Bill Text: IL SB2392 | 2021-2022 | 102nd General Assembly | Introduced

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Bill Title: Amends the Civil Administrative Code of Illinois. Provides that the Department of Public Health's State Health Assessment and State Health Improvement Plan shall: reduce health disparities and inequities, and promote health equity; conform to national Public Health Accreditation Board Standards; have a development and implementation process that shall be carried out with the administrative and operational support of the Department; and include comprehensive, broad-based data and information from a variety of sources on health status and the public health system. Provides that the Director of Public Health shall appoint a minimum of 15 other members of the SHA and SHIP Partnership (rather than a Planning Team). Provides that the SHA and SHIP Partnership shall develop and implement a community engagement process that facilitates input into the development of the State Health Assessment and State Health Improvement Plan. Provides that the SHA and SHIP Partnership shall perform specified functions of the Planning Team and the SHIP Implementation Coordination Council. Requires the State Board of Health to submit a report by January 31 of each year on the status of State Health Improvement Plan implementation and community engagement activities to the Governor, General Assembly, and public. Effective immediately.

Sponsorship: Partisan Bill (Democrat 1)

Status: (Introduced - Dead) 2021-04-16 - Senate Committee Amendment No. 1 Rule 3-9(a) / Re-referred to Assignments [SB2392 Detail]

Download: Illinois-2021-SB2392-Introduced.html

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102ND GENERAL ASSEMBLY State of Illinois 2021 and 2022 SB2392 Introduced 2/26/2021, by Sen. Laura Fine SYNOPSIS AS INTRODUCED:
20 ILCS 5/5-565 was 20 ILCS 5/6.06
Amends the Civil Administrative Code of Illinois. Provides that the Department of Public Health's State Health Assessment and State Health Improvement Plan shall: reduce health disparities and inequities, and promote health equity; conform to national Public Health Accreditation Board Standards; have a development and implementation process that shall be carried out with the administrative and operational support of the Department; and include comprehensive, broad-based data and information from a variety of sources on health status and the public health system. Provides that the Director of Public Health shall appoint a minimum of 15 other members of the SHA and SHIP Partnership (rather than a Planning Team). Provides that the SHA and SHIP Partnership shall develop and implement a community engagement process that facilitates input into the development of the State Health Assessment and State Health Improvement Plan. Provides that the SHA and SHIP Partnership shall perform specified functions of the Planning Team and the SHIP Implementation Coordination Council. Requires the State Board of Health to submit a report by January 31 of each year on the status of State Health Improvement Plan implementation and community engagement activities to the Governor, General Assembly, and public. Effective immediately.
LRB102 12768 CPF 21920 b
FISCAL NOTE ACT MAY APPLY
A BILL FOR
SB2392 LRB102 12768 CPF 21920 b
AN ACT concerning State government.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 5. The Civil Administrative Code of Illinois is
amended by changing Section 5-565 as follows:
(20 ILCS 5/5-565) (was 20 ILCS 5/6.06)
Sec. 5-565. In the Department of Public Health.
(a) The General Assembly declares it to be the public
policy of this State that all residents citizens of Illinois
are entitled to lead healthy lives. Governmental public health
has a specific responsibility to ensure that a public health
system is in place to allow the public health mission to be
achieved. The public health system is the collection of
public, private, and voluntary entities as well as individuals
and informal associations that contribute to the public's
health within the State. To develop a public health system
requires certain core functions to be performed by government.
The State Board of Health is to assume the leadership role in
advising the Director in meeting the following functions:
(1) Needs assessment.
(2) Statewide health objectives.
(3) Policy development.
(4) Assurance of access to necessary services.

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There shall be a State Board of Health composed of 20
persons, all of whom shall be appointed by the Governor, with
the advice and consent of the Senate for those appointed by the
Governor on and after June 30, 1998, and one of whom shall be a
senior citizen age 60 or over. Five members shall be
physicians licensed to practice medicine in all its branches,
one representing a medical school faculty, one who is board
certified in preventive medicine, and one who is engaged in
private practice. One member shall be a chiropractic
physician. One member shall be a dentist; one an environmental
health practitioner; one a local public health administrator;
one a local board of health member; one a registered nurse; one
a physical therapist; one an optometrist; one a veterinarian;
one a public health academician; one a health care industry
representative; one a representative of the business
community; one a representative of the non-profit public
interest community; and 2 shall be citizens at large.
The terms of Board of Health members shall be 3 years,
except that members shall continue to serve on the Board of
Health until a replacement is appointed. Upon the effective
date of Public Act 93-975 (January 1, 2005) this amendatory
Act of the 93rd General Assembly, in the appointment of the
Board of Health members appointed to vacancies or positions
with terms expiring on or before December 31, 2004, the
Governor shall appoint up to 6 members to serve for terms of 3
years; up to 6 members to serve for terms of 2 years; and up to

