SB 558

Abstract

Amends the Community Mental Health Act. Makes a technical change in a Section concerning the short title. Senate Floor Amendment No. 1 Deletes reference to: 405 ILCS 20/0.1 Adds reference to: 410 ILCS 620/17.2 Replaces everything after the enacting clause. Amends the Illinois Food, Drug and Cosmetic Act. Provides that the prohibition on import for profit, sale, or offer for sale in this State of specified cosmetics developed or manufactured using an animal test does not apply to an animal test that was conducted for noncosmetic purposes in response to a requirement of a federal, State, or foreign regulatory authority unless there is (i) documented evidence of the noncosmetic intent of the test and (ii) a history of use of the ingredient outside of cosmetics at least 12 months prior to the test being conducted (rather than if no evidence derived from the test was relied upon to substantiate the safety of the cosmetic sold in Illinois by the manufacturer). Provides that cosmetic inventory that violates the provisions may be sold on or before June 1, 2020 (rather than for a period of 180 days). Makes other changes. Effective immediately. House Committee Amendment No. 2 Deletes reference to: 410 ILCS 620/17.2 Adds reference to: 405 ILCS 20/0.1 from Ch. 91 1/2, par. 300.1 Replaces everything after the enacting clause. Amends the Community Mental Health Act. Makes a technical change in a Section concerning the short title. House Floor Amendment No. 3 Deletes reference to: 405 ILCS 20/0.1 Adds reference to: New Act 110 ILCS 330/12 new 210 ILCS 85/10.12 new 210 ILCS 86/25 210 ILCS 85/6.30 new 110 ILCS 330/8d new 210 ILCS 85/6.28 new 110 ILCS 330/11 new 210 ILCS 85/6.31 new 305 ILCS 5/5-5.05 225 ILCS 60/20 from Ch. 111, par. 4400-20 225 ILCS 65/55-35 225 ILCS 65/60-40 225 ILCS 65/65-60 was 225 ILCS 65/15-45 225 ILCS 95/11.5 720 ILCS 570/414 720 ILCS 646/115 720 ILCS 570/316 320 ILCS 20/3.1 new 35 ILCS 105/3-10 35 ILCS 110/3-10 from Ch. 120, par. 439.33-10 35 ILCS 115/3-10 from Ch. 120, par. 439.103-10 35 ILCS 120/2-10 305 ILCS 5/9A-11 from Ch. 23, par. 9A-11 820 ILCS 191/5 820 ILCS 191/10 210 ILCS 45/3-206.06 new 210 ILCS 85/6.29 new 30 ILCS 805/8.45 new 305 ILCS 5/5A-12.7 20 ILCS 2205/2205-35 new 20 ILCS 5/5-565 was 20 ILCS 5/6.06 30 ILCS 105/5.936 new 105 ILCS 5/34-18.67 new 20 ILCS 3960/4 from Ch. 111 1/2, par. 1154 20 ILCS 3960/5.5 new 20 ILCS 3960/8.7 305 ILCS 5/5-30.1 305 ILCS 5/5-30.1 305 ILCS 5/5-30.15 new 305 ILCS 5/5-30.17 new 30 ILCS 105/5.935 new 30 ILCS 105/6z-124 new 305 ILCS 5/5-45 new 305 ILCS 5/5-30.16 new 305 ILCS 5/5-18.5 new Replaces everything after the enacting clause. Provides that the Act may be referred to as the Illinois Health Care and Human Service Reform Act. Contains findings. Creates the Community Health Worker Certification and Reimbursement Act. Requires community health workers to be provided with multi-tiered academic and community-based training opportunities that lead to the mastery of community health worker core competencies. Creates the Illinois Community Health Worker Certification Board to serve as the regulatory body that develops and has oversight of initial community health workers certification and certification renewals for both individuals and academic and community-based training programs. Provides that community health worker services shall be covered under the medical assistance program for persons who are otherwise eligible for medical assistance. Contains other provisions. Amends the University of Illinois Hospital Act and the Hospital Licensing Act. Requires hospitals to require an intern, resident, or physician who provides medical services at the hospital to have proper credentials and any required certificates for ongoing training at the time the intern, resident, or physician renews his or her license. Amends the Hospital Report Card Act. Requires hospitals to include in their quarterly reports the number of female patients who have died within the reporting period, the number of female patients who have died of a preventable cause within the reporting period and the number of those preventable deaths that the hospital has otherwise reported within the reporting period, and the number of physicians who were required by the hospital to undergo any amount or type of retraining during the reporting period. Amends the Hospital Licensing Act. Requires hospitals that receive a property tax exemption under a provision of the Property Tax Code concerning exemptions related to access to hospital and health care services by low-income and underserved individuals to post the hospital's charity care policy and the contact information of a financial counselor in a reasonably viewable area in the hospital's emergency room. Amends the University of Illinois Hospital Act and the Hospital Licensing Act. Requires hospitals organized or licensed under the Acts to provide N95 masks to all physicians licensed under the Medical Practice Act of 1987 and registered nurses and advanced practice registered nurses licensed under the Nurse Licensing Act if the physician, registered nurse, or advanced practice registered nurse is employed by or providing services for another employer at the hospital. Amends the University of Illinois Hospital Act and the Hospital Licensing Act. Requires hospitals organized or licensed under the Acts to report to the Department of Public Health the demographic data of individuals who have symptoms of COVID-19 and are released from, not admitted to, the hospital. Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that the inpatient, per diem rate to be paid to all community safety-net hospitals for inpatient psychiatric services on and after January 1, 2021 shall be at least $630. In provisions amending the Medical Practice Act of 1987, the Nurse Practice Act, and the Physician Assistant Practice Act of 1987, provides that the rules adopted by the Department of Financial and Professional Regulation concerning continuing education shall require that, on and after January 1, 2022, all continuing education courses for persons licensed under the Acts contain curriculum that includes the understanding of implicit bias in the practice of medicine. Provides that a continuing education course dedicated solely to research or other issues that does not include a direct patient care component is not required to contain curriculum that includes implicit bias in the practice of medicine. Specifies requirements that continuing education courses must satisfy. Amends the Illinois Controlled Substances Act and the Methamphetamine Control and Community Protection Act. Provides that a person who, in good faith, seeks or obtains emergency medical assistance for someone experiencing an overdose or who is experiencing an overdose shall not be arrested, charged, or prosecuted for controlled substance manufacture, delivery, or possession with intent to manufacture or deliver or a possession violation of the Illinois Controlled Substances Act, a drug paraphernalia violation, a methamphetamine delivery or possession violation, a drug-induced homicide violation, or an aggravated battery violation based on unlawfully delivering a controlled substance to another person and any user experiences great bodily harm or permanent disability as a result of the injection, inhalation, or ingestion of any amount of the controlled substance. Provides that these violations must not serve as the sole basis of a violation of parole, mandatory supervised release, probation or conditional discharge, a Department of Children and Family Services investigation, or any seizure of property under any State law authorizing civil forfeiture so long as the evidence for the violation was acquired as a result of the person seeking or obtaining emergency medical assistance in the event of an overdose. Provides that the limited immunity as relates to methamphetamine only applies to possession of less than 3 grams. Provides that nothing in these provisions are intended to interfere with or prevent the investigation, arrest, or prosecution of any person for the delivery or distribution of cannabis, methamphetamine, or other controlled substances, drug-induced homicide, or any other crime if the evidence of the violation is not acquired as a result of the person seeking or obtaining emergency medical assistance in the event of an overdose. Deletes provisions that the limited immunity only applies to Class 4 felony possession of a controlled, counterfeit, or look-alike substance or a controlled substance analog. Amends the Illinois Controlled Substances Act. Provides that the requirements for transmitting information to the central repository under the Prescription Monitoring Program also apply to opioid treatment programs that prescribe Schedule II, III, IV, or V controlled substances for the treatment of opioid use disorder. Amends the Adult Protective Services Act. Requires the Department on Aging to develop and implement a dementia training program that must include instruction on the identification of people with dementia, risks such as wandering, communication impairments, elder abuse, and the best practices for interacting with people with dementia. Provides that initial training of 4 hours shall be completed at the start of employment with the Adult Protective Services division and shall cover several subjects, including: (i) dementia, psychiatric, and behavioral symptoms; (ii) communication issues, including how to communicate respectfully and effectively; and (iii) protocols for connecting people living with dementia to local care resources and professionals who are skilled in dementia care to encourage cross-referral and reporting regarding incidents of abuse. Provides that annual continuing education shall include 2 hours of dementia training covering the same subjects discussed during initial training. Grants rulemaking authority. Amends the Use Tax Act, the Service Use Tax Act, the Service Occupation Tax Act, and the Retailers' Occupation Tax Act. Provides that all blood sugar testing materials are subject to the 1% reduced rate of tax (rather than urine testing materials for human use only). Amends the Illinois Public Aid Code. In provisions concerning the Department of Human Services' Child Care Assistance Program, requires the Department to update the Child Care Assistance Program Eligibility Calculator posted on the Department's website to include a question on whether a family is applying for child care assistance for the first time or is applying for a redetermination of eligibility. Amends the Employee Sick Leave Act. Provides that personal care of a parent, mother-in-law, father-in-law, grandparent, or stepparent is a permissible use of personal sick