94TH GENERAL ASSEMBLY
State of Illinois
2005 and 2006
SB2309

 

Introduced 1/12/2006, by Sen. Terry Link

 

SYNOPSIS AS INTRODUCED:
 
20 ILCS 2407/5
20 ILCS 2407/10
20 ILCS 2407/15
20 ILCS 2407/20
20 ILCS 2407/27 new
20 ILCS 2407/28 new

    Amends the Disabilities Services Act of 2003. Provides that the purpose of the Act is to further develop and implement (rather than create an advisory committee to develop and implement) a Disability Services Plan that ensures compliance by the State of Illinois with the Americans with Disabilities Act and the Olmstead decision. Sets forth that services to persons with disabilities shall be provided in the most integrated setting appropriate to the needs and choices of the person with the disability and his or her guardian in accordance with an individual service or treatment plan developed with the person with the disability. Defines "most integrated setting" to mean the setting that enables a person with a disability to interact with nondisabled persons to the fullest extent possible and that is appropriate to meet the needs and choices of the person with the disability and his or her guardian. Requires the comprehensive evaluation and diagnosis of a person determined probably eligible for disability services to include an assessment of skills, abilities, and potential for community residential placement from among a full array of residential options, including in-home supports, job training, and work placement (now, potential for residential and work placement). Changes the requirements for the services provided to persons with disabilities including: family or individual support services, residential services, education, vocational habilitation and rehabilitation, employment, independent service coordination, mental health supports, and assistive technology devices and services for persons with disabilities. Authorizes the advisory committee to consult with other State officials when their expertise and resources are relevant to the resolution of a particular issue. Sets forth that the Governor, with the assistance of the advisory committee and the Secretary of Human Services, shall submit the Disability Services Plan to the General Assembly by March 31, 2006 (now, Governor responsible for the completion of the plan). Provides for annual reports of changes to the Plan to the General Assembly. Sets forth certain requirements for the Disability Services Plan. Provides due process protections for a person claiming to be aggrieved by a determination of an agency regarding eligibility for a disability service, the provision of a disability service, or a change in or termination of a disability service under the Act. Sets forth that a person with a disability shall not be denied a disability service because of sex, race, religion, ethnic origin, marital status, ability to pay (except where contrary to law), or criminal record. Makes other changes. Effective immediately.


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FISCAL NOTE ACT MAY APPLY

 

 

A BILL FOR

 

SB2309 LRB094 18132 RSP 53439 b

1     AN ACT concerning State government.
 
2     Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:
 
4     Section 5. The Disabilities Services Act of 2003 is amended
5 by changing Sections 5, 10, 15, and 20 and by adding Sections
6 27 and 28 as follows:
 
7     (20 ILCS 2407/5)
8     Sec. 5. Purpose and scope. It is the purpose of this Act
9 to further create an advisory committee to develop and
10 implement a Disability Services Plan disabilities services
11 implementation plan as provided in Section 20 to ensure
12 compliance by the State of Illinois with the Americans with
13 Disabilities Act and the decision in Olmstead v. L.C., 119
14 S.Ct. 2176 (1999). This Act applies to services for persons
15 with disabilities that are provided directly by the State of
16 Illinois or funded in whole or in part by the State of
17 Illinois. In the implementation of this Act or of the
18 Disability Services Plan, and consistent with the Olmstead
19 decision, no person shall be compelled to move from an
20 institutionalized setting to another type of residential
21 setting without his or her voluntary informed consent or the
22 voluntary informed consent of his or her guardian.
23 (Source: P.A. 93-638, eff. 12-31-03.)
 
24     (20 ILCS 2407/10)
25     Sec. 10. Application of Act; definitions.
26     (a) This Act applies to persons with disabilities. The
27 disabilities included are defined for purposes of this Act as
28 follows:
29     "Disability" means a disability as defined by the Americans
30 with Disabilities Act of 1990 that is attributable to a
31 developmental disability, a mental illness, or a physical

 

 

