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Bills by Topic Bills by Status Upper Midwest TRC Oct. 2019 Legislative Report Last Updated: October 30, 2019 The Upper Midwest Telehealth Resource Center provides telehealth technical assistance to the states of Illinois, Indiana, Michigan and Ohio. A few notes about this report: 1. Bills are organized into specific telehealth "topic area". 2. The Fiscal Note (FN) Outlook: The left hand column indicates the bill's Pre-Floor Score, and the right hand column indicates the bill's actual Floor Score of the last chamber it was in (either Senate or House). 3. Regulations are listed at the end in order of their publication date. 4. If you would like to learn more about any piece of legislation or regulation, the bill numbers and regulation titles are clickable and link out to additional information. All Bills Broadband (1) 1 1 6 6 3 3 0 0 3 3 2 2 1 1 5 5 2 2 1 6 3 3 2 1 5 2 High Medium Low None Broadband Cross-State Licensi… Demonstrations, … Medicaid Reimbur… Medicare Reimbur… Network Adequacy Online Prescribing Other Private Payer Rei… Provider-Patient R… Regulatory, Licensi… Substance Use Dis… 0 2.5 5 7.5 4 - Introduced 3 - Passed First Chamber 7 - Failed Sine Die 9 - Enacted

Upper Midwest TRC Oct. 2019 Legislative Report...State IL Bill Number HB 3795 Last Action Rule 19 B Re Referred To Rules Committee 2019 07 02 Status In House Position None Priority

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Page 1: Upper Midwest TRC Oct. 2019 Legislative Report...State IL Bill Number HB 3795 Last Action Rule 19 B Re Referred To Rules Committee 2019 07 02 Status In House Position None Priority

BillsbyTopic BillsbyStatus

UpperMidwestTRCOct.2019LegislativeReportLastUpdated:October30,2019

TheUpperMidwestTelehealthResourceCenterprovidestelehealthtechnicalassistancetothestatesofIllinois,Indiana,MichiganandOhio.Afewnotesaboutthisreport:

1. Billsareorganizedintospecifictelehealth"topicarea".2. TheFiscalNote(FN)Outlook:Thelefthandcolumnindicatesthebill'sPre-FloorScore,andtherighthandcolumnindicatesthebill'sactualFloorScoreofthelastchamberitwasin(eitherSenateorHouse).3. Regulationsarelistedattheendinorderoftheirpublicationdate.4. Ifyouwouldliketolearnmoreaboutanypieceoflegislationorregulation,thebillnumbersandregulationtitlesareclickableandlinkouttoadditionalinformation.

AllBills

Broadband(1)

1166

33

00

33

2211

5522

1 63

3

21

52

High Medium LowNone

BroadbandCross-State Licensi…Demonstrations, …Medicaid Reimbur…Medicare Reimbur…Network AdequacyOnlinePrescribing

OtherPrivatePayer Rei…

Provider-Patient R…Regulatory, Licensi…Substance Use Dis…

0 2.5 5 7.5

4-Introduced3-PassedFirstChamber7-FailedSineDie9-Enacted

Trey
Stamp
Page 2: Upper Midwest TRC Oct. 2019 Legislative Report...State IL Bill Number HB 3795 Last Action Rule 19 B Re Referred To Rules Committee 2019 07 02 Status In House Position None Priority

18.6% 85.0%

Title$Fy20Capital

DescriptionMakesappropriationsandreappropriationsforthefiscalyearbeginningJuly1,2019.Effectiveimmediately.

PrimarySponsorsGregHarris,LuisArroyo

BillSummary: AllocatesfundingtotheDepartmentofCommerceandEconomic Opportunityforgrantsandloanstoaidthedevelopmentand strengtheningofbroadbandinfrastructure,healthinformation technology,telemedicine,distancelearning,andpublicsafety.

TitleNurseLicensureCompact

DescriptionAmendstheNursePracticeAct.RatifiesandapprovestheNurseLicensureCompact,whichallowsfortheissuanceofmultistatelicensesthatallownursestopracticeintheirhomestateandothercompactstates.ProvidesthattheCompactdoesnotsupersedeexistingStatelaborlaws.

PrimarySponsorsLindaChapaLaVia,MikeZalewski,GrantWehrli,SaraFeigenholtz,TomDemmer

BillSummary: AdoptstheNurseLicensureCompact.

TitleNurseLicensureCompact

DescriptionAmendstheNursePracticeAct.RatifiesandapprovestheNurseLicensureCompact,whichallowsfortheissuanceofmultistatelicensesthatallownursestopracticeintheirhomestateandothercompactstates.ProvidesthattheCompactdoesnotsupersedeexistingStatelaborlaws.

PrimarySponsorsIrisMartinez

BillSummary: AdoptstheNurseLicensureCompact.

State

ILBillNumber

HB3795LastAction

Rule19BReReferredToRulesCommittee20190702

Status

InHousePosition

NonePriority

NoneFNOutlook

Cross-StateLicensing(6)

State

ILBillNumber

HB1459LastAction

AddedCoSponsorRepRandyEFrese20190329

Status

FailedsinediePosition

NonePriority

None

State

ILBillNumber

SB152LastAction

Rule39AReReferredToAssignments20190328

Status

FailedsinediePosition

NonePriority

None

Page 3: Upper Midwest TRC Oct. 2019 Legislative Report...State IL Bill Number HB 3795 Last Action Rule 19 B Re Referred To Rules Committee 2019 07 02 Status In House Position None Priority

TitleNurselicensurecompact.

DescriptionSpecifiesrequirementsforparticipationbythestateinamultistatenurselicensurecompact,includingprovisionsconcerning:(1)nursequalifications,practice,andparticipation;(2)acompactcommission;(3)interstatecommissionandstateboardofnursingauthorityandrulemaking;(4)acoordinatedlicensureinformationsystem;(5)oversightandenforcement;and(6)terminationorwithdrawalfromthecompact.Providesthatanadditionalfeeof$25mustbepaidatthetimeofapplicationandrenewalofalicenseifthelicenseisamultistatelicense.

PrimarySponsorsSteveDavisson,RobinShackleford,RonBacon,AndyZay,EdCharbonneau,RonGrooms,EdClere

BillSummary: AdoptstheNurseLicensureCompact.

TitleEMSpersonnellicensureinterstatecompact.

DescriptionImplementstheemergencymedicalservicespersonnellicensureinterstatecompact.

PrimarySponsorsEdCharbonneau,JimMerritt

BillSummary: AdoptstheEmergencyMedicalServicesPersonnelLicensureInterstate Compact

11.8% 70.1%

TitleHealthoccupations;nurses;nurselicensurecompact;enact.Amendssec.17201of1978PA368(MCL333.17201)&addssecs.16190,17225&17225a.

PrimarySponsorsMaryWhiteford

BillSummary: AdoptstheNurseLicensureCompact.

State

INBillNumber

HB1344LastAction

SignedByThePresidentOfTheSenate20190429

Status

EnactedPosition

NonePriority

None

State

INBillNumber

SB510LastAction

FirstReadingReferredToCommitteeOnHealthAndProviderServices20190114

Status

FailedsinediePosition

NonePriority

None

State

MIBillNumber

HB4042LastAction

ReferredToCommitteeOnWaysAndMeansWithSubstituteH120190606

Status

InHousePosition

NonePriority

NoneFNOutlook

Page 4: Upper Midwest TRC Oct. 2019 Legislative Report...State IL Bill Number HB 3795 Last Action Rule 19 B Re Referred To Rules Committee 2019 07 02 Status In House Position None Priority

11.3% 69.9%

TitleHealthoccupations;physicaltherapists;physicaltherapylicensurecompact;enact.Amendssec.17801of1978PA368(MCL333.17801)&addssecs.16188,17820a&17820b.

PrimarySponsorsDaleZorn

BillSummary: AdoptsthePhysicalTherapyLicensureCompact.

