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91_HB4168
LRB9111445JMmb
1 AN ACT concerning preventive services.
2 Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:
4 Section 5. The Illinois Act on the Aging is amended by
5 changing Section 4.02 as follows:
6 (20 ILCS 105/4.02) (from Ch. 23, par. 6104.02)
7 Sec. 4.02. Preventive services. The Department shall
8 establish a program of services to prevent unnecessary
9 institutionalization of persons age 60 and older in need of
10 long term care or who are established as persons who suffer
11 from Alzheimer's disease or a related disorder under the
12 Alzheimer's Disease Assistance Act, thereby enabling them to
13 remain in their own homes or in other living arrangements.
14 Such preventive services, which may be coordinated with other
15 programs for the aged and monitored by area agencies on aging
16 in cooperation with the Department, may include, but are not
17 limited to, any or all of the following:
18 (a) home health services;
19 (b) home nursing services;
20 (c) homemaker services;
21 (d) chore and housekeeping services;
22 (e) day care services;
23 (f) home-delivered meals;
24 (g) education in self-care;
25 (h) personal care services;
26 (i) adult day health services;
27 (j) habilitation services;
28 (k) respite care;
29 (l) other nonmedical social services that may enable the
30 person to become self-supporting; or
31 (m) clearinghouse for information provided by senior
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1 citizen home owners who want to rent rooms to or share living
2 space with other senior citizens.
3 The Department shall establish eligibility standards for
4 such services taking into consideration the unique economic
5 and social needs of the target population for whom they are
6 to be provided. Such eligibility standards shall be based on
7 the recipient's ability to pay for services; provided,
8 however, that in determining the amount and nature of
9 services for which a person may qualify, consideration shall
10 not be given to the value of cash, property or other assets
11 held in the name of the person's spouse pursuant to a written
12 agreement dividing marital property into equal but separate
13 shares or pursuant to a transfer of the person's interest in
14 a home to his spouse, provided that the spouse's share of the
15 marital property is not made available to the person seeking
16 such services. The Department shall, in conjunction with the
17 Department of Public Aid, seek appropriate amendments under
18 Sections 1915 and 1924 of the Social Security Act. The
19 purpose of the amendments shall be to extend eligibility for
20 home and community based services under Sections 1915 and
21 1924 of the Social Security Act to persons who transfer to or
22 for the benefit of a spouse those amounts of income and
23 resources allowed under Section 1924 of the Social Security
24 Act. Subject to the approval of such amendments, the
25 Department shall extend the provisions of Section 5-4 of the
26 Illinois Public Aid Code to persons who, but for the
27 provision of home or community-based services, would require
28 the level of care provided in an institution, as is provided
29 for in federal law. Those persons no longer found to be
30 eligible for receiving noninstitutional services due to
31 changes in the eligibility criteria shall be given 60 days
32 notice prior to actual termination. Those persons receiving
33 notice of termination may contact the Department and request
34 the determination be appealed at any time during the 60 day
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1 notice period. With the exception of the lengthened notice
2 and time frame for the appeal request, the appeal process
3 shall follow the normal procedure. In addition, each person
4 affected regardless of the circumstances for discontinued
5 eligibility shall be given notice and the opportunity to
6 purchase the necessary services through the Community Care
7 Program. If the individual does not elect to purchase
8 services, the Department shall advise the individual of
9 alternative services. The target population identified for
10 the purposes of this Section are persons age 60 and older
11 with an identified service need. Priority shall be given to
12 those who are at imminent risk of institutionalization. The
13 services shall be provided to eligible persons age 60 and
14 older to the extent that the cost of the services together
15 with the other personal maintenance expenses of the persons
16 are reasonably related to the standards established for care
17 in a group facility appropriate to the person's condition.
