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1		AN ACT concerning government.
2		Be it enacted by the People of the State of Illinois,
3		represented in the General Assembly:
4		Section 1. Short title. This Act may be cited as the 9-8-8
5		Suicide and Crisis Lifeline Workgroup Act.
6		Section 5. Findings. The General Assembly finds that:
7		(1) In the summer of 2022, 31% of Illinois adults
8		experienced symptoms of anxiety or depression more than half
9		of the days of each week, which is an increase of 20% since
10		2019.
11		(2) Suicide is the third leading cause of death in
12		Illinois for young adults who are 15 to 34 years of age, and it
13		is the 11th leading cause of death for all Illinoisans. In
14		2021, 1,488 Illinois lives were lost to suicide, and an
15		estimated 376,000 adults had thoughts of suicide.
16		(3) Historically, people in Illinois and nationwide have
17		had few and fragmented options to call upon during a mental
18		health crisis and have relied upon 9-1-1 and various privately
19		funded crisis lines for help.
20		(4) In July 2022, Illinois joined the nation in launching
21		the 9-8-8 Suicide and Crisis Lifeline, a universal 3-digit
22		dialing code for a national suicide prevention and mental
23		health hotline, meant to offer 24-hour-a-day, 7-day-a-week

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1		access to trained counselors who can help people experiencing
2		mental health-related distress.
3		(5) Congress delegated to the states significant
4		decision-making responsibility for structuring and funding the
5		states' 9-8-8 call center networks.
6		(6) States had limited data on which to base their initial
7		decisions because the Substance Abuse and Mental Health
8		Services Administration's projections of future increases in
9		call volumes varied widely, and there was no national
10		best-practice model for the number and organization of 9-8-8
11		call centers.
12		(7) The Substance Abuse and Mental Health Services
13		Administration described the 2022 launch of 9-8-8 as being
14		just the first step toward reimagining our country's mental
15		health crisis system and stipulated that long-term
16		transformation will rely on the willingness of states and
17		territories to build and invest strategically in every level
18		of the continuum of mental health crisis care over the next
19		several years.
20		(8) In 2023, the General Assembly and other State leaders
21		can assess the first year of operations of the 9-8-8 call
22		center system, identify legislative solutions to any funding
23		and programmatic gaps that are emerging, and set the course
24		for Illinois to eventually lead the country in providing
25		quality and accessible 9-8-8 care and in connecting
26		individuals with the mental health resources necessary to

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1		sustain long-term recovery.
2		(9) The launch of the 9-8-8 Suicide and Crisis Lifeline
3		has created a once-in-a-generation opportunity to improve
4		mental health crisis care in Illinois.
5		(10) Illinois' success or failure in building a
6		high-quality call center network in the initial years will be
7		an important factor in determining whether 9-8-8 is perceived
8		as a trusted resource in the State.
9		(11) Illinois' success or failure in building a
10		high-quality 9-8-8 call center network will disproportionately
11		affect Black, Brown, and other marginalized residents who are
12		most likely to rely on crisis services to access mental health
13		care and are most likely to be criminalized or harmed by the
14		existing crisis response system.
15		Section 10. Suicide and Crisis Lifeline Workgroup.
16		(a) The Department of Human Services, Division of Mental
17		Health, shall convene a workgroup that includes:
18		(1) bicameral, bipartisan members of the General
19		Assembly;
20		(2) at least one representative from the Department of
21		Human Services, Division of Substance Use Prevention and
22		Recovery; the Department of Public Health; the Department
23		of Healthcare and Family Services; and the Department of
24		Insurance;
25		(3) the State's Chief Behavioral Health Officer;

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1		(4) the Director of the Children's Behavioral Health
2		Transformation Initiative;
3		(5) service providers from the regional and statewide
4		9-8-8 call centers;
5		(6) representatives of organizations that represent
6		people with mental health conditions or substance use
7		disorders;
8		(7) representatives of organizations that operate an
9		Illinois social services helpline or crisis line other
10		than 9-8-8, including veterans' crisis services;
11		(8) more than one individual with personal or family
12		lived experience of a mental health condition or substance
13		use disorder;
14		(9) experts in research and operational evaluation;
15		and
16		(10) and any other person or persons as determined by
17		the Department of Human Services, Division of Mental
18		Health.
19		(b) On or before December 31, 2023, the Department of
20		Human Services, Division of Mental Health, shall submit a
21		report to the General Assembly regarding the Workgroup's
22		findings under Section 15 related to the 9-8-8 call system.
23		Section 15. Responsibilities; action plan.
24		(a) The Workgroup has the following responsibilities:
25		(1) to review existing information about the first

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1		year of 9-8-8 call center operations in Illinois,
2		including, but not limited to, state-level and
3		county-level use data, progress around the federal
4		measures of success determined by the Substance Abuse and
5		Mental Health Services Administration, and research
6		conducted by any State-contracted partners around cost
7		projections, best-practice standards, and geographic
8		needs;
9		(2) to review other states' models and emerging best
10		practices around structuring 9-8-8 call center networks,
11		with an emphasis on promoting high-quality phone
12		interventions, coordination with other crisis lines and
13		crisis services, and connection to community-based support
14		for those in need;
15		(3) to review governmental infrastructures created in
16		other states to promote sustainability and quality in
17		9-8-8 call centers and crisis system operations;
18		(4) to review changes and new initiatives that have
19		been advanced by the Substance Abuse and Mental Health
20		Services Administration and Vibrant Emotional Health since
21		Vibrant transitioned to 9-8-8 in July 2022, such as new
22		training curricula for call takers and new technology
23		platforms;
24		(5) to consider input from call center personnel,
25		providers, and advocates about strengths, weaknesses, and
26		service gaps in Illinois; and

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1		(6) to develop an action plan with recommendations to
2		the General Assembly that include the following:
3		(A) a future structure for a network of 9-8-8 call
4		centers in Illinois that will best promote equity,
5		quality, and connection to care;
6		(B) metrics that Illinois should use to measure
7		the success of our statewide system in promoting
8		equity, quality, and connection to care and a system
9		to measure those metrics, considering the metrics
10		imposed by the Substance Abuse and Mental Health
11		Services Administration as only a starting point for
12		measurement of success in Illinois;
13		(C) recommendations to further fund and strengthen
14		the rest of Illinois' behavioral health services and
15		crisis assistance programs based on lessons learned
16		from 9-8-8 use; and
17		(D) recommendations on a long-term governmental
18		infrastructure to provide advice and recommendations
19		necessary to sustainably implement and monitor the
20		progress of the 9-8-8 Suicide and Crisis Lifeline in
21		Illinois and to make recommendations for the statewide
22		improvement of behavioral health crisis response and
23		suicide prevention services in the State.
24		The action plan shall be approved by a majority of
25		Workgroup members.
26		(b) Nothing in the action plan filed under this Section

