SB1560 EngrossedLRB104 11224 KTG 21306 b SB1560 Engrossed LRB104 11224 KTG 21306 b SB1560 Engrossed LRB104 11224 KTG 21306 b 1 AN ACT concerning mental health. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 5. The School Code is amended by changing Section 5 2-3.203 as follows: 6 (105 ILCS 5/2-3.203) 7 Sec. 2-3.203. Mental health screenings. 8 (a) On or before December 15, 2023, the State Board of 9 Education, in consultation with the Children's Behavioral 10 Health Transformation Officer, Children's Behavioral Health 11 Transformation Team in , and the Office of the Governor, shall 12 file a report with the Governor and the General Assembly that 13 includes recommendations for implementation of mental health 14 screenings in schools for students enrolled in kindergarten 15 through grade 12. This report must include a landscape scan of 16 current district-wide screenings, recommendations for 17 screening tools, training for staff, and linkage and referral 18 for identified students. 19 (b) On or before October 1, 2024, the State Board of 20 Education, in consultation with the Children's Behavioral 21 Health Transformation Team in , the Office of the Governor, 22 and relevant stakeholders as needed shall release a strategy 23 that includes a tool for measuring capacity and readiness to SB1560 Engrossed LRB104 11224 KTG 21306 b SB1560 Engrossed- 2 -LRB104 11224 KTG 21306 b SB1560 Engrossed - 2 - LRB104 11224 KTG 21306 b SB1560 Engrossed - 2 - LRB104 11224 KTG 21306 b 1 implement universal mental health screening of students. The 2 strategy shall build upon existing efforts to understand 3 district needs for resources, technology, training, and 4 infrastructure supports. The strategy shall include a 5 framework for supporting districts in a phased approach to 6 implement universal mental health screenings. The State Board 7 of Education shall issue a report to the Governor and the 8 General Assembly on school district readiness and plan for 9 phased approach to universal mental health screening of 10 students on or before April 1, 2025. 11 (c) On or before September 1, 2026, the State Board of 12 Education, in consultation with the Children's Behavioral 13 Health Transformation Team in the Office of the Governor and 14 relevant stakeholders, shall report its work and make 15 available resource materials, including model procedures and 16 guidance informed by a phased approach to implementing 17 universal mental health screening in schools. These model 18 school district procedures to facilitate the implementation of 19 mental health screenings shall include, but are not limited 20 to, the option to opt-out, confidentiality and privacy 21 considerations, communication with families and communities 22 about the use of mental health screenings, data sharing, and 23 storage of mental health screening results and plans for 24 follow-up and linkage to resources after screenings. Guidance 25 shall include (1) mental health screening tools available for 26 school districts to use with students and (2) associated SB1560 Engrossed - 2 - LRB104 11224 KTG 21306 b SB1560 Engrossed- 3 -LRB104 11224 KTG 21306 b SB1560 Engrossed - 3 - LRB104 11224 KTG 21306 b SB1560 Engrossed - 3 - LRB104 11224 KTG 21306 b 1 training for school personnel. The State Board of Education 2 shall make these resource materials available on its website. 3 (d) Mental health screenings shall be offered by school 4 districts to students enrolled in grade 3 through grade 12, at 5 least once a year, beginning with the 2027-2028 school year. A 6 district may, by action of the State Board of Education, apply 7 for an extension of the 2027-2028 school year implementation 8 deadline if the school district meets criteria set by rule by 9 the State Board of Education, which shall be based on the 10 recommendations of the report issued in accordance with 11 subsection (c). Notwithstanding the provisions of this 12 subsection, the requirement to offer mental health screenings 13 shall be in effect only for school years in which the State has 14 successfully procured a screening tool that offers a 15 self-report option for students and is made available to 16 school districts at no cost. 17 (Source: P.A. 103-546, eff. 8-11-23; 103-605, eff. 7-1-24; 18 103-885, eff. 8-9-24.) 19 Section 10. The Illinois Public Aid Code is amended by 20 changing Section 5-5.23 as follows: 21 (305 ILCS 5/5-5.23) 22 Sec. 5-5.23. Children's mental health services. 