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1 | | AN ACT concerning finance.
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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 | | ARTICLE 5. AMENDATORY PROVISIONS |
5 | | Section 5-5. The Illinois Act on the Aging is amended by |
6 | | changing Section 4.02 as follows:
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7 | | (20 ILCS 105/4.02) (from Ch. 23, par. 6104.02)
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8 | | Sec. 4.02. Community Care Program. The Department shall |
9 | | establish a program of services to
prevent unnecessary |
10 | | institutionalization of persons age 60 and older in
need of |
11 | | long term care or who are established as persons who suffer |
12 | | from
Alzheimer's disease or a related disorder under the |
13 | | Alzheimer's Disease
Assistance Act, thereby enabling them
to |
14 | | remain in their own homes or in other living arrangements. Such
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15 | | preventive services, which may be coordinated with other |
16 | | programs for the
aged and monitored by area agencies on aging |
17 | | in cooperation with the
Department, may include, but are not |
18 | | limited to, any or all of the following:
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19 | | (a) (blank);
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20 | | (b) (blank);
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21 | | (c) home care aide services;
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22 | | (d) personal assistant services;
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1 | | (e) adult day services;
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2 | | (f) home-delivered meals;
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3 | | (g) education in self-care;
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4 | | (h) personal care services;
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5 | | (i) adult day health services;
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6 | | (j) habilitation services;
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7 | | (k) respite care;
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8 | | (k-5) community reintegration services;
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9 | | (k-6) flexible senior services; |
10 | | (k-7) medication management; |
11 | | (k-8) emergency home response;
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12 | | (l) other nonmedical social services that may enable |
13 | | the person
to become self-supporting; or
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14 | | (m) clearinghouse for information provided by senior |
15 | | citizen home owners
who want to rent rooms to or share |
16 | | living space with other senior citizens.
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17 | | The Department shall establish eligibility standards for |
18 | | such
services. In determining the amount and nature of services
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19 | | for which a person may qualify, consideration shall not be |
20 | | given to the
value of cash, property or other assets held in |
21 | | the name of the person's
spouse pursuant to a written agreement |
22 | | dividing marital property into equal
but separate shares or |
23 | | pursuant to a transfer of the person's interest in a
home to |
24 | | his spouse, provided that the spouse's share of the marital
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25 | | property is not made available to the person seeking such |
26 | | services.
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1 | | Beginning January 1, 2008, the Department shall require as |
2 | | a condition of eligibility that all new financially eligible |
3 | | applicants apply for and enroll in medical assistance under |
4 | | Article V of the Illinois Public Aid Code in accordance with |
5 | | rules promulgated by the Department.
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6 | | The Department shall, in conjunction with the Department of |
7 | | Public Aid (now Department of Healthcare and Family Services),
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8 | | seek appropriate amendments under Sections 1915 and 1924 of the |
9 | | Social
Security Act. The purpose of the amendments shall be to |
10 | | extend eligibility
for home and community based services under |
11 | | Sections 1915 and 1924 of the
Social Security Act to persons |
12 | | who transfer to or for the benefit of a
spouse those amounts of |
13 | | income and resources allowed under Section 1924 of
the Social |
14 | | Security Act. Subject to the approval of such amendments, the
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15 | | Department shall extend the provisions of Section 5-4 of the |
16 | | Illinois
Public Aid Code to persons who, but for the provision |
17 | | of home or
community-based services, would require the level of |
18 | | care provided in an
institution, as is provided for in federal |
19 | | law. Those persons no longer
found to be eligible for receiving |
20 | | noninstitutional services due to changes
in the eligibility |
21 | | criteria shall be given 45 days notice prior to actual
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22 | | termination. Those persons receiving notice of termination may |
23 | | contact the
Department and request the determination be |
24 | | appealed at any time during the
45 day notice period. The |
25 | | target
population identified for the purposes of this Section |
26 | | are persons age 60
and older with an identified service need. |
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1 | | Priority shall be given to those
who are at imminent risk of |
2 | | institutionalization. The services shall be
provided to |
3 | | eligible persons age 60 and older to the extent that the cost
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4 | | of the services together with the other personal maintenance
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5 | | expenses of the persons are reasonably related to the standards
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6 | | established for care in a group facility appropriate to the |
7 | | person's
condition. These non-institutional services, pilot |
8 | | projects or
experimental facilities may be provided as part of |
9 | | or in addition to
those authorized by federal law or those |
10 | | funded and administered by the
Department of Human Services. |
11 | | The Departments of Human Services, Healthcare and Family |
12 | | Services,
Public Health, Veterans' Affairs, and Commerce and |
13 | | Economic Opportunity and
other appropriate agencies of State, |
14 | | federal and local governments shall
cooperate with the |
15 | | Department on Aging in the establishment and development
of the |
16 | | non-institutional services. The Department shall require an |
17 | | annual
audit from all personal assistant
and home care aide |
18 | | vendors contracting with
the Department under this Section. The |
19 | | annual audit shall assure that each
audited vendor's procedures |
20 | | are in compliance with Department's financial
reporting |
21 | | guidelines requiring an administrative and employee wage and |
22 | | benefits cost split as defined in administrative rules. The |
23 | | audit is a public record under
the Freedom of Information Act. |
24 | | The Department shall execute, relative to
the nursing home |
25 | | prescreening project, written inter-agency
agreements with the |
26 | | Department of Human Services and the Department
of Healthcare |
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1 | | and Family Services, to effect the following: (1) intake |
2 | | procedures and common
eligibility criteria for those persons |
3 | | who are receiving non-institutional
services; and (2) the |
4 | | establishment and development of non-institutional
services in |
5 | | areas of the State where they are not currently available or |
6 | | are
undeveloped. On and after July 1, 1996, all nursing home |
7 | | prescreenings for
individuals 60 years of age or older shall be |
8 | | conducted by the Department.
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9 | | As part of the Department on Aging's routine training of |
10 | | case managers and case manager supervisors, the Department may |
11 | | include information on family futures planning for persons who |
12 | | are age 60 or older and who are caregivers of their adult |
13 | | children with developmental disabilities. The content of the |
14 | | training shall be at the Department's discretion. |
15 | | The Department is authorized to establish a system of |
16 | | recipient copayment
for services provided under this Section, |
17 | | such copayment to be based upon
the recipient's ability to pay |
18 | | but in no case to exceed the actual cost of
the services |
19 | | provided. Additionally, any portion of a person's income which
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20 | | is equal to or less than the federal poverty standard shall not |
21 | | be
considered by the Department in determining the copayment. |
22 | | The level of
such copayment shall be adjusted whenever |
23 | | necessary to reflect any change
in the officially designated |
24 | | federal poverty standard.
