98TH GENERAL ASSEMBLY
State of Illinois
2013 and 2014
HB5627

 

Introduced , by Rep. Dwight Kay

 

SYNOPSIS AS INTRODUCED:
 
20 ILCS 2405/3  from Ch. 23, par. 3434

    Amends the Disabled Persons Rehabilitation Act. In provisions concerning personal assistants contained in Public Acts 97-732 and 97-1019, provides that any person providing services as a personal assistant under the Department of Human Services' Home Services Program shall complete standardized instruction or education as determined by the Department concerning his or her obligations as a caregiver and provider of Medicaid services under the Home Services Program. Provides that the instruction or education must be available in languages other than English and to those who need accommodations due to disabilities; and that the Department shall adopt any rules necessary to implement the provision. Adds similar requirements to provisions concerning home care and home health workers who function as personal care attendants, personal assistants, or individual maintenance home health workers contained in Public Act 97-1158. Effective immediately.


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FISCAL NOTE ACT MAY APPLY

 

 

A BILL FOR

 

HB5627LRB098 16969 KTG 52047 b

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 Disabled Persons Rehabilitation Act is
5amended by changing Section 3 as follows:
 
6    (20 ILCS 2405/3)  (from Ch. 23, par. 3434)
7    (Text of Section from P.A. 97-732 and 97-1019)
8    Sec. 3. Powers and duties. The Department shall have the
9powers and duties enumerated herein:
10    (a) To co-operate with the federal government in the
11administration of the provisions of the federal Rehabilitation
12Act of 1973, as amended, of the Workforce Investment Act of
131998, and of the federal Social Security Act to the extent and
14in the manner provided in these Acts.
15    (b) To prescribe and supervise such courses of vocational
16training and provide such other services as may be necessary
17for the habilitation and rehabilitation of persons with one or
18more disabilities, including the administrative activities
19under subsection (e) of this Section, and to co-operate with
20State and local school authorities and other recognized
21agencies engaged in habilitation, rehabilitation and
22comprehensive rehabilitation services; and to cooperate with
23the Department of Children and Family Services regarding the

 

 

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1care and education of children with one or more disabilities.
2    (c) (Blank).
3    (d) To report in writing, to the Governor, annually on or
4before the first day of December, and at such other times and
5in such manner and upon such subjects as the Governor may
6require. The annual report shall contain (1) a statement of the
7existing condition of comprehensive rehabilitation services,
8habilitation and rehabilitation in the State; (2) a statement
9of suggestions and recommendations with reference to the
10development of comprehensive rehabilitation services,
11habilitation and rehabilitation in the State; and (3) an
12itemized statement of the amounts of money received from
13federal, State and other sources, and of the objects and
14purposes to which the respective items of these several amounts
15have been devoted.
16    (e) (Blank).
17    (f) To establish a program of services to prevent the
18unnecessary institutionalization of persons in need of long
19term care and who meet the criteria for blindness or disability
20as defined by the Social Security Act, thereby enabling them to
21remain in their own homes. Such preventive services include any
22or all of the following:
23        (1) personal assistant services;
24        (2) homemaker services;
25        (3) home-delivered meals;
26        (4) adult day care services;

 

 

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1        (5) respite care;
2        (6) home modification or assistive equipment;
3        (7) home health services;
4        (8) electronic home response;
5        (9) brain injury behavioral/cognitive services;
6        (10) brain injury habilitation;
7        (11) brain injury pre-vocational services; or
8        (12) brain injury supported employment.
9    The Department shall establish eligibility standards for
10such services taking into consideration the unique economic and
11social needs of the population for whom they are to be
12provided. Such eligibility standards may be based on the
13recipient's ability to pay for services; provided, however,
14that any portion of a person's income that is equal to or less
15than the "protected income" level shall not be considered by
16the Department in determining eligibility. The "protected
17income" level shall be determined by the Department, shall
18never be less than the federal poverty standard, and shall be
19adjusted each year to reflect changes in the Consumer Price
20Index For All Urban Consumers as determined by the United
21States Department of Labor. The standards must provide that a
22person may not have more than $10,000 in assets to be eligible
23for the services, and the Department may increase or decrease
24the asset limitation by rule. The Department may not decrease
25the asset level below $10,000.
26    The services shall be provided, as established by the

