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Synopsis As Introduced Amends the Illinois Act on the Aging, the Disabled Persons Rehabilitation Act, and the Illinois Public Aid Code. Regarding services provided under the Community Care Program, the Home Services Program, the supportive living facilities program, and the nursing home prescreening project, provides that individuals with a score of 29 or higher based on the determination of need assessment tool are eligible to receive institutional and home and community-based long term care services until the State receives federal approval and implements an updated assessment tool. Requires the Department on Aging, the Department of Human Services, and the Department of Healthcare and Family Services to promulgate rules regarding the updated assessment tool, but prohibits those Departments from promulgating emergency rules regarding the updated assessment tool. Provides that the State shall not implement an updated assessment tool that causes more than 1% of then-current recipients to lose eligibility; and that anyone determined to be ineligible for services due to the updated assessment tool shall continue to be eligible for services for at least one year following that determination and must be reassessed no earlier than 11 months after that determination. Further amends the Illinois Public Aid Code by deleting a provision requiring the Department of Healthcare and Family Services to, subject to federal approval, on and after July 1, 2012, effectuate an increase in the determination of need scores from 29 to 37 for applicants for institutional and home and community-based long term care. Amends the Nursing Home Care Act. Provides that no individual receiving care in an institutional setting shall be involuntarily discharged as the result of the updated assessment tool until a transition plan has been developed by the Department on Aging or its designee and all care identified in the transition plan is available to the resident immediately upon discharge. Effective immediately.
House Floor Amendment No. 1 Replaces everything after the enacting clause. Reinserts the provisions of the introduced bill with the following changes: Further amends the Illinois Act on the Aging. Removes a provision requiring the Department on Aging to establish eligibility standards for services provided under the Community Care Program and instead sets forth the criteria individuals must meet to have equal access to services under the Community Care Program. Makes changes to provisions added to the Act concerning the eligibility of individuals with a determination of need score of 29 or higher for institutional and home and community-based long term care services until the State receives federal approval and implements an updated assessment tool; and adds a provision requiring service cost maximums to be set at levels no lower than the service cost maximums that were in effect as of January 1, 2016 and to be increased accordingly to reflect any rate increases. Makes changes to provisions added to the Rehabilitation of Persons with Disabilities Act and the Illinois Public Aid Code concerning the eligibility of individuals with a determination of need score of 29 or higher for institutional and home and community-based long term care services until the State receives federal approval and implements an updated assessment tool. Further amends the Illinois Public Aid Code by providing that no individual receiving care in an institutional setting shall be involuntarily discharged as the result of the updated assessment tool until a transition plan has been developed by the Department on Aging or its designee and all care identified in the transition plan is available to the resident immediately upon discharge. Effective immediately.
Fiscal Note, House Floor Amendment No. 1 (Dept. on Aging)
This cost estimate is predicated upon an unaltered continuation of the current service structure under CCP, which would result from the enactment of HB 4351 into law. In its proposed FY17 budget, Illinois Department on Aging seeks to secure considerable cost savings by creating a new program, the Community Reinvestment Program (CAP), designed to provide a multitude of flexible services for non-Medicaid individuals currently being served under CCP. The estimated cost of $200 million is in addition to the Governor's introduced budget for CAP and CCP. These savings amount to $197 million during the next fiscal year. The program will ensure sustainable spending levels and that essential community services remain available for the approximately 44,000 non-Medicaid persons now served by CCP.
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