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1		shall be construed to supersede the recommendations of the
2		Statewide Advisory Committee or Regional Advisory Committees
3		created by the Community Emergency Services and Support Act.
4		Section 20. Repeal. This Act is repealed on January 1,
5		2025.
6		Section 85. The Community Emergency Services and Support
7		Act is amended by changing Sections 5, 15, 20, 25, 30, 35, 40,
8		45, 50, and 65 and by adding Section 70 as follows:
9		(50 ILCS 754/5)
10		Sec. 5. Findings. The General Assembly recognizes that the
11		Illinois Department of Human Services Division of Mental
12		Health is preparing to provide mobile mental and behavioral
13		health services to all Illinoisans as part of the federally
14		mandated adoption of the 9-8-8 phone number. The General
15		Assembly also recognizes that many cities and some states have
16		successfully established mobile emergency mental and
17		behavioral health services as part of their emergency response
18		system to support people who need such support and do not
19		present a threat of physical violence to the mobile mental
20		health relief providers responders. In light of that
21		experience, the General Assembly finds that in order to
22		promote and protect the health, safety, and welfare of the
23		public, it is necessary and in the public interest to provide

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1		emergency response, with or without medical transportation, to
2		individuals requiring mental health or behavioral health
3		services in a manner that is substantially equivalent to the
4		response already provided to individuals who require emergency
5		physical health care.
6		(Source: P.A. 102-580, eff. 1-1-22.)
7		(50 ILCS 754/15)
8		Sec. 15. Definitions. As used in this Act:
9		"Division of Mental Health" means the Division of Mental
10		Health of the Department of Human Services.
11		"Emergency" means an emergent circumstance caused by a
12		health condition, regardless of whether it is perceived as
13		physical, mental, or behavioral in nature, for which an
14		individual may require prompt care, support, or assessment at
15		the individual's location.
16		"Mental or behavioral health" means any health condition
17		involving changes in thinking, emotion, or behavior, and that
18		the medical community treats as distinct from physical health
19		care.
20		"Mobile mental health relief provider" means a person
21		engaging with a member of the public to provide the mobile
22		mental and behavioral service established in conjunction with
23		the Division of Mental Health establishing the 9-8-8 emergency
24		number. "Mobile mental health relief provider" does not
25		include a Paramedic (EMT-P) or EMT, as those terms are defined

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1		in the Emergency Medical Services (EMS) Systems Act, unless
2		that responding agency has agreed to provide a specialized
3		response in accordance with the Division of Mental Health's
4		services offered through its 9-8-8 number and has met all the
5		requirements to offer that service through that system.
6		"Physical health" means a health condition that the
7		medical community treats as distinct from mental or behavioral
8		health care.
9		"PSAP" means a Public Safety Answering Point
10		tele-communicator.
11		"Community services" and "community-based mental or
12		behavioral health services" may include both public and
13		private settings.
14		"Treatment relationship" means an active association with
15		a mental or behavioral care provider able to respond in an
16		appropriate amount of time to requests for care.
17		"Responder" is any person engaging with a member of the
18		public to provide the mobile mental and behavioral service
19		established in conjunction with the Division of Mental Health
20		establishing the 9-8-8 emergency number. A responder is not an
21		EMS Paramedic or EMT as defined in the Emergency Medical
22		Services (EMS) Systems Act unless that responding agency has
23		agreed to provide a specialized response in accordance with
24		the Division of Mental Health's services offered through its
25		9-8-8 number and has met all the requirements to offer that
26		service through that system.

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1		(Source: P.A. 102-580, eff. 1-1-22.)
2		(50 ILCS 754/20)
3		Sec. 20. Coordination with Division of Mental Health.
4		Each 9-1-1 PSAP and provider of emergency services dispatched
5		through a 9-1-1 system must coordinate with the mobile mental
6		and behavioral health services established by the Division of
7		Mental Health so that the following State goals and State
8		prohibitions are met whenever a person interacts with one of
9		these entities for the purpose of seeking emergency mental and
10		behavioral health care or when one of these entities
11		recognizes the appropriateness of providing mobile mental or
12		behavioral health care to an individual with whom they have
13		engaged. The Division of Mental Health is also directed to
14		provide guidance regarding whether and how these entities
15		should coordinate with mobile mental and behavioral health
16		services when responding to individuals who appear to be in a
17		mental or behavioral health emergency while engaged in conduct
18		alleged to constitute a non-violent misdemeanor.
19		(Source: P.A. 102-580, eff. 1-1-22.)
20		(50 ILCS 754/25)
21		Sec. 25. State goals.
22		(a) 9-1-1 PSAPs, emergency services dispatched through
23		9-1-1 PSAPs, and the mobile mental and behavioral health
24		service established by the Division of Mental Health must

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1		coordinate their services so that the State goals listed in
2		this Section are achieved. Appropriate mobile response service
3		for mental and behavioral health emergencies shall be
4		available regardless of whether the initial contact was with
5		9-8-8, 9-1-1 or directly with an emergency service dispatched
6		through 9-1-1. Appropriate mobile response services must:
7		(1) whenever possible, ensure that individuals
8		experiencing mental or behavioral health crises are
9		diverted from hospitalization or incarceration whenever
10		possible, and are instead linked with available
11		appropriate community services;
12		(2) include the option of on-site care if that type of
13		care is appropriate and does not override the care
14		decisions of the individual receiving care. Providing care
15		in the community, through methods like mobile crisis
16		units, is encouraged. If effective care is provided on
17		site, and if it is consistent with the care decisions of
18		the individual receiving the care, further transportation
19		to other medical providers is not required by this Act;
20		(3) recommend appropriate referrals for available
21		community services if the individual receiving on-site
22		care is not already in a treatment relationship with a
23		service provider or is unsatisfied with their current
24		service providers. The referrals shall take into
25		consideration waiting lists and copayments, which may
26		present barriers to access; and