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25 | | The Department, or the Department's authorized |
26 | | representative, may
recover the amount of moneys expended for |
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1 | | services provided to or in
behalf of a person under this |
2 | | Section by a claim against the person's
estate or against the |
3 | | estate of the person's surviving spouse, but no
recovery may be |
4 | | had until after the death of the surviving spouse, if
any, and |
5 | | then only at such time when there is no surviving child who
is |
6 | | under age 21, blind, or permanently and totally disabled. This
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7 | | paragraph, however, shall not bar recovery, at the death of the |
8 | | person, of
moneys for services provided to the person or in |
9 | | behalf of the person under
this Section to which the person was |
10 | | not entitled;
provided that such recovery shall not be enforced |
11 | | against any real estate while
it is occupied as a homestead by |
12 | | the surviving spouse or other dependent, if no
claims by other |
13 | | creditors have been filed against the estate, or, if such
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14 | | claims have been filed, they remain dormant for failure of |
15 | | prosecution or
failure of the claimant to compel administration |
16 | | of the estate for the purpose
of payment. This paragraph shall |
17 | | not bar recovery from the estate of a spouse,
under Sections |
18 | | 1915 and 1924 of the Social Security Act and Section 5-4 of the
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19 | | Illinois Public Aid Code, who precedes a person receiving |
20 | | services under this
Section in death. All moneys for services
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21 | | paid to or in behalf of the person under this Section shall be |
22 | | claimed for
recovery from the deceased spouse's estate. |
23 | | "Homestead", as used
in this paragraph, means the dwelling |
24 | | house and
contiguous real estate occupied by a surviving spouse
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25 | | or relative, as defined by the rules and regulations of the |
26 | | Department of Healthcare and Family Services, regardless of the |
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1 | | value of the property.
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2 | | The Department shall increase the effectiveness of the |
3 | | existing Community Care Program by: |
4 | | (1) ensuring that in-home services included in the care |
5 | | plan are available on evenings and weekends; |
6 | | (2) ensuring that care plans contain the services that |
7 | | eligible participants
need based on the number of days in a |
8 | | month, not limited to specific blocks of time, as |
9 | | identified by the comprehensive assessment tool selected |
10 | | by the Department for use statewide, not to exceed the |
11 | | total monthly service cost maximum allowed for each |
12 | | service; the Department shall develop administrative rules |
13 | | to implement this item (2); |
14 | | (3) ensuring that the participants have the right to |
15 | | choose the services contained in their care plan and to |
16 | | direct how those services are provided, based on |
17 | | administrative rules established by the Department; |
18 | | (4) ensuring that the determination of need tool is |
19 | | accurate in determining the participants' level of need; to |
20 | | achieve this, the Department, in conjunction with the Older |
21 | | Adult Services Advisory Committee, shall institute a study |
22 | | of the relationship between the Determination of Need |
23 | | scores, level of need, service cost maximums, and the |
24 | | development and utilization of service plans no later than |
25 | | May 1, 2008; findings and recommendations shall be |
26 | | presented to the Governor and the General Assembly no later |
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1 | | than January 1, 2009; recommendations shall include all |
2 | | needed changes to the service cost maximums schedule and |
3 | | additional covered services; |
4 | | (5) ensuring that homemakers can provide personal care |
5 | | services that may or may not involve contact with clients, |
6 | | including but not limited to: |
7 | | (A) bathing; |
8 | | (B) grooming; |
9 | | (C) toileting; |
10 | | (D) nail care; |
11 | | (E) transferring; |
12 | | (F) respiratory services; |
13 | | (G) exercise; or |
14 | | (H) positioning; |
15 | | (6) ensuring that homemaker program vendors are not |
16 | | restricted from hiring homemakers who are family members of |
17 | | clients or recommended by clients; the Department may not, |
18 | | by rule or policy, require homemakers who are family |
19 | | members of clients or recommended by clients to accept |
20 | | assignments in homes other than the client; |
21 | | (7) ensuring that the State may access maximum federal |
22 | | matching funds by seeking approval for the Centers for |
23 | | Medicare and Medicaid Services for modifications to the |
24 | | State's home and community based services waiver and |
25 | | additional waiver opportunities, including applying for |
26 | | enrollment in the Balance Incentive Payment Program by May |
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1 | | 1, 2013, in order to maximize federal matching funds; this |
2 | | shall include, but not be limited to, modification that |
3 | | reflects all changes in the Community Care Program services |
4 | | and all increases in the services cost maximum; |
5 | | (8) ensuring that the determination of need tool |
6 | | accurately reflects the service needs of individuals with |
7 | | Alzheimer's disease and related dementia disorders; |
8 | | (9) ensuring that services are authorized accurately |
9 | | and consistently for the Community Care Program (CCP); the |
10 | | Department shall implement a Service Authorization policy |
11 | | directive; the purpose shall be to ensure that eligibility |
12 | | and services are authorized accurately and consistently in |
13 | | the CCP program; the policy directive shall clarify service |
14 | | authorization guidelines to Care Coordination Units and |
15 | | Community Care Program providers no later than May 1, 2013; |
16 | | (10) working in conjunction with Care Coordination |
17 | | Units, the Department of Healthcare and Family Services, |
18 | | the Department of Human Services, Community Care Program |
19 | | providers, and other stakeholders to make improvements to |
20 | | the Medicaid claiming processes and the Medicaid |
21 | | enrollment procedures or requirements as needed, |
22 | | including, but not limited to, specific policy changes or |
23 | | rules to improve the up-front enrollment of participants in |
24 | | the Medicaid program and specific policy changes or rules |
25 | | to insure more prompt submission of bills to the federal |
26 | | government to secure maximum federal matching dollars as |
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1 | | promptly as possible; the Department on Aging shall have at |
2 | | least 3 meetings with stakeholders by January 1, 2014 in |
3 | | order to address these improvements; |
4 | | (11) requiring home care service providers to comply |
5 | | with the rounding of hours worked provisions under the |
6 | | federal Fair Labor Standards Act (FLSA) and as set forth in |
7 | | 29 CFR 785.48(b) by May 1, 2013; |
8 | | (12) implementing any necessary policy changes or |
9 | | promulgating any rules, no later than January 1, 2014, to |
10 | | assist the Department of Healthcare and Family Services in |
11 | | moving as many participants as possible, consistent with |
12 | | federal regulations, into coordinated care plans if a care |
13 | | coordination plan that covers long term care is available |
14 | | in the recipient's area; and |
15 | | (13) maintaining fiscal year 2014 rates at the same |
16 | | level established on January 1, 2013. |
17 | | By January 1, 2009 or as soon after the end of the Cash and |
18 | | Counseling Demonstration Project as is practicable, the |
19 | | Department may, based on its evaluation of the demonstration |
20 | | project, promulgate rules concerning personal assistant |
21 | | services, to include, but need not be limited to, |
22 | | qualifications, employment screening, rights under fair labor |
23 | | standards, training, fiduciary agent, and supervision |
24 | | requirements. All applicants shall be subject to the provisions |
25 | | of the Health Care Worker Background Check Act.
