093_HB0688eng HB0688 Engrossed LRB093 05489 MKM 05580 b 1 AN ACT in relation to children. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 5. The Early Intervention Services System Act is 5 amended by changing Section 3 as follows: 6 (325 ILCS 20/3) (from Ch. 23, par. 4153) 7 Sec. 3. Definitions.As usedIn this Act: 8 (a) "Eligible infants and toddlers" means infants and 9 toddlers under 36 months of age with any of the following 10 conditions: 11 (1) Developmental delays as defined by the 12 Department by rule. 13 (2) A physical or mental condition thatwhich14 typically results in developmental delay. 15 (3) Being at risk of having substantial 16 developmental delays based on informed clinical judgment. 17 (4) Either (A) having entered the program under any 18 of the circumstances listed in paragraphs (1) through (3) 19 of this subsection but no longer meeting the current 20 eligibility criteria under those paragraphs, and 21 continuing to have any measurable delay, or (B) not 22 having attained a level of development in each area, 23 including (i) cognitive, (ii) physical (including vision 24 and hearing), (iii) language, speech, and communication, 25 (iv) psycho-social, or (v) self-help skills, that is at 26 least at the mean of the child's age equivalent peers; 27 and, in addition to either item (A) or item (B), (C) 28 having been determined by the multidisciplinary 29 individualized family service plan team to require the 30 continuation of early intervention services in order to 31 support continuing developmental progress, pursuant to HB0688 Engrossed -2- LRB093 05489 MKM 05580 b 1 the child's needs and provided in an appropriate 2 developmental manner. The type, frequency, and intensity 3 of services shall differ from the initial individualized 4 family services plan because of the child's developmental 5 progress, and may consist of only service coordination, 6 evaluation, and assessments. 7 (b) "Developmental delay" means a delay in one or more 8 of the following areas of childhood development as measured 9 by appropriate diagnostic instruments and standard 10 procedures: cognitive; physical, including vision and 11 hearing; language, speech and communication; psycho-social; 12 or self-help skills. 13 (c) "Physical or mental condition thatwhichtypically 14 results in developmental delay" means: 15 (1) a diagnosed medical disorder bearing a 16 relatively well known expectancy for developmental 17 outcomes within varying ranges of developmental 18 disabilities; or 19 (2) a history of prenatal, perinatal, neonatal or 20 early developmental events suggestive of biological 21 insults to the developing central nervous system and 22 which either singly or collectively increase the 23 probability of developing a disability or delay based on 24 a medical history. 25 (d) "Informed clinical judgment" means both clinical 26 observations and parental participation to determine 27 eligibility by a consensus of a multidisciplinary team of 2 28 or more members based on their professional experience and 29 expertise. 30 (e) "Early intervention services" means services which: 31 (1) are designed to meet the developmental needs of 32 each child eligible under this Act and the needs of his 33 or her family; 34 (2) are selected in collaboration with the child's HB0688 Engrossed -3- LRB093 05489 MKM 05580 b 1 family; 2 (3) are provided under public supervision; 3 (4) are provided at no cost except where a schedule 4 of sliding scale fees or other system of payments by 5 families has been adopted in accordance with State and 6 federal law; 7 (5) are designed to meet an infant's or toddler's 8 developmental needs in any of the following areas: 9 (A) physical development, including vision and 10 hearing, 11 (B) cognitive development, 12 (C) communication development, 13 (D) social or emotional development, or 14 (E) adaptive development; 15 (6) meet the standards of the State, including the 16 requirements of this Act; 17 (7) include one or more of the following: 18 (A) family training, 19 (B) social work services, including 20 counseling, and home visits, 21 (C) special instruction, 22 (D) speech, language pathology and audiology, 23 (E) occupational therapy, 24 (F) physical therapy, 25 (G) psychological services, 26 (H) service coordination services, 27 (I) medical services only for diagnostic or 28 evaluation purposes, 29 (J) early identification, screening, and 30 assessment services, 31 (K) health services specified by the lead 32 agency as necessary to enable the infant or toddler 33 to benefit from the other early intervention 34 services, HB0688 Engrossed -4- LRB093 05489 MKM 05580 b 1 (L) vision services, 2 (M) transportation, and 3 (N) assistive technology devices and services; 4 (8) are provided by qualified personnel, including 5 but not limited to: 6 (A) child development specialists or special 7 educators, 8 (B) speech and language pathologists and 9 audiologists, 10 (C) occupational therapists, 11 (D) physical therapists, 12 (E) social workers, 13 (F) nurses, 14 (G) nutritionists, 15 (H) optometrists, 16 (I) psychologists, and 17 (J) physicians; 18 (9) are provided in conformity with an 19 Individualized Family Service Plan; 20 (10) are provided throughout the year; and 21 (11) are provided in natural environments, 22 including the home and community settings in which 23 infants and toddlers without disabilities would 24 participate to the extent determined by the 25 multidisciplinary Individualized Family Service Plan. 26 (f) "Individualized Family Service Plan" or "Plan" means 27 a written plan for providing early intervention services to a 28 child eligible under this Act and the child's family, as set 29 forth in Section 11. 30 (g) "Local interagency agreement" means an agreement 31 entered into by local community and State and regional 32 agencies receiving early intervention funds directly from the 33 State and made in accordance with State interagency 34 agreements providing for the delivery of early intervention HB0688 Engrossed -5- LRB093 05489 MKM 05580 b 1 services within a local community area. 2 (h) "Council" means the Illinois Interagency Council on 3 Early Intervention established under Section 4. 4 (i) "Lead agency" means the State agency responsible for 5 administering this Act and receiving and disbursing public 6 funds received in accordance with State and federal law and 7 rules. 8 (i-5) "Central billing office" means the central billing 9 office created by the lead agency under Section 13. 10 (j) "Child find" means a service which identifies 11 eligible infants and toddlers. 12 (k) "Regional intake entity" means the lead agency's 13 designated entity responsible for implementation of the Early 14 Intervention Services System within its designated geographic 15 area. 16 (l) "Early intervention provider" means an individual 17 who is qualified, as defined by the lead agency, to provide 18 one or more types of early intervention services, and who has 19 enrolled as a provider in the early intervention program. 20 (m) "Fully credentialed early intervention provider" 21 means an individual who has met the standards in the State 22 applicable to the relevant profession, and has met such other 23 qualifications as the lead agency has determined are suitable 24 for personnel providing early intervention services, 25 including pediatric experience, education, and continuing 26 education. The lead agency shall establish these 27 qualifications by rule filed no later than 180 days after the 28 effective date of this amendatory Act of the 92nd General 29 Assembly. 30 (Source: P.A. 91-538, eff. 8-13-99; 92-307, eff. 8-9-01.)