Bill Text: IL HB2280 | 2023-2024 | 103rd General Assembly | Introduced
Bill Title: Reinserts the provisions of the introduced bill with the following changes: Amends the Department of Professional Regulation Law of the Civil Administrative Code of Illinois. Provides that the definition of "health care professional" includes a person licensed or registered by the Department of Financial and Professional Regulation under the Medical Practice Act of 1987. Makes corresponding changes. Effective January 1, 2024.
Spectrum: Partisan Bill (Democrat 18-0)
Status: (Introduced) 2023-05-04 - Added Co-Sponsor Rep. Maura Hirschauer [HB2280 Detail]
Download: Illinois-2023-HB2280-Introduced.html
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1 | AN ACT concerning State government.
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2 | Be it enacted by the People of the State of Illinois,
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3 | represented in the General Assembly:
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4 | Section 5. The Department of Professional Regulation Law | |||||||||||||||||||
5 | of the
Civil Administrative Code of Illinois is amended by | |||||||||||||||||||
6 | adding Section 2105-15.8 as follows:
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7 | (20 ILCS 2105/2105-15.8 new) | |||||||||||||||||||
8 | Sec. 2105-15.8. Continuing education; health care cultural | |||||||||||||||||||
9 | competency. | |||||||||||||||||||
10 | (a) The General Assembly finds and declares the following: | |||||||||||||||||||
11 | (1) Health and equity and equitable access to | |||||||||||||||||||
12 | affirming health care are essential values of the State. | |||||||||||||||||||
13 | However, despite patient demographics in the State | |||||||||||||||||||
14 | changing rapidly since 2000, the State still does not have | |||||||||||||||||||
15 | a formal requirement for health care professionals to stay | |||||||||||||||||||
16 | abreast of the trends needed to meet the social and | |||||||||||||||||||
17 | cultural needs of an evolving patient base. This lack of | |||||||||||||||||||
18 | updated social and cultural knowledge by health care | |||||||||||||||||||
19 | professionals impacts communities of color, people with | |||||||||||||||||||
20 | disabilities, immigrants with or without status, people | |||||||||||||||||||
21 | who are intersex, people living with HIV, and LGBTQ+ | |||||||||||||||||||
22 | people, among other populations. | |||||||||||||||||||
23 | (2) According to a citation in "I Am Not The Doctor For |
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1 | You: Physicians' Attitudes About Caring for People With | ||||||
2 | Disabilities" in the October 2022 edition of Health | ||||||
3 | Affairs, regarding care for people with disabilities, only | ||||||
4 | 41% of physicians reported that they were very confident | ||||||
5 | about their ability to provide the same quality of care to | ||||||
6 | people with disabilities as those without, and just 57% of | ||||||
7 | physicians strongly agreed that they welcomed people with | ||||||
8 | disabilities into their practices. | ||||||
9 | (3) According to the Center for American Progress, | ||||||
10 | about half of transgender people in the United States have | ||||||
11 | been mistreated by a health care professional. Per the | ||||||
12 | 2015 U.S. Transgender Survey data for the State, 33% of | ||||||
13 | those who saw a health care provider in the past year | ||||||
14 | reported having at least one negative experience related | ||||||
15 | to being transgender, and 24% of respondents did not see a | ||||||
16 | doctor when they needed to because of fear of being | ||||||
17 | mistreated as a transgender person. | ||||||
18 | (4) According to a survey by Healthgrades in 2022, 25% | ||||||
19 | of patients said their doctors could benefit from more | ||||||
20 | training. The number jumps to 29% among non-white patients | ||||||
21 | in the survey. | ||||||
22 | (5) Many providers recognize the importance of | ||||||
23 | cultural competency for their personal education. | ||||||
24 | According to the Healthgrades survey, 31% of physicians | ||||||
25 | agree that their level of cultural competency can impact | ||||||
26 | their ability to provide optimal patient care somewhat or |
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1 | a lot. Furthermore, the generational divide among | ||||||
2 | physicians is strong on additional training that would | ||||||
3 | better equip them to care for patients of different | ||||||
4 | gender, racial, sexual, or cultural identities. Two in 5 | ||||||
5 | younger physicians with less than 10 years of training are | ||||||
6 | interested in additional training. Only one in 5 of older | ||||||
7 | physicians with more than 20 years of practice express | ||||||
8 | interest in cultural competency training. | ||||||
9 | (6) In 2019, the American Medical Association adopted | ||||||
10 | a policy that included recognition of the importance of | ||||||
11 | cultural competency to patient experience and treatment | ||||||
12 | plan adherence and encouraged the implementation of | ||||||
13 | cultural competency practices across health care settings. | ||||||
14 | (7) Furthermore, many thousands of health care | ||||||
15 | professionals in the State, including tens of thousands of | ||||||
16 | physicians and nurses, are already required to comply with | ||||||
17 | the cultural competency requirements in the State's | ||||||
18 | contract with managed care organizations, which states | ||||||
19 | that contractors shall implement a cultural competence | ||||||
