Sen. Heather A. Steans

Filed: 4/11/2016

 

 


 

 


 
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1
AMENDMENT TO SENATE BILL 3062

2    AMENDMENT NO. ______. Amend Senate Bill 3062 by replacing
3everything after the enacting clause with the following:
 
4    "Section 5. The Department of Public Health Powers and
5Duties Law of the Civil Administrative Code of Illinois is
6amended by changing Section 2310-220 as follows:
 
7    (20 ILCS 2310/2310-220)  (was 20 ILCS 2310/55.73)
8    Sec. 2310-220. Findings; rural obstetrical care. The
9General Assembly finds that substantial areas of rural Illinois
10lack adequate access to obstetrical care. The primary cause of
11this problem is the absence of qualified practitioners who are
12willing to offer obstetrical services. A significant barrier to
13recruiting and retaining those practitioners is the high cost
14of professional liability insurance for practitioners offering
15obstetrical care.
16    Therefore, the Department, from funds appropriated for

 

 

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1that purpose, shall award grants to physicians practicing
2obstetrics in rural designated shortage areas, as defined in
3Section 3.04 of the Family Practice and Behavioral Health
4Promotion Residency Act, for the purpose of reimbursing those
5physicians for the costs of obtaining malpractice insurance
6relating to obstetrical services. The Department shall
7establish reasonable conditions, standards, and duties
8relating to the application for and receipt of the grants.
9(Source: P.A. 91-239, eff. 1-1-00.)
 
10    Section 10. The Family Practice Residency Act is amended by
11changing Sections 1, 2, 3.03, 3.04, 4.01, 4.02, 4.03, 4.10, 5,
126, and 9 and by adding Sections 3.10, 3.11, and 10.5 as
13follows:
 
14    (110 ILCS 935/1)  (from Ch. 144, par. 1451)
15    Sec. 1. This Act shall be known and may be cited as the
16"Family Practice and Behavioral Health Promotion Residency
17Act".
18(Source: P.A. 80-478.)
 
19    (110 ILCS 935/2)  (from Ch. 144, par. 1452)
20    Sec. 2. The purpose of this Act is to establish programs in
21the Illinois Department of Public Health to upgrade primary and
22behavioral health care services for all citizens of the State,
23to increase access, and to reduce health care disparities by

 

 

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1providing grants to family practice residency, and preventive
2medicine residency, and behavioral health care residency
3programs, scholarships to medical students and other eligible
4behavioral health care professionals, and a loan repayment
5program for physicians, and other eligible primary care
6providers, and eligible behavioral health care professionals
7who will agree to practice in areas of the State demonstrating
8the greatest need for more professional medical and behavioral
9health care. The programs shall encourage family practice
10physicians, and other eligible primary care providers, and
11eligible behavioral health care professionals to locate in
12areas where primary care and behavioral health manpower
13shortages exist and to increase the total number of family
14practice physicians, and other eligible primary care
15providers, and eligible behavioral health care professionals
16in the State.
17(Source: P.A. 98-674, eff. 6-30-14.)
 
18    (110 ILCS 935/3.03)  (from Ch. 144, par. 1453.03)
19    Sec. 3.03. "Committee" means the Advisory Committee for
20Family Practice Residency Programs and Behavioral Health Care
21Programs created by this Act.
22(Source: P.A. 80-478.)
 
23    (110 ILCS 935/3.04)  (from Ch. 144, par. 1453.04)
24    Sec. 3.04. "Designated Shortage Area" means an area

 

 

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1designated by the Director as a physician shortage area, a
2medically underserved area, or a critical health manpower
3shortage area, a health professional shortage area, or a mental
4health professional shortage area, as defined by the United
5States Department of Health and Human Services , Education and
6Welfare, or as otherwise further defined by the Department to
7enable it to effectively fulfill the purpose stated in Section
82 of this Act. Such areas may include the following:
9    (a) an urban or rural area which is a rational area for the
10delivery of health services;
11    (b) a population group; or
12    (c) a public or nonprofit private medical facility.
13(Source: P.A. 80-478.)
 