18 These non-institutional services, pilot projects or
19 experimental facilities may be provided as part of or in
20 addition to those authorized by federal law or those funded
21 and administered by the Department of Human Services. The
22 Departments of Human Services, Public Aid, Public Health,
23 Veterans' Affairs, and Commerce and Community Affairs and
24 other appropriate agencies of State, federal and local
25 governments shall cooperate with the Department on Aging in
26 the establishment and development of the non-institutional
27 services. The Department shall require an annual audit from
28 all chore/housekeeping and homemaker vendors contracting with
29 the Department under this Section. The annual audit shall
30 assure that each audited vendor's procedures are in
31 compliance with Department's financial reporting guidelines
32 requiring a 27% administrative cost split and a 73% employee
33 wages and benefits cost split. The audit is a public record
34 under the Freedom of Information Act. The Department shall
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1 execute, relative to the nursing home prescreening project,
2 written inter-agency agreements with the Department of Human
3 Services and the Department of Public Aid, to effect the
4 following: (1) intake procedures and common eligibility
5 criteria for those persons who are receiving
6 non-institutional services; and (2) the establishment and
7 development of non-institutional services in areas of the
8 State where they are not currently available or are
9 undeveloped. On and after July 1, 1996, all nursing home
10 prescreenings for individuals 60 years of age or older shall
11 be conducted by the Department.
12 The Department is authorized to establish a system of
13 recipient copayment for services provided under this Section,
14 such copayment to be based upon the recipient's ability to
15 pay but in no case to exceed the actual cost of the services
16 provided. Additionally, any portion of a person's income
17 which is equal to or less than the federal poverty standard
18 shall not be considered by the Department in determining the
19 copayment. The level of such copayment shall be adjusted
20 whenever necessary to reflect any change in the officially
21 designated federal poverty standard.
22 The Department, or the Department's authorized
23 representative, shall recover the amount of moneys expended
24 for services provided to or in behalf of a person under this
25 Section by a claim against the person's estate or against the
26 estate of the person's surviving spouse, but no recovery may
27 be had until after the death of the surviving spouse, if any,
28 and then only at such time when there is no surviving child
29 who is under age 21, blind, or permanently and totally
30 disabled. This paragraph, however, shall not bar recovery,
31 at the death of the person, of moneys for services provided
32 to the person or in behalf of the person under this Section
33 to which the person was not entitled; provided that such
34 recovery shall not be enforced against any real estate while
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1 it is occupied as a homestead by the surviving spouse or
2 other dependent, if no claims by other creditors have been
3 filed against the estate, or, if such claims have been filed,
4 they remain dormant for failure of prosecution or failure of
5 the claimant to compel administration of the estate for the
6 purpose of payment. This paragraph shall not bar recovery
7 from the estate of a spouse, under Sections 1915 and 1924 of
8 the Social Security Act and Section 5-4 of the Illinois
9 Public Aid Code, who precedes a person receiving services
10 under this Section in death. All moneys for services paid to
11 or in behalf of the person under this Section shall be
12 claimed for recovery from the deceased spouse's estate.
13 "Homestead", as used in this paragraph, means the dwelling
14 house and contiguous real estate occupied by a surviving
15 spouse or relative, as defined by the rules and regulations
16 of the Illinois Department of Public Aid, regardless of the
17 value of the property.
18 The Department shall develop procedures to enhance
19 availability of services on evenings, weekends, and on an
20 emergency basis to meet the respite needs of caregivers.
21 Procedures shall be developed to permit the utilization of
22 services in successive blocks of 24 hours up to the monthly
23 maximum established by the Department. Workers providing
24 these services shall be appropriately trained.
25 The Department shall work in conjunction with the
26 Alzheimer's Task Force and members of the Alzheimer's
27 Association and other senior citizens' organizations in
28 developing these procedures by December 30, 1991.
29 Beginning on the effective date of this Amendatory Act of
30 1991, no person may perform chore/housekeeping and homemaker
31 services under a program authorized by this Section unless
32 that person has been issued a certificate of pre-service to
33 do so by his or her employing agency. Information gathered
34 to effect such certification shall include (i) the person's
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1 name, (ii) the date the person was hired by his or her
2 current employer, and (iii) the training, including dates and
3 levels. Persons engaged in the program authorized by this
4 Section before the effective date of this amendatory Act of
5 1991 shall be issued a certificate of all pre- and in-service
6 training from his or her employer upon submitting the
7 necessary information. The employing agency shall be
8 required to retain records of all staff pre- and in-service
9 training, and shall provide such records to the Department
10 upon request and upon termination of the employer's contract
11 with the Department. In addition, the employing agency is
12 responsible for the issuance of certifications of in-service
13 training completed to their employees.
