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1 | AN ACT concerning mental health.
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2 | Be it enacted by the People of the State of Illinois,
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3 | represented in the General Assembly:
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4 | Article 1. | |||||||||||||||||||
5 | Section 1-1. Short title. This Article may be cited as the | |||||||||||||||||||
6 | Ensuring a More Qualified, Competent, and Diverse Community | |||||||||||||||||||
7 | Behavioral Health Workforce Act. References in this Article to | |||||||||||||||||||
8 | "this Act" mean this Article. | |||||||||||||||||||
9 | Section 1-5. Findings. The General Assembly Finds that: | |||||||||||||||||||
10 | (1) The behavioral health workforce shortage, already | |||||||||||||||||||
11 | at dire levels before 2020, has been exacerbated by the | |||||||||||||||||||
12 | COVID-19 pandemic and is at a crisis point. | |||||||||||||||||||
13 | (2) Behavioral health workforce shortages, | |||||||||||||||||||
14 | particularly licensed clinical staff, staff turnover in | |||||||||||||||||||
15 | all positions, and workforce development are major | |||||||||||||||||||
16 | concerns in the behavioral health field. | |||||||||||||||||||
17 | (3) By 2026, unfilled mental healthcare jobs in | |||||||||||||||||||
18 | Illinois are expected to reach 8,353, according to | |||||||||||||||||||
19 | Mercer's 2021 External Healthcare Labor Market Analysis. | |||||||||||||||||||
20 | (4) Community based mental health agencies often serve | |||||||||||||||||||
21 | as training or supervision sites for interns and new | |||||||||||||||||||
22 | entrants to the workforce seeking supervision hours to |
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1 | meet licensure requirements. These professionals are | ||||||
2 | mandated to complete up to 3000 hours of supervised | ||||||
3 | clinical experience. This places financial and | ||||||
4 | time-resource hardships on these already lean | ||||||
5 | organizations to provide the supervision. | ||||||
6 | (5) Many new mental health clinicians have to pay an | ||||||
7 | estimated $10,000-$30,000 in fees for supervision | ||||||
8 | according to Motivo. The amount is unaffordable for many | ||||||
9 | students, particularly lower-income students, who graduate | ||||||
10 | with tens of thousands of dollars in debt. | ||||||
11 | (6) Community mental health agencies frequently serve | ||||||
12 | the most complex and chronically ill behavioral health | ||||||
13 | clients, which can be a challenging population for new | ||||||
14 | entrants to the workforce. Many times, professionals leave | ||||||
15 | for better-paid opportunities with lower acuity patients | ||||||
16 | after completing their facility-sponsored supervision | ||||||
17 | requirements. | ||||||
18 | (7) The lack of compensation for serving as a training | ||||||
19 | or supervision site and staff turnover adversely impact | ||||||
20 | the ability of agencies to better prepare the workforce | ||||||
21 | and meet the needs of their behavioral health clients. | ||||||
22 | (8) Recognizing and providing financial support for | ||||||
23 | this function will help community-based agencies provide | ||||||
24 | more training or supervision opportunities and may also | ||||||
25 | assist with recruiting and retaining professionals at | ||||||
26 | these sites. |
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1 | (9) Providing financial support for this role would | ||||||
2 | help to address reductions in standard clinical | ||||||
3 | productivity as a result of time spent supervising new | ||||||
4 | workers, enabling better absorption of the costs of high | ||||||
5 | turnover, or allowing for these settings to staff | ||||||
6 | appropriately to support training or supervision. | ||||||
7 | (10) For individuals seeking their licensure, | ||||||
8 | roadblocks to supervision include cost-prohibitive fees, | ||||||
9 | difficulty finding supervisors, and an even greater | ||||||
10 | supervisor shortage in rural areas. | ||||||
11 | (11) Beyond fulfilling the required hours to get | ||||||
12 | licensed, clinical supervision has a profound impact on | ||||||
13 | the trajectory of an individual's career and the lives of | ||||||
14 | their clients. Ultimately, effective clinical supervision | ||||||
15 | helps ensure that clients are competently served. | ||||||
16 | (12) At a time when behavioral health providers report | ||||||
17 | crisis level wait lists that force individuals seeking | ||||||
18 | care to wait for months before they receive care, now more | ||||||
19 | than ever, we need immediate solutions to help strengthen | ||||||
20 | our State's behavioral health workforce. | ||||||
21 | Section 1-10. Grant awards. To develop and enhance | ||||||
22 | professional development opportunities and diversity in the | ||||||
23 | behavioral health field, and increase access to quality care, | ||||||
24 | the Department of Human Services, Division of Mental Health, | ||||||
25 | shall award grants or contracts to community mental health |
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1 | centers or behavioral health clinics licensed or certified by | ||||||
2 | the Department of Human Services or the Department of | ||||||
3 | Healthcare and Family Services to establish or enhance | ||||||
4 | training and supervision of interns and behavioral health | ||||||
5 | providers-in-training pursuing licensure as a licensed | ||||||
6 | clinical social worker, licensed clinical professional | ||||||
7 | counselor, and licensed marriage and family therapist. | ||||||
8 | Section 1-15. Use of funds. An eligible entity receiving a | ||||||
9 | grant or contract under this Act shall use funds received | ||||||
10 | through the grant or contract to establish new, or enhance | ||||||
11 | existing, training, and supervision of interns and behavioral | ||||||
12 | health providers-in-training pursuing licensure as a licensed | ||||||
13 | clinical social worker, licensed clinical professional | ||||||
14 | counselor, and licensed marriage and family therapist. | ||||||
15 | Section 1-20. Priority. In awarding grants and contracts | ||||||
16 | under this Act, the Department of Human Services, Division of | ||||||
17 | Mental Health, shall give priority to eligible entities in | ||||||