leave benefits. Amends the Nursing Home Care Act and the Hospital Licensing Act. Requires licensed long-term care facilities and hospitals to prove upon inspection that they provided testing for Legionnaires' disease and to provide the results of that testing. Creates the Child Trauma Counseling Act. Provides that: (1) a day care center shall provide the services of a trauma counselor to a child, from birth through the fifth grade, enrolled and attending the day care center who has been identified as needing trauma counseling; and (2) a school shall provide the services of a trauma counselor to a child who is enrolled and attending kindergarten through the fifth grade at that school and has been identified as needing trauma counseling. Provides that there shall be no cost for such trauma counseling to the parents or guardians of the child. Provides that a child is identified as needing trauma counseling if the child reports trauma to a day care center or a school or a parent or guardian of a child or employee of a day care center or a school reports that the child has experienced trauma. Provides for the adoption of rules to implement the Act and rules related to qualifications of trauma counselors working with children under the Act. Amends the State Mandates Act to require implementation without reimbursement. Creates the Special Commission on Gynecologic Cancer Act. Creates the Special Commission on Gynecologic Cancers to study specified issues regarding gynecologic cancers in Illinois and submit its final report to the General Assembly no later than December 31, 2021. Amends the Hospital Provider Funding Article of the Illinois Public Aid Code. Provides that, in order to address the escalating infant mortality rates among minority communities in Illinois, the State shall, subject to appropriation, create a pool of funding of at least $50,000,000 annually to be dispersed among community safety-net hospitals who maintain perinatal designation from the Department of Public Health, and that he funding shall be used to preserve or enhance OB/GYN services or other specialty services at the receiving hospital. Creates the Racial Impact Note Act. Provides that every bill which has or could have a disparate impact on racial and ethnic minorities, upon the request of any member, shall have prepared for it, before second reading in the house of introduction, a brief explanatory statement or note that shall include a reliable estimate of the anticipated impact on those racial and ethnic minorities likely to be impacted by the bill. Specifies the contents and provides for the preparation of each racial impact note. Provides that no comment or opinion shall be included in the racial impact note with regard to the merits of the measure for which the racial impact note is prepared. Provides that the fact that a racial impact note is prepared for any bill shall not preclude or restrict the appearance before any committee of the General Assembly of any official or authorized employee of the responding agency or agencies, or any other impacted State agency, who desires to be heard in support of or in opposition to the measure. Amends the Department of Healthcare and Family Services Law. Requires the Department of Healthcare and Family Services, on or before December 31, 2021, to develop: (1) a program to increase the presence of Federally Qualified Health Centers (FQHCs) in hospitals with the goal of increasing care coordination, managing chronic diseases, and addressing the social determinants of health and (2) a payment methodology to allow for care coordination services in FQHCs. Amends the Departments of State Government Law of the Civil Administrative Code of Illinois. Provides that it shall be the duty of the State Board of Health, among other duties, to deliver to the Governor for presentation to the General Assembly a State Health Assessment and a State Health Improvement Plan (currently, only a State Health Improvement Plan required). Provides further requirements concerning the State Health Assessment and the State Health Improvement Plan. Creates the Health and Human Services Task Force and Study Act establishing the Health and Human Services Task Force to undertake a systematic review of health and human service departments and programs with the goal of improving health and human service outcomes for Illinois residents. Creates the Anti-Racism Commission Act establishing the Anti-Racism Commission to identify and propose statewide policies to eliminate systemic racism and advance equitable solutions for Black and Brown people in Illinois. Creates the Sickle Cell Prevention, Care, and Treatment Program Act. Requires the Department of Healthcare and Family Services to establish a grant program for the purpose of providing for the prevention, care, and treatment of sickle cell disease and for educational programs concerning the disease. Requires the Department to: (1) develop application criteria and standards of eligibility for groups or organizations that apply for funds under the program; and (2) make available grants to groups and organizations who meet the eligibility standards set by the Department. Provides that the highest priority for grants shall be accorded to established sickle cell disease community-based organizations, and priority shall be given to ensuring the establishment of sickle