State of Illinois
92nd General Assembly
Legislation

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[ Introduced ][ Engrossed ][ Senate Amendment 001 ]
[ Senate Amendment 002 ]


92_HB5844enr

 
HB5844 Enrolled                               LRB9214285DJmgA

 1        AN ACT in relation to health.

 2        Be it enacted by the People of  the  State  of  Illinois,
 3    represented in the General Assembly:

 4        Section  5.  The  Community  Services  Act  is amended by
 5    changing Section 3 as follows:

 6        (405 ILCS 30/3) (from Ch. 91 1/2, par. 903)
 7        Sec.   3.  Responsibilities   for   Community   Services.
 8    Pursuant to this Act, the Department of Human Services  shall
 9    facilitate   the   establishment   of   a  comprehensive  and
10    coordinated array of community services based upon a federal,
11    State  and  local  partnership.   In  order  to   assist   in
12    implementation  of  this  Act, the Department shall prescribe
13    and  publish  rules  and  regulations.   The  Department  may
14    request  the  assistance  of  other  State  agencies,   local
15    government  entities, direct services providers and others in
16    the  development  of  these  regulations  or  other  policies
17    related to community services.
18        The Department  shall  assume  the  following  roles  and
19    responsibilities for community services:
20        (a)  Service  Priorities.   Within the service categories
21    described in Section 2 of this  Act,  establish  and  publish
22    priorities   for  community  services  to  be  rendered,  and
23    priority populations to receive these services.
24        (b)  Planning.  By January 1, 1994 and by  January  1  of
25    each  third year thereafter, prepare and publish a Plan which
26    describes  goals  and  objectives  for   community   services
27    state-wide  and  for regions and subregions needs assessment,
28    steps and time-tables for implementation of  the  goals  also
29    shall  be  included;  programmatic  goals  and objectives for
30    community services shall cover the service categories defined
31    in Section 2 of this Act; the Department shall  insure  local
 
HB5844 Enrolled            -2-                LRB9214285DJmgA
 1    participation in the planning process.
 2        (c)  Public  Information and Education.  Develop programs
 3    aimed at improving the relationship between  communities  and
 4    their  disabled  residents;  prepare  and  disseminate public
 5    information and educational materials on  the  prevention  of
 6    developmental  disabilities,  mental  illness, and alcohol or
 7    drug dependence, and on available treatment and  habilitation
 8    services for persons with these disabilities.
 9        (d)  Quality   Assurance.    Promulgate  minimum  program
10    standards, rules and regulations to  insure  that  Department
11    funded   services  maintain  acceptable  quality  and  assure
12    enforcement of these standards through regular monitoring  of
13    services  and through program evaluation; this applies except
14    where this responsibility  is  explicitly  given  by  law  to
15    another State agency.
16        (d-5)  Accreditation requirements for providers of mental
17    health  and  substance  abuse treatment services. Except when
18    the federal or State statutes authorizing a program,  or  the
19    federal  regulations  implementing  a  program,  are  to  the
20    contrary,  accreditation  shall be accepted by the Department
21    in lieu of the Department's facility or program certification
22    or licensure onsite review requirements and shall be accepted
23    as a  substitute  for  the  Department's  administrative  and
24    program   monitoring  requirements,  except  as  required  by
25    subsection (d-10), in the case of:
26             (1)  Any  organization  from  which  the  Department
27        purchases mental health or substance abuse  services  and
28        that  is  accredited  under  any  of  the  following: the
29        Comprehensive Accreditation Manual for Behavioral  Health
30        Care  (Joint  Commission  on  Accreditation of Healthcare
31        Organizations (JCAHO)); the  Comprehensive  Accreditation
32        Manual  for  Hospitals  (JCAHO); the Standards Manual for
33        the Council on  Accreditation  for  Children  and  Family
34        Services  (Council  on  Accreditation  for  Children  and
 