18 | underserved urban areas and rural areas of the State. | ||||||
19 | Section 1-25. Grant terms. A grant or contract awarded | ||||||
20 | under this Act shall be for a period of 3 years. Nothing in the | ||||||
21 | Act precludes grantees to reapply for additional rounds of | ||||||
22 | funding. |
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1 | Section 1-30. Application submission. An entity seeking a | ||||||
2 | grant or contract under this Act shall submit an application | ||||||
3 | at such time, in such manner, and accompanied by such | ||||||
4 | information as the Department of Human Services, Division of | ||||||
5 | Mental Health, may require. Requirements by the Department of | ||||||
6 | Human Services, Division of Mental Health shall be done in a | ||||||
7 | way that ensures minimum additional administrative work. | ||||||
8 | Section 1-35. Reporting. Reporting requirements for the | ||||||
9 | grant agreement shall be set forth by the Department of Human | ||||||
10 | Services, Division of Mental Health. | ||||||
11 | Section 1-40. Funding. Funding for the grants or contracts | ||||||
12 | is subject to appropriation. | ||||||
13 | Article 2. | ||||||
14 | Section 2-1. Short title. This Article may be cited as the | ||||||
15 | Mental Health Assessment Reform Act. References in this | ||||||
16 | Article to "this Act" mean this Article. | ||||||
17 | Section 2-3. Purpose. The purpose of this Act is to remove | ||||||
18 | major barriers to care in the Medicaid mental health | ||||||
19 | assessment and treatment planning process. | ||||||
20 | Section 2-5. Clear delineation of eligibility criteria for |
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1 | Medicaid community mental health services. Within 3 months | ||||||
2 | after the effective date of this Act and in accordance with | ||||||
3 | this Section, the Department of Healthcare and Family Services | ||||||
4 | shall clearly identify the minimum information necessary to | ||||||
5 | establish and document medical necessity in an individual's | ||||||
6 | medical record for each community mental health general | ||||||
7 | rehabilitation option service through the use of the | ||||||
8 | Department's standardized assessment and treatment planning | ||||||
9 | tool (assessment tool) required in the integrated assessment | ||||||
10 | and treatment planning process. Such minimum medical necessity | ||||||
11 | documentation requirements through the use of the assessment | ||||||
12 | tool shall be publicly available to all community mental | ||||||
13 | health centers and behavioral health clinics. | ||||||
14 | (1) Documenting medical necessity. The information | ||||||
15 | required to be gathered and documented through the | ||||||
16 | assessment tool to establish medical necessity for a | ||||||
17 | mental health service shall be no broader than what is | ||||||
18 | required to establish eligibility, duration, and frequency | ||||||
19 | for such service: | ||||||
20 | (A) Mental health symptoms or functional | ||||||
21 | impairment. | ||||||
22 | (B) A mental health diagnosis listed in the most | ||||||
23 | recent edition of the Diagnostic and Statistical | ||||||
24 | Manual of Mental Health Disorders or the International | ||||||
25 | Classification of Diseases. | ||||||
26 | (C) Any other information necessary solely for |
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1 | purposes of determining eligibility, duration, and | ||||||
2 | frequency for a community-based mental health service. | ||||||
3 | (D) A recommendation for such service by an | ||||||
4 | appropriate mental health or medical professional for | ||||||
5 | the treatment of a mental health condition or symptoms | ||||||
6 | or to improve functional impairment. | ||||||
7 | (2) Improved access to care. An individual shall | ||||||
8 | immediately be eligible to receive any community mental | ||||||
9 | health service or services upon documentation of the | ||||||
10 | specified medical necessity criteria in his or her medical | ||||||
11 | record and the provider shall be reimbursed for such | ||||||
12 | delivered services. An individual's background, | ||||||
13 | experiences, health, or other information that is not | ||||||
14 | necessary to a medical necessity determination for a | ||||||
15 | community mental health service shall be left to the | ||||||
16 | clinical discretion of the provider as to the relevance | ||||||
17 | for developing a treatment plan in the integrated | ||||||
18 | assessment and treatment planning process. The absence of | ||||||
19 | discretional information in an individual's integrated | ||||||
20 | assessment and treatment planning or medical record that | ||||||
21 | is unrelated to medical necessity shall not be used by the | ||||||
22 | Department or any contracted third party to delay or deny | ||||||
23 | a community mental health service. The integrated | ||||||
24 | assessment and treatment planning process shall remain | ||||||
25 | open for no less than 90 days to allow providers to gather | ||||||
26 | the relevant and appropriate information from an |
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1 | individual to complete the integrated assessment and | ||||||
2 | treatment planning process. | ||||||
3 | (3) No further assessment or treatment planning | ||||||
4 | documentation shall be required if services are terminated | ||||||
5 | or completed within 90 days. If an individual terminates | ||||||
6 | or completes his or her community mental health services | ||||||
7 | within 90 days from the date of his or her first treatment | ||||||
8 | contact with his or her provider, the integrated | ||||||
9 | assessment and treatment planning process also terminates, | ||||||
10 | and no further documentation shall be required using the | ||||||
11 | Department's assessment tool or in the individual's | ||||||
12 | medical record. A provider shall be fully reimbursed for | ||||||
13 | any services delivered for which medical necessity is | ||||||
14 | established during these 90 days, and such services shall | ||||||
15 | not be delayed or denied by the Department or a managed | ||||||
16 | care organization. | ||||||
17 | Section 2-10. Preventing re-traumatization and unnecessary | ||||||
18 | re-assessments. Beginning on the effective date of this Act, | ||||||
19 | the integrated assessment and treatment planning process shall | ||||||
