Rep. Terra Costa Howard

Filed: 3/22/2023

 

 


 

 


 
10300HB0810ham001LRB103 04403 KTG 58215 a

1
AMENDMENT TO HOUSE BILL 810

2    AMENDMENT NO. ______. Amend House Bill 810 by replacing
3everything after the enacting clause with the following:
 
4    "Section 5. The Children and Family Services Act is
5amended by changing Sections 5a, 5b, and 5c as follows:
 
6    (20 ILCS 505/5a)  (from Ch. 23, par. 5005a)
7    (Text of Section before amendment by P.A. 102-926)
8    Sec. 5a. Reimbursable services for which the Department of
9Children and Family Services shall pay 100% of the reasonable
10cost pursuant to a written contract negotiated between the
11Department and the agency furnishing the services (which shall
12include but not be limited to the determination of reasonable
13cost, the services being purchased and the duration of the
14agreement) include, but are not limited to:
 
15SERVICE ACTIVITIES

 

 

10300HB0810ham001- 2 -LRB103 04403 KTG 58215 a

1    Adjunctive Therapy;
2    Child Care Service, including day care;
3    Clinical Therapy;
4    Custodial Service;
5    Field Work Students;
6    Food Service;
7    Normal Education;
8    In-Service Training;
9    Intake or Evaluation, or both;
10    Medical Services;
11    Pass-through payments to foster parents;
12    Recreation;
13    Social Work or Counselling, or both;
14    Supportive Staff;
15    Volunteers.
 
16OBJECT EXPENSES
17    Professional Fees and Contract Service Payments;
18    Supplies;
19    Technology infrastructure, including computers,
20    equipment, software, and security services;
21    Records, including electronic medical records;
22    Telephone and Telegram;
23    Occupancy;
24    Local Transportation;
25    Equipment and Other Fixed Assets, including amortization

 

 

10300HB0810ham001- 3 -LRB103 04403 KTG 58215 a

1        of same;
2    Miscellaneous.
 
3ADMINISTRATIVE COSTS
4    Program Administration;
5    Supervision and Consultation;
6    Inspection and Monitoring for purposes of issuing
7        licenses;
8    Determination of Children who are eligible
9    for federal or other reimbursement;
10    Postage and Shipping;
11    Outside Printing, Artwork, etc.;
12    Subscriptions and Reference Publications;
13    Management and General Expense.
14    The Department shall not establish or enforce any rule,
15procedure, or contract term that reduces, limits, or restricts
16reimbursement to less than 100% of the reasonable cost for any
17object expenses, service activities, or administrative costs
18described in this Section.
19    To ensure provider agencies have access to cash reserves
20for operations in the face of rising costs and increased
21expenses, provider agencies shall be allowed to retain all
22moneys received in excess of actual reimbursable costs so long
23as the provider agency invests the excess revenue in, and uses
24the excess revenue for any of the following: (i) direct
25service, (ii) object expenses, (iii) service activities, (iv)

 

 

10300HB0810ham001- 4 -LRB103 04403 KTG 58215 a

1administrative costs, or (v) increasing positive cash flow, up
2to 3-months cash on hand, to ensure available funds for
3operations during the current and next fiscal year. The use of
4excess revenue shall be subject to review and audit consistent
5with the Department's certified audits, cost reports, and desk
6review procedures in the usual course. Reimbursement of
7administrative costs other than inspection and monitoring for
8purposes of issuing licenses may not exceed 20% of the costs
9for other services.
10    The Department may offer services to any child or family
11with respect to whom a report of suspected child abuse or
12neglect has been called in to the hotline after completion of a
13family assessment as provided under subsection (a-5) of
14Section 7.4 of the Abused and Neglected Child Reporting Act
15and the Department has determined that services are needed to
16address the safety of the child and other family members and
17the risk of subsequent maltreatment. Acceptance of such
18services shall be voluntary.
19    All Object Expenses, Service Activities and Administrative
20Costs are allowable.
21    If a survey instrument is used in the rate setting
22process:
23        (a) with respect to any day care centers, it shall be
24    limited to those agencies which receive reimbursement from
25    the State;
26        (b) the cost survey instrument shall be promulgated by

 

 

10300HB0810ham001- 5 -LRB103 04403 KTG 58215 a

1    rule;
2        (c) any requirements of the respondents shall be
3    promulgated by rule;
4        (d) all screens, limits or other tests of
5    reasonableness, allowability and reimbursability shall be
6    promulgated by rule;
7        (e) adjustments may be made by the Department to rates
8    when it determines that reported wage and salary levels
9    are insufficient to attract capable caregivers in
10    sufficient numbers.
11    The Department of Children and Family Services may pay
12100% of the reasonable costs of research and valuation focused
13exclusively on services to youth in care. Such research
14projects must be approved, in advance, by the Director of the
15Department.
16    In addition to reimbursements otherwise provided for in
17this Section, the Department of Human Services shall, in
18accordance with annual written agreements, make advance
19quarterly disbursements to local public agencies for child day
20care services with funds appropriated from the Local Effort
21Day Care Fund.
22    Neither the Department of Children and Family Services nor
23the Department of Human Services shall pay or approve
24reimbursement for day care in a facility which is operating
25without a valid license or permit, except in the case of day
26care homes or day care centers which are exempt from the

 

 

10300HB0810ham001- 6 -LRB103 04403 KTG 58215 a

1licensing requirements of the "Child Care Act of 1969".
2(Source: P.A. 100-159, eff. 8-18-17.)
 
