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Rep. Greg Harris
Filed: 11/18/2014
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1 | | AMENDMENT TO SENATE BILL 3216
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2 | | AMENDMENT NO. ______. Amend Senate Bill 3216 by replacing |
3 | | everything after the enacting clause with the following:
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4 | | "Section 5. The Illinois Act on the Aging is amended by |
5 | | changing Section 4.02 as follows:
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6 | | (20 ILCS 105/4.02) (from Ch. 23, par. 6104.02)
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7 | | Sec. 4.02. Community Care Program. The Department shall |
8 | | establish a program of services to
prevent unnecessary |
9 | | institutionalization of persons age 60 and older in
need of |
10 | | long term care or who are established as persons who suffer |
11 | | from
Alzheimer's disease or a related disorder under the |
12 | | Alzheimer's Disease
Assistance Act, thereby enabling them
to |
13 | | remain in their own homes or in other living arrangements. Such
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14 | | preventive services, which may be coordinated with other |
15 | | programs for the
aged and monitored by area agencies on aging |
16 | | in cooperation with the
Department, may include, but are not |
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1 | | limited to, any or all of the following:
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2 | | (a) (blank);
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3 | | (b) (blank);
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4 | | (c) home care aide services;
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5 | | (d) personal assistant services;
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6 | | (e) adult day services;
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7 | | (f) home-delivered meals;
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8 | | (g) education in self-care;
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9 | | (h) personal care services;
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10 | | (i) adult day health services;
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11 | | (j) habilitation services;
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12 | | (k) respite care;
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13 | | (k-5) community reintegration services;
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14 | | (k-6) flexible senior services; |
15 | | (k-7) medication management; |
16 | | (k-8) emergency home response;
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17 | | (l) other nonmedical social services that may enable |
18 | | the person
to become self-supporting; or
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19 | | (m) clearinghouse for information provided by senior |
20 | | citizen home owners
who want to rent rooms to or share |
21 | | living space with other senior citizens.
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22 | | The Department shall establish eligibility standards for |
23 | | such
services. In determining the amount and nature of services
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24 | | for which a person may qualify, consideration shall not be |
25 | | given to the
value of cash, property or other assets held in |
26 | | the name of the person's
spouse pursuant to a written agreement |
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1 | | dividing marital property into equal
but separate shares or |
2 | | pursuant to a transfer of the person's interest in a
home to |
3 | | his spouse, provided that the spouse's share of the marital
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4 | | property is not made available to the person seeking such |
5 | | services.
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6 | | Beginning January 1, 2008, the Department shall require as |
7 | | a condition of eligibility that all new financially eligible |
8 | | applicants apply for and enroll in medical assistance under |
9 | | Article V of the Illinois Public Aid Code in accordance with |
10 | | rules promulgated by the Department.
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11 | | The Department shall, in conjunction with the Department of |
12 | | Public Aid (now Department of Healthcare and Family Services),
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13 | | seek appropriate amendments under Sections 1915 and 1924 of the |
14 | | Social
Security Act. The purpose of the amendments shall be to |
15 | | extend eligibility
for home and community based services under |
16 | | Sections 1915 and 1924 of the
Social Security Act to persons |
17 | | who transfer to or for the benefit of a
spouse those amounts of |
18 | | income and resources allowed under Section 1924 of
the Social |
19 | | Security Act. Subject to the approval of such amendments, the
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20 | | Department shall extend the provisions of Section 5-4 of the |
21 | | Illinois
Public Aid Code to persons who, but for the provision |
22 | | of home or
community-based services, would require the level of |
23 | | care provided in an
institution, as is provided for in federal |
24 | | law. Those persons no longer
found to be eligible for receiving |
25 | | noninstitutional services due to changes
in the eligibility |
26 | | criteria shall be given 45 days notice prior to actual
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1 | | termination. Those persons receiving notice of termination may |
2 | | contact the
Department and request the determination be |
3 | | appealed at any time during the
45 day notice period. The |
4 | | target
population identified for the purposes of this Section |
5 | | are persons age 60
and older with an identified service need. |
6 | | Priority shall be given to those
who are at imminent risk of |
7 | | institutionalization. The services shall be
provided to |
8 | | eligible persons age 60 and older to the extent that the cost
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9 | | of the services together with the other personal maintenance
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10 | | expenses of the persons are reasonably related to the standards
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11 | | established for care in a group facility appropriate to the |
12 | | person's
condition. These non-institutional services, pilot |
13 | | projects or
experimental facilities may be provided as part of |
14 | | or in addition to
those authorized by federal law or those |
15 | | funded and administered by the
Department of Human Services. |
16 | | The Departments of Human Services, Healthcare and Family |
17 | | Services,
Public Health, Veterans' Affairs, and Commerce and |
18 | | Economic Opportunity and
other appropriate agencies of State, |
19 | | federal and local governments shall
cooperate with the |
20 | | Department on Aging in the establishment and development
of the |
21 | | non-institutional services. The Department shall require an |
22 | | annual
audit from all personal assistant
and home care aide |
23 | | vendors contracting with
the Department under this Section. The |
24 | | annual audit shall assure that each
audited vendor's procedures |
25 | | are in compliance with Department's financial
reporting |
26 | | guidelines requiring an administrative and employee wage and |
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1 | | benefits cost split as defined in administrative rules. The |
2 | | audit is a public record under
the Freedom of Information Act. |
3 | | The Department shall execute, relative to
the nursing home |
4 | | prescreening project, written inter-agency
agreements with the |
5 | | Department of Human Services and the Department
of Healthcare |
6 | | and Family Services, to effect the following: (1) intake |
7 | | procedures and common
eligibility criteria for those persons |
8 | | who are receiving non-institutional
services; and (2) the |
9 | | establishment and development of non-institutional
services in |
10 | | areas of the State where they are not currently available or |
11 | | are
undeveloped. On and after July 1, 1996, all nursing home |
12 | | prescreenings for
individuals 60 years of age or older shall be |
13 | | conducted by the Department.