State

MIBillNumber

SB22LastAction

ReferredToCommitteeOnHealthPolicyAndHumanServices20190115

Status

InSenatePosition

NonePriority

NoneFNOutlook

Demonstrations,Grants&PilotProjects(3)

Page 5: Upper Midwest TRC Oct. 2019 Legislative Report...State IL Bill Number HB 3795 Last Action Rule 19 B Re Referred To Rules Committee 2019 07 02 Status In House Position None Priority

TitleMentalHealthActionOnCampus

DescriptionCreatestheMentalHealthEarlyActiononCampusAct.Providesforintent,legislativefindings,purposesoftheAct,anddefinitions.Providesthattoraisementalhealthawarenessoncollegecampuses,eachpubliccollegeoruniversityinthisStatemustcompletespecifiedtasks.Providesthattheboardoftrusteesofeachpubliccollegeoruniversitymustdesignateanexpertpaneltodevelopandimplementpoliciesandproceduresthat(i)advisestudents,faculty,andstaffontheproperproceduresforidentifyingandaddressingtheneedsofstudentsexhibitingsymptomsofmentalhealthconditions,(ii)promoteunderstandingoftherulesofSection504ofthefederalRehabilitationActof1973andtheAmericanswithDisabilitiesActof1990toincreaseknowledgeandunderstandingofstudentprotectionsunderthelaw,and(iii)providetrainingifappropriate.Providesthatbecausepeersupportprogramsmaybebeneficialinimprovingtheemotionalwell-beingofthestudentpopulation,eachpubliccollegeoruniversitymustdevelopandimplementapeersupportprogramutilizingstudentpeerstosupportindividualslivingwithmentalhealthconditionsoncampus;specifiesbestpracticesforthepeersupportprograms.Providesthateachpubliccollegeoruniversitymustformstrategicpartnershipswithlocalmentalhealthserviceproviderstoimproveoverallcampusmentalwellnessandaugmenton-campuscapacity;specifieswhatthepartnershipsmustinclude.RequirestheBoardofHigherEducationtodevelopaTechnicalAssistanceCenter;specifiesthedutiesoftheCenter.RequireseachpubliccollegeoruniversitytoevaluatetherequiredprogramsundertheActusingspecifiedcriteria.EffectiveJuly1,2020.Replaceseverythingaftertheenactingclause.Reinsertstheprovisionsoftheintroducedbillwiththefollowingchanges.Providesthat2yearsaftertheeffectivedateoftheAct,andonceevery5yearsthereafter,theTechnicalAssistanceCentermustproposetotheGeneralAssemblyanupdatedratioofclinical,non-studentstaffmemberstostudentsbasedonactualratiosinthisStateandanynewinformationrelatedtoappropriatebenchmarksforclinician-to-studentratios.Providesthattheupdatedbenchmarkmustrepresentaratioofnolessthanoneclinical,non-studentstaffmemberto1,250students.Removesaprovisionprovidingthat5yearsaftertheeffectivedateoftheAct,eachpubliccollegeoruniversitymustmaintainaratioofoneclinical,non-studentstaffmemberto1,000students.Providesthatthemonitoringmeasuresoflocalpartnershipprogramsmustincludetheratioofclinical,non-studentstafftostudentpopulationandthenumberoflinkageagreementsandcontractsinplacebasedonstudentpopulation(ratherthanonly...(clickbilllinktoseemore).

PrimarySponsorsIrisMartinez,MelindaBush,PatMcGuire,JulieMorrison,CamilleLilly,JonathanCarroll,DebConroy,MonicaBristow,ChrisWelch

BillSummary: Requiresallpubliccollegesanduniversitiestocreatestrategic partnershipswithlocalmentalhealthserviceprovidersandmaintaina ratioofoneclinical,non-studentstaffmemberper1,250students.The clinical,non-studentstaffmembermaybecontractedthroughtelehealth therapyservices.Thepubliccollegesanduniversitiesmustalsomonitor theeffectivenessandqualityofsuchservices.

State

ILBillNumber

HB2152LastAction

PublicAct101025120190809Status

EnactedPosition

NonePriority

None

Page 6: Upper Midwest TRC Oct. 2019 Legislative Report...State IL Bill Number HB 3795 Last Action Rule 19 B Re Referred To Rules Committee 2019 07 02 Status In House Position None Priority

Title$Fy20Capital

DescriptionMakesappropriationsandreappropriationsforthefiscalyearbeginningJuly1,2019.Effectiveimmediately.

PrimarySponsorsJohnCullerton

BillSummary: AppropriatesfundstotheDepartmentofCommerceandEconomic Opportunityforgrantsandloansforthedevelopmentandexpansionof existingbroadbandnetworkinfrastructure,healthinformation technology,telehealth,andotherbroadbandrelatedindustries.

33.7% 75.8%

TitleAppropriations;zerobudget;departmentofhealthandhumanservices;provideforfiscalyear2019-2020.Createsappropriationact.

PrimarySponsorsMaryWhiteford

BillSummary: RequirestheDepartmentofHealthtocreateandparticipateina workgrouptodetermineequitableandadequatereimbursement methodologyforMedicaidinpatientpsychiatrichospitalcare.Thiswould includerecommendationsforseparateadditionalreimbursementfor telehealthservices,includingpreadmissionscreeningoninpatientunits, assessmentsbyanonphysicianprovider,andongoingpsychiatriccare, amongotherthings.

State

ILBillNumber

SB2154LastAction

ReferredToAssignments20190227Status

FailedsinediePosition

NonePriority

None

State

MIBillNumber

HB4235LastAction

ReassignedToCommitteeOnAppropriations20190829

Status

InSenatePosition

NonePriority

NoneFNOutlook

MedicaidReimbursement(3)

Page 7: Upper Midwest TRC Oct. 2019 Legislative Report...State IL Bill Number HB 3795 Last Action Rule 19 B Re Referred To Rules Committee 2019 07 02 Status In House Position None Priority

TitleInsCode/PublicAid-Telehealth

DescriptionAmendstheIllinoisInsuranceCode.Inprovisionsconcerningcoveragefortelehealthservices,providesthatcertainhealthbenefitpoliciesorplansmaynotexcludefromcoverageamedicallynecessaryhealthcareserviceorproceduredeliveredbycertainproviderssolelybecausethehealthcareserviceorprocedureisprovidedthroughtelehealth(ratherthanrequiringcertainpoliciestomeetspecifiedcriteriaiftheyprovidecoveragefortelehealthservices).Providestherequirementsofcoveragefortelehealthservices.Providesthatanindividualorgrouppolicyofaccidentorhealthinsurancethatprovidescoveragefortelehealthservicesdeliveredbycontractedlicenseddietitiannutritionistsandcontractedcertifieddiabeteseducatorsmustalsoprovidecoverageforin-homeservicesforseniordiabetespatients(ratherthanrequiringanindividualorgrouppolicyofaccidentorhealthinsurancethatprovidescoveragefortelehealthservicestoprovidecoverageforlicenseddietitiannutritionistsandcertifieddiabeteseducatorswhocounselseniordiabetespatientsinthepatients'homes).AmendstheIllinoisPublicAidCode.Providespayment,reimbursement,andservicerequirementsfortelehealthservicesprovidedundertheState'sfee-for-serviceormanagedcaremedicalassistanceprograms.Providesthat"telehealth"includestelepsychiatry.ProvidesthattheDepartmentofHealthcareandFamilyServicesshallimplementthenewprovisions60daysaftertheeffectivedateoftheamendatoryAct.RepealsaprovisionrequiringtheDepartmenttoreimbursepsychiatristsandfederallyqualifiedhealthcentersformentalhealthservicesprovidedbypsychiatriststomedicalassistancerecipientsthroughtelepsychiatry.Makesotherchanges.

