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1 | AN ACT concerning long-term care.
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2 | Be it enacted by the People of the State of Illinois,
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3 | represented in the General Assembly:
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4 | Section 1. Short title. This Act may be cited as the | ||||||||||||||||||||||||
5 | Independent Living Projects Act. | ||||||||||||||||||||||||
6 | Section 5. Purpose; objectives. | ||||||||||||||||||||||||
7 | (a) The purpose of implementing
independent living | ||||||||||||||||||||||||
8 | projects under this Act is to
demonstrate a new cooperative | ||||||||||||||||||||||||
9 | strategy for the long-term care
system in the State of | ||||||||||||||||||||||||
10 | Illinois.
The projects are part of the initial plan for a | ||||||||||||||||||||||||
11 | 20-year
strategy. The mission of the 20-year strategy is to | ||||||||||||||||||||||||
12 | create a
new community-based care paradigm for long-term care | ||||||||||||||||||||||||
13 | in
Illinois in order to maximize independence of the older | ||||||||||||||||||||||||
14 | adult
population and to ensure cost-effective use of financial | ||||||||||||||||||||||||
15 | and
human resources. The goals for the 20-year strategy are to:
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16 | (1) achieve a broad awareness and use of low-cost home | ||||||||||||||||||||||||
17 | care
and other residential alternatives to nursing homes;
| ||||||||||||||||||||||||
18 | (2) develop a statewide system of information and
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19 | assistance to enable easy access to long-term care | ||||||||||||||||||||||||
20 | services;
| ||||||||||||||||||||||||
21 | (3) develop sufficient alternatives to nursing homes | ||||||||||||||||||||||||
22 | to
serve the increased number of people needing long-term | ||||||||||||||||||||||||
23 | care; | ||||||||||||||||||||||||
24 | (4) maintain a moratorium on new construction of | ||||||||||||||||||||||||
25 | nursing
home beds and to lower the percentage of elderly | ||||||||||||||||||||||||
26 | persons served
in institutional settings; and | ||||||||||||||||||||||||
27 | (5) build a community-based approach and community
| ||||||||||||||||||||||||
28 | commitment to delivering long-term care services for | ||||||||||||||||||||||||
29 | elderly
persons in their homes. | ||||||||||||||||||||||||
30 | (b) The objective for the strategy is to continue at least | ||||||||||||||||||||||||
31 | 4 but not more than 6
projects in anticipation of a statewide | ||||||||||||||||||||||||
32 | program. These projects
will continue the process of |
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| |||||||
1 | implementing: | ||||||
2 | (1) a coordinated planning and administrative process; | ||||||
3 | (2) a refocused function of the preadmission screening
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4 | program; | ||||||
5 | (3) the development of additional home, community, and
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6 | residential alternatives to nursing homes; | ||||||
7 | (4) a program to support the informal caregivers for
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8 | elderly persons; | ||||||
9 | (5) programs to strengthen the use of volunteers; and | ||||||
10 | (6) programs to support the building of community
| ||||||
11 | commitment to provide long-term care for elderly persons. | ||||||
12 |
The services offered through these projects shall be made | ||||||
13 | available
to those who have their own funds to pay for | ||||||
14 | services, as well
as to persons who are eligible for medical | ||||||
15 | assistance under Article V of the Illinois Public Aid Code and | ||||||
16 | to
persons who are 180-day eligible clients to the extent
| ||||||
17 | authorized in this Act. | ||||||
18 | Section 10. Definitions. In this Act, "Department" means | ||||||
19 | the Department on Aging or the Department of Human Services, as | ||||||
20 | applicable. | ||||||
21 | Section 15. Independent living projects. | ||||||
22 | (a) The Department on Aging and the Department of Human | ||||||
23 | Services
shall contract with independent living projects in 4 | ||||||
24 | to 6 service regions of the State to demonstrate the | ||||||
25 | feasibility and
cost-effectiveness of a local long-term care | ||||||
26 | strategy that is
consistent with the State's long-term care | ||||||
27 | goals identified in
Section 5. Each department shall publish a | ||||||
28 | notice in the
Illinois Procurement Bulletin announcing the | ||||||
29 | availability of project funding
and giving instructions for | ||||||
30 | making an application for funding. The
instructions for the | ||||||
31 | application shall identify the amount of
funding available for | ||||||
32 | project components. | ||||||
33 | (b) To be selected for the project, an applicant must | ||||||
34 | establish a long-term care coordinating team
consisting of |
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1 | social service agencies, public health
nursing service | ||||||
2 | agencies, local boards of health, a