20 | be required no more frequently than annually for any community | ||||||
21 | mental health service covered under 89 Ill. Adm. Code 140.453, | ||||||
22 | 140.455, and 140.TABLE N (c) and (e). | ||||||
23 | Section 2-15. Assessment and treatment planning process | ||||||
24 | centered on motivational interviewing. Within 3 months after |
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1 | the effective date of this Act, through a workgroup | ||||||
2 | established by the Department of Healthcare and Family | ||||||
3 | Services to review the practical challenges of the | ||||||
4 | Department's standardized assessment and treatment planning | ||||||
5 | tool, the Department and stakeholders, including people with | ||||||
6 | lived experience, shall work to resolve the issues listed | ||||||
7 | below with the assessment tool and the integrated assessment | ||||||
8 | and treatment planning process. Within 6 months after the | ||||||
9 | effective date of this Act, the Department of Healthcare and | ||||||
10 | Family Services shall deliver a report to the General | ||||||
11 | Assembly, with a copy delivered to the Chairs of the Senate | ||||||
12 | Behavioral and Mental Health Committee and the House Mental | ||||||
13 | Health and Addiction Committee, that outlines in plain | ||||||
14 | language the issues and recommendations discussed by the | ||||||
15 | workgroup, what stakeholder recommendations the Department | ||||||
16 | agreed with and will implement and the timeline for | ||||||
17 | implementation, and which recommendations the Department | ||||||
18 | declined to address and the reason for such decline. | ||||||
19 | (1) Reforming the Department's standardized assessment | ||||||
20 | and treatment planning tool to enable the integrated | ||||||
21 | assessment and treatment planning process to be centered | ||||||
22 | on motivational interviewing. | ||||||
23 | (2) Avoiding requesting information in the integrated | ||||||
24 | assessment and treatment planning process that can | ||||||
25 | re-traumatize individuals by continuing to ask about past | ||||||
26 | traumatic personal experiences that are better addressed |
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1 | through the clinical relationship. | ||||||
2 | (3) Examine the assessment tool for any potential | ||||||
3 | racial or cultural biases. | ||||||
4 | (4) Ensure the confidentiality protections afforded | ||||||
5 | individuals under Section 4 of the Mental Health and | ||||||
6 | Developmental Disabilities Confidentiality Act are fully | ||||||
7 | respected throughout the integrated assessment and | ||||||
8 | treatment planning processes, in particular as it relates | ||||||
9 | to the rights of minors between the age of 12 and 17 to | ||||||
10 | limit their parents' access to mental health information. | ||||||
11 | (5) Ensure that individuals' mental health and | ||||||
12 | substance use parity rights afforded under Section 370c.1 | ||||||
13 | of the Illinois Insurance Code are fully recognized and | ||||||
14 | protected in the integrated assessment and treatment | ||||||
15 | planning process. | ||||||
16 | (6) Streamline the documentation process to ensure | ||||||
17 | that clinician time is not wasted on unnecessary and | ||||||
18 | duplicative paperwork and process. | ||||||
19 | (7) Ensure that managed care organizations do not deny | ||||||
20 | a service for which medical necessity has been established | ||||||
21 | and documented in the individual's medical record. | ||||||
22 | Section 2-20. Payment for the full assessment process. The | ||||||
23 | Department of Healthcare and Family Services shall develop a | ||||||
24 | billing code, modifier, or other mechanism to reimburse | ||||||
25 | providers for the full time spent on the integrated assessment |
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1 | and treatment planning process, including Department-required | ||||||
2 | documentation and submission of the integrated assessment and | ||||||
3 | treatment planning without the client present, including | ||||||
4 | transferring information onto the Department-required form; | ||||||
5 | collateral interviews to collect client information; review of | ||||||
6 | documentation received by hospitals, schools, and other health | ||||||
7 | care entities; and uploading the information into the | ||||||
8 | Department of Healthcare and Family Services' portal since | ||||||
9 | this is a core part of the assessment and treatment planning | ||||||
10 | process mandated by the Department. The reimbursement rate for | ||||||
11 | documentation and submission shall be equal to the rate and | ||||||
12 | rate add-on payment paid for the related specific integrated | ||||||
13 | assessment and treatment planning service delivered. Provider | ||||||
14 | payment for such services shall begin no later than July 1, | ||||||
15 | 2022. If the Department of Healthcare and Family Services | ||||||
16 | experiences any delays in implementation of this Section for | ||||||
17 | any reason, including seeking federal approval, payment shall | ||||||
18 | be retroactive to July 1, 2022. | ||||||
19 | Section 2-25. Improving training for mental health | ||||||
20 | assessments with on-the-ground, experienced clinicians. To | ||||||
21 | enable more consistency and effective use of the Department's | ||||||
22 | standardized assessment and treatment planning tool used in | ||||||
23 | the integrated assessment and treatment planning process, | ||||||
24 | within 3 months after the effective date of the Act the | ||||||
25 | Department of Healthcare and Family Services shall provide a |
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1 | train-the-trainer model as an alternative to the | ||||||
2 | State-sponsored trainings, so providers can elect to train | ||||||
3 | their own staff in the use and application of the assessment | ||||||
4 | tool. This train-the-trainer model allows providers to | ||||||
5 | maintain fidelity to the tool while providing practical | ||||||
6 | knowledge of how the tool is implemented within the provider's | ||||||
7 | unique service delivery environment, and allows for more | ||||||
8 | timely training of new staff. All assessment tool trainings | ||||||
9 | sponsored by the State shall be available in in-person and | ||||||
10 | video modalities, including recorded trainings that can be | ||||||
