Full Text of HB1357 94th General Assembly
HB1357 94TH GENERAL ASSEMBLY
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94TH GENERAL ASSEMBLY
State of Illinois
2005 and 2006 HB1357
Introduced 02/09/05, by Rep. Joseph M. Lyons - John D'Amico - Maria Antonia Berrios SYNOPSIS AS INTRODUCED: |
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Creates the Independent Living Projects Act. Requires the Department on Aging and the Department of Human Services to contract with independent living projects in different regions of the State to demonstrate the feasibility and cost-effectiveness of using low-cost home care and other residential alternatives to nursing home care and to achieve other goals. Sets forth criteria that such projects must meet. Requires the Department on Aging to conduct a public awareness campaign.
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A BILL FOR
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HB1357 |
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LRB094 06312 DRJ 36685 b |
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| AN ACT concerning long-term care.
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| Be it enacted by the People of the State of Illinois,
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| represented in the General Assembly:
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| Section 1. Short title. This Act may be cited as the | 5 |
| Independent Living Projects Act. | 6 |
| Section 5. Purpose; objectives. | 7 |
| (a) The purpose of implementing
independent living | 8 |
| projects under this Act is to
demonstrate a new cooperative | 9 |
| strategy for the long-term care
system in the State of | 10 |
| Illinois.
The projects are part of the plan to create a
new | 11 |
| community-based care paradigm for long-term care in
Illinois in | 12 |
| order to maximize independence of the older adult
population | 13 |
| and to ensure cost-effective use of financial and
human | 14 |
| resources. The goals for the strategy are to:
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| (1) achieve a broad awareness and use of low-cost home | 16 |
| care
and other residential alternatives to nursing homes;
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| (2) develop a statewide system of information and
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| assistance to enable easy access to long-term care | 19 |
| services;
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| (3) develop sufficient alternatives to nursing homes | 21 |
| to
serve the increased number of people needing long-term | 22 |
| care; | 23 |
| (4) restrict new construction of nursing
home beds and | 24 |
| to lower the percentage of elderly persons served
in | 25 |
| institutional settings; and | 26 |
| (5) build a community-based approach and community
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| commitment to delivering long-term care services for | 28 |
| elderly
persons in their homes. | 29 |
| (b) The objective for the strategy is to continue at least | 30 |
| 4 but not more than 6
projects in anticipation of a statewide | 31 |
| program. These projects
will continue the process of | 32 |
| implementing: |
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LRB094 06312 DRJ 36685 b |
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| (1) a coordinated planning and administrative process; | 2 |
| (2) a refocused function of the preadmission screening
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| program; | 4 |
| (3) the development of additional home, community, and
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| residential alternatives to nursing homes; | 6 |
| (4) a program to support the informal caregivers for
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| elderly persons; | 8 |
| (5) programs to strengthen the use of volunteers; and | 9 |
| (6) programs to support the building of community
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| commitment to provide long-term care for elderly persons. | 11 |
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The services offered through these projects shall be made | 12 |
| available
to those who have their own funds to pay for | 13 |
| services, as well
as to persons who are eligible for medical | 14 |
| assistance under Article V of the Illinois Public Aid Code to | 15 |
| the maximum extent
authorized in this Act. | 16 |
| Section 10. Definitions. In this Act, "Department" means | 17 |
| the Department on Aging or the Department of Human Services, as | 18 |
| applicable. | 19 |
| Section 15. Independent living projects. | 20 |
| (a) The Department on Aging and the Department of Human | 21 |
| Services
shall contract with independent living projects in 4 | 22 |
| to 6 service regions of the State to demonstrate the | 23 |
| feasibility and
cost-effectiveness of a local long-term care | 24 |
| strategy that is
consistent with the State's long-term care | 25 |
| goals identified in
Section 5. Each department shall publish a | 26 |
| notice in the
Illinois Procurement Bulletin announcing the | 27 |
| availability of project funding
and giving instructions for | 28 |
| making an application for funding. The
instructions for the | 29 |
| application shall identify the amount of
funding available for | 30 |
| project components. | 31 |
| (b) To be selected for the project, an applicant must | 32 |
| establish a long-term care coordinating team
consisting of | 33 |
| social service agencies, public health
nursing service | 34 |
| agencies, local boards of health, a
representative of local |
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| nursing home providers, a representative
of local home care | 2 |
| providers, and the area agencies on aging in
a geographic area. | 3 |
| The team is responsible for: | 4 |
| (1) developing a local long-term care strategy | 5 |
| consistent
with State goals and objectives; | 6 |
| (2) submitting an application to be selected as a | 7 |
| project; | 8 |
| (3) coordinating planning for funds to provide | 9 |
| services to
elderly persons, including: funds received | 10 |
| under Title III of the
Older Americans Act or Title XX of
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| the Social Security Act; appropriated State and local | 12 |
| funds; and other public or private available funds; and | 13 |
| (4) ensuring efficient services provision and
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| nonduplication of funding. | 15 |
| (c) The applicant must designate a public agency to
serve | 16 |
| as the lead agency. The lead agency shall receive and manage
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| the project funds from the State and is responsible for the
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| implementation of the local strategy. If selected as a project,
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| the local long-term care coordinating team must evaluate the | 20 |
| progress of the local long-term care strategy in
meeting State | 21 |
| measures of performance and results as established
in the | 22 |
| contract.