3    (Text of Section after amendment by P.A. 102-926)
4    Sec. 5a. Reimbursable services for which the Department of
5Children and Family Services shall pay 100% of the reasonable
6cost pursuant to a written contract negotiated between the
7Department and the agency furnishing the services (which shall
8include but not be limited to the determination of reasonable
9cost, the services being purchased and the duration of the
10agreement) include, but are not limited to:
 
11SERVICE ACTIVITIES
12    Adjunctive Therapy;
13    Child Care Service, including day care;
14    Clinical Therapy;
15    Custodial Service;
16    Field Work Students;
17    Food Service;
18    Normal Education;
19    In-Service Training;
20    Intake or Evaluation, or both;
21    Medical Services;
22    Pass-through payments to foster parents;
23    Recreation;
24    Social Work or Counselling, or both;

 

 

10300HB0810ham001- 7 -LRB103 04403 KTG 58215 a

1    Supportive Staff;
2    Volunteers.
 
3OBJECT EXPENSES
4    Professional Fees and Contract Service Payments;
5    Supplies;
6    Technology infrastructure, including computers,
7    equipment, software, and security services;
8    Records, including electronic medical records;
9    Telephone and Telegram;
10    Occupancy;
11    Local Transportation;
12    Equipment and Other Fixed Assets, including amortization
13        of same;
14    Miscellaneous.
 
15ADMINISTRATIVE COSTS
16    Program Administration;
17    Supervision and Consultation;
18    Inspection and Monitoring for purposes of issuing
19        licenses;
20    Determination of Children who are eligible
21    for federal or other reimbursement;
22    Postage and Shipping;
23    Outside Printing, Artwork, etc.;
24    Subscriptions and Reference Publications;

 

 

10300HB0810ham001- 8 -LRB103 04403 KTG 58215 a

1    Management and General Expense.
2    The Department shall not establish or enforce any rule,
3procedure, or contract term that reduces, limits, or restricts
4reimbursement to less than 100% of the reasonable cost for any
5object expenses, service activities, or administrative costs
6described in this Act.
7    To ensure provider agencies have access to cash reserves
8for operations in the face of rising costs and increased
9expenses, provider agencies shall be allowed to retain all
10moneys received in excess of actual reimbursable costs so long
11as the provider agency invests the excess revenue in, and uses
12the excess revenue for any of the following: (i) direct
13service, (ii) object expenses, (iii) service activities, (iv)
14administrative costs, or (v) increasing positive cash flow, up
15to 3-months cash on hand, to ensure available funds for
16operations during the current and next fiscal year. The use of
17excess revenue shall be subject to review and audit consistent
18with the Department's certified audits, cost reports, and desk
19review procedures in the usual course.
20Reimbursement of administrative costs other than inspection
21and monitoring for purposes of issuing licenses may not exceed
2220% of the costs for other services.
23    The Department may offer services to any child or family
24with respect to whom a report of suspected child abuse or
25neglect has been called in to the hotline after completion of a
26family assessment as provided under subsection (a-5) of

 

 

10300HB0810ham001- 9 -LRB103 04403 KTG 58215 a

1Section 7.4 of the Abused and Neglected Child Reporting Act
2and the Department has determined that services are needed to
3address the safety of the child and other family members and
4the risk of subsequent maltreatment. Acceptance of such
5services shall be voluntary.
6    All Object Expenses, Service Activities and Administrative
7Costs are allowable.
8    If a survey instrument is used in the rate setting
9process:
10        (a) with respect to any day care centers, it shall be
11    limited to those agencies which receive reimbursement from
12    the State;
13        (b) the cost survey instrument shall be promulgated by
14    rule;
15        (c) any requirements of the respondents shall be
16    promulgated by rule;
17        (d) all screens, limits or other tests of
18    reasonableness, allowability and reimbursability shall be
19    promulgated by rule;
20        (e) adjustments may be made by the Department to rates
21    when it determines that reported wage and salary levels
22    are insufficient to attract capable caregivers in
23    sufficient numbers.
24    The Department of Children and Family Services may pay
25100% of the reasonable costs of research and valuation focused
26exclusively on services to youth in care. Such research

 

 

10300HB0810ham001- 10 -LRB103 04403 KTG 58215 a

1projects must be approved, in advance, by the Director of the
2Department.
3    In addition to reimbursements otherwise provided for in
4this Section, the Department of Human Services shall, in
5accordance with annual written agreements, make advance
6quarterly disbursements to local public agencies for child day
7care services with funds appropriated from the Local Effort
8Day Care Fund.
9    Neither the Department of Children and Family Services nor
10the Department of Human Services shall pay or approve
11reimbursement for day care in a facility which is operating
12without a valid license or permit, except in the case of day
13care homes or day care centers which are exempt from the
14licensing requirements of the "Child Care Act of 1969".
15    The rates paid to day care providers by the Department of
16Children and Family Services shall match the rates paid to
17child care providers by the Department of Human Services under
18the child care assistance program, including base rates and
19any relevant rate enhancements.
20(Source: P.A. 102-926, eff. 7-1-23.)
 
21    Section 95. No acceleration or delay. Where this Act makes
22changes in a statute that is represented in this Act by text
23that is not yet or no longer in effect (for example, a Section
24represented by multiple versions), the use of that text does
25not accelerate or delay the taking effect of (i) the changes

 

 

10300HB0810ham001- 11 -LRB103 04403 KTG 58215 a

1made by this Act or (ii) provisions derived from any other
2Public Act.".