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26 | | The Department shall develop procedures to enhance |
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1 | | availability of
services on evenings, weekends, and on an |
2 | | emergency basis to meet the
respite needs of caregivers. |
3 | | Procedures shall be developed to permit the
utilization of |
4 | | services in successive blocks of 24 hours up to the monthly
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5 | | maximum established by the Department. Workers providing these |
6 | | services
shall be appropriately trained.
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7 | | Beginning on the effective date of this Amendatory Act of |
8 | | 1991, no person
may perform chore/housekeeping and home care |
9 | | aide services under a program
authorized by this Section unless |
10 | | that person has been issued a certificate
of pre-service to do |
11 | | so by his or her employing agency. Information
gathered to |
12 | | effect such certification shall include (i) the person's name,
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13 | | (ii) the date the person was hired by his or her current |
14 | | employer, and
(iii) the training, including dates and levels. |
15 | | Persons engaged in the
program authorized by this Section |
16 | | before the effective date of this
amendatory Act of 1991 shall |
17 | | be issued a certificate of all pre- and
in-service training |
18 | | from his or her employer upon submitting the necessary
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19 | | information. The employing agency shall be required to retain |
20 | | records of
all staff pre- and in-service training, and shall |
21 | | provide such records to
the Department upon request and upon |
22 | | termination of the employer's contract
with the Department. In |
23 | | addition, the employing agency is responsible for
the issuance |
24 | | of certifications of in-service training completed to their
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25 | | employees.
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26 | | The Department is required to develop a system to ensure |
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1 | | that persons
working as home care aides and personal assistants
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2 | | receive increases in their
wages when the federal minimum wage |
3 | | is increased by requiring vendors to
certify that they are |
4 | | meeting the federal minimum wage statute for home care aides
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5 | | and personal assistants. An employer that cannot ensure that |
6 | | the minimum
wage increase is being given to home care aides and |
7 | | personal assistants
shall be denied any increase in |
8 | | reimbursement costs.
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9 | | The Community Care Program Advisory Committee is created in |
10 | | the Department on Aging. The Director shall appoint individuals |
11 | | to serve in the Committee, who shall serve at their own |
12 | | expense. Members of the Committee must abide by all applicable |
13 | | ethics laws. The Committee shall advise the Department on |
14 | | issues related to the Department's program of services to |
15 | | prevent unnecessary institutionalization. The Committee shall |
16 | | meet on a bi-monthly basis and shall serve to identify and |
17 | | advise the Department on present and potential issues affecting |
18 | | the service delivery network, the program's clients, and the |
19 | | Department and to recommend solution strategies. Persons |
20 | | appointed to the Committee shall be appointed on, but not |
21 | | limited to, their own and their agency's experience with the |
22 | | program, geographic representation, and willingness to serve. |
23 | | The Director shall appoint members to the Committee to |
24 | | represent provider, advocacy, policy research, and other |
25 | | constituencies committed to the delivery of high quality home |
26 | | and community-based services to older adults. Representatives |
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1 | | shall be appointed to ensure representation from community care |
2 | | providers including, but not limited to, adult day service |
3 | | providers, homemaker providers, case coordination and case |
4 | | management units, emergency home response providers, statewide |
5 | | trade or labor unions that represent home care
aides and direct |
6 | | care staff, area agencies on aging, adults over age 60, |
7 | | membership organizations representing older adults, and other |
8 | | organizational entities, providers of care, or individuals |
9 | | with demonstrated interest and expertise in the field of home |
10 | | and community care as determined by the Director. |
11 | | Nominations may be presented from any agency or State |
12 | | association with interest in the program. The Director, or his |
13 | | or her designee, shall serve as the permanent co-chair of the |
14 | | advisory committee. One other co-chair shall be nominated and |
15 | | approved by the members of the committee on an annual basis. |
16 | | Committee members' terms of appointment shall be for 4 years |
17 | | with one-quarter of the appointees' terms expiring each year. A |
18 | | member shall continue to serve until his or her replacement is |
19 | | named. The Department shall fill vacancies that have a |
20 | | remaining term of over one year, and this replacement shall |
21 | | occur through the annual replacement of expiring terms. The |
22 | | Director shall designate Department staff to provide technical |
23 | | assistance and staff support to the committee. Department |
24 | | representation shall not constitute membership of the |
25 | | committee. All Committee papers, issues, recommendations, |
26 | | reports, and meeting memoranda are advisory only. The Director, |
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1 | | or his or her designee, shall make a written report, as |
2 | | requested by the Committee, regarding issues before the |
3 | | Committee.
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4 | | The Department on Aging and the Department of Human |
5 | | Services
shall cooperate in the development and submission of |
6 | | an annual report on
programs and services provided under this |
7 | | Section. Such joint report
shall be filed with the Governor and |
8 | | the General Assembly on or before
September 30 each year.
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9 | | The requirement for reporting to the General Assembly shall |
10 | | be satisfied
by filing copies of the report with the Speaker, |
11 | | the Minority Leader and
the Clerk of the House of |
12 | | Representatives and the President, the Minority
Leader and the |
13 | | Secretary of the Senate and the Legislative Research Unit,
as |
14 | | required by Section 3.1 of the General Assembly Organization |
15 | | Act and
filing such additional copies with the State Government |
16 | | Report Distribution
Center for the General Assembly as is |
17 | | required under paragraph (t) of
Section 7 of the State Library |
18 | | Act.