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5 members to serve for a term of one year, so that the term of
no more than 6 members expire in the same year. All members
shall be legal residents of the State of Illinois. The duties
of the Board shall include, but not be limited to, the
following:
(1) To advise the Department of ways to encourage
public understanding and support of the Department's
programs.
(2) To evaluate all boards, councils, committees,
authorities, and bodies advisory to, or an adjunct of, the
Department of Public Health or its Director for the
purpose of recommending to the Director one or more of the
following:
(i) The elimination of bodies whose activities are
not consistent with goals and objectives of the
Department.
(ii) The consolidation of bodies whose activities
encompass compatible programmatic subjects.
(iii) The restructuring of the relationship
between the various bodies and their integration
within the organizational structure of the Department.
(iv) The establishment of new bodies deemed
essential to the functioning of the Department.
(3) To serve as an advisory group to the Director for
public health emergencies and control of health hazards.
(4) To advise the Director regarding public health

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policy, and to make health policy recommendations
regarding priorities to the Governor through the Director.
(5) To present public health issues to the Director
and to make recommendations for the resolution of those
issues.
(6) To recommend studies to delineate public health
problems.
(7) To make recommendations to the Governor through
the Director regarding the coordination of State public
health activities with other State and local public health
agencies and organizations.
(8) To report on or before February 1 of each year on
the health of the residents of Illinois to the Governor,
the General Assembly, and the public.
(9) To review the final draft of all proposed
administrative rules, other than emergency or peremptory
preemptory rules and those rules that another advisory
body must approve or review within a statutorily defined
time period, of the Department after September 19, 1991
(the effective date of Public Act 87-633). The Board shall
review the proposed rules within 90 days of submission by
the Department. The Department shall take into
consideration any comments and recommendations of the
Board regarding the proposed rules prior to submission to
the Secretary of State for initial publication. If the
Department disagrees with the recommendations of the

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Board, it shall submit a written response outlining the
reasons for not accepting the recommendations.
In the case of proposed administrative rules or
amendments to administrative rules regarding immunization
of children against preventable communicable diseases
designated by the Director under the Communicable Disease
Prevention Act, after the Immunization Advisory Committee
has made its recommendations, the Board shall conduct 3
public hearings, geographically distributed throughout the
State. At the conclusion of the hearings, the State Board
of Health shall issue a report, including its
recommendations, to the Director. The Director shall take
into consideration any comments or recommendations made by
the Board based on these hearings.
(10) To deliver to the Governor for presentation to
the General Assembly a State Health Assessment (SHA) and a
State Health Improvement Plan (SHIP). The first 5 3 such
plans shall be delivered to the Governor on January 1,
2006, January 1, 2009, and January 1, 2016, January 1,
2021, and June 30, 2022, and then every 5 years
thereafter.
The State Health Assessment and State Health
Improvement Plan Plan shall assess and recommend
priorities and strategies to improve the public health
system, and the health status of Illinois residents,
reduce health disparities and inequities, and promote

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health equity. The State Health Assessment and State
Health Improvement Plan development and implementation
shall conform to national Public Health Accreditation
Board Standards. The State Health Assessment and State
Health Improvement Plan development and implementation
process shall be carried out with the administrative and
operational support of the Department of Public Health
taking into consideration national health objectives and
system standards as frameworks for assessment.
The State Health Assessment shall include
comprehensive, broad-based data and information from a
variety of sources on health status and the public health
system including:
(i) quantitative data, if it is available, on the
demographics and health status of the population,
including data over time on health by gender identity,
sexual orientation, race, ethnicity, age,
socio-economic factors, geographic region, disability
status, and other indicators of disparity;
(ii) quantitative data on social and structural
issues affecting health (social and structural
determinants of health), including, but not limited
to, housing, transportation, educational attainment,
employment, and income inequality;
(iii) priorities and strategies developed at the
community level through the Illinois Project for Local

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Assessment of Needs (IPLAN) and other local and
regional community health needs assessments;
(iv) qualitative data representing the
population's input on health concerns and well-being,
including the perceptions of people experiencing
disparities and health inequities;
(v) information on health disparities and health
inequities; and
(vi) information on public health system strengths
and areas for improvement.
The Plan shall also take into consideration priorities
and strategies developed at the community level through
the Illinois Project for Local Assessment of Needs (IPLAN)
and any regional health improvement plans that may be
developed.
The State Health Improvement Plan Plan shall focus on
prevention, social determinants of health, and promoting
health equity as key strategies as a key strategy for
long-term health improvement in Illinois.
The State Health Improvement Plan Plan shall identify
priority State health issues and social issues affecting
health, and shall examine and make recommendations on the
contributions and strategies of the public and private
sectors for improving health status and the public health
system in the State. In addition to recommendations on
health status improvement priorities and strategies for

