96TH GENERAL ASSEMBLY
State of Illinois
2009 and 2010
HB5304


 
Introduced 2/3/2010, by Rep. David R. Leitch
 
SYNOPSIS AS INTRODUCED:
 		





 







20 ILCS 1305/1-40 new











     Amends the Department of Human Services Act. Provides that the Department of Human Services shall develop a plan for implementing 14 specified actions (relating primarily to activities of the Division of Alcoholism and Substance Abuse and the Division of Mental Health), including necessary legislative action and rule changes, so that all 14 actions can be implemented by January 1, 2013. Requires that the implementation plan include discussion of (i) the cost of implementation and any resulting cost savings and (ii) whether implementation can be expected to result in improvements in services provided by the Department or improvements in service delivery. Requires the Department to file the plan with the Governor and the General Assembly by January 1, 2012. Effective immediately.
  















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FISCAL NOTE ACT MAY APPLY
















 


 


A BILL FOR









 




  






HB5304

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    AN ACT concerning State government.
  
 
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    Be it enacted by the People of the State of Illinois,
 
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represented in the General Assembly:
  
 
 
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    Section 5. The Department of Human Services Act is amended  
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by adding Section 1-40 as follows:
 
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    (20 ILCS 1305/1-40 new)
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    Sec. 1-40. Alcoholism and Substance Abuse; Mental Health; 
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implementation plan.
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    (a) In this Section:
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    "DASA" means the Division of Alcoholism and Substance Abuse 
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within the Department.
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    "DMH" means the Division of Mental Health within the 
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Department.
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    (b) The Department shall develop a plan for implementing 
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the following actions so that all of the actions can be 
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implemented by January 1, 2013:
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        (1) Adoption by DASA of DMH's practice of licensing an 
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    agency rather than licensing each service location.
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        (2) Allowance and promotion by DASA of the ability to 
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    provide all clinical services in

   the community rather than 
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    at individually licensed facilities.
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        (3) Consolidation of the following rules in the 
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    Illinois Administrative Code: (i) Title 77, Chapter X, 
 


 






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    Subchapter d, Part 2060 ("Alcoholism and Substance Abuse 
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    Treatment and Intervention Licenses") and (ii) Title 59, 
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    Chapter IV, Part 132 ("Medicaid Community Mental Health 
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    Services Program").
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        (4) Use of a single level-of-care placement tool for 
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    both mental health

    and substance abuse services, such as 
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    the Level of Care Utilization System (LOCUS), which was

    
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    designed for both substance abuse and mental health

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    services.
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        (5) Except in the case of Assertive Community Treatment 
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    (ACT), elimination of the requirement that all mental 
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    health clients be re-registered and that the services

    they 
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    receive be re-authorized every 6 months if they have a 
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    diagnosis of

    serious mental illness.
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        (6) Posting on a website of a summary of the weekly DMH 
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    Collaborative phone calls.
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        (7) Development by DASA and DMH of uniform staff 
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    definitions and credential

    requirements for the delivery 
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    and billing of services.
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        (8) Elimination of the requirement for client 
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    signatures on treatment plans, and documentation in the 
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    assessments and treatment plans that reflects the

    client's 
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    participation in setting his or her goals.
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        (9) Implementation of a single billing system for both 
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    DMH and DASA services.
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        (10) Elimination of capping in either DASA or DMH 
 


 






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    contracts with

    providers, in recognition that Medicaid 
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    under federal laws and rules is an entitlement and

    cannot 
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    be limited.
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        (11) Use of post-payment audits only to review whether 
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    the services billed were

    properly documented in the client 
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    record, with elimination of the practice of using such 
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    audits to review individual

    records to determine whether 
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    all licensing requirements were met for individual

    
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    clients, in recognition that organizations are already 
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    licensed and this process is redundant and

    extremely time 
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    consuming.
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        (12) Maximization by the Department of "deemed" status 
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    for organizations that are accredited by

    the Joint 
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    Commission on Accreditation of Healthcare Organizations or 
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    the Commission on Accreditation of Rehabilitation 
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    Facilities and elimination of redundant reviews of the

    
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    standards.
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        (13) Combination or consolidation of separate 
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    administrative licensing functions.
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        (14) Elimination of the Department's regional offices 
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    to save significant State administrative

    costs that could 
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    be used for needed community mental health services.
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    The plan shall include recommendations for necessary 
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legislative action and changes in rules.
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    (c) The Department shall file the plan with the Governor 
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and the General Assembly by January 1, 2012.
 
 
 


 






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    Section 99. Effective date. This Act takes effect upon 
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becoming law.