cell disease centers in underserved areas that have a higher population of sickle cell disease patients. Requires the Department to determine the maximum amount available for each grant; determine policies for the expiration and renewal of grants; require that all grant funds be used for the purpose of prevention, care, and treatment of sickle cell disease or for educational programs concerning the disease; and develop a sickle cell disease educational outreach program that includes the dissemination of educational materials to specified persons and institutions. Permits the Department to contract with an entity to implement the sickle cell disease educational outreach program. Requires the Department to adopt rules. Requires the Department to conduct a study to determine the prevalence, impact, and needs of individuals with sickle cell disease and the sickle cell trait in Illinois. Provides that implementation of the Act is subject to appropriation. Amends the State Finance Act. Creates the Sickle Cell Chronic Disease Fund. Amends the Chicago School District Article of the School Code. Requires the Chicago Board of Education to establish a school nurse pilot program. Provides that under the program, the Board shall require the top 20% of the lowest performing schools in the school district, as determined by the Board, to employ a school nurse in conformance with certain provisions of the Code concerning school nurses. Requires the Board to implement this program beginning with the 2019-2020 school year. Amends the Illinois Health Facilities Planning Act. Adds 2 members to the Health Facilities and Services Review Board. Provides that, due to the COVID-19 pandemic, the State shall institute a moratorium on the closure of hospitals until December 31, 2023, and no hospital shall close or reduce capacity below the hospital's capacity as of January 1, 2020 before the end of the moratorium. Provides that, upon the completion of an application to close a health care facility or discontinue a category of service, the Health Facilities and Services Review Board shall conduct a racial equity impact assessment to determine the effect of the closure or discontinuation of service on racial and ethnic minorities, and the results of the racial equity impact assessment shall be made available to the public. Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires managed care organizations (MCOs) to publish, at least quarterly for the preceding quarter, on their websites: (1) the total number of claims received by the MCO; (2) the number and monetary amount of claims payments made to a service provider; (3) the dates of services rendered for the claims payments made under item (2); (4) the dates the claims were received by the MCO for the claims payments made under item (2); and (5) the dates on which claims payments under item (2) were released. Requires the Department of Healthcare and Family Services to require MCOs to: (i) ensure that any provider under contract with an MCO on the date of service is paid for any medically necessary service rendered to any of the MCO's enrollees, regardless of inclusion on the MCO's published and publicly available roster of available providers; and (ii) ensure that all contracted providers are listed on an updated roster within 7 days of entering into a contract with the MCO and that such roster is readily accessible to all medical assistance enrollees for purposes of selecting an approved healthcare provider. Makes other changes regarding discharge notification and facility placement of individuals and other provisions regarding MCOs. Creates the Medicaid Managed Care Oversight Commission within the Department of Healthcare and Family Services to evaluate the effectiveness of Illinois' managed care program. Amends the State Finance Act. Creates the Managed Care Oversight Fund to be used by the Department of Healthcare and Family Services to support emergency procurement and sole source contracting with women and minority-owned businesses. Provides that the Department shall not renew, re-enter, renegotiate, change orders, or amend any contract or agreement it entered with a managed care organization that was solicited under the State of Illinois Medicaid Managed Care Organization Request for Proposals. Requires any health care plan administered by a managed care organization that entered a contract with the Department under the State of Illinois Medicaid Managed Care Organization Request for Proposals shall be transitioned to the State's fee-for-service medical assistance program upon the expiration of the managed care organization's contract with the Department until such time the Department enters a new contract in accordance specified provisions of the Code. Contains other provisions. Provides that the Department shall require each managed care organization participating in the medical assistance program to satisfy any minority-owned or women-owned business subcontracting requirements to which the managed care organization is subject under the contract. Provides that the Department shall terminate its contract with any managed care organization that does not meet the minority-owned or women-owned business subcontracting requirements under its contract with the State. Provides that the Department shall reassign to another managed care plan any Medicaid recipient who