HB3276 Summary

• Creates the Illinois Certified Community Behavioral Health Clinics Act to establish a pilot program based on federal Protecting Access to Medicare Act of 2014 (PAMA) criteria and prospective payment system methodology.

• Requires the Department of Healthcare and Family Services and Department of Human Services to develop the pilot program with stakeholder input from consumers, providers, and community representatives, with listening sessions in areas impacted by opioid and suicide crises.

• Mandates submission of a Section 1115 federal waiver application by December 31, 2021, with full implementation of certified community behavioral health clinic services within 9 months of federal approval.

• Establishes certification criteria including staffing requirements, 24-hour crisis services, care coordination, comprehensive behavioral health and primary care services, and regular reporting of encounter and quality data.

• Requires the Departments to seek federal financial assistance through all potential sources including the Delivery System Reform Incentive Payment program and to report program outcomes to the General Assembly after 2 and 4 years of implementation.