23 (a) The Department of Healthcare and Family Services, by 24 rule, shall require the screening and assessment of a child SB1560 Engrossed - 3 - LRB104 11224 KTG 21306 b SB1560 Engrossed- 4 -LRB104 11224 KTG 21306 b SB1560 Engrossed - 4 - LRB104 11224 KTG 21306 b SB1560 Engrossed - 4 - LRB104 11224 KTG 21306 b 1 prior to any Medicaid-funded admission to an inpatient 2 hospital for psychiatric services to be funded by Medicaid. 3 The screening and assessment shall include a determination of 4 the appropriateness and availability of out-patient support 5 services for necessary treatment. The Department, by rule, 6 shall establish methods and standards of payment for the 7 screening, assessment, and necessary alternative support 8 services. 9 (b) The Department of Healthcare and Family Services, to 10 the extent allowable under federal law, shall secure federal 11 financial participation for Individual Care Grant expenditures 12 made by the Department of Healthcare and Family Services for 13 the Medicaid optional service authorized under Section 1905(h) 14 of the federal Social Security Act, pursuant to the provisions 15 of Section 7.1 of the Mental Health and Developmental 16 Disabilities Administrative Act. The Department of Healthcare 17 and Family Services may exercise the authority under this 18 Section as is necessary to administer Individual Care Grants 19 as authorized under Section 7.1 of the Mental Health and 20 Developmental Disabilities Administrative Act. 21 (c) The Department of Healthcare and Family Services shall 22 work collaboratively with the Department of Children and 23 Family Services and the Division of Mental Health of the 24 Department of Human Services to implement subsections (a) and 25 (b). 26 (d) On and after July 1, 2012, the Department shall reduce SB1560 Engrossed - 4 - LRB104 11224 KTG 21306 b SB1560 Engrossed- 5 -LRB104 11224 KTG 21306 b SB1560 Engrossed - 5 - LRB104 11224 KTG 21306 b SB1560 Engrossed - 5 - LRB104 11224 KTG 21306 b 1 any rate of reimbursement for services or other payments or 2 alter any methodologies authorized by this Code to reduce any 3 rate of reimbursement for services or other payments in 4 accordance with Section 5-5e. 5 (e) All rights, powers, duties, and responsibilities 6 currently exercised by the Department of Human Services 7 related to the Individual Care Grant program are transferred 8 to the Department of Healthcare and Family Services with the 9 transfer and transition of the Individual Care Grant program 10 to the Department of Healthcare and Family Services to be 11 completed and implemented within 6 months after the effective 12 date of this amendatory Act of the 99th General Assembly. For 13 the purposes of the Successor Agency Act, the Department of 14 Healthcare and Family Services is declared to be the successor 15 agency of the Department of Human Services, but only with 16 respect to the functions of the Department of Human Services 17 that are transferred to the Department of Healthcare and 18 Family Services under this amendatory Act of the 99th General 19 Assembly. 20 (1) Each act done by the Department of Healthcare and 21 Family Services in exercise of the transferred powers, 22 duties, rights, and responsibilities shall have the same 23 legal effect as if done by the Department of Human 24 Services or its offices. 25 (2) Any rules of the Department of Human Services that 26 relate to the functions and programs transferred by this SB1560 Engrossed - 5 - LRB104 11224 KTG 21306 b SB1560 Engrossed- 6 -LRB104 11224 KTG 21306 b SB1560 Engrossed - 6 - LRB104 11224 KTG 21306 b SB1560 Engrossed - 6 - LRB104 11224 KTG 21306 b 1 amendatory Act of the 99th General Assembly that are in 2 full force on the effective date of this amendatory Act of 3 the 99th General Assembly shall become the rules of the 4 Department of Healthcare and Family Services. All rules 5 transferred under this amendatory Act of the 99th General 6 Assembly are hereby amended such that the term 7 "Department" shall be defined as the Department of 8 Healthcare and Family Services and all references to the 9 "Secretary" shall be changed to the "Director of 10 Healthcare and Family Services or his or her designee". As 11 soon as practicable hereafter, the Department of 12 Healthcare and Family Services shall revise and clarify 13 the rules to reflect the transfer of rights, powers, 14 duties, and responsibilities affected by this amendatory 15 Act of the 99th General Assembly, using the procedures for 16 recodification of rules available under the Illinois 17 Administrative Procedure Act, except that existing title, 18 part, and section numbering for the affected rules may be 19 retained. The Department of Healthcare and