PrimarySponsorsDaveSyverson,JacquiCollins,TerryLink,JenniferBertino-Tarrant,AndyManar

BillSummary: Restrictssomehealthcarepoliciesfromexcludingcoverageofa medicallynecessaryhealthcareserviceorproceduresolelybecausethe healthcareserviceorprocedureisprovidedthroughtelehealth. Requiresahealthplanthatcoverstelehealthservicesdeliveredby contracteddietitiannutritionistsandcertifieddiabeteseducatorsmust alsoprovidecoverageforin-homeservicesforseniordiabetespatients. Providespayment,reimbursement,andservicerequirementsfor telehealthservicesprovidedunderthestateMedicaidfee-for-serviceor managedcareprograms.Requiresthedefinitionoftelehealthtoinclude telepsychiatry.

State

ILBillNumber

SB27LastAction

AddedAsCoSponsorSenStevenMLandek20190404

Status

FailedsinediePosition

NonePriority

None

Page 8: Upper Midwest TRC Oct. 2019 Legislative Report...State IL Bill Number HB 3795 Last Action Rule 19 B Re Referred To Rules Committee 2019 07 02 Status In House Position None Priority

TitlePrescribingPsychologist

DescriptionAmendstheHospitalLicensingAct.Permitshospitalsthatadmitpatientsfortreatmentofmentalillnesstograntmedicalstaffprivilegestolicensedprescribingpsychologists.AmendstheClinicalPsychologistLicensingAct.Requiresapsychologistapplyingforaprescribingpsychologistlicensetohavecompleted30psychologydoctoralgraduatecredithoursand31credithoursinaMasterofSciencedegreeprogram.ProvidesthatclinicalrotationtrainingrequirementsforprescribingpsychologistsshallbecompletedundertheadministrativesupervisionofaDirectororotherfacultymemberofaregionallyapprovedUniversitythatprovidestrainingforthemaster'sdegreeinclinicalpsychopharmacology.Requirestheclinicalrotationtrainingtobehousedinahealthcaresettingandtomeetcertainacademicstandards.Providesthatallprescriptionswrittenbyaprescribingpsychologistmustcontaintheprescribingpsychologist'snameandsignature.Providesthatphysiciansmayprovidecollaborationandconsultationwithprescribingpsychologistsviatelehealth.Permitspersonswhohave5yearsofexperienceasaprescribingpsychologistinanotherstateoratafederalmedicalfacilitytoapplyforanIllinoisprescribingpsychologistlicensebyendorsement.MakeschangestotheClinicalPsychologistsLicensingandDisciplinaryBoard.AmendstheTelehealthAct.Expandsthedefinitionof"healthcareprofessional"toincludeprescribingpsychologists.AmendstheIllinoisPublicAidCode.RequirestheDepartmentofHealthcareandFamilyServicestoreimburseprescribingpsychologistsforbehavioralhealthservicesprovidedviatelehealth.RequirestheDepartmentto,byrule,establishratestobepaidforspecifiedservicesprovidedbyclinicalpsychologistsandprescribingpsychologists.Effectiveimmediately.Replaceseverythingaftertheenactingclause.AmendstheClinicalPsychologistLicensingAct.Requiresapsychologistapplyingforaprescribingpsychologistlicensetohavecompletedafull-timeresidency(ratherthanapracticum)of14months'supervisedclinicaltraining(removingarequirementofatleast36credithours).Addsmedicalcenters,healthcarefacilitieslocatedatfederalandStateprisons,patient-centeredmedicalhomesorfamily-centeredmedicalhomes,women'smedicalhealthcenters,andFederallyQualifiedHealthCentersaspossibleinstructionalsettingsfortheresidency.Addsspecifiedclinicaltrainingstandardstotheresidencyrequirements.Inprovisionsregardingdelegationofprescriptiveauthority,providesthatallprescriptionswrittenbyaprescribingpsychologistmustcontaintheprescribingpsychologist'snameandsignature.AmendstheTelehealthAct.Expandsthedefinitionof"healthcareprofessional"toi...(clickbilllinktoseemore).

PrimarySponsorsMikeHastings,DonHarmon,DaveSyverson,NeilAnderson,TomDemmer,SaraFeigenholtz

BillSummary: Permitsthecollaborationandconsultationofacollaboratingphysician withaprescribingpsychologistviatelehealth.AmendstheTelehealthAct toincludeprescribingpsychologistsinthedefinitionofhealthcare professional.RequirestheDepartmentofHealthcareandFamily Servicestoreimburseprescribingpsychologistsformentalhealth servicesdeliveredviatelehealth.

State

ILBillNumber

SB1135LastAction

PublicAct101008420190719Status

EnactedPosition

NonePriority

None

Page 9: Upper Midwest TRC Oct. 2019 Legislative Report...State IL Bill Number HB 3795 Last Action Rule 19 B Re Referred To Rules Committee 2019 07 02 Status In House Position None Priority

TitleAppropriations;healthandhumanservices;departmentofhealthandhumanservices;provideforfiscalyear2019-2020.Createsappropriationact.

PrimarySponsorsPeterMacGregor

BillSummary: AllocatesfundstoChildren'sSpecialHealthCareServicesforthe continueddevelopmentandexpansionoftelemedicinecapacity. Additionally,thedepartmentofmedicalservicesshallcontinueto expandutilizationoftelemedicineandtelepsychiatryasstrategiesto increaseaccesstoservicesforMedicaidrecipientsinmedically underservedareas.

State

MIBillNumber

SB139LastAction

PostponedForTheDay20191002Status

EnactedPosition

NonePriority

None

OnlinePrescribing(3)

Page 10: Upper Midwest TRC Oct. 2019 Legislative Report...State IL Bill Number HB 3795 Last Action Rule 19 B Re Referred To Rules Committee 2019 07 02 Status In House Position None Priority

TitleHealthmatters.

DescriptionEstablishesdistributionparametersforcertainmoneyappropriatedtothefirststepsprogram.PermitstheofficeofthesecretaryoffamilyandsocialservicestoapplyforastateplanamendmentrequiringMedicaidreimbursementforrehabilitationoptionservicesinaschoolsetting.Requiresimplementationwithinoneyearofapproval.Amendsthedefinitionof"employee"toremoveexclusionofemployeeswhoarecoveredbyanemployeeassistanceprogram.Specifiesthatalltherequirementsfortheemployeeassistanceprogrammustbemettobecompliant.Requirestheexecutiveboardofthestatedepartmentofhealthtoamendrulestoreflectcurrentprivatepublicationsusedinhospitallicensurerules.Requiresahomehealthagencytorandomlytest:(1) atleast50%ofcertainhomehealthagency'semployees;and(2)employeessuspectedofillegaluseofacontrolledsubstance.(Currentlawdoesnotrequiretestingofbothgroupsofemployees.)Allowstheboardofpharmacytoapprovearemoteormobilelocationforanonresidentpharmacythatisregisteredwiththeboard.Allowsapharmacythatholdsaretailpermittoofferdrugsanddevicestoalongtermcarefacility,ahealthfacility,andahousingwithservicesestablishment.Requiresapharmacytotransfer,upontherequestofapatient,certainprescriptionsforthepatientthatthepharmacyhasreceivedbutnotfilledtoanotherpharmacy.Providesthat,beginningJanuary1,2020,apharmacymaynotdispenseinjectableepinephrineorglucagonthathasanexpirationdateoflessthan12monthsfromthedatethatthepharmacydispensestheinjectableepinephrineorglucagontoapersonunlessthepersonconsentstotheexpirationdatebeinglessthan12months.Providesthatanautomateddispensingsystemthatmeetscertainrequirementsmaybeoperatedinalocationotherthanthrougharegisteredremotedispensingfacility.Allowsaqualifyingpharmacistwhoisabsenttohaveadesigneeinthepharmacist'splaceataremotedispensingfacility.Allowstheboardofpharmacytoestablishcontinuingeducationrulesforpharmacytechnicianswhoareataremotedispensingfacilitythatisnotstaffedbyapharmacist.Providesthatauditorycommunicationmustbeavailable,asneeded,withtheremotedispensingfacilityandthequalifyingpharmacist.Requirestheboardtoadoptemergencyrulesconcerningautomateddispensingsystems.Providesthattheterm"wholesaledistribution",forpurposesofthewholesalelegenddrugdistributorlaws,doesnotincludethesaleortransferofadrugbyacharitableorganizationto:(1)anonprofitaffiliateoftheorganization;or(2)anonprofitentitythatisnotaffiliatedwiththeorganization;totheextentpermittedbylaw.Providesthataprogramtoaccep...(clickbilllinktoseemore).