14    (110 ILCS 935/3.10 new)
15    Sec. 3.10. Eligible behavioral health care professionals.
16"Eligible behavioral health care professionals" include the
17following licensed professionals who have behavioral health
18care training and experience:
19        (1) psychiatrists licensed to practice medicine in all
20    of its branches under the Medical Practice Act of 1987;
21        (2) clinical psychologists licensed under the Clinical
22    Psychologist Licensing Act;
23        (3) clinical social workers licensed under the
24    Clinical Social Work and Social Work Practice Act;
25        (4) psychiatric nurse specialists licensed as

 

 

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1    registered nurses under the Nurse Practice Act;
2        (5) marriage and family therapists licensed under the
3    Marriage and Family Therapy Licensing Act; and
4        (6) clinical professional counselors licensed under
5    the Professional Counselor and Clinical Professional
6    Counselor Licensing and Practice Act.
 
7    (110 ILCS 935/3.11 new)
8    Sec. 3.11. Behavioral health care program. "Behavioral
9health care program" means a behavioral health care service of
10a hospital or hospital affiliate, as defined under the Hospital
11Licensing Act; a hospital operated under the University of
12Illinois Hospital Act; a federally qualified health center, as
13defined in Section 1905(l)(2)(B) of the federal Social Security
14Act; or a community mental health center that has satisfied the
15Medicare conditions of participation for community mental
16health centers under 42 CFR 485.904 through 42 CFR 485.918.
 
17    (110 ILCS 935/4.01)  (from Ch. 144, par. 1454.01)
18    Sec. 4.01. To allocate funds to family practice residency
19programs and behavioral health care programs according to the
20following priorities:
21    (a) to increase the number of family practice physicians
22and behavioral health care professionals in Designated
23Shortage Areas;
24    (b) to increase the percentage of obstetricians

 

 

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1establishing practice within the State upon completion of
2residency;
3    (c) to increase the number of accredited family practice
4residencies within the State;
5    (d) to increase the percentage of family practice
6physicians establishing practice within the State upon
7completion of residency; and
8    (d-5) to increase access to behavioral health care in
9Designated Shortage Areas;
10    (d-10) to increase the number of eligible behavioral health
11care professionals providing health care services in this
12State; and
13    (e) to provide funds for rental of office space, purchase
14of equipment and other uses necessary to enable family
15practitioners and eligible behavioral health care
16professionals to locate their practices in communities located
17in designated shortage areas.
18(Source: P.A. 86-1384.)
 
19    (110 ILCS 935/4.02)  (from Ch. 144, par. 1454.02)
20    Sec. 4.02. To determine the procedures for the distribution
21of the funds to family practice residency programs and
22behavioral health care programs, including the establishment
23of eligibility criteria in accordance with the following
24guidelines:
25    (a) preference for programs which are to be established at

 

 

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1locations which exhibit potential for extending family
2practice physician and behavioral health care availability to
3Designated Shortage Areas;
4    (b) preference for programs which are located away from
5communities in which medical schools are located; and
6    (c) preference for programs located in hospitals having
7affiliation agreements with medical schools located within the
8State.
9    In distributing such funds, the Department may also
10consider as secondary criteria whether a family practice
11residency program has:
12    (1) Adequate courses of instruction in the behavioral
13sciences;
14    (2) Availability and systematic utilization of
15opportunities for residents to gain experience through local
16health departments or other preventive or occupational medical
17facilities;
18    (3) A continuing program of community-oriented research in
19such areas as risk factors in community populations,
20immunization levels, environmental hazards, or occupational
21hazards;
22    (4) Sufficient mechanisms for maintenance of quality
23training, such as peer review, systematic progress reviews,
24referral system, and maintenance of adequate records; and
25    (5) An appropriate course of instruction in societal,
26institutional and economic conditions affecting family

 

 

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1practice.
2(Source: P.A. 81-321.)
 