Family 20 Services, consistent with its authority to do so as 21 granted by this amendatory Act of the 99th General 22 Assembly, shall propose and adopt any other rules under 23 the Illinois Administrative Procedure Act as necessary to 24 administer the Individual Care Grant program. These rules 25 may include, but are not limited to, the application 26 process and eligibility requirements for recipients. SB1560 Engrossed - 6 - LRB104 11224 KTG 21306 b SB1560 Engrossed- 7 -LRB104 11224 KTG 21306 b SB1560 Engrossed - 7 - LRB104 11224 KTG 21306 b SB1560 Engrossed - 7 - LRB104 11224 KTG 21306 b 1 (3) All unexpended appropriations and balances and 2 other funds available for use in connection with any 3 functions of the Individual Care Grant program shall be 4 transferred for the use of the Department of Healthcare 5 and Family Services to operate the Individual Care Grant 6 program. Unexpended balances shall be expended only for 7 the purpose for which the appropriation was originally 8 made. The Department of Healthcare and Family Services 9 shall exercise all rights, powers, duties, and 10 responsibilities for operation of the Individual Care 11 Grant program. 12 (4) Existing personnel and positions of the Department 13 of Human Services pertaining to the administration of the 14 Individual Care Grant program shall be transferred to the 15 Department of Healthcare and Family Services with the 16 transfer and transition of the Individual Care Grant 17 program to the Department of Healthcare and Family 18 Services. The status and rights of Department of Human 19 Services employees engaged in the performance of the 20 functions of the Individual Care Grant program shall not 21 be affected by this amendatory Act of the 99th General 22 Assembly. The rights of the employees, the State of 23 Illinois, and its agencies under the Personnel Code and 24 applicable collective bargaining agreements or under any 25 pension, retirement, or annuity plan shall not be affected 26 by this amendatory Act of the 99th General Assembly. All SB1560 Engrossed - 7 - LRB104 11224 KTG 21306 b SB1560 Engrossed- 8 -LRB104 11224 KTG 21306 b SB1560 Engrossed - 8 - LRB104 11224 KTG 21306 b SB1560 Engrossed - 8 - LRB104 11224 KTG 21306 b 1 transferred employees who are members of collective 2 bargaining units shall retain their seniority, continuous 3 service, salary, and accrued benefits. 4 (5) All books, records, papers, documents, property 5 (real and personal), contracts, and pending business 6 pertaining to the powers, duties, rights, and 7 responsibilities related to the functions of the 8 Individual Care Grant program, including, but not limited 9 to, material in electronic or magnetic format and 10 necessary computer hardware and software, shall be 11 delivered to the Department of Healthcare and Family 12 Services; provided, however, that the delivery of this 13 information shall not violate any applicable 14 confidentiality constraints. 15 (6) Whenever reports or notices are now required to be 16 made or given or papers or documents furnished or served 17 by any person to or upon the Department of Human Services 18 in connection with any of the functions transferred by 19 this amendatory Act of the 99th General Assembly, the same 20 shall be made, given, furnished, or served in the same 21 manner to or upon the Department of Healthcare and Family 22 Services. 23 (7) This amendatory Act of the 99th General Assembly 24 shall not affect any act done, ratified, or canceled or 25 any right occurring or established or any action or 26 proceeding had or commenced in an administrative, civil, SB1560 Engrossed - 8 - LRB104 11224 KTG 21306 b SB1560 Engrossed- 9 -LRB104 11224 KTG 21306 b SB1560 Engrossed - 9 - LRB104 11224 KTG 21306 b SB1560 Engrossed - 9 - LRB104 11224 KTG 21306 b 1 or criminal cause regarding the Department of Human 2 Services before the effective date of this amendatory Act 3 of the 99th General Assembly; and those actions or 4 proceedings may be defended, prosecuted, and continued by 5 the Department of Human Services. 6 (f) (Blank). 7 (g) Family Support Program. The Department of Healthcare 8 and Family Services shall restructure the Family Support 9 Program, formerly known as the Individual Care Grant program, 10 to enable early treatment of youth, emerging adults, and 11 transition-age adults with a serious mental illness or serious 12 emotional disturbance. 13 (1) As used in this subsection and in subsections (h) 14 through (s): 15 (A) "Youth" means a person under the age of 18. 