Full Text of HB0612 94th General Assembly
HB0612enr 94TH GENERAL ASSEMBLY
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HB0612 Enrolled |
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| AN ACT concerning State government.
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| Be it enacted by the People of the State of Illinois,
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| represented in the General Assembly:
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| Section 1. Short title. This Act may be cited as the | 5 |
| Illinois Family Case Management Act. | 6 |
| Section 5. Legislative findings and purpose. The General | 7 |
| Assembly finds as follows: | 8 |
| (1) The statewide rate of infant mortality continues to | 9 |
| remain at an unacceptable level in regard to the national | 10 |
| average.
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| (2) Within the State of Illinois, certain areas and | 12 |
| populations continue to experience rates of infant | 13 |
| mortality far greater than either the statewide or national | 14 |
| averages. Prevention activities need to be statewide for | 15 |
| maximum benefit.
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| (3) Family case management services are proven to be | 17 |
| effective in improving the health of women and infants and | 18 |
| lowering the incidence of infant morbidity and mortality, | 19 |
| particularly those individuals linked to the Special | 20 |
| Supplemental Nutrition Program for Women, Infants and | 21 |
| Children (WIC).
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| (4) Family case management improves the health and | 23 |
| development of children and families by providing the | 24 |
| earliest identification of their needs and promoting | 25 |
| linkages to address those needs.
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| (5) Data demonstrates significantly lower Medicaid | 27 |
| expenditures for pregnant and postpartum women and | 28 |
| children who have been enrolled in family case management | 29 |
| and WIC services than for Medicaid-eligible persons not | 30 |
| receiving case management services.
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| Therefore, as a critical component in delivering | 32 |
| comprehensive maternal and child health services in Illinois, |
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| it is the purpose of this Act to provide for the establishment | 2 |
| and recognition of a program of family case management to | 3 |
| ensure and provide statewide wrap-around services targeted | 4 |
| toward reducing the incidence of infant mortality, very low | 5 |
| birthweight infants, and low birthweight infants within the | 6 |
| State. | 7 |
| Section 10. Definitions. In this Act: | 8 |
| "Department" means the Illinois Department of Human | 9 |
| Services.
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| "Eligible participant" means: (i) subject to available | 11 |
| appropriations, any pregnant woman or child through the age of | 12 |
| one year enrolled in the Medicaid program on the effective date | 13 |
| of this Act or whose income is up to 200% of the federal | 14 |
| poverty level; and (ii) subject to additional appropriations, | 15 |
| any child through the age of 4 years enrolled in Medicaid or | 16 |
| whose income is up to 200% of the federal poverty level.
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| "Family Case Management program" or "program" means the | 18 |
| program established under Section 15 of this Act.
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| "Infant mortality rate" means the number of infant deaths | 20 |
| per 1,000 live births as reported on a calendar year basis by | 21 |
| the federal Department of Health and Human Services.
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| "Secretary" means the Secretary of Human Services.
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| "Targeted Intensive Case Management" means services | 24 |
| provided to any program-eligible pregnant woman or infant | 25 |
| through the age of one, where an assessment has been performed | 26 |
| that deems the participant at greater risk for infant mortality | 27 |
| or morbidity.
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| Section 15. Family Case Management Program. The Department | 29 |
| shall establish and administer a family case management | 30 |
| program. The purposes of the program shall be to reduce the | 31 |
| incidence of infant mortality, very low birthweight infants, | 32 |
| and low birthweight infants and to assist low-income families | 33 |
| to obtain available health and human services needed for | 34 |
| healthy growth and development, including but not limited to |
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| prenatal care, early periodic screening, diagnosis, and | 2 |
| treatment (EPSDT) services, immunizations, lead screenings, | 3 |
| nutritional support, and other specialized services for | 4 |
| families with additional challenges and needs. Under the | 5 |
| program, case management shall involve individualized | 6 |
| assessment of needs, planning of services, referral, | 7 |
| monitoring, and advocacy to assist a client in gaining access | 8 |
| to appropriate services. Under the program, case management | 9 |
| shall be an active and collaborative process involving a | 10 |
| qualified case manager, the client, the client's family, and | 11 |
| service providers in the community. Priority shall be given to | 12 |
| ensure that Targeted Intensive Case Management, as defined in | 13 |
| this Act, is available to each qualified participant as defined | 14 |
| within the Department's rules and program standards. | 15 |
| Section 20. Maternal and Child Health Advisory Board. | 16 |
| (a) The Maternal and Child Health Advisory Board ("the | 17 |
| Board") is created within the Department to advise the | 18 |
| Department on the implementation of this Act, including | 19 |
