Full Text of SB3216 98th General Assembly
SB3216ham001 98TH GENERAL ASSEMBLY | Rep. Greg Harris Filed: 11/18/2014
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| 1 | | AMENDMENT TO SENATE BILL 3216
| 2 | | AMENDMENT NO. ______. Amend Senate Bill 3216 by replacing | 3 | | everything after the enacting clause with the following:
| 4 | | "Section 5. The Illinois Act on the Aging is amended by | 5 | | changing Section 4.02 as follows:
| 6 | | (20 ILCS 105/4.02) (from Ch. 23, par. 6104.02)
| 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
| 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:
| 2 | | (a) (blank);
| 3 | | (b) (blank);
| 4 | | (c) home care aide services;
| 5 | | (d) personal assistant services;
| 6 | | (e) adult day services;
| 7 | | (f) home-delivered meals;
| 8 | | (g) education in self-care;
| 9 | | (h) personal care services;
| 10 | | (i) adult day health services;
| 11 | | (j) habilitation services;
| 12 | | (k) respite care;
| 13 | | (k-5) community reintegration services;
| 14 | | (k-6) flexible senior services; | 15 | | (k-7) medication management; | 16 | | (k-8) emergency home response;
| 17 | | (l) other nonmedical social services that may enable | 18 | | the person
to become self-supporting; or
| 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.
| 22 | | The Department shall establish eligibility standards for | 23 | | such
services. In determining the amount and nature of services
| 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
| 4 | | property is not made available to the person seeking such | 5 | | services.
| 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.
| 11 | | The Department shall, in conjunction with the Department of | 12 | | Public Aid (now Department of Healthcare and Family Services),
| 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
| 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
| 9 | | of the services together with the other personal maintenance
| 10 | | expenses of the persons are reasonably related to the standards
| 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.
| 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
| 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.
| 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
| 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
| 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
| 24 | | Illinois Public Aid Code, who precedes a person receiving | 25 | | services under this
Section in death. All moneys for services
| 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
| 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.
| 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.
| 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
| 10 | | maximum established by the Department. Workers providing these | 11 | | services
shall be appropriately trained.
| 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,
| 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
| 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
| 4 | | employees.
| 5 | | The Department is required to develop a system to ensure | 6 | | that persons
working as home care aides and personal assistants
| 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
| 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.
| 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.
| 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.
| 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.
| 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.
| 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:
| 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 |
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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).
| 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;
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| 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 |
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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.
| 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 |
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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/).
| 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.
| 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).
| 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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