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1 | AN ACT in relation to health.
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2 | Be it enacted by the People of the State of Illinois, | ||||||||||||||||||||||||||
3 | represented in the General Assembly:
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4 | Section 5. The Community Services Act is amended by adding | ||||||||||||||||||||||||||
5 | Sections 4.4 and
4.5 as follows:
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6 | (405 ILCS 30/4.4 new)
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7 | Sec. 4.4. Funding reinvestment.
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8 | (a) The purposes of this Section are as follows:
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9 | (1) The General Assembly recognizes that the United | ||||||||||||||||||||||||||
10 | States Supreme
Court in Olmstead v. L.C. ex Rel. Zimring, | ||||||||||||||||||||||||||
11 | 119 S. Ct. 2176 (1999), affirmed
that the unjustifiable | ||||||||||||||||||||||||||
12 | institutionalization of a person with a disability who
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13 | could live in the community with proper support, and wishes | ||||||||||||||||||||||||||
14 | to do so, is
unlawful discrimination in violation of the | ||||||||||||||||||||||||||
15 | Americans with Disabilities Act
(ADA). The State of | ||||||||||||||||||||||||||
16 | Illinois, along with all other states, is required to
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17 | provide appropriate residential and community-based | ||||||||||||||||||||||||||
18 | support services to persons
with disabilities who wish to | ||||||||||||||||||||||||||
19 | live in a less restrictive setting.
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20 | (2) It is the purpose of this Section to help fulfill | ||||||||||||||||||||||||||
21 | the State's
obligations under the Olmstead decision by | ||||||||||||||||||||||||||
22 | maximizing the level of funds for
both developmental | ||||||||||||||||||||||||||
23 | disability and mental health services and supports in order
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24 | to maintain and create an array of residential and | ||||||||||||||||||||||||||
25 | supportive services for
people with mental health needs and | ||||||||||||||||||||||||||
26 | developmental disabilities whenever they
are
transferred | ||||||||||||||||||||||||||
27 | into another facility or a community-based setting.
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28 | (b) In this Section:
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29 | "Office of Developmental Disabilities" means the Office of | ||||||||||||||||||||||||||
30 | Developmental
Disabilities within the Department of Human | ||||||||||||||||||||||||||
31 | Services.
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32 | "Office of Mental Health" means the Office of Mental Health |
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1 | within the
Department of Human Services.
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2 | (c) On and after the effective date of this amendatory Act | ||||||
3 | of the 93rd
General Assembly, every appropriation of State | ||||||
4 | moneys relating to funding for
the Office of Developmental | ||||||
5 | Disabilities or the Office of Mental Health must
comply with | ||||||
6 | this Section.
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7 | (d) Whenever any appropriation, or any portion of an | ||||||
8 | appropriation, for any
fiscal year relating to the funding of | ||||||
9 | any State-operated facility operated by
the Office of | ||||||
10 | Developmental Disabilities or any mental health facility | ||||||
11 | operated
by the Office of Mental Health is reduced because of | ||||||
12 | any of the reasons set
forth in the following items (1) through | ||||||
13 | (3), to the extent that savings are
realized from these items, | ||||||
14 | those moneys must be directed toward providing
other services | ||||||
15 | and supports for persons with developmental disabilities or
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16 | mental health needs:
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17 | (1) The closing of any such State-operated facility for | ||||||
18 | the
developmentally disabled or mental health facility.
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19 | (2) Reduction in the number of available beds in any | ||||||
20 | such State-operated
facility for the developmentally | ||||||
21 | disabled or mental health facility.
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22 | (3) Reduction in the number of staff employed in any | ||||||
23 | such State-operated
facility for the developmentally | ||||||
24 | disabled or mental health facility.
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25 | (e) The purposes of redirecting this funding shall include, | ||||||
26 | but not be
limited to, providing the following services and | ||||||
27 | supports for individuals with
developmental disabilities and | ||||||
28 | mental health needs:
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29 | (1) Residence in the most integrated setting possible, | ||||||
30 | whether independent
living in a private residence, a | ||||||
31 | Community Integrated Living Arrangement
(CILA), a | ||||||
32 | supported residential program, an Intermediate Care | ||||||
33 | Facility for
persons with Developmental Disabilities | ||||||
34 | (ICFDD), a supervised residential
program, or supportive | ||||||
35 | housing, as appropriate.