will lose healthcare coverage as a result of the Department's decision to terminate its contract with the managed care organization. Provides that the Department shall terminate the contract no later than 60 days after receiving a contractually required report indicating that the managed care organization has not met the subcontracting goals. Amends the Illinois Public Aid Code. Provides that specified doula services and evidence-based home visiting services shall be covered under the medical assistance program for persons who are otherwise eligible for medical assistance. Provides that the Department of Healthcare and Family Services shall adopt rules, periodically assess the rates of reimbursement for perinatal doula and home visiting services, adjust rates accordingly, seek State plan amendments or waivers necessary to implement the new provisions, and secure federal financial participation for expenditures made in accordance with the new provisions. Provides for the repeal of certain provisions. Makes other changes. Effective immediately. House Floor Amendment No. 4 Deletes reference to: 405 ILCS 20/0.1 Adds reference to: New Act 210 ILCS 85/10.4 from Ch. 111 1/2, par. 151.4 20 ILCS 2215/4-4 from Ch. 111 1/2, par. 6504-4 210 ILCS 85/6 from Ch. 111 1/2, par. 147 210 ILCS 85/6.14c 210 ILCS 85/10.10 210 ILCS 85/11.5 210 ILCS 87/15 210 ILCS 88/15 210 ILCS 160/15 410 ILCS 50/3.4 410 ILCS 50/5.2 410 ILCS 82/20 325 ILCS 2/22 740 ILCS 45/5.1 from Ch. 70, par. 75.1 775 ILCS 50/5 775 ILCS 50/10 110 ILCS 330/8d new 210 ILCS 85/6.28 new 305 ILCS 5/5-5.05 20 ILCS 2105/2105-15.7 new 720 ILCS 570/414 720 ILCS 646/115 720 ILCS 570/316 320 ILCS 20/3.1 new 35 ILCS 105/3-10 35 ILCS 110/3-10 from Ch. 120, par. 439.33-10 35 ILCS 115/3-10 from Ch. 120, par. 439.103-10 35 ILCS 120/2-10 305 ILCS 5/9A-11 from Ch. 23, par. 9A-11 820 ILCS 191/5 820 ILCS 191/10 210 ILCS 45/3-206.06 new 210 ILCS 85/6.29 new 225 ILCS 10/7 from Ch. 23, par. 2217 305 ILCS 5/5A-12.7 20 ILCS 2205/2205-35 new 20 ILCS 5/5-565 was 20 ILCS 5/6.06 30 ILCS 105/5.936 new 20 ILCS 3960/4 from Ch. 111 1/2, par. 1154 20 ILCS 3960/5.4 20 ILCS 3960/5.5 new 305 ILCS 5/5-30.1 305 ILCS 5/5-30.17 new 30 ILCS 105/5.935 new 30 ILCS 105/6z-124 new 305 ILCS 5/5-30.16 new 305 ILCS 5/14-13 305 ILCS 5/5-18.5 new Replaces everything after the enacting clause. Provides that the Act may be referred to as the Illinois Health Care and Human Service Reform Act. Contains findings. Creates the Community Health Worker Certification and Reimbursement Act. Requires community health workers to be provided with specified training opportunities that lead to the mastery of community health worker core competencies. Creates the Illinois Community Health Worker Certification Board to serve as a regulatory body that develops and has oversight of initial community health workers certification and certification renewals for individuals and specified training programs. Provides that community health worker services shall be covered under the medical assistance program for persons who are otherwise eligible for medical assistance. Contains other provisions. Amends the Hospital Licensing Act regarding proper credentials and required certificates of medical staff and applicants. Amends the Illinois Health Finance Reform Act, Hospital Licensing Act, Language Assistance Services Act, Fair Patient Billing Act, Health Care Violence Prevention Act, Medical Patient Rights Act, Smoke Free Illinois Act, Abandoned Newborn Infant Protection Act, Crime Victims Compensation Act, and Human Trafficking Resource Center Notice Act regard providing notices and signs by electronic means and other matters. Amends the University of Illinois Hospital Act and the Hospital Licensing Act. Requires hospitals to provide N95 masks to physicians, registered nurses, advanced practice registered nurses, and other employees under specified circumstances. Amends the Illinois Public Aid Code to require the inpatient, per diem rate to be paid to all safety-net hospitals for inpatient psychiatric services on and after January 1, 2021 to be at least $630. Amends the Department of Professional Regulation Law to require a health care professional who has continuing education requirements to complete at least a one-hour course in training on implicit bias awareness per renewal period. Amends the Illinois Controlled Substances Act and the Methamphetamine Control and Community Protection Act. Makes various changes concerning limited immunity for persons who, in good faith, seeks or obtains emergency medical assistance for someone experiencing an overdose. Makes changes concerning the Prescription Monitoring Program. Amends the Adult Protective Services Act by requiring the Department on Aging to develop and implement a dementia training program that must include instruction on the identification of people with dementia, risks such as wandering, communication impairments, elder abuse, and the best practices for interacting with people with dementia. Amends the Use Tax Act, the Service Use Tax Act, the Service Occupation Tax Act, and the Retailers' Occupation Tax Act. Provides that all blood sugar testing materials are subject to the 1% reduced rate of tax (rather than urine testing materials for human use only). Creates the Underlying Causes of Crime and Violence Study Act. Provides that the Department of Public Health and the