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1 disability, or combination of those. "Disability" includes
2 age-related impairments of older adults.
3     "Developmental disability" means a disability that is
4 attributable to mental retardation or a related condition. A
5 related condition must meet all of the following conditions:
6         (1) It must be attributable to cerebral palsy,
7     epilepsy, or any other condition (other than mental
8     illness) found to be closely related to mental retardation
9     because that condition results in impairment of general
10     intellectual functioning or adaptive behavior similar to
11     that of individuals with mental retardation, and requires
12     treatment or services similar to those required for those
13     individuals. For purposes of this Section, autism is
14     considered a related condition.
15         (2) It must be manifested before the individual reaches
16     age 22.
17         (3) It must be likely to continue indefinitely.
18         (4) It must result in substantial functional
19     limitations in 3 or more of the following areas of major
20     life activity: self-care, language, learning, mobility,
21     self-direction, and capacity for independent living.
22     "Mental Illness" means a mental or emotional disorder
23 verified by a diagnosis contained in the Diagnostic and
24 Statistical Manual of Mental Disorders-Fourth Edition,
25 published by the American Psychiatric Association (DSM-IV), or
26 its successor, or International Classification of Diseases,
27 9th Revision, Clinical Modification (ICD-9-CM), or its
28 successor, that substantially impairs a person's cognitive,
29 emotional, or behavioral functioning, or any combination of
30 those, excluding (i) conditions that may be the focus of
31 clinical attention but are not of sufficient duration or
32 severity to be categorized as a mental illness, such as
33 parent-child relational problems, partner-relational problems,
34 sexual abuse of a child, bereavement, academic problems,
35 phase-of-life problems, and occupational problems
36 (collectively, "V codes"), (ii) organic disorders such as

 

 

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1 substance intoxication dementia, substance withdrawal
2 dementia, Alzheimer's disease, vascular dementia, dementia due
3 to HIV infection, and dementia due to Creutzfeld-Jakob disease
4 and disorders associated with known or unknown physical
5 conditions such as hallucinosis hallucinasis, amnestic
6 disorders and delirium, and psychoactive substance-induced
7 organic disorders, and (iii) mental retardation or
8 psychoactive substance use disorders.
9     "Mental retardation" means significantly sub-average
10 general intellectual functioning existing concurrently with
11 deficits in adaptive behavior and manifested before the age of
12 22 years.
13     "Physical disability" means a disability as defined by the
14 Americans with Disabilities Act of 1990 that meets the
15 following criteria:
16         (1) It is attributable to a physical impairment.
17         (2) It results in a substantial functional limitation
18     in any of the following areas of major life activity: (i)
19     self-care, (ii) receptive and expressive language, (iii)
20     learning, (iv) mobility, (v) self-direction, (vi) capacity
21     for independent living, and (vii) economic sufficiency.
22         (3) It reflects the person's need for a combination and
23     sequence of special, interdisciplinary, or general care,
24     treatment, or other services that are of lifelong or of
25     extended duration and must be individually planned and
26     coordinated.
27     (b) In this Act:
28     "Chronological age-appropriate services" means services,
29 activities, and strategies for persons with disabilities that
30 are representative of the lifestyle activities of nondisabled
31 peers of similar age in the community.
32     "Comprehensive evaluation" means procedures used by
33 qualified professionals selectively with an individual to
34 determine whether a person has a disability and the nature and
35 extent of the services that the person with a disability needs.
36     "Department" means the Department on Aging, the Department

 

 

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1 of Human Services, the Department of Public Health, the
2 Department of Public Aid, the University of Illinois Division
3 of Specialized Care for Children, the Department of Children
4 and Family Services, and the Illinois State Board of Education,
5 where appropriate, as designated in the implementation plan
6 developed under Section 20.
7     "Family" means a natural, adoptive, or foster parent or
8 parents or other person or persons responsible for the care of
9 an individual with a disability in a family setting.
10     "Family or individual support" means those resources and
11 services that are necessary to maintain an individual with a
12 disability within the family home or his or her own home. These
13 services may include, but are not limited to, cash subsidy,
14 respite care, and counseling services.
15     "Independent service coordination" means a social service
16 that enables persons with developmental disabilities and their
17 families to locate, use, and coordinate resources and
18 opportunities in their communities on the basis of individual
19 need. Independent service coordination is independent of
20 providers of services and funding sources and is designed to
21 ensure accessibility, continuity of care, and accountability
22 and to maximize the potential of persons with developmental
23 disabilities for independence, productivity, and integration
24 into the community. Independent service coordination includes,
25 at a minimum: (i) outreach to identify eligible individuals;
26 (ii) assessment and periodic reassessment to determine each
27 individual's strengths, functional limitations, and need for
28 specific services; (iii) participation in the development of a
29 comprehensive individual service or treatment plan; (iv)
30 referral to and linkage with needed services and supports; (v)
31 monitoring to ensure the delivery of appropriate services and
32 to determine individual progress in meeting goals and
33 objectives; and (vi) advocacy to assist the person in obtaining
34 all services for which he or she is eligible or entitled.
35     "Individual service or treatment plan" means a written
36 recorded assessment of the needs of a person with a disability,