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14 | | As part of the Department on Aging's routine training of |
15 | | case managers and case manager supervisors, the Department may |
16 | | include information on family futures planning for persons who |
17 | | are age 60 or older and who are caregivers of their adult |
18 | | children with developmental disabilities. The content of the |
19 | | training shall be at the Department's discretion. |
20 | | The Department is authorized to establish a system of |
21 | | recipient copayment
for services provided under this Section, |
22 | | such copayment to be based upon
the recipient's ability to pay |
23 | | but in no case to exceed the actual cost of
the services |
24 | | provided. Additionally, any portion of a person's income which
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25 | | is equal to or less than the federal poverty standard shall not |
26 | | be
considered by the Department in determining the copayment. |
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1 | | The level of
such copayment shall be adjusted whenever |
2 | | necessary to reflect any change
in the officially designated |
3 | | federal poverty standard.
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4 | | The Department, or the Department's authorized |
5 | | representative, may
recover the amount of moneys expended for |
6 | | services provided to or in
behalf of a person under this |
7 | | Section by a claim against the person's
estate or against the |
8 | | estate of the person's surviving spouse, but no
recovery may be |
9 | | had until after the death of the surviving spouse, if
any, and |
10 | | then only at such time when there is no surviving child who
is |
11 | | under age 21, blind, or permanently and totally disabled. This
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12 | | paragraph, however, shall not bar recovery, at the death of the |
13 | | person, of
moneys for services provided to the person or in |
14 | | behalf of the person under
this Section to which the person was |
15 | | not entitled;
provided that such recovery shall not be enforced |
16 | | against any real estate while
it is occupied as a homestead by |
17 | | the surviving spouse or other dependent, if no
claims by other |
18 | | creditors have been filed against the estate, or, if such
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19 | | claims have been filed, they remain dormant for failure of |
20 | | prosecution or
failure of the claimant to compel administration |
21 | | of the estate for the purpose
of payment. This paragraph shall |
22 | | not bar recovery from the estate of a spouse,
under Sections |
23 | | 1915 and 1924 of the Social Security Act and Section 5-4 of the
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24 | | Illinois Public Aid Code, who precedes a person receiving |
25 | | services under this
Section in death. All moneys for services
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26 | | paid to or in behalf of the person under this Section shall be |
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1 | | claimed for
recovery from the deceased spouse's estate. |
2 | | "Homestead", as used
in this paragraph, means the dwelling |
3 | | house and
contiguous real estate occupied by a surviving spouse
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4 | | or relative, as defined by the rules and regulations of the |
5 | | Department of Healthcare and Family Services, regardless of the |
6 | | value of the property.