Department of Human Services shall study how to create a process to identify high violence communities, also known as R3 (Restore, Reinvest, and Renew) areas, and prioritize State dollars to go to these communities to fund programs as well as community and economic development projects that would address the underlying causes of crime and violence, and submit a report to the General Assembly. Amends the Illinois Public Aid Code by requiring updating of a Child Care Assistance Program Eligibility Calculator. Amends the Employee Sick Leave Act. Provides that personal care of certain family members is a permissible use of personal sick leave benefits. Amends the Nursing Home Care Act and the Hospital Licensing Act. Requires licensed long-term care facilities and hospitals to develop a policy for testing its water supply for Legionella bacteria. Amends the Child Care Act of 1969 to require licensed day care home providers, licensed group day care home providers, and licensed day care center directors and classroom staff to participate in at least one training that includes the topics of early childhood social emotional learning, infant and early childhood mental health, early childhood trauma, or adverse childhood experiences. Creates the Special Commission on Gynecologic Cancer Act. Creates the Special Commission on Gynecologic Cancers to study specified issues regarding gynecologic cancers in Illinois and submit a report to the General Assembly. Amends the Illinois Public Aid Code to provide that the State shall, subject to appropriation, create a pool of funding of at least $50,000,000 annually to be dispersed among safety-net hospitals that maintain perinatal designation from the Department of Public Health and the funding shall be used to preserve or enhance OB/GYN services or other specialty services at the receiving hospital. Creates the Racial Impact Note Act. Provides that every bill which has or could have a disparate impact on racial and ethnic minorities, upon the request of any member, shall have prepared for it, before second reading in the house of introduction, a brief explanatory statement or note that shall include a reliable estimate of the anticipated impact on those racial and ethnic minorities likely to be impacted by the bill. Specifies the contents and provides for the preparation of each racial impact note. Provides that no comment or opinion shall be included in the racial impact note with regard to the merits of the measure for which the racial impact note is prepared. Provides that the fact that a racial impact note is prepared for any bill shall not preclude or restrict the appearance before any committee of the General Assembly of any official or authorized employee of the responding agency or agencies, or any other impacted State agency, who desires to be heard in support of or in opposition to the measure. Amends the Department of Healthcare and Family Services Law. Provides that the Department of Healthcare and Family Services shall develop a program to encourage coordination between Federally Qualified Health Centers (FQHCs) and hospitals, including, but not limited to, safety-net hospitals, with the goal of increasing care coordination, managing chronic diseases, and addressing the social determinants of health on or before December 31, 2021. Also provides that the Department shall develop a payment methodology to allow FQHCs to provide care coordination services, including, but not limited to, chronic disease management and behavioral health services. Amends the Civil Administrative Code of Illinois. Makes changes regarding the Department of Public Health's State Health Assessment and State Health Improvement Plan and other matters. Creates the Health and Human Services Task Force and Study Act establishing the Health and Human Services Task Force to undertake a systematic review of health and human service departments and programs with the goal of improving health and human service outcomes for Illinois residents. Creates the Anti-Racism Commission Act, which establishes the Anti-Racism Commission to identify and propose statewide policies to eliminate systemic racism and advance equitable solutions for Black and Brown people in Illinois. Creates the Sickle Cell Prevention, Care, and Treatment Program Act. Requires the Department of Healthcare and Family Services to establish a grant program for the purpose of providing for the prevention, care, and treatment of sickle cell disease and for educational programs concerning the disease. Requires the Department to: (1) develop application criteria and standards of eligibility for groups or organizations that apply for funds under the program; and (2) make available grants to groups and organizations who meet the eligibility standards set by the Department. Provides that the highest priority for grants shall be accorded to established sickle cell disease community-based organizations, and priority shall be given to ensuring the establishment of sickle cell disease centers in underserved areas that have a higher population of sickle cell disease patients. Requires the Department to determine the maximum amount available for each grant; determine policies for the expiration and renewal of grants; require that all grant funds be used for the purpose of prevention, care, and treatment of sickle cell disease or for