14 The Department is required to develop a system to ensure
15 that persons working as homemakers and chore housekeepers
16 receive increases in their wages when the federal minimum
17 wage is increased by requiring vendors to certify that they
18 are meeting the federal minimum wage statute for homemakers
19 and chore housekeepers. An employer that cannot ensure that
20 the minimum wage increase is being given to homemakers and
21 chore housekeepers shall be denied any increase in
22 reimbursement costs. Beginning July 1, 2000, the vendors
23 shall receive a rate increase equal to the percent increase
24 in the federal minimum wage each time the federal minimum
25 wage is increased.
26 The Department on Aging and the Department of Human
27 Services shall cooperate in the development and submission of
28 an annual report on programs and services provided under this
29 Section. Such joint report shall be filed with the Governor
30 and the General Assembly on or before September 30 each year.
31 The requirement for reporting to the General Assembly
32 shall be satisfied by filing copies of the report with the
33 Speaker, the Minority Leader and the Clerk of the House of
34 Representatives and the President, the Minority Leader and
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1 the Secretary of the Senate and the Legislative Research
2 Unit, as required by Section 3.1 of the General Assembly
3 Organization Act and filing such additional copies with the
4 State Government Report Distribution Center for the General
5 Assembly as is required under paragraph (t) of Section 7 of
6 the State Library Act.
7 Those persons previously found eligible for receiving
8 non-institutional services whose services were discontinued
9 under the Emergency Budget Act of Fiscal Year 1992, and who
10 do not meet the eligibility standards in effect on or after
11 July 1, 1992, shall remain ineligible on and after July 1,
12 1992. Those persons previously not required to cost-share
13 and who were required to cost-share effective March 1, 1992,
14 shall continue to meet cost-share requirements on and after
15 July 1, 1992. Beginning July 1, 1992, all clients will be
16 required to meet eligibility, cost-share, and other
17 requirements and will have services discontinued or altered
18 when they fail to meet these requirements.
19 (Source: P.A. 91-303, eff. 1-1-00.)
20 Section 10. The Disabled Persons Rehabilitation Act is
21 amended by changing Section 3 as follows:
22 (20 ILCS 2405/3) (from Ch. 23, par. 3434)
23 Sec. 3. Powers and duties. The Department shall have the
24 powers and duties enumerated herein:
25 (a) To co-operate with the federal government in the
26 administration of the provisions of the federal
27 Rehabilitation Act of 1973, as amended, of the Workforce
28 Investment Act of 1998, and of the federal Social Security
29 Act to the extent and in the manner provided in these Acts.
30 (b) To prescribe and supervise such courses of
31 vocational training and provide such other services as may be
32 necessary for the habilitation and rehabilitation of persons
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1 with one or more disabilities, including the administrative
2 activities under subsection (e) of this Section, and to
3 co-operate with State and local school authorities and other
4 recognized agencies engaged in habilitation, rehabilitation
5 and comprehensive rehabilitation services; and to cooperate
6 with the Department of Children and Family Services regarding
7 the care and education of children with one or more
8 disabilities.
9 (c) To make such reports and submit such plans to the
10 federal government as are required by the provisions of the
11 federal Rehabilitation Act of 1973, as amended, and by the
12 rules and regulations of the federal agency or agencies
13 administering the federal Rehabilitation Act of 1973, as
14 amended, the Workforce Investment Act of 1998, and the
15 federal Social Security Act.
16 (d) To report in writing, to the Governor, annually on
17 or before the first day of December, and at such other times
18 and in such manner and upon such subjects as the Governor may
19 require. The annual report shall contain (1) a statement of
20 the existing condition of comprehensive rehabilitation
21 services, habilitation and rehabilitation in the State; (2) a
22 statement of suggestions and recommendations with reference
23 to the development of comprehensive rehabilitation services,
24 habilitation and rehabilitation in the State; and (3) an
25 itemized statement of the amounts of money received from
26 federal, State and other sources, and of the objects and
27 purposes to which the respective items of these several
28 amounts have been devoted.
