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1 | AN ACT concerning 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 Developmental Disability and Mental | ||||||||||||||||||||||||
5 | Disability Services Act is amended by changing Section 3-3 as | ||||||||||||||||||||||||
6 | follows:
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7 | (405 ILCS 80/3-3) (from Ch. 91 1/2, par. 1803-3)
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8 | Sec. 3-3. As used in this Article, unless the context | ||||||||||||||||||||||||
9 | requires otherwise:
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10 | (a) "Agency" means an agency or entity licensed by the
the
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11 | Department
pursuant to this Article or pursuant to the | ||||||||||||||||||||||||
12 | Community Residential
Alternatives Licensing Act. | ||||||||||||||||||||||||
13 | (b) "Department" means the Department of Human Services, as | ||||||||||||||||||||||||
14 | successor to
the Department of Mental Health and Developmental | ||||||||||||||||||||||||
15 | Disabilities.
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16 | (c) "Department-funded out-of-home placement services" | ||||||||||||||||||||||||
17 | means those
services for which the Department pays the partial | ||||||||||||||||||||||||
18 | or full cost of care of
the residential placement.
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19 | (d) "Family" or "families" means a family member or members | ||||||||||||||||||||||||
20 | and his, her
or their parents or legal guardians.
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21 | (e) "Family member" means a child 17 years old or younger | ||||||||||||||||||||||||
22 | who has one of
the following conditions: severe autism, severe | ||||||||||||||||||||||||
23 | emotional disturbance,
severe or profound mental retardation, |
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1 | or severe and multiple
impairments.
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2 | (f) "Legal guardian" means a person appointed by a court of | ||||||
3 | competent
jurisdiction to exercise certain powers on behalf of | ||||||
4 | a family member and
with whom the family member resides.
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5 | (g) "Parent" means a biological or adoptive parent with | ||||||
6 | whom the family
member resides, or a person licensed as a | ||||||
7 | foster parent under the laws of
this State, acting as a family | ||||||
8 | member's foster parent, and with whom the
family member | ||||||
9 | resides.
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10 | (h) "Severe autism" means a lifelong developmental | ||||||
11 | disability which is
typically manifested before 30 months of | ||||||
12 | age and is characterized by
severe disturbances in reciprocal | ||||||
13 | social interactions; verbal and
nonverbal communication and | ||||||
14 | imaginative activity; and repertoire of
activities and | ||||||
15 | interests. A person shall be determined severely autistic,
for | ||||||
16 | purposes of this Article, if both of the following are present:
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17 | (1) Diagnosis consistent with the criteria for | ||||||
18 | autistic disorder in
the current edition of the Diagnostic | ||||||
19 | and Statistical Manual of Mental
Disorders;
| ||||||
20 | (2) Severe disturbances in reciprocal social | ||||||
21 | interactions; verbal and
nonverbal communication and | ||||||
22 | imaginative activity; and repertoire of activities
and | ||||||
23 | interests. A determination of severe autism shall be based | ||||||
24 | upon a
comprehensive, documented assessment with an | ||||||
25 | evaluation by a licensed
clinical psychologist or | ||||||
26 | psychiatrist. A determination of severe autism
shall not be |
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1 | based solely on behaviors relating to environmental, | ||||||
2 | cultural
or economic differences.
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3 | (i) "Severe mental illness" means the manifestation of all | ||||||
4 | of the
following characteristics:
| ||||||
5 | (1) a severe mental illness characterized by the | ||||||
6 | presence of a mental
disorder in children or adolescents, | ||||||
7 | classified in the Diagnostic and
Statistical Manual of | ||||||
8 | Mental Disorders (Third Edition - Revised), as now or
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9 | hereafter revised, excluding V-codes (as that term is used | ||||||
10 | in the current
edition of the Diagnostic and Statistical | ||||||
11 | Manual of Mental Disorders),
adjustment disorders, mental | ||||||
12 | retardation when no other mental disorder is
present, | ||||||
13 | alcohol or substance abuse, or other forms of dementia | ||||||
14 | based upon
organic or physical disorders; and
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15 | (2) a functional disability of an extended duration | ||||||
16 | which results in
substantial limitations in major life | ||||||
17 | activities.