11 | accessed anytime, to ensure the timely training of provider | ||||||
12 | staff. | ||||||
13 | Section 2-30. Federal approval and State administrative | ||||||
14 | rulemaking. If federal approval is required for any provision | ||||||
15 | of this Act, the Department of Healthcare and Family Services | ||||||
16 | shall seek approval from the Centers for Medicare and Medicaid | ||||||
17 | Services within 30 days after the effective date of this Act. | ||||||
18 | Within 3 months after the Department receives federal | ||||||
19 | approval, the Department may, with prior input from the | ||||||
20 | Department's workgroup referenced in Section 2-15, adopt | ||||||
21 | emergency rules to implement any provision of this Act in | ||||||
22 | accordance with the Illinois Administrative Procedure Act. | ||||||
23 | Section 2-95. The Illinois Administrative Procedure Act is | ||||||
24 | amended by adding Section 5-45.21 as follows: |
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1 | (5 ILCS 100/5-45.21 new) | ||||||
2 | Sec. 5-45.21. Emergency rulemaking; Department of | ||||||
3 | Healthcare and Family Services. To provide for the expeditious | ||||||
4 | and timely implementation of the Mental Health Assessment | ||||||
5 | Reform Act, emergency rules implementing any provision of the | ||||||
6 | Mental Health Assessment Reform Act may be adopted in | ||||||
7 | accordance with Section 5-45 by the Department of Healthcare | ||||||
8 | and Family Services. The adoption of emergency rules | ||||||
9 | authorized by Section 5-45 and this Section is deemed to be | ||||||
10 | necessary for the public interest, safety, and welfare. | ||||||
11 | This Section is repealed one year after the effective date | ||||||
12 | of this amendatory Act of the 102nd General Assembly. | ||||||
13 | Article 3. | ||||||
14 | Section 3-1. Short title. This Article may be cited as the | ||||||
15 | Recovery and Mental Health Tax Credit Act. References in this | ||||||
16 | Article to "this Act" mean this Article. | ||||||
17 | Section 3-5. Findings. | ||||||
18 | (a) In the interest of reducing stigma and increasing the | ||||||
19 | available pool of potential employees, the General Assembly | ||||||
20 | finds and declares that those residents of Illinois diagnosed | ||||||
21 | with mental illness and substance use disorders should be | ||||||
22 | eligible for and encouraged to seek gainful employment. |
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1 | (b) The General Assembly finds and declares that minority | ||||||
2 | communities in the State have been more negatively impacted in | ||||||
3 | employment opportunities for minority residents diagnosed with | ||||||
4 | mental illness and substance use disorders and should receive | ||||||
5 | additional employment opportunities and incentives for | ||||||
6 | employing minority residents diagnosed with mental illness or | ||||||
7 | substance use disorders. | ||||||
8 | (c) Due to the COVID-19 public health emergency, employers
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9 | in the State of Illinois have suffered negative economic | ||||||
10 | impacts, a loss in workforce, staffing difficulties, and have | ||||||
11 | found it difficult to recruit new workers. | ||||||
12 | (d) In the interest of providing additional employment | ||||||
13 | opportunities for those residents of Illinois diagnosed with | ||||||
14 | mental illness or substance use disorders and expanding the
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15 | pool of potential workers in the State, the General Assembly | ||||||
16 | finds and declares that certain qualified employers who employ | ||||||
17 | eligible individuals should be eligible for a tax credit. | ||||||
18 | Section 3-10. Definitions. As used in this Act: | ||||||
19 | "Department" means the Department of Human Services.
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20 | "Eligible individual" means an individual with a substance | ||||||
21 | use disorder, as that term is defined under Section 1-10 of the | ||||||
22 | Substance Use Disorder Act, or an individual with a mental | ||||||
23 | illness as that term is defined under Section 1-129 of the | ||||||
24 | Mental Health and Developmental Disabilities Code, who is in a | ||||||
25 | state of wellness and recovery where there is an abatement of |
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1 | signs and symptoms that characterize active substance use | ||||||
2 | disorder or mental illness and has demonstrated to the | ||||||
3 | qualified employer's satisfaction, pursuant to regulations | ||||||
4 | promulgated by the Department, that he or she has completed a | ||||||
5 | course of treatment or is currently in receipt of treatment | ||||||
6 | for such substance use disorder or mental illness. A relapse | ||||||
7 | in an individual's state of wellness shall not make the | ||||||
8 | individual ineligible, so long as the individual shows a | ||||||
9 | continued commitment to recovery that aligns with an | ||||||
10 | individual's relapse prevention plan, discharge plan, or | ||||||
11 | recovery plan. | ||||||
12 | "Qualified employer" means an employer operating within | ||||||
13 | the State that has received a certificate of tax credit from | ||||||
14 | the Department after the Department has determined that the | ||||||
15 | employer: | ||||||
16 | (1) provides a recovery supportive environment for | ||||||
17 | their employees evidenced by a formal working relationship | ||||||
18 | with a substance use disorder treatment provider or | ||||||
19 | facility or mental health provider or facility, each as | ||||||
20 | may be licensed or certified within the State of Illinois, | ||||||
21 | and providing reasonable accommodation to the employees to | ||||||
22 | address their substance use disorder or mental illness, | ||||||
23 | all at no cost or expense to the eligible individual; and | ||||||
24 | (2) satisfies all other criteria in this Section and | ||||||
25 | established by the Department to participate in the | ||||||
26 | recovery tax program created hereunder. |
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1 | "Taxpayer" means any individual, corporation, partnership, | ||||||
2 | trust, or other entity subject to the Illinois income tax. For | ||||||
3 | the purposes of this Act, 2 individuals filing a joint return | ||||||
4 | shall be considered one taxpayer.