20 | plan, and covered services shall be provided in a | ||||||
21 | culturally competent manner by ensuring the cultural | ||||||
22 | competence of all contractor staff, including clerical to | ||||||
23 | executive management, and providers. | ||||||
24 | (8) As a next step to ensuring all health care | ||||||
25 | professionals are trained and equipped in cultural | ||||||
26 | competency, the State should join jurisdictions like |
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1 | Connecticut, New Jersey, and the District of Columbia to | ||||||
2 | require that health care professionals be trained in | ||||||
3 | cultural competency as part of continuing education. | ||||||
4 | Having such a requirement will increase the ability of | ||||||
5 | medical providers to meet the social and cultural needs of | ||||||
6 | their diversifying patient base. | ||||||
7 | (b) As used in this Section: | ||||||
8 | "Cultural competency" means a set of integrated attitudes, | ||||||
9 | knowledge, and skills that enables a health care professional | ||||||
10 | or organization to care effectively for patients from diverse | ||||||
11 | cultures, groups, and communities. "Cultural competency" | ||||||
12 | includes, but is not limited to: (i) applying linguistic | ||||||
13 | skills to communicate effectively with the target population; | ||||||
14 | (ii) utilizing cultural information to establish therapeutic | ||||||
15 | relationships; (iii) eliciting and incorporating pertinent | ||||||
16 | cultural data in diagnosis and treatment; and (iv) | ||||||
17 | understanding and applying cultural and ethnic data to the | ||||||
18 | process of clinic care. | ||||||
19 | "Health care professional" means a person licensed or | ||||||
20 | registered by the Department of Financial and Professional | ||||||
21 | Regulation under the Nurse Practice Act, the Clinical | ||||||
22 | Psychologist Licensing Act, the Illinois Dental Practice Act, | ||||||
23 | the Pharmacy Practice Act, the Illinois Physical Therapy Act, | ||||||
24 | the Physician Assistant Practice Act of 1987, the Acupuncture | ||||||
25 | Practice Act, the Illinois Athletic Trainers Practice Act, the | ||||||
26 | Clinical Social Work and Social Work Practice Act, the |
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1 | Dietitian Nutritionist Practice Act, the Naprapathic Practice | ||||||
2 | Act, the Nursing Home Administrators Licensing and | ||||||
3 | Disciplinary Act, the Illinois Occupational Therapy Practice | ||||||
4 | Act, the Illinois Optometric Practice Act of 1987, the | ||||||
5 | Podiatric Medical Practice Act of 1987, the Respiratory Care | ||||||
6 | Practice Act, the Professional Counselor and Clinical | ||||||
7 | Professional Counselor Licensing and Practice Act, the Sex | ||||||
8 | Offender Evaluation and Treatment Provider Act, the Illinois | ||||||
9 | Speech-Language Pathology and Audiology Practice Act, the | ||||||
10 | Perfusionist Practice Act, the Genetic Counselor Licensing | ||||||
11 | Act, the Licensed Certified Professional Midwife Practice Act, | ||||||
12 | the Marriage and Family Therapy Licensing Act, the Behavior | ||||||
13 | Analyst Licensing Act, the Music Therapy Licensing and | ||||||
14 | Practice Act, the Environmental Health Practitioner Licensing | ||||||
15 | Act, and the Orthotics, Prosthetics, and Pedorthics Practice | ||||||
16 | Act. | ||||||
17 | (c) The cultural competency training required by this | ||||||
18 | Section shall include information on sensitivity relating to | ||||||
19 | and best practices for providing affirming care to people in | ||||||
20 | the person's preferred language, people with disabilities, | ||||||
21 | documented or undocumented immigrants, people who are | ||||||
22 | intersex, people living with HIV, and people of diverse sexual | ||||||
23 | orientations and gender identities, including, but not limited | ||||||
24 | to, lesbian, gay, bisexual, transgender, queer, pansexual, | ||||||
25 | asexual, and questioning individuals. | ||||||
26 | (d) For every license or registration renewal occurring on |
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1 | or after the effective date of this amendatory Act of the 103rd | ||||||
2 | General Assembly, a health care professional who has | ||||||
3 | continuing education requirements must complete at least 5 | ||||||
4 | hours in cultural competency training. | ||||||
5 | (e) For every license or registration renewal occurring on | ||||||
6 | or after the effective date of this amendatory Act of the 103rd | ||||||
7 | General Assembly, a person licensed or registered by the | ||||||
8 | Department under the Medical Practice Act of 1987 and who has | ||||||
9 | continuing education requirements must complete at least 10 | ||||||
10 | hours in cultural competency training. | ||||||
11 | (f) The hours required by this Section may count toward | ||||||
12 | meeting the minimum credit hours required for continuing | ||||||
13 | education. Any cultural competency training applied to meet | ||||||
14 | any other State licensure requirement, professional | ||||||
15 | accreditation or certification requirement, or health care | ||||||
16 | institutional practice agreement may count toward the | ||||||
17 | requirements under this Section. | ||||||
18 | (g) The Department may adopt rules for the implementation | ||||||
19 | and administration of this Section.
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20 | Section 99. Effective date. This Act takes effect January | ||||||
21 | 1, 2024.
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