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1		(4) subject to the care decisions of the individual
2		receiving care, provide transportation for any individual
3		experiencing a mental or behavioral health emergency.
4		Transportation shall be to the most integrated and least
5		restrictive setting appropriate in the community, such as
6		to the individual's home or chosen location, community
7		crisis respite centers, clinic settings, behavioral health
8		centers, or the offices of particular medical care
9		providers with existing treatment relationships to the
10		individual seeking care.
11		(b) Prioritize requests for emergency assistance. 9-1-1
12		PSAPs, emergency services dispatched through 9-1-1 PSAPs, and
13		the mobile mental and behavioral health service established by
14		the Division of Mental Health must provide guidance for
15		prioritizing calls for assistance and maximum response time in
16		relation to the type of emergency reported.
17		(c) Provide appropriate response times. From the time of
18		first notification, 9-1-1 PSAPs, emergency services dispatched
19		through 9-1-1 PSAPs, and the mobile mental and behavioral
20		health service established by the Division of Mental Health
21		must provide the response within response time appropriate to
22		the care requirements of the individual with an emergency.
23		(d) Require appropriate mobile mental health relief
24		provider responder training. Mobile mental health relief
25		providers Responders must have adequate training to address
26		the needs of individuals experiencing a mental or behavioral

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1		health emergency. Adequate training at least includes:
2		(1) training in de-escalation techniques;
3		(2) knowledge of local community services and
4		supports; and
5		(3) training in respectful interaction with people
6		experiencing mental or behavioral health crises, including
7		the concepts of stigma and respectful language.
8		(e) Require minimum team staffing. The Division of Mental
9		Health, in consultation with the Regional Advisory Committees
10		created in Section 40, shall determine the appropriate
11		credentials for the mental health providers responding to
12		calls, including to what extent the mobile mental health
13		relief providers responders must have certain credentials and
14		licensing, and to what extent the mobile mental health relief
15		providers responders can be peer support professionals.
16		(f) Require training from individuals with lived
17		experience. Training shall be provided by individuals with
18		lived experience to the extent available.
19		(g) Adopt guidelines directing referral to restrictive
20		care settings. Mobile mental health relief providers
21		Responders must have guidelines to follow when considering
22		whether to refer an individual to more restrictive forms of
23		care, like emergency room or hospital settings.
24		(h) Specify regional best practices. Mobile mental health
25		relief providers Responders providing these services must do
26		so consistently with best practices, which include respecting

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1		the care choices of the individuals receiving assistance.
2		Regional best practices may be broken down into sub-regions,
3		as appropriate to reflect local resources and conditions. With
4		the agreement of the impacted EMS Regions, providers of
5		emergency response to physical emergencies may participate in
6		another EMS Region for mental and behavioral response, if that
7		participation shall provide a better service to individuals
8		experiencing a mental or behavioral health emergency.
9		(i) Adopt system for directing care in advance of an
10		emergency. The Division of Mental Health shall select and
11		publicly identify a system that allows individuals who
12		voluntarily chose to do so to provide confidential advanced
13		care directions to individuals providing services under this
14		Act. No system for providing advanced care direction may be
15		implemented unless the Division of Mental Health approves it
16		as confidential, available to individuals at all economic
17		levels, and non-stigmatizing. The Division of Mental Health
18		may defer this requirement for providing a system for advanced
19		care direction if it determines that no existing systems can
20		currently meet these requirements.
21		(j) Train dispatching staff. The personnel staffing 9-1-1,
22		3-1-1, or other emergency response intake systems must be
23		provided with adequate training to assess whether coordinating
24		with 9-8-8 is appropriate.
25		(k) Establish protocol for emergency responder
26		coordination. The Division of Mental Health shall establish a

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1		protocol for mobile mental health relief providers responders,
2		law enforcement, and fire and ambulance services to request
3		assistance from each other, and train these groups on the
4		protocol.
5		(l) Integrate law enforcement. The Division of Mental
6		Health shall provide for law enforcement to request mobile
7		mental health relief provider responder assistance whenever
8		law enforcement engages an individual appropriate for services
9		under this Act. If law enforcement would typically request EMS
10		assistance when it encounters an individual with a physical
11		health emergency, law enforcement shall similarly dispatch
12		mental or behavioral health personnel or medical
13		transportation when it encounters an individual in a mental or
14		behavioral health emergency.
15		(Source: P.A. 102-580, eff. 1-1-22.)
16		(50 ILCS 754/30)
17		Sec. 30. State prohibitions. 9-1-1 PSAPs, emergency
18		services dispatched through 9-1-1 PSAPs, and the mobile mental
19		and behavioral health service established by the Division of
20		Mental Health must coordinate their services so that, based on
21		the information provided to them, the following State
22		prohibitions are avoided:
23		(a) Law enforcement responsibility for providing mental
24		and behavioral health care. In any area where mobile mental
25		health relief providers responders are available for dispatch,

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1		law enforcement shall not be dispatched to respond to an
2		individual requiring mental or behavioral health care unless
3		that individual is (i) involved in a suspected violation of
4		the criminal laws of this State, or (ii) presents a threat of
5		physical injury to self or others. Mobile mental health relief
6		providers Responders are not considered available for dispatch
7		under this Section if 9-8-8 reports that it cannot dispatch
8		appropriate service within the maximum response times
9		established by each Regional Advisory Committee under Section
10		45.
11		(1) Standing on its own or in combination with each
12		other, the fact that an individual is experiencing a
13		mental or behavioral health emergency, or has a mental
14		health, behavioral health, or other diagnosis, is not
15		sufficient to justify an assessment that the individual is
16		a threat of physical injury to self or others, or requires
17		a law enforcement response to a request for emergency
18		response or medical transportation.
19		(2) If, based on its assessment of the threat to
20		public safety, law enforcement would not accompany medical
21		transportation responding to a physical health emergency,
22		unless requested by mobile mental health relief providers
23		responders, law enforcement may not accompany emergency
24		response or medical transportation personnel responding to
25		a mental or behavioral health emergency that presents an
26		equivalent level of threat to self or public safety.

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1		(3) Without regard to an assessment of threat to self
2		or threat to public safety, law enforcement may station
3		personnel so that they can rapidly respond to requests for
4		assistance from mobile mental health relief providers
5		responders if law enforcement does not interfere with the
6		provision of emergency response or transportation
7		services. To the extent practical, not interfering with
8		services includes remaining sufficiently distant from or
9		out of sight of the individual receiving care so that law
10		enforcement presence is unlikely to escalate the
11		emergency.
12		(b) Mobile mental health relief provider Responder
13		involvement in involuntary commitment. In order to maintain
14		the appropriate care relationship, mobile mental health relief
15		providers responders shall not in any way assist in the
16		involuntary commitment of an individual beyond (i) reporting
17		to their dispatching entity or to law enforcement that they
18		believe the situation requires assistance the mobile mental
19		health relief providers responders are not permitted to
20		provide under this Section; (ii) providing witness statements;
21		and (iii) fulfilling reporting requirements the mobile mental
22		health relief providers responders may have under their
23		professional ethical obligations or laws of this state. This
24		prohibition shall not interfere with any mobile mental health
25		relief provider's responder's ability to provide physical or
26		mental health care.

