State of Illinois
90th General Assembly
Legislation

   [ Search ]   [ Legislation ]   [ Bill Summary ]
[ Home ]   [ Back ]   [ Bottom ]



90_HB3424

      20 ILCS 105/4.02          from Ch. 23, par. 6104.02
      20 ILCS 2405/3            from Ch. 23, par. 3434
          Amends the Illinois  Act  on  the  Aging.  Provides  that
      vendors  of  homemaker  and  chore housekeeper services shall
      receive a pay rate  increase  of  10%.  Amends  the  Disabled
      Persons  Rehabilitation  Act.  Provides  that  personal  care
      attendants  shall  receive  a  per hour wage increase of 10%.
      Effective July 1, 1998.
                                                     LRB9010277PTsb
                                               LRB9010277PTsb
 1        AN ACT regarding preventitive services administration.
 2        Be it enacted by the People of  the  State  of  Illinois,
 3    represented in the General Assembly:
 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.  Preventive  services   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.
14    Such 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
17    limited to, any or all of the following:
18        (a)  home health services;
19        (b)  home nursing services;
20        (c)  homemaker services;
21        (d)  chore and housekeeping services;
22        (e)  day care services;
23        (f)  home-delivered meals;
24        (g)  education in self-care;
25        (h)  personal care services;
26        (i)  adult day health services;
27        (j)  habilitation services;
28        (k)  respite care; or
29        (l)  other nonmedical social services that may enable the
30    person to become self-supporting.
31        The  Department shall establish eligibility standards for
                            -2-                LRB9010277PTsb
 1    such services taking into consideration the  unique  economic
 2    and  social  needs of the target population for whom they are
 3    to be provided. Such eligibility standards shall be based  on
 4    the  recipient's  ability  to  pay  for  services;  provided,
 5    however,  that  in  determining  the  amount  and  nature  of
 6    services  for which a person may qualify, consideration shall
 7    not be given to the value of cash, property or  other  assets
 8    held in the name of the person's spouse pursuant to a written
 9    agreement  dividing  marital property into equal but separate
10    shares or pursuant to a transfer of the person's interest  in
11    a home to his spouse, provided that the spouse's share of the
12    marital  property is not made available to the person seeking
13    such services. The Department shall, in conjunction with  the
14    Department  of  Public Aid, seek appropriate amendments under
15    Sections 1915 and 1924  of  the  Social  Security  Act.   The
16    purpose  of the amendments shall be to extend eligibility for
17    home and community based services  under  Sections  1915  and
18    1924 of the Social Security Act to persons who transfer to or
19    for  the  benefit  of  a  spouse  those amounts of income and
20    resources allowed under Section 1924 of the  Social  Security
21    Act.   Subject  to  the  approval  of  such  amendments,  the
22    Department  shall extend the provisions of Section 5-4 of the
23    Illinois  Public  Aid  Code  to  persons  who,  but  for  the
24    provision of home or community-based services, would  require
25    the  level of care provided in an institution, as is provided
26    for in federal law. Those  persons  no  longer  found  to  be
27    eligible  for  receiving  noninstitutional  services  due  to
28    changes  in  the  eligibility criteria shall be given 60 days
29    notice prior to actual termination. Those  persons  receiving
30    notice  of termination may contact the Department and request
31    the determination be appealed at any time during the  60  day
32    notice  period.  With  the exception of the lengthened notice
33    and time frame for the appeal  request,  the  appeal  process
34    shall  follow  the normal procedure. In addition, each person
                            -3-                LRB9010277PTsb
 1    affected regardless of  the  circumstances  for  discontinued
 2    eligibility  shall  be  given  notice  and the opportunity to
 3    purchase the necessary services through  the  Community  Care
 4    Program.   If  the  individual  does  not  elect  to purchase
 5    services, the  Department  shall  advise  the  individual  of
 6    alternative  services.  The  target population identified for
 7    the purposes of this Section are persons  age  60  and  older
 8    with  an identified service need.  Priority shall be given to
 9    those who are at imminent risk of institutionalization.   The
10    services  shall  be  provided  to eligible persons age 60 and
11    older to the extent that the cost of  the  services  together
12    with  the  other personal maintenance expenses of the persons
13    are reasonably related to the standards established for  care
14    in  a  group  facility appropriate to the person's condition.
