Synopsis As Introduced Amends the Mental Health and Developmental Disabilities Administrative Act. Provides that the Department of Human Services shall include, in the annual service needs report regarding autism submitted to the General Assembly, a plan to provide family support mechanisms to enable persons with autism to remain in a family home environment. Amends the Illinois Public Aid Code. Extends Medicaid eligibility for continued home-based skilled or intermediate care to persons age 21 or older (under current law, eligibility is limited to persons under age 21). Requires an annual determination of need for that level of care and requires the Department of Human Services to make an annual report concerning services provided and other matters. Effective immediately.
House Committee Amendment No. 1 In provisions extending continued Medicaid coverage of home-based skilled or intermediate care for persons age 21 or older, limits that coverage to services provided outside an institution.
Fiscal Note (Department of Human Services)
The total estimated cost for House Bill 4502 is $635,000-$26,400,000.
Fiscal Note (Department of Public Aid)
It is assumed persons currently aging out of the waiver go into a skilled nursing facility. At $90 per day, the annual cost for a client in a skilled nursing facility is $32,850. Continuing coverage for these persons after the age of 21 with services offered in the waiver costs an average of $120,000 per client- a price differential of $87,150. Approximately 75 children are expected to transition out in the next six years. Estimated cost for 29 of them in FY'04 is $2.5 million, increasing to 75 children in FY'08 at a projected cost of $6.5 million. These costs are not eligible for Federal match under the current waiver. There is also concern this legislation has potential to cover an additional 900 children who have transitioned out of the waiver since it was started in 1985.
Replaces everything after the enacting clause. Amends the Mental Health and Developmental Disabilities Administrative Act. Requires the Department of Human Services to periodically convene a special task force to study and assess service needs of persons with autism. Deletes the requirement for Departmental reports to the General Assembly, but requires the Secretary of Human Services to report the task force's findings and recommendations to the Governor and the General Assembly by September 1, 2005 and to make annual progress reports beginning January 1, 2006. Makes changes in the required contents of the Department's progress reports. Requires the Department of Human Services and the Department of Public Aid to determine the availability of federal financial participation in the cost of developing a family support program, including Medicaid coverage for children with autism. Effective immediately.