State of Illinois
90th General Assembly
Legislation

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90_HB1807ham001

                                           LRB9004782DNmbam02
 1                    AMENDMENT TO HOUSE BILL 1807
 2        AMENDMENT NO.     .  Amend House Bill 1807  by  replacing
 3    the title with the following:
 4        "AN  ACT  to amend the Early Intervention Services System
 5    Act by changing Sections 3, 4, 5, and 14."; and
 6    by replacing everything after the enacting  clause  with  the
 7    following:
 8        "Section  5.   The Early Intervention Services System Act
 9    is amended by changing Sections 3, 4, 5, and 14 as follows:
10        (325 ILCS 20/3) (from Ch. 23, par. 4153)
11        Sec. 3.  Definitions.  As used in this Act:
12        (a)  "Eligible infants and toddlers"  means  infants  and
13    toddlers  under  36  months  of age with any of the following
14    conditions:
15             (1)  Disabilities due to developmental delay.
16             (2)  A physical or mental condition which has a high
17        probability of resulting in developmental delay.
18             (3)  Being   at   risk   of    having    substantial
19        developmental  delays  due  to  a  combination of serious
20        factors.
21        (b)  "Developmental delay" means a delay of 25% in one of
                            -2-            LRB9004782DNmbam02
 1    the following areas or 20% in 2  or  more  of  the  following
 2    areas  of  childhood  development  as measured by appropriate
 3    diagnostic instruments and  standard  procedures:  cognitive;
 4    physical,  including vision and hearing; language, speech and
 5    communication; psycho-social; or self-help skills.
 6        (c)  "Physical or  mental  condition  which  has  a  high
 7    probability of resulting in developmental delay" means:
 8             (1)  a   diagnosed   medical   disorder   bearing  a
 9        relatively  well  known  expectancy   for   developmental
10        outcomes   within   varying   ranges   of   developmental
11        disabilities; or
12             (2)  a  history  of prenatal, perinatal, neonatal or
13        early  developmental  events  suggestive  of   biological
14        insults  to  the  developing  central  nervous system and
15        which  either  singly  or   collectively   increase   the
16        probability  of developing a disability or delay based on
17        a medical history.
18        (d)  "At risk of having substantial developmental  delay"
19    means  the  presence of at least 3 at risk conditions, plus a
20    consensus based on clinical judgment, that  the  presence  of
21    these conditions warrants a risk of substantial developmental
22    delay  if  early  intervention  services are not provided.  A
23    list of at risk conditions shall be developed by the Illinois
24    Interagency Council on Early Intervention.  When  relying  on
25    clinical  judgment, which includes both clinical observations
26    and parental participation, a  developmental  delay  will  be
27    determined  by a consensus of an interdisciplinary team of at
28    least  2  or  more  members  based  on   their   professional
29    experience and expertise.
30        (e)  "Early intervention services" means services which:
31             (1)  are designed to meet the developmental needs of
32        each  child  eligible under this Act and the needs of his
33        or her family;
34             (2)  are selected in collaboration with the  child's
                            -3-            LRB9004782DNmbam02
 1        family;
 2             (3)  are provided under public supervision;
 3             (4)  are provided at no cost except where a schedule
 4        of  sliding  scale  fees  or  other system of payments by
 5        families has been adopted in accordance  with  State  and
 6        federal law;
 7             (5)  are  designed  to meet an infant's or toddler's
 8        developmental needs in any of the following areas:
 9                  (A)  physical development,
10                  (B)  cognitive development,
11                  (C)  communication development,
12                  (D)  social or emotional development, or
13                  (E)  adaptive development;
14             (6)  meet the standards of the State, including  the
15        requirements of this Act;
16             (7)  include one or more of the following:
17                  (A)  family training,
18                  (B)  social     work     services,    including
19             counseling, and home visits,
20                  (C)  special instruction,
21                  (D)  speech, language pathology and audiology,
22                  (E)  occupational therapy,
23                  (F)  physical therapy,
24                  (G)  psychological services,
25                  (H)  service coordination services,
26                  (I)  medical services only  for  diagnostic  or
27             evaluation purposes,
28                  (J)  early   identification,   screening,   and
29             assessment services,
30                  (K)  health  services  specified  by  the  lead
31             agency  as necessary to enable the infant or toddler
32             to  benefit  from  the  other   early   intervention
33             services,
34                  (L)  vision services,
                            -4-            LRB9004782DNmbam02
 1                  (M)  transportation, and
 2                  (N)  assistive technology devices and services;
 3             (8)  are  provided by qualified personnel, including
 4        but not limited to:
 5                  (A)  child development specialists  or  special
 6             educators,
 7                  (B)  speech   and   language  pathologists  and
 8             audiologists,
 9                  (C)  occupational therapists,
10                  (D)  physical therapists,
11                  (E)  social workers,
12                  (F)  nurses,
13                  (G)  nutritionists,
14                  (H)  optometrists,
15                  (I)  psychologists, and
16                  (J)  physicians;
17             (9)  are   provided   in    conformity    with    an
18        Individualized Family Service Plan;
19             (10)  are provided throughout the year; and
20             (11)  are  provided in natural environments in which
21        infants   and   toddlers   without   disabilities   would
22        participate to the extent desired by families.
