Chicago City Wire

Lindsey LaPointe introduced HB3255 in the Illinois House on Feb. 6, 2025, during the general assembly session 104, according to the Illinois General Assembly.

According to the Illinois General Assembly site, the legislature summarized the bill's official text as follows: "Amends the Public Safety Employee Benefits Act. Provides that, if the injured employee subsequently dies, the employer shall continue to pay the entire health insurance premium for the surviving spouse (rather than the surviving spouse until remarried) and for the dependent children under specified conditions."

The following is our breakdown, based on the actual bill text, and may include interpretation to clarify its provisions.

In essence, the bill amends the Public Safety Employee Benefits Act to mandate that employers fully cover health insurance premiums for full-time law enforcement, correctional officers, and firefighters who suffer catastrophic injuries or are killed in the line of duty, along with their spouses and dependent children. Coverage continues until a child reaches the age of majority or 25 if they remain dependent or are students. If the employee dies from the injury, their spouse and children will still receive coverage. Insurance from other sources reduces benefits under this bill, and fraudulent claims result in a Class A misdemeanor and forfeiture of benefits. Coverage eligibility requires the injury or death to result from fresh pursuit, responding to emergencies, or criminal investigations. The effective date is Jan. 1, 2024.

Lindsey LaPointe has proposed another 14 bills since the beginning of the 104th session.

LaPointe graduated from Grinnell College in 2004 with a BA.

Lindsey LaPointe is currently serving in the Illinois State House, representing the state's 19th House District. She replaced previous state representative Robert Martwick in 2019.

Bills in Illinois follow a multi-step legislative process, beginning with introduction in either the House or Senate, followed by committee review, floor debates, and votes in both chambers before reaching the governor for approval or veto. The General Assembly operates on a biennial schedule, and while typically thousands of bills are introduced each session, only a fraction successfully pass through the process to become law.

You can read more about bills and other measures here.

