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.) |
| |||||||
| |||||||
1 | Section 10. The Disabled Persons Rehabilitation Act is | ||||||
2 | amended by changing Section 3 as follows:
| ||||||
3 | (20 ILCS 2405/3) (from Ch. 23, par. 3434)
| ||||||
4 | Sec. 3. Powers and duties. The Department shall have the | ||||||
5 | powers and
duties enumerated
herein:
| ||||||
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 |
| |||||||
| |||||||
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).
| ||||||
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
| ||||||
16 | remain in their own homes. Such preventive
services include any | ||||||
17 | or all of the following:
| ||||||
18 | (1) personal assistant services;
| ||||||
19 | (2) homemaker services;
| ||||||
20 | (3) home-delivered meals;
| ||||||
21 | (4) adult day care services;
| ||||||
22 | (5) respite care;
| ||||||
23 | (6) home modification or assistive equipment;
| ||||||
24 | (7) home health services;
| ||||||
25 | (8) electronic home response;
| ||||||
26 | (9) brain injury behavioral/cognitive services;
|
| |||||||
| |||||||
1 | (10) brain injury habilitation;
| ||||||
2 | (11) brain injury pre-vocational services; or
| ||||||
3 | (12) brain injury supported employment.
| ||||||
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 |
| |||||||
| |||||||
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.
| ||||||
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
| ||||||
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 |
| |||||||
| |||||||
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 |
| |||||||
| |||||||
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/).
| ||||||
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 |
| |||||||
| |||||||
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 |
| |||||||
| |||||||
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 |
| |||||||
| |||||||
1 | filed
with the Governor and the General Assembly on or before | ||||||
2 | March
30
each year.
| ||||||
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).
|
| |||||||
| |||||||
1 | (k) (Blank).
| ||||||
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
|
| |||||||
| |||||||
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.".
|