3    (110 ILCS 935/4.03)  (from Ch. 144, par. 1454.03)
4    Sec. 4.03. To establish a program of medical student and
5behavioral health care professional scholarships and to award
6scholarships to eligible medical students and eligible
7behavioral health care professionals.
8(Source: P.A. 80-478.)
 
9    (110 ILCS 935/4.10)  (from Ch. 144, par. 1454.10)
10    Sec. 4.10. To establish programs, and the criteria for such
11programs, for the repayment of the educational loans of primary
12care physicians, and other eligible primary care providers, and
13eligible behavioral health care professionals who agree to
14serve in Designated Shortage Areas for a specified period of
15time, no less than 2 years. Payments under this program may be
16made for the principal, interest and related expenses of
17government and commercial loans received by the individual for
18tuition expenses, and all other reasonable educational
19expenses incurred by the individual. Payments made under this
20provision shall be exempt from Illinois State Income Tax. The
21Department may use tobacco settlement recovery funding or other
22available funding to implement this Section.
23(Source: P.A. 98-674, eff. 6-30-14.)
 

 

 

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1    (110 ILCS 935/5)  (from Ch. 144, par. 1455)
2    Sec. 5. The Advisory Committee for Family Practice
3Residency Programs and Behavioral Health Care Programs is
4created and shall consult with the Director in the
5administration of this Act. The Committee shall consist of 13 9
6members appointed by the Director, 4 of whom shall be family
7practice physicians, 4 of whom shall be representatives of
8behavioral health care programs, one of whom shall be the dean
9or associate or deputy dean of a medical school in this State,
10and 4 of whom shall be representatives of the general public.
11Terms of membership shall be 4 years. Initial appointments by
12the Director shall be staggered, with 4 appointments
13terminating January 31, 1979 and 4 terminating January 31,
141981. Of the 4 additional members appointed under this
15amendatory Act of the 99th General Assembly, 2 members, as
16determined by the Director, shall serve for a term that
17commences on the date of their appointment and expires on
18January 31, 2019 and the other 2 members shall serve for a term
19that commences on the date of their appointment and expires on
20January 31, 2021. Each member shall continue to serve after the
21expiration of his term until his successor has been appointed.
22No person shall serve more than 2 terms. Vacancies shall be
23filled by appointment for the unexpired term of any member in
24the same manner as the vacant position had been filled. The
25Committee shall select from its members a chairman from among
26the family practice physician members, and such other officers

 

 

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1as may be required. The Committee shall meet as frequently as
2the Director deems necessary, but not less than once each year.
3The Committee members shall receive no compensation but shall
4be reimbursed for actual expenses incurred in carrying out
5their duties.
6(Source: P.A. 92-635, eff. 7-11-02.)
 
7    (110 ILCS 935/6)  (from Ch. 144, par. 1456)
8    Sec. 6. Family practice residency programs and behavioral
9health care programs seeking funds under this Act shall make
10application to the Department. The application shall include
11evidence of local support for the program, either in the form
12of funds, services or other resources. The ratio of State
13support to local support shall be determined by the Department
14in a manner that is consistent with the purpose of this Act as
15stated in Section 2 of this Act. In establishing such ratio of
16State to local support the Department may vary the amount of
17the required local support depending upon the criticality of
18the need for more professional health care services, the
19geographic location and the economic base of the Designated
20Shortage Area.
21(Source: P.A. 80-478.)
 
22    (110 ILCS 935/9)  (from Ch. 144, par. 1459)
23    Sec. 9. The Department shall annually report to the General
24Assembly and the Governor the results and progress of the

 

 

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1programs established by this Act on or before March 15th.
2    The annual report to the General Assembly and the Governor
3shall include the impact of programs established under this Act
4on the ability of designated shortage areas to attract and
5retain physicians and other health care personnel and the
6ability of designated behavioral health care programs to
7attract and retain eligible behavioral health care
8professionals in Designated Shortage Areas. The report shall
9include recommendations to improve that ability.
10    The requirement for reporting to the General Assembly shall
11be satisfied by filing copies of the report with the Speaker,
12the Minority Leader and the Clerk of the House of
13Representatives and the President, the Minority Leader and the
14Secretary of the Senate and the Legislative Research Unit, as
15required by Section 3.1 of the General Assembly Organization
16Act, and filing such additional copies with the State
17Government Report Distribution Center for the General Assembly
18as is required under paragraph (t) of Section 7 of the State
19Library Act.
20(Source: P.A. 86-965; 87-430; 87-633; 87-895.)
 
