Public Act 101-0461
 
HB2154 EnrolledLRB101 04633 KTG 49642 b


  
    AN ACT concerning public aid.
  
 
    Be it enacted by the People of the State of Illinois,
 
represented in the General Assembly:
  



 
 
    Section 1. References to Act; intent; purposes. This Act 
may be referred to as the Children and Young Adult Mental 
Health Crisis Act. It is intended to fill in significant gaps 
in Illinois' mental health treatment system for children and 
young adults given that this is the age group that most mental 
health conditions begin to manifest.
 
    Section 5. Findings.   The General Assembly finds as follows:
    (1) Over 850,000 children and young adults under age 25 in 
Illinois will experience a mental health condition.  Barely 
one-third will get treatment even though treatment can lead to 
recovery and wellness.
    (2) Every year hundreds of Illinois children with treatable 
serious mental health conditions are forced to remain in 
psychiatric hospitals far beyond medical necessity because 
subsequent treatment options are not available.
    (3) There are many gaps in Illinois' publicly funded mental 
health system, and private insurance does not cover proven 
treatment approaches covered by the public sector. 
    (4) Children and young adults must have access to the level 
of mental health treatment they need at the first signs of a 
problem to prevent worsening of the condition and the use of 
substances for purposes of self-medication.
    (5) Illinois' mental health system for children and young 
adults must align with system of care principles, which were 
developed by The Georgetown University Center for Child and 
Human Development and are the nationally recognized best 
practices for developing a strong treatment system.
    (6) This Act contains many of the crucial elements that 
Illinois requires for building an appropriate service delivery 
system and for coverage of a comprehensive array of services 
through private insurance.
 
    Section 10. The  State Employees Group Insurance Act of 1971 
is amended by changing Section 6.11 as follows:
 


    (5 ILCS 375/6.11)

    (Text of Section before amendment by P.A. 100-1170)
    Sec. 6.11. Required health benefits; Illinois Insurance 
Code
requirements.  The program of health
benefits shall provide 
the post-mastectomy care benefits required to be covered
by a 
policy of accident and health insurance under Section 356t of 
the Illinois
Insurance Code.  The program of health benefits 
shall provide the coverage
required under Sections 356g, 
356g.5, 356g.5-1, 356m,
356u, 356w, 356x, 356z.2, 356z.4, 
356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13, 
356z.14, 356z.15, 356z.17, 356z.22, 356z.25, and 356z.26, and 
356z.29, 356z.32, and 356z.33 of the
Illinois Insurance Code.

The program of health benefits must comply with Sections 
155.22a, 155.37, 355b, 356z.19, 370c, and 370c.1 of the

Illinois Insurance Code. The Department of Insurance shall 
enforce the requirements of this Section.

    Rulemaking authority to implement Public Act 95-1045, if 
any, is conditioned on the rules being adopted in accordance 
with all provisions of the Illinois Administrative Procedure 
Act and all rules and procedures of the Joint Committee on 
Administrative Rules; any purported rule not so adopted, for 
whatever reason, is unauthorized. 
(Source: P.A. 99-480, eff. 9-9-15; 100-24, eff. 7-18-17; 
100-138, eff. 8-18-17; 100-863, eff. 8-14-18; 100-1024, eff. 
1-1-19; 100-1057, eff. 1-1-19; 100-1102, eff. 1-1-19; revised 
1-8-19.)
 
    (Text of Section after amendment by P.A. 100-1170)
    Sec. 6.11. Required health benefits; Illinois Insurance 
Code
requirements.  The program of health
benefits shall provide 
the post-mastectomy care benefits required to be covered
by a 
policy of accident and health insurance under Section 356t of 
the Illinois
Insurance Code.  The program of health benefits 
shall provide the coverage
required under Sections 356g, 
356g.5, 356g.5-1, 356m,
356u, 356w, 356x, 356z.2, 356z.4, 
356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13, 
356z.14, 356z.15, 356z.17, 356z.22, 356z.25, 356z.26, 356z.29, 
and 356z.32, and 356z.33 of the
Illinois Insurance Code.
The 
program of health benefits must comply with Sections 155.22a, 
155.37, 355b, 356z.19, 370c, and 370c.1 of the
Illinois 
Insurance Code. The Department of Insurance shall enforce the 
requirements of this Section with respect to Sections 370c and 
370c.1 of the Illinois Insurance Code; all other requirements 
of this Section shall be enforced by the Department of Central 
Management Services.

    Rulemaking authority to implement Public Act 95-1045, if 
any, is conditioned on the rules being adopted in accordance 
with all provisions of the Illinois Administrative Procedure 
Act and all rules and procedures of the Joint Committee on 
Administrative Rules; any purported rule not so adopted, for 
whatever reason, is unauthorized. 
(Source: P.A. 99-480, eff. 9-9-15; 100-24, eff. 7-18-17; 
100-138, eff. 8-18-17; 100-863, eff. 8-14-18; 100-1024, eff. 
1-1-19; 100-1057, eff. 1-1-19; 100-1102, eff. 1-1-19; 
100-1170, eff. 6-1-19.)
 
    Section 15. The Counties Code is amended by changing 
Section 5-1069.3 as follows:
 
    (55 ILCS 5/5-1069.3)

    Sec. 5-1069.3. Required health benefits.   If a county, 
including a home
rule
county, is a self-insurer for purposes of 
providing health insurance coverage
for its employees, the 
coverage shall include coverage for the post-mastectomy
care 
benefits required to be covered by a policy of accident and 
health
insurance under Section 356t and the coverage required 
under Sections 356g, 356g.5, 356g.5-1, 356u,
356w, 356x, 
356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13, 
356z.14, 356z.15, 356z.22, 356z.25, and 356z.26, and 356z.29, 
356z.32, and 356z.33 of
the Illinois Insurance Code. The 
coverage shall comply with Sections 155.22a, 355b, 356z.19, and 
370c of
the Illinois Insurance Code.  The Department of 
Insurance shall enforce the requirements of this Section. The 
requirement that health benefits be covered
as provided in this 
Section is an
exclusive power and function of the State and is 
a denial and limitation under
Article VII, Section 6, 
subsection (h) of the Illinois Constitution.  A home
rule county 
to which this Section applies must comply with every provision 
of
this Section.