23        (f)  "Individualized Family Service Plan" or "Plan" means
24    a written plan for providing early intervention services to a
25    child eligible under this Act and the child's family, as  set
26    forth in Section 11.
27        (g)  "Local  interagency  agreement"  means  an agreement
28    entered into  by  local  community  and  State  and  regional
29    agencies receiving early intervention funds directly from the
30    State   and   made   in  accordance  with  State  interagency
31    agreements providing for the delivery of  early  intervention
32    services within a local community area.
33        (h)  "Council"  means the Illinois Interagency Council on
34    Early Intervention established under Section 4.
                            -5-            LRB9004782DNmbam02
 1        (i)  "Lead agency" means the State agency, as  designated
 2    by  the  Governor, responsible for administering this Act and
 3    receiving and disbursing public funds received in  accordance
 4    with  State  and federal law and rules. The lead agency shall
 5    promulgate a list of conditions  which,  when  present  in  a
 6    child  under  36 months of age, constitute a substantial risk
 7    of developmental delay.
 8        (j)  "Child  find"  means  a  service  which   identifies
 9    eligible infants and toddlers.
10    (Source: P.A. 87-680; 87-847.)
11        (325 ILCS 20/4) (from Ch. 23, par. 4154)
12        (Text of Section before amendment by P.A. 89-507)
13        Sec.   4.   Illinois   Interagency   Council   on   Early
14    Intervention.
15        (a)  There   is   established  the  Illinois  Interagency
16    Council on Early Intervention. The Council shall be  composed
17    of  at least 15 but not more than 25 members.  The members of
18    the Council and the designated  chairperson  of  the  Council
19    shall  be  appointed  by  the  Governor.  The  Council member
20    representing the lead agency may not serve as chairperson  of
21    the  Council.  The Council shall be composed of the following
22    members:
23             (1)  The  Directors  (or  their  designees)  of  the
24        following State agencies involved in the provision of  or
25        payment  for  early  intervention  services  to  eligible
26        infants and toddlers and their families:
27                  (A)  Illinois State Board of Education;
28                  (B)  Illinois   Department   of  Rehabilitation
29             Services;
30                  (C)  Illinois Department of Mental  Health  and
31             Developmental Disabilities;
32                  (D)  Illinois Department of Children and Family
33             Services;
                            -6-            LRB9004782DNmbam02
 1                  (E)  University   of   Illinois   Division   of
 2             Specialized Care for Children;
 3                  (F)  Illinois Department of Public Aid;
 4                  (G)  Illinois Department of Public Health;
 5                  (H)  Illinois   Department  of  Alcoholism  and
 6             Substance Abuse;
 7                  (I)  Illinois Planning Council on Developmental
 8             Disabilities; and
 9                  (J)  Illinois Department of Insurance.
10             (2)  Other members as follows:
11                  (A)  At least 20% of the members of the Council
12             shall be parents,  including  minority  parents,  of
13             infants  or  toddlers  with disabilities or children
14             with disabilities aged 12 or younger, with knowledge
15             of, or experience with,  programs  for  infants  and
16             toddlers  with  disabilities.   At  least  one  such
17             member  shall  be  a  parent of an infant or toddler
18             with a disability or a child with a disability  aged
19             6 or younger;
20                  (B)  At least 20% of the members of the Council
21             shall  be  public  or  private  providers  of  early
22             intervention services;
23                  (C)  One  member  shall  be a representative of
24             the General Assembly; and
25                  (D)  One  member  shall  be  involved  in   the
26             preparation   of  professional  personnel  to  serve
27             infants and toddlers similar to those  eligible  for
28             services under this Act.