 

 

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1Department by rule, to eligible persons to prevent unnecessary
2or premature institutionalization, to the extent that the cost
3of the services, together with the other personal maintenance
4expenses of the persons, are reasonably related to the
5standards established for care in a group facility appropriate
6to their condition. These non-institutional services, pilot
7projects or experimental facilities may be provided as part of
8or in addition to those authorized by federal law or those
9funded and administered by the Illinois Department on Aging.
10The Department shall set rates and fees for services in a fair
11and equitable manner. Services identical to those offered by
12the Department on Aging shall be paid at the same rate.
13    Personal assistants shall be paid at a rate negotiated
14between the State and an exclusive representative of personal
15assistants under a collective bargaining agreement. In no case
16shall the Department pay personal assistants an hourly wage
17that is less than the federal minimum wage.
18    Solely for the purposes of coverage under the Illinois
19Public Labor Relations Act (5 ILCS 315/), personal assistants
20providing services under the Department's Home Services
21Program shall be considered to be public employees and the
22State of Illinois shall be considered to be their employer as
23of the effective date of this amendatory Act of the 93rd
24General Assembly, but not before. The State shall engage in
25collective bargaining with an exclusive representative of
26personal assistants working under the Home Services Program

 

 

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1concerning their terms and conditions of employment that are
2within the State's control. Nothing in this paragraph shall be
3understood to limit the right of the persons receiving services
4defined in this Section to hire and fire personal assistants or
5supervise them within the limitations set by the Home Services
6Program. The State shall not be considered to be the employer
7of personal assistants for any purposes not specifically
8provided in this amendatory Act of the 93rd General Assembly,
9including but not limited to, purposes of vicarious liability
10in tort and purposes of statutory retirement or health
11insurance benefits. Personal assistants shall not be covered by
12the State Employees Group Insurance Act of 1971 (5 ILCS 375/).
13    Any person providing services as a personal assistant under
14the Department's Home Services Program shall complete
15standardized instruction or education as determined by the
16Department concerning his or her obligations as a caregiver and
17provider of Medicaid services under the Home Services Program.
18The instruction or education must be available in languages
19other than English and to those who need accommodations due to
20disabilities. The Department shall adopt any rules necessary to
21implement this provision.
22    The Department shall execute, relative to nursing home
23prescreening, as authorized by Section 4.03 of the Illinois Act
24on the Aging, written inter-agency agreements with the
25Department on Aging and the Department of Healthcare and Family
26Services, to effect the intake procedures and eligibility

 

 

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1criteria for those persons who may need long term care. On and
2after July 1, 1996, all nursing home prescreenings for
3individuals 18 through 59 years of age shall be conducted by
4the Department, or a designee of the Department.
5    The Department is authorized to establish a system of
6recipient cost-sharing for services provided under this
7Section. The cost-sharing shall be based upon the recipient's
8ability to pay for services, but in no case shall the
9recipient's share exceed the actual cost of the services
10provided. Protected income shall not be considered by the
11Department in its determination of the recipient's ability to
12pay a share of the cost of services. The level of cost-sharing
13shall be adjusted each year to reflect changes in the
14"protected income" level. The Department shall deduct from the
15recipient's share of the cost of services any money expended by
16the recipient for disability-related expenses.
17    To the extent permitted under the federal Social Security
18Act, the Department, or the Department's authorized
19representative, may recover the amount of moneys expended for
20services provided to or in behalf of a person under this
21Section by a claim against the person's estate or against the
22estate of the person's surviving spouse, but no recovery may be
23had until after the death of the surviving spouse, if any, and
24then only at such time when there is no surviving child who is
25under age 21, blind, or permanently and totally disabled. This
26paragraph, however, shall not bar recovery, at the death of the

 

 