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18 | A determination of severe mental illness shall be based | ||||||
19 | upon a
comprehensive, documented assessment with an evaluation | ||||||
20 | by a licensed
clinical psychologist or a psychiatrist.
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21 | (j) "Severe or profound mental retardation" means a | ||||||
22 | manifestation of all
of the following characteristics:
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23 | (1) A diagnosis which meets Classification in Mental | ||||||
24 | Retardation or
criteria in the current edition of the | ||||||
25 | Diagnostic and Statistical Manual of
Mental Disorders for | ||||||
26 | severe or profound mental retardation (an IQ of 40 or
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1 | below). This must be measured by a standardized instrument | ||||||
2 | for general
intellectual functioning.
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3 | (2) A severe or profound level of adaptive behavior. | ||||||
4 | This must be
measured by a standardized adaptive behavior | ||||||
5 | scale or informal appraisal by
the professional in keeping | ||||||
6 | with illustrations in Classification in Mental
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7 | Retardation, 1983.
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8 | (3) Disability diagnosed before age of 18.
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9 | A determination of severe or profound mental retardation | ||||||
10 | shall be based
upon a comprehensive, documented assessment with | ||||||
11 | an evaluation by a
licensed clinical psychologist, certified | ||||||
12 | school psychologist, a
psychiatrist or other physician | ||||||
13 | licensed to practice medicine in all its
branches, and shall | ||||||
14 | not be based solely on behaviors relating to
environmental, | ||||||
15 | cultural or economic differences.
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16 | (k) "Severe and multiple impairments" means the | ||||||
17 | manifestation of all the
following characteristics:
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18 | (1) The evaluation determines the presence of a | ||||||
19 | developmental
disability which is expected to continue | ||||||
20 | indefinitely, constitutes a
substantial handicap and is | ||||||
21 | attributable to any of the following:
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22 | (A) Mental retardation, which is defined as | ||||||
23 | general intellectual
functioning that is 2 or more | ||||||
24 | standard deviations below the mean
concurrent with | ||||||
25 | impairment of adaptive behavior which is 2 or more | ||||||
26 | standard
deviations below the mean. Assessment of the |
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1 | individual's intellectual
functioning must be measured | ||||||
2 | by a standardized instrument for general
intellectual | ||||||
3 | functioning.
| ||||||
4 | (B) Cerebral palsy.
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5 | (C) Epilepsy.
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6 | (D) Autism.
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7 | (E) Any other condition which results in | ||||||
8 | impairment similar to that
caused by mental | ||||||
9 | retardation and which requires services similar to | ||||||
10 | those
required by mentally retarded persons.
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11 | (2) The evaluation determines multiple handicaps in | ||||||
12 | physical, sensory,
behavioral or cognitive functioning | ||||||
13 | which constitute a severe or profound
impairment | ||||||
14 | attributable to one or more of the following:
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15 | (A) Physical functioning, which severely impairs | ||||||
16 | the individual's
motor performance that may be due to:
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17 | (i) Neurological, psychological or physical | ||||||
18 | involvement resulting in
a variety of disabling | ||||||
19 | conditions such as hemiplegia, quadriplegia or | ||||||
20 | ataxia,
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21 | (ii) Severe organ systems involvement such as | ||||||
22 | congenital heart defect,
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23 | (iii) Physical abnormalities resulting in the | ||||||
24 | individual being
non-mobile and non-ambulatory or | ||||||
25 | confined to bed and receiving assistance
in | ||||||
26 | transferring, or
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1 | (iv) The need for regular medical or nursing | ||||||
2 | supervision such as
gastrostomy care and feeding.