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7 | | The Department shall increase the effectiveness of the |
8 | | existing Community Care Program by: |
9 | | (1) ensuring that in-home services included in the care |
10 | | plan are available on evenings and weekends; |
11 | | (2) ensuring that care plans contain the services that |
12 | | eligible participants
need based on the number of days in a |
13 | | month, not limited to specific blocks of time, as |
14 | | identified by the comprehensive assessment tool selected |
15 | | by the Department for use statewide, not to exceed the |
16 | | total monthly service cost maximum allowed for each |
17 | | service; the Department shall develop administrative rules |
18 | | to implement this item (2); |
19 | | (3) ensuring that the participants have the right to |
20 | | choose the services contained in their care plan and to |
21 | | direct how those services are provided, based on |
22 | | administrative rules established by the Department; |
23 | | (4) ensuring that the determination of need tool is |
24 | | accurate in determining the participants' level of need; to |
25 | | achieve this, the Department, in conjunction with the Older |
26 | | Adult Services Advisory Committee, shall institute a study |
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1 | | of the relationship between the Determination of Need |
2 | | scores, level of need, service cost maximums, and the |
3 | | development and utilization of service plans no later than |
4 | | May 1, 2008; findings and recommendations shall be |
5 | | presented to the Governor and the General Assembly no later |
6 | | than January 1, 2009; recommendations shall include all |
7 | | needed changes to the service cost maximums schedule and |
8 | | additional covered services; |
9 | | (5) ensuring that homemakers can provide personal care |
10 | | services that may or may not involve contact with clients, |
11 | | including but not limited to: |
12 | | (A) bathing; |
13 | | (B) grooming; |
14 | | (C) toileting; |
15 | | (D) nail care; |
16 | | (E) transferring; |
17 | | (F) respiratory services; |
18 | | (G) exercise; or |
19 | | (H) positioning; |
20 | | (6) ensuring that homemaker program vendors are not |
21 | | restricted from hiring homemakers who are family members of |
22 | | clients or recommended by clients; the Department may not, |
23 | | by rule or policy, require homemakers who are family |
24 | | members of clients or recommended by clients to accept |
25 | | assignments in homes other than the client; |
26 | | (7) ensuring that the State may access maximum federal |
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1 | | matching funds by seeking approval for the Centers for |
2 | | Medicare and Medicaid Services for modifications to the |
3 | | State's home and community based services waiver and |
4 | | additional waiver opportunities, including applying for |
5 | | enrollment in the Balance Incentive Payment Program by May |
6 | | 1, 2013, in order to maximize federal matching funds; this |
7 | | shall include, but not be limited to, modification that |
8 | | reflects all changes in the Community Care Program services |
9 | | and all increases in the services cost maximum; |
10 | | (8) ensuring that the determination of need tool |
11 | | accurately reflects the service needs of individuals with |
12 | | Alzheimer's disease and related dementia disorders; |
13 | | (9) ensuring that services are authorized accurately |
14 | | and consistently for the Community Care Program (CCP); the |
15 | | Department shall implement a Service Authorization policy |
16 | | directive; the purpose shall be to ensure that eligibility |
17 | | and services are authorized accurately and consistently in |
18 | | the CCP program; the policy directive shall clarify service |
19 | | authorization guidelines to Care Coordination Units and |
20 | | Community Care Program providers no later than May 1, 2013; |
21 | | (10) working in conjunction with Care Coordination |
22 | | Units, the Department of Healthcare and Family Services, |
23 | | the Department of Human Services, Community Care Program |
24 | | providers, and other stakeholders to make improvements to |
25 | | the Medicaid claiming processes and the Medicaid |
26 | | enrollment procedures or requirements as needed, |
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1 | | including, but not limited to, specific policy changes or |
2 | | rules to improve the up-front enrollment of participants in |
3 | | the Medicaid program and specific policy changes or rules |
4 | | to insure more prompt submission of bills to the federal |
5 | | government to secure maximum federal matching dollars as |
6 | | promptly as possible; the Department on Aging shall have at |
7 | | least 3 meetings with stakeholders by January 1, 2014 in |
8 | | order to address these improvements; |
9 | | (11) requiring home care service providers to comply |
10 | | with the rounding of hours worked provisions under the |
11 | | federal Fair Labor Standards Act (FLSA) and as set forth in |
12 | | 29 CFR 785.48(b) by May 1, 2013; |
13 | | (12) implementing any necessary policy changes or |
14 | | promulgating any rules, no later than January 1, 2014, to |
15 | | assist the Department of Healthcare and Family Services in |
16 | | moving as many participants as possible, consistent with |
17 | | federal regulations, into coordinated care plans if a care |
18 | | coordination plan that covers long term care is available |
19 | | in the recipient's area; and |
20 | | (13) maintaining fiscal year 2014 rates at the same |
21 | | level established on January 1, 2013. |
22 | | By January 1, 2009 or as soon after the end of the Cash and |
23 | | Counseling Demonstration Project as is practicable, the |
24 | | Department may, based on its evaluation of the demonstration |
25 | | project, promulgate rules concerning personal assistant |
26 | | services, to include, but need not be limited to, |
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1 | | qualifications, employment screening, rights under fair labor |
2 | | standards, training, fiduciary agent, and supervision |
3 | | requirements. All applicants shall be subject to the provisions |
4 | | of the Health Care Worker Background Check Act.
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5 | | The Department shall develop procedures to enhance |
6 | | availability of
services on evenings, weekends, and on an |
7 | | emergency basis to meet the
respite needs of caregivers. |
8 | | Procedures shall be developed to permit the
utilization of |
9 | | services in successive blocks of 24 hours up to the monthly
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10 | | maximum established by the Department. Workers providing these |
11 | | services
shall be appropriately trained.