16 (B) "Emerging adult" means a person who is 18 17 through 20 years of age. 18 (C) "Transition-age adult" means a person who is 19 21 through 25 years of age. 20 (2) The Department shall amend 89 Ill. Adm. Code 139 21 in accordance with this Section and consistent with the 22 timelines outlined in this Section. 23 (3) Implementation of any amended requirements shall 24 be completed within 8 months of the adoption of any 25 amendment to 89 Ill. Adm. Code 139 that is consistent with 26 the provisions of this Section. SB1560 Engrossed - 9 - LRB104 11224 KTG 21306 b SB1560 Engrossed- 10 -LRB104 11224 KTG 21306 b SB1560 Engrossed - 10 - LRB104 11224 KTG 21306 b SB1560 Engrossed - 10 - LRB104 11224 KTG 21306 b 1 (4) To align the Family Support Program with the 2 Medicaid system of care, the services available to a 3 youth, emerging adult, or transition-age adult through the 4 Family Support Program shall include all Medicaid 5 community-based mental health treatment services and all 6 Family Support Program services included under 89 Ill. 7 Adm. Code 139. No person receiving services through the 8 Family Support Program or the Specialized Family Support 9 Program shall become a Medicaid enrollee unless Medicaid 10 eligibility criteria are met and the person is enrolled in 11 Medicaid. No part of this Section creates an entitlement 12 to services through the Family Support Program, the 13 Specialized Family Support Program, or the Medicaid 14 program. 15 (5) The Family Support Program shall align with the 16 following system of care principles: 17 (A) Treatment and support services shall be based 18 on the results of an integrated behavioral health 19 assessment and treatment plan using an instrument 20 approved by the Department of Healthcare and Family 21 Services. 22 (B) Strong interagency collaboration between all 23 State agencies the parent or legal guardian is 24 involved with for services, including the Department 25 of Healthcare and Family Services, the Department of 26 Human Services, the Department of Children and Family SB1560 Engrossed - 10 - LRB104 11224 KTG 21306 b SB1560 Engrossed- 11 -LRB104 11224 KTG 21306 b SB1560 Engrossed - 11 - LRB104 11224 KTG 21306 b SB1560 Engrossed - 11 - LRB104 11224 KTG 21306 b 1 Services, the Department of Juvenile Justice, and the 2 Illinois State Board of Education. 3 (C) Individualized, strengths-based practices and 4 trauma-informed treatment approaches. 5 (D) For a youth, full participation of the parent 6 or legal guardian at all levels of treatment through a 7 process that is family-centered and youth-focused. The 8 process shall include consideration of the services 9 and supports the parent, legal guardian, or caregiver 10 requires for family stabilization, and shall connect 11 such person or persons to services based on available 12 insurance coverage. 13 (h) Eligibility for the Family Support Program. 14 Eligibility criteria established under 89 Ill. Adm. Code 139 15 for the Family Support Program shall include the following: 16 (1) Individuals applying to the program must be under 17 the age of 26. 18 (2) Requirements for parental or legal guardian 19 involvement are applicable to youth and to emerging adults 20 or transition-age adults who have a guardian appointed 21 under Article XIa of the Probate Act. 22 (3) Youth, emerging adults, and transition-age adults 23 are eligible for services under the Family Support Program 24 upon their third inpatient admission to a hospital or 25 similar treatment facility for the primary purpose of 26 psychiatric treatment within the most recent 12 months and SB1560 Engrossed - 11 - LRB104 11224 KTG 21306 b SB1560 Engrossed- 12 -LRB104 11224 KTG 21306 b SB1560 Engrossed - 12 - LRB104 11224 KTG 21306 b SB1560 Engrossed - 12 - LRB104 11224 KTG 21306 b 1 are hospitalized for the purpose of psychiatric treatment. 2 (4) School participation for emerging adults applying 3 for services under the Family Support Program may be 4 waived by request of the individual at the sole discretion 5 of the Department of Healthcare and Family Services. 6 (5) School participation is not applicable to 7 transition-age adults. 8 (i) Notification of Family Support Program and Specialized 9 Family Support Program services. 