Bill Amendment: IL SB1674 | 2023-2024 | 103rd General Assembly
NOTE: For additional amemendments please see the Bill Drafting List
Bill Title: STABILIZATION SUPPORT PROGRAMS
Status: 2023-08-04 - Public Act . . . . . . . . . 103-0493 [SB1674 Detail]
Download: Illinois-2023-SB1674-House_Amendment_001.html
Bill Title: STABILIZATION SUPPORT PROGRAMS
Status: 2023-08-04 - Public Act . . . . . . . . . 103-0493 [SB1674 Detail]
Download: Illinois-2023-SB1674-House_Amendment_001.html
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1 | AMENDMENT TO SENATE BILL 1674
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2 | AMENDMENT NO. ______. Amend Senate Bill 1674 by replacing | ||||||
3 | everything after the enacting clause with the following:
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4 | "Section 5. The Developmental Disability and Mental | ||||||
5 | Disability Services Act is amended by changing the heading of | ||||||
6 | Article VII-A and Section 7A-1 and by adding Sections 7A-2, | ||||||
7 | 7A-3, and 7A-4 as follows:
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8 | (405 ILCS 80/Art. VII-A heading) | ||||||
9 | ARTICLE VII-A. STABILIZATION SUPPORT PILOT PROGRAMS DIVERSION | ||||||
10 | FROM FACILITY-BASED CARE PROGRAM
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11 | (Source: P.A. 100-924, eff. 7-1-19; 101-81, eff. 7-12-19.)
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12 | (405 ILCS 80/7A-1) | ||||||
13 | (Section scheduled to be repealed on January 1, 2025) | ||||||
14 | Sec. 7A-1. Stabilization Support Pilot Programs Diversion | ||||||
15 | from Facility-based Care Pilot Program . |
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1 | (a) The purposes of this Article are to: | ||||||
2 | (1) decrease the number of admissions to State | ||||||
3 | developmental centers State-operated facilities ; | ||||||
4 | (2) address the needs of individuals receiving Home | ||||||
5 | and Community Based Services (HCBS) with intellectual | ||||||
6 | disabilities or developmental disabilities who are at risk | ||||||
7 | of facility-based care due to significant behavioral | ||||||
8 | challenges , some with a dual diagnosis of mental illness, | ||||||
9 | by providing a community-based residential alternative to | ||||||
10 | facility-based care consistent with their personal | ||||||
11 | individual plans, and to transition these individuals back | ||||||
12 | to home and community-based services programming a | ||||||
13 | traditional community-integrated living arrangement or | ||||||
14 | other HCBS community setting program ; | ||||||
15 | (3) (blank); create greater capacity within the | ||||||
16 | short-term stabilization homes by allowing individuals who | ||||||
17 | need an extended period of treatment to transfer to a | ||||||
18 | long-term stabilization home; | ||||||
19 | (4) stabilize the existing community-integrated living | ||||||
20 | arrangement system homes where the presence of individuals | ||||||
21 | with complex behavioral challenges is disruptive to their | ||||||
22 | housemates; and | ||||||
23 | (5) add support services to enhance community service | ||||||
24 | providers who serve individuals with significant | ||||||
25 | behavioral challenges ; and . | ||||||
26 | (6) increase the number of individuals transitioning |
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1 | out of State developmental centers into home and | ||||||
2 | community-based services programming. | ||||||
3 | (b) (Blank). Subject to appropriation or the availability | ||||||
4 | of other funds for these purposes at the discretion of the | ||||||
5 | Department, the Department shall establish the Diversion from | ||||||
6 | Facility-based Care Pilot Program consisting of at least 6 | ||||||
7 | homes in various locations in this State in accordance with | ||||||
8 | this Article and the following model: | ||||||
9 | (1) the Diversion from Facility-based Care Model shall | ||||||
10 | serve individuals with intellectual disabilities or | ||||||
11 | developmental disabilities who are currently receiving | ||||||
12 | HCBS services and are at risk of facility-based care due | ||||||
13 | to significant behavioral challenges, some with a dual | ||||||
14 | diagnosis of mental illness, for a period ranging from one | ||||||
15 | to 2 years, or longer if appropriate for the individual; | ||||||
16 | (2) the Program shall be regulated in accordance with | ||||||
17 | the community-integrated living arrangement guidelines; | ||||||
18 | (3) each home shall support no more than 4 residents, | ||||||
19 | each having his or her own bedroom; | ||||||
20 | (4) if, at any point, an individual, his or her | ||||||
21 | guardian, or family caregivers, in conjunction with the | ||||||
22 | provider and clinical staff, believe the individual is | ||||||
23 | capable of participating in a HCBS service, those | ||||||
24 | opportunities shall be offered as they become available; | ||||||
25 | and | ||||||
26 | (5) providers shall have adequate resources, |
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1 | experience, and qualifications to serve the population | ||||||
2 | target by the Program, as determined by the Department; | ||||||
3 | (6) participating Program providers and the Department | ||||||
4 | shall participate in an ongoing collaborative whereby best | ||||||
5 | practices and treatment experiences would be shared and | ||||||
6 | utilized; | ||||||
7 | (7) home locations shall be proposed by the provider | ||||||
8 | in collaboration with other community stakeholders; | ||||||
