Rep. Esther Golar

Filed: 4/1/2009

 

 


 

 


 
09600HB1350ham001 LRB096 06322 DRJ 24656 a

1
AMENDMENT TO HOUSE BILL 1350

2     AMENDMENT NO. ______. Amend House Bill 1350 by replacing
3 everything after the enacting clause with the following:
 
4     "Section 5. The Community Services Act is amended by
5 changing Section 4 as follows:
 
6     (405 ILCS 30/4)  (from Ch. 91 1/2, par. 904)
7     Sec. 4. Financing for Community Services.
8     (a) The Department of Human Services is authorized to
9 provide financial reimbursement to eligible private service
10 providers, corporations, local government entities or
11 voluntary associations for the provision of services to persons
12 with mental illness, persons with a developmental disability
13 and alcohol and drug dependent persons living in the community
14 for the purpose of achieving the goals of this Act.
15     The Department shall utilize the following funding
16 mechanisms for community services:

 

 

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1         (1) Purchase of Care Contracts: services purchased on a
2     predetermined fee per unit of service basis from private
3     providers or governmental entities. Fee per service rates
4     are set by an established formula which covers some portion
5     of personnel, supplies, and other allowable costs, and
6     which makes some allowance for geographic variations in
7     costs as well as for additional program components.
8         (2) Grants: sums of money which the Department grants
9     to private providers or governmental entities pursuant to
10     the grant recipient's agreement to provide certain
11     services, as defined by departmental grant guidelines, to
12     an approximate number of service recipients. Grant levels
13     are set through consideration of personnel, supply and
14     other allowable costs, as well as other funds available to
15     the program.
16         (3) Other Funding Arrangements: funding mechanisms may
17     be established on a pilot basis in order to examine the
18     feasibility of alternative financing arrangements for the
19     provision of community services.
20     The Department shall establish and maintain an equitable
21 system of payment which allows providers to improve persons
22 with disabilities' capabilities for independence and reduces
23 their reliance on State-operated services.
24     (b) The Governor shall create a commission by September 1,
25 2009 July 1, 2007, or as soon thereafter as possible, to review
26 funding methodologies, identify gaps in funding, identify

 

 

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1 revenue, and prioritize use of that revenue for community
2 developmental disability services, mental health services,
3 alcohol and substance abuse services, rehabilitation services,
4 and early intervention services.
5     (c) The first meeting of the commission shall be held
6 within the first month after the creation and appointment of
7 the commission, and a final report summarizing the commission's
8 recommendations must be issued within 12 months after the first
9 meeting, and no later than September 1, 2010 September 1, 2008,
10 to the Governor and the General Assembly.
11     (d) The commission shall have the following 13 voting
12 members:
13         (A) one member of the House of Representatives,
14     appointed by the Speaker of the House of Representatives;
15         (B) one member of the House of Representatives,
16     appointed by the House Minority Leader;
17         (C) one member of the Senate, appointed by the
18     President of the Senate;
19         (D) one member of the Senate, appointed by the Senate
20     Minority Leader;
21         (E) one person with a developmental disability, or a
22     family member or guardian of such a person, appointed by
23     the Governor;
24         (F) one person with a mental illness, or a family
25     member or guardian of such a person, appointed by the
26     Governor;

 

 

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1         (G) two persons from unions that represent employees of
2     community providers that serve people with developmental
3     disabilities, mental illness, and alcohol and substance
4     abuse disorders, appointed by the Governor; and
5         (H) five persons from statewide associations that
6     represent community providers that provide residential,
7     day training, and other developmental disability services,
8     mental health services, alcohol and substance abuse
9     services, rehabilitation services, or early intervention
10     services, or any combination of those, appointed by the
11     Governor.
12     The commission shall also have the following ex-officio,
13 nonvoting members:
14         (I) the Director of the Governor's Office of Management
15     and Budget or his or her designee;
16         (J) the Chief Financial Officer of the Department of
17     Human Services or his or her designee; and
18         (K) the Administrator of the Department of Healthcare
19     and Family Services Division of Finance or his or her
20     designee; .
21         (L) the Director of the Department of Human Services
22     Division of Developmental Disabilities or his or her
23     designee;
24         (M) the Director of the Department of Human Services
25     Division of Mental Health or his or her designee; and
26         (N) the Director of the Department of Human Services

 

 

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1     Division of Alcohol and Substance Abuse or his or her
2     designee.
3     (e) The funding methodologies must reflect economic
4 factors inherent in providing services and supports, recognize
5 individual disability needs, and consider geographic
6 differences, transportation costs, required staffing ratios,
7 and mandates not currently funded.
8     (f) In accepting Department funds, providers shall
9 recognize their responsibility to be accountable to the
10 Department and the State for the delivery of services which are
11 consistent with the philosophies and goals of this Act and the
12 rules and regulations promulgated under it.
13 (Source: P.A. 95-682, eff. 10-11-07.)
 
14     Section 99. Effective date. This Act takes effect upon
15 becoming law.".