Bill Number	Date Introduced	Short Description
HB3255	02/06/2025	Amends the Public Safety Employee Benefits Act. Provides that, if the injured employee subsequently dies, the employer shall continue to pay the entire health insurance premium for the surviving spouse (rather than the surviving spouse until remarried) and for the dependent children under specified conditions.
HB2988	02/06/2025	Appropriates $5,000,000 to the Illinois Student Assistance Commission for the School Social Work Shortage Loan Repayment Program and the Post-Master of Social Work School Social Work Professional Educator License scholarship. Appropriates $1,000,000 to the Department of Human Services for the Nonprofit Clinical Supervision Program grant. Effective July 1, 2025.
HB2993	02/06/2025	Amends the Rebuild Illinois Mental Health Workforce Act. Provides that beginning January 1, 2026, for each State fiscal year, a monthly directed payment shall be paid to each community mental health provider of community support individual services based on the number of Medicaid users of community support individual services documented by Medicaid fee-for-service and managed care encounter claims delivered by the provider in the base year. Sets forth how the monthly directed payment shall be calculated. Requires the Department of Healthcare and Family Services to adjust and pay community mental health providers for any payments authorized for all services from a community mental health provider which have been paid by a Medicaid managed care organization but no encounter claim has been recorded in the Departments' Enterprise Data Warehouse. Provides that the Department must develop a process for community mental health providers to reconcile these payments and submit claims for which the Department has not used for making payments. Permits the Department to sanction Medicaid managed care organizations for services not received by the Department.
HB2728	02/05/2025	Amends the Medical Assistance Article of the Illinois Public Aid Code. Repeals provisions that require: (i) the Department of Healthcare and Family Services to consult with stakeholders and General Assembly members for input on a plan to develop enhanced Medicaid rates for substance use disorder treatment and mental health treatment in underserved communities; and (ii) the Department of Healthcare and Family Services and the Department of Human Services to collaborate to review coverage and billing requirements for substance use prevention and recovery and mental health services with the goal of identifying disparities and streamlining coverage and billing requirements to reduce the administrative burden for providers and medical assistance beneficiaries. Effective January 1, 2026.
HB2824	02/05/2025	Amends the Chicago Police and Chicago Firefighter Articles of the Illinois Pension Code. Provides that a widow's annuity shall be equal to 66 2/3%(instead of 50%) of the retirement annuity the deceased policeman or fireman was receiving at the time of death or 66 2/3% (instead of 50%) of the retirement annuity the policeman or fireman would have been eligible for if the policeman or fireman retired from service on the day before the policeman's or fireman's death. Amends the State Mandates Act to require implementation without reimbursement.
HB2871	02/05/2025	Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to develop, in collaboration with the Department of Human Services and the Department of Public Health, recommended screening guidelines for tardive dyskinesia for providers serving patients prescribed antipsychotic medications under the medical assistance program in State-operated residential facilities and community-based settings. Provides that the recommended screening guidelines shall be based on current, nationally accepted, evidence-based recommendations for the assessment and treatment of tardive dyskinesia, and shall include structured assessment tools, which can be both quantitative and qualitative. Requires the Department of Healthcare and Family Services and the Department of Human Services, in collaboration with the Department of Public Health, to develop communication strategies and educational materials to be offered to health care providers regarding tardive dyskinesia, the recommended screening guidelines, and any subsequent revisions. Provides that in developing the information to be disseminated, the Departments of Healthcare and Family Services, Human Services, and Public Health shall consult with a statewide association representing physicians licensed to practice medicine in all its branches and a statewide association representing psychiatrists.
HB2555	02/04/2025	Creates the Support for Family Home Health Aides and Caregivers Act. Requires the Director of Healthcare and Family Services to establish, no later than one year after the effective date of the Act, a Family Home Health Aide Program for the purposes of training a family caregiver of an eligible relative on the provision of qualified home health services to supplement home health and private duty nursing services in the State. Provides that under the program, the Director must certify a family caregiver of an eligible relative who has successfully completed the approved training for family home health aides, and meets all other applicable requirements established by the State, and is determined to be in compliance with any federal law concerning family home health aides. Provides that, subject to federal approval by the Centers for Medicare and Medicaid Services, a certified family home health aide shall be eligible to provide qualified home health services to an eligible relative under any home and community-based services waiver program authorized under the Social Security Act. Contains provisions concerning the development of training requirements for family home health aides; certification requirements for family home health aides; employment opportunities; the different types of home health services; a requirement to triage services based on clinical acuity; the development of a clinical acuity tool to assist in determining the care needs of medically fragile individuals; the establishment of a respite program for family home health aides and other nursing professionals; reimbursement rates for home health aide services; utilization of the Department of Healthcare and Family Services' electronic verification system; reporting requirements; and rulemaking.
HB2380	01/31/2025	Amends the Electric Vehicle Rebate Act. Provides that, beginning July 1, 2026, the rules adopted under the Act shall cause the Agency to establish one rebate application cycle for each State fiscal year, shall cause each rebate application cycle to have a duration of one State fiscal year, and shall cause the Agency to accept rebate applications and issue rebates under the Act throughout each rebate application cycle.