9 | (8) The Department, in collaboration with | ||||||
10 | participating providers, by rule shall develop data | ||||||
11 | collection and reporting requirements for participating | ||||||
12 | community service providers. Beginning December 31, 2020 | ||||||
13 | the Department shall submit an annual report | ||||||
14 | electronically to the General Assembly and Governor that | ||||||
15 | outlines the progress and effectiveness of the pilot | ||||||
16 | program. The report to the General Assembly shall be filed | ||||||
17 | with the Clerk of the House of Representatives and the | ||||||
18 | Secretary of the Senate in electronic form only, in the | ||||||
19 | manner that the Clerk and the Secretary shall direct; | ||||||
20 | (9) the staffing model shall allow for a high level of | ||||||
21 | community integration and engagement and family | ||||||
22 | involvement; and | ||||||
23 | (10) appropriate day services, staff training | ||||||
24 | priorities, and home modifications shall be incorporated | ||||||
25 | into the Program model, as allowed by HCBS authorization. | ||||||
26 | (c) (Blank). This Section is repealed on January 1, 2025.
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1 | (Source: P.A. 102-1109, eff. 12-21-22.)
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2 | (405 ILCS 80/7A-2 new) | ||||||
3 | Sec. 7A-2. Long-Term Stabilization Support Program. | ||||||
4 | (a) Subject to appropriation or the availability of other | ||||||
5 | funds for these purposes at the discretion of the Department, | ||||||
6 | the Department shall establish the Long-Term Stabilization | ||||||
7 | Support Program consisting of at least 8 homes across the | ||||||
8 | State in accordance with this Article and the following | ||||||
9 | requirements: | ||||||
10 | (1) The Long-Term Stabilization Support Program shall | ||||||
11 | serve individuals with intellectual disabilities or | ||||||
12 | developmental disabilities who are currently receiving | ||||||
13 | home and community-based services and are at risk of | ||||||
14 | facility-based care due to significant behavioral | ||||||
15 | challenges and individuals transitioning out of State | ||||||
16 | developmental centers for a period of up to 2 years, or | ||||||
17 | longer if appropriate for the individual. | ||||||
18 | (2) The program shall be regulated by the Department | ||||||
19 | in accordance with the community-integrated living | ||||||
20 | arrangement guidelines set forth under the | ||||||
21 | Community-Integrated Living Arrangement Licensure and | ||||||
22 | Certification Act and any applicable rules or policies. | ||||||
23 | (3) Each home shall support no more than 4 residents, | ||||||
24 | each having his or her own bedroom. | ||||||
25 | (4) If an individual is in need of this program, it |
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1 | must be reflected in his or her individual plan. | ||||||
2 | (5) The individual, in conjunction with his or her | ||||||
3 | guardian, if applicable, may change his or her home and | ||||||
4 | community-based services, including his or her | ||||||
5 | participation in this program, including requesting | ||||||
6 | alternate placement when the wants or needs of the | ||||||
7 | individual, as reflected in the individual's personal | ||||||
8 | plan, would be better served in another setting along the | ||||||
9 | full spectrum of care. If an individual, his or her | ||||||
10 | guardian, if applicable, or family caregivers, in | ||||||
11 | conjunction with the independent service coordination | ||||||
12 | agency, the provider, and clinical staff, believe the | ||||||
13 | individual's wants or needs, as reflected in the | ||||||
14 | individual's personal plan, would be better served in an | ||||||
15 | alternate setting along the full spectrum of care, those | ||||||
16 | opportunities shall be discussed as they are identified. | ||||||
17 | The request may be made at any point during the period | ||||||
18 | specified in paragraph (1) or at the conclusion of that | ||||||
19 | period, when assessing whether continued participation in | ||||||
20 | the program would be appropriate for the individual. | ||||||
21 | (6) The Department shall ensure providers have | ||||||
22 | adequate resources, experience, and qualifications to | ||||||
23 | serve the population targeted by this program. | ||||||
24 | (7) The Department shall lead the providers in an | ||||||
25 | ongoing collaboration, whereby best practices and | ||||||
26 | treatment experiences shall be shared and utilized. |
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1 | (8) The providers shall propose home locations in | ||||||
2 | collaboration with other community stakeholders. | ||||||
3 | (b) Beginning March 31, 2025, the Department shall publish | ||||||
4 | quarterly reports on the following: | ||||||
5 | (1) the number of individuals participating in the | ||||||
6 | program; | ||||||
7 | (2) the number of individuals transitioning from the | ||||||
8 | program; | ||||||
9 | (3) the location where individuals transition to | ||||||
10 | during and after participation in the program; and | ||||||
11 | (4) the length of time individuals are participating | ||||||
12 | in the program. | ||||||
13 | The report to the General Assembly shall be filed with the | ||||||
14 | Clerk of the House of Representatives and the Secretary of the | ||||||
15 | Senate in electronic form, in the manner that the Clerk and the | ||||||
16 | Secretary shall direct. | ||||||
17 | (c) The Department shall adopt rules to develop and | ||||||
18 | implement this program.