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1		(c) Use of law enforcement for transportation. In any area
2		where mobile mental health relief providers responders are
3		available for dispatch, unless requested by mobile mental
4		health relief providers responders, law enforcement shall not
5		be used to provide transportation to access mental or
6		behavioral health care, or travel between mental or behavioral
7		health care providers, except where no alternative is
8		available.
9		(d) Reduction of educational institution obligations. The
10		services coordinated under this Act may not be used to replace
11		any service an educational institution is required to provide
12		to a student. It shall not substitute for appropriate special
13		education and related services that schools are required to
14		provide by any law.
15		(e) Subsections (a), (c), and (d) are operative beginning
16		on the date the 3 conditions in Section 65 are met or July 1,
17		2024, whichever is earlier. Subsection (b) is operative
18		beginning on July 1, 2024.
19		(Source: P.A. 102-580, eff. 1-1-22.)
20		(50 ILCS 754/35)
21		Sec. 35. Non-violent misdemeanors. The Division of Mental
22		Health's Guidance for 9-1-1 PSAPs and emergency services
23		dispatched through 9-1-1 PSAPs for coordinating the response
24		to individuals who appear to be in a mental or behavioral
25		health emergency while engaging in conduct alleged to

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1		constitute a non-violent misdemeanor shall promote the
2		following:
3		(a) Prioritization of Health Care. To the greatest
4		extent practicable, community-based mental or behavioral
5		health services should be provided before addressing law
6		enforcement objectives.
7		(b) Diversion from Further Criminal Justice
8		Involvement. To the greatest extent practicable,
9		individuals should be referred to health care services
10		with the potential to reduce the likelihood of further law
11		enforcement engagement and referral to a pre-arrest or
12		pre-booking case management unit should be prioritized in
13		any areas served by pre-arrest or pre-booking case
14		management.
15		(Source: P.A. 102-580, eff. 1-1-22.)
16		(50 ILCS 754/40)
17		Sec. 40. Statewide Advisory Committee.
18		(a) The Division of Mental Health shall establish a
19		Statewide Advisory Committee to review and make
20		recommendations for aspects of coordinating 9-1-1 and the
21		9-8-8 mobile mental health response system most appropriately
22		addressed on a State level.
23		(b) Issues to be addressed by the Statewide Advisory
24		Committee include, but are not limited to, addressing changes
25		necessary in 9-1-1 call taking protocols and scripts used in

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1		9-1-1 PSAPs where those protocols and scripts are based on or
2		otherwise dependent on national providers for their operation.
3		(c) The Statewide Advisory Committee shall recommend a
4		system for gathering data related to the coordination of the
5		9-1-1 and 9-8-8 systems for purposes of allowing the parties
6		to make ongoing improvements in that system. As practical, the
7		system shall attempt to determine issues including, but not
8		limited to:
9		(1) the volume of calls coordinated between 9-1-1 and
10		9-8-8;
11		(2) the volume of referrals from other first
12		responders to 9-8-8;
13		(3) the volume and type of calls deemed appropriate
14		for referral to 9-8-8 but could not be served by 9-8-8
15		because of capacity restrictions or other reasons;
16		(4) the appropriate information to improve
17		coordination between 9-1-1 and 9-8-8; and
18		(5) the appropriate information to improve the 9-8-8
19		system, if the information is most appropriately gathered
20		at the 9-1-1 PSAPs.
21		(d) The Statewide Advisory Committee shall consist of:
22		(1) the Statewide 9-1-1 Administrator, ex officio;
23		(2) one representative designated by the Illinois
24		Chapter of National Emergency Number Association (NENA);
25		(3) one representative designated by the Illinois
26		Chapter of Association of Public Safety Communications

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1		Officials (APCO);
2		(4) one representative of the Division of Mental
3		Health;
4		(5) one representative of the Illinois Department of
5		Public Health;
6		(6) one representative of a statewide organization of
7		EMS responders;
8		(7) one representative of a statewide organization of
9		fire chiefs;
10		(8) two representatives of statewide organizations of
11		law enforcement;
12		(9) two representatives of mental health, behavioral
13		health, or substance abuse providers; and
14		(10) four representatives of advocacy organizations
15		either led by or consisting primarily of individuals with
16		intellectual or developmental disabilities, individuals
17		with behavioral disabilities, or individuals with lived
18		experience.
19		(e) The members of the Statewide Advisory Committee, other
20		than the Statewide 9-1-1 Administrator, shall be appointed by
21		the Secretary of Human Services.
22		(f) The Statewide Advisory Committee shall continue to
23		meet until this Act has been fully implemented, as determined
24		by the Division of Mental Health, and mobile mental health
25		relief providers are available in all parts of Illinois. The
26		Division of Mental Health may reconvene the Statewide Advisory

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1		Committee at its discretion after full implementation of this
2		Act.
3		(Source: P.A. 102-580, eff. 1-1-22.)
4		(50 ILCS 754/45)
5		Sec. 45. Regional Advisory Committees.
6		(a) The Division of Mental Health shall establish Regional
7		Advisory Committees in each EMS Region to advise on regional
8		issues related to emergency response systems for mental and
9		behavioral health. The Secretary of Human Services shall
10		appoint the members of the Regional Advisory Committees. Each
11		Regional Advisory Committee shall consist of:
12		(1) representatives of the 9-1-1 PSAPs in the region;
13		(2) representatives of the EMS Medical Directors
14		Committee, as constituted under the Emergency Medical
15		Services (EMS) Systems Act, or other similar committee
16		serving the medical needs of the jurisdiction;
17		(3) representatives of law enforcement officials with
18		jurisdiction in the Emergency Medical Services (EMS)
19		Regions;
20		(4) representatives of both the EMS providers and the
21		unions representing EMS or emergency mental and behavioral
22		health responders, or both; and
23		(5) advocates from the mental health, behavioral
24		health, intellectual disability, and developmental
25		disability communities.