    Rulemaking authority to implement Public Act 95-1045, if 
any, is conditioned on the rules being adopted in accordance 
with all provisions of the Illinois Administrative Procedure 
Act and all rules and procedures of the Joint Committee on 
Administrative Rules; any purported rule not so adopted, for 
whatever reason, is unauthorized. 
(Source: P.A. 99-480, eff. 9-9-15; 100-24, eff. 7-18-17; 
100-138, eff. 8-18-17; 100-863, eff. 8-14-18; 100-1024, eff. 
1-1-19; 100-1057, eff. 1-1-19; 100-1102, eff. 1-1-19; revised 
10-3-18.)
 
    Section 20. The Illinois Municipal Code is amended by 
changing Section 10-4-2.3 as follows:
 
    (65 ILCS 5/10-4-2.3)

    Sec. 10-4-2.3. Required health benefits.   If a 
municipality, including a
home rule municipality, is a 
self-insurer for purposes of providing health
insurance 
coverage for its employees, the coverage shall include coverage 
for
the post-mastectomy care benefits required to be covered by 
a policy of
accident and health insurance under Section 356t 
and the coverage required
under Sections 356g, 356g.5, 
356g.5-1, 356u, 356w, 356x, 356z.6, 356z.8, 356z.9, 356z.10, 
356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.22, 356z.25, 
and 356z.26, and 356z.29, 356z.32, and 356z.33 of the Illinois

Insurance
Code. The coverage shall comply with Sections 
155.22a, 355b, 356z.19, and 370c of
the Illinois Insurance 
Code.  The Department of Insurance shall enforce the 
requirements of this Section. The requirement that health

benefits be covered as provided in this is an exclusive power 
and function of
the State and is a denial and limitation under 
Article VII, Section 6,
subsection (h) of the Illinois 
Constitution.  A home rule municipality to which
this Section 
applies must comply with every provision of this Section.


    Rulemaking authority to implement Public Act 95-1045, if 
any, is conditioned on the rules being adopted in accordance 
with all provisions of the Illinois Administrative Procedure 
Act and all rules and procedures of the Joint Committee on 
Administrative Rules; any purported rule not so adopted, for 
whatever reason, is unauthorized. 
(Source: P.A. 99-480, eff. 9-9-15; 100-24, eff. 7-18-17; 
100-138, eff. 8-18-17; 100-863, eff. 8-14-18; 100-1024, eff. 
1-1-19; 100-1057, eff. 1-1-19; 100-1102, eff. 1-1-19; revised 
10-4-18.)
 
    Section 25. The School Code is amended by changing Section 
10-22.3f as follows:
 
    (105 ILCS 5/10-22.3f)

    Sec. 10-22.3f. Required health benefits.   Insurance 
protection and
benefits
for employees shall provide the 
post-mastectomy care benefits required to be
covered by a 
policy of accident and health insurance under Section 356t and 
the
coverage required under Sections 356g, 356g.5, 356g.5-1, 
356u, 356w, 356x,

356z.6, 356z.8, 356z.9, 356z.11, 356z.12, 
356z.13, 356z.14, 356z.15, 356z.22, 356z.25, and 356z.26, and 
356z.29, 356z.32, and 356z.33 of
the
Illinois Insurance Code.

Insurance policies shall comply with Section 356z.19 of the 
Illinois Insurance Code. The coverage shall comply with 
Sections 155.22a, 355b, and 370c  of
the Illinois Insurance 
Code. The Department of Insurance shall enforce the 
requirements of this Section. 

    Rulemaking authority to implement Public Act 95-1045, if 
any, is conditioned on the rules being adopted in accordance 
with all provisions of the Illinois Administrative Procedure 
Act and all rules and procedures of the Joint Committee on 
Administrative Rules; any purported rule not so adopted, for 
whatever reason, is unauthorized. 
(Source: P.A. 100-24, eff. 7-18-17; 100-138, eff. 8-18-17; 
100-863, eff. 8-14-18; 100-1024, eff. 1-1-19; 100-1057, eff. 
1-1-19; 100-1102, eff. 1-1-19; revised 10-4-18.)
 
    Section 30. The Illinois Insurance Code is amended  by 
adding Section 356z.33 as follows:
 