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19 | | Those persons previously found eligible for receiving |
20 | | non-institutional
services whose services were discontinued |
21 | | under the Emergency Budget Act of
Fiscal Year 1992, and who do |
22 | | not meet the eligibility standards in effect
on or after July |
23 | | 1, 1992, shall remain ineligible on and after July 1,
1992. |
24 | | Those persons previously not required to cost-share and who |
25 | | were
required to cost-share effective March 1, 1992, shall |
26 | | continue to meet
cost-share requirements on and after July 1, |
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1 | | 1992. Beginning July 1, 1992,
all clients will be required to |
2 | | meet
eligibility, cost-share, and other requirements and will |
3 | | have services
discontinued or altered when they fail to meet |
4 | | these requirements. |
5 | | For the purposes of this Section, "flexible senior |
6 | | services" refers to services that require one-time or periodic |
7 | | expenditures including, but not limited to, respite care, home |
8 | | modification, assistive technology, housing assistance, and |
9 | | transportation.
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10 | | The Department shall implement an electronic service |
11 | | verification based on global positioning systems or other |
12 | | cost-effective technology for the Community Care Program no |
13 | | later than January 1, 2014. |
14 | | The Department shall require, as a condition of |
15 | | eligibility, enrollment in the medical assistance program |
16 | | under Article V of the Illinois Public Aid Code (i) beginning |
17 | | August 1, 2013, if the Auditor General has reported that the |
18 | | Department has failed
to comply with the reporting requirements |
19 | | of Section 2-27 of
the Illinois State Auditing Act; or (ii) |
20 | | beginning June 1, 2014, if the Auditor General has reported |
21 | | that the
Department has not undertaken the required actions |
22 | | listed in
the report required by subsection (a) of Section 2-27 |
23 | | of the
Illinois State Auditing Act. |
24 | | The Department shall delay Community Care Program services |
25 | | until an applicant is determined eligible for medical |
26 | | assistance under Article V of the Illinois Public Aid Code (i) |
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1 | | beginning August 1, 2013, if the Auditor General has reported |
2 | | that the Department has failed
to comply with the reporting |
3 | | requirements of Section 2-27 of
the Illinois State Auditing |
4 | | Act; or (ii) beginning June 1, 2014, if the Auditor General has |
5 | | reported that the
Department has not undertaken the required |
6 | | actions listed in
the report required by subsection (a) of |
7 | | Section 2-27 of the
Illinois State Auditing Act. |
8 | | The Department shall implement co-payments for the |
9 | | Community Care Program at the federally allowable maximum level |
10 | | (i) beginning August 1, 2013, if the Auditor General has |
11 | | reported that the Department has failed
to comply with the |
12 | | reporting requirements of Section 2-27 of
the Illinois State |
13 | | Auditing Act; or (ii) beginning June 1, 2014, if the Auditor |
14 | | General has reported that the
Department has not undertaken the |
15 | | required actions listed in
the report required by subsection |
16 | | (a) of Section 2-27 of the
Illinois State Auditing Act. |
17 | | The Department shall provide a bi-monthly report on the |
18 | | progress of the Community Care Program reforms set forth in |
19 | | this amendatory Act of the 98th General Assembly to the |
20 | | Governor, the Speaker of the House of Representatives, the |
21 | | Minority Leader of the House of Representatives, the
President |
22 | | of the
Senate, and the Minority Leader of the Senate. |
23 | | The Department shall conduct a quarterly review of Care |
24 | | Coordination Unit performance and adherence to service |
25 | | guidelines. The quarterly review shall be reported to the |
26 | | Speaker of the House of Representatives, the Minority Leader of |
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1 | | the House of Representatives, the
President of the
Senate, and |
2 | | the Minority Leader of the Senate. The Department shall collect |
3 | | and report longitudinal data on the performance of each care |
4 | | coordination unit. Nothing in this paragraph shall be construed |
5 | | to require the Department to identify specific care |
6 | | coordination units. |
7 | | In regard to community care providers, failure to comply |
8 | | with Department on Aging policies shall be cause for |
9 | | disciplinary action, including, but not limited to, |
10 | | disqualification from serving Community Care Program clients. |
11 | | Each provider, upon submission of any bill or invoice to the |
12 | | Department for payment for services rendered, shall include a |
13 | | notarized statement, under penalty of perjury pursuant to |
14 | | Section 1-109 of the Code of Civil Procedure, that the provider |
15 | | has complied with all Department policies. |
16 | | The Director of the Department on Aging shall make |
17 | | information available to the State Board of Elections as may be |
18 | | required by an agreement the State Board of Elections has |
19 | | entered into with a multi-state voter registration list |
20 | | maintenance system. |
21 | | The Department shall pay an enhanced rate under the |
22 | | Community Care Program to those in-home service provider |
23 | | agencies that offer health insurance coverage as a benefit to |
24 | | their direct service worker employees consistent with the |
25 | | mandates of Public Act 95-713. The enhanced rate shall be no |
26 | | less than $1.61 per hour. |
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1 | | (Source: P.A. 97-333, eff. 8-12-11; 98-8, eff. 5-3-13; 98-1171, |
2 | | eff. 6-1-15.) |
3 | | Section 5-10. The Department of Veterans Affairs Act is |
4 | | amended by changing Sections 2g, 2.03, and 2.04 as follows: |
5 | | (20 ILCS 2805/2g) |
6 | | Sec. 2g. The Illinois Veterans' Homes Fund. The Illinois |
7 | | Veterans' Homes Fund is hereby created as a special fund in the |
8 | | State treasury. From appropriations to the Department from the |
9 | | Fund the Department shall purchase needed equipment and |
10 | | supplies to enhance the lives of the residents at and for to |
11 | | enhance the operations of veterans' homes in Illinois , |
12 | | including capital improvements, building rehabilitation, and |
13 | | repairs .
|
14 | | (Source: P.A. 93-776, eff. 7-21-04.)
|
15 | | (20 ILCS 2805/2.03) (from Ch. 126 1/2, par. 67.03)
|
16 | | Sec. 2.03. Admissions. Admissions to an Illinois Veterans |
17 | | Home are
subject to the rules and regulations adopted by the |
18 | | Department of Veterans'
Affairs to govern the admission of |
19 | | applicants.
|
20 | | Each resident of a Home is liable for the payment of sums
|
21 | | representing maintenance charges for care at the Home at a rate |
22 | | to
be determined by the Department, based on the resident's |
23 | | ability to pay.