15    These   non-institutional   services,   pilot   projects   or
16    experimental facilities may be provided  as  part  of  or  in
17    addition  to  those authorized by federal law or those funded
18    and administered by the Department of  Human  Services.   The
19    Departments  of  Human  Services,  Public Aid, Public Health,
20    Veterans' Affairs, and Commerce  and  Community  Affairs  and
21    other  appropriate  agencies  of  State,  federal  and  local
22    governments  shall  cooperate with the Department on Aging in
23    the establishment and development  of  the  non-institutional
24    services.   The Department shall require an annual audit from
25    all chore/housekeeping and homemaker vendors contracting with
26    the Department under this Section.  The  annual  audit  shall
27    assure   that   each   audited  vendor's  procedures  are  in
28    compliance with Department's financial  reporting  guidelines
29    requiring  a 27% administrative cost split and a 73% employee
30    wages and benefits cost split.  The audit is a public  record
31    under  the  Freedom of Information Act.  The Department shall
32    execute, relative to the nursing home  prescreening  project,
33    written  inter-agency agreements with the Department of Human
34    Services and the Department of  Public  Aid,  to  effect  the
                            -4-                LRB9010277PTsb
 1    following:   (1)  intake  procedures  and  common eligibility
 2    criteria   for    those    persons    who    are    receiving
 3    non-institutional  services;  and  (2)  the establishment and
 4    development of non-institutional services  in  areas  of  the
 5    State   where   they  are  not  currently  available  or  are
 6    undeveloped. On and after July  1,  1996,  all  nursing  home
 7    prescreenings  for individuals 60 years of age or older shall
 8    be conducted by the Department.
 9        The Department is authorized to  establish  a  system  of
10    recipient copayment for services provided under this Section,
11    such  copayment  to  be based upon the recipient's ability to
12    pay but in no case to exceed the actual cost of the  services
13    provided.  Additionally,  any  portion  of  a person's income
14    which is equal to or less than the federal  poverty  standard
15    shall  not be considered by the Department in determining the
16    copayment. The level of  such  copayment  shall  be  adjusted
17    whenever  necessary  to  reflect any change in the officially
18    designated federal poverty standard.
19        The   Department,   or   the   Department's    authorized
20    representative,  shall  recover the amount of moneys expended
21    for services provided to or in behalf of a person under  this
22    Section by a claim against the person's estate or against the
23    estate  of the person's surviving spouse, but no recovery may
24    be had until after the death of the surviving spouse, if any,
25    and then only at such time when there is no  surviving  child
26    who  is  under  age  21,  blind,  or  permanently and totally
27    disabled.  This paragraph, however, shall not  bar  recovery,
28    at  the  death of the person, of moneys for services provided
29    to the person or in behalf of the person under  this  Section
30    to  which  the  person  was  not entitled; provided that such
31    recovery shall not be enforced against any real estate  while
32    it  is  occupied  as  a  homestead by the surviving spouse or
33    other dependent, if no claims by other  creditors  have  been
34    filed against the estate, or, if such claims have been filed,
                            -5-                LRB9010277PTsb
 1    they  remain dormant for failure of prosecution or failure of
 2    the claimant to compel administration of the estate  for  the
 3    purpose  of  payment.   This paragraph shall not bar recovery
 4    from the estate of a spouse, under Sections 1915 and 1924  of
 5    the  Social  Security  Act  and  Section  5-4 of the Illinois
 6    Public Aid Code, who precedes  a  person  receiving  services
 7    under this Section in death.  All moneys for services paid to
 8    or  in  behalf  of  the  person  under  this Section shall be
 9    claimed for  recovery  from  the  deceased  spouse's  estate.
10    "Homestead",  as  used  in this paragraph, means the dwelling
11    house and contiguous real  estate  occupied  by  a  surviving
12    spouse  or  relative, as defined by the rules and regulations
13    of the Illinois Department of Public Aid, regardless  of  the
14    value of the property.