29        The  Council  shall  meet  at least quarterly and in such
30    places as it deems necessary.  Terms of the  initial  members
31    appointed  under  paragraph (2) shall be determined by lot at
32    the  first  Council  meeting  as  follows:  of  the   persons
33    appointed  under  subparagraphs  (A) and (B), one-third shall
34    serve one year terms, one-third shall serve 2 year terms, and
                            -7-            LRB9004782DNmbam02
 1    one-third shall serve  3  year  terms;  and  of  the  persons
 2    appointed  under subparagraphs (C) and (D), one shall serve a
 3    2 year term and one shall serve a 3 year  term.   Thereafter,
 4    successors  appointed  under paragraph (2) shall serve 3 year
 5    terms.  Once appointed, members shall continue to serve until
 6    their successors are appointed.  No member shall be appointed
 7    to serve more than 2 consecutive terms.
 8        Council members  shall  serve  without  compensation  but
 9    shall  be  reimbursed  for  reasonable  costs incurred in the
10    performance of their duties, including costs related to child
11    care, and parents may be paid a stipend  in  accordance  with
12    applicable requirements.
13        The  Council  shall  prepare  and  approve a budget using
14    funds appropriated for the purpose to hire staff, and  obtain
15    the  services  of  such professional, technical, and clerical
16    personnel as may be necessary  to  carry  out  its  functions
17    under  this  Act.   This  funding  support and staff shall be
18    directed by the lead agency.
19        (b)  The Council shall:
20             (1)  advise  and  assist  the  lead  agency  in  the
21        performance of its  responsibilities  including  but  not
22        limited  to  the  identification of sources of fiscal and
23        other support services for early  intervention  programs,
24        and  the promotion of interagency agreements which assign
25        financial responsibility to the appropriate agencies;
26             (2)  advise  and  assist  the  lead  agency  in  the
27        preparation   of   applications   and    amendments    to
28        applications;
29             (3)  review  and  advise on relevant regulations and
30        standards proposed by the related State agencies;
31             (4)  advise  and  assist  the  lead  agency  in  the
32        development,  implementation  and   evaluation   of   the
33        comprehensive early intervention services system; and
34             (5)  prepare  and  submit  an  annual  report to the
                            -8-            LRB9004782DNmbam02
 1        Governor and to the General Assembly  on  the  status  of
 2        early  intervention  programs  for  eligible  infants and
 3        toddlers and  their  families  in  Illinois.  The  annual
 4        report shall include (i) the estimated number of eligible
 5        infants  and  toddlers  in this State, (ii) the number of
 6        eligible infants and toddlers who have received  services
 7        under  this Act and the cost of providing those services,
 8        and (iii) the estimated cost of providing services  under
 9        this  Act  to  all  eligible infants and toddlers in this
10        State.
11        No member  of  the  Council  shall  cast  a  vote  on  or
12    participate substantially in any matter which would provide a
13    direct financial benefit to that member or otherwise give the
14    appearance  of  a  conflict of interest under State law.  All
15    provisions  and  reporting  requirements  of   the   Illinois
16    Governmental Ethics Act shall apply to Council members.
17    (Source: P.A. 89-294, eff. 1-1-96; 89-626, eff. 8-9-96.)
18        (Text of Section after amendment by P.A. 89-507)
19        Sec.   4.   Illinois   Interagency   Council   on   Early
20    Intervention.
21        (a)  There   is   established  the  Illinois  Interagency
22    Council on Early Intervention. The Council shall be  composed
23    of  at least 15 but not more than 25 members.  The members of
24    the Council and the designated  chairperson  of  the  Council
25    shall  be appointed by the Governor. The chairperson shall be
26    the parent of a child with a disability.  The Council  member
27    representing  the lead agency may not serve as chairperson of
28    the Council.  The Council shall be composed of the  following
29    members:
30             (1)  The  Secretary of Human Services (or his or her
31        designee)  and  2  additional  representatives   of   the
32        Department of Human Services designated by the Secretary,
33        plus  the Directors (or their designees) of the following
34        State agencies involved in the provision  of  or  payment
                            -9-            LRB9004782DNmbam02
 1        for  early  intervention services to eligible infants and
 2        toddlers and their families:
 3                  (A)  Illinois State Board of Education;
 4                  (B)  (Blank);
 5                  (C)  (Blank;
 6                  (D)  Illinois Department of Children and Family
 7             Services;
 8                  (E)  University   of   Illinois   Division   of
 9             Specialized Care for Children;
10                  (F)  Illinois Department of Public Aid;
11                  (G)  Illinois Department of Public Health;
12                  (H)  (Blank);
13                  (I)  Illinois Planning Council on Developmental
14             Disabilities; and
15                  (J)  Illinois Department of Insurance.