However, the charges shall not exceed the |
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1 | | average annual per
capita cost of maintaining the resident in |
2 | | the Home. The Department,
upon being furnished proof of |
3 | | payment, shall in its discretion
make allowances for unusual |
4 | | expenses in determining the
ability of the resident to pay |
5 | | maintenance charges.
|
6 | | The basis upon which the payment of maintenance charges |
7 | | shall be
calculated by the Department is the average per capita |
8 | | cost
for the care of all residents at each Home for the fiscal |
9 | | year
immediately preceding the period for which the rate for |
10 | | each
Home is being calculated.
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11 | | The Department may require residents to pay charges |
12 | | monthly,
quarterly, or otherwise as may be most suitably |
13 | | arranged for the
individual members. The amounts received from |
14 | | each Home for the
charges shall be transmitted to the Treasurer |
15 | | of the State of Illinois
for deposit in the Illinois Veterans' |
16 | | Homes Fund each Veterans Home Fund, respectively .
|
17 | | The Department may investigate the financial condition of |
18 | | residents
of a Home to determine their ability to pay |
19 | | maintenance charges and
to establish standards as a basis of |
20 | | judgment for such determination.
Such standards shall be |
21 | | recomputed periodically to reflect
changes in the cost of |
22 | | living and other pertinent factors.
|
23 | | Refusal to pay the maintenance charges is cause for |
24 | | discharge
of a resident from a Home.
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25 | | The Department may collect any medical or health benefits
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26 | | to which a resident may become entitled through tax
supported |
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1 | | or privately financed systems of insurance, as a
result of his |
2 | | or her care or treatment in the facilities provided by the
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3 | | Department, or because of care or treatment in other facilities
|
4 | | when such care or treatment has been paid for by the |
5 | | Department.
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6 | | Admission of a resident is not limited or conditioned in |
7 | | any manner
by the financial status of the resident or his or |
8 | | her ability to pay
maintenance charges.
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9 | | The Department may accept and hold on behalf of the State, |
10 | | if for the
public interest, a grant, gift, devise, or bequest |
11 | | of money or property to
the Department made in trust for the |
12 | | maintenance or support of a resident
of an Illinois Veterans |
13 | | Home or for any other legitimate purpose. The Department shall |
14 | | cause each gift, grant,
devise, or bequest to be kept as a |
15 | | distinct fund and shall invest the same
in the manner provided |
16 | | by the laws of this State relating to securities in
which the |
17 | | deposit in savings banks may be invested. However, the
|
18 | | Department may, at its discretion, deposit in a proper trust |
19 | | company, bank,
or savings bank, during the continuance of the |
20 | | trust, any fund left in
trust for the life of a person and |
21 | | shall adopt rules and regulations
governing the deposit, |
22 | | transfer, or withdrawal of the fund. The Department
shall, on |
23 | | the expiration of any trust as provided in any instrument
|
24 | | creating the trust, dispose of the fund in the manner
provided |
25 | | in the instrument. The Department shall include in its required
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26 | | reports a statement showing what funds are so held by it and |
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1 | | the condition
of the funds; provided that monies found on |
2 | | residents at the time of their
admission or accruing to them |
3 | | during their residence at a Home and monies
deposited with the |
4 | | administrators by relatives, guardians, or friends of
|
5 | | residents for the special comfort and pleasure of the resident |
6 | | shall
remain in the custody of the administrators who shall act |
7 | | as trustees for
disbursement to, on behalf of, or for the |
8 | | benefit of the resident. All
types of retirement and pension |
9 | | benefits from private and public sources
may be paid directly |
10 | | to the administrator of a Home for deposit to
the resident |
11 | | trust fund account.
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12 | | (Source: P.A. 96-95, eff. 1-1-10; 96-100, eff. 1-1-10.)
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13 | | (20 ILCS 2805/2.04) (from Ch. 126 1/2, par. 67.04)
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14 | | Sec. 2.04.
There shall be established in the State Treasury |
15 | | special funds
known as (i) the LaSalle Veterans Home Fund, (ii) |
16 | | the Anna Veterans Home Fund,
(iii) the Manteno Veterans Home |
17 | | Fund, and (iv) the Quincy Veterans Home
Fund.
All moneys |
18 | | received by an Illinois Veterans Home from Medicare and from
|
19 | | maintenance charges to veterans, spouses, and surviving |
20 | | spouses residing at
that Home shall be paid into the Illinois |
21 | | Veterans' Homes Fund that Home's Fund . All moneys
received from |
22 | | the
U.S. Department of Veterans Affairs for patient care shall |
23 | | be transmitted to
the Treasurer of the State for deposit in the |
24 | | Illinois Veterans' Homes Fund Veterans Home Fund for the Home
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25 | | in which the veteran resides . Appropriations shall be made from |
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1 | | the Illinois Veterans' Homes Fund a Fund only
for the needs of |
2 | | the Illinois Veterans' Homes Home , including capital |
3 | | improvements, building
rehabilitation, and repairs.
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4 | | The administrator of each Veterans Home shall establish a
|
5 | | locally-held
member's benefits fund. Revenues accruing to an |
6 | | Illinois Veterans Home,
including any donations, grants for the |
7 | | operation of the Home, profits from
commissary stores, and |
8 | | funds received from any individual or other source,
shall be |
9 | | deposited into that Home's benefits fund. Expenditures from the |
10 | | benefits funds
shall
be solely for the special comfort, |
11 | | pleasure, and amusement of residents.
Contributors of |
12 | | unsolicited private donations may specify the purpose for which
|
13 | | the private donations are to be used.
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14 | | Upon request of the Department, the State's Attorney of the |
15 | | county in which
a resident or living former resident of an |
16 | | Illinois Veterans Home
who is liable under this Act
for payment |
17 | | of sums representing maintenance charges resides shall file
an |
18 | | action in a court of competent jurisdiction against any such |
19 | | person who
fails or refuses to pay such sums. The court may |
20 | | order the payment of sums
due to maintenance charges for such |
21 | | period or periods of time as the
circumstances require.
