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Synopsis As Introduced Amends the Department of Public Aid Law of the Civil Administrative Code of Illinois and the Department of Public Health Powers and Duties Law of the Civil Administrative Code of Illinois. Provides that the Department of Healthcare and Family Services shall establish a prostate and testicular cancer treatment program. Sets forth the requirements for participation in the program, including requirements concerning screening for prostate or testicular cancer and the need for treatment. Sets forth other features of the program. In connection with the Department of Public Health's prostate and testicular cancer awareness and early detection program, provides that the promotion of information and counseling about treatment options shall include: identification of the medically viable alternative methods for the treatment of prostate and testicular cancer; information concerning the advantages, disadvantages, and risks associated with those treatment methods; and information concerning the availability of public and private sources of payment for diagnostic evaluation and the treatment of prostate and testicular cancer. Provides that referral services shall include referrals for treatment services. Makes other changes.
House Committee Amendment No. 1 Replaces everything after the enacting clause with provisions substantially similar to those of House Bill 4634, amending the Department of Public Aid Law of the Civil Administrative Code of Illinois and the Department of Public Health Powers and Duties Law of the Civil Administrative Code of Illinois, but with changes that include the following: (1) provides for establishment of a prostate and testicular cancer diagnostic evaluation and treatment (instead of treatment only) program by the Department of Healthcare and Family Services, subject to appropriation, and adds other references to diagnostic evaluation; (2) provides that covered diagnostic evaluation (instead of covered treatment) shall include follow-up PSA testing and DRE, and provides that it shall also include initial and follow-up ultrasound biopsies, pelvic CT Scans, and bone scans; (3) provides that the Department of Public Health's prostate and testicular cancer program shall include referrals for diagnostic evaluation; (4) provides that the prostate and testicular cancer program applies to (i) uninsured and underinsured men over the age of 40 who are at risk for prostate cancer, or younger men upon the advice of a physician or upon the request of the patient (instead of uninsured and underinsured men age 50 and older) and (ii) uninsured and underinsured men 14 years of age and older who are at risk for testicular cancer, or younger men upon the advice of a physician or upon the request of the patient; and (5) makes implementation of the changes with respect to the prostate and testicular cancer program subject to appropriation. Provides that neither the Governor nor any agency or agency head under the jurisdiction of the Governor has any rulemaking authority under the amendatory Act, but that the Governor may suggest rules by filing them with the General Assembly and requesting that the General Assembly authorize such rulemaking by law, enact the suggested rules into law, or take other appropriate action in the General Assembly's discretion.
Replaces everything after the enacting clause. Amends the Illinois Public Aid Code. Subject to appropriation, provides for Medicaid eligibility for uninsured persons who are not otherwise eligible for medical assistance who have been certified and referred by the Department of Public Health as having been screened and found to need diagnostic evaluation or treatment, or both, for prostate or testicular cancer. Provides for eligibility for so long as the person needs treatment for the cancer. Provides that a person shall be considered to need treatment if, in the opinion of the person's treating physician, the person requires therapy directed toward cure or palliation of prostate or testicular cancer, including recurrent metastatic cancer that is a known or presumed complication of prostate or testicular cancer and complications resulting from the treatment modalities themselves; provides that persons who require only routine monitoring services are not considered to need treatment. Provides that the Department of Healthcare and Family Services (i) does not have a claim against the estate of a deceased recipient of services under these provisions and (ii) does not have a lien against any homestead property or other legal or equitable real property interest owned by a recipient of services under these provisions. Provides that neither the Governor nor any agency or agency head under the jurisdiction of the Governor has any rulemaking authority under the amendatory Act, but that the Governor may suggest rules by filing them with the General Assembly and requesting that the General Assembly authorize such rulemaking by law, enact the suggested rules into law, or take other appropriate action in the General Assembly's discretion.
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