The team must conduct such an evaluation every 6 | 23 |
| months. | 24 |
| (d) Each member of the local coordinating team must
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| indicate its endorsement of the local strategy. The local
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| long-term care coordinating team may include in its membership
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| other units of government that provide funding for services to
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| the frail elderly. The team must cooperate with consumers and
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| other public and private agencies, including nursing homes, in
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| the geographic area in order to develop and offer a variety of
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| cost-effective services to the elderly and their caregivers. | 32 |
| (e) An applicant must apply to be selected as a
project. If | 33 |
| the project is selected, the Department on Aging or the | 34 |
| Department of Human Services, as applicable, shall contract | 35 |
| with the lead agency for the project and
shall provide | 36 |
| additional administrative funds for implementing
the |
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| provisions of the contract, within the appropriation
available | 2 |
| for this purpose. | 3 |
| (f) A project may not be selected unless it demonstrates | 4 |
| that:
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| (1) the objectives of the local project will help to
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| achieve the State's long-term care goals as defined in
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| Section 5; | 8 |
| (2) there is a designated local lead agency that is
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| empowered to make contracts with the State and local | 10 |
| vendors on
behalf of all participants; | 11 |
| (3) the project proposal demonstrates that the local
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| cooperating agencies have the ability to perform the | 13 |
| project as
described and that the implementation of the | 14 |
| project has a
reasonable chance of achieving its | 15 |
| objectives; and | 16 |
| (4) the local coordinating team documents efforts of
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| cooperation with consumers and other agencies and | 18 |
| organizations,
both public and private, in planning for | 19 |
| service delivery.
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| Section 20. Long-term care strategy. The local
long-term | 21 |
| care strategy must list performance outcomes and
indicators | 22 |
| that meet the State's objectives. The local
strategy must | 23 |
| provide for the following: | 24 |
| (1) Accessible information, assessment, and | 25 |
| preadmission
screening activities as described in Section | 26 |
| 25. | 27 |
| (2) An increase in numbers of alternative care clients
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| served, including those who are
relocated from nursing | 29 |
| homes, which results in a reduction of
the medical | 30 |
| assistance nursing home caseload. | 31 |
| (3) The development of additional services, such as | 32 |
| adult
family foster care homes; family adult day care; | 33 |
| assisted living
projects and congregate housing service | 34 |
| projects in apartment
buildings; expanded home care | 35 |
| services for evenings and
weekends; expanded volunteer |
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LRB094 06312 DRJ 36685 b |
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| services; and caregiver support and
respite care projects. | 2 |
| The applicant selected for the project
shall be required to | 3 |
| comply with federal regulations,
alternative care funding | 4 |
| policies, and
federal waiver programs' policies. | 5 |
| Section 25. Accessible information, screening, and | 6 |
| assessment function.
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| (a) A project selected by and under
contract with the | 8 |
| Department shall establish an accessible
information, | 9 |
| screening, and assessment function for persons who
need | 10 |
| assistance and information regarding long-term care. This
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| accessible information, screening, and assessment function | 12 |
| shall
include information and referral, early intervention, | 13 |
| follow-up
contacts, telephone screening, home visits, | 14 |
| assessments,
preadmission screening, and relocation case | 15 |
| management for the
frail elderly and their caregivers in the | 16 |
| area served by the
project. The purpose is to ensure that | 17 |
| information
and help is provided to elderly persons and their | 18 |
| families in a
timely fashion, when they are making decisions | 19 |
| about long-term
care. These functions may be split among | 20 |
| various agencies, but
must be coordinated by the local | 21 |
| long-term care coordinating
team. | 22 |
| (b) The lead agency or the agencies under contract with the
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| lead agency that are responsible for the accessible
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| information, screening, and assessment function must complete
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| the forms and reports required by the Department as specified
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| in the contract. | 27 |
| Section 30. Service development and delivery. In addition | 28 |
| to the access, screening, and assessment
function described in | 29 |
| Section 25, each local strategy may include provisions for the
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| following: | 31 |
| (1) The addition of a full-time staff person who is
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| responsible to develop the following services and recruit
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| providers as established in the contract: | 34 |
| (A) Additional adult family foster care homes. |
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| (B) Family adult day care providers. | 2 |
| (C) An assisted living program in an apartment. | 3 |
| (D) A congregate housing service project in a | 4 |
| subsidized
housing project. | 5 |
| (E) The expansion of evening and weekend coverage | 6 |
| of home
care services as deemed necessary by the local | 7 |
| strategic plan. | 8 |
| (2) Small incentive grants to new adult family care
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| providers for renovations needed to meet licensure | 10 |
| requirements.
