Bill Status of HB 2589   102nd General Assembly

Short Description:  SUBSTANCE USE DISORDER-OPIOIDS

House Sponsors
Rep. Deb Conroy-La Shawn K. Ford, Angelica Guerrero-Cuellar and Mike Murphy

Senate Sponsors
(Sen. Laura Fine)


Last Action  View All Actions

DateChamber Action
  8/27/2021HousePublic Act . . . . . . . . . 102-0598

Statutes Amended In Order of Appearance
20 ILCS 301/5-23
20 ILCS 301/20-10
215 ILCS 5/356z.23
305 ILCS 5/5-5from Ch. 23, par. 5-5
305 ILCS 5/5-39 new

Synopsis As Introduced
Amends the Substance Use Disorder Act. Provides that a health care professional or other person acting under the direction of a health care professional may store and, without generating or affixing a patient-specific label, dispense an opioid antagonist to a patient in a hospital, hospital affiliate, or ambulatory treatment center if certain patient information is provided to the patient. Makes changes to provisions concerning the grants awarded under the Drug Overdose Prevention Program. Provides that the Department of Human Services shall (rather than may) develop policy or best practice guidelines for identification of at-risk individuals through SBIRT (Screening, Brief Intervention, and Referral to Treatment) and contract or billing requirements for SBIRT. Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to develop and seek federal approval of a SBIRT benefit for which qualified providers shall be reimbursed under the medical assistance program; and to develop a methodology and bundled reimbursement rate for SBIRT services. Provides that pharmacy fees or hospital fees related to the distribution of opioid antagonists prescribed for the treatment of an opioid overdose shall be covered under the medical assistance program. Amends the Illinois Insurance Code. Provides that an individual or group policy of accident and health insurance amended, delivered, issued, or renewed in this State that provides coverage for prescription drugs must provide coverage for all opioid antagonists approved by the U.S. Food and Drug Administration (FDA). Requires health care plans that provide coverage for hospital expenses to also reimburse a hospital for the hospital's cost of any FDA approved opioid antagonist.

Senate Committee Amendment No. 1
Deletes reference to:
215 ILCS 5/356z.23
305 ILCS 5/5-39
Adds reference to:
305 ILCS 5/5-41 new

Replaces everything after the enacting clause. Amends the Substance Use Disorder Act. Provides that any hospital licensed under the Hospital Licensing Act or organized under the University of Illinois Hospital Act shall be deemed to have met certain standards and requirements to enroll in the drug overdose prevention program upon completion of the enrollment process except that proof of a standing order and attestation of programmatic requirements shall be waived for enrollment purposes. Provides that reporting mandated by enrollment shall be necessary to carry out or attain eligibility for associated resources for drug overdose prevention projects operated on the licensed premises of the hospital and operated by the hospital or its designated staff. Requires the Department of Human Services to streamline hospital enrollment for drug overdose prevention programs by accepting such deemed status in order to reduce barriers to hospital participation in drug overdose prevention, recognition, or response projects. Provides that a health care professional or other person acting under the direction of a health care professional may, directly or by standing order, obtain, store, and dispense an opioid antagonist to a patient in a facility that includes, but is not limited to, a hospital, a hospital affiliate, or a federally qualified health center if certain patient information is provided to the patient. Makes changes to provisions concerning the grants awarded under the Drug Overdose Prevention Program. Redefines SBIRT (Screening, Brief Intervention, and Referral to Treatment) to mean a comprehensive, integrated, public health approach to the delivery of early intervention and treatment services for persons who are at risk of developing substance use disorders or have substance use disorders including, but not limited to, an addiction to alcohol, opioids, tobacco, or cannabis. Provides that SBIRT services include: (i) a screening to quickly assess the severity of substance use and to identify the appropriate level of treatment; (ii) a brief intervention focused on increasing insight and awareness regarding substance use and motivation toward behavioral change; and (iii) referral to treatment provided to those identified as needing more extensive treatment with access to specialty care. Provides that SBIRT services may include, but are not limited to, the following settings and programs: primary care centers, hospital emergency rooms, hospital in-patient units, trauma centers, community behavioral health programs, and other community settings that provide opportunities for early intervention with at-risk substance users before more severe consequences occur. Amends the Medical Assistance Article of the Illinois Public Aid Code. Defines SBIRT. Requires the Department of Healthcare and Family Services to develop and seek federal approval of a SBIRT benefit for which qualified providers shall be reimbursed under the medical assistance program. Permits the Department of Healthcare and Family Services, in conjunction with the Department of Human Services' Division of Substance Use Prevention and Recovery, to develop a methodology and reimbursement rate for SBIRT services provided by qualified providers in approved settings. Provides that for opioid specific SBIRT services provided in a hospital emergency department, the Department of Healthcare and Family Services shall develop a bundled reimbursement methodology and rate for a package of opioid treatment services. Provides that the package of opioid related services shall be billed on a separate claim and shall be reimbursed outside of the Enhanced Ambulatory Patient Grouping system.