HB5844 Enrolled            -3-                LRB9214285DJmgA
 1        Family  Services  (COA));  or  the  Standards  Manual for
 2        Organizations  Serving  People  with  Disabilities   (the
 3        Rehabilitation Accreditation Commission (CARF)).
 4             (2)  Any  mental health facility or program licensed
 5        or certified by the Department, or  any  substance  abuse
 6        service  licensed  by  the Department, that is accredited
 7        under   any   of   the   following:   the   Comprehensive
 8        Accreditation Manual for Behavioral Health Care  (JCAHO);
 9        the  Comprehensive  Accreditation  Manual  for  Hospitals
10        (JCAHO);   the   Standards  Manual  for  the  Council  on
11        Accreditation for Children and Family Services (COA);  or
12        the  Standards  Manual  for  Organizations Serving People
13        with Disabilities (CARF).
14             (3)  Any  network  of  providers  from   which   the
15        Department  purchases  mental  health  or substance abuse
16        services  and  that  is  accredited  under  any  of   the
17        following:  the  Comprehensive  Accreditation  Manual for
18        Behavioral  Health  Care   (JCAHO);   the   Comprehensive
19        Accreditation Manual for Hospitals (JCAHO); the Standards
20        Manual  for the Council on Accreditation for Children and
21        Family  Services  (COA);   the   Standards   Manual   for
22        Organizations Serving People with Disabilities (CARF); or
23        the  National Committee for Quality Assurance. A provider
24        organization that is part of an accredited network  shall
25        be afforded the same rights under this subsection.
26        (d-10)  For  mental  health and substance abuse services,
27    the Department may develop standards or promulgate rules that
28    establish additional standards for monitoring  and  licensing
29    accredited   programs,  services,  and  facilities  that  the
30    Department  has   determined   are   not   covered   by   the
31    accreditation   standards  and  processes.  These  additional
32    standards for monitoring and licensing  accredited  programs,
33    services,  and  facilities and the associated monitoring must
34    not duplicate the standards and processes already covered  by
 
HB5844 Enrolled            -4-                LRB9214285DJmgA
 1    the accrediting bodies.
 2        (d-15)  The Department shall be given proof of compliance
 3    with   fire  and  health  safety  standards,  which  must  be
 4    submitted as required by rule.
 5        (d-20)  The  Department,  by  accepting  the  survey   or
 6    inspection  of  an accrediting organization, does not forfeit
 7    its rights to perform  inspections  at  any  time,  including
 8    contract  monitoring  to ensure that services are provided in
 9    accordance with the contract.  The  Department  reserves  the
10    right  to  monitor  a provider of mental health and substance
11    abuse treatment services when the survey or inspection of  an
12    accrediting  organization  has  established any deficiency in
13    the accreditation standards and processes.
14        (d-25)  On  and  after  the  effective   date   of   this
15    amendatory   Act   of   the   92nd   General   Assembly,  the
16    accreditation  requirements  of   this   Section   apply   to
17    contracted organizations that are already accredited.
18        (e)  Program Evaluation.  Develop a system for conducting
19    evaluation   of  the  effectiveness  of  community  services,
20    according to preestablished performance  standards;  evaluate
21    the  extent  to  which  performance  according to established
22    standards aids in achieving the goals of this Act; evaluation
23    data also shall be used for  quality  assurance  purposes  as
24    well as for planning activities.
25        (f)  Research.   Conduct  research  in  order to increase
26    understanding of mental illness,  developmental  disabilities
27    and alcohol and drug dependence.
28        (g)  Technical  Assistance.  Provide technical assistance
29    to provider agencies receiving funds or  serving  clients  in
30    order  to  assist  these  agencies  in providing appropriate,
31    quality services; also provide  assistance  and  guidance  to
32    other  State  agencies  and local governmental bodies serving
33    the disabled in order to strengthen their efforts to  provide
34    appropriate  community services; and assist provider agencies
 
HB5844 Enrolled            -5-                LRB9214285DJmgA
 1    in accessing  other  available  funding,  including  federal,
 2    State, local, third-party and private resources.
 3        (h)  Placement Process. Promote the appropriate placement
 4    of  clients in community services through the development and
 5    implementation   of   client   assessment   and    diagnostic
 6    instruments to assist in identifying the individual's service
 7    needs; client assessment instruments also can be utilized for
 8    purposes  of  program  evaluation;  whenever possible, assure
 9    that placements in State-operated  facilities  are  referrals
10    from community agencies.
11        (i)  Interagency   Coordination.   Assume  leadership  in
12    promoting cooperation among State health  and  human  service
13    agencies   to   insure   that  a  comprehensive,  coordinated
14    community services system is in  place;  to  insure  disabled
15    persons  access  to needed services; and to insure continuity
16    of care and allow clients to move among service  settings  as
17    their   needs  change;  also  work  with  other  agencies  to
18    establish effective prevention programs.
19        (j)  Financial Assistance. Provide  financial  assistance
20    to local provider agencies through purchase-of-care contracts
21    and grants, pursuant to Section 4 of this Act.
22    (Source: P.A. 89-507, eff. 7-1-97.)

23        Section  99.  Effective date.  This Act takes effect upon
24    becoming law.

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