29 (e) To exercise, pursuant to Section 13 of this Act,
30 executive and administrative supervision over all
31 institutions, divisions, programs and services now existing
32 or hereafter acquired or created under the jurisdiction of
33 the Department, including, but not limited to, the following:
34 The Illinois School for the Visually Impaired at
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1 Jacksonville, as provided under Section 10 of this Act,
2 The Illinois School for the Deaf at Jacksonville, as
3 provided under Section 10 of this Act, and
4 The Illinois Center for Rehabilitation and Education, as
5 provided under Section 11 of this Act.
6 (f) To establish a program of services to prevent
7 unnecessary institutionalization of persons with Alzheimer's
8 disease and related disorders or persons in need of long term
9 care who are established as blind or disabled as defined by
10 the Social Security Act, thereby enabling them to remain in
11 their own homes or other living arrangements. Such preventive
12 services may include, but are not limited to, any or all of
13 the following:
14 (1) home health services;
15 (2) home nursing services;
16 (3) homemaker services;
17 (4) chore and housekeeping services;
18 (5) day care services;
19 (6) home-delivered meals;
20 (7) education in self-care;
21 (8) personal care services;
22 (9) adult day health services;
23 (10) habilitation services;
24 (11) respite care; or
25 (12) other nonmedical social services that may
26 enable the person to become self-supporting.
27 The Department shall establish eligibility standards for
28 such services taking into consideration the unique economic
29 and social needs of the population for whom they are to be
30 provided. Such eligibility standards may be based on the
31 recipient's ability to pay for services; provided, however,
32 that any portion of a person's income that is equal to or
33 less than the "protected income" level shall not be
34 considered by the Department in determining eligibility. The
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1 "protected income" level shall be determined by the
2 Department, shall never be less than the federal poverty
3 standard, and shall be adjusted each year to reflect changes
4 in the Consumer Price Index For All Urban Consumers as
5 determined by the United States Department of Labor.
6 Additionally, in determining the amount and nature of
7 services for which a person may qualify, consideration shall
8 not be given to the value of cash, property or other assets
9 held in the name of the person's spouse pursuant to a written
10 agreement dividing marital property into equal but separate
11 shares or pursuant to a transfer of the person's interest in
12 a home to his spouse, provided that the spouse's share of the
13 marital property is not made available to the person seeking
14 such services.
15 The services shall be provided to eligible persons to
16 prevent unnecessary or premature institutionalization, to the
17 extent that the cost of the services, together with the other
18 personal maintenance expenses of the persons, are reasonably
19 related to the standards established for care in a group
20 facility appropriate to their condition. These
21 non-institutional services, pilot projects or experimental
22 facilities may be provided as part of or in addition to those
23 authorized by federal law or those funded and administered by
24 the Illinois Department on Aging.
25 Personal care attendants shall be paid:
26 (i) A $5 per hour minimum rate beginning July 1,
27 1995.
28 (ii) A $5.30 per hour minimum rate beginning July
29 1, 1997.
30 (iii) A $5.40 per hour minimum rate beginning July
31 1, 1998.
32 Beginning July 1, 2000, personal care attendants shall
33 receive a percentage increase in wages equal to the percent
34 increase in the federal minimum wage each time the federal
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1 minimum wage is increased.
2 The Department shall execute, relative to the nursing
3 home prescreening project, as authorized by Section 4.03 of
4 the Illinois Act on the Aging, written inter-agency
5 agreements with the Department on Aging and the Department of
6 Public Aid, to effect the following: (i) intake procedures
7 and common eligibility criteria for those persons who are
8 receiving non-institutional services; and (ii) the
9 establishment and development of non-institutional services
10 in areas of the State where they are not currently available
11 or are undeveloped. On and after July 1, 1996, all nursing
12 home prescreenings for individuals 18 through 59 years of age
13 shall be conducted by the Department.
14 The Department is authorized to establish a system of
15 recipient cost-sharing for services provided under this
16 Section. The cost-sharing shall be based upon the
17 recipient's ability to pay for services, but in no case shall
18 the recipient's share exceed the actual cost of the services
19 provided. Protected income shall not be considered by the
20 Department in its determination of the recipient's ability to
21 pay a share of the cost of services. The level of
22 cost-sharing shall be adjusted each year to reflect changes
23 in the "protected income" level. The Department shall deduct
24 from the recipient's share of the cost of services any money
25 expended by the recipient for disability-related expenses.
