103RD GENERAL ASSEMBLY
State of Illinois
2023 and 2024
HB5046

 

Introduced 2/8/2024, by Rep. Jenn Ladisch Douglass

 

SYNOPSIS AS INTRODUCED:
 
405 ILCS 100/10
405 ILCS 100/15
405 ILCS 100/35
405 ILCS 100/45 new

    Amends the Psychiatry Practice Incentive Act. Provides that the Department of Public Health shall establish a Collaborative Care Demonstration Grant program and set criteria for the program. Provides that the Director of Public Health may establish a program, and criteria for the program, to provide grants, training, and technical assistance to eligible primary health care practices to support implementation of the program. Establishes the purposes and use of the grants. Provides that grants awarded under the program shall be for a minimum amount of $100,000. Provides that the minimum award amount shall increase by $1,000 per 1% share of patients to be seen by the awardee during the applicable grant period that are expected to be enrolled in Medicaid, up to $500,000 total per award. Provides that the Director of Public Health may solicit proposals from and enter into grant agreements with eligible collaborative care technical assistance centers to provide technical assistance to primary health care practices on providing behavioral health integration services through the psychiatric Collaborative Care Model, including, but not limited to, recipients of grants under the program. Provides that the Director of Public Health may develop and implement a public awareness campaign to raise awareness about the psychiatric Collaborative Care Model. Provides that the program is subject to appropriation. Defines terms. Effective July 1, 2024.


LRB103 37749 RLC 67877 b

 

 

A BILL FOR

 

HB5046LRB103 37749 RLC 67877 b

1    AN ACT concerning health.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Psychiatry Practice Incentive Act is
5amended by changing Sections 10, 15, and 35 and by adding
6Section 45 as follows:
 
7    (405 ILCS 100/10)
8    Sec. 10. Definitions. In this Act, unless the context
9otherwise requires:
10    "Collaborative care technical assistance center" means a
11health care organization that can provide educational support
12and technical assistance related to the psychiatric
13Collaborative Care Model, including an academic medical
14center.
15    "Department" means the Department of Public Health.
16    "Director" means the Director of Public Health.
17    "Designated shortage area" means an area designated by the
18Director as a psychiatric or mental health physician shortage
19area, as defined by the United States Department of Health and
20Human Services or as further defined by the Department to
21enable it to effectively fulfill the purpose stated in Section
225 of this Act. Such areas may include the following:
23        (1) an urban or rural area that is a rational area for

 

 

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1    the delivery of health services;
2        (2) a population group; or
3        (3) a public or nonprofit private medical facility.
4    "Eligible medical student" means a person who meets all of
5the following qualifications:
6        (1) He or she is an Illinois resident at the time of
7    application for assistance under the program established
8    by this Act.
9        (2) He or she is studying medicine in a medical school
10    located in Illinois.
11        (3) He or she exhibits financial need, as determined
12    by the Department.
13        (4) He or she agrees to practice full time in a
14    designated shortage area as a psychiatrist for one year
15    for each year that he or she receives assistance under
16    this Act.
17        (5) He or she agrees to accept medical payments, as
18    defined in this Act, and to serve targeted populations.
19    "Medical facility" means a facility for the delivery of
20health services. "Medical facility" includes a hospital, State
21mental health institution, public health center, outpatient
22medical facility, rehabilitation facility, long-term care
23facility, federally-qualified health center, migrant health
24center, community health center, community mental health
25center, or State correctional institution.
26    "Medicaid" means the medical assistance program defined in

 

 

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1Article V of the Illinois Public Aid Code.
2    "Medical payments" means compensation provided to
3physicians for services rendered under Article V of the
4Illinois Public Aid Code.
5    "Medically underserved area" means an urban or rural area
6designated by the Secretary of the United States Department of
7Health and Human Services as an area with a shortage of
8personal health services or as otherwise designated by the
9Department of Public Health.
10    "Medically underserved population" means (i) the
11population of an urban or rural area designated by the
12Secretary of the United States Department of Health and Human
13Services as an area with a shortage of personal health
14services, (ii) a population group designated by the Secretary
15of the United States Department of Health and Human Services
16as having a shortage of personal health services, or (iii) as
17otherwise designated by the Department of Public Health.
18    "Primary health care physician" means a person licensed to
19practice medicine in all of its branches under the Medical
20Practice Act of 1987 with board eligibility or certification
21in the specialty of family medicine, internal medicine,
22pediatrics, obstetrics, gynecology, or geriatrics, as defined
23by recognized standards of professional medical practice.
24    "Primary health care practice" means a medical practice of
25primary health care physicians, including a practice within a
26larger health care system.

