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1 | AN ACT concerning substance use disorder treatment.
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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 | Community-Law Enforcement Partnership for Deflection and | ||||||||||||||||||||||||
6 | Addiction Treatment Act. | ||||||||||||||||||||||||
7 | Section 5. Purposes. The General Assembly hereby | ||||||||||||||||||||||||
8 | acknowledges that opioid use disorders, overdoses, and deaths | ||||||||||||||||||||||||
9 | in Illinois are persistent and growing concerns for Illinois | ||||||||||||||||||||||||
10 | communities. These concerns compound existing challenges to | ||||||||||||||||||||||||
11 | adequately address and manage substance use and mental health | ||||||||||||||||||||||||
12 | disorders. Law enforcement officers have a unique opportunity | ||||||||||||||||||||||||
13 | to facilitate connections to community-based behavioral health | ||||||||||||||||||||||||
14 | interventions that provide substance use treatment and can help | ||||||||||||||||||||||||
15 | save and restore lives; help reduce drug use, overdose | ||||||||||||||||||||||||
16 | incidence, criminal offending, and recidivism; and help | ||||||||||||||||||||||||
17 | prevent arrest and conviction records that destabilize health, | ||||||||||||||||||||||||
18 | families, and opportunities for community citizenship and | ||||||||||||||||||||||||
19 | self-sufficiency. These efforts are bolstered when pursued in | ||||||||||||||||||||||||
20 | partnership with licensed behavioral health treatment | ||||||||||||||||||||||||
21 | providers and community members or organizations. It is the | ||||||||||||||||||||||||
22 | intent of the General Assembly to authorize law enforcement to | ||||||||||||||||||||||||
23 | develop and implement collaborative deflection programs in |
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1 | Illinois that offer immediate pathways to substance use | ||||||
2 | treatment and other services as an alternative to traditional | ||||||
3 | case processing and involvement in the criminal justice system. | ||||||
4 | Section 10. Definitions. In this Act:
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5 | "Case management" means those services which will assist | ||||||
6 | persons in gaining access to needed social, educational, | ||||||
7 | medical, substance use and mental health treatment, and other | ||||||
8 | services.
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9 | "Community member or organization" means an individual | ||||||
10 | volunteer, resident, public office, or a not-for-profit | ||||||
11 | organization, religious institution, charitable organization, | ||||||
12 | or other public body committed to the improvement of individual | ||||||
13 | and family mental and physical well-being and the overall | ||||||
14 | social welfare of the community, and may include persons with | ||||||
15 | lived experience in recovery from substance use disorder, | ||||||
16 | either themselves or as family members.
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17 | "Deflection program" means a program in which a peace | ||||||
18 | officer or member of a law enforcement agency facilitates | ||||||
19 | contact between an individual and a licensed substance use | ||||||
20 | treatment provider or clinician for assessment and | ||||||
21 | coordination of treatment planning. This facilitation includes | ||||||
22 | defined criteria for eligibility and communication protocols | ||||||
23 | agreed to by the law enforcement agency and the licensed | ||||||
24 | treatment provider for the purpose of providing substance use | ||||||
25 | treatment to those persons in lieu of arrest or further justice |
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1 | system involvement. Deflection programs may include, but are | ||||||
2 | not limited to, the following types of responses: | ||||||
3 | (1) a post-overdose deflection response initiated by a | ||||||
4 | peace officer or law enforcement agency subsequent to | ||||||
5 | emergency administration of medication to reverse an | ||||||
6 | overdose, or in cases of severe substance use disorder with | ||||||
7 | acute risk for overdose;
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8 | (2) a self-referral deflection response initiated by | ||||||
9 | an individual by contacting a peace officer or law | ||||||
10 | enforcement agency in the acknowledgement of their | ||||||
11 | substance use or disorder;
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12 | (3) an active outreach deflection response initiated | ||||||
13 | by a peace officer or law enforcement agency as a result of | ||||||
14 | proactive identification of persons thought likely to have | ||||||
15 | a substance use disorder;
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16 | (4) an officer prevention deflection response | ||||||
17 | initiated by a peace officer or law enforcement agency in | ||||||
18 | response to a community call when no criminal charges are | ||||||
19 | present; and | ||||||
20 | (5) an officer intervention deflection response when | ||||||
21 | criminal charges are present but held in abeyance pending | ||||||
22 | engagement with treatment.