educational programs concerning the disease; and develop a sickle cell disease educational outreach program that includes the dissemination of educational materials to specified persons and institutions. Permits the Department to contract with an entity to implement the sickle cell disease educational outreach program. Requires the Department to conduct a study to determine the prevalence, impact, and needs of individuals with sickle cell disease and the sickle cell trait in Illinois. Contains other provisions. Amends the State Finance Act to include the Sickle Cell Chronic Disease Fund as a special fund. Amends the Illinois Health Facilities Planning Act. Changes the membership of the Health Facilities and Services Review Board. Makes changes regarding the Safety Net Impact Statement. Provides that, due to the COVID-19 pandemic, the State shall institute a moratorium on the closure of hospitals until December 31, 2023 and no hospital shall close or reduce capacity below the hospital's capacity as of January 1, 2020 before the end of the moratorium. Amends the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services shall require managed care organizations (MCOs) to ensure that any provider under contract with an MCO on the date of service is paid for any medically necessary service rendered to any of the MCO's enrollees, regardless of inclusion on the MCO's published and publicly available roster of available providers. Makes other changes concerning claim submission requirements and other matters. Provides that the Department of Healthcare and Family Services, managed care organizations, a statewide organization representing hospitals, and a statewide organization representing safety-net hospitals shall explore ways to support billing departments in safety-net hospitals. Creates the Medicaid Managed Care Oversight Commission within the Department of Healthcare and Family Services to evaluate the effectiveness of Illinois' managed care program. Amends the State Finance Act. Creates the Managed Care Oversight Fund. Provides that available annual moneys in the Fund shall be used by the Department of Healthcare and Family Services to support contracting with women and minority-owned businesses as part of the Department's Business Enterprise Program requirements, and that the Department shall prioritize contracts for care coordination services, workforce development, and other services that support the Department's mission to promote health equity. Amends the Illinois Public Aid Code. Creates the Medicaid Business Opportunity Commission is created within the Department of Healthcare and Family Services to develop a program to support and grow minority, women, and persons with disability owned businesses. Provides that the Commission shall develop a recommendation on a Medicaid Business Opportunity Program. Sets forth other duties and requirements. Provides that the Department shall evaluate the effectiveness of the current reimbursement rate for inpatient hospital stays beyond medical necessity. Provides that specified doula services and evidence-based home visiting services shall be covered under the medical assistance program for persons who are otherwise eligible for medical assistance. Provides that the Department shall adopt rules, periodically assess the rates of reimbursement for perinatal doula and home visiting services, adjust rates accordingly, seek State plan amendments or waivers necessary to implement the new provisions, and secure federal financial participation for expenditures made in accordance with the new provisions. Makes other changes. Provides for the repeal of certain provisions. Effective immediately. Fiscal Note, House Floor Amendment No. 3 (Dept. of Human Services) The trauma counseling services are to be provided free of charge. This Act creates an unfunded mandate for day care centers and schools. The number of children in need of trauma counseling between birth and fifth grade are unknown and the estimate cost to day care centers and schools is unknown. The other impacts to IDHS included in SB 588 House Amendment 3 have minimal fiscal impact to implement Housing Affordability Impact Note, House Floor Amendment No. 4 (Housing Development Authority) This bill will have no effect on the cost of constructing, purchasing, owning, or selling a single-family residence. Pension Note, House Floor Amendment No. 4 (Government Forecasting & Accountability) SB 558, as amended by HA 4, will not impact any public pension fund or retirement system in the State of Illinois. Judicial Note, House Floor Amendment No. 4 (Admin Office of the Illinois Courts) Based on a review of the bill, it has been determined that the proposed legislation would neither increase nor decrease the number of judges needed in the state of Illinois. Land Conveyance Appraisal Note, House Floor Amendment No. 4 (Dept. of Transportation) No land conveyances are included in Senate Bill 558 House Amendment #4; therefore, there are no appraisals to be filed. State Debt Impact Note, House Floor Amendment No. 4 (Government Forecasting & Accountability) SB 0558, as amended by House Amendment 4, would not change the amount of authorization for any type of State-issued or State-supported bond, and, therefore, would not affect the level of State indebtedness. Correctional Note, House Floor Amendment No. 4 (Dept of