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19 | (405 ILCS 80/7A-3 new) | ||||||
20 | Sec. 7A-3. Short-Term Stabilization Support Program. | ||||||
21 | (a) Subject to appropriation or the availability of other | ||||||
22 | funds for these purposes at the discretion of the Department, | ||||||
23 | the Department shall establish the Short-Term Stabilization | ||||||
24 | Support Program consisting of at least 10 homes across the | ||||||
25 | State, in accordance with this Article and the following |
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1 | requirements: | ||||||
2 | (1) The Short-Term Stabilization Support Program shall | ||||||
3 | serve individuals with intellectual disabilities or | ||||||
4 | developmental disabilities who are currently receiving | ||||||
5 | home and community-based services and are at risk of | ||||||
6 | facility-based care due to significant behavioral | ||||||
7 | challenges for a period ranging up to 90 days with an | ||||||
8 | option to extend if appropriate for the individual. | ||||||
9 | (2) The program shall be regulated by the Department | ||||||
10 | in accordance with the community-integrated living | ||||||
11 | arrangement guidelines set forth under the | ||||||
12 | Community-Integrated Living Arrangement Licensure and | ||||||
13 | Certification Act and any applicable rules or policies or | ||||||
14 | shall be regulated by the Department of Children and | ||||||
15 | Family Services in accordance with child group home | ||||||
16 | guidelines set forth under the Children and Family | ||||||
17 | Services Act and any applicable rules or policies. | ||||||
18 | (3) Each home shall support no more than 4 residents, | ||||||
19 | each having his or her own bedroom. | ||||||
20 | (4) If an individual is in need of this program, it | ||||||
21 | must be reflected in his or her individual plan. | ||||||
22 | (5) The individual, in conjunction with his or her | ||||||
23 | guardian, if applicable, may change his or her home and | ||||||
24 | community-based services, including his or her | ||||||
25 | participation in this program, including requesting | ||||||
26 | alternate placement when the wants or needs of the |
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1 | individual, as reflected in the individual's personal | ||||||
2 | plan, would be better served in another setting along the | ||||||
3 | full spectrum of care. If an individual, his or her | ||||||
4 | guardian, if applicable, or family caregivers, in | ||||||
5 | conjunction with the independent service coordination | ||||||
6 | agency, the provider, and clinical staff, believe the | ||||||
7 | individual's wants or needs, as reflected in the | ||||||
8 | individual's personal plan, would be better served in an | ||||||
9 | alternate setting along the full spectrum of care, those | ||||||
10 | opportunities shall be discussed as they are identified. | ||||||
11 | The request may be made at any point during the period | ||||||
12 | specified in paragraph (1) or at the conclusion of that | ||||||
13 | period, when assessing whether continued participation in | ||||||
14 | the program would be appropriate for the individual. | ||||||
15 | (6) The Department shall ensure providers have | ||||||
16 | adequate resources, experience, and qualifications to | ||||||
17 | serve the population targeted by this program. | ||||||
18 | (7) The Department shall lead the providers in an | ||||||
19 | ongoing collaboration, whereby best practices and | ||||||
20 | treatment experiences shall be shared and utilized. | ||||||
21 | (8) The providers shall propose home locations in | ||||||
22 | collaboration with other community stakeholders. | ||||||
23 | (b) Beginning March 31, 2025, the Department shall publish | ||||||
24 | quarterly reports on the following: | ||||||
25 | (1) the number of individuals participating in the | ||||||
26 | program; |
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1 | (2) the number of individuals transitioning from the | ||||||
2 | program; | ||||||
3 | (3) the location where individuals transition to | ||||||
4 | during and after participation in the program; and | ||||||
5 | (4) the length of time individuals are participating | ||||||
6 | in the program. | ||||||
7 | The report to the General Assembly shall be filed with the | ||||||
8 | Clerk of the House of Representatives and the Secretary of the | ||||||
9 | Senate in electronic form, in the manner that the Clerk and the | ||||||
10 | Secretary shall direct. | ||||||
11 | (c) The Department shall adopt rules to develop and | ||||||
12 | implement this program.
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13 | (405 ILCS 80/7A-4 new) | ||||||
14 | Sec. 7A-4. Repealer. This Article is repealed January 1, | ||||||
15 | 2028. ".
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