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23 | "Law enforcement agency" means a municipal police | ||||||
24 | department or county sheriff's office of this State, the | ||||||
25 | Department of State Police, or other law enforcement agency | ||||||
26 | whose officers, by statute, are granted and authorized to |
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1 | exercise powers similar to those conferred upon any peace | ||||||
2 | officer employed by a law enforcement agency of this State.
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3 | "Licensed treatment provider" means an organization | ||||||
4 | licensed by the Department of Human Services to perform an | ||||||
5 | activity or service, or a coordinated range of those activities | ||||||
6 | or services, as the Department of Human Services may establish | ||||||
7 | by rule, such as the broad range of emergency, outpatient, | ||||||
8 | intermediate, and residential services and care, including | ||||||
9 | assessment, diagnosis, case management, medical, psychiatric, | ||||||
10 | psychological and social services, medication-assisted | ||||||
11 | treatment, care and counseling, and aftercare, which may be | ||||||
12 | extended to persons to assess or treat substance use disorder | ||||||
13 | or to families of those persons.
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14 | "Peace officer" means any peace officer or member of any | ||||||
15 | duly organized State, county, or municipal peace officer unit, | ||||||
16 | any police force of another State, or any police force whose | ||||||
17 | members, by statute, are granted and authorized to exercise | ||||||
18 | powers similar to those conferred upon any peace officer | ||||||
19 | employed by a law enforcement agency of this State.
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20 | "Substance use disorder" means a pattern of use of alcohol | ||||||
21 | or other drugs leading to clinical or functional impairment, in | ||||||
22 | accordance with the definition in the Diagnostic and | ||||||
23 | Statistical Manual of Mental Disorders (DSM-5), or in any | ||||||
24 | subsequent editions.
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25 | "Treatment" means the broad range of emergency, | ||||||
26 | outpatient, intermediate, and residential services and care |
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1 | (including assessment, diagnosis, case management, medical, | ||||||
2 | psychiatric, psychological and social services, | ||||||
3 | medication-assisted treatment, care and counseling, and | ||||||
4 | aftercare) which may be extended to persons who have substance | ||||||
5 | use disorders, persons with mental illness, or families of | ||||||
6 | those persons.
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7 | Section 15. Authorization.
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8 | (a) Any law enforcement agency may establish a deflection | ||||||
9 | program subject to the provisions of this Act in partnership | ||||||
10 | with one or more licensed providers of substance use disorder | ||||||
11 | treatment services and one or more community members or | ||||||
12 | organizations.
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13 | (b) The deflection program may involve a post-overdose | ||||||
14 | deflection response, a self-referral deflection response, an | ||||||
15 | active outreach deflection response, an officer prevention | ||||||
16 | deflection response, or an officer intervention deflection | ||||||
17 | response, or any combination of those.
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18 | (c) Nothing shall preclude the General Assembly from adding | ||||||
19 | other responses to a deflection program, or preclude a law | ||||||
20 | enforcement agency from developing a deflection program | ||||||
21 | response based on a model unique and responsive to local | ||||||
22 | issues, substance use or mental health needs, and partnerships, | ||||||
23 | using sound and promising or evidence-based practices.
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24 | (c-5) Whenever appropriate and available, case management | ||||||
25 | should be provided by a licensed treatment provider, and may be |
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1 | provided through peer recovery support approaches. Deflection | ||||||
2 | program partners may identify other case management resources | ||||||
3 | that meet the definition of case management if a licensed | ||||||
4 | treatment provider or peer recovery support is not appropriate | ||||||
5 | or available. | ||||||
6 | (d) To receive funding for activities as described in | ||||||
7 | Section 35 of this Act, planning for the deflection program | ||||||
8 | shall include:
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9 | (1) the involvement of one or more licensed treatment | ||||||
10 | programs and one or more community member or organization; | ||||||
11 | and
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12 | (2) an agreement with the Illinois Criminal Justice | ||||||
13 | Information Authority to collect and evaluate relevant | ||||||
14 | statistical data related to the program, as established by | ||||||
15 | the Illinois Criminal Justice Information Authority in | ||||||
16 | paragraph (2) of Section 25 of this Act.