16             (2)  Other members as follows:
17                  (A)  At least 20% of the members of the Council
18             shall be parents,  including  minority  parents,  of
19             infants  or  toddlers  with disabilities or children
20             with disabilities aged 12 or younger, with knowledge
21             of, or experience with,  programs  for  infants  and
22             toddlers  with  disabilities.   At  least  one  such
23             member  shall  be  a  parent of an infant or toddler
24             with a disability or a child with a disability  aged
25             6 or younger;
26                  (B)  At least 20% of the members of the Council
27             shall  be  public  or  private  providers  of  early
28             intervention services;
29                  (C)  One  member  shall  be a representative of
30             the General Assembly; and
31                  (D)  One  member  shall  be  involved  in   the
32             preparation   of  professional  personnel  to  serve
33             infants and toddlers similar to those  eligible  for
34             services under this Act;.
                            -10-           LRB9004782DNmbam02
 1                  (E)  One  member  shall  be the Early Childhood
 2             Intervention  Ombudsperson  of  the  Office  of  the
 3             Governor; and
 4                  (F)  One member shall be  a  representative  of
 5             Head Start.
 6        The  Council  shall  meet  at  least  6  times  each year
 7    quarterly and in such places as it deems necessary.  Terms of
 8    the initial members appointed under paragraph  (2)  shall  be
 9    determined by lot at the first Council meeting as follows: of
10    the  persons  appointed  under  subparagraphs  (A)  and  (B),
11    one-third shall serve one year terms, one-third shall serve 2
12    year  terms,  and  one-third shall serve 3 year terms; and of
13    the persons appointed under subparagraphs (C)  and  (D),  one
14    shall  serve a 2 year term and one shall serve a 3 year term.
15    Thereafter, successors appointed under  paragraph  (2)  shall
16    serve  3  year terms.  Once appointed, members shall continue
17    to serve until their successors  are  appointed.   No  member
18    shall be appointed to serve more than 2 consecutive terms.
19        Council  members  shall  serve  without  compensation but
20    shall be reimbursed for  reasonable  costs  incurred  in  the
21    performance of their duties, including costs related to child
22    care,  and  parents  may be paid a stipend in accordance with
23    applicable requirements.
24        The lead agency shall prepare and submit to  the  Council
25    by  September  1  of  each  year  (i)  an annual total budget
26    reflecting income and expenses anticipated  from  all  public
27    sources and (ii) a complete report on all spending and income
28    from  all  public  sources  during the prior fiscal year. The
29    Council shall prepare and approve a budget by  October  1  of
30    each  year  for the next fiscal year using funds appropriated
31    for the purpose to hire staff, and  obtain  the  services  of
32    such  professional,  technical, and clerical personnel as may
33    be necessary to carry out its functions under this Act.  This
34    funding support and staff  shall  be  directed  by  the  lead
                            -11-           LRB9004782DNmbam02
 1    agency.  The Council shall hold at least 2 public hearings in
 2    October to solicit comments on the budget  submitted  by  the
 3    lead   agency.    The  Council  shall  indicate  its  opinion
 4    regarding the budget submitted by  the  lead  agency  to  the
 5    Governor  and  General Assembly at the next meeting following
 6    the public hearings.
