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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$5.40per hour wage 25minimumrate 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.