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1 | AN ACT in relation to mental 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 1. Short title.
This Act may be cited as the MI | ||||||||||||||||||||||||
5 | Olmstead Initiative Act.
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6 | Section 5. Purposes.
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7 | (a) The General Assembly recognizes that the United States | ||||||||||||||||||||||||
8 | Supreme Court
in Olmstead
v. L.C. ex rel. Zimring, 119 S. Ct. | ||||||||||||||||||||||||
9 | 2176 (1999), affirmed that the
unjustifiable | ||||||||||||||||||||||||
10 | institutionalization
of a person with a disability who could | ||||||||||||||||||||||||
11 | live in the community with proper
support, and wishes to
do so, | ||||||||||||||||||||||||
12 | is unlawful discrimination in violation of the Americans with
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13 | Disabilities Act (ADA). The
State of Illinois, along with all | ||||||||||||||||||||||||
14 | other states, is required to provide
appropriate residential | ||||||||||||||||||||||||
15 | and
community-based support services to persons with | ||||||||||||||||||||||||
16 | disabilities who wish to live
in less restrictive
settings and | ||||||||||||||||||||||||
17 | are able to do so.
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18 | (b) It is the purpose of this Act to implement the MI | ||||||||||||||||||||||||
19 | Olmstead
Initiative in response to the
U.S. Supreme Court's | ||||||||||||||||||||||||
20 | decision in Olmstead v. L.C. in order (1) to enable 1,000
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21 | persons with mental illness or a co-occurring disorder of
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22 | mental illness and substance abuse, who currently reside in | ||||||||||||||||||||||||
23 | nursing
facilities, who choose to move, and who are able to do | ||||||||||||||||||||||||
24 | so, to move within the
next 5 years to the most integrated | ||||||||||||||||||||||||
25 | residential
settings possible in the community and (2) to | ||||||||||||||||||||||||
26 | provide cost-effective
community residential
environments and | ||||||||||||||||||||||||
27 | supports to enable these persons to live successfully in the
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28 | community.
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29 | (c) It is the further purpose of this Act to create a | ||||||||||||||||||||||||
30 | continuum of
residential and supportive
services in community | ||||||||||||||||||||||||
31 | settings for persons with mental illness or a
co-occurring | ||||||||||||||||||||||||
32 | disorder of mental
illness and substance abuse, while |
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1 | increasing federal and client financial
participation through | ||||||
2 | the
Medicaid and Social Security programs, wherever possible.
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3 | (d) The MI Olmstead Initiative is not intended to | ||||||
4 | substitute for or
replace the obligation of
the State of | ||||||
5 | Illinois to develop and implement a comprehensive, effectively
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6 | working plan for
placing persons with disabilities in less | ||||||
7 | restrictive settings, under the
Supreme Court decision
in | ||||||
8 | Olmstead v. L.C.
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9 | Section 10. Definitions. For purposes of this Act:
| ||||||
10 | "Department" means the Department of Human Services.
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11 | "Institution for mental diseases" (IMD) means a nursing | ||||||
12 | facility
licensed by the Illinois Department of Public Health | ||||||
13 | under the Nursing Home
Care Act as defined, consistent with | ||||||
14 | federal regulations, by the Illinois
Department of Public Aid | ||||||
15 | where services to residents are ineligible for federal
| ||||||
16 | financial participation under the Medicaid program because | ||||||
17 | mental illness is
the specific reason for being in the facility | ||||||
18 | for more than 50% of the
residents over
21 and under 65 years | ||||||
19 | of age.
| ||||||
20 | "Qualified individual" means an adult who is 19 years of | ||||||
21 | age or older and
under
65 years of age who agrees to | ||||||
22 | participate in the MI Olmstead Initiative, is
assessed by an
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23 | appropriate professional and found to be able to move to a less | ||||||
24 | restrictive
setting, and
meets one of the following criteria:
| ||||||
25 | (1) the person is substantially impaired in 2 or more | ||||||
26 | major life
activities as a
consequence of a mental illness | ||||||
27 | or a co-occurring mental illness and substance
abuse | ||||||
28 | disorder; or
| ||||||
29 | (2) the person has a record of having been | ||||||
30 | substantially impaired in
2 or more major
life activities | ||||||
31 | as a consequence of a mental illness or a co-occurring | ||||||
32 | mental
illness and substance
abuse disorder.
| ||||||
33 | Section 15. Programs and services of the MI Olmstead | ||||||
34 | Initiative.
