Bill Text: IL SB0106 | 2021-2022 | 102nd General Assembly | Introduced

NOTE: There are more recent revisions of this legislation. Read Latest Draft

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Bill Title: Amends the Children and Family Services Act. In provisions requiring the Department of Children and Family Services to submit annual reports to the General Assembly concerning youth in care who are awaiting placement or psychiatric hospitalization (rather than placement), provides that the reports are to be submitted no later than December 31 of each year (rather than on December 31 of each year through December 31, 2023). Requires the reports to be posted on the Department's website and to include specified information, including: (i) the number of youth in care placed in out-of-state residential treatment facilities, whether each youth was referred to any in-state programs for placement and, if so, the number of in-state referrals for each youth prior to referring the youth to out-of-state programs; (ii) the number of youth not in the temporary custody or guardianship of the Department who are the subjects of open child protection cases, intact family cases, or any other types of child welfare case, including, but not limited to, those youth for whom the Department is required to make medical assistance payments because they were hospitalized in inpatient psychiatric hospitals or units and were beyond medical necessity during the Department's involvement with the case; and (iii) the number of youth in care who remain in emergency rooms for longer than 24 hours waiting for admission to a psychiatric hospital bed. Effective immediately.

Spectrum: Partisan Bill (Democrat 18-0)

Status: (Passed) 2021-07-09 - Public Act . . . . . . . . . 102-0076 [SB0106 Detail]

Download: Illinois-2021-SB0106-Introduced.html

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102ND GENERAL ASSEMBLY State of Illinois 2021 and 2022 SB0106 Introduced 2/3/2021, by Sen. Sara Feigenholtz SYNOPSIS AS INTRODUCED:
20 ILCS 505/2.2
Amends the Children and Family Services Act. In provisions requiring the Department of Children and Family Services to submit annual reports to the General Assembly concerning youth in care who are awaiting placement or psychiatric hospitalization (rather than placement), provides that the reports are to be submitted no later than December 31 of each year (rather than on December 31 of each year through December 31, 2023). Requires the reports to be posted on the Department's website and to include specified information, including: (i) the number of youth in care placed in out-of-state residential treatment facilities, whether each youth was referred to any in-state programs for placement and, if so, the number of in-state referrals for each youth prior to referring the youth to out-of-state programs; (ii) the number of youth not in the temporary custody or guardianship of the Department who are the subjects of open child protection cases, intact family cases, or any other types of child welfare case, including, but not limited to, those youth for whom the Department is required to make medical assistance payments because they were hospitalized in inpatient psychiatric hospitals or units and were beyond medical necessity during the Department's involvement with the case; and (iii) the number of youth in care who remain in emergency rooms for longer than 24 hours waiting for admission to a psychiatric hospital bed. Effective immediately.
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A BILL FOR
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AN ACT concerning State government.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 5. The Children and Family Services Act is amended
by changing Section 2.2 as follows:
(20 ILCS 505/2.2)
Sec. 2.2. Annual reports on youth in care waiting for
placement. No later than December 31, 2018, and on December 31
of each year thereafter through December 31, 2023, the
Department shall prepare and submit an annual report, covering
the previous fiscal year, to the General Assembly regarding
youth in care waiting for placements or psychiatric
hospitalization. The report shall also be posted on the
Department's website. The report shall include:
(1) the number of youth in care who remained in
emergency placements, including but not limited to
shelters and emergency foster homes, for longer than 30
days, their genders and ages, their recommended placement
type, the total length of time each youth remained in
emergency care, the barriers to timely placement, and
whether they were placed in the recommended placement type
after they were removed from the emergency placement, and
if not, what type of placement they were placed in;

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(2) the number of youth in care who remained in
psychiatric hospitals beyond the time they were clinically
ready for discharge or beyond medical necessity, whichever
is sooner, their genders and ages, their recommended
placement type, the total length of time each youth
remained psychiatrically hospitalized beyond necessity,
the barriers to timely placement, and whether they were
placed in the recommended placement type after they were
removed from the psychiatric hospital, and if not, what
type of placement they were placed in;
(3) the number of youth in care who remained in a
detention center or Department of Juvenile Justice
facility solely because the Department cannot locate an
appropriate placement for the youth, their genders and
ages, their recommended placement type, the total length
of time each youth remained in the detention center or
Department of Juvenile Justice facility after they could
have been released, the barriers to timely placement, and
whether they were placed in the recommended placement type
after being released from detention of the Juvenile
Justice facility, and if not, what type of placement they
were placed in;
(3.1) the number of youth in care placed in
out-of-state residential treatment facilities, whether
each youth was referred to any in-state programs for
placement and, if so, the number of in-state referrals for

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each youth prior to referring the youth to out-of-state
programs; whether the youth was psychiatrically
hospitalized beyond medical necessity prior to being sent
out of state; the state each youth is placed in; and
whether the youth is placed in a secure facility out of
state;
(3.2) the number of youth not in the temporary custody
or guardianship of the Department who are or were the
subjects of child protection investigations coded as 84b
(lock-out, psychiatrically hospitalized) under the
Department's Neglect Allegation Classification system,
including youth for whom the Department is required to
make payments in accordance with Section 5-5.07 of the
Illinois Public Aid Code because they were hospitalized in
inpatient psychiatric hospitals or units and were beyond
medical necessity during the Department's involvement with
the case. At a minimum, the report shall include the
following information regarding each youth: age, region,
date of hospitalization, date the youth was beyond medical
necessity, date and reason for the Department's
involvement, length of time the youth was beyond medical
necessity, whether the youth was referred for services
under the Department of Healthcare and Family Services'
Family Support Program, whether the youth was referred for
intact family services, whether and when the Department
petitioned for custody of the youth, and the youth's

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living arrangement upon being discharged from the
hospital;
(3.3) the number of youth in care who remain in
emergency rooms for longer than 24 hours waiting for
admission to a psychiatric hospital bed. At a minimum, the
report shall include the following information regarding
each youth: age, region, date of admission to the
emergency room, length of time the youth was in the
emergency room, date and time the youth was discharged
from the emergency room, hospital or placement the youth
was discharged to, and a description of any critical
incidents that occurred during the hospitalization,
including, but not limited to, the use of emergency
psychotropic medication or the use of any type of
restraint.
(4) a description of how the Department collected the
information reported and any difficulties the Department
had in collecting the information and whether there are
concerns about the validity of the information; and
(5) a description of any steps the Department is
taking to reduce the length of time youth in care wait in
psychiatric hospitals, emergency placements, detention
centers, and Department of Juvenile Justice facilities for
clinically appropriate placements.
(Source: P.A. 100-87, eff. 1-1-18.)
Section 99. Effective date. This Act takes effect upon

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becoming law.