Actions 
DateChamber Action
  2/17/2021HouseFiled with the Clerk by Rep. Deb Conroy
  2/19/2021HouseFirst Reading
  2/19/2021HouseReferred to Rules Committee
  3/9/2021HouseAssigned to Mental Health & Addiction Committee
  3/19/2021HouseDo Pass / Consent Calendar Mental Health & Addiction Committee; 015-000-000
  3/24/2021HouseAdded Co-Sponsor Rep. Angelica Guerrero-Cuellar
  4/8/2021HousePlaced on Calendar 2nd Reading - Consent Calendar
  4/15/2021HouseSecond Reading - Consent Calendar
  4/15/2021HouseHeld on Calendar Order of Second Reading - Consent Calendar
  4/16/2021HousePlaced on Calendar Order of 3rd Reading - Consent Calendar
  4/19/2021HouseAdded Chief Co-Sponsor Rep. La Shawn K. Ford
  4/21/2021HouseThird Reading - Consent Calendar - First Day
  4/22/2021HouseThird Reading - Consent Calendar - Passed 113-000-000
  4/23/2021SenateArrive in Senate
  4/23/2021SenatePlaced on Calendar Order of First Reading
  4/23/2021SenateChief Senate Sponsor Sen. Laura Fine
  4/23/2021SenateFirst Reading
  4/23/2021SenateReferred to Assignments
  5/11/2021SenateAssigned to Insurance
  5/13/2021SenateSenate Committee Amendment No. 1 Filed with Secretary by Sen. Laura Fine
  5/13/2021SenateSenate Committee Amendment No. 1 Referred to Assignments
  5/17/2021SenateSenate Committee Amendment No. 1 Assignments Refers to Insurance
  5/19/2021SenateSenate Committee Amendment No. 1 Adopted
  5/19/2021SenateDo Pass as Amended Insurance; 012-000-000
  5/19/2021SenatePlaced on Calendar Order of 2nd Reading May 20, 2021
  5/20/2021SenateSecond Reading
  5/20/2021SenatePlaced on Calendar Order of 3rd Reading May 21, 2021
  5/27/2021SenatePlaced on Calendar Order of 3rd Reading ** May 28, 2021
  5/29/2021SenateThird Reading - Passed; 059-000-000
  5/29/2021HouseArrived in House
  5/29/2021HousePlaced on Calendar Order of Concurrence Senate Amendment(s) 1
  5/30/2021HouseSenate Committee Amendment No. 1 Motion Filed Concur Rep. Deb Conroy
  5/30/2021HouseSenate Committee Amendment No. 1 Motion to Concur Referred to Rules Committee
  5/30/2021HouseSenate Committee Amendment No. 1 Motion to Concur Rules Referred to Mental Health & Addiction Committee
  5/30/2021HouseSenate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Mental Health & Addiction Committee; 014-000-000
  5/31/2021HouseSenate Committee Amendment No. 1 House Concurs 118-000-000
  5/31/2021HouseHouse Concurs
  5/31/2021HousePassed Both Houses
  5/31/2021HouseAdded Co-Sponsor Rep. Mike Murphy
  6/29/2021HouseSent to the Governor
  8/27/2021HouseGovernor Approved
  8/27/2021HouseEffective Date January 1, 2022
  8/27/2021HousePublic Act . . . . . . . . . 102-0598

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