Bill Amendment: IL HB3819 | 2023-2024 | 103rd General Assembly
NOTE: For additional amemendments please see the Bill Drafting List
Bill Title: LOCAL DEFLECTION PROGRAMS
Status: 2023-07-28 - Public Act . . . . . . . . . 103-0361 [HB3819 Detail]
Download: Illinois-2023-HB3819-Senate_Amendment_001.html
Bill Title: LOCAL DEFLECTION PROGRAMS
Status: 2023-07-28 - Public Act . . . . . . . . . 103-0361 [HB3819 Detail]
Download: Illinois-2023-HB3819-Senate_Amendment_001.html
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1 | AMENDMENT TO HOUSE BILL 3819
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2 | AMENDMENT NO. ______. Amend House Bill 3819 by replacing | ||||||
3 | everything after the enacting clause with the following:
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4 | "Section 5. The Community-Law Enforcement and Other First | ||||||
5 | Responder Partnership for Deflection and Substance Use | ||||||
6 | Disorder Treatment Act is amended by changing Sections 1, 5, | ||||||
7 | 10, 15, 20, 21, 30, and 35 as follows:
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8 | (5 ILCS 820/1) | ||||||
9 | Sec. 1. Short title. This Act may be cited as the Community | ||||||
10 | Community-Law Enforcement and Other First Responder | ||||||
11 | Partnership for Deflection and Substance Use Disorder | ||||||
12 | Treatment Act.
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13 | (Source: P.A. 100-1025, eff. 1-1-19; 101-652, eff. 7-1-21 .)
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14 | (5 ILCS 820/5) | ||||||
15 | Sec. 5. Purposes. The General Assembly hereby acknowledges |
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1 | that opioid use disorders, overdoses, and deaths in Illinois | ||||||
2 | are persistent and growing concerns for Illinois communities. | ||||||
3 | These concerns compound existing challenges to adequately | ||||||
4 | address and manage substance use and mental health disorders. | ||||||
5 | Local government agencies, law Law enforcement officers, other | ||||||
6 | first responders, and co-responders have a unique opportunity | ||||||
7 | to facilitate connections to community-based services, | ||||||
8 | including case management, and mental and behavioral health | ||||||
9 | interventions that provide harm reduction or substance use | ||||||
10 | treatment and can help save and restore lives; help reduce | ||||||
11 | drug use, overdose incidence, criminal offending, and | ||||||
12 | recidivism; and help prevent arrest and conviction records | ||||||
13 | that destabilize health, families, and opportunities for | ||||||
14 | community citizenship and self-sufficiency. These efforts are | ||||||
15 | bolstered when pursued in partnership with licensed behavioral | ||||||
16 | health treatment providers and community members or | ||||||
17 | organizations. It is the intent of the General Assembly to | ||||||
18 | authorize law enforcement , and other first responders , and | ||||||
19 | local government agencies to develop and implement | ||||||
20 | collaborative deflection programs in Illinois that offer | ||||||
21 | immediate pathways to substance use treatment and other | ||||||
22 | services as an alternative to traditional case processing and | ||||||
23 | involvement in the criminal justice system, and to unnecessary | ||||||
24 | admission to emergency departments.
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25 | (Source: P.A. 100-1025, eff. 1-1-19; 101-652, eff. 7-1-21 .)
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1 | (5 ILCS 820/10)
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2 | Sec. 10. Definitions. In this Act:
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3 | "Case management" means those services which use | ||||||
4 | evidence-based practices, including harm reduction and | ||||||
5 | motivational interviewing, to will assist persons in gaining | ||||||
6 | access to needed social, educational, medical, substance use | ||||||
7 | and mental health treatment, and other services.
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8 | "Community member or organization" means an individual | ||||||
9 | volunteer, resident, public office, or a not-for-profit | ||||||
10 | organization, religious institution, charitable organization, | ||||||
11 | or other public body committed to the improvement of | ||||||
12 | individual and family mental and physical well-being and the | ||||||
13 | overall social welfare of the community, and may include | ||||||
14 | persons with lived experience in recovery from substance use | ||||||
15 | disorder, either themselves or as family members.