21    (110 ILCS 935/10.5 new)
22    Sec. 10.5. Funding. Funding for family practice residency
23programs, scholarships to medical students and other
24behavioral health care professionals, and the loan repayment
25program for physicians, other primary care providers, and

 

 

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1eligible behavioral health care professionals shall not be
2diverted or diminished below fiscal year 2015 funding levels to
3fund behavioral health care programs.
 
4    Section 15. The Nurses in Advancement Law is amended by
5changing Section 1-20 as follows:
 
6    (110 ILCS 970/1-20)  (from Ch. 144, par. 2781-20)
7    Sec. 1-20. Scholarship requirements. It shall be lawful for
8any organization to condition any loan or grant upon the
9recipient's executing an agreement to commit not more than 5
10years of his or her professional career to the goals
11specifically outlined within the agreement including a
12requirement that recipient practice nursing or medicine in
13specifically designated practice and geographic areas.
14    Any agreement executed by an organization and any recipient
15of loan or grant assistance shall contain a provision for
16liquidated damages to be paid for any breach of any provision
17of the agreement, or any commitment contained therein, together
18with attorney's fees and costs for the enforcement thereof. Any
19such covenant shall be valid and enforceable in the courts of
20this State as liquidated damages and shall not be considered a
21penalty, provided that the provision for liquidated damages
22does not exceed $2,500 for each year remaining for the
23performance of the agreement.
24    This Section shall not be construed as pertaining to or

 

 

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1limiting any liquidated damages resulting from scholarships
2awarded under the Family Practice and Behavioral Health
3Promotion Residency Act.
4(Source: P.A. 92-651, eff. 7-11-02.)
 
5    Section 20. The Private Medical Scholarship Agreement Act
6is amended by changing Section 3 as follows:
 
7    (110 ILCS 980/3)  (from Ch. 144, par. 2703)
8    Sec. 3. Any such agreement executed by such an organization
9and any recipient of loan, grant assistance or recommendation
10may contain a provision for liquidated damages to be paid for
11any breach of any provision of the agreement, or any commitment
12contained therein, together with attorney's fees and costs for
13the enforcement thereof. Any such covenant shall be valid and
14enforceable in the courts of this State as liquidated damages
15and shall not be considered a penalty, provided that such
16provision for liquidated damages does not exceed $2,500 for
17each year remaining for the performance of such agreement.
18    This Section shall not be construed as pertaining to or
19limiting any liquidated damages resulting from scholarships
20awarded under the "Family Practice and Behavioral Health
21Promotion Residency Act", as amended.
22(Source: P.A. 86-999.)
 
23    Section 25. The Illinois Public Aid Code is amended by

 

 

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1changing Section 12-4.24a as follows:
 
2    (305 ILCS 5/12-4.24a)  (from Ch. 23, par. 12-4.24a)
3    Sec. 12-4.24a. Report and recommendations concerning
4designated shortage area. The Illinois Department shall
5analyze payments made to providers of medical services under
6Article V of this Code to determine whether any special
7compensatory standard should be applied to payments to such
8providers in designated shortage areas as defined in Section
93.04 of the Family Practice and Behavioral Health Promotion
10Residency Act, as now or hereafter amended. The Illinois
11Department shall, not later than June 30, 1990, report to the
12Governor and the General Assembly concerning the results of its
13analysis, and may provide by rule for adjustments in its
14payment rates to medical service providers in such areas.
15(Source: P.A. 92-111, eff. 1-1-02.)
 
16    Section 99. Effective date. This Act takes effect upon
17becoming law.".