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5 | Section 3-15. Authorization of tax credit program for | ||||||
6 | individuals in recovery from substance use disorders or mental | ||||||
7 | illness. | ||||||
8 | (a) For taxable years beginning on or after January 1, | ||||||
9 | 2023, the Department is authorized to and shall establish and | ||||||
10 | administer a recovery tax credit program to provide tax | ||||||
11 | incentives to qualified employers who employ eligible | ||||||
12 | individuals in recovery from a substance use disorder or | ||||||
13 | mental illness in part-time and full-time positions within | ||||||
14 | Illinois. The Department shall award the tax credit by | ||||||
15 | issuance of a certificate of tax credit to the qualified | ||||||
16 | employer, who will present the certificate of tax credit to | ||||||
17 | the Department of Revenue as a credit against the qualified | ||||||
18 | employer's tax obligation in accordance with this Act. | ||||||
19 | (b) To be a qualified employer, an employer must apply | ||||||
20 | annually to the Department to claim a credit based upon | ||||||
21 | eligible individuals employed during the preceding calendar | ||||||
22 | year, using the forms prescribed by the Department. To be | ||||||
23 | approved for a credit under this Act, the employer must: | ||||||
24 | (1) agree to provide to the Department the information | ||||||
25 | necessary to demonstrate that the employer has satisfied |
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1 | program eligibility requirements and provided all | ||||||
2 | information requested or needed by the Department, | ||||||
3 | including the number of hours worked by the eligible | ||||||
4 | individual and other information necessary for the | ||||||
5 | Department to calculate the amount of credit permitted; | ||||||
6 | and | ||||||
7 | (2) agree to provide names, employer identification | ||||||
8 | numbers, amounts that the employer may claim, and other | ||||||
9 | information necessary for the Department to calculate any | ||||||
10 | tax credit. | ||||||
11 | (c) To be an eligible individual, the individual must be | ||||||
12 | diagnosed with or have been diagnosed with a substance use | ||||||
13 | disorder or mental illness. Disclosure by the eligible | ||||||
14 | individual of his or her mental illness or substance use | ||||||
15 | disorder shall be completely voluntary and his or her health | ||||||
16 | information may not be shared or disclosed under this Act | ||||||
17 | without the eligible individual's express written consent. The | ||||||
18 | eligible individual must have been employed by the qualified | ||||||
19 | employer in the State for a minimum of 500 hours during the | ||||||
20 | applicable calendar year and the tax credit may only begin on | ||||||
21 | the date the eligible individual is hired by the qualified | ||||||
22 | employer and ending on December 31 of that calendar year or the | ||||||
23 | date that the eligible individual's employment with the | ||||||
24 | qualified employer ends, whichever occurs first. Only one tax | ||||||
25 | credit may be awarded for any eligible individual while | ||||||
26 | employed by the same or related qualified employer. The hours |
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1 | of employment of 2 or more eligible individuals may not be | ||||||
2 | aggregated to reach the minimum number of hours. If an | ||||||
3 | eligible individual has worked in excess of 500 hours between | ||||||
4 | the date of hiring and December 31 of that year, a qualified | ||||||
5 | employer can elect to compute and claim a credit for such | ||||||
6 | eligible individual in that year based on the hours worked by | ||||||
7 | December 31. Alternatively, the qualified employer may elect | ||||||
8 | to include such individual in the computation of the credit in | ||||||
9 | the year immediately succeeding the year in which the eligible | ||||||
10 | individual was hired. In that case, the credit shall be | ||||||
11 | computed on the basis of all hours worked by the eligible | ||||||
12 | individual from the date of hire to the earlier of the last day | ||||||
13 | of employment or December 31 of the succeeding year. | ||||||
14 | (d) The aggregate amount of all credits the Department may | ||||||
15 | award under this Act in any calendar year may not exceed | ||||||
16 | $2,000,000. | ||||||
17 | (e) If the qualified employer's taxable year is a calendar | ||||||
18 | year, the employer shall be entitled to claim the credit as | ||||||
19 | shown on the certificate of tax credit on the calendar year | ||||||
20 | return for which the certificate of tax credit was issued. If | ||||||
21 | the certified employer's taxable year is a fiscal year, the | ||||||
22 | qualified employer shall be entitled to claim the credit as | ||||||
23 | shown on the certificate of tax credit on the return for the | ||||||
24 | fiscal year that includes the last day of the calendar year | ||||||
25 | covered by the certificate of tax credit. | ||||||
26 | (f) If Department criteria and all other requirements are |
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1 | met, a qualified employer shall be entitled to a tax credit | ||||||
2 | equal to the product of $1 and the number of hours worked by | ||||||
3 | each eligible individual during the eligible individual's | ||||||
4 | period of employment with the qualified employer. The tax | ||||||
5 | credit awarded hereunder may not exceed $2,000 per eligible | ||||||
6 | individual employed by the qualified employer in the State. In | ||||||
7 | determining the amount of tax credit that any qualified | ||||||
8 | employer may claim, the Department shall review all claims | ||||||
9 | submitted for credit by all employers and, to the extent that | ||||||
10 | the total amount claimed by employers exceeds the amount | ||||||