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12 | | Beginning on the effective date of this Amendatory Act of |
13 | | 1991, no person
may perform chore/housekeeping and home care |
14 | | aide services under a program
authorized by this Section unless |
15 | | that person has been issued a certificate
of pre-service to do |
16 | | so by his or her employing agency. Information
gathered to |
17 | | effect such certification shall include (i) the person's name,
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18 | | (ii) the date the person was hired by his or her current |
19 | | employer, and
(iii) the training, including dates and levels. |
20 | | Persons engaged in the
program authorized by this Section |
21 | | before the effective date of this
amendatory Act of 1991 shall |
22 | | be issued a certificate of all pre- and
in-service training |
23 | | from his or her employer upon submitting the necessary
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24 | | information. The employing agency shall be required to retain |
25 | | records of
all staff pre- and in-service training, and shall |
26 | | provide such records to
the Department upon request and upon |
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1 | | termination of the employer's contract
with the Department. In |
2 | | addition, the employing agency is responsible for
the issuance |
3 | | of certifications of in-service training completed to their
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4 | | employees.
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5 | | The Department is required to develop a system to ensure |
6 | | that persons
working as home care aides and personal assistants
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7 | | receive increases in their
wages when the federal minimum wage |
8 | | is increased by requiring vendors to
certify that they are |
9 | | meeting the federal minimum wage statute for home care aides
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10 | | and personal assistants. An employer that cannot ensure that |
11 | | the minimum
wage increase is being given to home care aides and |
12 | | personal assistants
shall be denied any increase in |
13 | | reimbursement costs.
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14 | | The Community Care Program Advisory Committee is created in |
15 | | the Department on Aging. The Director shall appoint individuals |
16 | | to serve in the Committee, who shall serve at their own |
17 | | expense. Members of the Committee must abide by all applicable |
18 | | ethics laws. The Committee shall advise the Department on |
19 | | issues related to the Department's program of services to |
20 | | prevent unnecessary institutionalization. The Committee shall |
21 | | meet on a bi-monthly basis and shall serve to identify and |
22 | | advise the Department on present and potential issues affecting |
23 | | the service delivery network, the program's clients, and the |
24 | | Department and to recommend solution strategies. Persons |
25 | | appointed to the Committee shall be appointed on, but not |
26 | | limited to, their own and their agency's experience with the |
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1 | | program, geographic representation, and willingness to serve. |
2 | | The Director shall appoint members to the Committee to |
3 | | represent provider, advocacy, policy research, and other |
4 | | constituencies committed to the delivery of high quality home |
5 | | and community-based services to older adults. Representatives |
6 | | shall be appointed to ensure representation from community care |
7 | | providers including, but not limited to, adult day service |
8 | | providers, homemaker providers, case coordination and case |
9 | | management units, emergency home response providers, statewide |
10 | | trade or labor unions that represent home care
aides and direct |
11 | | care staff, area agencies on aging, adults over age 60, |
12 | | membership organizations representing older adults, and other |
13 | | organizational entities, providers of care, or individuals |
14 | | with demonstrated interest and expertise in the field of home |
15 | | and community care as determined by the Director. |
16 | | Nominations may be presented from any agency or State |
17 | | association with interest in the program. The Director, or his |
18 | | or her designee, shall serve as the permanent co-chair of the |
19 | | advisory committee. One other co-chair shall be nominated and |
20 | | approved by the members of the committee on an annual basis. |
21 | | Committee members' terms of appointment shall be for 4 years |
22 | | with one-quarter of the appointees' terms expiring each year. A |
23 | | member shall continue to serve until his or her replacement is |
24 | | named. The Department shall fill vacancies that have a |
25 | | remaining term of over one year, and this replacement shall |
26 | | occur through the annual replacement of expiring terms. The |
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1 | | Director shall designate Department staff to provide technical |
2 | | assistance and staff support to the committee. Department |
3 | | representation shall not constitute membership of the |
4 | | committee. All Committee papers, issues, recommendations, |
5 | | reports, and meeting memoranda are advisory only. The Director, |
6 | | or his or her designee, shall make a written report, as |
7 | | requested by the Committee, regarding issues before the |
8 | | Committee.
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9 | | The Department on Aging and the Department of Human |
10 | | Services
shall cooperate in the development and submission of |
11 | | an annual report on
programs and services provided under this |
12 | | Section. Such joint report
shall be filed with the Governor and |
13 | | the General Assembly on or before
September 30 each year.
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14 | | The requirement for reporting to the General Assembly shall |
15 | | be satisfied
by filing copies of the report with the Speaker, |
16 | | the Minority Leader and
the Clerk of the House of |
17 | | Representatives and the President, the Minority
Leader and the |
18 | | Secretary of the Senate and the Legislative Research Unit,
as |
19 | | required by Section 3.1 of the General Assembly Organization |
20 | | Act and
filing such additional copies with the State Government |
21 | | Report Distribution
Center for the General Assembly as is |
22 | | required under paragraph (t) of
Section 7 of the State Library |
23 | | Act.