    (215 ILCS 5/356z.33 new)
    Sec. 356z.33. Coverage of treatment models for early 
treatment of serious mental illnesses.
    (a)  For purposes of early treatment of a serious mental 
illness in a child or young adult under age 26, a group or 
individual policy of accident and health insurance, or managed 
care plan, that is amended, delivered, issued, or renewed after 
December 31, 2020 shall provide coverage of the following 
bundled, evidence-based treatment:
        (1) Coordinated specialty care for first episode 
    psychosis treatment, covering the elements of the 
    treatment model included in the most recent national 
    research trials conducted by the National Institute of 
    Mental Health in the Recovery After an Initial 
    Schizophrenia Episode (RAISE) trials for psychosis 
    resulting from a serious mental illness, but excluding the 
    components of the treatment model related to education and 
    employment support.
        (2) Assertive community treatment (ACT) and community 
    support team (CST) treatment.  The elements of ACT and CST 
    to be covered shall include those covered under Article V 
    of the Illinois Public Aid Code, through 89 Ill. Adm. Code 
    140.453(d)(4).
    (b) Adherence to the clinical models. For purposes of 
ensuring adherence to the coordinated specialty care for first 
episode psychosis treatment model, only providers contracted 
with the Department of Human Services' Division of Mental 
Health to be FIRST.IL providers to deliver coordinated 
specialty care for first episode psychosis treatment shall be 
permitted to provide such treatment in accordance with this  
Section and such providers must adhere to the fidelity of the 
treatment model.  For purposes of ensuring fidelity to ACT and 
CST, only providers certified to provide ACT and CST by the 
Department of Human Services' Division of Mental Health and 
approved to provide ACT and CST by the Department of  Healthcare 
and Family Services, or its designee, in accordance with 89 
Ill. Adm. Code 140, shall be permitted to provide such services 
under this Section and such providers shall be required to 
adhere to the fidelity of the models. 
    (c) Development of medical necessity criteria for 
coverage.  Within 6 months after the effective date of this 
amendatory Act of the 101st General Assembly, the Department of 
Insurance shall lead and convene a workgroup that includes the 
Department of Human Services' Division of Mental Health, the 
Department of Healthcare and Family Services, providers of the 
treatment models listed in this Section, and insurers operating 
in Illinois to develop medical necessity criteria for such 
treatment models for purposes of coverage under this Section.  
The workgroup shall use the medical necessity criteria the 
State and other states use as guidance for establishing medical 
necessity for insurance coverage.  The Department of Insurance 
shall adopt a rule that defines medical necessity for each of 
the 3 treatment models listed in this Section by no later than 
June 30, 2020 based on the workgroup's recommendations. 
    (d) For purposes of credentialing the mental health 
professionals and other medical professionals that are part of 
a coordinated specialty care for first episode psychosis 
treatment team, an ACT team, or a CST team, the credentialing 
of the psychiatrist or the licensed clinical leader of the 
treatment team shall qualify all members of the treatment team 
to be credentialed with the insurer.
    (e) Payment for the services performed under the treatment 
models listed in this Section shall be based on a bundled 
treatment model or payment, rather than payment for each 
separate service delivered by a treatment team member. By no 
later than 6 months after the effective date of this amendatory 
Act of the 101st General Assembly, the Department of Insurance 
shall convene a workgroup of Illinois insurance companies and 
Illinois mental health treatment providers that deliver the 
bundled treatment approaches listed in this Section to 
determine a coding solution that allows for these bundled 
treatment models to be coded and paid for as a bundle of 
services, similar to intensive outpatient treatment where 
multiple services are covered under one billing code or a 
bundled set of billing codes.  The coding solution shall ensure 
that services delivered using coordinated specialty care for 
first episode psychosis treatment, ACT, or CST are provided and 
billed as a bundled service, rather than for each individual 
service provided by a treatment team member, which would 
deconstruct the evidence-based practice.  The coding solution 
shall be reached prior to coverage, which shall begin for plans 
amended, delivered, issued, or renewed after December 31, 2020, 
to ensure coverage of the treatment team approaches as intended 
by this Section.
    (f)  If, at any time, the Secretary of the United States 
Department of Health and Human Services, or its successor 
agency, adopts rules or regulations to be published in the 
Federal Register or publishes a comment in the Federal Register 
or issues an opinion, guidance, or other action that would 
require the State, under any provision of the Patient 
Protection and Affordable Care Act (P.L. 111-148), including, 
but not limited to, 42 U.S.C. 18031(d)(3)(b), or any successor 
provision, to defray the cost of any coverage for serious 
mental illnesses or serious emotional disturbances outlined in 
this Section, then the requirement that a group or individual 
policy of accident and health insurance or managed care plan 
cover the bundled treatment approaches listed in this Section 
is inoperative other than any such coverage authorized under 
Section 1902 of the Social Security Act, 42 U.S.C. 1396a, and 
the State shall not assume any obligation for the cost of the 
coverage.
    (g)  After 5 years following full implementation of this 
Section, if requested by an insurer, the Department of 
Insurance shall contract with an independent third party with 
expertise in analyzing health insurance premiums and costs to 
perform an independent analysis of the impact coverage of the 
team-based treatment models listed in this Section has had on 
insurance premiums in Illinois.  If premiums increased by more 
than 1% annually solely due to coverage of these treatment 
models, coverage of these models shall no longer be required.
    (h) The Department of Insurance shall adopt any rules 
necessary to implement the provisions of this Section by no 
later than June 30, 2020. 
 
    Section 35. The Health Maintenance Organization Act is 
amended by changing Section 5-3 as follows:
 


    (215 ILCS 125/5-3)  (from Ch. 111 1/2, par. 1411.2)


    Sec. 5-3. Insurance Code provisions. 

    (a) Health Maintenance Organizations
shall be subject to 
the provisions of Sections 133, 134, 136, 137, 139, 140, 141.1,

141.2, 141.3, 143, 143c, 147, 148, 149, 151,
152, 153, 154, 
154.5, 154.6,
154.7, 154.8, 155.04, 155.22a, 355.2, 355.3, 
355b, 356g.5-1, 356m, 356v, 356w, 356x, 356y,
356z.2, 356z.4, 
356z.5, 356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 
356z.13, 356z.14, 356z.15, 356z.17, 356z.18, 356z.19, 356z.21, 
356z.22, 356z.25, 356z.26, 356z.29, 356z.30, 356z.32, 356z.33, 
364, 364.01, 367.2, 367.2-5, 367i, 368a, 368b, 368c, 368d, 
368e, 370c,
370c.1, 401, 401.1, 402, 403, 403A,
408, 408.2, 
409, 412, 444,
and
444.1,
paragraph (c) of subsection (2) of 
Section 367, and Articles IIA, VIII 1/2,
XII,
XII 1/2, XIII, 
XIII 1/2, XXV, and XXVI of the Illinois Insurance Code.

    (b) For purposes of the Illinois Insurance Code, except for 
Sections 444
and 444.1 and Articles XIII and XIII 1/2, Health 
Maintenance Organizations in
the following categories are 
deemed to be "domestic companies":

        (1) a corporation authorized under the
Dental Service 
    Plan Act or the Voluntary Health Services Plans Act;

        (2) a corporation organized under the laws of this 
    State; or

        (3) a corporation organized under the laws of another 
    state, 30% or more
of the enrollees of which are residents 
    of this State, except a
corporation subject to 
    substantially the same requirements in its state of

    organization as is a "domestic company" under Article VIII 
    1/2 of the
Illinois Insurance Code.

    (c) In considering the merger, consolidation, or other 
acquisition of
control of a Health Maintenance Organization 
pursuant to Article VIII 1/2
of the Illinois Insurance Code,

        (1) the Director shall give primary consideration to 
    the continuation of
benefits to enrollees and the financial 
    conditions of the acquired Health
Maintenance Organization 
    after the merger, consolidation, or other
acquisition of 
    control takes effect;

        (2)(i) the criteria specified in subsection (1)(b) of 
    Section 131.8 of
the Illinois Insurance Code shall not 
    apply and (ii) the Director, in making
his determination 
    with respect to the merger, consolidation, or other

    acquisition of control, need not take into account the 
    effect on
competition of the merger, consolidation, or 
    other acquisition of control;

        (3) the Director shall have the power to require the 
    following
information:

            (A) certification by an independent actuary of the 
        adequacy
of the reserves of the Health Maintenance 
        Organization sought to be acquired;

            (B) pro forma financial statements reflecting the 
        combined balance
sheets of the acquiring company and 
        the Health Maintenance Organization sought
to be 
        acquired as of the end of the preceding year and as of 
        a date 90 days
prior to the acquisition, as well as pro 
        forma financial statements
reflecting projected 
        combined operation for a period of 2 years;

            (C) a pro forma business plan detailing an 
        acquiring party's plans with
respect to the operation 
        of the Health Maintenance Organization sought to
be 
        acquired for a period of not less than 3 years; and

            (D) such other information as the Director shall 
        require.

