Full Text of HR0194 102nd General Assembly
HR0194 102ND GENERAL ASSEMBLY |
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| 1 | | HOUSE RESOLUTION
| 2 | | WHEREAS, Illinois ranks 47th among states for spending | 3 | | commitment for community services for people with intellectual | 4 | | and developmental disabilities (I/DD), according to the 2017 | 5 | | State of the States in Intellectual and Developmental | 6 | | Disabilities report published by the University of Colorado; | 7 | | and
| 8 | | WHEREAS, The reimbursement rates in Illinois, including | 9 | | rates for the Direct Support Professional (DSP) workforce, are | 10 | | inadequate, forcing many in the DSP workforce to rely on | 11 | | means-tested public assistance despite working full time; and
| 12 | | WHEREAS, As reported by the national direct care workforce | 13 | | research and advocacy group PHI, the DSP workforce is | 14 | | predominantly women at 86 percent and is racially and | 15 | | ethnically diverse; 59 percent of the DSP workforce consists | 16 | | of people of color, with 30 percent of workers identified as | 17 | | African American, 18 percent identified as Hispanic/Latino, | 18 | | and 7 percent identified as Asian or Pacific Islander; and
| 19 | | WHEREAS, According to the National Core Indicators Staff | 20 | | Stability Survey, the average turnover rate for the DSP | 21 | | workforce in Illinois is 54.5 percent with an average vacancy | 22 | | rate of 13.7 percent; this is well above the national average; |
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| 1 | | and
| 2 | | WHEREAS, COVID-19 has made these challenges more | 3 | | substantial as providers risk their health to perform in-home | 4 | | visits and daily care for this vulnerable population; despite | 5 | | a pandemic, the daily support needs for persons with I/DD | 6 | | remain the same; and
| 7 | | WHEREAS, Since 2011, the State of Illinois has been | 8 | | subject to the Ligas Consent Decree, which mandates dramatic | 9 | | increases to funding for services and supports for persons | 10 | | with I/DD; and
| 11 | | WHEREAS, In 2015, the Federal Court Monitor found Illinois | 12 | | out of compliance with the Consent Decree, and a federal judge | 13 | | officially found the State out of compliance in 2017; as a | 14 | | result, the Illinois Department of Human Services (DHS) | 15 | | Division of Developmental Disabilities (DDD) began to review | 16 | | existing rate methodologies around residential, employment, | 17 | | training, and support services rates; and
| 18 | | WHEREAS, In 2019, the State contracted with a rate | 19 | | consultant, Guidehouse (formerly Navigant Consulting), to | 20 | | develop potential new rates and rate methodologies using | 21 | | objective, publicly available data sources, standard | 22 | | administrative cost reporting, and provider-reported costs in |
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| 1 | | order to determine the resources necessary to create and | 2 | | maintain access to quality services and supports for persons | 3 | | with I/DD in Illinois; and
| 4 | | WHEREAS, The recommendations from Guidehouse, detailed in | 5 | | their final report, are designed to identify rates that | 6 | | provide adequate reimbursement for residential and other | 7 | | supporting services in compliance with the State's Ligas | 8 | | consent decree and rates required to keep pace with new | 9 | | minimum and living wage levels being implemented over the next | 10 | | five years in Chicago and across the State; and
| 11 | | WHEREAS, Implementation of these recommendations requires | 12 | | financial investment that reflects the challenge of addressing | 13 | | historical underfunding of existing services and the need for | 14 | | new funding to respond to rapid growth in wage requirements | 15 | | over the next five years; and
| 16 | | WHEREAS, According to the Guidehouse Rate Study, Illinois | 17 | | requires a $329 million GRF investment in FY22, outlined in | 18 | | seven priority areas, to keep the system sustainable; and
| 19 | | WHEREAS, The Governor's FY22 Introduced Budget includes a | 20 | | $77 million dollar investment to partially fund four of seven | 21 | | priorities identified in the rate study that should continue | 22 | | to be funded in the manner in which the appropriation was |
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| 1 | | intended; and
| 2 | | WHEREAS, The State's I/DD community is very grateful for | 3 | | investments made by the General Assembly in recent years; | 4 | | however, despite these investments, the State has not | 5 | | succeeded in satisfying the requirements of the Consent Decree | 6 | | or kept pace with state-mandated minimum wage increases; | 7 | | therefore, be it
| 8 | | RESOLVED, BY THE HOUSE OF REPRESENTATIVES OF THE ONE | 9 | | HUNDRED SECOND GENERAL ASSEMBLY OF THE STATE OF ILLINOIS, that | 10 | | we urge the State of Illinois to fully fund the Guidehouse | 11 | | final rate recommendations in FY 22, including the recommended | 12 | | changes to the rate and service structure, allowing Illinois | 13 | | to make real progress toward the Division of Developmental | 14 | | Disabilities mission to design and deliver quality | 15 | | outcome-based, person-centered services and supports for | 16 | | individuals who have developmental disabilities and to | 17 | | implement the rate study in whole to maintain the integrity of | 18 | | the methodology behind the rate setting calculations to avoid | 19 | | creating an even more unbalanced system; and be it further
| 20 | | RESOLVED, That suitable copies of this resolution be | 21 | | presented to the Governor, all legislative leaders, and the | 22 | | Illinois Department of Human Services Department of | 23 | | Developmental Disabilities.
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