101ST GENERAL ASSEMBLY
State of Illinois
2019 and 2020
SB3542
 
Introduced 2/14/2020, by Sen. Andy Manar
 
SYNOPSIS AS INTRODUCED:
 

 
20 ILCS 505/5.45a new

     Amends the Children and Family Services Act. Provides that any foster child 6 years old or younger who
participates in the Family Case Management program established
under the Illinois Family Case Management Act, shall be exempt
from the State's Medicaid managed care program for those
services that are provided by local health departments,
federally qualified health centers, and local community-based
agencies under the Family Case Management program. Requires the Department of Children and Family Services to refer foster children to the Department of Human Services for participation in the Family Case Management program for specified services and care, including, but not limited to: (i) prenatal care; (ii) early and periodic screening, diagnosis and
treatment services; and (iii) other specialized services for families with
additional challenges and needs. Provides that foster children shall also receive case management services under the
Family Case Management
program that involve individualized assessment of needs,
planning of services, referral, monitoring, and advocacy to
assist a client in gaining access to appropriate services.
  


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FISCAL NOTE ACT MAY APPLY
 
 
A BILL FOR
 

  
SB3542LRB101 20352 KTG 69897 b


  
1    AN ACT concerning State government.
  
 
2    Be it enacted by the People of the State of Illinois,
 
3represented in the General Assembly:
  
 
 
4    Section 5. The Children and Family Services Act is amended 
5by adding Section 5.45a as follows:
 
6    (20 ILCS 505/5.45a new)
7    Sec. 5.45a. Managed care exemption for foster children.
8    (a) Findings and purpose. The General Assembly finds as 
9follows: 
10        (1) The most formative years in a child's life are from 
11    zero to 6 years of age when preventive health care 
12    appointments are greater in number. This timeframe is a 
13    critical growth and development stage that can affect and 
14    influence a child's life course trajectory with 
15    implications for the child's health later in life.
16        (2) Family case management services are proven to be 
17    effective in improving the health outcomes of women and 
18    children and lowering the incidence of infant morbidity and 
19    mortality, particularly for those individuals linked to 
20    the Special Supplemental Nutrition Program for Women, 
21    Infants, and Children (WIC).
22        (3) Family case management improves the health and 
23    development of children and families by providing the 
 
 
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1    earliest identification of their needs and promoting 
2    linkages to address those needs.
3        (4) Data demonstrates significantly lower Medicaid 
4    expenditures for pregnant and postpartum women and 
5    children who have been enrolled in family case management 
6    and WIC services than for Medicaid-eligible persons not 
7    receiving case management services. 
8        (5) Foster children already participate in other 
9    health programs provided by local health departments and 
10    community-based organizations. Foster children under the 
11    age of 5 are automatically eligible for WIC services, 
12    regardless of the income of the foster parent, which makes 
13    the local health department staff uniquely equipped to 
14    contact and support the addition and or continuation of a 
15    child in WIC services.  In addition to the WIC program, 
16    there are other health department programs and services 
17    that overlap with the population of foster care children 
18    who are 6 years old or younger.  Frequently children in 
19    foster care have been exposed to drugs prenatally, received 
20    poor prenatal care, and are born with risks that are 
21    identified as adverse pregnancy outcomes.  A referral from 
22    the discharging hospital to the High Risk Infant 
23    Follow-Up/Adverse Pregnancy Outcome Reporting System 
24    program located in the local health department, leads to a 
25    nurse case manager assignment and follow-up related to the 
26    high risk medical needs of the child. 
 
 
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1        (6) As a critical component in delivering 
2    comprehensive child health services in Illinois, it is the 
3    purpose of this Section to provide for the recognition and 
4    continuation of a program of family case management 
5    services to ensure and provide statewide wrap-around 
6    services targeted toward reducing adverse health outcomes 
7    for foster children in the State of Illinois. 
8    (b) Exemption. Any foster child 6 years old or younger who 
9participates in the Family Case Management program established 
10under the Illinois Family Case Management Act, shall be exempt 
11from the State's Medicaid managed care program for those 
12services that are provided by local health departments, 
13federally qualified health centers, and local community-based 
14agencies under the Family Case Management program. The 
15Department shall refer foster children to the Department of 
16Human Services for participation in the Family Case Management 
17program for the following services and care:
18        (1) prenatal care;
19        (2) early and periodic screening, diagnosis and 
20    treatment services; 
21        (3) immunizations;
22        (4) lead screenings;
23        (5) nutritional support; and 
24        (6) other specialized services for families with 
25    additional challenges and needs. 
26    Foster children who are referred to the  Department of Human 
 
 
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1Services for participation in the Family Case Management 
2program shall receive case management services under the 
3program that involve individualized assessment of needs, 
4planning of services, referral, monitoring, and advocacy to 
5assist a client in gaining access to appropriate services.