11 | allocated for this program in that calendar year, shall issue | ||||||
12 | tax credits on a pro rata basis corresponding to each | ||||||
13 | qualified employer's share of the total amount claimed. | ||||||
14 | (g) No credit shall be taken under this Act if the taxpayer | ||||||
15 | claims a federal income tax deduction for the employment of | ||||||
16 | the eligible individual by a qualified employer. | ||||||
17 | (h) No tax credit awarded under this Act may reduce a | ||||||
18 | qualified employer's tax obligation to less than zero. | ||||||
19 | (i) The Department of Revenue shall review and accept the | ||||||
20 | tax credit certificates issued by the Department and apply the | ||||||
21 | tax credit toward the qualified employer's income tax | ||||||
22 | obligation. A taxpayer that is a qualified employer that has | ||||||
23 | received a certificate of tax credit from the Department shall | ||||||
24 | be allowed a credit against the tax imposed equal to the amount | ||||||
25 | shown on such certificate of tax credit. If the taxpayer is (i) | ||||||
26 | a corporation having an election in effect under Subchapter S |
| |||||||
| |||||||
1 | of the federal Internal Revenue Code, (ii) a partnership, or | ||||||
2 | (iii) a limited liability company, the credit provided under | ||||||
3 | this Act may be claimed by the shareholders of the | ||||||
4 | corporation, the partners of the partnership, or the members | ||||||
5 | of the limited liability company in the same manner as those | ||||||
6 | shareholders, partners, or members account for their | ||||||
7 | proportionate shares of the income or losses of the | ||||||
8 | corporation, partnership, or limited liability company, or as | ||||||
9 | provided in the bylaws or other executed agreement of the | ||||||
10 | corporation, partnership, or limited liability company. In | ||||||
11 | carrying out this Act, no patient-specific information shall | ||||||
12 | be shared or disclosed. Any information collected by the | ||||||
13 | Department or the Department of Revenue shall not be subject | ||||||
14 | to public disclosure or Freedom of Information Act requests.
| ||||||
15 | (j) The credit under this Act is exempt from the | ||||||
16 | provisions of Section 250 of the Illinois Income Tax Act. | ||||||
17 | Section 3-20. Advisory Council on Mental Illness and | ||||||
18 | Substance Use Disorder Impacts on Employment Opportunities | ||||||
19 | within Minority Communities. The Secretary of the Department | ||||||
20 | shall appoint the Advisory Council on Mental Illness and | ||||||
21 | Substance Use Disorder Impacts on Employment Opportunities | ||||||
22 | within Minority Communities, to be composed of 15 members, | ||||||
23 | which shall include a balanced representation of recipients, | ||||||
24 | services providers, employers, local governmental units, | ||||||
25 | community and welfare advocacy groups, academia, and the |
| |||||||
| |||||||
1 | general public. The Advisory Council shall advise the | ||||||
2 | Department regarding all aspects of employment impacts | ||||||
3 | resulting from mental illnesses and substance use disorders | ||||||
4 | within minority communities, tax credits, outreach, marketing, | ||||||
5 | and education about the tax credit and employment | ||||||
6 | opportunities, and other areas as deemed appropriate by the | ||||||
7 | Secretary. In appointing the first Council, the Secretary | ||||||
8 | shall name 8 members to terms of 2 years and 7 members to serve | ||||||
9 | terms of 4 years, all of whom shall be appointed within 6 | ||||||
10 | months of the effective date of this Act. All members | ||||||
11 | appointed thereafter shall serve terms of 4 years. Members | ||||||
12 | shall serve without compensation other than reimbursement of | ||||||
13 | expenses actually incurred in the performance of their | ||||||
14 | official duties. At its first meeting, the Advisory Council | ||||||
15 | shall select a chair from among its members. The Advisory | ||||||
16 | Council shall meet at least quarterly and at other times at the | ||||||
17 | call of the chair.
| ||||||
18 | Section 3-25. Powers. The Department shall adopt rules for | ||||||
19 | the administration of this Act. The Department may enter into | ||||||
20 | an intergovernmental agreement with the Department of Revenue | ||||||
21 | for the administration of this Act. | ||||||
22 | Article 7. | ||||||
23 | Section 7-5. The Illinois Income Tax Act is amended by |
| |||||||
| |||||||
1 | adding Section 232 as follows: | ||||||
2 | (35 ILCS 5/232 new) | ||||||
3 | Sec. 232. Recovery and Mental Health Tax Credit Act. A | ||||||
4 | taxpayer who has been awarded a credit under the Recovery and | ||||||
5 | Mental Health Tax Credit Act is entitled to a credit against | ||||||
6 | the tax imposed by subsections (a) and (b) of Section 201 as | ||||||
7 | provided in that Act. This Section is exempt from the | ||||||
8 | provisions of Section 250. | ||||||
9 | Article 10. | ||||||
10 | Section 10-5. The Department of Healthcare and Family | ||||||
11 | Services Law of the
Civil Administrative Code of Illinois is | ||||||
12 | amended by adding Section 2205-40 as follows: | ||||||
13 | (20 ILCS 2205/2205-40 new) | ||||||
14 | Sec. 2205-40. Department transparency. The
Department of | ||||||
15 | Healthcare and Family Services shall, to
the full extent | ||||||
16 | permitted by federal law, take
all necessary action to ensure | ||||||
17 | that proposed modifications,
additions, deletions, or | ||||||
18 | amendments to the healthcare and
behavioral healthcare (mental | ||||||
19 | health and substance use
disorder) provisions of the Illinois | ||||||
20 | Public Aid Code are announced,
shared, disseminated, and | ||||||
21 | explained prior to the Department
undertaking such proposed | ||||||
22 | modifications, if legally possible.
