261026
10271027
10281028 SB3316 - 28 - LRB103 37223 RLC 69486 b
10291029
10301030
10311031
10321032 SB3316- 29 -LRB103 37223 RLC 69486 b SB3316 - 29 - LRB103 37223 RLC 69486 b
10331033 SB3316 - 29 - LRB103 37223 RLC 69486 b
10341034 1 INDEX
10351035 2 Statutes amended in order of appearance
10361036
10371037
10381038
10391039
10401040
10411041 SB3316 - 29 - LRB103 37223 RLC 69486 b