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HB 1863

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2025 Regular Session Introduced by Rob Bloxom

Establishes a statewide One Health Commission to coordinate human, animal, and environmental health efforts, improving surveillance, preparedness, and collaboration across agencies

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Bill Summary · HB 1863

Summary — HB 1863

Note: The source file for HB 1863 includes multiple, different text versions and amendments from different contexts. The principal, enacted version reflected in the legislative history is an Illinois measure creating a One Health Commission/Task Force and related administrative changes and was approved as Public Act 104‑0435 (effective November 21, 2025). The file also contains an unrelated Arkansas-style amendment concerning ambulance reimbursement. This summary covers the substantive items appearing in the record, with emphasis on the enacted Illinois One Health provisions.

Purpose / Intent

  • Establish a statewide One Health body to strengthen interdisciplinary coordination among human, animal, and environmental health professionals and state agencies.
  • Improve preparedness, detection, response, and education around zoonotic and other One Health-related threats (e.g., vector‑borne disease, antimicrobial resistance).
  • (Separate provision seen in the file) Clarify ambulance reimbursement and billing rules (Arkansas draft).

Key Provisions — One Health Commission / Task Force (Illinois)

  • Creates the One Health Commission (in the Department of Public Health). Purpose: develop a strategic plan to promote interdisciplinary communication and collaboration across physicians, veterinarians, environmental and public‑health professionals, and state agencies.
  • Duties include:
    • Recommend best practices for interdisciplinary coordination.
    • Establish mechanisms to support state and local responses and recovery from zoonotic outbreaks.
    • Coordinate across agencies to reduce hazards to human, animal and environmental health; integrate science‑based solutions into public‑health strategies.
    • Develop education and outreach; promote xenosurveillance and other surveillance tools for emerging threats.
    • Promote judicious antibiotic use and consider antibiotic alternatives (e.g., bacteriophage therapy).
  • Membership (examples repeated across amendments): Director of Public Health (co‑chair), President of the University of Illinois (co‑chair in some versions), Directors or designees from Agriculture, EPA, Emergency Management, Natural Resources, Transportation, Commerce & Economic Opportunity (ex‑officio), plus appointed experts (academia, physicians, veterinarians, entomologists, safety‑net representative). Members serve without compensation but are reimbursed for expenses.
  • Administrative support provided by the Department of Public Health.
  • Deliverable: a final report (development of One Health framework and recommendations) to the Governor and General Assembly — report deadline in several drafts: on or before January 1, 2027.
  • Legislative housekeeping: the bill (as amended) also contained broader administrative provisions and multiple amendments regarding boards/commissions review, State Agency Web Site Act (cookie rules), and modification/repeal items (e.g., advisory livestock board language and some compact sections) as reflected in later amendments.

Separate Ambulance Reimbursement Provisions (Arkansas draft included in file)

  • Amends Transportation Benefit Manager Act to require:
    • Payment of ambulance claims within 30 days for services with prior authorization (unless fraud or services not performed).
    • Insurer/manager to reimburse ambulance providers at 250% of the Medicare Ambulance Fee Schedule (Rural Rate); provider acceptance as payment in full.
    • Prohibits balance billing beyond plan deductible/copay/coinsurance.
    • Authorized services (not rescinded) are not subject to audit recoupment.
    • Arkansas Ambulance Association to collect locally contracted rates and submit them annually to the Insurance Commissioner.
    • Emergency clause to make provisions effective on governor approval.

Who Would Be Affected

  • Illinois: state public‑health agencies, university research partners, veterinarians, physicians, environmental and agricultural agencies, public‑health safety‑net facilities, and entities engaged in surveillance and outbreak response.
  • Arkansas (if that draft passed in its state): ambulance providers, health insurers, transportation benefit managers, local governments and patients receiving ambulance care.

Status / Timeline

  • Illinois legislative history in the record shows HB1863 progressed through House and Senate, received amendments, and is recorded as Public Act 104‑0435, effective November 21, 2025.
  • The file contains multiple amendments and committee actions across 2025–2025 legislative sessions; final enactment language should be confirmed by reviewing Public Act 104‑0435 for the official, operative text.
  • The Arkansas ambulance draft (in the same file) shows an emergency clause but its status in that jurisdiction is not reflected as enacted in the provided record.

Note

Because the provided document mixes distinct drafts and amendments (including text from different states and several alternative amendment tracks), readers should consult the enacted Public Act 104‑0435 (effective 11/21/2025) and any state‑specific official codes for the final authoritative language and applicability.

Compiled from official sources — confirm details with the bill’s official record.

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