Public Act 098-0815
 
SB0822 EnrolledLRB098 05040 RLC 35071 b

    AN ACT concerning health.
 
    Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
 
    Section 5. The Mental Health and Developmental
Disabilities Administrative Act is amended by changing
Sections 18.4 and 18.5 as follows:
 
    (20 ILCS 1705/18.4)
    Sec. 18.4. Community Mental Health Medicaid Trust Fund;
reimbursement.
    (a) The Community Mental Health Medicaid Trust Fund is
hereby created in the State Treasury.
    (b) Amounts paid to the State during each State fiscal year
by the federal government under Title XIX or Title XXI of the
Social Security Act for services delivered by community mental
health providers, and any interest earned thereon, shall be
deposited 100% into the Community Mental Health Medicaid Trust
Fund. Not more than $4,500,000 of the Community Mental Health
Medicaid Trust Fund may be used by the Department of Human
Services' Division of Mental Health for oversight and
administration of community mental health services, and of that
amount no more than $1,000,000 may be used for the support of
community mental health service initiatives. The remainder
shall be used for the purchase of community mental health
services.
    (b-5) Whenever a State mental health facility operated by
the Department is closed and the real estate on which the
facility is located is sold by the State, the net proceeds of
the sale of the real estate shall be deposited into the
Community Mental Health Medicaid Trust Fund and used for the
purposes enumerated in subsections (c) and (c-1) of Section 4.6
of the Community Services Act; however, under subsection (e) of
Section 4.6 of the Community Services Act, the Department may
set aside a portion of the net proceeds of the sale of the real
estate for deposit into the Human Services Priority Capital
Program Fund. The portion set aside shall be used for the
purposes enumerated in Section 6z-71 of the State Finance Act.
    (c) The Department shall reimburse community mental health
providers for services provided to eligible individuals.
Moneys in the Trust Fund may be used for that purpose.
    (c-5) The Community Mental Health Medicaid Trust Fund is
not subject to administrative charge-backs.
    (c-10) The Department of Human Services shall annually
report to the Governor and the General Assembly, by September
1, on both the total revenue deposited into the Trust Fund and
the total expenditures made from the Trust Fund for the
previous fiscal year. This report shall include detailed
descriptions of both revenues and expenditures regarding the
Trust Fund from the previous fiscal year. This report shall be
presented by the Secretary of Human Services to the appropriate
Appropriations Committee in the House of Representatives, as
determined by the Speaker of the House, and in the Senate, as
determined by the President of the Senate. This report shall be
made available to the public and shall be published on the
Department of Human Services' website in an appropriate
location, a minimum of one week prior to presentation of the
report to the General Assembly.
    (d) As used in this Section:
    "Trust Fund" means the Community Mental Health Medicaid
Trust Fund.
    "Community mental health provider" means a community
agency that is funded by the Department to provide a service.
    "Service" means a mental health service provided pursuant
to the provisions of administrative rules adopted by the
Department and funded by or claimed through the Department of
Human Services' Division of Mental Health.
(Source: P.A. 96-660, eff. 8-25-09; 96-820, eff. 11-18-09;
96-868, eff. 7-1-12; 97-333, eff. 8-12-11.)
 