    (d) The provisions of Article VIII 1/2 of the Illinois 
Insurance Code
and this Section 5-3 shall apply to the sale by 
any health maintenance
organization of greater than 10% of its

enrollee population (including without limitation the health 
maintenance
organization's right, title, and interest in and to 
its health care
certificates).

    (e) In considering any management contract or service 
agreement subject
to Section 141.1 of the Illinois Insurance 
Code, the Director (i) shall, in
addition to the criteria 
specified in Section 141.2 of the Illinois
Insurance Code, take 
into account the effect of the management contract or
service 
agreement on the continuation of benefits to enrollees and the

financial condition of the health maintenance organization to 
be managed or
serviced, and (ii) need not take into account the 
effect of the management
contract or service agreement on 
competition.

    (f) Except for small employer groups as defined in the 
Small Employer
Rating, Renewability and Portability Health 
Insurance Act and except for
medicare supplement policies as 
defined in Section 363 of the Illinois
Insurance Code, a Health 
Maintenance Organization may by contract agree with a
group or 
other enrollment unit to effect refunds or charge additional 
premiums
under the following terms and conditions:

        (i) the amount of, and other terms and conditions with 
    respect to, the
refund or additional premium are set forth 
    in the group or enrollment unit
contract agreed in advance 
    of the period for which a refund is to be paid or

    additional premium is to be charged (which period shall not 
    be less than one
year); and

        (ii) the amount of the refund or additional premium 
    shall not exceed 20%
of the Health Maintenance 
    Organization's profitable or unprofitable experience
with 
    respect to the group or other enrollment unit for the 
    period (and, for
purposes of a refund or additional 
    premium, the profitable or unprofitable
experience shall 
    be calculated taking into account a pro rata share of the

    Health Maintenance Organization's administrative and 
    marketing expenses, but
shall not include any refund to be 
    made or additional premium to be paid
pursuant to this 
    subsection (f)).  The Health Maintenance Organization and 
    the
group or enrollment unit may agree that the profitable 
    or unprofitable
experience may be calculated taking into 
    account the refund period and the
immediately preceding 2 
    plan years.

    The Health Maintenance Organization shall include a 
statement in the
evidence of coverage issued to each enrollee 
describing the possibility of a
refund or additional premium, 
and upon request of any group or enrollment unit,
provide to 
the group or enrollment unit a description of the method used 
to
calculate (1) the Health Maintenance Organization's 
profitable experience with
respect to the group or enrollment 
unit and the resulting refund to the group
or enrollment unit 
or (2) the Health Maintenance Organization's unprofitable

experience with respect to the group or enrollment unit and the 
resulting
additional premium to be paid by the group or 
enrollment unit.

    In no event shall the Illinois Health Maintenance 
Organization
Guaranty Association be liable to pay any 
contractual obligation of an
insolvent organization to pay any 
refund authorized under this Section.

    (g) Rulemaking authority to implement Public Act 95-1045, 
if any, is conditioned on the rules being adopted in accordance 
with all provisions of the Illinois Administrative Procedure 
Act and all rules and procedures of the Joint Committee on 
Administrative Rules; any purported rule not so adopted, for 
whatever reason, is unauthorized. 
(Source: P.A. 99-761, eff. 1-1-18; 100-24, eff. 7-18-17; 
100-138, eff. 8-18-17; 100-863, eff. 8-14-18; 100-1026, eff. 
8-22-18; 100-1057, eff. 1-1-19; 100-1102, eff. 1-1-19; revised 
10-4-18.)
 
    Section 40. The Illinois Public Aid Code is amended  by 
changing Section 5-5.23 and  by adding Sections 5-36, 5-37, and 
5-38 as follows:
 



    (305 ILCS 5/5-5.23)



    Sec. 5-5.23. Children's mental health services. 

    (a) The Department of Healthcare and Family Services, by 
rule, shall require the screening and
assessment of
a child 
prior to any Medicaid-funded admission to an inpatient hospital 
for
psychiatric
services to be funded by Medicaid. The 
screening and assessment shall include a
determination of the 
appropriateness and availability of out-patient support

services
for necessary treatment. The Department, by rule, 
shall establish methods and
standards of payment for the 
screening, assessment, and necessary alternative
support

services.

    (b) The Department of Healthcare and Family Services, to 
the extent allowable under federal law,
shall secure federal 
financial participation for Individual Care Grant
expenditures 
made
by the Department of Healthcare and Family Services for 
the Medicaid optional service
authorized under
Section 1905(h) 
of the federal Social Security Act, pursuant to the provisions

of Section
7.1 of the Mental Health and Developmental 
Disabilities Administrative Act. The
Department of Healthcare 
and Family Services may exercise the
authority under this 
Section as is necessary to administer
Individual Care Grants as 
authorized under Section 7.1 of the
Mental Health and 
Developmental Disabilities Administrative
Act. 

    (c) The Department of Healthcare and Family Services shall 
work collaboratively with the Department of Children and Family

Services and the Division of Mental Health of the Department of

Human Services to implement subsections (a) and (b).