 

 

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1 a description of the services recommended, the goals of each
2 type of element of service, an anticipated timetable for the
3 accomplishment of the goals, and a designation of the qualified
4 professionals responsible for the implementation of the plan.
5     "Least restrictive environment" means an environment that
6 represents the least departure from the normal patterns of
7 living and that effectively meets the needs of the person
8 receiving the service.
9     "Most integrated setting" means a setting that enables a
10 person with a disability to interact with nondisabled persons
11 to the fullest extent possible and that is appropriate to meet
12 the needs and choices of the person with the disability and his
13 or her guardian.
14 (Source: P.A. 93-638, eff. 12-31-03; revised 12-15-05.)
 
15     (20 ILCS 2407/15)
16     Sec. 15. Services. Services to persons with disabilities
17 shall be provided in the most integrated setting appropriate to
18 the needs and choices of the person with the disability and his
19 or her guardian in accordance with an the individual service or
20 treatment plan developed with the person with the disability
21 and his or her guardian for an individual under this Section.
22 The person individual shall initially be screened for potential
23 eligibility by the appropriate State agency and, if the person
24 individual is determined deemed probably eligible for a
25 disability services service or program, a comprehensive
26 evaluation of the person individual shall be conducted to
27 determine the services and programs appropriate for that person
28 individual. The array of available services shall be described
29 in the Disability Disabilities Services Implementation Plan
30 required under this Act and may include, but need not be
31 limited to:
32         (1) Comprehensive evaluation and diagnosis. The
33     comprehensive evaluation and diagnosis shall include A
34     person with a suspected disability who is applying for
35     Department-authorized disability services must receive,

 

 

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1     after an initial screening and a determination of probable
2     eligibility for a disability service or program, a
3     comprehensive diagnosis and evaluation, including an
4     assessment of skills, abilities, and potential for
5     community residential placement from among a full array of
6     residential options, including in-home supports, job
7     training, and work placement, adapted to the person's his
8     or her primary language, cultural background, and ethnic
9     origin. All components of a comprehensive evaluation must
10     be administered by a qualified examiner.
11         (2) Individual service or treatment plan. A person with
12     a disability shall receive services in accordance with a
13     current individual service or treatment plan. A person with
14     a disability who is receiving services shall be provided
15     periodic reevaluation and review of the individual service
16     or treatment plan, at least annually, in order to measure
17     progress, to modify or change objectives if necessary, and
18     to provide guidance and remediation techniques.
19         A person with a disability and his or her guardian have
20     the right to participate in the planning and
21     decision-making process regarding the person's individual
22     service or treatment plan and to be informed in writing, or
23     in that person's mode of communication, of progress at
24     reasonable time intervals. Each person must be given the
25     opportunity to make decisions and exercise options
26     regarding the plan, consistent with the person's
27     capabilities. Family members and other representatives of
28     the person with a disability must be allowed, encouraged,
29     and supported to participate as well, if the person with a
30     disability consents to that participation.
31         (3) Nondiscriminatory access to services. A person
32     with a disability may not be denied program services
33     because of sex, ethnic origin, marital status, ability to
34     pay (except where contrary to law), or criminal record.
35     Specific program eligibility requirements with regard to
36     disability, level of need, age, and other matters may be

 

 

