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1 | AN ACT concerning public aid.
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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 Illinois Public Aid Code is amended by | ||||||
5 | adding Section 5-2.08 as follows: | ||||||
6 | (305 ILCS 5/5-2.08 new) | ||||||
7 | Sec. 5-2.08. Spousal caregiver demonstration. | ||||||
8 | (a) The Department of Human Services, in consultation with | ||||||
9 | the Department of Healthcare and Family Services, shall develop | ||||||
10 | a demonstration project within the Home Services Program under | ||||||
11 | which a spouse may be reimbursed for providing care to his or | ||||||
12 | her spouse, who is eligible for services through the Home | ||||||
13 | Services Program and who meets the criteria for this | ||||||
14 | demonstration project. The demonstration project shall operate | ||||||
15 | in selected counties and be limited to serving no more than 100 | ||||||
16 | unduplicated persons in a State fiscal year. | ||||||
17 | The components of the demonstration project shall include | ||||||
18 | the following: | ||||||
19 | (1) Authorization for a spouse to be reimbursed for | ||||||
20 | care provided to his or her otherwise eligible spouse | ||||||
21 | through the Home Services Program. | ||||||
22 | (2) The development of specific criteria for the | ||||||
23 | provision of services under the demonstration project. |
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1 | Criteria applicable to a spousal caregiver shall include, | ||||||
2 | but need not be limited to, (i) a limitation on the total | ||||||
3 | hours of a spousal caregiver's outside employment plus | ||||||
4 | hours of providing care to his or her eligible spouse to | ||||||
5 | ensure that the complete plan of care is delivered to the | ||||||
6 | eligible spouse and (ii) limitations on a spousal | ||||||
7 | caregiver's participation in the demonstration project if | ||||||
8 | the caregiver has a known history of spousal abuse, | ||||||
9 | neglect, or exploitation. | ||||||
10 | (3) The determination of the personal care or similar | ||||||
11 | services for which payment may be made. Spousal caregivers | ||||||
12 | shall be paid at the Personal Assistant level of care and | ||||||
13 | pay rate. In those instances in which the eligible spouse | ||||||
14 | requires specialized services (for example, services | ||||||
15 | provided by a certified nursing assistant (CNA), licensed | ||||||
16 | practical nurse (LPN), or registered nurse (RN)) and the | ||||||
17 | spousal caregiver has the corresponding certification or | ||||||
18 | licensure, the spousal caregiver shall be paid the higher | ||||||
19 | rate for the specialized services only. The specialized | ||||||
20 | services the eligible spouse is authorized to receive shall | ||||||
21 | be defined and approved in the services plan. | ||||||
22 | (4) The method for determining that the amount of | ||||||
23 | personal care or similar services provided by the spouse is | ||||||
24 | "extraordinary care" that exceeds the ordinary care that | ||||||
25 | would be provided to a spouse without a disability. | ||||||
26 | (5) Limitations on the number of hours of personal |
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1 | services that will be reimbursed. | ||||||
2 | (6) Utilization of the Determination of Need | ||||||
3 | evaluation and other comprehensive assessment tools as | ||||||
4 | criteria for determining eligibility and developing | ||||||
5 | service plans under the demonstration project. | ||||||
6 | (7) Determination of how or whether the provision of | ||||||
7 | personal care by the spouse is in the best interest of his | ||||||
8 | or her spouse, who is an eligible participant in the | ||||||
9 | demonstration project. | ||||||
10 | (8) Use of procedures that ensure that payments are | ||||||
11 | made for services rendered. | ||||||
12 | (9) Assurances that all other criteria of the | ||||||
13 | demonstration project are met. | ||||||
14 | (10) Measurement of participant experiences. | ||||||
15 | (11) Monthly in-home monitoring of the health and | ||||||
16 | safety of the eligible spouse. | ||||||
17 | (12) Documentation of the marital relationship for | ||||||
18 | participation in the demonstration project. | ||||||
19 | (13) Assurances that the eligible spouse is capable of | ||||||
20 | communicating his or her needs. | ||||||
21 | (14) Enrollment of an alternative care provider to | ||||||
22 | ensure that there is no disruption of care to the eligible | ||||||
23 | spouse. | ||||||
24 | (15) Assurances that the spousal caregiver is | ||||||
25 | emotionally, physically, and cognitively able to provide | ||||||
26 | the necessary care to the eligible spouse. |
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1 | (b) By July 1, 2009, the Department of Human Services, in | ||||||
2 | consultation with the Department of Healthcare and Family | ||||||
3 | Services, shall begin development of the demonstration | ||||||
4 | project. The Department of Human Services shall provide an | ||||||
5 | interim report on or before March 1, 2010 to the Governor and | ||||||
6 | the General Assembly that includes the progress on the | ||||||
7 | development of the demonstration project and implementation | ||||||
8 | timelines of the demonstration project and the criteria for the | ||||||
9 | demonstration project. | ||||||
10 | (c) The Department of Human Services shall report findings | ||||||
11 | and recommendations by March 1, 2011 to the Governor and the | ||||||
12 | General Assembly. The report shall include an explanation of | ||||||
13 | the manner in which each demonstration project component listed | ||||||
14 | in paragraphs (1) through (10) of subsection (a) is addressed. | ||||||
15 | In addition, the report shall include (i) the estimated number | ||||||
16 | of clients statewide who could utilize services and (ii) an | ||||||
17 | analysis of the fiscal impact per client on the Department's | ||||||
18 | new and existing costs under the Home Services Program.
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19 | Section 99. Effective date. This Act takes effect upon | ||||||
20 | becoming law.
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