representative of local | ||||||
3 | nursing home providers, a representative
of local home care | ||||||
4 | providers, and the area agencies on aging in
a geographic area. | ||||||
5 | The team is responsible for: | ||||||
6 | (1) developing a local long-term care strategy | ||||||
7 | consistent
with State goals and objectives; | ||||||
8 | (2) submitting an application to be selected as a | ||||||
9 | project; | ||||||
10 | (3) coordinating planning for funds to provide | ||||||
11 | services to
elderly persons, including funds received | ||||||
12 | under Title III of the
Older Americans Act, the Community | ||||||
13 | Social Services Act, Title XX of
the Social Security Act, | ||||||
14 | and the Local Public Health Act; and | ||||||
15 | (4) ensuring efficient services provision and
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16 | nonduplication of funding. | ||||||
17 | (c) The applicant must designate a public agency to
serve | ||||||
18 | as the lead agency. The lead agency shall receive and manage
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19 | the project funds from the State and is responsible for the
| ||||||
20 | implementation of the local strategy. If selected as a project,
| ||||||
21 | the local long-term care coordinating team must evaluate the | ||||||
22 | progress of the local long-term care strategy in
meeting State | ||||||
23 | measures of performance and results as established
in the | ||||||
24 | contract.
The team must conduct such an evaluation every 6 | ||||||
25 | months. | ||||||
26 | (d) Each member of the local coordinating team must
| ||||||
27 | indicate its endorsement of the local strategy. The local
| ||||||
28 | long-term care coordinating team may include in its membership
| ||||||
29 | other units of government that provide funding for services to
| ||||||
30 | the frail elderly. The team must cooperate with consumers and
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31 | other public and private agencies, including nursing homes, in
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32 | the geographic area in order to develop and offer a variety of
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33 | cost-effective services to the elderly and their caregivers. | ||||||
34 | (e) An applicant must apply to be selected as a
project. If | ||||||
35 | the project is selected, the Department on Aging or the | ||||||
36 | Department of Human Services, as applicable, shall contract |
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1 | with the lead agency for the project and
shall provide | ||||||
2 | additional administrative funds for implementing
the | ||||||
3 | provisions of the contract, within the appropriation
available | ||||||
4 | for this purpose. | ||||||
5 | (f) A project may not be selected unless it demonstrates | ||||||
6 | that:
| ||||||
7 | (1) the objectives of the local project will help to
| ||||||
8 | achieve the State's long-term care goals as defined in
| ||||||
9 | Section 5; | ||||||
10 | (2) there is a designated local lead agency that is
| ||||||
11 | empowered to make contracts with the State and local | ||||||
12 | vendors on
behalf of all participants; | ||||||
13 | (3) the project proposal demonstrates that the local
| ||||||
14 | cooperating agencies have the ability to perform the | ||||||
15 | project as
described and that the implementation of the | ||||||
16 | project has a
reasonable chance of achieving its | ||||||
17 | objectives; and | ||||||
18 | (4) the local coordinating team documents efforts of
| ||||||
19 | cooperation with consumers and other agencies and | ||||||
20 | organizations,
both public and private, in planning for | ||||||
21 | service delivery.
| ||||||
22 | Section 20. Long-term care strategy. The local
long-term | ||||||
23 | care strategy must list performance outcomes and
indicators | ||||||
24 | that meet the State's objectives. The local
strategy must | ||||||
25 | provide for the following: | ||||||
26 | (1) Accessible information, assessment, and | ||||||
27 | preadmission
screening activities as described in Section | ||||||
28 | 25. | ||||||
29 | (2) An increase in numbers of alternative care clients
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30 | served, including those who are
relocated from nursing | ||||||
31 | homes, which results in a reduction of
the medical | ||||||
32 | assistance nursing home caseload. | ||||||
33 | (3) The development of additional services, such as | ||||||
34 | adult
family foster care homes; family adult day care; | ||||||
35 | assisted living
projects and congregate housing service |
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| |||||||
1 | projects in apartment
buildings; expanded home care | ||||||
2 | services for evenings and
weekends; expanded volunteer | ||||||
3 | services; and caregiver support and
respite care projects. | ||||||
4 | The applicant selected for the project
shall be required to | ||||||
5 | comply with federal regulations,
alternative care funding | ||||||
6 | policies, and
federal waiver programs' policies. | ||||||
7 | Section 25. Accessible information, screening, and | ||||||
8 | assessment function.