10 (1) Within 12 months after the effective date of this 11 amendatory Act of the 101st General Assembly, the 12 Department of Healthcare and Family Services, with 13 meaningful stakeholder input through a working group of 14 psychiatric hospitals, Family Support Program providers, 15 family support organizations, the Community and 16 Residential Services Authority, a statewide association 17 representing a majority of hospitals, a statewide 18 association representing physicians, and foster care 19 alumni advocates, shall establish a clear process by which 20 a youth's or emerging adult's parents, guardian, or 21 caregiver, or the emerging adult or transition-age adult, 22 is identified, notified, and educated about the Family 23 Support Program and the Specialized Family Support Program 24 upon a first psychiatric inpatient hospital admission, and 25 any following psychiatric inpatient admissions. 26 Notification and education may take place through a Family SB1560 Engrossed - 12 - LRB104 11224 KTG 21306 b SB1560 Engrossed- 13 -LRB104 11224 KTG 21306 b SB1560 Engrossed - 13 - LRB104 11224 KTG 21306 b SB1560 Engrossed - 13 - LRB104 11224 KTG 21306 b 1 Support Program coordinator, a mobile crisis response 2 provider, a Comprehensive Community Based Youth Services 3 provider, the Community and Residential Services 4 Authority, or any other designated provider or coordinator 5 identified by the Department of Healthcare and Family 6 Services. In developing this process, the Department of 7 Healthcare and Family Services and the working group shall 8 take into account the unique needs of emerging adults and 9 transition-age adults without parental involvement who are 10 eligible for services under the Family Support Program. 11 The Department of Healthcare and Family Services and the 12 working group shall ensure the appropriate provider or 13 coordinator is required to assist individuals and their 14 parents, guardians, or caregivers, as applicable, in the 15 completion of the application or referral process for the 16 Family Support Program or the Specialized Family Support 17 Program. 18 (2) (Blank) Upon a youth's, emerging adult's or 19 transition-age adult's second psychiatric inpatient 20 hospital admission, prior to hospital discharge, the 21 hospital must, if it is aware of the patient's prior 22 psychiatric inpatient hospital admission, ensure that the 23 youth's parents, guardian, or caregiver, or the emerging 24 adult or transition-age adult, has been notified of the 25 Family Support Program and the Specialized Family Support 26 Program. SB1560 Engrossed - 13 - LRB104 11224 KTG 21306 b SB1560 Engrossed- 14 -LRB104 11224 KTG 21306 b SB1560 Engrossed - 14 - LRB104 11224 KTG 21306 b SB1560 Engrossed - 14 - LRB104 11224 KTG 21306 b 1 (3) Psychiatric lockout as last resort. 2 (A) Prior to referring any youth to the Department 3 of Children and Family Services for the filing of a 4 petition in accordance with subparagraph (c) of 5 paragraph (1) of Section 2-4 of the Juvenile Court Act 6 of 1987 alleging that the youth is dependent because 7 the youth was left in a psychiatric hospital beyond 8 medical necessity, the hospital shall attempt to 9 contact the youth and the youth's parents, guardian, 10 or caregiver about the BEACON portal Family Support 11 Program and the Specialized Family Support Program and 12 shall assist with entering the youth's information 13 into the BEACON portal to begin the process of 14 connecting the youth and family to available resources 15 connections to the designated Family Support Program 16 coordinator in the service area by providing 17 educational materials developed by the Department of 18 Healthcare and Family Services. Once this process has 19 begun, any such youth shall be considered a youth for 20 whom an application for the Family Support Program is 21 pending with the Department of Healthcare and Family 22 Services or an active application for the Family 23 Support Program was being reviewed by the Department 24 for the purposes of subsection (a) of Section 2-4b of 25 the Juvenile Court Act of 1987, or for the purposes of 26 subsection (a) of Section 5-711 of the Juvenile Court SB1560 Engrossed - 14 - LRB104 11224 KTG 21306 b SB1560 Engrossed- 15 -LRB104 11224 KTG 21306 b SB1560 Engrossed - 15 - LRB104 11224 KTG 21306 b SB1560 Engrossed - 15 - LRB104 11224 KTG 21306 b 1 Act of 1987. 2 (B) No state agency or hospital shall coach a 3 parent or guardian of a youth in a psychiatric 4 hospital inpatient unit to lock out or otherwise 5 relinquish custody of a youth to the Department of 6 Children and Family Services for the sole purpose of 7 obtaining necessary mental health treatment for the 8 youth. In the absence of abuse or neglect, a 9 psychiatric lockout or custody relinquishment to the 10 Department of Children and Family Services shall only 11 be considered as the option of last resort. Nothing in 12 this Section shall prohibit discussion of medical 13 treatment options or a referral to legal counsel. 