The Department shall, to |
| |||||||
| |||||||
1 | the full extent permitted
under federal and State law, provide
| ||||||
2 | notice, information, and opportunity to comment,
object, or | ||||||
3 | support prior to final action
upon, addition, modification, | ||||||
4 | deletion, or amendment
to the healthcare and behavioral | ||||||
5 | healthcare (mental health and
substance use disorder) | ||||||
6 | provisions to or from the
Illinois Public Aid Code or rules or | ||||||
7 | regulations promulgated
based upon the Illinois Public Aid | ||||||
8 | Code, for which
the Department has authority over or | ||||||
9 | participates in,
including, but not limited to, 59 Ill. Adm. | ||||||
10 | Code 132, 77 Ill. Adm. Code 2060, 77 Ill. Adm. Code 2090, and | ||||||
11 | 89 Ill. Adm. Code 140, or any amendments or additions thereto, | ||||||
12 | in accordance with
the Illinois Administrative Procedure Act, | ||||||
13 | by public notice
and written or electronic notice directed to | ||||||
14 | the
public and via notice and meaningful opportunity to | ||||||
15 | comment
and provide input and advice upon proposed actions
of | ||||||
16 | the Department by the following Illinois groups or entities
| ||||||
17 | ("interested parties"): | ||||||
18 | (1) consumer or patient advocacy groups; | ||||||
19 | (2) statewide provider trade associations; | ||||||
20 | (3) managed care organizations under contract with the | ||||||
21 | Department; | ||||||
22 | (4) statewide managed care organization trade | ||||||
23 | associations; and | ||||||
24 | (5) statewide child advocacy associations. | ||||||
25 | This Section shall not be construed to modify or grant
| ||||||
26 | preferences to the interested parties over any other
party or |
| |||||||
| |||||||
1 | the public with respect to the Department's
administrative or | ||||||
2 | legislative activities. Nor shall this
Section grant the | ||||||
3 | interested parties the right to block
or veto Department | ||||||
4 | action. | ||||||
5 | In addition to the foregoing, the Department of
Healthcare | ||||||
6 | and Family Services shall provide public
notice and written or | ||||||
7 | electronic notice
to the interested parties to the full extent | ||||||
8 | permitted
under federal law related to any State
Plan | ||||||
9 | amendment or waiver submitted to the
federal Centers for | ||||||
10 | Medicare and Medicaid Services.
| ||||||
11 | Article 15. | ||||||
12 | Section 15-5. The Clinical Social Work and Social Work | ||||||
13 | Practice Act is amended by changing Section 12.5 as follows:
| ||||||
14 | (225 ILCS 20/12.5)
| ||||||
15 | (Section scheduled to be repealed on January 1, 2028)
| ||||||
16 | Sec. 12.5. Endorsement. The Department may issue a license | ||||||
17 | as a
clinical social worker or as a social worker, without the | ||||||
18 | required
examination, to an applicant licensed under the laws | ||||||
19 | of another jurisdiction if
the requirements for licensure in | ||||||
20 | that jurisdiction are, on the date of
licensure, substantially | ||||||
21 | equivalent to the requirements of this Act or to any
person
| ||||||
22 | who, at the time of his or her licensure, possessed individual | ||||||
23 | qualifications
that were substantially equivalent to the |
| |||||||
| |||||||
1 | requirements then in force in this
State. An applicant under | ||||||
2 | this Section shall pay the required fees.
| ||||||
3 | An individual applying for licensure as a clinical social | ||||||
4 | worker who has been licensed at the independent level in | ||||||
5 | another United States jurisdiction for 5 10 consecutive years | ||||||
6 | without discipline is not required to submit proof of | ||||||
7 | completion of the education and supervised clinical | ||||||
8 | professional experience required in paragraph (3) of Section 9 | ||||||
9 | and proof of passage of the examination required in paragraph | ||||||
10 | (4) of Section 9. Individuals with 5 10 consecutive years of | ||||||
11 | experience must submit certified verification of licensure | ||||||
12 | from the jurisdiction in which the applicant practiced and | ||||||
13 | must comply with all other licensing requirements and pay all | ||||||
14 | required fees. | ||||||
15 | If the accuracy of any submitted documentation or the | ||||||
16 | relevance or sufficiency of the course work or experience is | ||||||
17 | questioned by the Department or the Board because of a lack of | ||||||
18 | information, discrepancies or conflicts in information given, | ||||||
19 | or a need for clarification, the applicant seeking licensure | ||||||
20 | may be required to provide additional information. | ||||||
21 | An applicant has 3 years from the date of application to | ||||||
22 | complete the application process. If the process has not been | ||||||
23 | completed within 3 years, the application shall be denied, the | ||||||
24 | fee shall be forfeited, and the applicant must reapply and | ||||||
25 | meet the requirements in effect at the time of reapplication. | ||||||
26 | (Source: P.A. 100-766, eff. 1-1-19 .)