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1person, of moneys for services provided to the person or in
2behalf of the person under this Section to which the person was
3not entitled; provided that such recovery shall not be enforced
4against any real estate while it is occupied as a homestead by
5the surviving spouse or other dependent, if no claims by other
6creditors have been filed against the estate, or, if such
7claims have been filed, they remain dormant for failure of
8prosecution or failure of the claimant to compel administration
9of the estate for the purpose of payment. This paragraph shall
10not bar recovery from the estate of a spouse, under Sections
111915 and 1924 of the Social Security Act and Section 5-4 of the
12Illinois Public Aid Code, who precedes a person receiving
13services under this Section in death. All moneys for services
14paid to or in behalf of the person under this Section shall be
15claimed for recovery from the deceased spouse's estate.
16"Homestead", as used in this paragraph, means the dwelling
17house and contiguous real estate occupied by a surviving spouse
18or relative, as defined by the rules and regulations of the
19Department of Healthcare and Family Services, regardless of the
20value of the property.
21    The Department shall submit an annual report on programs
22and services provided under this Section. The report shall be
23filed with the Governor and the General Assembly on or before
24March 30 each year.
25    The requirement for reporting to the General Assembly shall
26be satisfied by filing copies of the report with the Speaker,

 

 

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1the Minority Leader and the Clerk of the House of
2Representatives and the President, the Minority Leader and the
3Secretary of the Senate and the Legislative Research Unit, as
4required by Section 3.1 of the General Assembly Organization
5Act, and filing additional copies with the State Government
6Report Distribution Center for the General Assembly as required
7under paragraph (t) of Section 7 of the State Library Act.
8    (g) To establish such subdivisions of the Department as
9shall be desirable and assign to the various subdivisions the
10responsibilities and duties placed upon the Department by law.
11    (h) To cooperate and enter into any necessary agreements
12with the Department of Employment Security for the provision of
13job placement and job referral services to clients of the
14Department, including job service registration of such clients
15with Illinois Employment Security offices and making job
16listings maintained by the Department of Employment Security
17available to such clients.
18    (i) To possess all powers reasonable and necessary for the
19exercise and administration of the powers, duties and
20responsibilities of the Department which are provided for by
21law.
22    (j) (Blank).
23    (k) (Blank).
24    (l) To establish, operate and maintain a Statewide Housing
25Clearinghouse of information on available, government
26subsidized housing accessible to disabled persons and

 

 

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1available privately owned housing accessible to disabled
2persons. The information shall include but not be limited to
3the location, rental requirements, access features and
4proximity to public transportation of available housing. The
5Clearinghouse shall consist of at least a computerized database
6for the storage and retrieval of information and a separate or
7shared toll free telephone number for use by those seeking
8information from the Clearinghouse. Department offices and
9personnel throughout the State shall also assist in the
10operation of the Statewide Housing Clearinghouse. Cooperation
11with local, State and federal housing managers shall be sought
12and extended in order to frequently and promptly update the
13Clearinghouse's information.
14    (m) To assure that the names and case records of persons
15who received or are receiving services from the Department,
16including persons receiving vocational rehabilitation, home
17services, or other services, and those attending one of the
18Department's schools or other supervised facility shall be
19confidential and not be open to the general public. Those case
20records and reports or the information contained in those
21records and reports shall be disclosed by the Director only to
22proper law enforcement officials, individuals authorized by a
23court, the General Assembly or any committee or commission of
24the General Assembly, and other persons and for reasons as the
25Director designates by rule. Disclosure by the Director may be
26only in accordance with other applicable law.

 

 

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1(Source: P.A. 97-732, eff. 6-30-12; 97-1019, eff. 8-17-12;
2revised 8-23-12.)
 
3    (Text of Section from P.A. 97-732 and 97-1158)
4    Sec. 3. Powers and duties. The Department shall have the
5powers and duties enumerated herein:
6    (a) To co-operate with the federal government in the
7administration of the provisions of the federal Rehabilitation
8Act of 1973, as amended, of the Workforce Investment Act of
91998, and of the federal Social Security Act to the extent and
10in the manner provided in these Acts.
11    (b) To prescribe and supervise such courses of vocational
12training and provide such other services as may be necessary
13for the habilitation and rehabilitation of persons with one or
14more disabilities, including the administrative activities
15under subsection (e) of this Section, and to co-operate with
16State and local school authorities and other recognized
17agencies engaged in habilitation, rehabilitation and
18comprehensive rehabilitation services; and to cooperate with
19the Department of Children and Family Services regarding the
20care and education of children with one or more disabilities.
21    (c) (Blank).
22    (d) To report in writing, to the Governor, annually on or
23before the first day of December, and at such other times and
24in such manner and upon such subjects as the Governor may
25require. The annual report shall contain (1) a statement of the