15        The   Department  shall  develop  procedures  to  enhance
16    availability of services on evenings,  weekends,  and  on  an
17    emergency  basis  to  meet  the  respite needs of caregivers.
18    Procedures shall be developed to permit  the  utilization  of
19    services  in  successive blocks of 24 hours up to the monthly
20    maximum established by the  Department.    Workers  providing
21    these services shall be appropriately trained.
22        The   Department  shall  work  in  conjunction  with  the
23    Alzheimer's  Task  Force  and  members  of  the   Alzheimer's
24    Association  and  other  senior  citizens'  organizations  in
25    developing these procedures by December 30, 1991.
26        Beginning on the effective date of this Amendatory Act of
27    1991,  no person may perform chore/housekeeping and homemaker
28    services under a program authorized by  this  Section  unless
29    that  person  has been issued a certificate of pre-service to
30    do so by his or her employing agency.   Information  gathered
31    to  effect  such certification shall include (i) the person's
32    name, (ii) the date the  person  was  hired  by  his  or  her
33    current employer, and (iii) the training, including dates and
34    levels.   Persons  engaged  in the program authorized by this
                            -6-                LRB9010277PTsb
 1    Section before the effective date of this amendatory  Act  of
 2    1991 shall be issued a certificate of all pre- and in-service
 3    training  from  his  or  her  employer  upon  submitting  the
 4    necessary   information.    The  employing  agency  shall  be
 5    required to retain records of all staff pre-  and  in-service
 6    training,  and  shall  provide such records to the Department
 7    upon request and upon termination of the employer's  contract
 8    with  the  Department.   In addition, the employing agency is
 9    responsible for the issuance of certifications of  in-service
10    training completed to their employees.
11        The  Department is required to develop a system to ensure
12    that persons working as  homemakers  and  chore  housekeepers
13    receive  increases  in  their  wages when the federal minimum
14    wage is increased by requiring vendors to certify  that  they
15    are  meeting  the federal minimum wage statute for homemakers
16    and chore housekeepers.  An employer that cannot ensure  that
17    the  minimum  wage  increase is being given to homemakers and
18    chore  housekeepers  shall  be   denied   any   increase   in
19    reimbursement  costs.  Beginning  July  1,  1998, the vendors
20    shall receive a pay rate increase of 10%.
21        The Department on  Aging  and  the  Department  of  Human
22    Services shall cooperate in the development and submission of
23    an annual report on programs and services provided under this
24    Section.   Such joint report shall be filed with the Governor
25    and the General Assembly on or before September 30 each year.
26        The requirement for reporting  to  the  General  Assembly
27    shall  be  satisfied  by filing copies of the report with the
28    Speaker, the Minority Leader and the Clerk of  the  House  of
29    Representatives  and  the  President, the Minority Leader and
30    the Secretary of the  Senate  and  the  Legislative  Research
31    Unit,  as  required  by  Section  3.1 of the General Assembly
32    Organization Act  and filing such additional copies with  the
33    State  Government  Report Distribution Center for the General
34    Assembly as is required under paragraph (t) of Section  7  of
                            -7-                LRB9010277PTsb
 1    the State Library Act.
 2        Those  persons  previously  found  eligible for receiving
 3    non-institutional services whose services  were  discontinued
 4    under  the  Emergency Budget Act of Fiscal Year 1992, and who
 5    do not meet the eligibility standards in effect on  or  after
 6    July  1,  1992,  shall remain ineligible on and after July 1,
 7    1992.  Those persons previously not  required  to  cost-share
 8    and  who were required to cost-share effective March 1, 1992,
 9    shall continue to meet cost-share requirements on  and  after
10    July  1,  1992.   Beginning July 1, 1992, all clients will be
11    required  to  meet   eligibility,   cost-share,   and   other
12    requirements  and  will have services discontinued or altered
13    when they fail to meet these requirements.
14    (Source: P.A. 89-21, eff. 7-1-95; 89-507, eff. 7-1-97.)