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17 | Section 20. Procedure. The law enforcement agency, | ||||||
18 | licensed treatment providers, and community members or | ||||||
19 | organizations shall establish a local deflection program plan | ||||||
20 | that includes protocols and procedures for participant | ||||||
21 | identification, screening or assessment, treatment | ||||||
22 | facilitation, reporting, and ongoing involvement of the law | ||||||
23 | enforcement agency. | ||||||
24 | Section 25. Reporting and evaluation. The Illinois |
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1 | Criminal Justice Information Authority, in conjunction with an | ||||||
2 | association representing police chiefs and the Department of | ||||||
3 | Human Services' Division of Alcoholism and Substance Abuse, | ||||||
4 | shall develop within 6 months of the effective date of this | ||||||
5 | Act: | ||||||
6 | (1) a set of minimum data to be collected from each | ||||||
7 | deflection program and reported annually, beginning one | ||||||
8 | year after the effective date of this Act, by the Illinois | ||||||
9 | Criminal Justice Information Authority, including, but not | ||||||
10 | limited to, demographic information on program | ||||||
11 | participants, number of law enforcement encounters that | ||||||
12 | result in a treatment referral, and time from law | ||||||
13 | enforcement encounter to treatment engagement; and | ||||||
14 | (2) a performance measurement system, including key | ||||||
15 | performance indicators for deflection programs including, | ||||||
16 | but not limited to, rate of treatment engagement at 30 days | ||||||
17 | from the point of initial contact. Each program that | ||||||
18 | receives funding for services under Section 35 of this Act | ||||||
19 | shall include the performance measurement system in its | ||||||
20 | local plan and report data quarterly to the Illinois | ||||||
21 | Criminal Justice Information Authority for the purpose of | ||||||
22 | evaluation of deflection programs in aggregate.
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23 | Section 30. Exemption from civil liability. The law | ||||||
24 | enforcement agency, peace officers, licensed treatment | ||||||
25 | providers, and community members or organizations acting in |
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1 | good faith shall not, as the result of acts or omissions in | ||||||
2 | providing services within the context of a deflection program, | ||||||
3 | be liable for civil damages, unless the acts or omissions | ||||||
4 | constitute willful and wanton misconduct, subject to the | ||||||
5 | following:
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6 | (1) the program shall utilize a deflection program | ||||||
7 | established in accordance with Section 15 of this Act;
and | ||||||
8 | (2) any treatment provider partner shall be licensed by | ||||||
9 | the State agency authorized to oversee the services.
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10 | Section 35. Funding.
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11 | (a) The General Assembly may appropriate funds to the | ||||||
12 | Illinois Criminal Justice Information Authority for the | ||||||
13 | purpose of reimbursing law enforcement agencies for services | ||||||
14 | provided by deflection program partners as part of deflection | ||||||
15 | programs subject to subsection (d) of Section 15 of this Act.
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16 | (b) The Illinois Criminal Justice Information Authority | ||||||
17 | may adopt guidelines and requirements to direct the | ||||||
18 | distribution of funds for reimbursable expenses related to | ||||||
19 | deflection programs. Activities eligible for reimbursement | ||||||
20 | under this Act may include, but are not limited to, the | ||||||
21 | following:
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22 | (1) activities related to program administration, | ||||||
23 | coordination, or management, including, but not limited | ||||||
24 | to, the development of collaborative partnerships with | ||||||
25 | licensed treatment providers and community members or |
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1 | organizations; collection of program data; or monitoring | ||||||
2 | of compliance with a local deflection program plan;
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3 | (2) case management including case management provided | ||||||
4 | prior to assessment, diagnosis, and engagement in | ||||||
5 | treatment, as well as assistance navigating and gaining | ||||||
6 | access to various treatment modalities and support | ||||||
7 | services;
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8 | (3) peer recovery or recovery support services that | ||||||
9 | include the perspectives of persons with the experience of | ||||||
10 | recovering from a substance use disorder, either | ||||||
11 | themselves or as family members;
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12 | (4) transportation to a licensed treatment provider or | ||||||
13 | other program partner location;
and | ||||||
14 | (5) program evaluation activities.
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