    (d) On and after July 1, 2012, the Department shall reduce 
any rate of reimbursement for services or other payments or 
alter any methodologies authorized by this Code to reduce any 
rate of reimbursement for services or other payments in 
accordance with Section 5-5e. 
    (e)  All rights, powers, duties, and responsibilities 
currently exercised by the Department of Human Services related 
to the Individual Care Grant program are transferred to the 
Department of Healthcare and Family Services with the transfer 
and transition of the Individual Care Grant program to the 
Department of Healthcare and Family Services to be completed 
and implemented within 6 months after the effective date of 
this amendatory Act of the 99th General Assembly. For the 
purposes of the Successor Agency Act, the Department of 
Healthcare and Family Services is declared to be the successor 
agency of the Department of Human Services, but only with 
respect to the functions of the Department of Human Services 
that are transferred to the Department of Healthcare and Family 
Services under this amendatory Act of the 99th General 
Assembly.
        (1) Each act done by the Department of Healthcare and 
    Family Services in exercise of the transferred powers, 
    duties, rights, and responsibilities shall have the same 
    legal effect as if done by the Department of Human Services 
    or its offices.
        (2)  Any rules of the Department of Human Services that 
    relate to the functions and programs transferred by this 
    amendatory Act of the 99th General Assembly that are in 
    full force on the effective date of this amendatory Act of 
    the 99th General Assembly shall become the rules of the 
    Department of Healthcare and Family Services. All rules 
    transferred under this amendatory Act of the 99th General 
    Assembly are hereby amended such that the term "Department" 
    shall be defined as the Department of Healthcare and Family 
    Services and all references to the "Secretary" shall be 
    changed to the "Director of Healthcare and Family Services 
    or his or her designee".  As soon as practicable hereafter, 
    the Department of Healthcare and Family Services shall 
    revise and clarify the rules to reflect the transfer of 
    rights, powers, duties, and responsibilities affected by 
    this amendatory Act of the 99th General Assembly, using the 
    procedures for recodification of rules available under the 
    Illinois Administrative Procedure Act, except that 
    existing title, part, and section numbering for the 
    affected rules may be retained. The Department of 
    Healthcare and Family Services, consistent with its 
    authority to do so as granted by this amendatory Act of the 
    99th General Assembly, shall propose and adopt any other 
    rules under the Illinois Administrative Procedure Act as 
    necessary to administer the Individual Care Grant program. 
    These rules may include, but are not limited to, the 
    application process and eligibility requirements for 
    recipients.
        (3)  All unexpended appropriations and balances and 
    other funds available for use in connection with any 
    functions of the Individual Care Grant program shall be 
    transferred for the use of the Department of Healthcare and 
    Family Services to operate the Individual Care Grant 
    program. Unexpended balances shall be expended only for the 
    purpose for which the appropriation was originally made. 
    The Department of Healthcare and Family Services shall 
    exercise all rights, powers, duties, and responsibilities 
    for operation of the Individual Care Grant program.
        (4)  Existing personnel and positions of the Department 
    of Human Services pertaining to the administration of the 
    Individual Care Grant program shall be transferred to the 
    Department of Healthcare and Family Services with the 
    transfer and transition of the Individual Care Grant 
    program to the Department of Healthcare and Family 
    Services. The status and rights of Department of Human 
    Services employees engaged in the performance of the 
    functions of the Individual Care Grant program shall not be 
    affected by this amendatory Act of the 99th General 
    Assembly. The rights of the employees, the State of 
    Illinois, and its agencies under the Personnel Code and 
    applicable collective bargaining agreements or under any 
    pension, retirement, or annuity plan shall not be affected 
    by this amendatory Act of the 99th General Assembly. All 
    transferred employees who are members of collective 
    bargaining units shall retain their seniority, continuous 
    service, salary, and accrued benefits.
        (5) All books, records, papers, documents, property 
    (real and personal), contracts, and pending business 
    pertaining to the powers, duties, rights, and 
    responsibilities related to the functions of the 
    Individual Care Grant program, including, but not limited 
    to, material in electronic or magnetic format and necessary 
    computer hardware and software, shall be delivered to the 
    Department of Healthcare and Family Services; provided, 
    however, that the delivery of this information shall not 
    violate any applicable confidentiality constraints.
        (6) Whenever reports or notices are now required to be