 

 

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1    "Psychiatric
Collaborative Care Model" means an
2evidence-based, integrated behavioral health service delivery
3method, which includes a formal collaborative arrangement
4among a primary care team consisting of a primary care
5provider, a care manager, and a psychiatric consultant as
6defined in Section 356z.39 of the Illinois Insurance Code.
7    "Psychiatric physician" means a person licensed to
8practice medicine in all of its branches under the Medical
9Practice Act of 1987 with board eligibility or certification
10in the specialty of psychiatry, as defined by recognized
11standards of professional medical practice.
12    "Psychiatric practice residency program" means a program
13accredited by the Residency Review Committee for Psychiatry of
14the Accreditation Council for Graduate Medical Education or
15the American Osteopathic Association.
16    "Targeted populations" means one or more of the following:
17(i) a medically underserved population, (ii) persons in a
18medically underserved area, (iii) an uninsured population of
19this State, and (iv) persons enrolled in a medical program
20administered by the Illinois Department of Healthcare and
21Family Services.
22    "Uninsured population" means persons who (i) do not own
23private health care insurance, (ii) are not part of a group
24insurance plan, and (iii) are not eligible for any State or
25federal government-sponsored health care program.
26(Source: P.A. 96-1411, eff. 1-1-11.)
 

 

 

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1    (405 ILCS 100/15)
2    Sec. 15. Powers and duties of the Department. The
3Department shall have all of the following powers and duties:
4        (1) To allocate funds to psychiatric practice
5    residency and child and adolescent fellowship programs
6    according to the following priorities:
7            (A) to increase the number of psychiatric
8        physicians in designated shortage areas;
9            (B) to increase the percentage of psychiatric
10        physicians establishing practice within the State upon
11        completion of residency;
12            (C) to increase the number of accredited
13        psychiatric practice residencies within the State; and
14            (D) to increase the percentage of psychiatric
15        practice physicians establishing practice within the
16        State upon completion of residency.
17        (2) To determine the procedures for the distribution
18    of the funds to psychiatric residency programs, including
19    the establishment of eligibility criteria in accordance
20    with the following guidelines:
21            (A) preference for programs that are to be
22        established at locations that exhibit potential for
23        extending psychiatric practice physician availability
24        to designated shortage areas;
25            (B) preference for programs that are located away

 

 

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1        from communities in which medical schools are located;
2        and
3            (C) preference for programs located in hospitals
4        that have affiliation agreements with medical schools
5        located within the State.
6    In distributing such funds, the Department may also
7    consider as secondary criteria whether or not a
8    psychiatric practice residency program has (i) adequate
9    courses of instruction in the child and adolescent
10    behavioral disorder sciences; (ii) availability and
11    systematic utilization of opportunities for residents to
12    gain experience through local health departments,
13    community mental health centers, or other preventive or
14    occupational medical facilities; (iii) a continuing
15    program of community oriented research in such areas as
16    risk factors in community populations; (iv) sufficient
17    mechanisms for maintenance of quality training, such as
18    peer review, systematic progress reviews, referral system,
19    and maintenance of adequate records; and (v) an
20    appropriate course of instruction in societal,
21    institutional, and economic conditions affecting
22    psychiatric practice.
23        (3) To receive and disburse federal funds in
24    accordance with the purpose stated in Section 5 of this
25    Act.
26        (4) To enter into contracts or agreements with any

 

 

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1    agency or department of this State or the United States to
2    carry out the provisions of this Act.
3        (5) To coordinate the psychiatric residency grants
4    program established under this Act with other student
5    assistance and residency programs administered by the
6    Department and the Board of Higher Education under the
7    Health Services Education Grants Act.
8        (6) To design and coordinate a study for the purpose
9    of assessing the characteristics of practice resulting
10    from the psychiatric practice residency programs
11    including, but not limited to, information regarding the
12    nature and scope of practices, location of practices,
13    years of active practice following completion of residency
14    and other information deemed necessary for the
15    administration of this Act.
16        (7) To establish a program, and the criteria for such
17    program, for the repayment of the educational loans of
18    physicians who agree to (i) serve in designated shortage
19    areas for a specified period of time, no less than 3 years,
20    (ii) accept medical payments, as defined in this Act, and
21    (iii) serve targeted populations to the extent required by
22    the program. Payments under this program may be made for
23    the principal, interest, and related expenses of
24    government and commercial loans received by the individual
25    for tuition expenses and all other reasonable educational
26    expenses incurred by the individual. Payments made under