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16 | "Other first responder" means and includes emergency | ||||||
17 | medical services providers that are public units of | ||||||
18 | government, fire departments and districts, and officials and | ||||||
19 | responders representing and employed by these entities. | ||||||
20 | "Deflection program" means a program in which a peace | ||||||
21 | officer or member of a law enforcement agency , or other first | ||||||
22 | responder , or local government agency facilitates contact | ||||||
23 | between an individual and a licensed substance use treatment | ||||||
24 | provider , or clinician , or case management agency for | ||||||
25 | assessment and coordination of treatment planning, including | ||||||
26 | co-responder approaches that incorporate behavioral health, |
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1 | peer, or social work professionals with law enforcement or | ||||||
2 | other first responders at the scene. This facilitation | ||||||
3 | includes defined criteria for eligibility and communication | ||||||
4 | protocols agreed to by the law enforcement agency or other | ||||||
5 | first responder entity and the licensed treatment provider or | ||||||
6 | case management agency for the purpose of providing substance | ||||||
7 | use treatment or care collaboration to those persons in lieu | ||||||
8 | of arrest or further justice system involvement, or | ||||||
9 | unnecessary admissions to the emergency department. Deflection | ||||||
10 | programs may include, but are not limited to, the following | ||||||
11 | types of responses: | ||||||
12 | (1) a post-overdose deflection response initiated by a | ||||||
13 | peace officer or law enforcement agency subsequent to | ||||||
14 | emergency administration of medication to reverse an | ||||||
15 | overdose, or in cases of severe substance use disorder | ||||||
16 | with acute risk for overdose;
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17 | (2) a self-referral deflection response initiated by | ||||||
18 | an individual by contacting a peace officer , or law | ||||||
19 | enforcement agency , or other first responder , or local | ||||||
20 | government agency in the acknowledgment of their substance | ||||||
21 | use or disorder;
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22 | (3) an active outreach deflection response initiated | ||||||
23 | by a peace officer , or law enforcement agency , or other | ||||||
24 | first responder , or local government agency as a result of | ||||||
25 | proactive identification of persons thought likely to have | ||||||
26 | a substance use disorder or untreated or undiagnosed |
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1 | mental illness ;
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2 | (4) an officer , or other first responder , or local | ||||||
3 | government agency prevention deflection response initiated | ||||||
4 | by a peace officer , or law enforcement agency , or local | ||||||
5 | government agency in response to a community call when no | ||||||
6 | criminal charges are present; and | ||||||
7 | (5) an officer intervention during routine activities, | ||||||
8 | such as patrol or deflection response to a service call | ||||||
9 | during which a referral to treatment, to services, or to a | ||||||
10 | case manager is made in lieu of arrest when criminal | ||||||
11 | charges are present but held in abeyance pending | ||||||
12 | engagement with treatment .
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13 | "Harm reduction" means a reduction of, or attempt to | ||||||
14 | reduce, the adverse consequences of substance use, including, | ||||||
15 | but not limited to, by addressing the substance use and | ||||||
16 | conditions that give rise to the substance use. "Harm | ||||||
17 | reduction" includes, but is not limited to, syringe service | ||||||
18 | programs, naloxone distribution, and public awareness | ||||||
19 | campaigns about the Good Samaritan Act. | ||||||
20 | "Law enforcement agency" means a municipal police | ||||||
21 | department or county sheriff's office of this State, the | ||||||
22 | Illinois State Police, or other law enforcement agency whose | ||||||
23 | officers, by statute, are granted and authorized to exercise | ||||||
24 | powers similar to those conferred upon any peace officer | ||||||
25 | employed by a law enforcement agency of this State.
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26 | "Licensed treatment provider" means an organization |
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1 | licensed by the Department of Human Services to perform an | ||||||
2 | activity or service, or a coordinated range of those | ||||||
3 | activities or services, as the Department of Human Services | ||||||
4 | may establish by rule, such as the broad range of emergency, | ||||||
5 | outpatient, intensive outpatient, and residential services and | ||||||
6 | care, including assessment, diagnosis, case management, | ||||||
7 | medical, psychiatric, psychological and social services, | ||||||
8 | medication-assisted treatment, care and counseling, and | ||||||
9 | recovery support, which may be extended to persons to assess | ||||||
10 | or treat substance use disorder or to families of those | ||||||
11 | persons.