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24 | | Those persons previously found eligible for receiving |
25 | | non-institutional
services whose services were discontinued |
26 | | under the Emergency Budget Act of
Fiscal Year 1992, and who do |
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1 | | not meet the eligibility standards in effect
on or after July |
2 | | 1, 1992, shall remain ineligible on and after July 1,
1992. |
3 | | Those persons previously not required to cost-share and who |
4 | | were
required to cost-share effective March 1, 1992, shall |
5 | | continue to meet
cost-share requirements on and after July 1, |
6 | | 1992. Beginning July 1, 1992,
all clients will be required to |
7 | | meet
eligibility, cost-share, and other requirements and will |
8 | | have services
discontinued or altered when they fail to meet |
9 | | these requirements. |
10 | | For the purposes of this Section, "flexible senior |
11 | | services" refers to services that require one-time or periodic |
12 | | expenditures including, but not limited to, respite care, home |
13 | | modification, assistive technology, housing assistance, and |
14 | | transportation.
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15 | | The Department shall implement an electronic service |
16 | | verification based on global positioning systems or other |
17 | | cost-effective technology for the Community Care Program no |
18 | | later than January 1, 2014. |
19 | | The Department shall require, as a condition of |
20 | | eligibility, enrollment in the medical assistance program |
21 | | under Article V of the Illinois Public Aid Code (i) beginning |
22 | | August 1, 2013, if the Auditor General has reported that the |
23 | | Department has failed
to comply with the reporting requirements |
24 | | of Section 2-27 of
the Illinois State Auditing Act; or (ii) |
25 | | beginning June 1, 2014, if the Auditor General has reported |
26 | | that the
Department has not undertaken the required actions |
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1 | | listed in
the report required by subsection (a) of Section 2-27 |
2 | | of the
Illinois State Auditing Act. |
3 | | The Department shall delay Community Care Program services |
4 | | until an applicant is determined eligible for medical |
5 | | assistance under Article V of the Illinois Public Aid Code (i) |
6 | | beginning August 1, 2013, if the Auditor General has reported |
7 | | that the Department has failed
to comply with the reporting |
8 | | requirements of Section 2-27 of
the Illinois State Auditing |
9 | | Act; or (ii) beginning June 1, 2014, if the Auditor General has |
10 | | reported that the
Department has not undertaken the required |
11 | | actions listed in
the report required by subsection (a) of |
12 | | Section 2-27 of the
Illinois State Auditing Act. |
13 | | The Department shall implement co-payments for the |
14 | | Community Care Program at the federally allowable maximum level |
15 | | (i) beginning August 1, 2013, if the Auditor General has |
16 | | reported that the Department has failed
to comply with the |
17 | | reporting requirements of Section 2-27 of
the Illinois State |
18 | | Auditing Act; or (ii) beginning June 1, 2014, if the Auditor |
19 | | General has reported that the
Department has not undertaken the |
20 | | required actions listed in
the report required by subsection |
21 | | (a) of Section 2-27 of the
Illinois State Auditing Act. |
22 | | The Department shall provide a bi-monthly report on the |
23 | | progress of the Community Care Program reforms set forth in |
24 | | this amendatory Act of the 98th General Assembly to the |
25 | | Governor, the Speaker of the House of Representatives, the |
26 | | Minority Leader of the House of Representatives, the
President |
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1 | | of the
Senate, and the Minority Leader of the Senate. |
2 | | The Department shall conduct a quarterly review of Care |
3 | | Coordination Unit performance and adherence to service |
4 | | guidelines. The quarterly review shall be reported to the |
5 | | Speaker of the House of Representatives, the Minority Leader of |
6 | | the House of Representatives, the
President of the
Senate, and |
7 | | the Minority Leader of the Senate. The Department shall collect |
8 | | and report longitudinal data on the performance of each care |
9 | | coordination unit. Nothing in this paragraph shall be construed |
10 | | to require the Department to identify specific care |
11 | | coordination units. |
12 | | In regard to community care providers, failure to comply |
13 | | with Department on Aging policies shall be cause for |
14 | | disciplinary action, including, but not limited to, |
15 | | disqualification from serving Community Care Program clients. |
16 | | Each provider, upon submission of any bill or invoice to the |
17 | | Department for payment for services rendered, shall include a |
18 | | notarized statement, under penalty of perjury pursuant to |
19 | | Section 1-109 of the Code of Civil Procedure, that the provider |
20 | | has complied with all Department policies. |
21 | | The Department shall pay an enhanced rate under the |
22 | | Community Care Program to those in-home service provider |
23 | | agencies that offer health insurance coverage as a benefit to |
24 | | their direct service worker employees consistent with the |
25 | | mandates of Public Act 95-713. |
26 | | (Source: P.A. 97-333, eff. 8-12-11; 98-8, eff. 5-3-13.) |
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1 | | Section 10. The Disabled Persons Rehabilitation Act is |
2 | | amended by changing Section 3 as follows:
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3 | | (20 ILCS 2405/3) (from Ch. 23, par. 3434)
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4 | | Sec. 3. Powers and duties. The Department shall have the |
5 | | powers and
duties enumerated
herein:
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6 | | (a) To co-operate with the federal government in the |
7 | | administration
of the provisions of the federal Rehabilitation |
8 | | Act of 1973, as amended,
of the Workforce Investment Act of |
9 | | 1998,
and of the federal Social Security Act to the extent and |
10 | | in the manner
provided in these Acts.