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22 | | Upon the death of a person who is or has been a resident of |
23 | | an
Illinois Veterans Home who is
liable for maintenance charges |
24 | | and who is possessed of property, the
Department may present a |
25 | | claim for such sum or for the balance due in
case less than the |
26 | | rate prescribed under this Act has been paid. The
claim shall |
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1 | | be allowed and paid as other lawful claims against the estate.
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2 | | The administrator of each Veterans Home shall establish a
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3 | | locally-held
trust fund to maintain moneys held for residents. |
4 | | Whenever the Department
finds it necessary to preserve order,
|
5 | | preserve health, or enforce discipline, the resident shall |
6 | | deposit in a
trust account at the Home such monies from any |
7 | | source of income as may
be determined necessary, and |
8 | | disbursement of these funds to the resident
shall be made only |
9 | | by direction of the administrator.
|
10 | | If a resident of an Illinois Veterans Home has a
dependent |
11 | | child, spouse, or parent the administrator may
require that all |
12 | | monies
received be deposited in a trust account with dependency |
13 | | contributions
being made at the direction of the administrator. |
14 | | The balance retained
in the trust account shall be disbursed to |
15 | | the resident at the time of
discharge from the Home or to his |
16 | | or her heirs or legal representative
at the time of the |
17 | | resident's death, subject to Department regulations
or order of |
18 | | the court.
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19 | | The Director of Central Management Services, with the
|
20 | | consent of the Director of Veterans' Affairs, is authorized
and |
21 | | empowered to lease or let any real property held by the |
22 | | Department of
Veterans' Affairs for an Illinois Veterans Home |
23 | | to entities or
persons upon terms and conditions which are |
24 | | considered to be in the best
interest of that Home. The real |
25 | | property must not be needed for any direct
or immediate purpose |
26 | | of the Home. In any leasing or letting, primary
consideration |
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1 | | shall be given to the use of real property for agricultural
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2 | | purposes, and all moneys received shall be transmitted to the |
3 | | Treasurer of
the State for deposit in the Illinois Veterans' |
4 | | Homes Fund appropriate Veterans Home Fund . |
5 | | Notwithstanding any other provision of law, in addition to |
6 | | any other transfers that may be provided by law, on July 1, |
7 | | 2015, or as soon thereafter as practical, the State Comptroller |
8 | | shall direct and the State Treasurer shall transfer the |
9 | | remaining balances from the LaSalle Veterans Home Fund, the |
10 | | Anna Veterans Home Fund, the Manteno Veterans Home Fund, and |
11 | | the Quincy Veterans Home Fund into the Illinois Veterans' Homes |
12 | | Fund. Upon completion of the transfers, the LaSalle Veterans |
13 | | Home Fund, the Anna Veterans Home Fund, the Manteno Veterans |
14 | | Home Fund, and the Quincy Veterans Home Fund are dissolved, and |
15 | | any future deposits due to those Funds and any outstanding |
16 | | obligations or liabilities of those Funds pass to the Illinois |
17 | | Veterans' Homes Fund.
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18 | | (Source: P.A. 97-297, eff. 1-1-12.)
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19 | | Section 5-15. The State Finance Act is amended by changing |
20 | | Section 8g-1 as follows: |
21 | | (30 ILCS 105/8g-1) |
22 | | Sec. 8g-1. Fund transfers. |
23 | | (a) In addition to any other transfers that may be provided |
24 | | for by law, on and after July 1, 2012 and until May 1, 2013, at |
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1 | | the direction of and upon notification from the Governor, the |
2 | | State Comptroller shall direct and the State Treasurer shall |
3 | | transfer amounts not exceeding a total of $80,000,000 from the |
4 | | General Revenue Fund to the Tobacco Settlement Recovery Fund. |
5 | | Any amounts so transferred shall be retransferred by the State |
6 | | Comptroller and the State Treasurer from the Tobacco Settlement |
7 | | Recovery Fund to the General Revenue Fund at the direction of |
8 | | and upon notification from the Governor, but in any event on or |
9 | | before June 30, 2013.
|
10 | | (b) In addition to any other transfers that may be provided |
11 | | for by law, on and after July 1, 2013 and until May 1, 2014, at |
12 | | the direction of and upon notification from the Governor, the |
13 | | State Comptroller shall direct and the State Treasurer shall |
14 | | transfer amounts not exceeding a total of $80,000,000 from the |
15 | | General Revenue Fund to the Tobacco Settlement Recovery Fund. |
16 | | Any amounts so transferred shall be retransferred by the State |
17 | | Comptroller and the State Treasurer from the Tobacco Settlement |
18 | | Recovery Fund to the General Revenue Fund at the direction of |
19 | | and upon notification from the Governor, but in any event on or |
20 | | before June 30, 2014. |
21 | | (c) In addition to any other transfers that may be provided |
22 | | for by law, on July 1, 2013, or as soon thereafter as |
23 | | practical, the State Comptroller shall direct and the State |
24 | | Treasurer shall transfer the sum of $1,400,000 from the General |
25 | | Revenue Fund to the ICJIA Violence Prevention Fund. |
26 | | (d) In addition to any other transfers that may be provided |
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1 | | for by law, on July 1, 2013, or as soon thereafter as |
2 | | practical, the State Comptroller shall direct and the State |
3 | | Treasurer shall transfer the sum of $1,500,000 from the General |
4 | | Revenue Fund to the Illinois Veterans Assistance Fund. |
5 | | (e) In addition to any other transfers that may be provided |
6 | | for by law, on July 1, 2013, or as soon thereafter as |
7 | | practical, the State Comptroller shall direct and the State |
8 | | Treasurer shall transfer the sum of $500,000 from the General |
9 | | Revenue Fund to the Senior Citizens Real Estate Deferred Tax |
10 | | Revolving Fund. |
11 | | (f) In addition to any other transfers that may be provided |
12 | | for by law, on July 1, 2013, or as soon thereafter as |
13 | | practical, the State Comptroller shall direct and the State |
14 | | Treasurer shall transfer the sum of $4,000,000 from the General |
15 | | Revenue Fund to the Digital Divide Elimination Fund. |
16 | | (g) In addition to any other transfers that may be provided |
17 | | for by law, on July 1, 2013, or as soon thereafter as |
18 | | practical, the State Comptroller shall direct and the State |
19 | | Treasurer shall transfer the sum of $5,000,000 from the General |
20 | | Revenue Fund to the Communications Revolving Fund. |
21 | | (h) In addition to any other transfers that may be provided |
22 | | for by law, on July 1, 2013, or as soon thereafter as |
23 | | practical, the State Comptroller shall direct and the State |