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1     established by the Department by rule. The Department may
2     set priorities for the provision of services and for
3     determining the need and eligibility for services in
4     accordance with available funding.
5         (3) (4) Family or individual support. Family or
6     individual support services shall include services that
7     support in-home or community residential placement,
8     prevent unnecessary out-of-home placement or
9     institutionalization, and foster independent living. A
10     person with a disability must be provided family or
11     individual support services, or both, whenever possible
12     and appropriate, to prevent unnecessary out-of-home
13     placement and to foster independent living skills when
14     authorized for such services.
15         (4) (5) Residential services. Residential services
16     shall include a full array of residential placement options
17     outside of the home of the person with a disability that
18     include appropriate supervision or support services in the
19     most integrated setting appropriate to meet his or her
20     needs and the choices of the person with a disability and
21     his or her guardian. choices and options. A person with a
22     disability who requires residential placement in a
23     supervised or supported setting must be provided choices
24     among various residential options when authorized for
25     those services. The placement must be offered in the least
26     restrictive environment appropriate to the individual.
27         (5) (6) Education. Education services shall include
28     early intervention services for infants and toddlers,
29     services identified in a student's Individualized
30     Educational Program (IEP) consistent with requirements of
31     the federal Individuals with Disabilities Improvement Act
32     and the Illinois School Code, and appropriate
33     accommodations and adaptations for a person with a
34     disability who attends an institution of higher learning. A
35     person with a disability has the right to a free,
36     appropriate public education as provided in both State and

 

 

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1     federal law. Each local educational agency must prepare
2     persons with disabilities for adult living. In
3     anticipation of adulthood, each person with a disability
4     has the right to a transition plan developed and ready for
5     implementation before the person's exit by no later than
6     the school year in which the person reaches age 14,
7     consistent with the requirements of the federal
8     Individuals with Disabilities Education Act and Article
9     XIV of the School Code.
10         (6) (7) Vocational habilitation and rehabilitation
11     training. Vocational habilitation and rehabilitation
12     services shall include services that enable a person with a
13     disability to move toward independence and
14     self-sufficiency by developing or redeveloping skills that
15     lead to employment or re-employment in the most integrated
16     setting appropriate to meet his or her needs and the
17     choices of the person with a disability and his or her
18     guardian. A person with a disability must be provided
19     vocational training, when appropriate, that contributes to
20     the person's independence and employment potential. This
21     training should include strategies and activities in
22     programs that lead to employment and reemployment in the
23     least restrictive environment appropriate to the
24     individual.
25         (7) (8) Employment. Employment services shall include
26     job placement and job supports that enable a person with a
27     disability to locate and maintain gainful employment in the
28     most integrated setting. A person with a disability has the
29     right to be employed free from discrimination, pursuant to
30     the Constitution and laws of this State.
31         (8) (9) Independent service coordination. Independent
32     service coordination shall include a service coordination
33     program free of conflicts of interest that is provided or
34     funded by the State of Illinois to enable a person with a
35     disability to access appropriate disability services. A
36     person with a disability who is receiving direct services

 

 

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1     from the Department must be provided independent service
2     coordination when needed.
3         (9) (10) Mental health supports. Mental health support
4     services shall include necessary Individuals with a
5     disability must be provided needed mental health supports
6     such as psychological rehabilitation, psychiatric and
7     medication coverage, day treatment, care management, and
8     crisis services.
9         (10) Assistive technology devices and services.
10     Assistive technology devices shall include any item, piece
11     of equipment, or product system, whether acquired
12     commercially, modified, or customized, that is used to
13     increase, maintain, or improve the functional capabilities
14     of a person with a disability in a variety of environments
15     including the person's residence, workplace, or school. An
16     assistive technology service is any service that directly
17     assists a person with a disability in the selection,
18     acquisition, or use of an assistive technology device.
19         (11) Due process. A person with a disability retains
20     the rights of citizenship. Any person aggrieved by a
21     decision of a department regarding services provided under
22     this Act must be given an opportunity to present complaints
23     at a due process hearing before an impartial hearing
24     officer designated by the director of that department. Any
25     person aggrieved by a final administrative decision
26     rendered following the due process hearing may seek
27     judicial review of that decision pursuant to the
28     Administrative Review Law. The term "administrative
29     decision" is defined as in Section 3-101 of the Code of
30     Civil Procedure. Attorney's fees and costs may be awarded
31     to a prevailing complainant in any due process hearing or
32     action for judicial review under this Act.
33         The right to a hearing under this item (11) is in
34     addition to any other rights under federal, State, or local
35     laws, however nothing in this Section shall be construed as
36     requiring the establishment of a new due process hearing

 

 

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1     procedure if one already exists for a particular service or
2     program.
3 (Source: P.A. 93-638, eff. 12-31-03.)
 