    (20 ILCS 1705/18.5)
    Sec. 18.5. Community Developmental Disability Services
Medicaid Trust Fund; reimbursement.
    (a) The Community Developmental Disability Services
Medicaid Trust Fund is hereby created in the State treasury.
    (b) Except as provided in subsection (b-5), any funds in
any fiscal year paid to the State by the federal government
under Title XIX or Title XXI of the Social Security Act for
services delivered by community developmental disability
services providers for services relating to Developmental
Training and Community Integrated Living Arrangements as a
result of the conversion of such providers from a grant payment
methodology to a fee-for-service payment methodology, or any
other funds paid to the State for any subsequent revenue
maximization initiatives performed by such providers, and any
interest earned thereon, shall be deposited directly into the
Community Developmental Disability Services Medicaid Trust
Fund to pay for Medicaid-reimbursed community developmental
disability services provided to eligible individuals.
    (b-5) Beginning in State fiscal year 2008, any funds paid
to the State by the federal government under Title XIX or Title
XXI of the Social Security Act for services delivered through
the Children's Residential Waiver and the Children's In-Home
Support Waiver shall be deposited directly into the Trust Fund
and shall not be subject to the transfer provisions of
subsection (b).
    (b-7) The Community Developmental Disability Services
Medicaid Trust Fund is not subject to administrative
charge-backs.
    (b-9) The Department of Human Services shall annually
report to the Governor and the General Assembly, by September
1, on both the total revenue deposited into the Trust Fund and
the total expenditures made from the Trust Fund for the
previous fiscal year. This report shall include detailed
descriptions of both revenues and expenditures regarding the
Trust Fund from the previous fiscal year. This report shall be
presented by the Secretary of Human Services to the appropriate
Appropriations Committee in the House of Representatives, as
determined by the Speaker of the House, and in the Senate, as
determined by the President of the Senate. This report shall be
made available to the public and shall be published on the
Department of Human Services' website in an appropriate
location, a minimum of one week prior to presentation of the
report to the General Assembly.
    (b-10) Whenever a State developmental disabilities
facility operated by the Department is closed and the real
estate on which the facility is located is sold by the State,
the net proceeds of the sale of the real estate shall be
deposited into the Community Developmental Disability Services
Medicaid Trust Fund and used for the purposes enumerated in
subsections (c) and (d) of Section 4.6 of the Community
Services Act; however, under subsection (e) of Section 4.6 of
the Community Services Act, the Department may set aside a
portion of the net proceeds of the sale of the real estate for
deposit into the Human Services Priority Capital Program Fund.
The portion set aside shall be used for the purposes enumerated
in Section 6z-71 of the State Finance Act.
    (c) For purposes of this Section:
    "Trust Fund" means the Community Developmental Disability
Services Medicaid Trust Fund.
    "Medicaid-reimbursed developmental disability services"
means services provided by a community developmental
disability provider under an agreement with the Department that
is eligible for reimbursement under the federal Title XIX
program or Title XXI program.
    "Provider" means a qualified entity as defined in the
State's Home and Community-Based Services Waiver for Persons
with Developmental Disabilities that is funded by the
Department to provide a Medicaid-reimbursed service.
    "Revenue maximization alternatives" do not include
increases in funds paid to the State as a result of growth in
spending through service expansion or rate increases.
(Source: P.A. 96-660, eff. 8-25-09; 96-868, eff. 7-1-12.)
 
    Section 10. The State Finance Act is amended by changing
Section 6z-71 as follows:
 
    (30 ILCS 105/6z-71)
    Sec. 6z-71. Human Services Priority Capital Program Fund.
The Human Services Priority Capital Program Fund is created as
a special fund in the State treasury. Subject to appropriation,
the Department of Human Services shall use moneys in the Human
Services Priority Capital Program Fund to make grants to the
Illinois Facilities Fund, a not-for-profit corporation, to
make long term below market rate loans to nonprofit human
service providers working under contract to the State of
Illinois to assist those providers in meeting their capital
needs. The loans shall be for the purpose of such capital
needs, including but not limited to special use facilities,
requirements for serving the disabled, mentally ill, or
substance abusers, and medical and technology equipment. Loan
repayments shall be deposited into the Human Services Priority
Capital Program Fund. Interest income may be used to cover
expenses of the program. The Illinois Facilities Fund shall
report to the Department of Human Services and the General
Assembly by April 1, 2008, and again by April 1, 2009, as to
the use and earnings of the program.
    A portion of the proceeds from the sale of a mental health
facility or developmental disabilities facility operated by
the Department of Human Services may be deposited into the Fund
and may be used for the purposes described in this Section.
(Source: P.A. 95-707, eff. 1-11-08; 95-744, eff. 7-18-08.)
 
    Section 15. The Community Services Act is amended by
changing Section 4.6 as follows:
 