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1		If no person is willing or available to fill a member's
2		seat for one of the required areas of representation on a
3		Regional Advisory Committee under paragraphs (1) through (5),
4		the Secretary of Human Services shall adopt procedures to
5		ensure that a missing area of representation is filled once a
6		person becomes willing and available to fill that seat.
7		(b) The majority of advocates on the Regional Advisory
8		Emergency Response Equity Committee must either be individuals
9		with a lived experience of a condition commonly regarded as a
10		mental health or behavioral health disability, developmental
11		disability, or intellectual disability, or be from
12		organizations primarily composed of such individuals. The
13		members of the Committee shall also reflect the racial
14		demographics of the jurisdiction served. To achieve the
15		requirements of this subsection, the Division of Mental Health
16		must establish a clear plan and regular course of action to
17		engage, recruit, and sustain areas of established
18		participation. The plan and actions taken must be shared with
19		the general public.
20		(c) Subject to the oversight of the Department of Human
21		Services Division of Mental Health, the EMS Medical Directors
22		Committee is responsible for convening the meetings of the
23		committee. Impacted units of local government may also have
24		representatives on the committee subject to approval by the
25		Division of Mental Health, if this participation is structured
26		in such a way that it does not give undue weight to any of the

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1		groups represented.
2		(Source: P.A. 102-580, eff. 1-1-22.)
3		(50 ILCS 754/50)
4		Sec. 50. Regional Advisory Committee responsibilities.
5		Each Regional Advisory Committee is responsible for designing
6		the local protocol to allow its region's 9-1-1 call center and
7		emergency responders to coordinate their activities with 9-8-8
8		as required by this Act and monitoring current operation to
9		advise on ongoing adjustments to the local protocol. Included
10		in this responsibility, each Regional Advisory Committee must:
11		(1) negotiate the appropriate amendment of each 9-1-1
12		PSAP emergency dispatch protocols, in consultation with
13		each 9-1-1 PSAP in the EMS Region and consistent with
14		national certification requirements;
15		(2) set maximum response times for 9-8-8 to provide
16		service when an in-person response is required, based on
17		type of mental or behavioral health emergency, which, if
18		exceeded, constitute grounds for sending other emergency
19		responders through the 9-1-1 system;
20		(3) report, geographically by police district if
21		practical, the data collected through the direction
22		provided by the Statewide Advisory Committee in
23		aggregated, non-individualized monthly reports. These
24		reports shall be available to the Regional Advisory
25		Committee members, the Department of Human Service

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1		Division of Mental Health, the Administrator of the 9-1-1
2		Authority, and to the public upon request; and
3		(4) convene, after the initial regional policies are
4		established, at least every 2 years to consider amendment
5		of the regional policies, if any, and also convene
6		whenever a member of the Committee requests that the
7		Committee consider an amendment; and .
8		(5) identify regional resources and supports for use
9		by the mobile mental health relief providers as they
10		respond to the requests for services.
11		(Source: P.A. 102-580, eff. 1-1-22.)
12		(50 ILCS 754/65)
13		Sec. 65. PSAP and emergency service dispatched through a
14		9-1-1 PSAP; coordination of activities with mobile and
15		behavioral health services. Each 9-1-1 PSAP and emergency
16		service dispatched through a 9-1-1 PSAP must begin
17		coordinating its activities with the mobile mental and
18		behavioral health services established by the Division of
19		Mental Health once all 3 of the following conditions are met,
20		but not later than July 1, 2024 2023:
21		(1) the Statewide Committee has negotiated useful
22		protocol and 9-1-1 operator script adjustments with the
23		contracted services providing these tools to 9-1-1 PSAPs
24		operating in Illinois;
25		(2) the appropriate Regional Advisory Committee has

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1		completed design of the specific 9-1-1 PSAP's process for
2		coordinating activities with the mobile mental and
3		behavioral health service; and
4		(3) the mobile mental and behavioral health service is
5		available in their jurisdiction.
6		(Source: P.A. 102-580, eff. 1-1-22; 102-1109, eff. 12-21-22.)
7		(50 ILCS 754/70 new)
8		Sec. 70. Report. On or before July 1, 2023 and on a
9		quarterly basis thereafter, the Division of Mental Health
10		shall submit a report to the General Assembly on its progress
11		in implementing this Act, which shall include, but not be
12		limited to, a strategic assessment that evaluates the success
13		toward current strategy, identification of future targets for
14		implementation that help estimate the potential for success
15		and provides a basis for assessing future performance, and key
16		benchmarks to provide a comparison to set in context and help
17		stakeholders understand their positions.
18		Section 90. The Illinois Insurance Code is amended by
19		changing Section 370c.1 as follows:
20		(215 ILCS 5/370c.1)
21		Sec. 370c.1. Mental, emotional, nervous, or substance use
22		disorder or condition parity.
23		(a) On and after July 23, 2021 (the effective date of

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1		Public Act 102-135), every insurer that amends, delivers,
2		issues, or renews a group or individual policy of accident and
3		health insurance or a qualified health plan offered through
4		the Health Insurance Marketplace in this State providing
5		coverage for hospital or medical treatment and for the
6		treatment of mental, emotional, nervous, or substance use
7		disorders or conditions shall ensure prior to policy issuance
8		that:
9		(1) the financial requirements applicable to such
10		mental, emotional, nervous, or substance use disorder or
11		condition benefits are no more restrictive than the
12		predominant financial requirements applied to
13		substantially all hospital and medical benefits covered by
14		the policy and that there are no separate cost-sharing
15		requirements that are applicable only with respect to
16		mental, emotional, nervous, or substance use disorder or
17		condition benefits; and
18		(2) the treatment limitations applicable to such
19		mental, emotional, nervous, or substance use disorder or
20		condition benefits are no more restrictive than the
21		predominant treatment limitations applied to substantially
22		all hospital and medical benefits covered by the policy
23		and that there are no separate treatment limitations that
24		are applicable only with respect to mental, emotional,
25		nervous, or substance use disorder or condition benefits.
26		(b) The following provisions shall apply concerning

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1		aggregate lifetime limits:
2		(1) In the case of a group or individual policy of
3		accident and health insurance or a qualified health plan
4		offered through the Health Insurance Marketplace amended,
5		delivered, issued, or renewed in this State on or after
6		September 9, 2015 (the effective date of Public Act
7		99-480) that provides coverage for hospital or medical
8		treatment and for the treatment of mental, emotional,
9		nervous, or substance use disorders or conditions the
10		following provisions shall apply:
11		(A) if the policy does not include an aggregate
12		lifetime limit on substantially all hospital and
13		medical benefits, then the policy may not impose any
14		aggregate lifetime limit on mental, emotional,
15		nervous, or substance use disorder or condition
16		benefits; or
17		(B) if the policy includes an aggregate lifetime
18		limit on substantially all hospital and medical
19		benefits (in this subsection referred to as the
20		"applicable lifetime limit"), then the policy shall
21		either:
22		(i) apply the applicable lifetime limit both
23		to the hospital and medical benefits to which it
24		otherwise would apply and to mental, emotional,
25		nervous, or substance use disorder or condition
26		benefits and not distinguish in the application of