HB2392	01/31/2025	Amends the County Department of Corrections Division of the Counties Code, the Unified Code of Corrections, and the County Jail Act. Provides that, upon the release of a prisoner or committed person from a county correctional institution, county jail, or Department of Corrections correctional institution or facility, the sheriff, warden, or Department shall provide the prisoner or committed person with an opioid antagonist if the prisoner was incarcerated for drug-related charges or was identified as having a substance abuse disorder.
HB2398	01/31/2025	Amends the Medical Assistance Article of the Illinois Public Aid Code. In a provision prohibiting prior authorization mandates and utilization management controls under the fee-for-service and managed care medical assistance programs for FDA-approved prescription drugs that treat mental illness, requires the Department of Healthcare and Family Services and managed care organizations to report quarterly on compliance with the specified prohibitions beginning with dates of service on and after July 1, 2025. Requires the Department to post on its website a report on fee-for-service prescriptions and the reports from each managed care organization. Sets forth the information that must be contained in the quarterly reports, including, but not limited to: (i) the number of denied prescriptions and estimated net cost to the State for those covered prescriptions summarized by each of the allowed categories specified in the Code; (ii) the number of denied prescriptions and estimated net cost to the State for those prescriptions summarized by each of the non-allowed categories specified in the Code; and (iii) the number of denied prescriptions and estimated gross cost to the State for those prescriptions summarized by any other reason not specified in the Code. Requires the Department to sanction those managed care organizations that do not file the required reports. Effective immediately.
HB1770	01/27/2025	Amends the Illinois Insurance Code to require an insurance policy to provide coverage for medically necessary treatments for genetic, rare, unknown or unnamed, and unique conditions, including Ehlers-Danlos syndrome and altered drug metabolism. Provides that an insurance policy that provides coverage for prescription drugs shall include coverage for opioid alternatives, coverage for medicines included in the Model List of Essential Medicines published by the World Health Organization, and coverage for custom-made medications and medical food. Provides that an insurance policy that limits the quantity of a medication in accordance with applicable State and federal law shall not require pre-approval for the treatment of patients with rare metabolism conditions that may need a higher dose of medication than what is otherwise allowed within a time frame or prescription schedule. Provides that the burden of proving that treatment is medically necessary shall not lie with the insured in cases of rejections for filing claims, preauthorization requests, and appeals related to coverage required under the Section.
HB1784	01/27/2025	Amends the Medical Assistance Article of the Illinois Public Aid Code. Expands the classes of persons eligible for medical assistance to include, beginning January 1, 2027 and subject to any federal waivers or approvals necessary for implementation, persons licensed under the Clinical Psychologist Licensing Act, the Clinical Social Work and Social Work Practice Act, the Illinois Dental Practice Act, the Medical Practice Act of 1987, the Licensed Certified Professional Midwife Practice Act, the Nurse Practice Act, the Physician Assistant Practice Act of 1987, or the Registered Surgical Assistant and Registered Surgical Technologist Title Protection Act. Permits such licensed persons to apply for medical assistance by submitting an application to the Department of Healthcare and Family Services between January 1 and March 31. Requires the Director of Healthcare and Family Services to determine the form and manner of submitting an application. Requires the Department to post application instructions on its website. Requires an eligible person who satisfies all application requirements to pay a premium for medical assistance coverage that shall be no higher than 5% of the person's annual income. Provides that any premiums paid shall be automatically allocated to the Department's medical assistance budget for the next fiscal year. Requires the Department to adopt rules.
HB1588	01/22/2025	Appropriates $7,500,000 to the Illinois Student Assistance Commission for the Human Services Professional Loan Repayment Program. Effective July 1, 2025.
HB1555	01/21/2025	Amends the Environmental Barriers Act. Requires the Attorney General to provide, by January 31, 2026 and every January 31 thereafter (rather than by July 31, 2020 and every July 31 thereafter), data on the Attorney General's website about annual enforcement efforts performed under the Act. Effective immediately.
HB1085	01/09/2025	Amends the Illinois Insurance Code. Establishes reimbursement rates for mental health and substance use disorder treatment services for all group or individual policies of accident and health insurance or managed care plans that are amended, delivered, issued, or renewed on or after January 1, 2027 or for any contracted third party administering the behavioral health benefits for the insurer. Requires a group or individual policy of accident and health insurance or managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2026 or any contracted third party administering the behavioral health benefits for the insurer to cover certain medically necessary mental health and substance use disorder treatment services. Provides that, if the Department of Insurance determines that an insurer or a contracted third party administering the behavioral health benefits for the insurer has violated a provision concerning mental health and substance use parity, the Department shall by order assess a civil penalty of $1,000 for each violation. Excludes certain health care plans serving Medicaid populations who are enrolled under the Illinois Public Aid Code or under the Children's Health Insurance Program Act from provisions concerning mental health and substance use parity. Requires the Department to review the impact of the proposed mental health and substance abuse mandate on network adequacy for mental health and substance use disorder treatment and access to affordable mental health and substance use care. Permits the Department to examine out-of-network utilization and out-of-pocket costs for insureds for mental health and substance use treatment and services for all plans to compare with in-network utilization. Amends the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, and the School Code to require coverage under those provisions. Effective immediately.