| assessments and advice regarding rate structure, and other | 20 |
| activities related to maternal and child health and infant | 21 |
| mortality reduction programs in the State of Illinois. The | 22 |
| Board shall consist of the Secretary of Human Services (or his | 23 |
| or her designee), who shall serve as chairman, and one | 24 |
| additional representative of the Department of Human Services | 25 |
| designated by the Secretary who has direct responsibility with | 26 |
| the family case management program; one representative each | 27 |
| from the Departments of Children and Family Services, Public | 28 |
| Health, and Public Aid; and 4 members of the Illinois General | 29 |
| Assembly, one each appointed by the President and Minority | 30 |
| Leader of the Senate and the Speaker and Minority Leader of the | 31 |
| House of Representatives. In addition, the Governor shall | 32 |
| appoint 20 additional members of the Board. Of the members | 33 |
| appointed by the Governor, 2 shall be physicians licensed to | 34 |
| practice medicine in all of its branches who currently serve | 35 |
| patients enrolled in the family case management program, one of |
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| whom shall be an individual with a specialty in obstetrics and | 2 |
| gynecology and one of whom shall be an individual with a | 3 |
| specialty in pediatric medicine; 5 representatives, one each | 4 |
| from certified local health departments within the 5 counties | 5 |
| with the largest number of family case management enrollees; 5 | 6 |
| representatives from certified local health departments | 7 |
| outside the Chicago metropolitan and collar counties areas that | 8 |
| shall include a balance of urban and rural health departments; | 9 |
| a registered professional nurse serving as a public health | 10 |
| nurse within a certified local health department; 5 individuals | 11 |
| representing community-based programs currently providing | 12 |
| family case management services within Cook County that are not | 13 |
| certified local health departments; and 2 consumers who are | 14 |
| receiving or have received family case management services.
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| Legislative members shall serve during their term of office | 16 |
| in the Illinois General Assembly. Members appointed by the | 17 |
| Governor shall serve a term of 3 years or until their | 18 |
| successors are appointed. Any member appointed to fill a | 19 |
| vacancy occurring prior to the expiration of the term for which | 20 |
| his or her predecessor was appointed shall be appointed for the | 21 |
| remainder of such term. Members of the Board shall serve | 22 |
| without compensation but shall be reimbursed for necessary | 23 |
| expenses incurred in the performance of their duties.
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| (b) The Board shall advise the Secretary on efforts related | 25 |
| to maternal and child health programs, including infant | 26 |
| mortality reduction, in the State of Illinois. In addition, the | 27 |
| Board shall review and make recommendations to the Department | 28 |
| and the Governor in regard to the system for maternal and child | 29 |
| health programs, collaboration, and interrelation between and | 30 |
| delivery of programs, including but not limited to Family Case | 31 |
| Management, Targeted Intensive Prenatal Case Management, the | 32 |
| Special Supplemental Nutrition Program for Women, Infants and | 33 |
| Children (WIC), and HealthWorks, and the adequacy of family | 34 |
| case management funding and reimbursement levels. In | 35 |
| performing its duties, the Board may hold hearings throughout | 36 |
| the State and advise and receive advice from any local advisory |
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| bodies created to address the infant mortality problem.
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| (c) The Board shall report to the General Assembly, on | 3 |
| January 1 of each year, a listing of activities taken in regard | 4 |
| to this Act, other efforts to address maternal and child health | 5 |
| and infant mortality in Illinois, and proposed recommendations | 6 |
| regarding funding and reimbursement levels to adequately | 7 |
| support the family case management program.
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| Section 25. Rules. Within one year after the effective date | 9 |
| of this Act, the Department shall adopt rules to implement this | 10 |
| Act. In developing the rules, the Department shall consult with | 11 |
| the Maternal and Child Health Advisory Board. | 12 |
| (410 ILCS 220/Act rep.)
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| Section 90. The Infant Mortality Reduction Act is repealed. | 14 |
| Section 95. The Prenatal and Newborn Care Act is amended by | 15 |
| changing Section 7 as follows:
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| (410 ILCS 225/7) (from Ch. 111 1/2, par. 7027)
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| Sec. 7. Advisory board consultation. The Department shall | 18 |
| consult
with the Maternal and Child Health Advisory Board | 19 |
| created under the Illinois Family Case Management Act
the | 20 |
| Infant Mortality Reduction Advisory Board, established | 21 |
| pursuant to
the Infant Mortality Reduction Act, as amended, | 22 |
| regarding the
implementation of this program. In addition, the | 23 |
| Board shall advise the
Department on the coordination of | 24 |
| services provided under this program with
services provided | 25 |
| under the Illinois Family Case Management Act
Infant Mortality | 26 |
| Reduction Act and the Problem
Pregnancy Health Services and | 27 |
| Care Act.
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| (Source: P.A. 86-860.)
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| Section 99. Effective date. This Act takes effect upon | 30 |
| becoming law.
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