|
11 | | (b) To prescribe and supervise such courses of vocational |
12 | | training
and provide such other services as may be necessary |
13 | | for the habilitation
and rehabilitation of persons with one or |
14 | | more disabilities, including the
administrative activities |
15 | | under subsection (e) of this Section, and to
co-operate with |
16 | | State and local school authorities and other recognized
|
17 | | agencies engaged in habilitation, rehabilitation and |
18 | | comprehensive
rehabilitation services; and to cooperate with |
19 | | the Department of Children
and Family Services regarding the |
20 | | care and education of children with one
or more disabilities.
|
21 | | (c) (Blank).
|
22 | | (d) To report in writing, to the Governor, annually on or |
23 | | before the
first day of December, and at such other times and |
24 | | in such manner and
upon such subjects as the Governor may |
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1 | | require. The annual report shall
contain (1) a statement of the |
2 | | existing condition of comprehensive
rehabilitation services, |
3 | | habilitation and rehabilitation in the State;
(2) a statement |
4 | | of suggestions and recommendations with reference to the
|
5 | | development of comprehensive rehabilitation services, |
6 | | habilitation and
rehabilitation in the State; and (3) an |
7 | | itemized statement of the
amounts of money received from |
8 | | federal, State and other sources, and of
the objects and |
9 | | purposes to which the respective items of these several
amounts |
10 | | have been devoted.
|
11 | | (e) (Blank).
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12 | | (f) To establish a program of services to prevent the |
13 | | unnecessary
institutionalization of persons in need of long |
14 | | term care and who meet the criteria for blindness or disability |
15 | | as defined by the Social Security Act, thereby enabling them to
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16 | | remain in their own homes. Such preventive
services include any |
17 | | or all of the following:
|
18 | | (1) personal assistant services;
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19 | | (2) homemaker services;
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20 | | (3) home-delivered meals;
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21 | | (4) adult day care services;
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22 | | (5) respite care;
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23 | | (6) home modification or assistive equipment;
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24 | | (7) home health services;
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25 | | (8) electronic home response;
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26 | | (9) brain injury behavioral/cognitive services;
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1 | | (10) brain injury habilitation;
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2 | | (11) brain injury pre-vocational services; or
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3 | | (12) brain injury supported employment.
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4 | | The Department shall establish eligibility
standards for |
5 | | such services taking into consideration the unique
economic and |
6 | | social needs of the population for whom they are to
be |
7 | | provided. Such eligibility standards may be based on the |
8 | | recipient's
ability to pay for services; provided, however, |
9 | | that any portion of a
person's income that is equal to or less |
10 | | than the "protected income" level
shall not be considered by |
11 | | the Department in determining eligibility. The
"protected |
12 | | income" level shall be determined by the Department, shall |
13 | | never be
less than the federal poverty standard, and shall be |
14 | | adjusted each year to
reflect changes in the Consumer Price |
15 | | Index For All Urban Consumers as
determined by the United |
16 | | States Department of Labor. The standards must
provide that a |
17 | | person may not have more than $10,000 in assets to be eligible |
18 | | for the services, and the Department may increase or decrease |
19 | | the asset limitation by rule. The Department may not decrease |
20 | | the asset level below $10,000.
|
21 | | The services shall be provided, as established by the
|
22 | | Department by rule, to eligible persons
to prevent unnecessary |
23 | | or premature institutionalization, to
the extent that the cost |
24 | | of the services, together with the
other personal maintenance |
25 | | expenses of the persons, are reasonably
related to the |
26 | | standards established for care in a group facility
appropriate |
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1 | | to their condition. These non-institutional
services, pilot |
2 | | projects or experimental facilities may be provided as part of
|
3 | | or in addition to those authorized by federal law or those |
4 | | funded and
administered by the Illinois Department on Aging. |
5 | | The Department shall set rates and fees for services in a fair |
6 | | and equitable manner. Services identical to those offered by |
7 | | the Department on Aging shall be paid at the same rate.