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the population of the State as a whole, the State Health
Improvement Plan Plan shall make recommendations regarding
priorities and strategies for reducing and eliminating
health disparities and health inequities in Illinois;
including racial, ethnic, gender identification, sexual
orientation, age, disability, socio-economic, and
geographic disparities. The State Health Improvement Plan
shall make recommendations regarding social determinants
of health, such as housing, transportation, educational
attainment, employment, and income inequality.
The development and implementation of the State Health
Assessment and State Health Improvement Plan shall be a
collaborative public-private cross-agency effort overseen
by the SHA and SHIP Partnership. The Director of Public
Health shall consult with the Governor to ensure
participation by the head of State agencies with public
health responsibilities (or their designees) in the SHA
and SHIP Partnership, including, but not limited to, the
Department of Public Health, the Department of Human
Services, the Department of Healthcare and Family
Services, the Department of Children and Family Services,
the Environmental Protection Agency, the Illinois State
Board of Education, the Department on Aging, the Illinois
Housing Development Authority, the Illinois Criminal
Justice Information Authority, the Department of
Agriculture, the Department of Transportation, the

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Department of Corrections, the Department of Commerce and
Economic Opportunity, and the Chair of the State Board of
Health to also serve on the Partnership. A member of the
Governors' staff shall participate in the Partnership and
serve as a liaison to the Governors' office.
The Director of the Illinois Department of Public
Health shall appoint a minimum of 15 other members of the
SHA and SHIP Partnership representing a Planning Team that
includes a range of public, private, and voluntary sector
stakeholders and participants in the public health system.
For the first SHA and SHIP Partnership after the effective
date of this amendatory Act of the 102nd General Assembly,
one-half of the members shall be appointed for a 3-year
term, and one-half of the members shall be appointed for a
5-year term. Subsequently, members shall be appointed to
5-year terms. Should any member not be able to fulfill his
or her term, the Director may appoint a replacement to
complete that term. The Director, in consultation with the
SHA and SHIP Partnership, may engage additional
individuals and organizations to serve on subcommittees
and ad hoc efforts to conduct the State Health Assessment
and develop and implement the State Health Improvement
Plan. Members of the SHA and SHIP Partnership shall
receive no compensation for serving as members, but may be
reimbursed for their necessary expenses if departmental
resources allow.

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The SHA and SHIP Partnership This Team shall include:
the directors of State agencies with public health
responsibilities (or their designees), including but not
limited to the Illinois Departments of Public Health and
Department of Human Services, representatives of local
health departments, representatives of local community
health partnerships, and individuals with expertise who
represent an array of organizations and constituencies
engaged in public health improvement and prevention, such
as non-profit public interest groups, groups serving
populations that experience health disparities and health
inequities, groups addressing social determinants of
health, health issue groups, faith community groups,
health care providers, businesses and employers, academic
institutions, and community-based organizations.
The Director shall endeavor to make the membership of
the Partnership diverse and inclusive of the racial,
ethnic, gender, socio-economic, and geographic diversity
of the State. The SHA and SHIP Partnership shall be
chaired by the Director of Public Health or his or her
designee.
The SHA and SHIP Partnership shall develop and
implement a community engagement process that facilitates
input into the development of the State Health Assessment
and State Health Improvement Plan. This engagement process
shall ensure that individuals with lived experience in the

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issues addressed in the State Health Assessment and State
Health Improvement Plan are meaningfully engaged in the
development and implementation of the State Health
Assessment and State Health Improvement Plan.
The State Board of Health shall hold at least 3 public
hearings addressing a draft of the State Health
Improvement Plan drafts of the Plan in representative
geographic areas of the State. Members of the Planning
Team shall receive no compensation for their services, but
may be reimbursed for their necessary expenses.
Upon the delivery of each State Health Improvement
Plan, the Governor shall appoint a SHIP Implementation
Coordination Council that includes a range of public,
private, and voluntary sector stakeholders and
participants in the public health system. The Council
shall include the directors of State agencies and entities
with public health system responsibilities (or their
designees), including but not limited to the Department of
Public Health, Department of Human Services, Department of
Healthcare and Family Services, Environmental Protection
Agency, Illinois State Board of Education, Department on
Aging, Illinois Violence Prevention Authority, Department
of Agriculture, Department of Insurance, Department of
Financial and Professional Regulation, Department of
Transportation, and Department of Commerce and Economic
Opportunity and the Chair of the State Board of Health.