    made or given or papers or documents furnished or served by 
    any person to or upon the Department of Human Services in 
    connection with any of the functions transferred by this 
    amendatory Act of the 99th General Assembly, the same shall 
    be made, given, furnished, or served in the same manner to 
    or upon the Department of Healthcare and Family Services.
        (7) This amendatory Act of the 99th General Assembly 
    shall not affect any act done, ratified, or canceled or any 
    right occurring or established or any action or proceeding 
    had or commenced in an administrative, civil, or criminal 
    cause regarding the Department of Human Services before the 
    effective date of this amendatory Act of the 99th General 
    Assembly; and those actions or proceedings may be defended, 
    prosecuted, and continued by the Department of Human 
    Services.
    (f) (Blank). The Individual Care Grant program shall be 
inoperative during the calendar year in which implementation 
begins of any remedies in response to litigation against the 
Department of Healthcare and Family Services related to 
children's behavioral health and the general status of 
children's behavioral health in this State. Individual Care 
Grant recipients in the program the year it becomes inoperative 
shall continue to remain in the program until it is clinically 
appropriate for them to step down in level of care. 
    (g)  Family Support Program.  The Department of Healthcare 
and Family Services shall restructure the Family Support 
Program, formerly known as the Individual Care Grant program, 
to enable early treatment of youth, emerging adults, and 
transition-age adults with a serious mental illness or serious 
emotional disturbance.
        (1) As used in this subsection and in subsections (h) 
    through (s):
            (A) "Youth" means a person under the age of 18. 
            (B) "Emerging adult" means a person who is 18 
        through 20 years of age. 
            (C) "Transition-age adult" means a person who is 21 
        through 25 years of age. 
        (2) The Department shall amend 89 Ill.
Adm. Code 139 in 
    accordance with this Section and consistent with the 
    timelines outlined in this Section.
        (3) Implementation of any amended requirements shall 
    be completed within 8 months of the adoption of any 
    amendment to 89 Ill.
Adm. Code 139 that is consistent with 
    the provisions of this Section. 
        (4) To align the Family Support Program with the 
    Medicaid system of care, the services available to a youth, 
    emerging adult, or transition-age adult through the Family 
    Support Program shall include all Medicaid community-based 
    mental health treatment services and all Family Support 
    Program services included under 89 Ill.
Adm. Code 139. No 
    person receiving services through the Family Support 
    Program or the Specialized Family Support Program shall 
    become a Medicaid enrollee unless Medicaid eligibility 
    criteria are met and the person is enrolled in Medicaid. No 
    part of this Section creates an entitlement to services 
    through the Family Support Program, the Specialized Family 
    Support Program, or the Medicaid program. 
        (5) The Family Support Program shall align with the 
    following system of care principles: 
            (A) Treatment and support services shall be based 
        on the results of an integrated behavioral health 
        assessment and treatment plan using an instrument 
        approved by the Department of Healthcare and Family 
        Services.
            (B)
Strong interagency collaboration between all 
        State agencies the parent or legal guardian is involved 
        with for services, including the Department of 
        Healthcare and Family Services, the Department of 
        Human Services, the Department of Children and Family 
        Services, the Department of Juvenile Justice, and the 
        Illinois State Board of Education.
            (C)
Individualized, strengths-based practices and 
        trauma-informed treatment approaches.
            (D)
For a youth, full participation of the parent 
        or legal guardian at all levels of treatment through a 
        process that is family-centered and youth-focused.  The 
        process shall include consideration of the services 
        and supports the parent, legal guardian, or caregiver 
        requires for family stabilization, and shall connect 
        such person or persons to services based on available 
        insurance coverage. 
    (h) Eligibility for the Family Support Program. 
Eligibility criteria established under 89 Ill.
Adm. Code 139 
for the Family Support Program shall include the following: 
        (1) Individuals applying to the program must be under 
    the age of 26. 
        (2) Requirements for parental or legal guardian 
    involvement are applicable to  youth and  to emerging adults 
    or transition-age adults who have a guardian appointed 
    under Article XIa of the Probate Act.
        (3)
Youth, emerging adults, and transition-age adults 
    are eligible for services under the Family Support Program 
    upon their third inpatient admission to a hospital or 
    similar treatment facility for the primary purpose of 
    psychiatric treatment within the most recent 12 months and 
    are hospitalized for the purpose of psychiatric treatment.
        (4)
School participation for emerging adults applying 
    for services under the Family Support Program may be waived 
    by request of the individual at the sole discretion of the 
    Department of Healthcare and Family Services.
        (5) School participation is not applicable to 
    transition-age adults. 
    (i) Notification of Family Support Program and Specialized 
Family Support Program services. 
        (1) Within 12 months after the effective date of this 
    amendatory Act of the 101st General Assembly, the 
    Department of Healthcare and Family Services, with 
    meaningful stakeholder input through a working group of 
    psychiatric hospitals, Family Support Program providers, 
    family support organizations, the Community and 
    Residential Services Authority, a statewide association 
    representing a majority of hospitals, and foster care 
    alumni advocates, shall establish a clear process by which 
    a youth's or emerging adult's parents, guardian, or 
    caregiver, or the emerging adult or transition-age adult, 
    is identified, notified, and educated about the Family 
    Support Program and the Specialized Family Support Program 
    upon a first psychiatric inpatient hospital admission, and 
    any following psychiatric inpatient admissions.  
    Notification and education may take place through a Family 
    Support Program coordinator, a mobile crisis response 
    provider, a Comprehensive Community Based Youth Services 
    provider, the Community and Residential Services 
    Authority, or any other designated provider or coordinator 
    identified by the Department of Healthcare and Family 
    Services. In developing this process, the Department of 
    Healthcare and Family Services and the working group shall 
    take into account the unique needs of emerging adults and 
    transition-age adults without parental involvement who are 
    eligible for services under the Family Support Program.   The 
    Department of Healthcare and Family Services and the 
    working group shall ensure the appropriate provider or 
    coordinator is required to assist individuals and their 
    parents, guardians, or caregivers, as applicable, in the 
    completion of the application or referral process for the 
    Family Support Program or the Specialized Family Support 
    Program. 
        (2) Upon a youth's, emerging adult's or transition-age 
    adult's second psychiatric inpatient hospital admission, 
    the hospital must ensure that the youth's parents, 
    guardian, or caregiver, or the emerging adult or 
    transition-age adult, have been notified of the Family 
    Support Program and the Specialized Family Support Program 
    prior to hospital discharge. 
        (3) Psychiatric lockout as last resort. 
            (A) Prior to referring any youth to the Department 
        of Children and Family Services for the filing of a 
        petition in accordance with subparagraph (c) of 
        paragraph (1) of Section 2-4 of the Juvenile Court Act 
        of 1987 alleging that the youth is dependent because 
        the youth was left in a psychiatric hospital beyond 
        medical necessity, the hospital shall  educate the 
        youth and the youth's parents, guardian, or caregiver 
        about the Family Support Program and the Specialized 
        Family Support Program and shall assist with 
        connections to the designated Family Support Program 
        coordinator in the service area.  Once this process has 
        begun, any such youth shall be considered a youth for 
        whom an application for the Family Support Program is 
        pending with the Department of Healthcare and Family 
        Services or an active application for the Family 
        Support Program was being reviewed by the Department 
        for the purposes of subparagraph (b) of paragraph (1) 
        of Section 2-4 of the Juvenile Court Act of 1987. 
            (B) No state agency or hospital shall coach a 
        parent or guardian of a youth in a psychiatric hospital 
        inpatient unit to lock out or otherwise relinquish 
        custody of a youth to the Department of Children and 
        Family Services for the sole purpose of obtaining 
        necessary mental health treatment for the youth.  In the 
        absence of abuse or neglect, a psychiatric lockout or 
        custody relinquishment to the Department of Children 
        and Family Services shall only be considered as the 
        option of last resort. 
        (4) Development of new Family Support Program 
    services. 
            (A) Development of specialized therapeutic 
        residential treatment for youth and emerging adults 
        with high-acuity mental health conditions.  Through a 
        working group led by the Department of Healthcare and 
        Family Services that includes the Department of 
        Children and Family Services and residential treatment 
        providers for youth and emerging adults, the 
        Department of Healthcare and Family Services, within 
        12 months after the effective date of this amendatory 
        Act of the 101st General Assembly, shall develop a plan 
        for the development of specialized therapeutic 
        residential treatment beds similar to a qualified 