| ||||||
9 | (a) A project selected by and under
contract with the | ||||||
10 | Department shall establish an accessible
information, | ||||||
11 | screening, and assessment function for persons who
need | ||||||
12 | assistance and information regarding long-term care. This
| ||||||
13 | accessible information, screening, and assessment function | ||||||
14 | shall
include information and referral, early intervention, | ||||||
15 | follow-up
contacts, telephone screening, home visits, | ||||||
16 | assessments,
preadmission screening, and relocation case | ||||||
17 | management for the
frail elderly and their caregivers in the | ||||||
18 | area served by the
project. The purpose is to ensure that | ||||||
19 | information
and help is provided to elderly persons and their | ||||||
20 | families in a
timely fashion, when they are making decisions | ||||||
21 | about long-term
care. These functions may be split among | ||||||
22 | various agencies, but
must be coordinated by the local | ||||||
23 | long-term care coordinating
team. | ||||||
24 | (b) The lead agency or the agencies under contract with the
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25 | lead agency that are responsible for the accessible
| ||||||
26 | information, screening, and assessment function must complete
| ||||||
27 | the forms and reports required by the Department as specified
| ||||||
28 | in the contract. | ||||||
29 | Section 30. Service development and delivery. In addition | ||||||
30 | to the access, screening, and assessment
function described in | ||||||
31 | Section 25, each local strategy may include provisions for the
| ||||||
32 | following: | ||||||
33 | (1) The addition of a full-time staff person who is
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34 | responsible to develop the following services and recruit
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| |||||||
1 | providers as established in the contract: | ||||||
2 | (A) Additional adult family foster care homes. | ||||||
3 | (B) Family adult day care providers. | ||||||
4 | (C) An assisted living program in an apartment. | ||||||
5 | (D) A congregate housing service project in a | ||||||
6 | subsidized
housing project. | ||||||
7 | (E) The expansion of evening and weekend coverage | ||||||
8 | of home
care services as deemed necessary by the local | ||||||
9 | strategic plan. | ||||||
10 | (2) Small incentive grants to new adult family care
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11 | providers for renovations needed to meet licensure | ||||||
12 | requirements.
| ||||||
13 | (3) A plan to apply for a congregate housing service
| ||||||
14 | project, authorized by the
Department, to the extent that | ||||||
15 | funds are
available. | ||||||
16 | (4) A plan to divert new applicants to nursing homes | ||||||
17 | and to
relocate a targeted population from nursing homes, | ||||||
18 | using an
individual's own resources or the funding | ||||||
19 | available for
services.