24 | | Treasurer shall transfer the sum of $9,800,000 from the General |
25 | | Revenue Fund to the Presidential Library and Museum Operating |
26 | | Fund. |
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1 | | (i) In addition to any other transfers that may be provided |
2 | | for by law, on and after July 1, 2014 and until May 1, 2015, at |
3 | | the direction of and upon notification from the Governor, the |
4 | | State Comptroller shall direct and the State Treasurer shall |
5 | | transfer amounts not exceeding a total of $80,000,000 from the |
6 | | General Revenue Fund to the Tobacco Settlement Recovery Fund. |
7 | | Any amounts so transferred shall be retransferred by the State |
8 | | Comptroller and the State Treasurer from the Tobacco Settlement |
9 | | Recovery Fund to the General Revenue Fund at the direction of |
10 | | and upon notification from the Governor, but in any event on or |
11 | | before June 30, 2015. |
12 | | (j) In addition to any other transfers that may be provided |
13 | | for by law, on July 1, 2014, or as soon thereafter as |
14 | | practical, the State Comptroller shall direct and the State |
15 | | Treasurer shall transfer the sum of $10,000,000 from the |
16 | | General Revenue Fund to the Presidential Library and Museum |
17 | | Operating Fund. |
18 | | (k) In addition to any other transfers that may be provided |
19 | | for by law, on and after July 1, 2015 and until May 1, 2016, at |
20 | | the direction of and upon notification from the Governor, the |
21 | | State Comptroller shall direct and the State Treasurer shall |
22 | | transfer amounts not exceeding a total of $80,000,000 from the |
23 | | General Revenue Fund to the Tobacco Settlement Recovery Fund. |
24 | | Any amounts so transferred shall be retransferred by the State |
25 | | Comptroller and the State Treasurer from the Tobacco Settlement |
26 | | Recovery Fund to the General Revenue Fund at the direction of |
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1 | | and upon notification from the Governor, but in any event on or |
2 | | before June 30, 2016. |
3 | | (Source: P.A. 97-732, eff. 6-30-12; 98-24, eff. 6-19-13; |
4 | | 98-674, eff. 6-30-14.)
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5 | | (30 ILCS 105/5.27 rep.)
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6 | | (30 ILCS 105/5.170 rep.)
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7 | | (30 ILCS 105/5.243 rep.)
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8 | | (30 ILCS 105/5.244 rep.)
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9 | | Section 5-20. The State Finance Act is amended by repealing |
10 | | Sections 5.27, 5.170, 5.243, and 5.244. |
11 | | Section 5-25. The Illinois Public Aid Code is amended by |
12 | | changing Section 9A-11 as follows:
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13 | | (305 ILCS 5/9A-11) (from Ch. 23, par. 9A-11)
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14 | | Sec. 9A-11. Child Care.
|
15 | | (a) The General Assembly recognizes that families with |
16 | | children need child
care in order to work. Child care is |
17 | | expensive and families with low incomes,
including those who |
18 | | are transitioning from welfare to work, often struggle to
pay |
19 | | the costs of day care. The
General Assembly understands the |
20 | | importance of helping low income working
families become and |
21 | | remain self-sufficient. The General Assembly also believes
|
22 | | that it is the responsibility of families to share in the costs |
23 | | of child care.
It is also the preference of the General |
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1 | | Assembly that all working poor
families should be treated |
2 | | equally, regardless of their welfare status.
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3 | | (b) To the extent resources permit, the Illinois Department |
4 | | shall provide
child care services to parents or other relatives |
5 | | as defined by rule who are
working or participating in |
6 | | employment or Department approved
education or training |
7 | | programs. At a minimum, the Illinois Department shall
cover the |
8 | | following categories of families:
|
9 | | (1) recipients of TANF under Article IV participating |
10 | | in work and training
activities as specified in the |
11 | | personal plan for employment and
self-sufficiency;
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12 | | (2) families transitioning from TANF to work;
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13 | | (3) families at risk of becoming recipients of TANF;
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14 | | (4) families with special needs as defined by rule; and
|
15 | | (5) working families with very low incomes as defined |
16 | | by rule.
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17 | | The Department shall provide child care services to all |
18 | | children who (i) are eligible for assistance, and (ii) are |
19 | | under age 13, or who are under age 19 and under court |
20 | | supervision, or who have physical or mental incapacities as |
21 | | documented by a statement from a local health provider or other |
22 | | health professional. |
23 | | The Department shall specify by rule the conditions of |
24 | | eligibility, the
application process, and the types, amounts, |
25 | | and duration of services.
Eligibility for
child care benefits |
26 | | and the amount of child care provided may vary based on
family |
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1 | | size, income,
and other factors as specified by rule.
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2 | | In determining income eligibility for child care benefits, |
3 | | the Department
annually, at the beginning of each fiscal year, |
4 | | shall
establish, by rule, one income threshold for each family |
5 | | size, in relation to
percentage of State median income for a |
6 | | family of that size, that makes
families with incomes below the |
7 | | specified threshold eligible for assistance
and families with |
8 | | incomes above the specified threshold ineligible for
|
9 | | assistance. Through and including fiscal year 2007, the |
10 | | specified threshold must be no less than 50% of the
|
11 | | then-current State median income for each family size. |
12 | | Beginning in fiscal year 2008, the specified threshold must be |
13 | | no less than 185% of the then-current federal poverty level for |
14 | | each family size.
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15 | | In determining eligibility for
assistance, the Department |
16 | | shall not give preference to any category of
recipients
or give |
17 | | preference to individuals based on their receipt of benefits |
18 | | under this
Code.
|
19 | | The Department shall allocate $7,500,000 annually for a |
20 | | test program for
families who are income-eligible for child |
21 | | care assistance, who
are not recipients of TANF under Article |
22 | | IV, and who need child care assistance
to participate in |
23 | | education and training activities. The
Department shall |
24 | | specify by rule the conditions of eligibility for this test
|
25 | | program.
|
26 | | Nothing in this Section shall be
construed as conferring |
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1 | | entitlement status to eligible families.