        residential treatment program, as defined in the 
        federal Family First Prevention Services Act, for 
        youth in the Family Support Program with high-acuity 
        mental health needs.  The Department of Healthcare and 
        Family Services and the Department of Children and 
        Family Services shall work together to maximize 
        federal funding through Medicaid and Title IV-E of the 
        Social Security Act in the development and 
        implementation of this plan.
            (B) Using the Department of Children and Family 
        Services' beyond medical necessity data over the last 5 
        years and any other relevant, available data, the  
        Department of Healthcare and Family Services shall 
        assess the estimated number of these specialized 
        high-acuity residential treatment beds that are needed 
        in each region of the State based on the number of 
        youth remaining in psychiatric hospitals beyond 
        medical necessity and the number of youth placed 
        out-of-state who need this level of care.  The  
        Department of Healthcare and Family Services shall 
        report the results of this assessment to the General 
        Assembly by no later than December 31, 2020. 
            (C) Development of an age-appropriate therapeutic 
        residential treatment model for emerging adults and 
        transition-age adults.  Within 30 months after the 
        effective date of this amendatory Act of the 101st 
        General Assembly, the  Department of Healthcare and 
        Family Services, in partnership with the Department of 
        Human Services' Division of Mental Health and with 
        significant and meaningful stakeholder input through a 
        working group of providers and other stakeholders, 
        shall develop a supportive housing model for emerging 
        adults and transition-age adults receiving services 
        through the Family Support Program who need 
        residential treatment and support to enable recovery.  
        Such a model shall be age-appropriate and shall allow 
        the residential component of the model to be in a 
        community-based setting combined with intensive 
        community-based mental health services. 
    (j) Workgroup to develop a plan for improving access to 
substance use treatment.   The Department of Healthcare and 
Family Services and the Department of Human Services' Division 
of Substance Use Prevention and Recovery shall co-lead a 
working group that includes Family Support Program providers, 
family support organizations, and other stakeholders over a 
12-month period beginning in the first quarter of calendar year 
2020 to develop a plan for increasing access to substance use 
treatment services for youth, emerging adults, and 
transition-age adults who are eligible for Family Support 
Program services. 
    (k) Appropriation. Implementation of this Section shall be 
limited by the State's annual appropriation to the Family 
Support Program.  Spending within the Family Support Program 
appropriation shall be further limited for the new Family 
Support Program services to be developed accordingly:
        (1) Targeted use of specialized therapeutic 
    residential treatment for youth and emerging adults with 
    high-acuity mental health conditions through appropriation 
    limitation. No more than 12% of all annual Family Support 
    Program funds shall be spent on this level of care in any 
    given state fiscal year. 
        (2) Targeted use of residential treatment model 
    established for emerging adults and transition-age adults 
    through appropriation limitation.  No more than one-quarter 
    of all annual Family Support Program funds shall be spent 
    on this level of care in any given state fiscal year. 
    (l) Exhausting third party insurance coverage first. 
        (A) A parent, legal guardian, emerging adult, or 
    transition-age adult with private insurance coverage shall 
    work with the Department of Healthcare and Family Services, 
    or its designee, to identify insurance coverage for any and 
    all benefits covered by their plan. If insurance 
    cost-sharing by any method for treatment is 
    cost-prohibitive for the parent, legal guardian, emerging 
    adult, or transition-age adult, Family Support Program 
    funds may be applied as a payer of last resort toward 
    insurance cost-sharing for purposes of using private 
    insurance coverage to the fullest extent for the 
    recommended treatment.  If the Department, or its agent, has 
    a concern relating to the parent's, legal guardian's, 
    emerging adult's, or transition-age adult's insurer's 
    compliance with Illinois or federal insurance requirements 
    relating to the coverage of mental health or substance use 
    disorders, it shall refer all relevant information to the 
    applicable regulatory authority. 
        (B) The Department of Healthcare and Family Services 
    shall use Medicaid funds first for an individual who has 
    Medicaid coverage if the treatment or service recommended 
    using an integrated behavioral health assessment and 
    treatment plan (using the instrument approved by the 
    Department of Healthcare and Family Services) is covered by 
    Medicaid. 
        (C) If private or public insurance coverage does not 
    cover the needed treatment or service, Family Support 
    Program funds shall be used to cover the services offered 
    through the Family Support Program. 
    (m) Service authorization.  A youth, emerging adult, or 
transition-age adult enrolled in the Family Support Program or 
the Specialized Family Support Program shall be eligible to 
receive a mental health treatment service covered by the 
applicable program if the medical necessity criteria 
established by the Department of Healthcare and Family Services 
are met. 
    (n) Streamlined application.  The Department of Healthcare 
and Family Services shall revise the Family Support Program 
applications and the application process to reflect the changes 
made to this Section by this amendatory Act of the 101st 
General Assembly within 8 months after the adoption of any 
amendments to 89 Ill.
Adm. Code 139. 
    (o) Study of reimbursement policies during planned and 
unplanned absences of youth and emerging adults in Family 
Support Program residential treatment settings.  The Department 
of Healthcare and Family Services shall undertake a study of 
those standards of the Department of Children and Family 
Services and other states for reimbursement of residential 
treatment during planned and unplanned absences to determine if 
reimbursing residential providers for such unplanned absences 
positively impacts the availability of residential treatment 
for youth and emerging adults. The Department of Healthcare and 
Family Services shall begin the study on July 1, 2019 and shall 
report its findings and the results of the study to the General 
Assembly, along with any recommendations for or against 
adopting a similar policy, by December 31, 2020. 
    (p) Public awareness and educational campaign for all 
relevant providers. The Department of Healthcare and Family 
Services shall engage in a public awareness campaign to educate 
hospitals with psychiatric units, crisis response providers 
such as Screening, Assessment and Support Services providers 
and Comprehensive Community Based Youth Services agencies, 
schools, and other community institutions and providers across 
Illinois on the changes made by this amendatory Act of the 
101st General Assembly to the Family Support Program.  The 
Department of Healthcare and Family Services shall produce 
written materials geared for the appropriate target audience, 
develop webinars, and conduct outreach visits over a 12-month 
period beginning after  implementation of the changes made to 
this Section by this amendatory Act of the 101st General 
Assembly. 
    (q) Maximizing federal matching funds for the Family 
Support Program and the Specialized Family Support Program. The 
Department of Healthcare and Family Services, as the sole 
Medicaid State agency, shall seek approval from the federal 
Centers for Medicare and Medicaid Services within 12 months 
after the effective date of this amendatory Act of the 101st 
General Assembly to draw additional federal Medicaid matching 
funds for individuals served under the Family Support Program 
or the Specialized Family Support Program who are not covered 
by the Department's medical assistance programs.  The 
Department of Children and Family Services, as the State agency 
responsible for administering federal funds pursuant to Title 
IV-E of the Social Security Act, shall submit a State Plan to 
the federal government within 12 months after the effective 
date of this amendatory Act of the 101st General Assembly to 
maximize the use of federal Title IV-E prevention funds through 
the federal Family First Prevention Services Act, to provide 
mental health and substance use disorder treatment services and 
supports, including, but not limited to, the provision of 
short-term crisis and transition beds post-hospitalization for 
youth who are at imminent risk of entering Illinois' youth 
welfare system solely due to the inability to access mental 
health or substance use treatment services. 
    (r) Outcomes and data reported annually to the General 
Assembly.  Beginning in 2021, the Department of Healthcare and 
Family Services shall submit an annual report to the General 
Assembly that includes the following information with respect 
to the time period covered by the report:
        (1) The number and ages of youth, emerging adults, and 
    transition-age adults who requested services under the 
    Family Support Program and the Specialized Family Support 
    Program and the services received. 
        (2) The number and ages of youth, emerging adults, and 
    transition-age adults who requested services under the 
    Specialized Family Support Program who were eligible for 
    services based on the number of hospitalizations. 
        (3) The number and ages of youth, emerging adults, and 
    transition-age adults who applied for Family Support 
    Program or Specialized Family Support Program services but 
    did not receive any services. 
    (s) Rulemaking authority.  Unless a timeline is otherwise 
specified in a subsection, if amendments to 89 Ill. Adm. Code 
139 are needed for implementation of this Section, such 
amendments shall be filed by the Department of Healthcare and 
Family Services within one year after the effective date of 
this amendatory Act of the 101st General Assembly. 
(Source: P.A. 99-479, eff. 9-10-15.)