15        Section 10.  The Disabled Persons Rehabilitation  Act  is
16    amended by changing Section 3 as follows:
17        (20 ILCS 2405/3) (from Ch. 23, par. 3434)
18        Sec. 3.  Powers and duties. The Department shall have the
19    powers and duties enumerated herein:
20        (a)  To  co-operate  with  the  federal government in the
21    administration   of   the   provisions   of    the    federal
22    Rehabilitation  Act  of  1973, as amended, and of the federal
23    Social Security Act to the extent and in the manner  provided
24    in these Acts.
25        (b)  To   prescribe   and   supervise   such  courses  of
26    vocational training and provide such other services as may be
27    necessary for the habilitation and rehabilitation of  persons
28    with  one  or more disabilities, including the administrative
29    activities under subsection  (e)  of  this  Section,  and  to
30    co-operate  with State and local school authorities and other
31    recognized agencies engaged in  habilitation,  rehabilitation
32    and  comprehensive  rehabilitation services; and to cooperate
                            -8-                LRB9010277PTsb
 1    with the Department of Children and Family Services regarding
 2    the  care  and  education  of  children  with  one  or   more
 3    disabilities.
 4        (c)  To  make  such  reports and submit such plans to the
 5    federal government as are required by the provisions  of  the
 6    federal  Rehabilitation  Act  of 1973, as amended, and by the
 7    rules and regulations  of  the  federal  agency  or  agencies
 8    administering  the  federal  Rehabilitation  Act  of 1973, as
 9    amended, and the federal Social Security Act.
10        (d)  To report in writing, to the Governor,  annually  on
11    or  before the first day of December, and at such other times
12    and in such manner and upon such subjects as the Governor may
13    require.  The annual report shall contain (1) a statement  of
14    the   existing   condition  of  comprehensive  rehabilitation
15    services, habilitation and rehabilitation in the State; (2) a
16    statement of suggestions and recommendations  with  reference
17    to  the development of comprehensive rehabilitation services,
18    habilitation and rehabilitation in  the  State;  and  (3)  an
19    itemized  statement  of  the  amounts  of money received from
20    federal, State and other sources,  and  of  the  objects  and
21    purposes  to  which  the  respective  items  of these several
22    amounts have been devoted.
23        (e)  To exercise, pursuant to Section  13  of  this  Act,
24    executive    and    administrative   supervision   over   all
25    institutions, divisions, programs and services  now  existing
26    or  hereafter  acquired  or created under the jurisdiction of
27    the Department, including, but not limited to, the following:
28        The  Illinois  School  for  the  Visually   Impaired   at
29    Jacksonville, as provided under Section 10 of this Act,
30        The  Illinois  School  for  the  Deaf at Jacksonville, as
31    provided under Section 10 of this Act, and
32        The Illinois Center for Rehabilitation and Education,  as
33    provided under Section 11 of this Act.
34        (f)  To  establish  a  program  of  services  to  prevent
                            -9-                LRB9010277PTsb
 1    unnecessary  institutionalization of persons with Alzheimer's
 2    disease and related disorders or persons in need of long term
 3    care who are established as blind or disabled as  defined  by
 4    the  Social  Security Act, thereby enabling them to remain in
 5    their own homes or other living arrangements. Such preventive
 6    services may include, but are not limited to, any or  all  of
 7    the following:
 8             (1)  home health services;
 9             (2)  home nursing services;
10             (3)  homemaker services;
11             (4)  chore and housekeeping services;
12             (5)  day care services;
13             (6)  home-delivered meals;
14             (7)  education in self-care;
15             (8)  personal care services;
16             (9)  adult day health services;
17             (10)  habilitation services;
18             (11)  respite care; or
19             (12)  other  nonmedical  social  services  that  may
20        enable the person to become self-supporting.
21        The  Department shall establish eligibility standards for
22    such services taking into consideration the  unique  economic
23    and  social  needs  of the population for whom they are to be
24    provided.  Such eligibility standards may  be  based  on  the
25    recipient's  ability  to pay for services; provided, however,
26    that any portion of a person's income that  is  equal  to  or
27    less   than   the  "protected  income"  level  shall  not  be
28    considered by the Department in determining eligibility.  The
29    "protected  income"  level  shall  be   determined   by   the
30    Department,  shall  never  be  less  than the federal poverty
31    standard, and shall be adjusted each year to reflect  changes
32    in  the  Consumer  Price  Index  For  All  Urban Consumers as
33    determined  by  the  United  States  Department   of   Labor.