 

 

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1    this provision are exempt from State income tax, as
2    provided by law.
3        (8) To require psychiatric practice residency programs
4    seeking grants under this Act to make application
5    according to procedures consistent with the priorities and
6    guidelines established in items (1) and (2) of this
7    Section.
8        (9) To adopt rules and regulations that are necessary
9    for the establishment and maintenance of the programs
10    required by this Act.
11        (10) To establish a Collaborative Care Demonstration
12    Grant program and set criteria for the program, as
13    described in Section 45.
14(Source: P.A. 96-1411, eff. 1-1-11.)
 
15    (405 ILCS 100/35)
16    Sec. 35. Annual report. The Department may annually report
17to the General Assembly and the Governor the results and
18progress of all programs established under this Act.
19    The annual report to the General Assembly and the Governor
20must include the impact of programs established under this Act
21on the ability of designated shortage areas to attract and
22retain physicians and other health care personnel and
23integration of behavioral health care into primary care
24settings in designated shortage areas. The report shall
25include recommendations to improve that ability.

 

 

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1    The requirement for reporting to the General Assembly
2shall be satisfied by filing copies of the report as required
3by Section 3.1 of the General Assembly Organization Act, and
4by filing such additional copies with the State Government
5Report Distribution Center for the General Assembly as is
6required under paragraph (t) of Section 7 of the State Library
7Act.
8(Source: P.A. 99-933, eff. 1-27-17; 100-1148, eff. 12-10-18.)
 
9    (405 ILCS 100/45 new)
10    Sec. 45. Collaborative Care Demonstration Grants.
11    (a) The Director may establish a program and criteria for
12the program to provide grants, training, and technical
13assistance to eligible primary health care practices to
14support implementation of the psychiatric Collaborative Care
15Model.
16    (b) Grants awarded under subsection (a) may be used for
17one or more of the following purposes:
18        (1) hiring staff;
19        (2) identifying and formalizing contractual
20    relationships with other health care providers, including
21    providers who will function as psychiatric consultants and
22    behavioral health care managers in providing behavioral
23    health integration services through the psychiatric
24    Collaborative Care Model;
25        (3) purchasing or maintaining software and other

 

 

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1    resources needed to appropriately provide behavioral
2    health integration services through the Collaborative Care
3    Model, including resources needed to establish a patient
4    registry and implement measurement-based care; and
5        (4) for other purposes as the Director may determine
6    to be necessary.
7    (c) Grants awarded under subsection (a) shall be for a
8minimum amount of $100,000. The minimum award amount under
9this subsection (c) shall increase by $1,000 per 1% share of
10patients to be seen by the awardee during the applicable grant
11period that are expected to be enrolled in Medicaid, up to
12$500,000 total per award.
13    (d) The Director may solicit proposals from and enter into
14grant agreements with eligible collaborative care technical
15assistance centers to provide technical assistance to primary
16health care practices on providing behavioral health
17integration services through the psychiatric Collaborative
18Care Model, including, but not limited to, recipients of
19grants described in subsection (a). The technical assistance
20center shall provide technical assistance to primary care
21physicians for:
22        (1) developing financial models and budgets for
23    program launch and sustainability based on practice size;
24        (2) developing staffing models for essential staff
25    roles, including care managers and consulting
26    psychiatrists;

 

 

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1        (3) providing information technology expertise to
2    assist with building the model requirements into
3    electronic health records, including assistance with care
4    manager tools, patient registry, ongoing patient
5    monitoring, and patient records;
6        (4) training support for all key staff and operational
7    consultation to develop practice workflows;
8        (5) establishing methods to ensure the sharing of best
9    practices and operational knowledge among primary care
10    physicians that provide behavioral health integration
11    services through the Collaborative Care Model; and
12        (6) for other purposes that the Director may determine
13    to be necessary.
14    (f) The Director may develop and implement a public
15awareness campaign to raise awareness about the psychiatric
16Collaborative Care Model.
17    (g) This Section is subject to appropriation.
 
18    Section 99. Effective date. This Act takes effect July 1,
192024.