14 (4) Development of new Family Support Program 15 services. 16 (A) Development of specialized therapeutic 17 residential treatment for youth and emerging adults 18 with high-acuity mental health conditions. Through a 19 working group led by the Department of Healthcare and 20 Family Services that includes the Department of 21 Children and Family Services and residential treatment 22 providers for youth and emerging adults, the 23 Department of Healthcare and Family Services, within 24 12 months after the effective date of this amendatory 25 Act of the 101st General Assembly, shall develop a 26 plan for the development of specialized therapeutic SB1560 Engrossed - 15 - LRB104 11224 KTG 21306 b SB1560 Engrossed- 16 -LRB104 11224 KTG 21306 b SB1560 Engrossed - 16 - LRB104 11224 KTG 21306 b SB1560 Engrossed - 16 - LRB104 11224 KTG 21306 b 1 residential treatment beds similar to a qualified 2 residential treatment program, as defined in the 3 federal Family First Prevention Services Act, for 4 youth in the Family Support Program with high-acuity 5 mental health needs. The Department of Healthcare and 6 Family Services and the Department of Children and 7 Family Services shall work together to maximize 8 federal funding through Medicaid and Title IV-E of the 9 Social Security Act in the development and 10 implementation of this plan. 11 (B) Using the Department of Children and Family 12 Services' beyond medical necessity data over the last 13 5 years and any other relevant, available data, the 14 Department of Healthcare and Family Services shall 15 assess the estimated number of these specialized 16 high-acuity residential treatment beds that are needed 17 in each region of the State based on the number of 18 youth remaining in psychiatric hospitals beyond 19 medical necessity and the number of youth placed 20 out-of-state who need this level of care. The 21 Department of Healthcare and Family Services shall 22 report the results of this assessment to the General 23 Assembly by no later than December 31, 2020. 24 (C) Development of an age-appropriate therapeutic 25 residential treatment model for emerging adults and 26 transition-age adults. Within 30 months after the SB1560 Engrossed - 16 - LRB104 11224 KTG 21306 b SB1560 Engrossed- 17 -LRB104 11224 KTG 21306 b SB1560 Engrossed - 17 - LRB104 11224 KTG 21306 b SB1560 Engrossed - 17 - LRB104 11224 KTG 21306 b 1 effective date of this amendatory Act of the 101st 2 General Assembly, the Department of Healthcare and 3 Family Services, in partnership with the Department of 4 Human Services' Division of Mental Health and with 5 significant and meaningful stakeholder input through a 6 working group of providers and other stakeholders, 7 shall develop a supportive housing model for emerging 8 adults and transition-age adults receiving services 9 through the Family Support Program who need 10 residential treatment and support to enable recovery. 11 Such a model shall be age-appropriate and shall allow 12 the residential component of the model to be in a 13 community-based setting combined with intensive 14 community-based mental health services. 15 (j) Workgroup to develop a plan for improving access to 16 substance use treatment. The Department of Healthcare and 17 Family Services and the Department of Human Services' Division 18 of Substance Use Prevention and Recovery shall co-lead a 19 working group that includes Family Support Program providers, 20 family support organizations, and other stakeholders over a 21 12-month period beginning in the first quarter of calendar 22 year 2020 to develop a plan for increasing access to substance 23 use treatment services for youth, emerging adults, and 24 transition-age adults who are eligible for Family Support 25 Program services. 26 (k) Appropriation. Implementation of this Section shall be SB1560 Engrossed - 17 - LRB104 11224 KTG 21306 b SB1560 Engrossed- 18 -LRB104 11224 KTG 21306 b SB1560 Engrossed - 18 - LRB104 11224 KTG 21306 b SB1560 Engrossed - 18 - LRB104 11224 KTG 21306 b 1 limited by the State's annual appropriation to the Family 2 Support Program. Spending within the Family Support Program 3 appropriation shall be further limited for the new Family 4 Support Program services to be developed accordingly: 5 (1) Targeted use of specialized therapeutic 6 residential treatment for youth and emerging adults with 7 high-acuity mental health conditions through appropriation 8 limitation. No more than 12% of all annual Family Support 9 Program funds shall be spent on this level of care in any 10 given state fiscal year. 11 (2) Targeted use of residential treatment model 12 established for emerging adults and transition-age adults 13 through appropriation limitation. No more than one-quarter 14 of all annual Family Support Program funds shall be spent 15 on this level of care in any given state fiscal year. 16 (l) Exhausting third party insurance coverage first. 