HEPATITIS C SCREENING ACT Senate SponsorsSen. John G. Mulroe-Donne E. Trotter-Pamela J. Althoff-Jennifer Bertino-Tarrant, Heather A. Steans-Jacqueline Y. Collins, Antonio Muñoz, Emil Jones, III and Martin A. Sandoval House Sponsors(Rep. Michael P. McAuliffe-Robyn Gabel-John M. Cabello-Rita Mayfield-Brian W. Stewart, Kenneth Dunkin, Kathleen Willis, Cynthia Soto, William Davis, Sara Feigenholtz, Robert Martwick, Marcus C. Evans, Jr. and Camille Y. Lilly) 9/24/2015SenateTotal Veto Stands New ActCreates the Hepatitis C Screening Act. Provides that every individual born between the years of 1945 and 1965 who receives health services from a hospital as an inpatient or in the emergency department of a hospital or who receives primary care services in an outpatient department of a hospital or who receives health services from a health care practitioner providing primary care shall be offered a hepatitis C-related test, unless the health care practitioner providing the services reasonably believes that certain conditions are present. Effective January 1, 2016.Senate Committee Amendment No. 1 Adds reference to:5 ILCS 375/6.1155 ILCS 5/5-1069.365 ILCS 5/10-4-2.3105 ILCS 5/10-22.3f215 ILCS 5/356z.23 new215 ILCS 125/5-3from Ch. 111 1/2, par. 1411.2215 ILCS 165/10from Ch. 32, par. 604305 ILCS 5/5-16.8Replaces everything after the enacting clause with the introduced bill with the following changes: Provides that hepatitis C testing requirements do not apply when the health care practitioner reasonably believes that testing is contraindicated for the patient, that it would interfere with appropriate care, or if the patient is being seen for an acute ailment, illness, or condition. Amends the Illinois Insurance Code. Provides that on and after the effective date of this amendatory Act of the 99th General Assembly, every insurer that amends, delivers, issues, or renews a group or individual major medical policy of accident and health insurance in this State providing coverage for hospital or medical treatment shall provide coverage for hepatitis C screening and confirmatory testing consistent with reasonable medical standards. Makes conforming changes in the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, the School Code, the Health Maintenance Organization Act, the Voluntary Health Services Plans Act, and the Illinois Public Aid Code.Senate Floor Amendment No. 2 Replaces everything after the enacting clause with the bill as amended by Senate Amendment No. 1, but removes provisions requiring the Department of Public Health to conduct a public education campaign concerning hepatitis C.Balanced Budget Note (Office of Management and Budget) This bill will likely have a significant fiscal impact to the State's Medicaid and Group Health Insurance programs due to increased screening and treatment of Hepatitis C. The anticipated costs are not available at this time. Passage of this bill without an accompanying source of revenue will result in an unbalanced budget. State Mandates Fiscal Note (Dept. of Commerce & Economic Opportunity) This bill does not create a State mandate. Correctional Note (Dept of Corrections) There are no penalty enhancements associated with SB 661. The bill would have no fiscal or population impact on the Department of Corrections. State Debt Impact Note (Government Forecasting & Accountability) SB 0661 as Engrossed, would not change the amount of authorization for any type of State-issued or State-supported bond, and, therefore, would not affect the level of State indebtedness.Pension Note (Government Forecasting & Accountability) SB 661, as engrossed, will have no impact on any public pension fund or retirement system in Illinois. Land Conveyance Appraisal Note (Dept. of Transportation) No land conveyances are included in SB 661; therefore, there are no appraisals to be filed. Home Rule Note (Dept. of Commerce & Economic Opportunity) This bill does not pre-empt home rule authority. Judicial Note (Admin Office of the Illinois Courts) This bill would neither increase nor decrease the number of judges needed in the State. Fiscal Note (Dept. of Healthcare & Family Services) For purposes of this analysis, it is assumed that primary care providers are offering and/or recommending testing to at-risk populations based on sound medical reasoning. However, there may be an indirect impact to the Department from the publicity of hepatitis C legislation and the new hepatitis C drugs. Increased awareness of those in an at-risk population coupled with a mandate is likely to increase testing utilization. In FY14 and FY15, the Department did and is estimated to spend about $1.5 million for testing. A 10% increase in FY16 testing utilization would increase liability by $150,000 thousand. Additional testing would potentially double the population receiving treatment. This would result in an added pharmaceutical cost of $8.5 million annualized. 