4     (20 ILCS 2407/20)
5     Sec. 20. Advisory committee; Disability Services Plan
6 Implementation.
7     (a) The Governor shall appoint an advisory committee to
8 assist in the further development and implementation of a
9 Disability Disabilities Services Implementation Plan that will
10 ensure compliance by the State of Illinois with the Americans
11 with Disabilities Act and the decision in Olmstead v. L.C., 119
12 S.Ct. 2176 (1999). The advisory committee shall be known as the
13 Illinois Disabilities Services Advisory Committee and shall be
14 composed of no more than 33 members, including: persons who
15 have a physical disability, a developmental disability, or a
16 mental illness; senior citizens; advocates for persons with
17 physical disabilities; advocates for persons with
18 developmental disabilities; advocates for persons with mental
19 illness; advocates for senior citizens; representatives of
20 providers of services to persons with physical disabilities,
21 developmental disabilities, and mental illness;
22 representatives of providers of services to senior citizens;
23 and representatives of organized labor.
24     In addition, the following State officials shall serve on
25 the committee as ex-officio non-voting members: the Secretary
26 of Human Services or his or her designee; the State
27 Superintendent of Education or his or her designee; the
28 Director of Aging or his or her designee; the Executive
29 Director of the Illinois Housing Development Authority or his
30 or her designee; the Director of Public Aid (now Director of
31 Healthcare and Family Services) or his or her designee; and the
32 Director of Public Health Employment Security or his or her
33 designee. Other State officials, including, but not limited to,
34 the Director of Employment Security, the Director of Commerce
35 and Economic Opportunity, the Director of Children and Family

 

 

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1 Services, the Director of the Board of Higher Education, and
2 the Director of the Illinois Community College Board, may be
3 invited to participate or to designate a representative to
4 participate in the discretion of the co-chairs and the
5 Secretary of Human Services when their expertise and resources
6 are relevant to the resolution of a particular issue. The
7 Department of Human Services shall be responsible for convening
8 meetings and providing logistical support for the advisory
9 committee.
10     The advisory committee shall select co-chairs and may
11 select other officers it it determines they are necessary
12 officers, including a chair and a vice-chair.
13     The advisory committee shall meet at least quarterly and
14 shall keep official meeting minutes. Committee members shall
15 not be compensated but shall be paid for their expenses related
16 to attendance at meetings.
17     (b) The Governor, with the assistance of the advisory
18 committee and the Secretary of Human Services, shall submit the
19 Disability Services Plan to the General Assembly by March 31,
20 2006. The Plan implementation plan must include, but need not
21 be limited to, the following:
22         (1) Overarching principles that will govern the
23         disability services delivery system in Illinois in the
24         future, consistent with the Americans with
25         Disabilities Act and the Olmstead decision.
26         (2) A review of current disability services in Illinois
27     that includes the State agency or agencies responsible for
28     each service and the funding source or sources for each
29     service.
30         (3) An assessment of current services that includes the
31     identification of gaps in services, geographic inequities,
32     and fiscal and other policies necessary to enhance
33     compliance with the Americans with Disabilities Act and the
34     Olmstead decision.
35         (4) Recommendations for change that include (i)
36     long-term and short-term action plans, (ii) prioritization

 

 

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1     of proposed long-term and short-term action steps, (iii)
2     proposed changes in law, rule, or policy determined to be
3     necessary for the implementation of any recommendation,
4     (iv) the estimated fiscal impact of each recommendation,
5     and (v) proposed methods of financing the implementation of
6     each recommendation.
7         (1) Establishing procedures for completing
8     comprehensive evaluations, including provisions for
9     Department review and approval of need determinations. The
10     Department may utilize independent evaluators and targeted
11     or sample reviews during this review and approval process,
12     as it deems appropriate.
13         (2) Establishing procedures for the development of an
14     individual service or treatment plan for each person with a
15     disability, including provisions for Department review and
16     authorization.
17         (3) Identifying core services to be provided by
18     agencies of the State of Illinois or other agencies.
19         (4) Establishing minimum standards for individualized
20     services.
21         (5) Establishing minimum standards for residential
22     services in the least restrictive environment.
23         (6) Establishing minimum standards for vocational
24     services.
25         (7) Establishing due process hearing procedures.
26         (8) Establishing minimum standards for family support
27     services.
28         (9) Securing financial resources necessary to fulfill
29     the purposes and requirements of this Act, including but
30     not limited to obtaining approval and implementing waivers
31     or demonstrations authorized under federal law.
32     (c) The Governor, with the assistance of the Illinois
33 Disabilities Services Advisory Committee and the Secretary of
34 Human Services, is responsible for the completion of the
35 implementation plan. The Governor must submit a report to the
36 General Assembly by November 1, 2004, which must include the