PrimarySponsorsSharonNegele,DennyZent,RitaFleming,RonGrooms,VanetaBecker,SteveDavisson

BillSummary: RequiresthattheIndianaBoardofPharmacyestablisharegistration procedureforautomateddispensingsystemsthatincludesinformation regardingtelepharmacycommunication,electronicrecordkeeping,and electronicverificationsystemsamongotherinformation.

State

INBillNumber

HB1246LastAction

SignedByTheGovernor20190505Status

EnactedPosition

NonePriority

None

Page 11: Upper Midwest TRC Oct. 2019 Legislative Report...State IL Bill Number HB 3795 Last Action Rule 19 B Re Referred To Rules Committee 2019 07 02 Status In House Position None Priority

TitleINSPECTprogram.

DescriptionMovesexistinglanguageconcerningthecentralrepositoryforcontrolledsubstancesdatafromTitle35toTitle25andmakesconformingchanges.SpecifiesthatapractitionermayobtaininformationaboutapatientdirectlythroughtheIndianascheduledprescriptionelectroniccollectionandtrackingprogramdatabase(INSPECTdatabase)orthroughthepatient'sintegratedhealthrecord.DecreasestheinstancesinwhichaClassAmisdemeanorisaviolationtowhenapractitionerdisclosesconfidentialinformationwithoutauthorization.(CurrentlawprovidesforaClassAmisdemeanorforanyviolationofthechapter.)ProvidesforinstancesinwhichapractitionerisnotrequiredtoobtaininformationfromtheINSPECTdatabase.

PrimarySponsorsBradBarrett,RitaFleming,SteveDavisson,ErinHouchin,EdCharbonneau,DennyZent

BillSummary: Requiresaprescriberissuingaprescriptionforacontrolledsubstance, includingthroughtheuseoftelemedicine,toinformtheINSPECT programoftheprescriptionorfacedisciplinaryaction.

TitleTelemedicineandmedicaldevices.

DescriptionRemovestherestrictionontheprescribingofophthalmicdevicesthroughtelemedicineandsetsconditionsonwhenaprovidermay,throughtelemedicine,prescribemedicaldevices.ProhibitstheIndianaoptometryboardfromsettingstandardsforthepracticeofoculartelemedicineoroculartelehealththataremorerestrictivethanthestandardsestablishedforinpersonpractice.

PrimarySponsorsEdCharbonneau,AaronFreeman

BillSummary: Requirestelemedicinetechnologyusedintheprescriptionofamedical devicetobesufficienttoallowtheprovidertomakeaninformed diagnosisandtreatmentplan.RestrictstheBoardofOphthalmology fromestablishingstandardsconcerningoculartelemedicineorocular telehealththataremorerestrictivethanthestandardssetinIndianalaw orbyadministrativerule.

State

INBillNumber

HB1294LastAction

PublicLaw5120190418Status

EnactedPosition

NonePriority

None

State

INBillNumber

SB242LastAction

SenatorFreemanAddedAsSecondAuthor20190214

Status

FailedsinediePosition

NonePriority

None

Other(3)

Page 12: Upper Midwest TRC Oct. 2019 Legislative Report...State IL Bill Number HB 3795 Last Action Rule 19 B Re Referred To Rules Committee 2019 07 02 Status In House Position None Priority

TitleMentalHealthActionOnCampus

DescriptionCreatestheMentalHealthEarlyActiononCampusAct.Providesforintent,legislativefindings,purposesoftheAct,anddefinitions.Providesthattoraisementalhealthawarenessoncollegecampuses,eachpubliccollegeoruniversityinthisStatemustcompletespecifiedtasks.Providesthattheboardoftrusteesofeachpubliccollegeoruniversitymustdesignateanexpertpaneltodevelopandimplementpoliciesandproceduresthat(i)advisestudents,faculty,andstaffontheproperproceduresforidentifyingandaddressingtheneedsofstudentsexhibitingsymptomsofmentalhealthconditions,(ii)promoteunderstandingoftherulesofSection504ofthefederalRehabilitationActof1973andtheAmericanswithDisabilitiesActof1990toincreaseknowledgeandunderstandingofstudentprotectionsunderthelaw,and(iii)providetrainingifappropriate.Providesthatbecausepeersupportprogramsmaybebeneficialinimprovingtheemotionalwell-beingofthestudentpopulation,eachpubliccollegeoruniversitymustdevelopandimplementapeersupportprogramutilizingstudentpeerstosupportindividualslivingwithmentalhealthconditionsoncampus;specifiesbestpracticesforthepeersupportprograms.Providesthateachpubliccollegeoruniversitymustformstrategicpartnershipswithlocalmentalhealthserviceproviderstoimproveoverallcampusmentalwellnessandaugmenton-campuscapacity;specifieswhatthepartnershipsmustinclude.RequirestheBoardofHigherEducationtodevelopaTechnicalAssistanceCenter;specifiesthedutiesoftheCenter.RequireseachpubliccollegeoruniversitytoevaluatetherequiredprogramsundertheActusingspecifiedcriteria.EffectiveJuly1,2020.Replaceseverythingaftertheenactingclause.Reinsertstheprovisionsoftheintroducedbillwiththefollowingchanges.Providesthat2yearsaftertheeffectivedateoftheAct,andonceevery5yearsthereafter,theTechnicalAssistanceCentermustproposetotheGeneralAssemblyanupdatedratioofclinical,non-studentstaffmemberstostudentsbasedonactualratiosinthisStateandanynewinformationrelatedtoappropriatebenchmarksforclinician-to-studentratios.Providesthattheupdatedbenchmarkmustrepresentaratioofnolessthanoneclinical,non-studentstaffmemberto1,250students.Removesaprovisionprovidingthat5yearsaftertheeffectivedateoftheAct,eachpubliccollegeoruniversitymustmaintainaratioofoneclinical,non-studentstaffmemberto1,000students.Providesthatthemonitoringmeasuresoflocalpartnershipprogramsmustincludetheratioofclinical,non-studentstafftostudentpopulationandthenumberoflinkageagreementsandcontractsinplacebasedonstudentpopulation(ratherthanonly...(clickbilllinktoseemore).

PrimarySponsorsIrisMartinez,MelindaBush,PatMcGuire,JulieMorrison,CamilleLilly,JonathanCarroll,DebConroy,MonicaBristow,ChrisWelch

BillSummary: Requiresallpubliccollegesanduniversitiestocreatestrategic partnershipswithlocalmentalhealthserviceprovidersandmaintaina ratioofoneclinical,non-studentstaffmemberper1,250students.The clinical,non-studentstaffmembermaybecontractedthroughtelehealth therapyservices.Thepubliccollegesanduniversitiesmustalsomonitor theeffectivenessandqualityofsuchservices.