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36 | (2) Rehabilitation and support services, including |
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1 | assertive community
treatment, case management, supportive | ||||||
2 | and supervised day treatment, and
psychosocial | ||||||
3 | rehabilitation.
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4 | (3) Vocational or developmental training, as | ||||||
5 | appropriate, that contributes
to the person's independence | ||||||
6 | and employment potential.
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7 | (4) Employment or supported employment, as | ||||||
8 | appropriate, free from
discrimination pursuant to the | ||||||
9 | Constitution and laws of this State.
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10 | (5) In-home family supports, such as respite services | ||||||
11 | and client and
family supports.
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12 | (6) Periodic reevaluation, as needed.
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13 | (f) An appropriation may not circumvent the purposes of | ||||||
14 | this Section by
transferring moneys within the funding system | ||||||
15 | for services and supports for the
developmentally disabled and | ||||||
16 | mentally ill and then compensating for this
transfer by | ||||||
17 | redirecting other moneys away from these services to provide
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18 | funding for some other governmental purpose or to relieve other | ||||||
19 | State funding
expenditures.
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20 | (405 ILCS 30/4.5 new)
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21 | Sec. 4.5. Funding Reinvestment Advisory Task Force.
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22 | (a) The Governor, in coordination with the Secretary of | ||||||
23 | Human Services,
shall appoint a task force to assist the | ||||||
24 | Department of Human Services in
implementing Section 4.4. The | ||||||
25 | task force shall consist of the following
members:
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26 | (1) One Representative recommended by the Speaker of | ||||||
27 | the House of
Representatives.
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28 | (2) One Representative recommended by the Minority | ||||||
29 | Leader of the
House of Representatives.
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30 | (3) One Senator recommended by the President of the | ||||||
31 | Senate.
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32 | (4) One Senator recommended by the Minority Leader of | ||||||
33 | the Senate.
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34 | (5) One representative from the Office of | ||||||
35 | Developmental Disabilities
within the Department of Human |
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1 | Services.
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2 | (6) One representative from the Office of Mental Health | ||||||
3 | within the
Department of Human Services.
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4 | (7) One representative from the Office of | ||||||
5 | Rehabilitation Services within
the Department of Human | ||||||
6 | Services.
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7 | (8) One representative from the Department of Public | ||||||
8 | Aid.
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9 | (9) One community-based provider for individuals with | ||||||
10 | developmental
disabilities.
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11 | (10) One community-based recreational provider for | ||||||
12 | individuals with
developmental disabilities.
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13 | (11) One community-based provider for individuals with | ||||||
14 | mental health
needs.
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15 | (12) One member representing entities that provide | ||||||
16 | funding for mental
health services.
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17 | (13) Three members representing the advocate community | ||||||
18 | for the
developmentally disabled.
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19 | (14) Three members representing the advocate community | ||||||
20 | for the
mentally ill.
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21 | (b) In addition to assisting the Department in implementing | ||||||
22 | Section 4.4, the
task force shall also assist in, but not be | ||||||
23 | limited to, the following:
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24 | (1) Quantifying the amount of money appropriated by the | ||||||
25 | legislature for
expenditures relating to care for a person | ||||||
26 | in a State-operated facility for
persons with | ||||||
27 | developmental disabilities or a mental health facility.
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28 | (2) Quantifying the amount of money appropriated by the | ||||||
29 | legislature for
expenditures relating to care for a person | ||||||
30 | in a community-based setting.
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31 | (3) Identifying ways in which funding may be redirected | ||||||
32 | in total or in
part to alternative services and supports an | ||||||
33 | individual transferring out of an
institution may be | ||||||
34 | seeking.
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35 | (4) Identifying other state models and practices that | ||||||
36 | allow money to
follow the individual throughout the system |
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1 | of services and supports for
individuals with | ||||||
2 | developmental disabilities and mental health needs.
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3 | (5) Identifying ways in which the Department can | ||||||
4 | maximize Medicaid
funding and capture more federal | ||||||
5 | financial participation (FFP) for the purpose
of expanding | ||||||
6 | developmental disability and mental health services and | ||||||
7 | supports.
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8 | (c) The task force shall be established no later than June | ||||||
9 | 1, 2003 and shall
submit a written report of its findings to | ||||||
10 | the General Assembly and the Office
of the Governor no later | ||||||
11 | than January 1, 2004.
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12 | Section 99. Effective date. This Act takes effect upon | ||||||
13 | becoming law. |