1/28/2015SenateFiled with Secretary by Sen. John G. Mulroe 1/28/2015SenateFirst Reading 1/28/2015SenateReferred to Assignments 1/29/2015SenateAdded as Chief Co-Sponsor Sen. Donne E. Trotter 2/3/2015SenateAdded as Chief Co-Sponsor Sen. Pamela J. Althoff 2/11/2015SenateAssigned to Public Health 2/18/2015SenatePostponed - Public Health 2/19/2015SenateAdded as Chief Co-Sponsor Sen. Jennifer Bertino-Tarrant 3/3/2015SenateAdded as Co-Sponsor Sen. Heather A. Steans 3/4/2015SenateAdded as Chief Co-Sponsor Sen. Jacqueline Y. Collins 3/18/2015SenatePostponed - Public Health 3/20/2015SenateSenate Committee Amendment No. 1 Filed with Secretary by Sen. John G. Mulroe 3/20/2015SenateSenate Committee Amendment No. 1 Referred to Assignments 3/24/2015SenateSenate Committee Amendment No. 1 Assignments Refers to Public Health 3/24/2015SenateAdded as Co-Sponsor Sen. Antonio Muñoz 3/24/2015SenateSenate Committee Amendment No. 1 Adopted 3/24/2015SenateDo Pass as Amended Public Health; 006-002-000 3/24/2015SenatePlaced on Calendar Order of 2nd Reading March 25, 2015 3/25/2015SenateSecond Reading 3/25/2015SenatePlaced on Calendar Order of 3rd Reading March 26, 2015 4/17/2015SenateSenate Floor Amendment No. 2 Filed with Secretary by Sen. John G. Mulroe 4/17/2015SenateSenate Floor Amendment No. 2 Referred to Assignments 4/21/2015SenateSenate Floor Amendment No. 2 Assignments Refers to Public Health 4/23/2015SenateSenate Floor Amendment No. 2 Recommend Do Adopt Public Health; 006-002-000 4/23/2015SenateRecalled to Second Reading 4/23/2015SenateSenate Floor Amendment No. 2 Adopted; Mulroe 4/23/2015SenatePlaced on Calendar Order of 3rd Reading 4/23/2015SenateAdded as Co-Sponsor Sen. Emil Jones, III 4/23/2015SenateThird Reading - Passed; 033-019-000 4/24/2015HouseArrived in House 4/24/2015HouseChief House Sponsor Rep. Michael P. McAuliffe 4/24/2015HouseFirst Reading 4/24/2015HouseReferred to Rules Committee 5/4/2015HouseAssigned to Human Services Committee 5/8/2015HouseCommittee Deadline Extended-Rule 9(b) May 15, 2015 5/11/2015HouseHouse Committee Amendment No. 1 Filed with Clerk by Rep. Michael P. McAuliffe 5/11/2015HouseHouse Committee Amendment No. 1 Referred to Rules Committee 5/13/2015HouseHouse Committee Amendment No. 1 Rules Refers to Human Services Committee 5/13/2015HouseDo Pass / Short Debate Human Services Committee; 014-000-000 5/13/2015HouseHouse Committee Amendment No. 1 Tabled Pursuant to Rule 40 5/13/2015HousePlaced on Calendar 2nd Reading - Short Debate 5/13/2015HouseAdded Alternate Chief Co-Sponsor Rep. Robyn Gabel 5/13/2015HouseAdded Alternate Chief Co-Sponsor Rep. John M. Cabello 5/13/2015HouseAdded Alternate Chief Co-Sponsor Rep. Rita Mayfield 5/13/2015HouseAdded Alternate Chief Co-Sponsor Rep. Brian W. Stewart 5/14/2015HouseFiscal Note Requested by Rep. André Thapedi 5/14/2015HouseState Mandates Fiscal Note Requested by Rep. André Thapedi 5/14/2015HouseBalanced Budget Note Requested by Rep. André Thapedi 5/14/2015HouseCorrectional Note Requested by Rep. André Thapedi 5/18/2015HouseBalanced Budget Note Filed 5/18/2015HouseState Mandates Fiscal Note Filed 5/18/2015HouseAdded Alternate Co-Sponsor Rep. Kenneth Dunkin 5/18/2015HouseAdded Alternate Co-Sponsor Rep. Kathleen Willis 5/18/2015HouseAdded Alternate Co-Sponsor Rep. Cynthia Soto 5/18/2015HouseAdded Alternate Co-Sponsor Rep. William Davis 5/18/2015HouseAdded Alternate Co-Sponsor Rep. Sara Feigenholtz 5/18/2015HouseAdded Alternate Co-Sponsor Rep. Robert Martwick 5/18/2015HouseCorrectional Note Filed 5/18/2015HouseSecond Reading - Short Debate 5/18/2015HouseHeld on Calendar Order of Second Reading - Short Debate 5/18/2015HouseState Debt Impact Note Filed 5/19/2015HousePension Note Filed 5/19/2015HouseLand Conveyance Appraisal Note Filed 5/19/2015HouseHome Rule Note Filed 5/20/2015HouseJudicial Note Filed 5/21/2015HouseHeld on Calendar Order of Second Reading - Short Debate 5/21/2015HouseAdded Alternate Co-Sponsor Rep. Marcus C. Evans, Jr. 5/21/2015HouseFiscal Note Filed 5/21/2015HousePlaced on Calendar Order of 3rd Reading - Short Debate 5/22/2015HouseFinal Action Deadline Extended-9(b) May 31, 2015 5/26/2015HouseThird Reading - Short Debate - Passed 067-042-001 5/26/2015HouseAdded Alternate Co-Sponsor Rep. Camille Y. Lilly 5/26/2015SenatePassed Both Houses 5/30/2015SenateAdded as Co-Sponsor Sen. Martin A. Sandoval 6/24/2015SenateSent to the Governor 8/21/2015SenateGovernor Vetoed 9/9/2015SenatePlaced Calendar Total Veto 9/24/2015SenateTotal Veto Stands