17 (A) A parent, legal guardian, emerging adult, or 18 transition-age adult with private insurance coverage shall 19 work with the Department of Healthcare and Family 20 Services, or its designee, to identify insurance coverage 21 for any and all benefits covered by their plan. If 22 insurance cost-sharing by any method for treatment is 23 cost-prohibitive for the parent, legal guardian, emerging 24 adult, or transition-age adult, Family Support Program 25 funds may be applied as a payer of last resort toward 26 insurance cost-sharing for purposes of using private SB1560 Engrossed - 18 - LRB104 11224 KTG 21306 b SB1560 Engrossed- 19 -LRB104 11224 KTG 21306 b SB1560 Engrossed - 19 - LRB104 11224 KTG 21306 b SB1560 Engrossed - 19 - LRB104 11224 KTG 21306 b 1 insurance coverage to the fullest extent for the 2 recommended treatment. If the Department, or its agent, 3 has a concern relating to the parent's, legal guardian's, 4 emerging adult's, or transition-age adult's insurer's 5 compliance with Illinois or federal insurance requirements 6 relating to the coverage of mental health or substance use 7 disorders, it shall refer all relevant information to the 8 applicable regulatory authority. 9 (B) The Department of Healthcare and Family Services 10 shall use Medicaid funds first for an individual who has 11 Medicaid coverage if the treatment or service recommended 12 using an integrated behavioral health assessment and 13 treatment plan (using the instrument approved by the 14 Department of Healthcare and Family Services) is covered 15 by Medicaid. 16 (C) If private or public insurance coverage does not 17 cover the needed treatment or service, Family Support 18 Program funds shall be used to cover the services offered 19 through the Family Support Program. 20 (m) Service authorization. A youth, emerging adult, or 21 transition-age adult enrolled in the Family Support Program or 22 the Specialized Family Support Program shall be eligible to 23 receive a mental health treatment service covered by the 24 applicable program if the medical necessity criteria 25 established by the Department of Healthcare and Family 26 Services are met. SB1560 Engrossed - 19 - LRB104 11224 KTG 21306 b SB1560 Engrossed- 20 -LRB104 11224 KTG 21306 b SB1560 Engrossed - 20 - LRB104 11224 KTG 21306 b SB1560 Engrossed - 20 - LRB104 11224 KTG 21306 b 1 (n) Streamlined application. The Department of Healthcare 2 and Family Services shall revise the Family Support Program 3 applications and the application process to reflect the 4 changes made to this Section by this amendatory Act of the 5 101st General Assembly within 8 months after the adoption of 6 any amendments to 89 Ill. Adm. Code 139. 7 (o) Study of reimbursement policies during planned and 8 unplanned absences of youth and emerging adults in Family 9 Support Program residential treatment settings. The Department 10 of Healthcare and Family Services shall undertake a study of 11 those standards of the Department of Children and Family 12 Services and other states for reimbursement of residential 13 treatment during planned and unplanned absences to determine 14 if reimbursing residential providers for such unplanned 15 absences positively impacts the availability of residential 16 treatment for youth and emerging adults. The Department of 17 Healthcare and Family Services shall begin the study on July 18 1, 2019 and shall report its findings and the results of the 19 study to the General Assembly, along with any recommendations 20 for or against adopting a similar policy, by December 31, 21 2020. 22 (p) Public awareness and educational campaign for all 23 relevant providers. The Department of Healthcare and Family 24 Services shall engage in a public awareness campaign to 25 educate hospitals with psychiatric units, crisis response 26 providers such as Screening, Assessment and Support Services SB1560 Engrossed - 20 - LRB104 11224 KTG 21306 b SB1560 Engrossed- 21 -LRB104 11224 KTG 21306 b SB1560 Engrossed - 21 - LRB104 11224 KTG 21306 b SB1560 Engrossed - 21 - LRB104 11224 KTG 21306 b 1 providers and Comprehensive Community Based Youth Services 2 agencies, schools, and other community institutions and 3 providers across Illinois on the changes made by this 4 amendatory Act of the 101st General Assembly to the Family 5 Support Program. The Department of Healthcare and Family 6 Services shall produce written materials geared for the 7 appropriate target audience, develop webinars, and conduct 8 outreach visits over a 12-month period beginning after 9 implementation of the changes made to this Section by this 10 amendatory Act of the 101st General Assembly. 