Full Text of SB0987 94th General Assembly
SB0987 94TH GENERAL ASSEMBLY
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94TH GENERAL ASSEMBLY
State of Illinois
2005 and 2006 SB0987
Introduced 2/18/2005, by Sen. Carol Ronen - Emil Jones, Jr. SYNOPSIS AS INTRODUCED: |
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325 ILCS 20/11 |
from Ch. 23, par. 4161 |
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Amends the Early Intervention Services System Act. Makes a technical change
in
a Section concerning family service plans.
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A BILL FOR
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SB0987 |
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LRB094 04664 DRJ 34693 b |
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| AN ACT concerning children.
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| Be it enacted by the People of the State of Illinois, | 3 |
| represented in the General Assembly:
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| Section 5. The Early Intervention Services System Act is | 5 |
| amended by changing Section 11 as follows:
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| (325 ILCS 20/11) (from Ch. 23, par. 4161)
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| Sec. 11. Individualized Family Service Plans.
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| (a) Each eligible infant or toddler and
and that infant's | 9 |
| or toddler's family
shall receive:
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| (1) timely, comprehensive, multidisciplinary | 11 |
| assessment of the unique
needs of each eligible infant and | 12 |
| toddler, and assessment of the concerns
and priorities of | 13 |
| the families to appropriately assist them in meeting
their | 14 |
| needs and identify services to meet those needs; and
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| (2) a written Individualized Family Service Plan | 16 |
| developed by a
multidisciplinary team which includes the | 17 |
| parent or guardian. The
individualized family service plan | 18 |
| shall be based on the
multidisciplinary team's assessment | 19 |
| of the resources, priorities,
and concerns of the family | 20 |
| and its identification of the supports
and services | 21 |
| necessary to enhance the family's capacity to meet the
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| developmental needs of the infant or toddler, and shall | 23 |
| include the
identification of services appropriate to meet | 24 |
| those needs, including the
frequency, intensity, and | 25 |
| method of delivering services. During and as part of
the | 26 |
| initial development of the individualized family services | 27 |
| plan, and any
periodic reviews of the plan, the | 28 |
| multidisciplinary team shall consult the lead
agency's | 29 |
| therapy guidelines and its designated experts, if any, to | 30 |
| help
determine appropriate services and the frequency and | 31 |
| intensity of those
services. All services in the | 32 |
| individualized family services plan must be
justified by |
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| the multidisciplinary assessment of the unique strengths | 2 |
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needs of the infant or toddler and must be appropriate | 3 |
| to meet those needs.
At the periodic reviews, the team | 4 |
| shall determine whether modification or
revision of the | 5 |
| outcomes or services is necessary.
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| (b) The Individualized Family Service Plan shall be | 7 |
| evaluated once a year
and the family shall be provided a review | 8 |
| of the Plan at 6 month intervals or
more often where | 9 |
| appropriate based on infant or toddler and family needs.
The | 10 |
| lead agency shall create a quality review process regarding | 11 |
| Individualized
Family Service Plan development and changes | 12 |
| thereto, to monitor
and help assure that resources are being | 13 |
| used to provide appropriate early
intervention services.
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| (c) The evaluation and initial assessment and initial
Plan | 15 |
| meeting must be held within 45 days after the initial
contact | 16 |
| with the early intervention services system. With parental | 17 |
| consent,
early intervention services may commence before the | 18 |
| completion of the
comprehensive assessment and development of | 19 |
| the Plan.
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| (d) Parents must be informed that, at their discretion, | 21 |
| early
intervention
services shall be provided to each eligible | 22 |
| infant and toddler in the natural
environment, which may | 23 |
| include the home or other community settings. Parents
shall | 24 |
| make
the final decision to accept or decline
early intervention | 25 |
| services. A decision to decline such services shall
not be a | 26 |
| basis for administrative determination of parental fitness, or
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| other findings or sanctions against the parents. Parameters of | 28 |
| the Plan
shall be set forth in rules.
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| (e) The regional intake offices shall explain to each | 30 |
| family, orally and
in
writing, all of the following:
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| (1) That the early intervention program will pay for | 32 |
| all early
intervention services set forth in the | 33 |
| individualized family service plan that
are not
covered or | 34 |
| paid under the family's public or private insurance plan or | 35 |
| policy
and not
eligible for payment through any other third | 36 |
| party payor.
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| (2) That services will not be delayed due to any rules | 2 |
| or restrictions
under the family's insurance plan or | 3 |
| policy.
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| (3) That the family may request, with appropriate | 5 |
| documentation
supporting the request, a
determination of | 6 |
| an exemption from private insurance use under
Section | 7 |
| 13.25.
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| (4) That responsibility for co-payments or
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| co-insurance under a family's private insurance
plan or | 10 |
| policy will be transferred to the lead
agency's central | 11 |
| billing office.
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| (5) That families will be responsible
for payments of | 13 |
| family fees,
which will be based on a sliding scale
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| according to income, and that these fees
are payable to the | 15 |
| central billing office,
and that if the family encounters a
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| catastrophic circumstance, as defined under subsection (f) | 17 |
| of Section 13 of
this Act, making it unable
to pay the | 18 |
| fees, the lead agency may, upon
proof of inability to pay, | 19 |
| waive the fees.
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| (f) The individualized family service plan must state | 21 |
| whether the family
has private insurance coverage and, if the | 22 |
| family has such coverage, must
have attached to it a copy of | 23 |
| the family's insurance identification card or
otherwise
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| include all of the following information:
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| (1) The name, address, and telephone number of the | 26 |
| insurance
carrier.
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| (2) The contract number and policy number of the | 28 |
| insurance plan.
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| (3) The name, address, and social security number of | 30 |
| the primary
insured.
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| (4) The beginning date of the insurance benefit year.
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| (g) A copy of the individualized family service plan must | 33 |
| be provided to
each enrolled provider who is providing early | 34 |
| intervention services to the
child
who is the subject of that | 35 |
| plan.
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| (Source: P.A. 91-538, eff. 8-13-99; 92-10, eff. 6-11-01; |
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LRB094 04664 DRJ 34693 b |
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| 92-307, eff. 8-9-01;
92-651, eff. 7-11-02.)
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