Replaces everything after the enacting clause. Amends the Illinois Act on the Aging, the Disabled Persons Rehabilitation Act, and the Illinois Public Aid Code. Regarding services provided under the Community Care Program, the Home Services Program, the supportive living facilities program, and the nursing home prescreening project, provides that individuals with a score of 29 or higher based on the determination of need assessment tool shall be eligible to receive institutional and home and community-based long term care services until the State receives federal approval and implements an updated assessment tool, and those individuals are found to be ineligible under that updated assessment tool. Requires the Department on Aging, the Department of Human Services, and the Department of Healthcare and Family Services to adopt rules through the regular rulemaking process regarding the updated assessment tool, but prohibits those Departments from adopting emergency or peremptory rules regarding the updated assessment tool. Contains provisions concerning continued eligibility for persons made ineligible for services under the updated assessment tool. Further amends the Illinois Act on the Aging by prohibiting the Department on Aging from: (i) adopting any rule that restricts eligibility under the Community Care Program to persons who qualify for medical assistance under Article V of the Illinois Public Aid Code; or (ii) establishing, by rule, a separate program of home and community-based long term care services for persons who are otherwise eligible for services under the Community Care Program but who do not qualify for medical assistance under Article V of the Illinois Public Aid Code. Prohibits the Department from increasing copayment levels under the Community Care Program to the levels that were in effect on January 1, 2016, except to make an adjustment for inflation. Removes language that makes Medicaid enrollment or eligibility a condition of eligibility under the Community Care Program if the Auditor General has reported that the Department has failed to comply with certain reporting requirements under the Illinois State Auditing Act. Further amends the Illinois Public Aid Code by deleting a provision requiring the Department of Healthcare and Family Services to, subject to federal approval, on and after July 1, 2012, effectuate an increase in the determination of need scores from 29 to 37 for applicants for institutional and home and community-based long term care. Amends the Nursing Home Care Act. Provides that no individual receiving care in an institutional setting shall be involuntarily discharged as the result of the updated assessment tool until a transition plan has been developed by the Department on Aging or its designee and all care identified in the transition plan is available to the resident immediately upon discharge. Effective immediately.
Fiscal Note, House Floor Amendment No. 1 (Dept. on Aging)
An additional $120M will be required for FY18 should HB1424 (H-AM 1) pass and be signed into law, by 2020 the cost will increase by just over $398M. The loss of revenue if Federal waivers are jeopardized for the Department on Aging alone is over $227M.