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The Council shall include representatives of local health
departments and individuals with expertise who represent
an array of organizations and constituencies engaged in
public health improvement and prevention, including
non-profit public interest groups, health issue groups,
faith community groups, health care providers, businesses
and employers, academic institutions, and community-based
organizations. The Governor shall endeavor to make the
membership of the Council representative of the racial,
ethnic, gender, socio-economic, and geographic diversity
of the State. The Governor shall designate one State
agency representative and one other non-governmental
member as co-chairs of the Council. The Governor shall
designate a member of the Governor's office to serve as
liaison to the Council and one or more State agencies to
provide or arrange for support to the Council. The members
of the SHIP Implementation Coordination Council for each
State Health Improvement Plan shall serve until the
delivery of the subsequent State Health Improvement Plan,
whereupon a new Council shall be appointed. Members of the
SHIP Planning Team may serve on the SHIP Implementation
Coordination Council if so appointed by the Governor.
Upon the delivery of each State Health Assessment and
State Health Improvement Plan, the SHA and SHIP
Partnership The SHIP Implementation Coordination Council
shall coordinate the efforts and engagement of the public,

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private, and voluntary sector stakeholders and
participants in the public health system to implement each
SHIP. The Partnership Council shall serve as a forum for
collaborative action; coordinate existing and new
initiatives; develop detailed implementation steps, with
mechanisms for action; implement specific projects;
identify public and private funding sources at the local,
State and federal level; promote public awareness of the
SHIP; and advocate for the implementation of the SHIP. The
SHA and SHIP Partnership shall implement strategies to
ensure that individuals and communities affected by health
disparities and health inequities are engaged in the
process throughout the 5-year cycle. The SHA and SHIP
Partnership shall regularly evaluate and update the State
Health Assessment and track implementation of the State
Health Improvement Plan with revisions as necessary. The
SHA and SHIP Partnership shall not have the authority to
direct any public or private entity to take specific
action to implement the SHIP. ; and develop an annual
report to the Governor, General Assembly, and public
regarding the status of implementation of the SHIP. The
Council shall not, however, have the authority to direct
any public or private entity to take specific action to
implement the SHIP.
The State Board of Health shall submit a report by
January 31 of each year on the status of State Health

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Improvement Plan implementation and community engagement
activities to the Governor, General Assembly, and public.
In the fifth year, the report may be consolidated into the
new State Health Assessment and State Health Improvement
Plan.
(11) Upon the request of the Governor, to recommend to
the Governor candidates for Director of Public Health when
vacancies occur in the position.
(12) To adopt bylaws for the conduct of its own
business, including the authority to establish ad hoc
committees to address specific public health programs
requiring resolution.
(13) (Blank).
Upon appointment, the Board shall elect a chairperson from
among its members.
Members of the Board shall receive compensation for their
services at the rate of $150 per day, not to exceed $10,000 per
year, as designated by the Director for each day required for
transacting the business of the Board and shall be reimbursed
for necessary expenses incurred in the performance of their
duties. The Board shall meet from time to time at the call of
the Department, at the call of the chairperson, or upon the
request of 3 of its members, but shall not meet less than 4
times per year.
(b) (Blank).
(c) An Advisory Board on Necropsy Service to Coroners,

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which shall counsel and advise with the Director on the
administration of the Autopsy Act. The Advisory Board shall
consist of 11 members, including a senior citizen age 60 or
over, appointed by the Governor, one of whom shall be
designated as chairman by a majority of the members of the
Board. In the appointment of the first Board the Governor
shall appoint 3 members to serve for terms of 1 year, 3 for
terms of 2 years, and 3 for terms of 3 years. The members first
appointed under Public Act 83-1538 shall serve for a term of 3
years. All members appointed thereafter shall be appointed for
terms of 3 years, except that when an appointment is made to
fill a vacancy, the appointment shall be for the remaining
term of the position vacant. The members of the Board shall be
citizens of the State of Illinois. In the appointment of
members of the Advisory Board the Governor shall appoint 3
members who shall be persons licensed to practice medicine and
surgery in the State of Illinois, at least 2 of whom shall have
received post-graduate training in the field of pathology; 3
members who are duly elected coroners in this State; and 5
members who shall have interest and abilities in the field of
forensic medicine but who shall be neither persons licensed to
practice any branch of medicine in this State nor coroners. In
the appointment of medical and coroner members of the Board,
the Governor shall invite nominations from recognized medical
and coroners organizations in this State respectively. Board
members, while serving on business of the Board, shall receive

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actual necessary travel and subsistence expenses while so
serving away from their places of residence.
(Source: P.A. 98-463, eff. 8-16-13; 99-527, eff. 1-1-17;
revised 7-17-19.)
Section 99. Effective date. This Act takes effect upon
becoming law.