Bill Text: IL HB5046 | 2023-2024 | 103rd General Assembly | Introduced

---

Bill Title: 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.

Spectrum: Partisan Bill (Democrat 12-0)

Status: (Introduced) 2024-04-10 - Added Co-Sponsor Rep. Abdelnasser Rashid [HB5046 Detail]

Download: Illinois-2023-HB5046-Introduced.html

---

103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB5046 Introduced , 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
HB5046 LRB103 37749 RLC 67877 b
AN ACT concerning health.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 5. The Psychiatry Practice Incentive Act is
amended by changing Sections 10, 15, and 35 and by adding
Section 45 as follows:
(405 ILCS 100/10)
Sec. 10. Definitions. In this Act, unless the context
otherwise requires:
"Collaborative care technical assistance center" means a
health care organization that can provide educational support
and technical assistance related to the psychiatric
Collaborative Care Model, including an academic medical
center.
"Department" means the Department of Public Health.
"Director" means the Director of Public Health.
"Designated shortage area" means an area designated by the
Director as a psychiatric or mental health physician shortage
area, as defined by the United States Department of Health and
Human Services or as further defined by the Department to
enable it to effectively fulfill the purpose stated in Section
5 of this Act. Such areas may include the following:
(1) an urban or rural area that is a rational area for

HB5046 - 2 - LRB103 37749 RLC 67877 b
the delivery of health services;
(2) a population group; or
(3) a public or nonprofit private medical facility.
"Eligible medical student" means a person who meets all of
the following qualifications:
(1) He or she is an Illinois resident at the time of
application for assistance under the program established
by this Act.
(2) He or she is studying medicine in a medical school
located in Illinois.
(3) He or she exhibits financial need, as determined
by the Department.
(4) He or she agrees to practice full time in a
designated shortage area as a psychiatrist for one year
for each year that he or she receives assistance under
this Act.
(5) He or she agrees to accept medical payments, as
defined in this Act, and to serve targeted populations.
"Medical facility" means a facility for the delivery of
health services. "Medical facility" includes a hospital, State
mental health institution, public health center, outpatient
medical facility, rehabilitation facility, long-term care
facility, federally-qualified health center, migrant health
center, community health center, community mental health
center, or State correctional institution.
"Medicaid" means the medical assistance program defined in

HB5046 - 3 - LRB103 37749 RLC 67877 b
Article V of the Illinois Public Aid Code.
"Medical payments" means compensation provided to
physicians for services rendered under Article V of the
Illinois Public Aid Code.
"Medically underserved area" means an urban or rural area
designated by the Secretary of the United States Department of
Health and Human Services as an area with a shortage of
personal health services or as otherwise designated by the
Department of Public Health.
"Medically underserved population" means (i) the
population of an urban or rural area designated by the
Secretary of the United States Department of Health and Human
Services as an area with a shortage of personal health
services, (ii) a population group designated by the Secretary
of the United States Department of Health and Human Services
as having a shortage of personal health services, or (iii) as
otherwise designated by the Department of Public Health.
"Primary health care physician" means a person licensed to
practice medicine in all of its branches under the Medical
Practice Act of 1987 with board eligibility or certification
in the specialty of family medicine, internal medicine,
pediatrics, obstetrics, gynecology, or geriatrics, as defined
by recognized standards of professional medical practice.
"Primary health care practice" means a medical practice of
primary health care physicians, including a practice within a
larger health care system.

HB5046 - 4 - LRB103 37749 RLC 67877 b
"Psychiatric
Collaborative Care Model" means an
evidence-based, integrated behavioral health service delivery
method, which includes a formal collaborative arrangement
among a primary care team consisting of a primary care
provider, a care manager, and a psychiatric consultant as
defined in Section 356z.39 of the Illinois Insurance Code.
"Psychiatric physician" means a person licensed to
practice medicine in all of its branches under the Medical
Practice Act of 1987 with board eligibility or certification
in the specialty of psychiatry, as defined by recognized
standards of professional medical practice.
"Psychiatric practice residency program" means a program
accredited by the Residency Review Committee for Psychiatry of
the Accreditation Council for Graduate Medical Education or
the American Osteopathic Association.
"Targeted populations" means one or more of the following:
(i) a medically underserved population, (ii) persons in a
medically underserved area, (iii) an uninsured population of
this State, and (iv) persons enrolled in a medical program
administered by the Illinois Department of Healthcare and
Family Services.
"Uninsured population" means persons who (i) do not own
private health care insurance, (ii) are not part of a group
insurance plan, and (iii) are not eligible for any State or
federal government-sponsored health care program.
(Source: P.A. 96-1411, eff. 1-1-11.)