 

 

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1existing condition of comprehensive rehabilitation services,
2habilitation and rehabilitation in the State; (2) a statement
3of suggestions and recommendations with reference to the
4development of comprehensive rehabilitation services,
5habilitation and rehabilitation in the State; and (3) an
6itemized statement of the amounts of money received from
7federal, State and other sources, and of the objects and
8purposes to which the respective items of these several amounts
9have been devoted.
10    (e) (Blank).
11    (f) To establish a program of services to prevent
12unnecessary institutionalization of persons with Alzheimer's
13disease and related disorders or persons in need of long term
14care who are established as blind or disabled as defined by the
15Social Security Act, thereby enabling them to remain in their
16own homes or other living arrangements. Such preventive
17services may include, but are not limited to, any or all of the
18following:
19        (1) home health services;
20        (2) home nursing services;
21        (3) homemaker services;
22        (4) chore and housekeeping services;
23        (5) day care services;
24        (6) home-delivered meals;
25        (7) education in self-care;
26        (8) personal care services;

 

 

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1        (9) adult day health services;
2        (10) habilitation services;
3        (11) respite care; or
4        (12) other nonmedical social services that may enable
5    the person to become self-supporting.
6    The Department shall establish eligibility standards for
7such services taking into consideration the unique economic and
8social needs of the population for whom they are to be
9provided. Such eligibility standards may be based on the
10recipient's ability to pay for services; provided, however,
11that any portion of a person's income that is equal to or less
12than the "protected income" level shall not be considered by
13the Department in determining eligibility. The "protected
14income" level shall be determined by the Department, shall
15never be less than the federal poverty standard, and shall be
16adjusted each year to reflect changes in the Consumer Price
17Index For All Urban Consumers as determined by the United
18States Department of Labor. The standards must provide that a
19person may have not more than $10,000 in assets to be eligible
20for the services, and the Department may increase the asset
21limitation by rule. Additionally, in determining the amount and
22nature of services for which a person may qualify,
23consideration shall not be given to the value of cash, property
24or other assets held in the name of the person's spouse
25pursuant to a written agreement dividing marital property into
26equal but separate shares or pursuant to a transfer of the

 

 

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1person's interest in a home to his spouse, provided that the
2spouse's share of the marital property is not made available to
3the person seeking such services.
4    The services shall be provided to eligible persons to
5prevent unnecessary or premature institutionalization, to the
6extent that the cost of the services, together with the other
7personal maintenance expenses of the persons, are reasonably
8related to the standards established for care in a group
9facility appropriate to their condition. These
10non-institutional services, pilot projects or experimental
11facilities may be provided as part of or in addition to those
12authorized by federal law or those funded and administered by
13the Illinois Department on Aging. The Department shall set
14rates and fees for services in a fair and equitable manner.
15Services identical to those offered by the Department on Aging
16shall be paid at the same rate.
17    Personal care attendants shall be paid:
18        (i) A $5 per hour minimum rate beginning July 1, 1995.
19        (ii) A $5.30 per hour minimum rate beginning July 1,
20    1997.
21        (iii) A $5.40 per hour minimum rate beginning July 1,
22    1998.
23    Solely for the purposes of coverage under the Illinois
24Public Labor Relations Act (5 ILCS 315/), personal care
25attendants and personal assistants providing services under
26the Department's Home Services Program shall be considered to

 

 