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1		the limit between the hospital and medical
2		benefits and mental, emotional, nervous, or
3		substance use disorder or condition benefits; or
4		(ii) not include any aggregate lifetime limit
5		on mental, emotional, nervous, or substance use
6		disorder or condition benefits that is less than
7		the applicable lifetime limit.
8		(2) In the case of a policy that is not described in
9		paragraph (1) of subsection (b) of this Section and that
10		includes no or different aggregate lifetime limits on
11		different categories of hospital and medical benefits, the
12		Director shall establish rules under which subparagraph
13		(B) of paragraph (1) of subsection (b) of this Section is
14		applied to such policy with respect to mental, emotional,
15		nervous, or substance use disorder or condition benefits
16		by substituting for the applicable lifetime limit an
17		average aggregate lifetime limit that is computed taking
18		into account the weighted average of the aggregate
19		lifetime limits applicable to such categories.
20		(c) The following provisions shall apply concerning annual
21		limits:
22		(1) In the case of a group or individual policy of
23		accident and health insurance or a qualified health plan
24		offered through the Health Insurance Marketplace amended,
25		delivered, issued, or renewed in this State on or after
26		September 9, 2015 (the effective date of Public Act

HB1364 Enrolled - 30 - LRB103 24835 AWJ 51167 b
1		99-480) that provides coverage for hospital or medical
2		treatment and for the treatment of mental, emotional,
3		nervous, or substance use disorders or conditions the
4		following provisions shall apply:
5		(A) if the policy does not include an annual limit
6		on substantially all hospital and medical benefits,
7		then the policy may not impose any annual limits on
8		mental, emotional, nervous, or substance use disorder
9		or condition benefits; or
10		(B) if the policy includes an annual limit on
11		substantially all hospital and medical benefits (in
12		this subsection referred to as the "applicable annual
13		limit"), then the policy shall either:
14		(i) apply the applicable annual limit both to
15		the hospital and medical benefits to which it
16		otherwise would apply and to mental, emotional,
17		nervous, or substance use disorder or condition
18		benefits and not distinguish in the application of
19		the limit between the hospital and medical
20		benefits and mental, emotional, nervous, or
21		substance use disorder or condition benefits; or
22		(ii) not include any annual limit on mental,
23		emotional, nervous, or substance use disorder or
24		condition benefits that is less than the
25		applicable annual limit.
26		(2) In the case of a policy that is not described in

HB1364 Enrolled - 31 - LRB103 24835 AWJ 51167 b
1		paragraph (1) of subsection (c) of this Section and that
2		includes no or different annual limits on different
3		categories of hospital and medical benefits, the Director
4		shall establish rules under which subparagraph (B) of
5		paragraph (1) of subsection (c) of this Section is applied
6		to such policy with respect to mental, emotional, nervous,
7		or substance use disorder or condition benefits by
8		substituting for the applicable annual limit an average
9		annual limit that is computed taking into account the
10		weighted average of the annual limits applicable to such
11		categories.
12		(d) With respect to mental, emotional, nervous, or
13		substance use disorders or conditions, an insurer shall use
14		policies and procedures for the election and placement of
15		mental, emotional, nervous, or substance use disorder or
16		condition treatment drugs on their formulary that are no less
17		favorable to the insured as those policies and procedures the
18		insurer uses for the selection and placement of drugs for
19		medical or surgical conditions and shall follow the expedited
20		coverage determination requirements for substance abuse
21		treatment drugs set forth in Section 45.2 of the Managed Care
22		Reform and Patient Rights Act.
23		(e) This Section shall be interpreted in a manner
24		consistent with all applicable federal parity regulations
25		including, but not limited to, the Paul Wellstone and Pete
26		Domenici Mental Health Parity and Addiction Equity Act of

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1		2008, final regulations issued under the Paul Wellstone and
2		Pete Domenici Mental Health Parity and Addiction Equity Act of
3		2008 and final regulations applying the Paul Wellstone and
4		Pete Domenici Mental Health Parity and Addiction Equity Act of
5		2008 to Medicaid managed care organizations, the Children's
6		Health Insurance Program, and alternative benefit plans.
7		(f) The provisions of subsections (b) and (c) of this
8		Section shall not be interpreted to allow the use of lifetime
9		or annual limits otherwise prohibited by State or federal law.
10		(g) As used in this Section:
11		"Financial requirement" includes deductibles, copayments,
12		coinsurance, and out-of-pocket maximums, but does not include
13		an aggregate lifetime limit or an annual limit subject to
14		subsections (b) and (c).
15		"Mental, emotional, nervous, or substance use disorder or
16		condition" means a condition or disorder that involves a
17		mental health condition or substance use disorder that falls
18		under any of the diagnostic categories listed in the mental
19		and behavioral disorders chapter of the current edition of the
20		International Classification of Disease or that is listed in
21		the most recent version of the Diagnostic and Statistical
22		Manual of Mental Disorders.
23		"Treatment limitation" includes limits on benefits based
24		on the frequency of treatment, number of visits, days of
25		coverage, days in a waiting period, or other similar limits on
26		the scope or duration of treatment. "Treatment limitation"

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1		includes both quantitative treatment limitations, which are
2		expressed numerically (such as 50 outpatient visits per year),
3		and nonquantitative treatment limitations, which otherwise
4		limit the scope or duration of treatment. A permanent
5		exclusion of all benefits for a particular condition or
6		disorder shall not be considered a treatment limitation.
7		"Nonquantitative treatment" means those limitations as
8		described under federal regulations (26 CFR 54.9812-1).
9		"Nonquantitative treatment limitations" include, but are not
10		limited to, those limitations described under federal
11		regulations 26 CFR 54.9812-1, 29 CFR 2590.712, and 45 CFR
12		146.136.
13		(h) The Department of Insurance shall implement the
14		following education initiatives:
15		(1) By January 1, 2016, the Department shall develop a
16		plan for a Consumer Education Campaign on parity. The
17		Consumer Education Campaign shall focus its efforts
18		throughout the State and include trainings in the
19		northern, southern, and central regions of the State, as
20		defined by the Department, as well as each of the 5 managed
21		care regions of the State as identified by the Department
22		of Healthcare and Family Services. Under this Consumer
23		Education Campaign, the Department shall: (1) by January
24		1, 2017, provide at least one live training in each region
25		on parity for consumers and providers and one webinar
26		training to be posted on the Department website and (2)

