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1    AN ACT concerning State government.
  
 
2    Be it enacted by the People of the State of Illinois,
 
3represented in the General Assembly:
  
 
 
4    Section 5. The Children and Family Services Act is amended  
5by changing Section 2.2 as follows:
 
6    (20 ILCS 505/2.2)
7    Sec. 2.2. Annual reports on youth in care waiting for 
8placement. No later than December 31, 2018, and on December 31 
9of each year thereafter through December 31, 2023, the 
10Department shall prepare and submit an annual report, covering 
11the previous fiscal year, to the General Assembly regarding 
12youth in care waiting for placements or psychiatric 
13hospitalization. The report shall also be posted on the 
14Department's website. The report shall include:
15        (1) the number of youth in care who remained in 
16    emergency placements, including but not limited to 
17    shelters and emergency foster homes, for longer than 30 
18    days, their genders and ages, their recommended placement 
19    type, the total length of time each youth remained in 
20    emergency care, the barriers to timely placement, and 
21    whether they were placed in the recommended placement type 
22    after they were removed from the emergency placement, and 
23    if not, what type of placement they were placed in;
 
 
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1        (2) the number of youth in care who remained in 
2    psychiatric hospitals beyond the time they were clinically 
3    ready for discharge or beyond medical necessity, whichever 
4    is sooner, their genders and ages, their recommended 
5    placement type, the total length of time each youth 
6    remained psychiatrically hospitalized beyond necessity, 
7    the barriers to timely placement, and whether they were 
8    placed in the recommended placement type after they were 
9    removed from the psychiatric hospital, and if not, what 
10    type of placement they were placed in;
11        (3) the number of youth in care who remained in a 
12    detention center or Department of Juvenile Justice 
13    facility solely because the Department cannot locate an 
14    appropriate placement for the youth, their genders and 
15    ages, their recommended placement type, the total length 
16    of time each youth remained in the detention center or 
17    Department of Juvenile Justice facility after they could 
18    have been released, the barriers to timely placement, and 
19    whether they were placed in the recommended placement type 
20    after being released from detention of the Juvenile 
21    Justice facility, and if not, what type of placement they 
22    were placed in;
23        (3.1) the number of youth in care placed in 
24    out-of-state residential treatment facilities, whether 
25    each youth was referred to any in-state programs for 
26    placement and, if so, the  number of in-state referrals for  
 
 
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1    each youth prior to referring the youth to out-of-state 
2    programs; whether the youth was psychiatrically 
3    hospitalized beyond medical necessity prior to being sent 
4    out of state; the state each youth is placed in; and 
5    whether the youth is placed in a secure facility out of 
6    state; 
7        (3.2) the number of youth not in the temporary custody 
8    or guardianship of the
Department who are or were the 
9    subjects of child protection
investigations coded as 84b 
10    (lock-out, psychiatrically
hospitalized) under the 
11    Department's Neglect Allegation
Classification system, 
12    including youth for whom the Department
is required to 
13    make payments in accordance with Section 5-5.07 of the 
14    Illinois Public Aid Code because they were hospitalized in 
15    inpatient psychiatric hospitals or units and were beyond 
16    medical necessity during the Department's involvement with 
17    the case.  At a minimum, the report shall include the 
18    following information regarding each youth: age, region, 
19    date of hospitalization, date the youth was beyond medical 
20    necessity, date and reason for the Department's 
21    involvement, length of time the youth was beyond medical 
22    necessity, whether the youth was referred for services 
23    under the Department of Healthcare and Family Services' 
24    Family Support Program, whether the
youth was referred for 
25    intact family services, whether and when the Department 
26    petitioned for custody of the youth, and the youth's 
 
 
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1    living arrangement upon being discharged from the 
2    hospital; 
3        (3.3) the number of youth in care who remain in 
4    emergency rooms for longer than 24 hours waiting for 
5    admission to a psychiatric hospital bed. At a minimum, the 
6    report shall include the following information regarding 
7    each youth: age, region, date of admission to the 
8    emergency room, length of time the youth was in the 
9    emergency room, date and time the youth was discharged 
10    from the emergency room, hospital or placement the youth 
11    was discharged to, and a description of any critical 
12    incidents that occurred during the hospitalization, 
13    including, but not limited to, the use of emergency 
14    psychotropic medication or the use of any type of 
15    restraint. 
16        (4) a description of how the Department collected the 
17    information reported and any difficulties the Department 
18    had in collecting the information and whether there are 
19    concerns about the validity of the information; and
20        (5) a description of any steps the Department is 
21    taking to reduce the length of time youth in care wait in 
22    psychiatric hospitals, emergency placements, detention 
23    centers, and Department of Juvenile Justice facilities for 
24    clinically appropriate placements.

25(Source: P.A. 100-87, eff. 1-1-18.)
 
 
26    Section 99. Effective date. This Act takes effect upon 
 
 
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1becoming law.