State

ILBillNumber

HB2152LastAction

PublicAct101025120190809Status

EnactedPosition

NonePriority

None

Page 13: Upper Midwest TRC Oct. 2019 Legislative Report...State IL Bill Number HB 3795 Last Action Rule 19 B Re Referred To Rules Committee 2019 07 02 Status In House Position None Priority

65.0% 88.0%

TitleMentalHlthModernizationAct

DescriptionCreatestheMentalHealthModernizationandAccessImprovementAct.RequirestheDepartmentofHealthcareandFamilyServicestoapplyforaMedicaidwaiverorStatePlanamendment,orboth,within6monthsaftertheeffectivedateoftheActtodevelopandimplementaregulatoryframeworkthatallows,incentivizes,andfosterspaymentreformmodelsforallMedicaidcommunitymentalhealthservicesprovidedbycommunitymentalhealthcentersorbehavioralhealthclinics.Requirestheregulatoryframeworkto:(i)allowforandincentivizeserviceinnovationthatisaimedatproducingthebesthealthoutcomesforMedicaidenrolleeswithmentalhealthconditions;(ii)rewardhigh-qualitycarethroughannualincentivepaymentstocommunitymentalhealthcentersandbehavioralhealthclinics;(iii)requirecommunitymentalhealthcentersandbehavioralhealthclinicstoreportonspecifiedqualityandoutcomesmetrics;andothermatters.ProvidesthatalldocumentationandreportingrequirementsundertheregulatoryframeworkmustcomplywiththefederalMentalHealthParityandAddictionEquityActof2008andtheStatementalhealthparityrequirementsundertheIllinoisInsuranceCode.Containsprovisionsconcerningqualityandoutcomesmetricsreporting;datasharing;theestablishmentofaStakeholderQualityandOutcomesMetricsDevelopmentWorkingGroup;statewidein-persontrainingstoensureproviderreadinessfortheregulatoryframework;qualityandpatientsafetyprotections;implementationtimeline;certificationofcommunitymentalhealthcentersthatoptintotheregulatoryframework;andothermatters.ProvidesthattheActshallbeimplementeduponfederalapprovalandonlytotheextentthatfederalfinancialparticipationisavailable.Effectiveimmediately.

PrimarySponsorsJenGong-Gershowitz,DebConroy,MichelleMussman,LisaHernandez,SaraFeigenholtz

BillSummary: RequirestheDepartmentofHealthcareandFamilyServicestoapplyfor aMedicaidwaiverorStatePlanamendment,orboth,within6months aftertheeffectivedateoftheActtodevelopandimplementaregulatory frameworkforallMedicaidcommunitymentalhealthservicesprovided bycommunitymentalhealthcentersorbehavioralhealthclinics. RequirestheDepartmenttomaximizetheusetelehealthand telepsychiatry.

8.5% 73.7%

TitleMentalhealth;other;MichiganCAREShotline;create.Amends1974PA258(MCL330.1001-330.2106)byaddingsec.165.

PrimarySponsorsMaryWhiteford

BillSummary: RequirestheDepartmentofHealthtocreateamentalhealthtelephone referralsystemtoconnectindividualsexperiencingamentalhealthcrisis toalocalmentalhealthproviderviatelecommunications.Thehotline mustincludetheabilitytoconnectindividualswhoneedsubstanceuse disordertreatmentandrehabilitationservicestoanappropriate providerandconnecttosuicidepreventionresourceswhennecessary.

State

ILBillNumber

HB2486LastAction

AddedCoSponsorRepLindseyLapointe20190807

Status

InHousePosition

NonePriority

NoneFNOutlook

State

MIBillNumber

HB4051LastAction

ReferredToCommitteeOfTheWholeWithSubstituteS120190917

Status

InSenatePosition

NonePriority

NoneFNOutlook

PrivatePayerReimbursement(2)

Page 14: Upper Midwest TRC Oct. 2019 Legislative Report...State IL Bill Number HB 3795 Last Action Rule 19 B Re Referred To Rules Committee 2019 07 02 Status In House Position None Priority

TitleInsCode/PublicAid-Telehealth

DescriptionAmendstheIllinoisInsuranceCode.Inprovisionsconcerningcoveragefortelehealthservices,providesthatcertainhealthbenefitpoliciesorplansmaynotexcludefromcoverageamedicallynecessaryhealthcareserviceorproceduredeliveredbycertainproviderssolelybecausethehealthcareserviceorprocedureisprovidedthroughtelehealth(ratherthanrequiringcertainpoliciestomeetspecifiedcriteriaiftheyprovidecoveragefortelehealthservices).Providestherequirementsofcoveragefortelehealthservices.Providesthatanindividualorgrouppolicyofaccidentorhealthinsurancethatprovidescoveragefortelehealthservicesdeliveredbycontractedlicenseddietitiannutritionistsandcontractedcertifieddiabeteseducatorsmustalsoprovidecoverageforin-homeservicesforseniordiabetespatients(ratherthanrequiringanindividualorgrouppolicyofaccidentorhealthinsurancethatprovidescoveragefortelehealthservicestoprovidecoverageforlicenseddietitiannutritionistsandcertifieddiabeteseducatorswhocounselseniordiabetespatientsinthepatients'homes).AmendstheIllinoisPublicAidCode.Providespayment,reimbursement,andservicerequirementsfortelehealthservicesprovidedundertheState'sfee-for-serviceormanagedcaremedicalassistanceprograms.Providesthat"telehealth"includestelepsychiatry.ProvidesthattheDepartmentofHealthcareandFamilyServicesshallimplementthenewprovisions60daysaftertheeffectivedateoftheamendatoryAct.RepealsaprovisionrequiringtheDepartmenttoreimbursepsychiatristsandfederallyqualifiedhealthcentersformentalhealthservicesprovidedbypsychiatriststomedicalassistancerecipientsthroughtelepsychiatry.Makesotherchanges.

PrimarySponsorsDaveSyverson,JacquiCollins,TerryLink,JenniferBertino-Tarrant,AndyManar

BillSummary: Restrictssomehealthcarepoliciesfromexcludingcoverageofa medicallynecessaryhealthcareserviceorproceduresolelybecausethe healthcareserviceorprocedureisprovidedthroughtelehealth. Requiresahealthplanthatcoverstelehealthservicesdeliveredby contracteddietitiannutritionistsandcertifieddiabeteseducatorsmust alsoprovidecoverageforin-homeservicesforseniordiabetespatients. Providespayment,reimbursement,andservicerequirementsfor telehealthservicesprovidedunderthestateMedicaidfee-for-serviceor managedcareprograms.Requiresthedefinitionoftelehealthtoinclude telepsychiatry.

State

ILBillNumber

SB27LastAction

AddedAsCoSponsorSenStevenMLandek20190404

Status

FailedsinediePosition

NonePriority

None

Page 15: Upper Midwest TRC Oct. 2019 Legislative Report...State IL Bill Number HB 3795 Last Action Rule 19 B Re Referred To Rules Committee 2019 07 02 Status In House Position None Priority