11 (q) Maximizing federal matching funds for the Family 12 Support Program and the Specialized Family Support Program. 13 The Department of Healthcare and Family Services, as the sole 14 Medicaid State agency, shall seek approval from the federal 15 Centers for Medicare and Medicaid Services within 12 months 16 after the effective date of this amendatory Act of the 101st 17 General Assembly to draw additional federal Medicaid matching 18 funds for individuals served under the Family Support Program 19 or the Specialized Family Support Program who are not covered 20 by the Department's medical assistance programs. The 21 Department of Children and Family Services, as the State 22 agency responsible for administering federal funds pursuant to 23 Title IV-E of the Social Security Act, shall submit a State 24 Plan to the federal government within 12 months after the 25 effective date of this amendatory Act of the 101st General 26 Assembly to maximize the use of federal Title IV-E prevention SB1560 Engrossed - 21 - LRB104 11224 KTG 21306 b SB1560 Engrossed- 22 -LRB104 11224 KTG 21306 b SB1560 Engrossed - 22 - LRB104 11224 KTG 21306 b SB1560 Engrossed - 22 - LRB104 11224 KTG 21306 b 1 funds through the federal Family First Prevention Services 2 Act, to provide mental health and substance use disorder 3 treatment services and supports, including, but not limited 4 to, the provision of short-term crisis and transition beds 5 post-hospitalization for youth who are at imminent risk of 6 entering Illinois' youth welfare system solely due to the 7 inability to access mental health or substance use treatment 8 services. 9 (r) Outcomes and data reported annually to the General 10 Assembly. Beginning in 2021, the Department of Healthcare and 11 Family Services shall submit an annual report to the General 12 Assembly that includes the following information with respect 13 to the time period covered by the report: 14 (1) The number and ages of youth, emerging adults, and 15 transition-age adults who requested services under the 16 Family Support Program and the Specialized Family Support 17 Program and the services received. 18 (2) The number and ages of youth, emerging adults, and 19 transition-age adults who requested services under the 20 Specialized Family Support Program who were eligible for 21 services based on the number of hospitalizations. 22 (3) The number and ages of youth, emerging adults, and 23 transition-age adults who applied for Family Support 24 Program or Specialized Family Support Program services but 25 did not receive any services. 26 (s) Rulemaking authority. Unless a timeline is otherwise SB1560 Engrossed - 22 - LRB104 11224 KTG 21306 b SB1560 Engrossed- 23 -LRB104 11224 KTG 21306 b SB1560 Engrossed - 23 - LRB104 11224 KTG 21306 b SB1560 Engrossed - 23 - LRB104 11224 KTG 21306 b 1 specified in a subsection, if amendments to 89 Ill. Adm. Code 2 139 are needed for implementation of this Section, such 3 amendments shall be filed by the Department of Healthcare and 4 Family Services within one year after the effective date of 5 this amendatory Act of the 101st General Assembly. 6 (Source: P.A. 101-461, eff. 1-1-20; 101-616, eff. 12-20-19.) 7 Section 15. The Interagency Children's Behavioral Health 8 Services Act is amended by adding Section 35 as follows: 9 (405 ILCS 165/35 new) 10 Sec. 35. BEACON training. The Department of Human 11 Services, in coordination with a statewide association 12 representing a majority of hospitals, shall establish and 13 offer a voluntary training that will be recorded and made 14 available on the Department's website to all hospital social 15 workers, clinicians, and administrative staff to inform them 16 of BEACON, a centralized resource for Illinois youth and 17 families seeking services for behavioral health needs, with 18 the goal of encouraging families to seek assistance through 19 BEACON and the Interagency Children's Behavioral Health 20 Services Team. The training shall include how families and 21 hospital staff can access BEACON, the process once a case is 22 entered into BEACON, and State and community programs 23 accessible through BEACON. SB1560 Engrossed - 23 - LRB104 11224 KTG 21306 b