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8 | | Personal assistants shall be paid at a rate negotiated
|
9 | | between the State and an exclusive representative of personal
|
10 | | assistants under a collective bargaining agreement. In no case
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11 | | shall the Department pay personal assistants an hourly wage
|
12 | | that is less than the federal minimum wage.
|
13 | | Solely for the purposes of coverage under the Illinois |
14 | | Public Labor
Relations
Act
(5 ILCS 315/), personal assistants |
15 | | providing
services under
the Department's Home Services |
16 | | Program shall be considered to be public
employees
and the |
17 | | State of Illinois shall be considered to be their employer as |
18 | | of the
effective date of
this amendatory Act of the 93rd |
19 | | General Assembly, but not before. Solely for the purposes of |
20 | | coverage under the Illinois Public Labor Relations Act, home |
21 | | care and home health workers who function as personal |
22 | | assistants and individual maintenance home health workers and |
23 | | who also provide services under the Department's Home Services |
24 | | Program shall be considered to be public employees, no matter |
25 | | whether the State provides such services through direct |
26 | | fee-for-service arrangements, with the assistance of a managed |
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1 | | care organization or other intermediary, or otherwise, and the |
2 | | State of Illinois shall be considered to be the employer of |
3 | | those persons as of January 29, 2013 (the effective date of |
4 | | Public Act 97-1158), but not before except as otherwise |
5 | | provided under this subsection (f). The State
shall
engage in |
6 | | collective bargaining with an exclusive representative of home |
7 | | care and home health workers who function as personal |
8 | | assistants and individual maintenance home health workers |
9 | | working under the Home Services Program
concerning
their terms |
10 | | and conditions of employment that are within the State's |
11 | | control.
Nothing in
this paragraph shall be understood to limit |
12 | | the right of the persons receiving
services
defined in this |
13 | | Section to hire and fire
home care and home health workers who |
14 | | function as personal assistants
and individual maintenance |
15 | | home health workers working under the Home Services Program or |
16 | | to supervise them within the limitations set by the Home |
17 | | Services Program. The
State
shall not be considered to be the |
18 | | employer of
home care and home health workers who function as |
19 | | personal
assistants and individual maintenance home health |
20 | | workers working under the Home Services Program for any |
21 | | purposes not specifically provided in Public Act 93-204 or |
22 | | Public Act 97-1158, including but not limited to, purposes of |
23 | | vicarious liability
in tort and
purposes of statutory |
24 | | retirement or health insurance benefits. Home care and home |
25 | | health workers who function as personal assistants and |
26 | | individual maintenance home health workers and who also provide |
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1 | | services under the Department's Home Services Program shall not |
2 | | be covered by the State Employees Group
Insurance Act
of 1971 |
3 | | (5 ILCS 375/).
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4 | | Any person providing services as an individual provider |
5 | | under the Department's Home Services Program shall submit to a |
6 | | criminal history background check. The Department shall |
7 | | promulgate rules that (i) are necessary to implement this |
8 | | provision; and (ii) indicate any condition or circumstance when |
9 | | an individual provider shall be denied employment as a result |
10 | | of the criminal history background check. For purposes of this |
11 | | paragraph, "individual provider" means a person providing |
12 | | services under the Home Services Program who is a personal |
13 | | assistant, registered nurse, licensed practical nurse, |
14 | | certified nurse assistant, occupational therapist, physical |
15 | | therapist, or speech therapist and has been privately hired by |
16 | | the customer. |
17 | | Any new person providing services as an individual provider |
18 | | under the Department's Home Services Program shall participate |
19 | | in a comprehensive in-person orientation, including fraud |
20 | | training. |
21 | | Any person providing services as an individual provider |
22 | | under the Department's Home Services Program shall attend |
23 | | annual in-person training, including training in preventing |
24 | | fraud and abuse. Individual providers shall be paid their |
25 | | regular hourly wage for all orientation and training hours. |
26 | | The Department shall execute, relative to nursing home |
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1 | | prescreening, as authorized by Section 4.03 of the Illinois Act |
2 | | on the Aging,
written inter-agency agreements with the |
3 | | Department on Aging and
the Department of Healthcare and Family |
4 | | Services, to effect the intake procedures
and eligibility |
5 | | criteria for those persons who may need long term care. On and |
6 | | after July 1, 1996, all nursing
home prescreenings for |
7 | | individuals 18 through 59 years of age shall be
conducted by |
8 | | the Department, or a designee of the
Department.
|
9 | | The Department is authorized to establish a system of |
10 | | recipient cost-sharing
for services provided under this |
11 | | Section. The cost-sharing shall be based upon
the recipient's |
12 | | ability to pay for services, but in no case shall the
|
13 | | recipient's share exceed the actual cost of the services |
14 | | provided. Protected
income shall not be considered by the |
15 | | Department in its determination of the
recipient's ability to |
16 | | pay a share of the cost of services. The level of
cost-sharing |
17 | | shall be adjusted each year to reflect changes in the |
18 | | "protected
income" level. The Department shall deduct from the |
19 | | recipient's share of the
cost of services any money expended by |
20 | | the recipient for disability-related
expenses.