TitleCreatesFY2020-2021operatingbudget

DescriptionToamendsections9.54,101.38,102.02,102.021,103.41,103.416,107.036,109.572,111.15,111.28,113.55,113.56,115.56,117.11,117.13,117.14,120.04,120.06,120.08,120.18,120.28,120.33,120.34,120.35,120.52,120.521,120.53,121.083,121.22,121.37,121.93,122.075,122.121,122.171,122.175,122.85,122.86,123.21,124.132,124.82,124.824,125.01,125.14,125.18,125.25,125.66,125.661,126.48,128.021,131.02,131.35,131.44,141.04,141.16,147.591,149.11,149.43,153.02,166.01,169.06,173.04,173.27,173.38,173.391,174.02,177.02,183.18,183.33,307.622,311.42,317.32,317.321,319.302,319.63,321.24,323.131,323.151,323.155,341.34,349.01,349.03,349.07,351.021,503.56,505.37,505.371,701.10,711.131,715.014,718.01,718.80,718.83,718.85,718.90,753.21,755.16,905.31,929.04,939.02,939.04,940.01,940.02,940.06,956.01,956.031,956.051,956.20,991.02,1321.73,1346.04,1347.08,1349.43,1501.31,1501.32,1501.33,1501.34,1501.35,1505.09,1509.28,1509.31,1509.36,1509.50,1521.01,1521.03,1521.04,1521.06,1521.062,1521.063,1521.16,1521.99,1522.10,1522.101,1522.11,1522.12,1522.13,1522.14,1522.15,1522.19,1522.20,1522.21,1533.10,1533.11,1533.111,1533.112,1533.32,1533.321,1561.011,1711.52,1711.53,1724.05,1726.11,1739.05,1751.77,1901.123,1901.26,1907.143,1907.24,2151.23,2151.233,2151.234,2151.235,2151.236,2151.353,2151.3516,2151.3532,2151.421,2151.424,2151.86,2151.87,2301.32,2303.201,2305.231,2305.41,2317.54,2925.01,2927.02,2927.022,2929.13,2929.15,2929.34,2941.51,2950.08,3105.011,3107.14,3109.061,3119.023,3119.05,3119.23,3119.27,3119.29,3119.30,3119.302,3119.31,3119.32,3125.25,3301.07,3301.0710,3301.0711,3301.0712,3301.0714,3301.52,3301.53,3301.68,3302.01,3302.03,3302.061,3302.18,3310.02,3310.03,3310.032,3310.035,3310.08,3310.16,3311.78,3311.79,3312.01,3313.411,3313.5315,3313.603,3313.608,3313.61,3313.611,3313.612,3313.618,3313.6110,3313.813,3313.843,3313.978,3314.016,3314.017,3314.02,3314.03,3314.06,3314.08,3314.18,3314.19,3314.21,3314.35,3314.351,3317.016,3317.02,3317.022,3317.023,3317.028,3317.03,3317.06,3317.13,3317.141,3317.16,3317.25,3317.40,3318.036,3318.05,3318.051,3318.06,3318.061,3318.062,3318.063,3318.36,3318.361,3319.26,3319.272,3319.283,3321.191,3326.031,3326.11,3326.13,3326.31,3326.32,3326.33,3326.34,3326.36,3326.37,3326.41,3327.10,3328.24,3333.26,3333.59,3333.61,3333.62,3333.65,3333.66,3345.48,3345.57,3353.07,3358.02,3358.06,3501.01,3501.05,3501.12,3501.22,3513.01,3513.12,3517.01,3517.10,3517.102,3517.1012,3517.11,3517.13,3517.153,3517.23,3517.99,3517.992,3701.044,3701.139,3701.144,3701.24,3701.262,3701.351,3701...(clickbilllinktoseemore).

PrimarySponsorsScottOelslager

BillSummary: Requiresahealthbenefitplantoprovidecoveragefortelemedicine servicesonthesamebasisandtothesameextentthattheplan providescoveragefortheprovisionofin-personhealthcareservices.

State

OHBillNumber

HB166LastAction

Effective71819OperatingAppropriationsAndTaxLevyGenerallyEffectiveJuly182019OtherProvisionsGenerallyEffectiveOctober172019SomeProvisionsSubjectToSpecialEffectiveDates20190718

Status

EnactedPosition

NonePriority

None

Page 16: Upper Midwest TRC Oct. 2019 Legislative Report...State IL Bill Number HB 3795 Last Action Rule 19 B Re Referred To Rules Committee 2019 07 02 Status In House Position None Priority

10.9% 74.4%

TitleHealthoccupations;healthprofessionals;definitionofbonafideprescriber-patientrelationship;revise.Amendssec.7104of1978PA368(MCL333.7104).TIEBARWITH:HB4225'19

PrimarySponsorsMicheleHoitenga

BillSummary: Definesa'bonafideprescriber-patientrelationship'whichrequiresa relevantmedicalevaluationwhichmaybeconductedthroughtelehealth, inadditiontootherrequirements.

Provider-PatientRelationship(1)

State

MIBillNumber

HB4224LastAction

ReferredToCommitteeOnHealthPolicyAndHumanServices20190416

Status

InSenatePosition

NonePriority

NoneFNOutlook

Regulatory,Licensing&AdvisoryBoards(5)

Page 17: Upper Midwest TRC Oct. 2019 Legislative Report...State IL Bill Number HB 3795 Last Action Rule 19 B Re Referred To Rules Committee 2019 07 02 Status In House Position None Priority

TitleIdph-HemorrhageTraining

DescriptionAmendstheDepartmentofPublicHealthPowersandDutiesLawoftheCivilAdministrativeCodeofIllinois.ProvidesthattheDepartmentofPublicHealthshallensurethatallhospitalsrequirespecifiedemployeestocompleteeducationaltrainingonthemanagementofseverematernalhypertensionandpostpartumhemorrhage.ProvidesthathospitalsmustdemonstratecompletionofthetrainingofnewhireswithacoursecertificatefromtheDepartment.ProvidesthattheDepartmentshallensurethatallhospitalsconductcontinuingeducationyearlyforspecifiedemployees.Providesthatthecontinuingeducationshallincludeyearlysimulationsordrillsregardingmanagementofseverematernalhypertensionandobstetrichemorrhageforallemployeesthatcareforpregnantorpostpartumwomen.Providesthathospitalsmustdemonstratecompliancewiththeeducationandtrainingrequirements.Defines"hospital".Effectiveimmediately.ProvidesthattheDepartmentofPublicHealthshallensurethatallhospitalsrequireallcurrentandnewobstetricalstaff,emergencydepartmentstaff,andanyotherstaff,includingresidentsandfellowsintraining,whoprovidecareforpregnantorpostpartumwomentoreceiveimplicitbiastrainingandeducationinculturalcompetencyininteractionsbetweenpatientsandproviders.ProvidesthattheDepartmentshallprovidesupportfortheIllinoisPerinatalQualityCollaborativetodevelopaninitiativetoimprovebirthequityandreduceperipartumracialandethnicdisparities,modeledusingtheAllianceforInnovationonMaternalHealthandtheCaliforniaMaternalQualityCollaborative'spilotworkonimprovingbirthequity.ProvidesthattheDepartmentshallsupporttheinitiationofastatewideperinatalqualityimprovementinitiativeincollaborationwithIllinoisbirthinghospitalstoimplementstrategiestoreduceperipartumracialandethnicdisparitiesandtoaddressimplicitbiasinthehealthcaresystem.ProvidesthattheDepartmentshallensurethatallhospitalsdevelopprotocolsfortimelyidentificationofallpregnantandpostpartumwomenintheemergencydepartmentandforappropriateandtimelyconsultationofanobstetricprovidertoprovideinputonmanagementandfollowup.Replaceseverythingaftertheenactingclause.AmendstheDepartmentofPublicHealthPowersandDutiesLawoftheCivilAdministrativeCodeofIllinois.ProvidesthattheDepartmentofPublicHealthshallensurethatallbirthingfacilitiesconductcontinuingeducationyearlyforprovidersandstaffofobstetricmedicineandoftheemergencydepartmentandotherstaffthatmaycareforpregnantorpostpartumwomen.Requiresthecontinuingeducationtoincludeyearlyeducationalmodulesregardingmanagementofseverematernalhypertens...(clickbilllinktoseemore).

PrimarySponsorsJacquiCollins,ElgieSims,CelinaVillanueva,MaryFlowers,RitaMayfield,LaToyaGreenwood,AnneStava-Murray

BillSummary: Requiresallbirthingfacilitiestoconductcontinuingeducationyearlyfor providersandstaffofobstetricmedicine,whichshallincludemodules regardingmanagementofseverematernalhypertensionandobstetric hemorrhageforunitesthatcareforpregnantorpostpartumwomen. TheDepartmentofPublicHealthshall,inconsultationwiththeMaternal MortalityReviewCommittee,makeavailablebestpracticesfortimely identificationofallpregnantandpostpartumwomenintheemergency roomandforappropriateandtimelyconsultationofanobstetric provider.Thisconsultationmaybeconductedusingtelemedicine.