HB1364 Enrolled - 34 - LRB103 24835 AWJ 51167 b
1		establish a consumer hotline to assist consumers in
2		navigating the parity process by March 1, 2017. By January
3		1, 2018 the Department shall issue a report to the General
4		Assembly on the success of the Consumer Education
5		Campaign, which shall indicate whether additional training
6		is necessary or would be recommended.
7		(2) The Department, in coordination with the
8		Department of Human Services and the Department of
9		Healthcare and Family Services, shall convene a working
10		group of health care insurance carriers, mental health
11		advocacy groups, substance abuse patient advocacy groups,
12		and mental health physician groups for the purpose of
13		discussing issues related to the treatment and coverage of
14		mental, emotional, nervous, or substance use disorders or
15		conditions and compliance with parity obligations under
16		State and federal law. Compliance shall be measured,
17		tracked, and shared during the meetings of the working
18		group. The working group shall meet once before January 1,
19		2016 and shall meet semiannually thereafter. The
20		Department shall issue an annual report to the General
21		Assembly that includes a list of the health care insurance
22		carriers, mental health advocacy groups, substance abuse
23		patient advocacy groups, and mental health physician
24		groups that participated in the working group meetings,
25		details on the issues and topics covered, and any
26		legislative recommendations developed by the working

HB1364 Enrolled - 35 - LRB103 24835 AWJ 51167 b
1		group.
2		(3) Not later than January 1 of each year, the
3		Department, in conjunction with the Department of
4		Healthcare and Family Services, shall issue a joint report
5		to the General Assembly and provide an educational
6		presentation to the General Assembly. The report and
7		presentation shall:
8		(A) Cover the methodology the Departments use to
9		check for compliance with the federal Paul Wellstone
10		and Pete Domenici Mental Health Parity and Addiction
11		Equity Act of 2008, 42 U.S.C. 18031(j), and any
12		federal regulations or guidance relating to the
13		compliance and oversight of the federal Paul Wellstone
14		and Pete Domenici Mental Health Parity and Addiction
15		Equity Act of 2008 and 42 U.S.C. 18031(j).
16		(B) Cover the methodology the Departments use to
17		check for compliance with this Section and Sections
18		356z.23 and 370c of this Code.
19		(C) Identify market conduct examinations or, in
20		the case of the Department of Healthcare and Family
21		Services, audits conducted or completed during the
22		preceding 12-month period regarding compliance with
23		parity in mental, emotional, nervous, and substance
24		use disorder or condition benefits under State and
25		federal laws and summarize the results of such market
26		conduct examinations and audits. This shall include:

HB1364 Enrolled - 36 - LRB103 24835 AWJ 51167 b
1		(i) the number of market conduct examinations
2		and audits initiated and completed;
3		(ii) the benefit classifications examined by
4		each market conduct examination and audit;
5		(iii) the subject matter of each market
6		conduct examination and audit, including
7		quantitative and nonquantitative treatment
8		limitations; and
9		(iv) a summary of the basis for the final
10		decision rendered in each market conduct
11		examination and audit.
12		Individually identifiable information shall be
13		excluded from the reports consistent with federal
14		privacy protections.
15		(D) Detail any educational or corrective actions
16		the Departments have taken to ensure compliance with
17		the federal Paul Wellstone and Pete Domenici Mental
18		Health Parity and Addiction Equity Act of 2008, 42
19		U.S.C. 18031(j), this Section, and Sections 356z.23
20		and 370c of this Code.
21		(E) The report must be written in non-technical,
22		readily understandable language and shall be made
23		available to the public by, among such other means as
24		the Departments find appropriate, posting the report
25		on the Departments' websites.
26		(i) The Parity Advancement Fund is created as a special

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1		fund in the State treasury. Moneys from fines and penalties
2		collected from insurers for violations of this Section shall
3		be deposited into the Fund. Moneys deposited into the Fund for
4		appropriation by the General Assembly to the Department shall
5		be used for the purpose of providing financial support of the
6		Consumer Education Campaign, parity compliance advocacy, and
7		other initiatives that support parity implementation and
8		enforcement on behalf of consumers.
9		(j) (Blank). The Department of Insurance and the
10		Department of Healthcare and Family Services shall convene and
11		provide technical support to a workgroup of 11 members that
12		shall be comprised of 3 mental health parity experts
13		recommended by an organization advocating on behalf of mental
14		health parity appointed by the President of the Senate; 3
15		behavioral health providers recommended by an organization
16		that represents behavioral health providers appointed by the
17		Speaker of the House of Representatives; 2 representing
18		Medicaid managed care organizations recommended by an
19		organization that represents Medicaid managed care plans
20		appointed by the Minority Leader of the House of
21		Representatives; 2 representing commercial insurers
22		recommended by an organization that represents insurers
23		appointed by the Minority Leader of the Senate; and a
24		representative of an organization that represents Medicaid
25		managed care plans appointed by the Governor.
26		The workgroup shall provide recommendations to the General

HB1364 Enrolled - 38 - LRB103 24835 AWJ 51167 b
1		Assembly on health plan data reporting requirements that
2		separately break out data on mental, emotional, nervous, or
3		substance use disorder or condition benefits and data on other
4		medical benefits, including physical health and related health
5		services no later than December 31, 2019. The recommendations
6		to the General Assembly shall be filed with the Clerk of the
7		House of Representatives and the Secretary of the Senate in
8		electronic form only, in the manner that the Clerk and the
9		Secretary shall direct. This workgroup shall take into account
10		federal requirements and recommendations on mental health
11		parity reporting for the Medicaid program. This workgroup
12		shall also develop the format and provide any needed
13		definitions for reporting requirements in subsection (k). The
14		research and evaluation of the working group shall include,
15		but not be limited to:
16		(1) claims denials due to benefit limits, if
17		applicable;
18		(2) administrative denials for no prior authorization;
19		(3) denials due to not meeting medical necessity;
20		(4) denials that went to external review and whether
21		they were upheld or overturned for medical necessity;
22		(5) out-of-network claims;
23		(6) emergency care claims;
24		(7) network directory providers in the outpatient
25		benefits classification who filed no claims in the last 6
26		months, if applicable;