 

 

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1 following:
2         (1) The implementation plan.
3         (2) A description of current and planned programs and
4     services necessary to meet the requirements of the
5     individual service or treatment plans required by this Act,
6     together with the actions to be taken by the State of
7     Illinois to ensure that those plans will be implemented.
8     This description shall include a report of related program
9     and service improvements or expansions implemented by the
10     Department since the effective date of this Act.
11         (3) The estimated costs of current and planned programs
12     and services to be provided under the implementation plan.
13         (4) A report on the number of persons with disabilities
14     who may be eligible to receive services under this Act,
15     together with a report on the number of persons who are
16     currently receiving those services.
17         (5) Any proposed changes in State policies, laws, or
18     regulations necessary to fulfill the purposes and
19     requirements of this Act.
20     (c) (d) The Governor, with the assistance of the Secretary
21 of Human Services and the Disability Services Advisory
22 Committee, shall annually update the Disability Services Plan
23 implementation plan and report changes to the General Assembly
24 by July 1 of each year. The first annual report is due on July
25 1, 2007. Initial implementation of the plan is required by July
26 1, 2005. The requirement of annual updates and reports expires
27 in 2008, unless otherwise extended by the General Assembly.
28     (d) To the extent possible, planning steps and associated
29 timelines as required in this Act shall be coordinated with
30 related initiatives such as the work of the Older Adults
31 Services Advisory Committee as created by the Older Adults
32 Services Act (320 ILCS 42/) and the Mental Health Strategic
33 Restructuring Initiative.
34 (Source: P.A. 93-638, eff. 12-31-03; revised 12-15-05.)
 
35     (20 ILCS 2407/27 new)

 

 

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1     Sec. 27. Due process. A person claiming to be aggrieved by
2 a determination of an agency regarding eligibility for a
3 disability service, the provision of a disability service, or a
4 change in or termination of a disability service under this Act
5 must be given (1) a written notice of the decision and the
6 basis for the decision, (2) an opportunity to file a complaint
7 with the appropriate agency challenging the decision, (3) an
8 opportunity to appear before an impartial decision-maker
9 designated by the head of the agency responsible for the
10 decision to present evidence in support of the complaint, and
11 (4) a written decision on the complaint including findings of
12 fact and conclusions of law. A person aggrieved by a final
13 administrative decision under this Section may seek judicial
14 review under the Administrative Review Law. For purposes of
15 this Section, "administrative decision" has the same meaning as
16 provided in Section 3-101 of the Code of Civil Procedure. A
17 prevailing complainant in an action for judicial review under
18 this Section may be awarded reasonable attorney fees and costs.
19 Due process rights under this Section shall not supercede any
20 other due process rights established under any federal, State,
21 or local laws. Nothing in this Section shall be construed as
22 requiring the establishment of a new due process procedure if
23 one already exists for a particular disability service.
24 Complaints that may be addressed under the the complaint
25 process authorized under the federal Individuals with
26 Disabilities Education Improvement Act shall not be made under
27 this Section. A disability service that is not an entitlement
28 may be denied or limited due to insufficient funds.
 
29     (20 ILCS 2407/28 new)
30     Sec. 28. Non-discriminatory access to services. A person
31 with a disability shall not be denied a disability service
32 because of sex, race, religion, ethnic origin, marital status,
33 ability to pay (except where contrary to law), or criminal
34 record. Specific program eligibility requirements with regard
35 to disability, level of need, age and other matters may be

 

 

SB2309 - 15 - LRB094 18132 RSP 53439 b

1 established by the administering State agency by rule. An
2 administering State agency may set priorities for the provision
3 of services and for determining the need and eligibility for
4 services in accordance with available funding.
 
5     Section 99. Effective date. This Act takes effect upon
6 becoming law.