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1be public employees, and the State of Illinois shall be
2considered to be their employer as of the effective date of
3this amendatory Act of the 93rd General Assembly, but not
4before. Solely for the purposes of coverage under the Illinois
5Public Labor Relations Act, home care and home health workers
6who function as personal care attendants, personal assistants,
7and individual maintenance home health workers and who also
8provide services under the Department's Home Services Program
9shall be considered to be public employees, no matter whether
10the State provides such services through direct
11fee-for-service arrangements, with the assistance of a managed
12care organization or other intermediary, or otherwise, and the
13State of Illinois shall be considered to be the employer of
14those persons as of the effective date of this amendatory Act
15of the 97th General Assembly, but not before except as
16otherwise provided under this subsection (f). The State shall
17engage in collective bargaining with an exclusive
18representative of home care and home health workers who
19function as personal care attendants, personal assistants, and
20individual maintenance home health workers working under the
21Home Services Program concerning their terms and conditions of
22employment that are within the State's control. Nothing in this
23paragraph shall be understood to limit the right of the persons
24receiving services defined in this Section to hire and fire
25home care and home health workers who function as personal care
26attendants, personal assistants, and individual maintenance

 

 

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1home health workers working under the Home Services Program or
2to supervise them within the limitations set by the Home
3Services Program. The State shall not be considered to be the
4employer of home care and home health workers who function as
5personal care attendants, personal assistants, and individual
6maintenance home health workers working under the Home Services
7Program for any purposes not specifically provided in Public
8Act 93-204 or this amendatory Act of the 97th General Assembly,
9including but not limited to, purposes of vicarious liability
10in tort and purposes of statutory retirement or health
11insurance benefits. Home care and home health workers who
12function as personal care attendants, personal assistants, and
13individual maintenance home health workers and who also provide
14services under the Department's Home Services Program shall not
15be covered by the State Employees Group Insurance Act of 1971
16(5 ILCS 375/).
17    Any home care and home health worker who functions as a
18personal care attendant, personal assistant, or individual
19maintenance home health worker and provides services under the
20Department's Home Services Program shall complete standardized
21instruction or education as determined by the Department
22concerning his or her obligations as a caregiver and provider
23of Medicaid services under the Home Services Program. The
24instruction or education must be available in languages other
25than English and to those who need accommodations due to
26disabilities. The Department shall adopt any rules necessary to

 

 

HB5627- 16 -LRB098 16969 KTG 52047 b

1implement this provision.
2    The Department shall execute, relative to the nursing home
3prescreening project, as authorized by Section 4.03 of the
4Illinois Act on the Aging, written inter-agency agreements with
5the Department on Aging and the Department of Public Aid (now
6Department of Healthcare and Family Services), to effect the
7following: (i) intake procedures and common eligibility
8criteria for those persons who are receiving non-institutional
9services; and (ii) the establishment and development of
10non-institutional services in areas of the State where they are
11not currently available or are undeveloped. On and after July
121, 1996, all nursing home prescreenings for individuals 18
13through 59 years of age shall be conducted by the Department.
14    The Department is authorized to establish a system of
15recipient cost-sharing for services provided under this
16Section. The cost-sharing shall be based upon the recipient's
17ability to pay for services, but in no case shall the
18recipient's share exceed the actual cost of the services
19provided. Protected income shall not be considered by the
20Department in its determination of the recipient's ability to
21pay a share of the cost of services. The level of cost-sharing
22shall be adjusted each year to reflect changes in the
23"protected income" level. The Department shall deduct from the
24recipient's share of the cost of services any money expended by
25the recipient for disability-related expenses.
26    The Department, or the Department's authorized

 

 

HB5627- 17 -LRB098 16969 KTG 52047 b

1representative, shall recover the amount of moneys expended for
2services provided to or in behalf of a person under this
3Section by a claim against the person's estate or against the
4estate of the person's surviving spouse, but no recovery may be
5had until after the death of the surviving spouse, if any, and
6then only at such time when there is no surviving child who is
7under age 21, blind, or permanently and totally disabled. This
8paragraph, however, shall not bar recovery, at the death of the
9person, of moneys for services provided to the person or in
10behalf of the person under this Section to which the person was
11not entitled; provided that such recovery shall not be enforced
12against any real estate while it is occupied as a homestead by
13the surviving spouse or other dependent, if no claims by other
14creditors have been filed against the estate, or, if such
15claims have been filed, they remain dormant for failure of
16prosecution or failure of the claimant to compel administration
17of the estate for the purpose of payment. This paragraph shall
18not bar recovery from the estate of a spouse, under Sections
191915 and 1924 of the Social Security Act and Section 5-4 of the
20Illinois Public Aid Code, who precedes a person receiving
21services under this Section in death. All moneys for services
22paid to or in behalf of the person under this Section shall be
23claimed for recovery from the deceased spouse's estate.
24"Homestead", as used in this paragraph, means the dwelling
25house and contiguous real estate occupied by a surviving spouse
26or relative, as defined by the rules and regulations of the