Corrections) This amendment has no fiscal impact or population impact on the deparbnent. Balanced Budget Note, House Floor Amendment No. 4 (Office of Management and Budget) Please be advised that the Balanced Budget Note Act does not apply to Senate Bill 558, as amended by House Amendment 4 as it is not a supplemental appropriation that increases or decreases appropriations. Under the Act, a balanced budget note must be prepared only for bills that change a general funds appropriation for the fiscal year in which the new bill is enacted. Fiscal Note, House Floor Amendment No. 4 (Dept. of Healthcare & Family Services) SB 558 (H-AM 4) has the following fiscal impact: (1) $50 million for new category of safety-net perinatal hospitals; (2) $40 million for home visiting; (3) $15 million for doulas; (4) $7.2 million for hospital psychiatric services; (5) $960 million - $2.88 billion towards Community Health Workers; (6) Undetermined administrative costs to support Managed Care Oversight Commission. State Mandates Fiscal Note, House Floor Amendment No. 4 (Dept. of Commerce & Economic Opportunity) This bill does not create a State mandate. Home Rule Note, House Floor Amendment No. 4 (Dept. of Commerce & Economic Opportunity) This bill does not pre-empt home rule authority. Fiscal Note, House Floor Amendment No. 4 (Dept. of Human Services) This Act creates an unfunded mandate for day care centers and schools.The number of children in need of trauma counseling between birth and fifth grade are unknown and the estimate cost to day care centers and schools is unknown.The other impacts to IDHS included in SB 558 House Amendment 4 have minimal fiscal impact to implement. House Floor Amendment No. 5 Deletes reference to: 410 ILCS 82/20 20 ILCS 2205/2205-35 new 20 ILCS 3960/5.5 new Adds reference to: New Act 305 ILCS 5/14-14 new 20 ILCS 3960/8.7 In the Community Health Worker Certification and Reimbursement Act, provides that community health worker services shall be covered under the medical assistance program, subject to funding availability. Provides that, for reimbursement under the medical assistance program, a community health worker must work under the supervision of an enrolled medical program provider, as specified by the Department, and certification shall be required for reimbursement; the supervision of enrolled medical program providers and certification are not required for community health workers who receive reimbursement through managed care administrative dollars; and non-certified community health workers are reimbursable at the discretion of managed care entities up to 18 months following availability of community health worker certification. Provides that certification shall not be required for employment of community health workers; non-certified community health workers may be employed through funding sources outside of the medical assistance program. Deletes the language amending the Smoke Free Illinois Act. Creates the Behavioral Health Workforce Education Center of Illinois Act. Creates the Behavioral Health Workforce Education Center of Illinois, to be administered by a specified public institution of higher education for the purpose of leveraging workforce and behavioral health resources to produce reforms in Illinois. Provides for the structure and duties of the Center. Provides for the selection of the public institution of higher education to administer the Center. Provides that language that was formerly added to the Department of Healthcare and Family Services Law of the Civil Administrative Code of Illinois is instead added to the Illinois Public Aid Code. In provisions amending the Illinois Health Facilities Planning Act: changes the number of members of the Health Facilities and Services Review Board; deletes language regarding a moratorium on hospital closures due to the COVID-19 pandemic; adds language providing that the Health Facilities and Services Review Board may defer action on an application to discontinue a hospital that is pending before the Board on the effective date of the amendatory Act for up to 60 days; adds language providing that the Board may defer taking final action on an application to discontinue a hospital that is filed on or after January 12, 2021 until the earlier to occur of: (i) the expiration of the statewide disaster declaration proclaimed by the Governor of the State of Illinois due to the COVID-19 pandemic that is in effect on January 12, 2021, or any extension thereof, or July 1, 2021, whichever occurs later; or (ii) the expiration of the declaration of a public health emergency due to the COVID-19 pandemic as declared by the Secretary of the U.S. Department of Health and Human Services that is in effect on January 12, 2021, or any extension thereof, or July 1, 2021, whichever occurs later; adds language providing that certain provisions are inoperative as of the date of the expiration of the statewide disaster declaration proclaimed by the Governor of the State of Illinois due to the COVID-19 pandemic that is in effect on January 12, 2021, or any extension thereof, or July 1, 2021, whichever occurs later. Amends the Illinois Public Aid Code regarding entities that shall explore ways to support billing departments in safety-net hospitals. Makes changes concerning the membership of the Medicaid Managed Care Oversight Commission. Makes other changes.