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3 | Assessment of physical functioning must be based | ||||||
4 | on clinical medical
assessment, using the appropriate | ||||||
5 | instruments, techniques and standards of
measurement | ||||||
6 | required by the professional.
| ||||||
7 | (B) Sensory, which involves severe restriction due | ||||||
8 | to hearing or
visual impairment limiting the | ||||||
9 | individual's movement and creating
dependence in | ||||||
10 | completing most daily activities. Hearing impairment | ||||||
11 | is
defined as a loss of 70 decibels aided or speech | ||||||
12 | discrimination of less
than 50% aided. Visual | ||||||
13 | impairment is defined as 20/200 corrected in the
better | ||||||
14 | eye or a visual field of 20 degrees or less. Sensory | ||||||
15 | functioning
must be based on clinical medical | ||||||
16 | assessment using the appropriate
instruments, | ||||||
17 | techniques and standards of measurement required by | ||||||
18 | the
professional.
| ||||||
19 | (C) Behavioral, which involves behavior that is | ||||||
20 | maladaptive and presents
a danger to self or others, is | ||||||
21 | destructive to property by deliberately
breaking, | ||||||
22 | destroying or defacing objects, is disruptive by | ||||||
23 | fighting, or has
other socially offensive behaviors in | ||||||
24 | sufficient frequency or severity to
seriously limit | ||||||
25 | social integration. Assessment of behavioral | ||||||
26 | functioning
may be measured by a standardized scale or |
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1 | informal appraisal by the medical
professional.
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2 | (D) Cognitive, which involves intellectual | ||||||
3 | functioning at a measured IQ
of 70 or below. Assessment | ||||||
4 | of cognitive functioning must be measured by a
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5 | standardized instrument for general intelligence.
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6 | (3) The evaluation determines that development is | ||||||
7 | substantially less
than expected for the age in cognitive, | ||||||
8 | affective or psychomotor behavior
as follows:
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9 | (A) Cognitive, which involves intellectual | ||||||
10 | functioning at a measured
IQ of 70 or below. Assessment | ||||||
11 | of cognitive functioning must be measured by
a | ||||||
12 | standardized instrument for general intelligence.
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13 | (B) Affective behavior, which involves over and | ||||||
14 | under responding to
stimuli in the environment and may | ||||||
15 | be observed in mood, attention to
awareness, or in | ||||||
16 | behaviors such as euphoria, anger or sadness that
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17 | seriously limit integration into society. Affective | ||||||
18 | behavior must be based
on clinical medical and | ||||||
19 | psychiatric assessment using the appropriate
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20 | instruments, techniques and
standards of measurement | ||||||
21 | required by the professional.
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22 | (C) Psychomotor, which includes a severe | ||||||
23 | developmental delay in fine or
gross motor skills so | ||||||
24 | that development in self-care, social interaction,
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25 | communication or physical activity will be greatly | ||||||
26 | delayed or restricted.
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1 | (4) A determination that the disability originated | ||||||
2 | before the age of
18 years.
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3 | A determination of severe and multiple impairments shall be | ||||||
4 | based upon a
comprehensive, documented assessment with an | ||||||
5 | evaluation by a licensed
clinical psychologist or | ||||||
6 | psychiatrist. If the examiner is a licensed
clinical | ||||||
7 | psychologist, ancillary evaluation of physical impairment,
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8 | cerebral palsy or epilepsy must be made by a physician licensed | ||||||
9 | to practice
medicine in all its branches.
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10 | Regardless of the discipline of the examiner, ancillary | ||||||
11 | evaluation of
visual impairment must be made by an | ||||||
12 | ophthalmologist or a licensed optometrist.
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13 | Regardless of the discipline of the examiner, ancillary | ||||||
14 | evaluation of
hearing impairment must be made by an | ||||||
15 | otolaryngologist or an audiologist
with a certificate of | ||||||
16 | clinical competency.
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17 | The only exception to the above is in the case of a person | ||||||
18 | with cerebral
palsy or epilepsy who, according to the | ||||||
19 | eligibility criteria listed below,
has multiple impairments | ||||||
20 | which are only physical and sensory. In such a
case, a | ||||||
21 | physician licensed to practice medicine in all its branches may
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22 | serve as the examiner.
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23 | (Source: P.A. 89-507, eff. 7-1-97.)
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