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12 | "Local government agency" means a county, municipality, or | ||||||
13 | township office, a State's Attorney's Office, a Public | ||||||
14 | Defender's Office, or a local health department. | ||||||
15 | "Peace officer" means any peace officer or member of any | ||||||
16 | duly organized State, county, or municipal peace officer unit, | ||||||
17 | any police force of another State, or any police force whose | ||||||
18 | members, by statute, are granted and authorized to exercise | ||||||
19 | powers similar to those conferred upon any peace officer | ||||||
20 | employed by a law enforcement agency of this State.
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21 | "Substance use disorder" means a pattern of use of alcohol | ||||||
22 | or other drugs leading to clinical or functional impairment, | ||||||
23 | in accordance with the definition in the Diagnostic and | ||||||
24 | Statistical Manual of Mental Disorders (DSM-5), or in any | ||||||
25 | subsequent editions.
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26 | "Treatment" means the broad range of emergency, |
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1 | outpatient, intensive outpatient, and residential services and | ||||||
2 | care (including assessment, diagnosis, case management, | ||||||
3 | medical, psychiatric, psychological and social services, | ||||||
4 | medication-assisted treatment, care and counseling, and | ||||||
5 | recovery support) which may be extended to persons who have | ||||||
6 | substance use disorders, persons with mental illness, or | ||||||
7 | families of those persons.
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8 | (Source: P.A. 101-652, eff. 7-1-21; 102-538, eff. 8-20-21; | ||||||
9 | 102-813, eff. 5-13-22.)
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10 | (5 ILCS 820/15) | ||||||
11 | Sec. 15. Authorization.
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12 | (a) Any law enforcement agency , or other first responder | ||||||
13 | entity , or local government agency may establish a deflection | ||||||
14 | program subject to the provisions of this Act in partnership | ||||||
15 | with one or more licensed providers of substance use disorder | ||||||
16 | treatment services and one or more community members or | ||||||
17 | organizations.
Programs established by another first responder | ||||||
18 | entity or a local government agency shall also include a law | ||||||
19 | enforcement agency. | ||||||
20 | (b) The deflection program may involve a post-overdose | ||||||
21 | deflection response, a self-referral deflection response, a | ||||||
22 | pre-arrest diversion response, an active outreach deflection | ||||||
23 | response, an officer or other first responder prevention | ||||||
24 | deflection response, or an officer intervention deflection | ||||||
25 | response, or any combination of those.
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1 | (c) Nothing shall preclude the General Assembly from | ||||||
2 | adding other responses to a deflection program, or preclude a | ||||||
3 | law enforcement agency , or other first responder entity , or | ||||||
4 | local government agency from developing a deflection program | ||||||
5 | response based on a model unique and responsive to local | ||||||
6 | issues, substance use or mental health needs, and | ||||||
7 | partnerships, using sound and promising or evidence-based | ||||||
8 | practices.
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9 | (c-5) Whenever appropriate and available, case management | ||||||
10 | should be provided by a licensed treatment provider or other | ||||||
11 | appropriate provider and may include peer recovery support | ||||||
12 | approaches. | ||||||
13 | (d) To receive funding for activities as described in | ||||||
14 | Section 35 of this Act, planning for the deflection program | ||||||
15 | shall include:
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16 | (1) the involvement of one or more licensed treatment | ||||||
17 | programs and one or more community members or | ||||||
18 | organizations; and
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19 | (2) an agreement with the Illinois Criminal Justice | ||||||
20 | Information Authority to collect and evaluate relevant | ||||||
21 | statistical data related to the program, as established by | ||||||
22 | the Illinois Criminal Justice Information Authority in | ||||||
23 | paragraph (2) of subsection (a) of Section 25 of this Act. | ||||||
24 | (3) an agreement with participating licensed treatment | ||||||
25 | providers authorizing the release of statistical data to | ||||||
26 | the Illinois Criminal Justice Information Authority, in |
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1 | compliance with State and Federal law, as established by | ||||||
2 | the Illinois Criminal Justice Information Authority in | ||||||
3 | paragraph (2) of subsection (a) of Section 25 of this Act.
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4 | (Source: P.A. 100-1025, eff. 1-1-19; 101-81, eff. 7-12-19; | ||||||
5 | 101-652, eff. 7-1-21 .)