State

ILBillNumber

HB2895LastAction

PublicAct101039020190816Status

EnactedPosition

NonePriority

None

Page 18: Upper Midwest TRC Oct. 2019 Legislative Report...State IL Bill Number HB 3795 Last Action Rule 19 B Re Referred To Rules Committee 2019 07 02 Status In House Position None Priority

TitleDentalService

DescriptionAmendstheIllinoisDentalPracticeAct.Defines"teledentistry".Makeschangesconcerningtherequirementsthatmustbemetbyadentalassistantbeforethedentalassistantmayreplace,carve,andfinishamalgamrestorations,place,pack,andfinishcompositerestorations,andplaceinterimrestorations.Inprovisionsconcerningthequalificationsforapermittoadministeranesthesiaandsedation,requirestheDepartmenttoensurethatthedentisthascompletedandmaintainscertificationinadvancedcardiaclifesupportorpediatricadvancedlifesupport.Inprovisionsconcerningdeathorincapacitationofadentist,providesthatspecifiedpersonnelmaycontractwithanotherdentistordentiststocontinuetheoperationsofthedeceasedorincapacitateddentist'spracticeforaperiodofoneyear(ratherthannomorethanoneyear)fromthetimeofdeathorincapacitationorthedentistoruntilthepracticeissold,whicheveroccursfirst.Providesthatifthepracticeisnotsoldwithintheinitialone-yearperiod,thecontractmaybeextendedforadditional12-monthperiodsbytheDepartment,buttheextensionshallnotexceed3additional12-monthperiods.Setsforthspecifiedrequirementsforextension.ChangesrepealandoperativedatesforvariousprovisionsoftheAct.Makesotherchanges.Effectiveimmediately.

PrimarySponsorsNeilAnderson,MichaelMcAuliffe,TonyMcCombie

BillSummary: Providesadefinitionfor"teledentistry,"whichincludesboth synchronousandasynchronouscommunications.

State

ILBillNumber

SB167LastAction

PublicAct101016220190726Status

EnactedPosition

NonePriority

None

Page 19: Upper Midwest TRC Oct. 2019 Legislative Report...State IL Bill Number HB 3795 Last Action Rule 19 B Re Referred To Rules Committee 2019 07 02 Status In House Position None Priority

TitlePrescribingPsychologist

DescriptionAmendstheHospitalLicensingAct.Permitshospitalsthatadmitpatientsfortreatmentofmentalillnesstograntmedicalstaffprivilegestolicensedprescribingpsychologists.AmendstheClinicalPsychologistLicensingAct.Requiresapsychologistapplyingforaprescribingpsychologistlicensetohavecompleted30psychologydoctoralgraduatecredithoursand31credithoursinaMasterofSciencedegreeprogram.ProvidesthatclinicalrotationtrainingrequirementsforprescribingpsychologistsshallbecompletedundertheadministrativesupervisionofaDirectororotherfacultymemberofaregionallyapprovedUniversitythatprovidestrainingforthemaster'sdegreeinclinicalpsychopharmacology.Requirestheclinicalrotationtrainingtobehousedinahealthcaresettingandtomeetcertainacademicstandards.Providesthatallprescriptionswrittenbyaprescribingpsychologistmustcontaintheprescribingpsychologist'snameandsignature.Providesthatphysiciansmayprovidecollaborationandconsultationwithprescribingpsychologistsviatelehealth.Permitspersonswhohave5yearsofexperienceasaprescribingpsychologistinanotherstateoratafederalmedicalfacilitytoapplyforanIllinoisprescribingpsychologistlicensebyendorsement.MakeschangestotheClinicalPsychologistsLicensingandDisciplinaryBoard.AmendstheTelehealthAct.Expandsthedefinitionof"healthcareprofessional"toincludeprescribingpsychologists.AmendstheIllinoisPublicAidCode.RequirestheDepartmentofHealthcareandFamilyServicestoreimburseprescribingpsychologistsforbehavioralhealthservicesprovidedviatelehealth.RequirestheDepartmentto,byrule,establishratestobepaidforspecifiedservicesprovidedbyclinicalpsychologistsandprescribingpsychologists.Effectiveimmediately.Replaceseverythingaftertheenactingclause.AmendstheClinicalPsychologistLicensingAct.Requiresapsychologistapplyingforaprescribingpsychologistlicensetohavecompletedafull-timeresidency(ratherthanapracticum)of14months'supervisedclinicaltraining(removingarequirementofatleast36credithours).Addsmedicalcenters,healthcarefacilitieslocatedatfederalandStateprisons,patient-centeredmedicalhomesorfamily-centeredmedicalhomes,women'smedicalhealthcenters,andFederallyQualifiedHealthCentersaspossibleinstructionalsettingsfortheresidency.Addsspecifiedclinicaltrainingstandardstotheresidencyrequirements.Inprovisionsregardingdelegationofprescriptiveauthority,providesthatallprescriptionswrittenbyaprescribingpsychologistmustcontaintheprescribingpsychologist'snameandsignature.AmendstheTelehealthAct.Expandsthedefinitionof"healthcareprofessional"toi...(clickbilllinktoseemore).

PrimarySponsorsMikeHastings,DonHarmon,DaveSyverson,NeilAnderson,TomDemmer,SaraFeigenholtz

BillSummary: Permitsthecollaborationandconsultationofacollaboratingphysician withaprescribingpsychologistviatelehealth.AmendstheTelehealthAct toincludeprescribingpsychologistsinthedefinitionofhealthcare professional.RequirestheDepartmentofHealthcareandFamily Servicestoreimburseprescribingpsychologistsformentalhealth servicesdeliveredviatelehealth.

State

ILBillNumber

SB1135LastAction

PublicAct101008420190719Status

EnactedPosition

NonePriority

None

Page 20: Upper Midwest TRC Oct. 2019 Legislative Report...State IL Bill Number HB 3795 Last Action Rule 19 B Re Referred To Rules Committee 2019 07 02 Status In House Position None Priority

TitleRegulationofphysicaltherapists.

DescriptionEstablishestheIndianaboardofphysicaltherapy(board).(CurrentlawregulatesphysicaltherapyunderthemedicallicensingboardofIndiana,withcertainfunctionsdelegatedtotheIndianaphysicaltherapycommittee.)Createsanewdefinitionof"physicaltherapy"andaddsoramendsotherdefinitions.Amendscertainprohibitedactstoincludebusinessentities.Changestheterm"physicaltherapist'sassistant"to"physicaltherapistassistant".Addsphysicianassistantsandnursepractitionerstothelistofpersonswhomayissueanordertoaphysicaltherapist.Allowsaphysicaltherapisttotreatapatientfor90dayswithoutareferralfromaprovider.(Currentlawallowstreatmentfor24days.)Providesthatcertainindividualsareexemptfromlicenseandcertificationrequirements.Addstwophysicaltherapistsandaphysicaltherapistassistanttotheboardandremovesthephysicianmember.EstablishesrequirementsforphysicaltherapistsandphysicaltherapistassistantswhohavebeeneducatedoutsidetheUnitedStates.Establishesrequirementstositforthelicensureandcertificationexaminations.Allowstheapplicanttotaketheexaminationnotmorethansixtimes.Allowstheboardtodisqualifyanapplicantforcertainactsrelatedtotheexamination.Requiresapersonwhoseeksreinstatementforalapsedlicensetodemonstrateevidenceofcontinuingcompetence.Establishescertainresponsibilitiesforphysicaltherapists.Allowsaphysicaltherapistassistanttoworkunderaphysicaltherapist.Transferstherules,duties,andrecordsconcerningphysicaltherapyfromthemedicallicensingboardofIndianatotheboard.Makesconformingchanges.

PrimarySponsorsDaveFrizzell

BillSummary: Providesadefinitionfortelehealthandpermitsaphysicaltherapist licensedinanotherstatetoprovideprofessionalopinionsoradviceby telemedicinetoaphysicaltherapistorprofessionalhealthcareprovider.

TitleTelemedicineandmedicaldevices.