|
| |||||||
| |||||||
1 | Section 15-10. The Marriage and Family Therapy Licensing | ||||||
2 | Act is amended by changing Section 65 as follows:
| ||||||
3 | (225 ILCS 55/65) (from Ch. 111, par. 8351-65)
| ||||||
4 | (Section scheduled to be repealed on January 1, 2027)
| ||||||
5 | Sec. 65. Endorsement. The Department may issue a license | ||||||
6 | as a
licensed marriage and family therapist, without the | ||||||
7 | required examination,
to an applicant licensed under the laws | ||||||
8 | of another state if the
requirements for licensure in that | ||||||
9 | state are, on the date of licensure,
substantially equivalent | ||||||
10 | to the requirements of this Act or to a person who, at
the time | ||||||
11 | of his or her application for licensure, possessed individual
| ||||||
12 | qualifications that were
substantially equivalent to the | ||||||
13 | requirements then in force in this State. An
applicant under
| ||||||
14 | this Section shall pay all of the required fees.
| ||||||
15 | An individual applying for licensure as a licensed | ||||||
16 | marriage and family therapist who has been licensed at the | ||||||
17 | independent level in another United States jurisdiction for 5 | ||||||
18 | 10 consecutive years without discipline is not required to | ||||||
19 | submit proof of completion of the education, professional | ||||||
20 | experience, and supervision required in Section 40. | ||||||
21 | Individuals with 5 10 consecutive years of experience must | ||||||
22 | submit certified verification of licensure from the | ||||||
23 | jurisdiction in which the applicant practiced and must comply | ||||||
24 | with all other licensing requirements and pay all required |
| |||||||
| |||||||
1 | fees. | ||||||
2 | If the accuracy of any submitted documentation or the | ||||||
3 | relevance or sufficiency of the course work or experience is | ||||||
4 | questioned by the Department or the Board because of a lack of | ||||||
5 | information, discrepancies or conflicts in information given, | ||||||
6 | or a need for clarification, the applicant seeking licensure | ||||||
7 | may be required to provide additional information. | ||||||
8 | Applicants have 3 years from the date of application to | ||||||
9 | complete the
application process. If the process has not been | ||||||
10 | completed within the 3
years, the application shall be denied, | ||||||
11 | the fee shall be forfeited, and the
applicant
must reapply and | ||||||
12 | meet the requirements in effect at the time of
reapplication.
| ||||||
13 | (Source: P.A. 100-372, eff. 8-25-17; 100-766, eff. 1-1-19 .)
| ||||||
14 | Section 15-20. The Professional Counselor and Clinical | ||||||
15 | Professional Counselor Licensing and Practice Act is amended | ||||||
16 | by changing Section 70 as follows:
| ||||||
17 | (225 ILCS 107/70)
| ||||||
18 | (Section scheduled to be repealed on January 1, 2023)
| ||||||
19 | Sec. 70. Endorsement. The Department may issue a license | ||||||
20 | as a licensed
professional counselor or licensed clinical | ||||||
21 | professional counselor, without the
required examination, to | ||||||
22 | (i) an applicant licensed under the laws of another
state or | ||||||
23 | United States jurisdiction whose standards in the opinion of | ||||||
24 | the
Department, were substantially equivalent at the date of |
| |||||||
| |||||||
1 | his or her licensure
in the other jurisdiction to the | ||||||
2 | requirements of this Act or (ii) any person
who, at the time of | ||||||
3 | licensure, possessed individual qualifications which were
| ||||||
4 | substantially equivalent to the requirements of this Act. Such | ||||||
5 | an applicant
shall pay all of the required fees.
| ||||||
6 | An individual applying for licensure as a clinical | ||||||
7 | professional counselor who has been licensed independent level | ||||||
8 | in another United States jurisdiction for 5 10 consecutive | ||||||
9 | years without discipline is not required to submit proof of | ||||||
10 | completion of the supervised employment or experience required | ||||||
11 | in subsection (b) of Section 45. Individuals with 5 10 | ||||||
12 | consecutive years of experience must submit certified | ||||||
13 | verification of licensure from the jurisdiction in which the | ||||||
14 | applicant practiced and must comply with all other licensing | ||||||
15 | requirements and pay all required fees. | ||||||
16 | If the accuracy of any submitted documentation or the | ||||||
17 | relevance or sufficiency of the course work or experience is | ||||||
18 | questioned by the Department or the Board because of a lack of | ||||||
19 | information, discrepancies or conflicts in information given, | ||||||
20 | or a need for clarification, the applicant seeking licensure | ||||||
21 | may be required to provide additional information. | ||||||
22 | Applicants have 3 years from the date of application to | ||||||
23 | complete the
application process. If the process has not been | ||||||
24 | completed within 3
years, the application shall be denied, the | ||||||
25 | fee forfeited, and the
applicant must reapply and meet the | ||||||
26 | requirements in effect at the time of
reapplication.
|
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| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
1 | (Source: P.A. 100-766, eff. 1-1-19 .)
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
2 | Article 99. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
3 | Section 99-99. Effective date. This Act takes effect upon | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
4 | becoming law.
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