Illinois General Assembly - Illinois Compiled Statutes

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320 ILCS 40/5

(320 ILCS 40/5) (from Ch. 23, par. 6905)

Sec. 5. Legislative declaration.

The General Assembly
finds and declares that it is the intent of this Act to replicate the
On Lok program in San Francisco, California, that has proven to be
cost-effective at both the state and federal levels.  The PACE program is
part of a national replication project authorized in Section 9412(b)(2) of
the federal Omnibus Reconciliation Act of 1986, which
instructs the Secretary of the federal Department of Health and Human
Services to grant Medicare and Medicaid waivers to permit not more than 10
public or nonprofit private community-based organizations in the country to
provide comprehensive health care services on a capitated basis to frail
elderly who are at risk of institutionalization.  The General Assembly
finds that by coordinating an extensive array of medical and nonmedical
services, the needs of the participants will be met primarily in an
outpatient environment in an adult day health center, in their homes, or in
an institutional setting.  The General Assembly finds that such a service
delivery system will enhance the quality of life for the participant and
offers the potential to reduce and cap costs to Illinois of the medical
needs of the participants, including hospital and nursing home admissions.

The General Assembly declares that the purpose of this Act is to provide
services that would foster the following goals:

To maintain eligible persons at home as an alternative to long-term institutionalization;

To provide optimum accessibility to various important social and
health resources that are available to assist eligible persons in
maintaining independent living;

To provide that eligible persons who are frail elderly but who have the
capacity to remain in an independent living situation have access to the
appropriate social and health services without which independent living
would not be possible;

To coordinate, integrate, and link these social and health services by
removing obstacles that impede or limit improvements in delivery of these
services;

To provide the most efficient and effective use of capitated funds
for the delivery of these social and health services;

To assure that capitation payments amount to no more than 95%
of the amount paid under the Medicaid fee-for-service structure
of an actuarially similar population.

(Source: P.A. 95-331, eff. 8-21-07.)