DescriptionRemovestherestrictionontheprescribingofophthalmicdevicesthroughtelemedicineandsetsconditionsonwhenaprovidermay,throughtelemedicine,prescribemedicaldevices.ProhibitstheIndianaoptometryboardfromsettingstandardsforthepracticeofoculartelemedicineoroculartelehealththataremorerestrictivethanthestandardsestablishedforinpersonpractice.

PrimarySponsorsEdCharbonneau,AaronFreeman

BillSummary: Requirestelemedicinetechnologyusedintheprescriptionofamedical devicetobesufficienttoallowtheprovidertomakeaninformed diagnosisandtreatmentplan.RestrictstheBoardofOphthalmology fromestablishingstandardsconcerningoculartelemedicineorocular telehealththataremorerestrictivethanthestandardssetinIndianalaw orbyadministrativerule.

State

INBillNumber

HB1197LastAction

FirstReadingReferredToCommitteeOnPublicHealth20190110

Status

FailedsinediePosition

NonePriority

None

State

INBillNumber

SB242LastAction

SenatorFreemanAddedAsSecondAuthor20190214

Status

FailedsinediePosition

NonePriority

None

SubstanceUseDisorder(2)

Page 21: Upper Midwest TRC Oct. 2019 Legislative Report...State IL Bill Number HB 3795 Last Action Rule 19 B Re Referred To Rules Committee 2019 07 02 Status In House Position None Priority

TitleINSPECTprogram.

DescriptionMovesexistinglanguageconcerningthecentralrepositoryforcontrolledsubstancesdatafromTitle35toTitle25andmakesconformingchanges.SpecifiesthatapractitionermayobtaininformationaboutapatientdirectlythroughtheIndianascheduledprescriptionelectroniccollectionandtrackingprogramdatabase(INSPECTdatabase)orthroughthepatient'sintegratedhealthrecord.DecreasestheinstancesinwhichaClassAmisdemeanorisaviolationtowhenapractitionerdisclosesconfidentialinformationwithoutauthorization.(CurrentlawprovidesforaClassAmisdemeanorforanyviolationofthechapter.)ProvidesforinstancesinwhichapractitionerisnotrequiredtoobtaininformationfromtheINSPECTdatabase.

PrimarySponsorsBradBarrett,RitaFleming,SteveDavisson,ErinHouchin,EdCharbonneau,DennyZent

BillSummary: Requiresaprescriberissuingaprescriptionforacontrolledsubstance, includingthroughtheuseoftelemedicine,toinformtheINSPECT programoftheprescriptionorfacedisciplinaryaction.

8.5% 73.7%

TitleMentalhealth;other;MichiganCAREShotline;create.Amends1974PA258(MCL330.1001-330.2106)byaddingsec.165.

PrimarySponsorsMaryWhiteford

BillSummary: RequirestheDepartmentofHealthtocreateamentalhealthtelephone referralsystemtoconnectindividualsexperiencingamentalhealthcrisis toalocalmentalhealthproviderviatelecommunications.Thehotline mustincludetheabilitytoconnectindividualswhoneedsubstanceuse disordertreatmentandrehabilitationservicestoanappropriate providerandconnecttosuicidepreventionresourceswhennecessary.

State

INBillNumber

HB1294LastAction

PublicLaw5120190418Status

EnactedPosition

NonePriority

None

State

MIBillNumber

HB4051LastAction

ReferredToCommitteeOfTheWholeWithSubstituteS120190917

Status

InSenatePosition

NonePriority

NoneFNOutlook

Page 22: Upper Midwest TRC Oct. 2019 Legislative Report...State IL Bill Number HB 3795 Last Action Rule 19 B Re Referred To Rules Committee 2019 07 02 Status In House Position None Priority

- 1-

IssuesIssues Regulatory,Licensing&AdvisoryBoards

LabelsLabels

TitleTitle Homeandcommunity-basedserviceswaivers-emergencyassistanceunderthelevelonewaiver.AgencyAgency DepartmentofDevelopmentalDisabilities(OH)DescriptionDescriptionRegulationSummaryRegulationSummary Removesremotemonitoringfromcoverageandeligibilityrequirementsforemergencyassistanceprovidedtoindividualsenrolled

inthelevelonewaiver.

IssuesIssues PrivatePayerReimbursement

LabelsLabels

TitleTitle Telehealth.AgencyAgency OhioDepartmentofMedicaid(OH)DescriptionDescriptionRegulationSummaryRegulationSummary Createsgeneraltelehealthrequirementsandresponsibilitiesforphysicians,psychologists,physicianassistants,andotherlisted

providers.Establishesreimbursementrequirementsforspecifiedservices.

IssuesIssues MedicaidReimbursement

LabelsLabels

TitleTitle Homeandcommunity-basedserviceswaivers-documentationandpaymentforservicesundertheindividualoptionsandlevelonewaivers.

AgencyAgency DepartmentofDevelopmentalDisabilities(OH)DescriptionDescriptionRegulationSummaryRegulationSummary Rescindsstandardsgoverningdocumentationandpaymentforhomeandcommunity-basedservicesundertheindividualoptions

waiverandlevelonewaivercomponentsoftheOhioMedicaidprogram.Includescoverageofremotemonitoringequipment.

IssuesIssues Other

LabelsLabels

TitleTitle Medicaidhomeandcommunity-basedservicesprogram-self-empoweredlifefundingwaiver.AgencyAgency OhioDepartmentofMedicaid(OH)DescriptionDescriptionRegulationSummaryRegulationSummary Changes"remotemonitoring"to"remotesupport"andremoves"remotemonitoringequipment"fromthelistofservicesavailable

toindividualsinthe"self-empoweredlifefundingwaiverprogram."

UMTRCOct.2019RegulatoryUpdateUMTRCOct.2019RegulatoryUpdateOct30,2019

TotalStateRegsExported:6TotalStateRegsExported:6

## StateState Ref#Ref# StatusStatus TypeType IntroDateIntroDate DocumentCountDocumentCount

1 OH 5123-9-27 ProposedRule Regular May08,2019 1

## StateState Ref#Ref# StatusStatus TypeType IntroDateIntroDate DocumentCountDocumentCount

2 OH 5160-1-18 ProposedRule Regular Apr19,2019 1

## StateState Ref#Ref# StatusStatus TypeType IntroDateIntroDate DocumentCountDocumentCount

3 OH 5123:2-9-06 ProposedRule Regular Oct16,2018 5

## StateState Ref#Ref# StatusStatus TypeType IntroDateIntroDate DocumentCountDocumentCount

4 OH 5160-41-17 FinalRule Regular Aug30,2018 8

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-2-

IssuesIssues Other,Regulatory,Licensing&AdvisoryBoards

LabelsLabels

TitleTitle Michigan-8/15/2018#3-DepartmentofLicensingandRegulatoryAffairsAgencyAgency DepartmentofLicensingandRegulatoryAffairs(MI)DescriptionDescription RegulationSummaryRegulationSummary IntroducesadefinitionfortelemedicineincludinglimitationstoprovidingtelemedicineservicesforWorker'sCompensation.

IssuesIssues MedicareReimbursement

LabelsLabels

TitleTitle Homeandcommunity-basedserviceswaivers-administrationoftheself-empoweredlifefundingwaiver.AgencyAgency DepartmentofDevelopmentalDisabilities(OH)DescriptionDescription RegulationSummaryRegulationSummary Implementstheself-empoweredlifefundingwaiver,acomponentoftheMedicaidhomeandcommunity-basedservicesprogram.

Includesremotepatientmonitoringandequipment.

## StateState Ref#Ref# StatusStatus TypeType IntroDateIntroDate DocumentCountDocumentCount

5 MI 2018-017 ProposedRule Regular Aug15,2018 1

## StateState Ref#Ref# StatusStatus TypeType IntroDateIntroDate DocumentCountDocumentCount

6 OH 5123-9-40 FinalRule Regular Jul09,2018 9