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6 | (5 ILCS 820/20) | ||||||
7 | Sec. 20. Procedure. The law enforcement agency , or other | ||||||
8 | first responder entity, local government agency, licensed | ||||||
9 | treatment providers, and community members or organizations | ||||||
10 | shall establish a local deflection program plan that includes | ||||||
11 | protocols and procedures for participant identification, | ||||||
12 | screening or assessment, case management, treatment | ||||||
13 | facilitation, reporting, restorative justice, and ongoing | ||||||
14 | involvement of the law enforcement agency. Licensed substance | ||||||
15 | use disorder treatment organizations shall adhere to 42 CFR | ||||||
16 | Part 2 regarding confidentiality regulations for information | ||||||
17 | exchange or release. Substance use disorder treatment services | ||||||
18 | shall adhere to all regulations specified in Department of | ||||||
19 | Human Services Administrative Rules, Parts 2060 and 2090.
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20 | A deflection program organized and operating under this | ||||||
21 | Act may accept, receive, and disburse, in furtherance of its | ||||||
22 | duties and functions, any funds, grants, and services made | ||||||
23 | available by the State and its agencies, the federal | ||||||
24 | government and its agencies, units of local government, and | ||||||
25 | private or civic sources. |
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1 | (Source: P.A. 100-1025, eff. 1-1-19; 101-652, eff. 7-1-21 .)
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2 | (5 ILCS 820/21) | ||||||
3 | Sec. 21. Training. Employees of the The law enforcement | ||||||
4 | agency , or other first responder entity , or local government | ||||||
5 | agency who are participating in programs that receive funding | ||||||
6 | for services under Section 35 of this Act shall and that | ||||||
7 | receive training under subsection (a.1) of Section 35 shall be | ||||||
8 | trained in: | ||||||
9 | (a) Neuroscience of Addiction for Law Enforcement; | ||||||
10 | (b) Medication-Assisted Treatment; | ||||||
11 | (c) Criminogenic Risk-Need for Health and Safety; | ||||||
12 | (d) Why Drug Treatment Works?; | ||||||
13 | (e) Eliminating Stigma for People with Substance-Use | ||||||
14 | Disorders and Mental Health; | ||||||
15 | (f) Avoiding Racial Bias in Deflection Program; | ||||||
16 | (g) Promotion Racial and Gender Equity in Deflection; | ||||||
17 | (h) Working With Community Partnerships; and | ||||||
18 | (i) Deflection in Rural Communities ; and .
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19 | (j) Harm Reduction. | ||||||
20 | (Source: P.A. 101-652, eff. 7-1-21 .)
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21 | (5 ILCS 820/30) | ||||||
22 | Sec. 30. Exemption from civil liability. The law | ||||||
23 | enforcement agency , or peace officer , or other first | ||||||
24 | responder , or local government agency or employee of the |
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1 | agency acting in good faith shall not, as the result of acts or | ||||||
2 | omissions in providing services under Section 15 of this Act, | ||||||
3 | be liable for civil damages, unless the acts or omissions | ||||||
4 | constitute willful and wanton misconduct.
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5 | (Source: P.A. 100-1025, eff. 1-1-19; 101-652, eff. 7-1-21 .)
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6 | (5 ILCS 820/35) | ||||||
7 | Sec. 35. Funding.
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8 | (a) The General Assembly may appropriate funds to the | ||||||
9 | Illinois Criminal Justice Information Authority for the | ||||||
10 | purpose of funding law enforcement agencies , or other first | ||||||
11 | responder entities , or local government agencies for services | ||||||
12 | provided by deflection program partners as part of deflection | ||||||
13 | programs subject to subsection (d) of Section 15 of this Act.