26 The Department, or the Department's authorized
27 representative, shall recover the amount of moneys expended
28 for services provided to or in behalf of a person under this
29 Section by a claim against the person's estate or against the
30 estate of the person's surviving spouse, but no recovery may
31 be had until after the death of the surviving spouse, if any,
32 and then only at such time when there is no surviving child
33 who is under age 21, blind, or permanently and totally
34 disabled. This paragraph, however, shall not bar recovery,
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1 at the death of the person, of moneys for services provided
2 to the person or in behalf of the person under this Section
3 to which the person was not entitled; provided that such
4 recovery shall not be enforced against any real estate while
5 it is occupied as a homestead by the surviving spouse or
6 other dependent, if no claims by other creditors have been
7 filed against the estate, or, if such claims have been filed,
8 they remain dormant for failure of prosecution or failure of
9 the claimant to compel administration of the estate for the
10 purpose of payment. This paragraph shall not bar recovery
11 from the estate of a spouse, under Sections 1915 and 1924 of
12 the Social Security Act and Section 5-4 of the Illinois
13 Public Aid Code, who precedes a person receiving services
14 under this Section in death. All moneys for services paid to
15 or in behalf of the person under this Section shall be
16 claimed for recovery from the deceased spouse's estate.
17 "Homestead", as used in this paragraph, means the dwelling
18 house and contiguous real estate occupied by a surviving
19 spouse or relative, as defined by the rules and regulations
20 of the Illinois Department of Public Aid, regardless of the
21 value of the property.
22 The Department and the Department on Aging shall
23 cooperate in the development and submission of an annual
24 report on programs and services provided under this Section.
25 Such joint report shall be filed with the Governor and the
26 General Assembly on or before March 30 each year.
27 The requirement for reporting to the General Assembly
28 shall be satisfied by filing copies of the report with the
29 Speaker, the Minority Leader and the Clerk of the House of
30 Representatives and the President, the Minority Leader and
31 the Secretary of the Senate and the Legislative Research
32 Unit, as required by Section 3.1 of the General Assembly
33 Organization Act, and filing additional copies with the State
34 Government Report Distribution Center for the General
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1 Assembly as required under paragraph (t) of Section 7 of the
2 State Library Act.
3 (g) To establish such subdivisions of the Department as
4 shall be desirable and assign to the various subdivisions the
5 responsibilities and duties placed upon the Department by
6 law.
7 (h) To cooperate and enter into any necessary agreements
8 with the Department of Employment Security for the provision
9 of job placement and job referral services to clients of the
10 Department, including job service registration of such
11 clients with Illinois Employment Security offices and making
12 job listings maintained by the Department of Employment
13 Security available to such clients.
14 (i) To possess all powers reasonable and necessary for
15 the exercise and administration of the powers, duties and
16 responsibilities of the Department which are provided for by
17 law.
18 (j) To establish a procedure whereby new providers of
19 personal care attendant services shall submit vouchers to the
20 State for payment two times during their first month of
21 employment and one time per month thereafter. In no case
22 shall the Department pay personal care attendants an hourly
23 wage that is less than the federal minimum wage.
24 (k) To provide adequate notice to providers of chore and
25 housekeeping services informing them that they are entitled
26 to an interest payment on bills which are not promptly paid
27 pursuant to Section 3 of the State Prompt Payment Act.
28 (l) To establish, operate and maintain a Statewide
29 Housing Clearinghouse of information on available, government
30 subsidized housing accessible to disabled persons and
31 available privately owned housing accessible to disabled
32 persons. The information shall include but not be limited to
33 the location, rental requirements, access features and
34 proximity to public transportation of available housing. The
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1 Clearinghouse shall consist of at least a computerized
2 database for the storage and retrieval of information and a
3 separate or shared toll free telephone number for use by
4 those seeking information from the Clearinghouse. Department
5 offices and personnel throughout the State shall also assist
6 in the operation of the Statewide Housing Clearinghouse.
7 Cooperation with local, State and federal housing managers
8 shall be sought and extended in order to frequently and
9 promptly update the Clearinghouse's information.
10 (Source: P.A. 90-365, eff. 8-10-97; 91-540, eff. 8-13-99.)
11 Section 99. Effective date. This Act takes effect July
12 1, 2000.