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2 | | The Illinois
Department is authorized to lower income |
3 | | eligibility ceilings, raise parent
co-payments, create waiting |
4 | | lists, or take such other actions during a fiscal
year as are |
5 | | necessary to ensure that child care benefits paid under this
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6 | | Article do not exceed the amounts appropriated for those child |
7 | | care benefits.
These changes may be accomplished by emergency |
8 | | rule under Section 5-45 of the
Illinois Administrative |
9 | | Procedure Act, except that the limitation on the number
of |
10 | | emergency rules that may be adopted in a 24-month period shall |
11 | | not apply.
|
12 | | The Illinois Department may contract with other State |
13 | | agencies or child care
organizations for the administration of |
14 | | child care services.
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15 | | (c) Payment shall be made for child care that otherwise |
16 | | meets the
requirements of this Section and applicable standards |
17 | | of State and local
law and regulation, including any |
18 | | requirements the Illinois Department
promulgates by rule in |
19 | | addition to the licensure
requirements
promulgated by the |
20 | | Department of Children and Family Services and Fire
Prevention |
21 | | and Safety requirements promulgated by the Office of the State
|
22 | | Fire Marshal and is provided in any of the following:
|
23 | | (1) a child care center which is licensed or exempt |
24 | | from licensure
pursuant to Section 2.09 of the Child Care |
25 | | Act of 1969;
|
26 | | (2) a licensed child care home or home exempt from |
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1 | | licensing;
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2 | | (3) a licensed group child care home;
|
3 | | (4) other types of child care, including child care |
4 | | provided
by relatives or persons living in the same home as |
5 | | the child, as determined by
the Illinois Department by |
6 | | rule.
|
7 | | (c-5)
Solely for the purposes of coverage under the |
8 | | Illinois Public Labor Relations Act, child and day care home |
9 | | providers, including licensed and license exempt, |
10 | | participating in the Department's child care assistance |
11 | | program shall be considered to be public employees and the |
12 | | State of Illinois shall be considered to be their employer as |
13 | | of the effective date of this amendatory Act of the 94th |
14 | | General Assembly, but not before. The State shall engage in |
15 | | collective bargaining with an exclusive representative of |
16 | | child and day care home providers participating in the child |
17 | | care assistance program concerning their terms and conditions |
18 | | of employment that are within the State's control. Nothing in |
19 | | this subsection shall be understood to limit the right of |
20 | | families receiving services defined in this Section to select |
21 | | child and day care home providers or supervise them within the |
22 | | limits of this Section. The State shall not be considered to be |
23 | | the employer of child and day care home providers for any |
24 | | purposes not specifically provided in this amendatory Act of |
25 | | the 94th General Assembly, including but not limited to, |
26 | | purposes of vicarious liability in tort and purposes of |
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1 | | statutory retirement or health insurance benefits. Child and |
2 | | day care home providers shall not be covered by the State |
3 | | Employees Group Insurance Act of 1971. |
4 | | In according child and day care home providers and their |
5 | | selected representative rights under the Illinois Public Labor |
6 | | Relations Act, the State intends that the State action |
7 | | exemption to application of federal and State antitrust laws be |
8 | | fully available to the extent that their activities are |
9 | | authorized by this amendatory Act of the 94th General Assembly.
|
10 | | (d) The Illinois Department shall establish, by rule, a |
11 | | co-payment scale that provides for cost sharing by families |
12 | | that receive
child care services, including parents whose only |
13 | | income is from
assistance under this Code. The co-payment shall |
14 | | be based on family income and family size and may be based on |
15 | | other factors as appropriate. Co-payments may be waived for |
16 | | families whose incomes are at or below the federal poverty |
17 | | level.
|
18 | | (d-5) The Illinois Department, in consultation with its |
19 | | Child Care and Development Advisory Council, shall develop a |
20 | | plan to revise the child care assistance program's co-payment |
21 | | scale. The plan shall be completed no later than February 1, |
22 | | 2008, and shall include: |
23 | | (1) findings as to the percentage of income that the |
24 | | average American family spends on child care and the |
25 | | relative amounts that low-income families and the average |
26 | | American family spend on other necessities of life;
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1 | | (2) recommendations for revising the child care |
2 | | co-payment scale to assure that families receiving child |
3 | | care services from the Department are paying no more than |
4 | | they can reasonably afford; |
5 | | (3) recommendations for revising the child care |
6 | | co-payment scale to provide at-risk children with complete |
7 | | access to Preschool for All and Head Start; and |
8 | | (4) recommendations for changes in child care program |
9 | | policies that affect the affordability of child care.
|
10 | | (e) (Blank).
|
11 | | (f) The Illinois Department shall, by rule, set rates to be |
12 | | paid for the
various types of child care. Child care may be |
13 | | provided through one of the
following methods:
|
14 | | (1) arranging the child care through eligible |
15 | | providers by use of
purchase of service contracts or |
16 | | vouchers;
|
17 | | (2) arranging with other agencies and community |
18 | | volunteer groups for
non-reimbursed child care;
|
19 | | (3) (blank); or
|
20 | | (4) adopting such other arrangements as the Department |
21 | | determines
appropriate.
|
22 | | (f-5) (Blank). |
23 | | (g) Families eligible for assistance under this Section |
24 | | shall be given the
following options:
|
25 | | (1) receiving a child care certificate issued by the |
26 | | Department or a
subcontractor of the Department that may be |
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1 | | used by the parents as payment for
child care and |
2 | | development services only; or
|
3 | | (2) if space is available, enrolling the child with a |
4 | | child care provider
that has a purchase of service contract |
5 | | with the Department or a subcontractor
of the Department |
6 | | for the provision of child care and development services.
|
7 | | The Department may identify particular priority |
8 | | populations for whom they may
request special |
9 | | consideration by a provider with purchase of service
|
10 | | contracts, provided that the providers shall be permitted |
11 | | to maintain a balance
of clients in terms of household |
12 | | incomes and families and children with special
needs, as |
13 | | defined by rule.
|
14 | | (Source: P.A. 97-422, eff. 8-16-11.)
|
15 | | ARTICLE 9. GENERAL PROVISIONS
|
16 | | Section 9-99. Effective date. This Act takes effect July 1, |
17 | | 2015. |