34    Additionally,   in  determining  the  amount  and  nature  of
                            -10-               LRB9010277PTsb
 1    services for which a person may qualify, consideration  shall
 2    not  be  given to the value of cash, property or other assets
 3    held in the name of the person's spouse pursuant to a written
 4    agreement dividing marital property into equal  but  separate
 5    shares  or pursuant to a transfer of the person's interest in
 6    a home to his spouse, provided that the spouse's share of the
 7    marital property is not made available to the person  seeking
 8    such services.
 9        The  services  shall  be  provided to eligible persons to
10    prevent unnecessary or premature institutionalization, to the
11    extent that the cost of the services, together with the other
12    personal maintenance expenses of the persons, are  reasonably
13    related  to  the  standards  established  for care in a group
14    facility   appropriate    to    their    condition.     These
15    non-institutional  services,  pilot  projects or experimental
16    facilities may be provided as part of or in addition to those
17    authorized by federal law or those funded and administered by
18    the Illinois Department on Aging.
19        Personal care attendants shall be paid:
20             (i)  A $5 per hour minimum rate  beginning  July  1,
21        1995.
22             (ii)  A  $5.30  per hour minimum rate beginning July
23        1, 1997.
24             (iii)  A 10% increase in their $5.40 per  hour  wage
25        minimum rate beginning July 1, 1998.
26        The  Department  shall  execute,  relative to the nursing
27    home prescreening project, as authorized by Section  4.03  of
28    the   Illinois   Act   on  the  Aging,  written  inter-agency
29    agreements with the Department on Aging and the Department of
30    Public Aid, to effect the following:  (i)  intake  procedures
31    and  common  eligibility  criteria  for those persons who are
32    receiving   non-institutional   services;   and   (ii)    the
33    establishment  and  development of non-institutional services
34    in areas of the State where they are not currently  available
                            -11-               LRB9010277PTsb
 1    or  are  undeveloped.  On and after July 1, 1996, all nursing
 2    home prescreenings for individuals 18 through 59 years of age
 3    shall be conducted by the Department.
 4        The Department is authorized to  establish  a  system  of
 5    recipient  cost-sharing  for  services  provided  under  this
 6    Section.    The   cost-sharing   shall   be  based  upon  the
 7    recipient's ability to pay for services, but in no case shall
 8    the recipient's share exceed the actual cost of the  services
 9    provided.   Protected  income  shall not be considered by the
10    Department in its determination of the recipient's ability to
11    pay  a  share  of  the  cost  of  services.   The  level   of
12    cost-sharing  shall  be adjusted each year to reflect changes
13    in the "protected income" level.  The Department shall deduct
14    from the recipient's share of the cost of services any  money
15    expended by the recipient for disability-related expenses.
16        The    Department,   or   the   Department's   authorized
17    representative, shall recover the amount of  moneys  expended
18    for  services provided to or in behalf of a person under this
19    Section by a claim against the person's estate or against the
20    estate of the person's surviving spouse, but no recovery  may
21    be had until after the death of the surviving spouse, if any,
22    and  then  only at such time when there is no surviving child
23    who is under  age  21,  blind,  or  permanently  and  totally
24    disabled.   This  paragraph, however, shall not bar recovery,
25    at the death of the person, of moneys for  services  provided
26    to  the  person or in behalf of the person under this Section
27    to which the person was  not  entitled;  provided  that  such
28    recovery  shall not be enforced against any real estate while
29    it is occupied as a homestead  by  the  surviving  spouse  or
30    other  dependent,  if  no claims by other creditors have been
31    filed against the estate, or, if such claims have been filed,
32    they remain dormant for failure of prosecution or failure  of
33    the  claimant  to compel administration of the estate for the
34    purpose of payment.  This paragraph shall  not  bar  recovery
                            -12-               LRB9010277PTsb
 1    from  the estate of a spouse, under Sections 1915 and 1924 of
 2    the Social Security Act  and  Section  5-4  of  the  Illinois
 3    Public  Aid  Code,  who  precedes a person receiving services
 4    under this Section in death.  All moneys for services paid to
 5    or in behalf of  the  person  under  this  Section  shall  be
 6    claimed  for  recovery  from  the  deceased  spouse's estate.