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1 | (a) The Department shall identify
200 qualified | ||||||
2 | individuals during each of the 5 years following the
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3 | implementation date of this
Act, or 1,000 persons in total, who | ||||||
4 | agree to and
are able to be transitioned to
alternative | ||||||
5 | residential
settings within the community. In order to | ||||||
6 | appropriately select persons for
the
MI Olmstead
Initiative, | ||||||
7 | the Department, by working in conjunction with an owner or | ||||||
8 | operator
of a nursing
facility or an IMD, and with the guardian | ||||||
9 | of the qualified
individual, if any, shall
ensure that:
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10 | (1) a comprehensive evaluation and diagnosis of the | ||||||
11 | qualified individual
has been
administered by a qualified | ||||||
12 | examiner, including an assessment of skills,
abilities, | ||||||
13 | and potential for
residential and work placement, adapted | ||||||
14 | to the person's primary language,
cultural background,
and | ||||||
15 | ethnic origin;
| ||||||
16 | (2) an individual program plan or individual treatment | ||||||
17 | plan, or both,
has been completed
for the qualified | ||||||
18 | individual, outlining a range of services to be provided as
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19 | described in subsection
(b) of this Section;
| ||||||
20 | (3) the qualified individual is advised of available | ||||||
21 | and
appropriate community-based alternatives for his or | ||||||
22 | her care before a decision
on placement is made;
and
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23 | (4) a planning specialist or case manager assists the | ||||||
24 | individual in
making the move from
an institution to a | ||||||
25 | community setting.
| ||||||
26 | (b) The MI Olmstead Initiative shall be designed with a | ||||||
27 | capacity for
1,000 qualified
individuals over 5 years and shall | ||||||
28 | offer, or create as necessary, services
and supports for these
| ||||||
29 | individuals to live in the most integrated community-based | ||||||
30 | setting possible.
The services and supports in
community-based | ||||||
31 | settings shall include, but not be limited to:
| ||||||
32 | (1) Residence in the most integrated setting possible, | ||||||
33 | whether
independent living in a
private residence, a | ||||||
34 | supported residential program, a supervised residential
| ||||||
35 | program, or supportive
housing, as appropriate.
| ||||||
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
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3 | rehabilitation.
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4 | (3) Vocational training, as appropriate, that | ||||||
5 | contributes to the
person's independence and
employment | ||||||
6 | potential.
| ||||||
7 | (4) Employment, as appropriate, free from | ||||||
8 | discrimination pursuant to the
Constitution and
laws of | ||||||
9 | this State.
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10 | (5) Periodic reevaluation and review of the individual | ||||||
11 | program plan or
the individual
treatment plan, or both, at | ||||||
12 | least twice each year, in order to measure
progress,
to | ||||||
13 | modify or change
objectives if necessary, and to provide | ||||||
14 | guidance and remediation techniques.
The qualified
| ||||||
15 | individual and his or her guardian, if any, shall have the | ||||||
16 | right (i)
to participate in the
planning and | ||||||
17 | decision-making process regarding the plan and (ii) to be | ||||||
18 | informed
in
writing, or in that
individual's mode of | ||||||
19 | communication, of progress at reasonable time intervals.
| ||||||
20 | (6) Due process so that any individual aggrieved by a | ||||||
21 | decision of the
Department
regarding services provided | ||||||
22 | under this Act is given an opportunity to present
| ||||||
23 | complaints at a due
process hearing before a hearing | ||||||
24 | officer designated by the Director of the
Department, in | ||||||
25 | addition
to any other rights under federal, State, or local | ||||||
26 | laws.
| ||||||
27 | (c) The Department shall implement, coordinate, monitor, | ||||||
28 | and evaluate
the MI Olmstead
Initiative in cooperation with the | ||||||
29 | Department of Public Aid, the Department of
Public Health, the
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30 | Governor's Office of Management and Budget, and other State | ||||||
31 | agencies as
appropriate, as well as
organizations or service
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32 | providers whose mission includes advocacy for or the provision | ||||||
33 | of quality
services
to persons with
mental illness or a | ||||||
34 | co-occurring disorder of mental illness and substance
abuse.
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35 | Section 20. Prospective savings. Any monetary savings to |
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1 | the State derived from transitioning qualified individuals to | ||||||
2 | alternative residential settings shall first be used to ensure | ||||||
3 | that all necessary services and supports are available to the | ||||||
4 | individual within the community. | ||||||
5 | Section 25. Report to the General Assembly. The | ||||||
6 | Department, in
cooperation with the Department of Public Aid | ||||||
7 | and the Department of Public
Health,
shall report to
the | ||||||
8 | General Assembly on the status of the MI Olmstead Initiative by | ||||||
9 | October 1
in each year of the
5-year initiative, and shall | ||||||
10 | include in the report an analysis of the costs
and benefits
of | ||||||
11 | the Initiative, a review of the State's use of nursing | ||||||
12 | facilities,
including IMD's, for the
care of persons with | ||||||
13 | severe mental illness, and a plan for adjusting State
policy, | ||||||
14 | including
the further consolidation or conversion of IMD
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15 | facilities to non-IMD nursing facilities
for the purpose of
| ||||||
16 | maximizing federal financial participation under the Medicaid | ||||||
17 | program.
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18 | Section 30. Implementation dates. The Department shall | ||||||
19 | adopt rules
to govern all aspects of this Act by April 1, 2006. | ||||||
20 | Subject to available
appropriations, the
Department shall | ||||||
21 | begin implementation of the MI Olmstead Initiative by July 1,
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22 | 2006.
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23 | Section 99. Effective date. This Act takes effect upon | ||||||
24 | becoming law. |