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14 | (a.1) Up to 10 percent of appropriated funds may be | ||||||
15 | expended on activities related to knowledge dissemination, | ||||||
16 | training, technical assistance, or other similar activities | ||||||
17 | intended to increase practitioner and public awareness of | ||||||
18 | deflection and/or to support its implementation. The Illinois | ||||||
19 | Criminal Justice Information Authority may adopt guidelines | ||||||
20 | and requirements to direct the distribution of funds for these | ||||||
21 | activities. | ||||||
22 | (b) For all appropriated funds not distributed under | ||||||
23 | subsection (a.1), the Illinois Criminal Justice Information | ||||||
24 | Authority may adopt guidelines and requirements to direct the | ||||||
25 | distribution of funds for expenses related to deflection |
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1 | programs. Funding shall be made available to support both new | ||||||
2 | and existing deflection programs in a broad spectrum of | ||||||
3 | geographic regions in this State, including urban, suburban, | ||||||
4 | and rural communities. Funding for deflection programs shall | ||||||
5 | be prioritized for communities that have been impacted by the | ||||||
6 | war on drugs, communities that have a police/community | ||||||
7 | relations issue, and communities that have a disproportionate | ||||||
8 | lack of access to mental health and drug treatment. Activities | ||||||
9 | eligible for funding under this Act may include, but are not | ||||||
10 | limited to, the following:
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11 | (1) activities related to program administration, | ||||||
12 | coordination, or management, including, but not limited | ||||||
13 | to, the development of collaborative partnerships with | ||||||
14 | licensed treatment providers and community members or | ||||||
15 | organizations; collection of program data; or monitoring | ||||||
16 | of compliance with a local deflection program plan;
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17 | (2) case management including case management provided | ||||||
18 | prior to assessment, diagnosis, and engagement in | ||||||
19 | treatment, as well as assistance navigating and gaining | ||||||
20 | access to various treatment modalities and support | ||||||
21 | services;
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22 | (3) peer recovery or recovery support services that | ||||||
23 | include the perspectives of persons with the experience of | ||||||
24 | recovering from a substance use disorder, either | ||||||
25 | themselves or as family members;
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26 | (4) transportation to a licensed treatment provider or |
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1 | other program partner location; | ||||||
2 | (5) program evaluation activities; | ||||||
3 | (6) naloxone and related harm reduction supplies | ||||||
4 | necessary for carrying out overdose prevention and | ||||||
5 | reversal for purposes of distribution to program | ||||||
6 | participants or for use by law enforcement , or other first | ||||||
7 | responders , or local government agencies ; and | ||||||
8 | (7) treatment necessary to prevent gaps in service | ||||||
9 | delivery between linkage and coverage by other funding | ||||||
10 | sources when otherwise non-reimbursable ; and . | ||||||
11 | (8) wraparound participant funds to be used to | ||||||
12 | incentivize participation and meet participant needs. | ||||||
13 | Eligible items include, but are not limited to, clothing, | ||||||
14 | transportation, application fees, emergency shelter, | ||||||
15 | utilities, toiletries, medical supplies, haircuts, and | ||||||
16 | snacks. Food and drink is allowed if it is necessary for | ||||||
17 | the program's success where it incentivizes participation | ||||||
18 | in case management or addresses an emergency need as a | ||||||
19 | bridge to self-sufficiency when other sources of emergency | ||||||
20 | food are not available. | ||||||
21 | (c) Specific linkage agreements with recovery support | ||||||
22 | services or self-help entities may be a requirement of the | ||||||
23 | program services protocols. All deflection programs shall | ||||||
24 | encourage the involvement of key family members and | ||||||
25 | significant others as a part of a family-based approach to | ||||||
26 | treatment. All deflection programs are encouraged to use |
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1 | evidence-based practices and outcome measures in the provision | ||||||
2 | of case management, substance use disorder treatment , and | ||||||
3 | medication-assisted treatment for persons with opioid use | ||||||
4 | disorders.
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5 | (Source: P.A. 101-81, eff. 7-12-19; 101-652, eff. 7-1-21; | ||||||
6 | 102-813, eff. 5-13-22.)
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7 | Section 95. Illinois Compiled Statutes reassignment. The | ||||||
8 | Legislative Reference Bureau shall reassign the following Act | ||||||
9 | to the specified location in the Illinois Compiled Statutes | ||||||
10 | and file appropriate documents with the Index Division of the | ||||||
11 | Office of the Secretary of State in accordance with subsection | ||||||
12 | (c) of Section 5.04 of the Legislative Reference Bureau Act: | ||||||
13 | Community Partnership for Deflection and Substance Use | ||||||
14 | Disorder Treatment Act, reassigned from 5 ILCS 820/ to 50 ILCS | ||||||
15 | 71/.".
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