 7        (b)  The Council shall:
 8             (1)  advise  and  assist  the  lead  agency  in  the
 9        performance of its  responsibilities  including  but  not
10        limited  to  the  identification of sources of fiscal and
11        other support services for early  intervention  programs,
12        and  the promotion of interagency agreements which assign
13        financial responsibility to the appropriate agencies;
14             (2)  advise  and  assist  the  lead  agency  in  the
15        preparation   of   applications   and    amendments    to
16        applications;
17             (3)  review  and  advise on relevant regulations and
18        standards proposed by the related State agencies;
19             (4)  advise  and  assist  the  lead  agency  in  the
20        development,  implementation  and   evaluation   of   the
21        comprehensive early intervention services system; and
22             (5)  prepare  and  submit  an  annual  report to the
23        Governor and to the General Assembly  on  the  status  of
24        early  intervention  programs  for  eligible  infants and
25        toddlers and  their  families  in  Illinois.  The  annual
26        report shall include (i) the estimated number of eligible
27        infants  and  toddlers  in this State, (ii) the number of
28        eligible infants and toddlers who have received  services
29        under  this Act and the cost of providing those services,
30        and (iii) the estimated cost of providing services  under
31        this  Act  to  all  eligible infants and toddlers in this
32        State.
33        No member  of  the  Council  shall  cast  a  vote  on  or
34    participate substantially in any matter which would provide a
                            -12-           LRB9004782DNmbam02
 1    direct financial benefit to that member or otherwise give the
 2    appearance  of  a  conflict of interest under State law.  All
 3    provisions  and  reporting  requirements  of   the   Illinois
 4    Governmental Ethics Act shall apply to Council members.
 5        State  agency  staff  assigned to the Interagency Council
 6    may be given specific tasks by  the  Council  through  formal
 7    resolutions of the Council.
 8    (Source:  P.A.  89-294,  eff.  1-1-96;  89-507,  eff. 7-1-97;
 9    89-626, eff. 8-9-96.)
10        (325 ILCS 20/5) (from Ch. 23, par. 4155)
11        Sec. 5.  Lead Agency.  The lead agency designated by  the
12    Governor   shall   provide  leadership  in  establishing  and
13    implementing the coordinated, comprehensive, interagency  and
14    interdisciplinary system of early intervention services.  The
15    lead  agency  shall  not  have  the  sole  responsibility for
16    providing these services.  Each  participating  State  agency
17    shall   continue   to  coordinate  those  early  intervention
18    services relating to health,  social  service  and  education
19    provided under this authority.
20        The lead agency is responsible for carrying out:
21             (a)  the  general  administration,  supervision, and
22        monitoring   of   programs   and   activities   receiving
23        assistance under Section  673  of  the  Individuals  with
24        Disabilities Education Act (20 United States Code 1473);
25             (b)  the  identification  and  coordination  of  all
26        available resources within the State from federal, State,
27        local and private sources;
28             (c)  the  development  of  procedures to ensure that
29        services are provided to eligible  infants  and  toddlers
30        and  their  families  in  a  timely  manner  pending  the
31        resolution  of  any  disputes  among  public  agencies or
32        service providers;
33             (d)  the resolution of intra-agency and  interagency
                            -13-           LRB9004782DNmbam02
 1        regulatory and procedural disputes; and
 2             (e)  the  development  and  implementation of formal
 3        interagency agreements between the lead agency and  other
 4        relevant State agencies that:
 5                  (1)  define  the  financial  responsibility  of
 6             each   agency  for  paying  for  early  intervention
 7             services (consistent with existing State and federal
 8             law and rules) and procedures for resolving  service
 9             disputes; and
10                  (2)  include    all    additional    components
11             necessary   to  ensure  meaningful  cooperation  and
12             coordination.
13        The lead agency may contract with  a  private  entity  to
14    plan or implement any of its responsibilities or duties under
15    this Section.  Any plan or implementation shall meet the full
16    requirement  of  federal  law  and  provide  full program and
17    fiscal accountability to the State and the public.
18    (Source: P.A. 87-680.)
19        (325 ILCS 20/14) (from Ch. 23, par. 4164)
20        Sec. 14.  Implementation.   The  lead  agency  and  other
21    participating   State   agencies  shall  implement  this  Act
22    statewide by January 1, 1998, beginning in such areas of  the
23    State  as  shall be designated by rule, as appropriated funds
24    become available.
25    (Source: P.A. 87-680.)
26        Section 95.  No acceleration or delay.   Where  this  Act
27    makes changes in a statute that is represented in this Act by
28    text  that  is not yet or no longer in effect (for example, a
29    Section represented by multiple versions), the  use  of  that
30    text  does  not  accelerate or delay the taking effect of (i)
31    the changes made by this Act or (ii) provisions derived  from
32    any other Public Act.".

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