Sen. Heather A. Steans
Filed: 4/23/2018
 
 

 

 

 
10000SB2424sam002LRB100 17322 RLC 39021 a



1
AMENDMENT TO SENATE BILL 2424




2    AMENDMENT NO. ______. Amend Senate Bill 2424, AS AMENDED, 
3by replacing everything after the enacting clause with the 
4following:

 
5    "Section 5. The Developmental Disability and Mental 
6Disability Services Act is amended  by adding Article VII-A as 
7follows:
 
8    (405 ILCS 80/Art. VII-A heading new)
9
VII-A.  DIVERSION FROM FACILITY-BASED CARE PROGRAM

 
10    (405 ILCS 80/7A-1 new)
11    Sec. 7A-1. Diversion from Facility-based Care Pilot 
12Program.
13    (a)     The purposes  of this Article are to:
14        (1) decrease the number of admissions to 
15    State-operated facilities;
 
 
10000SB2424sam002- 2 -LRB100 17322 RLC 39021 a

1        (2) address the needs of individuals receiving Home and 
2    Community Based Services (HCBS)  with intellectual 
3    disabilities or developmental disabilities who are at risk 
4    of facility-based care due to significant behavioral 
5    challenges, some with a dual diagnosis of mental illness, 
6    by providing a community-based residential alternative to 
7    facility-based care  consistent with their individual 
8    plans, and to transition these individuals back to a 
9    traditional community-integrated living arrangement or 
10    other HCBS community setting program;
11        (3) create greater capacity within the short-term 
12    stabilization homes by allowing individuals who need an 
13    extended period of treatment to transfer to a long-term 
14    stabilization home;
15        (4) stabilize the existing community-integrated living 
16    arrangement homes where the presence of individuals with 
17    complex behavioral challenges is disruptive to their 
18    housemates; and
19        (5) add support services to        enhance community service 
20    providers who serve individuals with significant 
21    behavioral challenges.
22    (b)   Subject to appropriation or the availability of other 
23funds for these purposes at the discretion of the Department, 
24the Department shall establish the Diversion from 
25Facility-based Care Pilot Program consisting of at least 6 
26homes in various locations in this State in accordance with 
 
 
10000SB2424sam002- 3 -LRB100 17322 RLC 39021 a

1this Article and the following model:
2        (1) the Diversion from Facility-based Care Model shall 
3    serve individuals with intellectual disabilities or 
4    developmental disabilities who are currently receiving 
5    HCBS services and are at risk of facility-based care due to 
6    significant behavioral challenges, some with a dual 
7    diagnosis of mental illness, for a period ranging from one 
8    to 2 years, or longer if appropriate for the individual;
9        (2) the Program shall be regulated in accordance with 
10    the community-integrated living arrangement guidelines;
11        (3) each home shall support no more than 4 residents, 
12    each having his or her own bedroom;
13        (4) if, at any point, an individual, his or her 
14    guardian, or family caregivers, in conjunction with the 
15    provider and clinical staff, believe the individual is 
16    capable of participating in a HCBS service, those 
17    opportunities shall be offered as they become available; 
18    and
19        (5) providers shall have adequate resources, 
20    experience, and qualifications to serve the population 
21    target by the Program, as determined by the Department;
22        (6) participating Program providers and the Department 
23    shall participate in an ongoing collaborative whereby best 
24    practices and treatment experiences would be shared and 
25    utilized;
26        (7) home locations shall be proposed by the provider in 
 
 
10000SB2424sam002- 4 -LRB100 17322 RLC 39021 a

1    collaboration with other community stakeholders;
2        (8) The Department, in collaboration with 
3    participating providers, by rule shall develop data 
4    collection and reporting requirements for participating 
5    community service providers. Beginning December 31, 2020 
6    the Department shall submit an annual report 
7    electronically to the General Assembly and Governor that 
8    outlines the progress and effectiveness of the pilot 
9    program.  The report to the General Assembly shall be filed 
10    with the Clerk of the House of Representatives and the 
11    Secretary of the Senate in electronic form only, in the 
12    manner that the Clerk and the Secretary shall direct;
13        (9) the staffing model shall allow for a high level of 
14    community integration and engagement and family 
15    involvement; and 
16        (10) appropriate day services, staff training 
17    priorities, and home modifications shall be incorporated 
18    into the Program model, as allowed by HCBS authorization.
19    (c)      This Section is repealed on January 1, 2023. 
 

20    Section 99. Effective date. This Act takes effect July 1, 
212019.".