 
    (305 ILCS 5/5-36 new)
    Sec. 5-36. Education on mental health and substance use 
treatment services for children and young adults.  The 
Department of Healthcare and Family Services shall develop a 
layman's guide to the mental health and substance use treatment 
services available in Illinois through the Medical Assistance 
Program and through the Family Support Program, or other 
publicly funded programs, similar to what Massachusetts 
developed, to help families understand what services are 
available to them when they have a child in need of treatment 
or support.  The guide shall be in easy-to-understand language, 
be prominently available on the Department of Healthcare and 
Family Services' website, and be part of a statewide 
communications campaign to ensure families are aware of  Family 
Support Program services.  It shall briefly explain the service 
and whether it is covered by the Medical Assistance Program, 
the Family Support Program, or any other public funding source.  
Within one year after the effective date of this amendatory Act 
of the 101st General Assembly, the Department of Healthcare and 
Family Services shall complete this guide, have it available on 
its website, and launch the communications campaign.
 
    (305 ILCS 5/5-37 new)
    Sec. 5-37. Billing mechanism for preventive mental health 
services delivered to children.
    (a) The General Assembly finds:
        (1) It is common for children to have mental health 
    needs but to not have a full-blown diagnosis of a mental 
    illness.  Examples include, but are not limited to, children 
    who have mild or emerging symptoms of a mental health 
    condition (such as meeting some but not all the criteria 
    for a diagnosis, including, but not limited to, symptoms of 
    depression, attentional deficits, anxiety or prodromal 
    symptoms of bipolar disorder or schizophrenia); cutting or 
    engaging in other forms of self-harm; or experiencing 
    violence or trauma).
        (2) The federal requirement that Medicaid-covered 
    children have access to Early and Periodic Screening, 
    Diagnostic and Treatment services includes ensuring that 
    Medicaid-covered children who have a mental health need but 
    do not have a mental health diagnosis have access to 
    treatment.
        (3) The Department of Healthcare and Family Services' 
    existing policy acknowledges this federal requirement by 
    allowing for Medicaid billing for mental health services 
    for children who have a need for services but who do not 
    have a mental health diagnosis in Section 207.3.3 of the 
    Community-Based Behavioral Services Provider Handbook.  
    However, the current policy of the Department of Healthcare 
    and Family Services requires clinicians to specify a 
    diagnosis code and make a notation in the child's medical 
    record that the service is preventive.  This effectively 
    requires the clinician to associate a diagnosis with the 
    child and is a major barrier for services because many 
    clinicians rightly are unwilling to document a mental 
    health diagnosis in the medical record when a diagnosis is 
    not medically appropriate.
    (b) Consistent with the existing policy of the Department 
of Healthcare and Family Services and the federal Early and 
Periodic Screening, Diagnostic and Treatment requirement, 
within 3 months after the effective date of this amendatory Act 
of the 101st General Assembly, the Department of Healthcare and 
Family Services shall convene a working group that includes 
children's mental health providers to receive input on 
recommendations to develop a medically appropriate and 
practical solution that enables mental health providers and 
professionals to deliver and receive reimbursement for 
medically necessary mental health services provided to a 
Medicaid-eligible child under age 21  that has a mental health 
need but does not have a mental health diagnosis in order to 
prevent the development of a serious mental health condition. 
The working group shall ensure that the recommended solution 
works in practice and does not deter clinicians from delivering 
prevention and early treatment to children with mental health 
needs but who do not have a diagnosed mental illness.  The 
Department of Healthcare and Family Services shall meet with 
this working group at least 4 times prior to finalizing the 
solution to enable and allow for mental health services for a 
child without a mental health diagnosis for purposes of 
prevention and early treatment when recommended by a licensed 
practitioner of the healing arts.  If the Department of 
Healthcare and Family Services determines that an Illinois 
Title XIX State Plan amendment is necessary to implement this 
Section, the State Plan amendment shall be filed with the 
federal Centers for Medicare and Medicaid Services by no later 
than 12 months after the effective date of this amendatory Act 
of the 101st General Assembly.  If rulemaking is required to 
implement this Section, the rule shall be filed by the 
Department of Healthcare and Family Services with the Joint 
Committee on Administrative Rules by no later than  12 months 
after the effective date of this amendatory Act of the 101st 
General Assembly, or if federal approval is required, within 6 
months after federal approval. If federal approval is required 
but not granted, this Section shall become inoperative.
 
    (305 ILCS 5/5-38 new)
    Sec. 5-38. Alignment of children's mental health treatment 
systems.  The Governor's Office shall establish, convene, and 
lead a working group that includes the Director of Healthcare 
and Family Services, the Secretary of Human Services, the 
Director of Public Health, the Director of  Children and Family 
Services, the Director of Juvenile Justice, the State 
Superintendent of Education, and the appropriate agency staff 
who will be responsible for implementation or oversight of 
reforms to children's behavioral health services. The  working 
group shall meet at least quarterly to foster interagency 
collaboration and work toward the goal of aligning services and 
programs to begin to create a coordinated children's behavioral 
health system consistent with system of care principles that 
spans across State agencies, rather than  separate siloed 
systems with different requirements, rates, and administrative 
processes and standards. 
 
    Section 95. No acceleration or delay. Where this Act makes 
changes in a statute that is represented in this Act by text 
that is not yet or no longer in effect (for example, a Section 
represented by multiple versions), the use of that text does 
not accelerate or delay the taking effect of (i) the changes 
made by this Act or (ii) provisions derived from any other 
Public Act.
 
 
    Section 99. Effective date. This Act takes effect January 
1, 2020.