HB5046 - 5 - LRB103 37749 RLC 67877 b
(405 ILCS 100/15)
Sec. 15. Powers and duties of the Department. The
Department shall have all of the following powers and duties:
(1) To allocate funds to psychiatric practice
residency and child and adolescent fellowship programs
according to the following priorities:
(A) to increase the number of psychiatric
physicians in designated shortage areas;
(B) to increase the percentage of psychiatric
physicians establishing practice within the State upon
completion of residency;
(C) to increase the number of accredited
psychiatric practice residencies within the State; and
(D) to increase the percentage of psychiatric
practice physicians establishing practice within the
State upon completion of residency.
(2) To determine the procedures for the distribution
of the funds to psychiatric residency programs, including
the establishment of eligibility criteria in accordance
with the following guidelines:
(A) preference for programs that are to be
established at locations that exhibit potential for
extending psychiatric practice physician availability
to designated shortage areas;
(B) preference for programs that are located away

HB5046 - 6 - LRB103 37749 RLC 67877 b
from communities in which medical schools are located;
and
(C) preference for programs located in hospitals
that have affiliation agreements with medical schools
located within the State.
In distributing such funds, the Department may also
consider as secondary criteria whether or not a
psychiatric practice residency program has (i) adequate
courses of instruction in the child and adolescent
behavioral disorder sciences; (ii) availability and
systematic utilization of opportunities for residents to
gain experience through local health departments,
community mental health centers, or other preventive or
occupational medical facilities; (iii) a continuing
program of community oriented research in such areas as
risk factors in community populations; (iv) sufficient
mechanisms for maintenance of quality training, such as
peer review, systematic progress reviews, referral system,
and maintenance of adequate records; and (v) an
appropriate course of instruction in societal,
institutional, and economic conditions affecting
psychiatric practice.
(3) To receive and disburse federal funds in
accordance with the purpose stated in Section 5 of this
Act.
(4) To enter into contracts or agreements with any

HB5046 - 7 - LRB103 37749 RLC 67877 b
agency or department of this State or the United States to
carry out the provisions of this Act.
(5) To coordinate the psychiatric residency grants
program established under this Act with other student
assistance and residency programs administered by the
Department and the Board of Higher Education under the
Health Services Education Grants Act.
(6) To design and coordinate a study for the purpose
of assessing the characteristics of practice resulting
from the psychiatric practice residency programs
including, but not limited to, information regarding the
nature and scope of practices, location of practices,
years of active practice following completion of residency
and other information deemed necessary for the
administration of this Act.
(7) To establish a program, and the criteria for such
program, for the repayment of the educational loans of
physicians who agree to (i) serve in designated shortage
areas for a specified period of time, no less than 3 years,
(ii) accept medical payments, as defined in this Act, and
(iii) serve targeted populations to the extent required by
the program. Payments under this program may be made for
the principal, interest, and related expenses of
government and commercial loans received by the individual
for tuition expenses and all other reasonable educational
expenses incurred by the individual. Payments made under

HB5046 - 8 - LRB103 37749 RLC 67877 b
this provision are exempt from State income tax, as
provided by law.
(8) To require psychiatric practice residency programs
seeking grants under this Act to make application
according to procedures consistent with the priorities and
guidelines established in items (1) and (2) of this
Section.
(9) To adopt rules and regulations that are necessary
for the establishment and maintenance of the programs
required by this Act.
(10) To establish a Collaborative Care Demonstration
Grant program and set criteria for the program, as
described in Section 45.
(Source: P.A. 96-1411, eff. 1-1-11.)
(405 ILCS 100/35)
Sec. 35. Annual report. The Department may annually report
to the General Assembly and the Governor the results and
progress of all programs established under this Act.
The annual report to the General Assembly and the Governor
must include the impact of programs established under this Act
on the ability of designated shortage areas to attract and
retain physicians and other health care personnel and
integration of behavioral health care into primary care
settings in designated shortage areas. The report shall
include recommendations to improve that ability.

HB5046 - 9 - LRB103 37749 RLC 67877 b
The requirement for reporting to the General Assembly
shall be satisfied by filing copies of the report as required
by Section 3.1 of the General Assembly Organization Act, and
by filing such additional copies with the State Government
Report Distribution Center for the General Assembly as is
required under paragraph (t) of Section 7 of the State Library
Act.
(Source: P.A. 99-933, eff. 1-27-17; 100-1148, eff. 12-10-18.)
(405 ILCS 100/45 new)
Sec. 45. Collaborative Care Demonstration Grants.
(a) The Director 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 psychiatric Collaborative Care
Model.
(b) Grants awarded under subsection (a) may be used for
one or more of the following purposes:
(1) hiring staff;
(2) identifying and formalizing contractual
relationships with other health care providers, including
providers who will function as psychiatric consultants and
behavioral health care managers in providing behavioral
health integration services through the psychiatric
Collaborative Care Model;
(3) purchasing or maintaining software and other

HB5046 - 10 - LRB103 37749 RLC 67877 b
resources needed to appropriately provide behavioral
health integration services through the Collaborative Care
Model, including resources needed to establish a patient
registry and implement measurement-based care; and
(4) for other purposes as the Director may determine
to be necessary.
(c) Grants awarded under subsection (a) shall be for a
minimum amount of $100,000. The minimum award amount under
this subsection (c) 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.
(d) The Director 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 described in subsection (a). The technical assistance
center shall provide technical assistance to primary care
physicians for:
(1) developing financial models and budgets for
program launch and sustainability based on practice size;
(2) developing staffing models for essential staff
roles, including care managers and consulting
psychiatrists;

HB5046 - 11 - LRB103 37749 RLC 67877 b
(3) providing information technology expertise to
assist with building the model requirements into
electronic health records, including assistance with care
manager tools, patient registry, ongoing patient
monitoring, and patient records;
(4) training support for all key staff and operational
consultation to develop practice workflows;
(5) establishing methods to ensure the sharing of best
practices and operational knowledge among primary care
physicians that provide behavioral health integration
services through the Collaborative Care Model; and
(6) for other purposes that the Director may determine
to be necessary.
(f) The Director may develop and implement a public
awareness campaign to raise awareness about the psychiatric
Collaborative Care Model.
(g) This Section is subject to appropriation.