| ||||||
20 | (5) One or more caregiver support and respite care
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21 | projects, as described in Section 35. | ||||||
22 | Section 35. Caregiver support and respite care. | ||||||
23 | (a) The Department shall establish up to 6 projects to
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24 | expand the respite care network in the State and to support
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25 | caregivers in their responsibilities for care. The purpose of
| ||||||
26 | each project shall be to: | ||||||
27 | (1) establish a local coordinated network of volunteer | ||||||
28 | and
paid respite workers; | ||||||
29 | (2) coordinate assignment of respite workers to | ||||||
30 | clients and
care receivers and assure the health and safety | ||||||
31 | of the client;
and | ||||||
32 | (3) provide training for caregivers and ensure that | ||||||
33 | support
groups are available in the community. | ||||||
34 | (b) The caregiver support and respite care funds shall be
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35 | available to the 4 to 6 local long-term care strategy
projects |
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1 | designated under this Act. | ||||||
2 | (c) The Department shall publish a notice in the Illinois | ||||||
3 | Procurement Bulletin to solicit proposals from public or | ||||||
4 | private nonprofit
agencies for the projects not included in the | ||||||
5 | 4 to 6 local
long-term care strategy projects defined in | ||||||
6 | Section 15. An agency may, alone or in combination with other
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7 | agencies, apply for caregiver support and respite care project
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8 | funds. A public or nonprofit agency within a designated | ||||||
9 | independent living
project area may apply for project funds if | ||||||
10 | the agency has a
letter of agreement with the service region in | ||||||
11 | which
services will be developed, stating the intention to | ||||||
12 | coordinate the activities with those projects. | ||||||
13 | (d) The Department shall select grantees based on the
| ||||||
14 | following criteria: | ||||||
15 | (1) The ability of the proposal to demonstrate need in | ||||||
16 | the
area served, as evidenced by a community needs | ||||||
17 | assessment or
other demographic data. | ||||||
18 | (2) The ability of the proposal to clearly describe how | ||||||
19 | the
project will achieve the purpose set forth in | ||||||
20 | subsection (a). | ||||||
21 | (3) The ability of the proposal to reach underserved
| ||||||
22 | populations. | ||||||
23 | (4) The ability of the proposal to demonstrate | ||||||
24 | community
commitment to the project, as evidenced by | ||||||
25 | letters of support
and cooperation as well as formation of | ||||||
26 | a community task force. | ||||||
27 | (5) The ability of the proposal to clearly describe the
| ||||||
28 | process for recruiting, training, and retraining | ||||||
29 | volunteers. | ||||||
30 | (6) The inclusion in the proposal of the plan to | ||||||
31 | promote
the project in the community, including outreach to | ||||||
32 | persons
needing the services. | ||||||
33 | (e) Funds for all projects under this Section may be
used | ||||||
34 | to do the following:
| ||||||
35 | (1) Hire a coordinator to develop a coordinated network | ||||||
36 | of
volunteer and paid respite care services and assign |
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1 | workers to
clients. | ||||||
2 | (2) Recruit and train volunteer providers. | ||||||
3 | (3) Train caregivers. | ||||||
4 | (4) Ensure the development of support groups for
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5 | caregivers. | ||||||
6 | (5) Advertise the availability of the caregiver | ||||||
7 | support and
respite care project. | ||||||
8 | (6) Purchase equipment to maintain a system of | ||||||
9 | assigning
workers to clients. | ||||||
10 | (f) Project funds may not be used to supplant existing
| ||||||
11 | funding sources. | ||||||
12 | Section 40. Independent living projects evaluation. The | ||||||
13 | Department shall evaluate the success of the independent living | ||||||
14 | projects
against the objective stated in subsection (b) of | ||||||
15 | Section 5,
and recommend to the legislature the continuation or | ||||||
16 | expansion
of the long-term care strategy by February 15, 2008. | ||||||
17 | Section 45. Public awareness campaign. The Department
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18 | shall contract for a public awareness campaign to educate the
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19 | general public, seniors, consumers, caregivers, and
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20 | professionals about the aging process, the long-term care
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21 | system, and alternatives available including alternative care
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22 | and residential alternatives. Particular emphasis shall be | ||||||
23 | given
to informing consumers on how to access the alternatives | ||||||
24 | and
obtain information on the long-term care system. The
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25 | Department shall pursue the development of new names for
| ||||||
26 | preadmission screening, alternative care, foster care, and | ||||||
27 | other
services as deemed necessary for the public awareness | ||||||
28 | campaign. | ||||||
29 | Section 50. Community service grants. The Department
shall | ||||||
30 | award contracts for grants to public and private nonprofit
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31 | agencies to establish services that strengthen a community's
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32 | ability to provide a system of home and community-based | ||||||
33 | services
for elderly persons. The Department shall use a |
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1 | request for proposal process. The Department shall give | ||||||
2 | preference when
awarding grants under this Section to areas | ||||||
3 | where nursing
facility closures have occurred or are occurring. | ||||||
4 | The
Department shall consider grants for the following: | ||||||
5 | (1) Caregiver support and respite care projects under
| ||||||
6 | Section 35. | ||||||
7 | (2) On-site coordination. | ||||||
8 | (3) Services identified as needed for community | ||||||
9 | transition.
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