 7    "Homestead", as used in this paragraph,  means  the  dwelling
 8    house  and  contiguous  real  estate  occupied by a surviving
 9    spouse or relative, as defined by the rules  and  regulations
10    of  the  Illinois Department of Public Aid, regardless of the
11    value of the property.
12        The  Department  and  the  Department  on   Aging   shall
13    cooperate  in  the  development  and  submission of an annual
14    report on programs and services provided under this  Section.
15    Such  joint  report  shall be filed with the Governor and the
16    General Assembly on or before September 30 each year.
17        The requirement for reporting  to  the  General  Assembly
18    shall  be  satisfied  by filing copies of the report with the
19    Speaker, the Minority Leader and the Clerk of  the  House  of
20    Representatives  and  the  President, the Minority Leader and
21    the Secretary of the  Senate  and  the  Legislative  Research
22    Unit,  as  required  by  Section  3.1 of the General Assembly
23    Organization Act, and filing additional copies with the State
24    Government  Report  Distribution  Center  for   the   General
25    Assembly  as required under paragraph (t) of Section 7 of the
26    State Library Act.
27        (g)  To establish such subdivisions of the Department  as
28    shall be desirable and assign to the various subdivisions the
29    responsibilities  and  duties  placed  upon the Department by
30    law.
31        (h)  To cooperate and enter into any necessary agreements
32    with the Department of Employment Security for the  provision
33    of  job placement and job referral services to clients of the
34    Department,  including  job  service  registration  of   such
                            -13-               LRB9010277PTsb
 1    clients  with Illinois Employment Security offices and making
 2    job listings  maintained  by  the  Department  of  Employment
 3    Security available to such clients.
 4        (i)  To  possess  all powers reasonable and necessary for
 5    the exercise and administration of  the  powers,  duties  and
 6    responsibilities  of the Department which are provided for by
 7    law.
 8        (j)  To establish a procedure whereby  new  providers  of
 9    personal care attendant services shall submit vouchers to the
10    State  for  payment  two  times  during  their first month of
11    employment and one time per month  thereafter.   In  no  case
12    shall  the  Department pay personal care attendants an hourly
13    wage that is less than the federal minimum wage.
14        (k)  To provide adequate notice to providers of chore and
15    housekeeping services informing them that they  are  entitled
16    to  an  interest payment on bills which are not promptly paid
17    pursuant to Section 3 of the State Prompt Payment Act.
18        (l)  To  establish,  operate  and  maintain  a  Statewide
19    Housing Clearinghouse of information on available, government
20    subsidized  housing  accessible  to  disabled   persons   and
21    available  privately  owned  housing  accessible  to disabled
22    persons.  The information shall include but not be limited to
23    the  location,  rental  requirements,  access  features   and
24    proximity to public transportation of available housing.  The
25    Clearinghouse  shall  consist  of  at  least  a  computerized
26    database  for  the storage and retrieval of information and a
27    separate or shared toll free  telephone  number  for  use  by
28    those seeking information from the Clearinghouse.  Department
29    offices  and personnel throughout the State shall also assist
30    in the operation  of  the  Statewide  Housing  Clearinghouse.
31    Cooperation  with  local,  State and federal housing managers
32    shall be sought and  extended  in  order  to  frequently  and
33    promptly update the Clearinghouse's information.
34    (Source:  P.A.  89-21,  eff.  7-1-95;  89-352,  eff. 8-17-95;
                            -14-               LRB9010277PTsb
 1    89-626, eff. 8-9-96; 90-365, eff. 8-10-97.)
 2        Section 99.  Effective date.  This Act takes effect  July
 3    1, 1998.

[ Top ]