SB 1909

Abstract

Amends the Illinois Insurance Code. Requires certain group health insurance policies and other specified policies to provide coverage of medically necessary treatment for postpartum complications as determined by the woman's treating physician. Makes conforming changes in the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, the School Code, the Health Maintenance Organization Act, and the Voluntary Health Services Plans Act. Amends the Department of Public Health Powers and Duties Law of the Civil Administrative Code of Illinois. Adds provisions regarding birthing facilities and neonatal and maternal care designations. Amends the Department of Human Services Act. Provides that the Department of Human Services may establish the Nurse-Family Partnership Pilot Program. Amends the Illinois Public Aid Code. Provides that women during pregnancy and during a 12-month (rather than 60-day) period are eligible for medical assistance. Provides that otherwise eligible women shall receive coverage for doula services, perinatal depression screenings, and other services. Provides that the Department of Children and Family Services shall seek approval of a State Plan amendment to expand coverage for family planning services to women whose income is at or below 200% of the federal poverty level. Makes other changes. Amends the Adoption Act. Removes a rebuttable presumption regarding a parent's unfitness if, at birth, the urine, blood, or meconium of the parent's child contains any amount of specified controlled substances. Makes conforming changes to the Abused and Neglected Child Reporting Act and the Juvenile Court Act of 1987. Effective immediately. Senate Committee Amendment No. 1 Adds reference to: 20 ILCS 1305/10-23 new 410 ILCS 50/3 from Ch. 111 1/2, par. 5403 Further amends the Department of Human Services Act. Provides that the Department of Human Services' High Risk Infant Follow-Up program shall be expanded to serve any pregnant or post-partum woman identified as high-risk by a Level I, Level II, or Level III hospital. Provides that the services shall be provided by registered nurses. Requires the Department, in conjunction with the Department of Public Health and specified entities, to develop rules and appropriate revisions to the High Risk Infant Follow-Up program to expand existing services provided by registered nurses to pregnant and postpartum women. Provides that such rules shall be adopted no later than January 1, 2021. Amends the Medical Patient Rights Act. Provides that, with the exception of medical emergencies with inadequate time to obtain consent, each patient has the right to specific informed consent, or informed permission in the case of an infant, including information regarding the health and legal benefits and risks regarding biochemical testing for controlled substances. Provides that health care providers shall provide to patients, or patients' representatives, in writing, specified information. Senate Committee Amendment No. 2 Deletes reference to: 20 ILCS 2310/2310-455 new Adds reference to: 410 ILCS 250/11.2 new In provisions expanding the Department of Public Health's High Risk Infant Follow-Up program, provides that the registered nurses may collaborate with other providers, including, but not limited to, obstetricians, gynecologists, and pediatricians, when providing the services to the patient. Adds the provisions concerning maternal care designations at birthing facilities to the Developmental Disability Prevention Act (rather than to the Department of Public Health Powers and Duties Law of the Civil Administrative Code of Illinois) and makes the following changes to those provisions: provides that the Department of Public Health shall adopt rules to implement specified provisions; requires the Department to hold multiple public hearings with representatives from diverse geographical regions and professional backgrounds (rather than in diverse geographic regions of the State); Removes language regarding neonatal care; requires the Department to adopt rules to implement the amendatory Act's provisions by June 1, 2021 (rather than January 1, 2021); and removes language requiring a birthing facility to report to the Department its appropriate level of neonatal care designation and maternal care designation. Senate Committee Amendment No. 3 Deletes reference to: 325 ILCS 5/3 410 ILCS 50/3 705 ILCS 405/2-3 705 ILCS 405/2-18 750 ILCS 50/1 Removes Sections amending the Abused and Neglected Child Reporting Act, the Medical Patient Rights Act, the Juvenile Court Act of 1987, and the Adoption Act. Senate Floor Amendment No. 4 Adds reference to: 215 ILCS 5/356z.4a new Replaces everything after the enacting clause with the provisions of the introduced bill as amended by Senate Amendment Nos. 1, 2, and 3 with the following changes: Further amends the Illinois Insurance Code. Provides that insurers shall allow hospitals separate reimbursement for a long-acting reversible contraceptive device provided immediately postpartum in the inpatient hospital setting before hospital discharge. Provides that coverage shall be subject to other general exclusions, limitations, and financial requirements of the policy, including coordination of benefits, participating provider requirements, and utilization review of health care services, including review of medical necessity, case management, experimental and investigational treatments, managed care provisions, and other terms and conditions. Provides that nothing shall prevent an insurer from applying concurrent and post-service utilization review of health care services, including review of medical necessity, case management, experimental and investigational treatments, managed care provisions, and other terms and conditions of the insurance policy. Removes language providing that benefits for days 29 and thereafter of inpatient care, detoxification/withdrawal management, partial hospitalization, intensive outpatient treatment, and outpatient treatment shall be subject to concurrent review. Provides that an independent utilization review organization shall make a determination within 72 (rather than 24) hours. Removes language regarding when the benefits for outpatient prescription drugs to treat mental, emotional, nervous, or substance use disorder or conditions shall be provided. Removes language requiring the first 180 days per plan year of benefits to be computed based on inpatient days. In provisions amending the Department of Human Services Act, provides that the Department of Human Services shall expand and update its maternal child health programs to serve any pregnant or postpartum woman identified as high-risk by her primary care provider or hospital according to the standards developed by the Department of Public Health under the Developmental Disability Prevention Act. Provides that the services shall be provided by registered nurses, licensed social workers, or other staff with behavioral health or medical training, as approved by the Department of Human Services. Provides that the persons providing the services may collaborate with other providers, including, but not limited to, obstetricians, gynecologists, or pediatricians, when providing services to a patient. Amends the Department of Public Health Powers and Duties Law of the Civil Administrative Code of Illinois. Provides that the Department of Public Health, in collaboration with the Department of Human Services, the Department of Healthcare and Family Services, and other key providers of maternal child health services, shall, on or before June 1, 2021, revise or add to the rules of the Maternal and Child Health Services Code of the Illinois Administrative Code that govern the High Risk Infant Follow-up, using current scientific and national and State outcomes data, to expand existing services to improve both maternal and infant outcomes overall and to reduce racial disparities in outcomes and services provided. House Floor Amendment No. 1 Deletes reference to: 5 ILCS 375/6.11 20 ILCS 1305/10-23 new 20 ILCS 1305/10-24 new 20 ILCS 2310-455 new 55 ILCS 5/5-1069.3 65 ILCS 5/10-4-2.3 105 ILCS 5/10-22.3f 215 ILCS 356z.4a new 215 ILCS 5/356z.33 new 215 ILCS 125/5-3 from Ch. 111 1/2, par. 1411.2 215 ILCS 165/10 from Ch. 32, par. 604 305 ILCS 5/5-2 from Ch. 23, par. 5-2 305 ILCS 5/5-5 from Ch. 23, par. 5-5 305 ILCS 5/5-5.24 410 ILCS 250/11.2 new Adds reference to: 410 ILCS 410/3 from Ch. 111 1/2, par. 6903 410 ILCS 410/3.2 Replaces everything after the enacting clause. Amends the Alzheimer's Disease Research Act. Provides that, if funding is available, moneys in the Alzheimer's Disease Research, Care, and Support Fund shall be used by the Department of Public Health to cover costs associated with executing appropriate modules of the Behavioral Risk Factor Surveillance System and otherwise administering relevant data collection and implementing recommendations outlined in the Alzheimer's Disease State Plan. Makes other changes concerning the Fund. Effective January 1, 2020.