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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 the32Department 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;and31 (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 7quarterlyand 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;and22 (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 the23State as shall be designated by rule, as appropriated funds24become 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.".