 

 

HB5627- 18 -LRB098 16969 KTG 52047 b

1Department of Healthcare and Family Services, regardless of the
2value of the property.
3    The Department and the Department on Aging shall cooperate
4in the development and submission of an annual report on
5programs and services provided under this Section. Such joint
6report shall be filed with the Governor and the General
7Assembly on or before March 30 each year.
8    The requirement for reporting to the General Assembly shall
9be satisfied by filing copies of the report with the Speaker,
10the Minority Leader and the Clerk of the House of
11Representatives and the President, the Minority Leader and the
12Secretary of the Senate and the Legislative Research Unit, as
13required by Section 3.1 of the General Assembly Organization
14Act, and filing additional copies with the State Government
15Report Distribution Center for the General Assembly as required
16under paragraph (t) of Section 7 of the State Library Act.
17    (g) To establish such subdivisions of the Department as
18shall be desirable and assign to the various subdivisions the
19responsibilities and duties placed upon the Department by law.
20    (h) To cooperate and enter into any necessary agreements
21with the Department of Employment Security for the provision of
22job placement and job referral services to clients of the
23Department, including job service registration of such clients
24with Illinois Employment Security offices and making job
25listings maintained by the Department of Employment Security
26available to such clients.

 

 

HB5627- 19 -LRB098 16969 KTG 52047 b

1    (i) To possess all powers reasonable and necessary for the
2exercise and administration of the powers, duties and
3responsibilities of the Department which are provided for by
4law.
5    (j) To establish a procedure whereby new providers of
6personal care attendant services shall submit vouchers to the
7State for payment two times during their first month of
8employment and one time per month thereafter. In no case shall
9the Department pay personal care attendants an hourly wage that
10is less than the federal minimum wage.
11    (k) To provide adequate notice to providers of chore and
12housekeeping services informing them that they are entitled to
13an interest payment on bills which are not promptly paid
14pursuant to Section 3 of the State Prompt Payment Act.
15    (l) To establish, operate and maintain a Statewide Housing
16Clearinghouse of information on available, government
17subsidized housing accessible to disabled persons and
18available privately owned housing accessible to disabled
19persons. The information shall include but not be limited to
20the location, rental requirements, access features and
21proximity to public transportation of available housing. The
22Clearinghouse shall consist of at least a computerized database
23for the storage and retrieval of information and a separate or
24shared toll free telephone number for use by those seeking
25information from the Clearinghouse. Department offices and
26personnel throughout the State shall also assist in the

 

 

HB5627- 20 -LRB098 16969 KTG 52047 b

1operation of the Statewide Housing Clearinghouse. Cooperation
2with local, State and federal housing managers shall be sought
3and extended in order to frequently and promptly update the
4Clearinghouse's information.
5    (m) To assure that the names and case records of persons
6who received or are receiving services from the Department,
7including persons receiving vocational rehabilitation, home
8services, or other services, and those attending one of the
9Department's schools or other supervised facility shall be
10confidential and not be open to the general public. Those case
11records and reports or the information contained in those
12records and reports shall be disclosed by the Director only to
13proper law enforcement officials, individuals authorized by a
14court, the General Assembly or any committee or commission of
15the General Assembly, and other persons and for reasons as the
16Director designates by rule. Disclosure by the Director may be
17only in accordance with other applicable law.
18(Source: P.A. 97-732, eff. 6-30-12; 97-1158, eff. 1-29-13;
19revised 2-21-13.)
 
20    Section 99. Effective date. This Act takes effect upon
21becoming law.