    (405 ILCS 30/4.6)
    Sec. 4.6. Closure and sale of State mental health or
developmental disabilities facility.
    (a) Whenever a State mental health facility operated by the
Department of Human Services is closed and the real estate on
which the facility is located is sold by the State, then, to
the extent that net proceeds are realized from the sale of that
real estate, those net proceeds must be used for mental health
services or to support mental health services directed toward
providing other services and supports for persons with mental
health needs. To that end, those net proceeds shall be
deposited into the Community Mental Health Medicaid Trust Fund.
The net proceeds from the sale of a State mental health
facility may be spent over a number of fiscal years and are not
required to be spent in the same fiscal year in which they are
deposited.
    (b) Whenever a State developmental disabilities facility
operated by the Department of Human Services is closed and the
real estate on which the facility is located is sold by the
State, then, to the extent that net proceeds are realized from
the sale of that real estate, those net proceeds must be
directed toward providing other services and supports for
persons with developmental disabilities needs. To that end,
those net proceeds shall be deposited into the Community
Developmental Disability Services Medicaid Trust Fund. The net
proceeds from the sale of a State developmental disabilities
facility may be spent over a number of fiscal years and are not
required to be spent in the same fiscal year in which they are
deposited.
    (c) The sale of a State mental health or developmental
disabilities facility shall be done in accordance with
applicable State laws and, if a State mental health or
developmental disabilities facility to be sold has been
financed or refinanced with tax-exempt bonds, applicable
federal laws. In determining whether any net proceeds are
realized from a sale of real estate described in subsection (a)
or (b), the Division of Developmental Disabilities and the
Division of Mental Health of the Department of Human Services
shall each first determine the money, if any, that shall be
made available for infrastructure not to exceed 25% of the
proceeds of the sale of the real estate to ensure that life,
safety, and care concerns, including infrastructure, are
addressed so as to provide for persons with developmental
disabilities or mental illness at the remaining respective
State-operated facilities that will be expected to serve the
individuals previously served at the closed facility. That
amount shall be excluded from the calculation of net proceeds
by the Division of Developmental Disabilities or the Division
of Mental Health, or both, of the Department of Human Services.
Amounts determined by the Department for infrastructure to be
necessary to ensure that life, safety, and care concerns are
addressed shall be deposited, respectively, into the Community
Mental Health Medicaid Trust Fund or the Community
Developmental Disability Services Medicaid Trust Fund.
    (c-1) To the extent that a State mental health facility
which has been closed served a geographical area, at minimum,
40% of the resulting net proceeds of its sale shall be made
exclusively in the facility's geographical area. If any other
State-operated mental health facility which served a specific
geographic area was closed within one year before or after the
closure of the facility whose sale has resulted in net proceeds
under this Section, 20% of the proceeds shall be used to
provide services in the geographic area of this facility. The
remainder of the net proceeds may be spent anywhere in the
State. All net proceeds may be used for the following mental
health services and supports, to include, but not limited to:
        (1) Permanent Supportive housing.
        (2) Technology that enables behavioral health
    providers to participate in health information exchanges.
        (3) Assertive Community Treatment and Community
    Support Team.
        (4) Transitional living apartments.
        (5) Crisis residential services targeted at diverting
    persons with mental illnesses from emergency departments
    (including peer run crisis services).
        (6) Psychiatric services.
        (7) Community mental health services targeted at
    diverting persons with mental illness from the criminal
    justice system.
        (8) Individual Placement and Support and other
    services to support employment.
        (9) Alcohol and substance abuse treatment.
    (d) The purposes for which the net proceeds from a sale of
real estate as provided in subsection (b) of this Section may
be used include, but are not limited to, the following:
        (1) Providing individuals with developmental
    disabilities community–based Medicaid services and
    supports such as residential habilitation, day programs,
    supported employment, home-based supports, therapies,
    adaptive equipment, and home modifications.
        (2) Assisting individuals with developmental
    disabilities through case management, service
    coordination, and assessments.
        (3) Strengthening the service delivery system through
    crisis intervention services.
        (4) Enhancing the service delivery system through
    infrastructure improvements, including technology
    improvements.
        (1) Providing for individuals with developmental
    disabilities and mental health needs the services and
    supports described in subsection (e) of Section 4.4.
        (2) In the case of the closure of a mental health
    facility, the construction of a new facility to serve the
    needs of persons with mental health needs.
        (3) In the case of the closure of a developmental
    disabilities facility, construction of a new facility to
    serve the needs of persons with developmental disabilities
    needs.
    (e) Whenever any net proceeds are realized from a sale of
real estate as provided in this Section, the Department of
Human Services shall share and discuss its plan or plans for
using those net proceeds with advocates, advocacy
organizations, and advisory groups whose mission includes
advocacy for persons with developmental disabilities or
persons with mental illness.
    (f) Consistent with the provisions of Sections 4.4 and 4.5
of this Act, whenever a State mental health facility operated
by the Department of Human Services is closed, the Department
of Human Services, at the direction of the Governor, shall
transfer funds from the closed facility to the appropriate line
item providing appropriation authority for the new venue of
care to facilitate the transition of services to the new venue
of care, provided that the new venue of care is a Department of
Human Services funded provider or facility.
    (g) As used in this Section, the term "mental health
facility" has the meaning ascribed to that term in the Mental
Health and Developmental Disabilities Code.
(Source: P.A. 98-403, eff. 1-1-14.)
 
    Section 99. Effective date. This Act takes effect upon
becoming law.