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| (3) A plan to apply for a congregate housing service
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| project, authorized by the
Department, to the extent that | 13 |
| funds are
available. | 14 |
| (4) A plan to divert new applicants to nursing homes | 15 |
| and to
relocate a targeted population from nursing homes, | 16 |
| using an
individual's own resources or the funding | 17 |
| available for
services.
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| (5) One or more caregiver support and respite care
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| projects, as described in Section 35. | 20 |
| Section 35. Caregiver support and respite care. | 21 |
| (a) The Department shall establish up to 6 projects to
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| expand the respite care network in the State and to support
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| caregivers in their responsibilities for care. The purpose of
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| each project shall be to: | 25 |
| (1) establish a local coordinated network of volunteer | 26 |
| and
paid respite workers; | 27 |
| (2) coordinate assignment of respite workers to | 28 |
| clients and
care receivers and assure the health and safety | 29 |
| of the client;
and | 30 |
| (3) provide training for caregivers and ensure that | 31 |
| support
groups are available in the community. | 32 |
| (b) The caregiver support and respite care funds shall be
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| available to the 4 to 6 local long-term care strategy
projects | 34 |
| designated under this Act. | 35 |
| (c) The Department shall publish a notice in the Illinois |
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| Procurement Bulletin to solicit proposals from public or | 2 |
| private nonprofit
agencies for the projects not included in the | 3 |
| 4 to 6 local
long-term care strategy projects defined in | 4 |
| Section 15. An agency may, alone or in combination with other
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| agencies, apply for caregiver support and respite care project
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| funds. A public or nonprofit agency within a designated | 7 |
| independent living
project area may apply for project funds if | 8 |
| the agency has a
letter of agreement with the service region in | 9 |
| which
services will be developed, stating the intention to | 10 |
| coordinate the activities with those projects. | 11 |
| (d) The Department shall select grantees based on the
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| following criteria: | 13 |
| (1) The ability of the proposal to demonstrate need in | 14 |
| the
area served, as evidenced by a community needs | 15 |
| assessment or
other demographic data. | 16 |
| (2) The ability of the proposal to clearly describe how | 17 |
| the
project will achieve the purpose set forth in | 18 |
| subsection (a). | 19 |
| (3) The ability of the proposal to reach underserved
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| populations. | 21 |
| (4) The ability of the proposal to demonstrate | 22 |
| community
commitment to the project, as evidenced by | 23 |
| letters of support
and cooperation as well as formation of | 24 |
| a community task force. | 25 |
| (5) The ability of the proposal to clearly describe the
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| process for recruiting, training, and retraining | 27 |
| volunteers. | 28 |
| (6) The inclusion in the proposal of the plan to | 29 |
| promote
the project in the community, including outreach to | 30 |
| persons
needing the services. | 31 |
| (e) Funds for all projects under this Section may be
used | 32 |
| to do the following:
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| (1) Hire a coordinator to develop a coordinated network | 34 |
| of
volunteer and paid respite care services and assign | 35 |
| workers to
clients. | 36 |
| (2) Recruit and train volunteer providers. |
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| (3) Train caregivers. | 2 |
| (4) Ensure the development of support groups for
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| caregivers. | 4 |
| (5) Advertise the availability of the caregiver | 5 |
| support and
respite care project. | 6 |
| (6) Purchase equipment to maintain a system of | 7 |
| assigning
workers to clients. | 8 |
| (f) Project funds may not be used to supplant existing
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| funding sources. | 10 |
| Section 40. Independent living projects evaluation. The | 11 |
| Department shall evaluate the success of the independent living | 12 |
| projects
against the objective stated in subsection (b) of | 13 |
| Section 5,
and recommend to the legislature the continuation or | 14 |
| expansion
of the long-term care strategy by February 15, 2008. | 15 |
| Section 45. Public awareness campaign. The Department
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| shall contract for a public awareness campaign to educate the
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| general public, seniors, consumers, caregivers, and
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| professionals about the aging process, the long-term care
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| system, and alternatives available including alternative care
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| and residential alternatives. Particular emphasis shall be | 21 |
| given
to informing consumers on how to access the alternatives | 22 |
| and
obtain information on the long-term care system. The
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| Department shall pursue the development of new names for
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| preadmission screening, alternative care, foster care, and | 25 |
| other
services as deemed necessary for the public awareness | 26 |
| campaign. | 27 |
| Section 50. Community service grants. The Department
shall | 28 |
| award contracts for grants to public and private nonprofit
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| agencies to establish services that strengthen a community's
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| ability to provide a system of home and community-based | 31 |
| services
for elderly persons. The Department shall use a | 32 |
| request for proposal process. The Department shall give | 33 |
| preference when
awarding grants under this Section to areas |
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| where nursing
facility closures have occurred or are occurring. | 2 |
| The
Department shall consider grants for the following: | 3 |
| (1) Caregiver support and respite care projects under
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| Section 35. | 5 |
| (2) On-site coordination. | 6 |
| (3) Services identified as needed for community | 7 |
| transition.
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