|
21 | | To the extent permitted under the federal Social Security |
22 | | Act, the Department, or the Department's authorized |
23 | | representative, may recover
the amount of moneys expended for |
24 | | services provided to or in behalf of a person
under this |
25 | | Section by a claim against the person's estate or against the |
26 | | estate
of the person's surviving spouse, but no recovery may be |
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1 | | had until after the
death of the surviving spouse, if any, and |
2 | | then only at such time when there is
no surviving child who is |
3 | | under age 21, blind, or permanently and totally
disabled. This |
4 | | paragraph, however, shall not bar recovery, at the death of the
|
5 | | person, of moneys for services provided to the person or in |
6 | | behalf of the
person under this Section to which the person was |
7 | | not entitled; provided that
such recovery shall not be enforced |
8 | | against any real estate while
it is occupied as a homestead by |
9 | | the surviving spouse or other dependent, if no
claims by other |
10 | | creditors have been filed against the estate, or, if such
|
11 | | claims have been filed, they remain dormant for failure of |
12 | | prosecution or
failure of the claimant to compel administration |
13 | | of the estate for the purpose
of payment. This paragraph shall |
14 | | not bar recovery from the estate of a spouse,
under Sections |
15 | | 1915 and 1924 of the Social Security Act and Section 5-4 of the
|
16 | | Illinois Public Aid Code, who precedes a person receiving |
17 | | services under this
Section in death. All moneys for services
|
18 | | paid to or in behalf of the person under this Section shall be |
19 | | claimed for
recovery from the deceased spouse's estate. |
20 | | "Homestead", as used in this
paragraph, means the dwelling |
21 | | house and
contiguous real estate occupied by a surviving spouse |
22 | | or relative, as defined
by the rules and regulations of the |
23 | | Department of Healthcare and Family Services,
regardless of the |
24 | | value of the property.
|
25 | | The Department shall submit an annual report on programs |
26 | | and
services provided under this Section. The report shall be |
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1 | | filed
with the Governor and the General Assembly on or before |
2 | | March
30
each year.
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3 | | The requirement for reporting to the General Assembly shall |
4 | | be satisfied
by filing copies of the report with the Speaker, |
5 | | the Minority Leader and
the Clerk of the House of |
6 | | Representatives and the President, the Minority
Leader and the |
7 | | Secretary of the Senate and the Legislative Research Unit,
as |
8 | | required by Section 3.1 of the General Assembly Organization |
9 | | Act, and filing
additional copies with the State
Government |
10 | | Report Distribution Center for the General Assembly as
required |
11 | | under paragraph (t) of Section 7 of the State Library Act.
|
12 | | (g) To establish such subdivisions of the Department
as |
13 | | shall be desirable and assign to the various subdivisions the
|
14 | | responsibilities and duties placed upon the Department by law.
|
15 | | (h) To cooperate and enter into any necessary agreements |
16 | | with the
Department of Employment Security for the provision of |
17 | | job placement and
job referral services to clients of the |
18 | | Department, including job
service registration of such clients |
19 | | with Illinois Employment Security
offices and making job |
20 | | listings maintained by the Department of Employment
Security |
21 | | available to such clients.
|
22 | | (i) To possess all powers reasonable and necessary for
the |
23 | | exercise and administration of the powers, duties and
|
24 | | responsibilities of the Department which are provided for by |
25 | | law.
|
26 | | (j) (Blank).
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1 | | (k) (Blank).
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2 | | (l) To establish, operate and maintain a Statewide Housing |
3 | | Clearinghouse
of information on available, government |
4 | | subsidized housing accessible to
disabled persons and |
5 | | available privately owned housing accessible to
disabled |
6 | | persons. The information shall include but not be limited to |
7 | | the
location, rental requirements, access features and |
8 | | proximity to public
transportation of available housing. The |
9 | | Clearinghouse shall consist
of at least a computerized database |
10 | | for the storage and retrieval of
information and a separate or |
11 | | shared toll free telephone number for use by
those seeking |
12 | | information from the Clearinghouse. Department offices and
|
13 | | personnel throughout the State shall also assist in the |
14 | | operation of the
Statewide Housing Clearinghouse. Cooperation |
15 | | with local, State and federal
housing managers shall be sought |
16 | | and extended in order to frequently and
promptly update the |
17 | | Clearinghouse's information.
|
18 | | (m) To assure that the names and case records of persons |
19 | | who received or
are
receiving services from the Department, |
20 | | including persons receiving vocational
rehabilitation, home |
21 | | services, or other services, and those attending one of
the |
22 | | Department's schools or other supervised facility shall be |
23 | | confidential and
not be open to the general public. Those case |
24 | | records and reports or the
information contained in those |
25 | | records and reports shall be disclosed by the
Director only to |
26 | | proper law enforcement officials, individuals authorized by a
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1 | | court, the General Assembly or any committee or commission of |
2 | | the General
Assembly, and other persons and for reasons as the |
3 | | Director designates by rule.
Disclosure by the Director may be |
4 | | only in accordance with other applicable
law.
|
5 | | (Source: P.A. 97-732, eff. 6-30-12; 97-1019, eff. 8-17-12; |
6 | | 97-1158, eff. 1-29-13; 98-1004, eff. 8-18-14.)
|
7 | | Section 99. Effective date. This Act takes effect June 1, |
8 | | 2015.".
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