HB1364 Enrolled - 39 - LRB103 24835 AWJ 51167 b
1		(8) the impact of existing and pertinent limitations
2		and restrictions related to approved services, licensed
3		providers, reimbursement levels, and reimbursement
4		methodologies within the Division of Mental Health, the
5		Division of Substance Use Prevention and Recovery
6		programs, the Department of Healthcare and Family
7		Services, and, to the extent possible, federal regulations
8		and law; and
9		(9) when reporting and publishing should begin.
10		Representatives from the Department of Healthcare and
11		Family Services, representatives from the Division of Mental
12		Health, and representatives from the Division of Substance Use
13		Prevention and Recovery shall provide technical advice to the
14		workgroup.
15		(k) An insurer that amends, delivers, issues, or renews a
16		group or individual policy of accident and health insurance or
17		a qualified health plan offered through the health insurance
18		marketplace in this State providing coverage for hospital or
19		medical treatment and for the treatment of mental, emotional,
20		nervous, or substance use disorders or conditions shall submit
21		an annual report, the format and definitions for which will be
22		determined developed by the workgroup in subsection (j), to
23		the Department and , or, with respect to medical assistance,
24		the Department of Healthcare and Family Services and posted on
25		their respective websites, starting on September 1, 2023 and
26		annually thereafter, or before July 1, 2020 that contains the

HB1364 Enrolled - 40 - LRB103 24835 AWJ 51167 b
1		following information separately for inpatient in-network
2		benefits, inpatient out-of-network benefits, outpatient
3		in-network benefits, outpatient out-of-network benefits,
4		emergency care benefits, and prescription drug benefits in the
5		case of accident and health insurance or qualified health
6		plans, or inpatient, outpatient, emergency care, and
7		prescription drug benefits in the case of medical assistance:
8		(1) A summary of the plan's pharmacy management
9		processes for mental, emotional, nervous, or substance use
10		disorder or condition benefits compared to those for other
11		medical benefits.
12		(2) A summary of the internal processes of review for
13		experimental benefits and unproven technology for mental,
14		emotional, nervous, or substance use disorder or condition
15		benefits and those for other medical benefits.
16		(3) A summary of how the plan's policies and
17		procedures for utilization management for mental,
18		emotional, nervous, or substance use disorder or condition
19		benefits compare to those for other medical benefits.
20		(4) A description of the process used to develop or
21		select the medical necessity criteria for mental,
22		emotional, nervous, or substance use disorder or condition
23		benefits and the process used to develop or select the
24		medical necessity criteria for medical and surgical
25		benefits.
26		(5) Identification of all nonquantitative treatment

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1		limitations that are applied to both mental, emotional,
2		nervous, or substance use disorder or condition benefits
3		and medical and surgical benefits within each
4		classification of benefits.
5		(6) The results of an analysis that demonstrates that
6		for the medical necessity criteria described in
7		subparagraph (A) and for each nonquantitative treatment
8		limitation identified in subparagraph (B), as written and
9		in operation, the processes, strategies, evidentiary
10		standards, or other factors used in applying the medical
11		necessity criteria and each nonquantitative treatment
12		limitation to mental, emotional, nervous, or substance use
13		disorder or condition benefits within each classification
14		of benefits are comparable to, and are applied no more
15		stringently than, the processes, strategies, evidentiary
16		standards, or other factors used in applying the medical
17		necessity criteria and each nonquantitative treatment
18		limitation to medical and surgical benefits within the
19		corresponding classification of benefits; at a minimum,
20		the results of the analysis shall:
21		(A) identify the factors used to determine that a
22		nonquantitative treatment limitation applies to a
23		benefit, including factors that were considered but
24		rejected;
25		(B) identify and define the specific evidentiary
26		standards used to define the factors and any other

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1		evidence relied upon in designing each nonquantitative
2		treatment limitation;
3		(C) provide the comparative analyses, including
4		the results of the analyses, performed to determine
5		that the processes and strategies used to design each
6		nonquantitative treatment limitation, as written, for
7		mental, emotional, nervous, or substance use disorder
8		or condition benefits are comparable to, and are
9		applied no more stringently than, the processes and
10		strategies used to design each nonquantitative
11		treatment limitation, as written, for medical and
12		surgical benefits;
13		(D) provide the comparative analyses, including
14		the results of the analyses, performed to determine
15		that the processes and strategies used to apply each
16		nonquantitative treatment limitation, in operation,
17		for mental, emotional, nervous, or substance use
18		disorder or condition benefits are comparable to, and
19		applied no more stringently than, the processes or
20		strategies used to apply each nonquantitative
21		treatment limitation, in operation, for medical and
22		surgical benefits; and
23		(E) disclose the specific findings and conclusions
24		reached by the insurer that the results of the
25		analyses described in subparagraphs (C) and (D)
26		indicate that the insurer is in compliance with this

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1		Section and the Mental Health Parity and Addiction
2		Equity Act of 2008 and its implementing regulations,
3		which includes 42 CFR Parts 438, 440, and 457 and 45
4		CFR 146.136 and any other related federal regulations
5		found in the Code of Federal Regulations.
6		(7) Any other information necessary to clarify data
7		provided in accordance with this Section requested by the
8		Director, including information that may be proprietary or
9		have commercial value, under the requirements of Section
10		30 of the Viatical Settlements Act of 2009.
11		(l) An insurer that amends, delivers, issues, or renews a
12		group or individual policy of accident and health insurance or
13		a qualified health plan offered through the health insurance
14		marketplace in this State providing coverage for hospital or
15		medical treatment and for the treatment of mental, emotional,
16		nervous, or substance use disorders or conditions on or after
17		January 1, 2019 (the effective date of Public Act 100-1024)
18		shall, in advance of the plan year, make available to the
19		Department or, with respect to medical assistance, the
20		Department of Healthcare and Family Services and to all plan
21		participants and beneficiaries the information required in
22		subparagraphs (C) through (E) of paragraph (6) of subsection
23		(k). For plan participants and medical assistance
24		beneficiaries, the information required in subparagraphs (C)
25		through (E) of paragraph (6) of subsection (k) shall be made
26		available on a publicly-available website whose web address is

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1		prominently displayed in plan and managed care organization
2		informational and marketing materials.
3		(m) In conjunction with its compliance examination program
4		conducted in accordance with the Illinois State Auditing Act,
5		the Auditor General shall undertake a review of compliance by
6		the Department and the Department of Healthcare and Family
7		Services with Section 370c and this Section. Any findings
8		resulting from the review conducted under this Section shall
9		be included in the applicable State agency's compliance
10		examination report. Each compliance examination report shall
11		be issued in accordance with Section 3-14 of the Illinois
12		State Auditing Act. A copy of each report shall also be
13		delivered to the head of the applicable State agency and
14		posted on the Auditor General's website.
15		(Source: P.A. 102-135, eff. 7-23-21; 102-579, eff. 8-25-21;
16		102-813, eff. 5-13-22.)