Bill Text: IL HB0219 | 2019-2020 | 101st General Assembly | Introduced

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Bill Title: Creates the Children's Mental Health Local Integrated Fund Act. Creates local children's mental health collaboratives. Defines "local children's mental health collaborative" as an entity formed by the agreement of representatives of the local system of care, including mental health services, social services, correctional services, education services, health services, and vocational services for the purpose of developing and governing an integrated service system. Provides that, to qualify as a local children's mental health collaborative and be eligible to receive start-up funds, the representatives of the local system of care and nongovernmental entities such as parents of children in the target population; parent and consumer organizations; community, civic, and religious organizations; private and nonprofit mental and physical health care providers; culturally specific organizations; local foundations; and businesses, or at a minimum one county, one school district or special education cooperative, one mental health entity, and one juvenile justice or corrections entity, must agree to the following: (1) to establish a local children's mental health collaborative and develop an integrated service system; (2) to commit resources to providing services through the local children's mental health collaborative; and (3) to develop a plan to contribute funds to the children's mental health collaborative.

Spectrum: Partisan Bill (Democrat 3-0)

Status: (Introduced - Dead) 2019-03-29 - Rule 19(a) / Re-referred to Rules Committee [HB0219 Detail]

Download: Illinois-2019-HB0219-Introduced.html

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101ST GENERAL ASSEMBLY State of Illinois 2019 and 2020 HB0219 Introduced , by Rep. Mary E. Flowers SYNOPSIS AS INTRODUCED:
New Act
Creates the Children's Mental Health Local Integrated Fund Act. Creates local children's mental health collaboratives. Defines "local children's mental health collaborative" as an entity formed by the agreement of representatives of the local system of care, including mental health services, social services, correctional services, education services, health services, and vocational services for the purpose of developing and governing an integrated service system. Provides that, to qualify as a local children's mental health collaborative and be eligible to receive start-up funds, the representatives of the local system of care and nongovernmental entities such as parents of children in the target population; parent and consumer organizations; community, civic, and religious organizations; private and nonprofit mental and physical health care providers; culturally specific organizations; local foundations; and businesses, or at a minimum one county, one school district or special education cooperative, one mental health entity, and one juvenile justice or corrections entity, must agree to the following: (1) to establish a local children's mental health collaborative and develop an integrated service system; (2) to commit resources to providing services through the local children's mental health collaborative; and (3) to develop a plan to contribute funds to the children's mental health collaborative.
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FISCAL NOTE ACT MAY APPLY
A BILL FOR
HB0219 LRB101 04707 RLC 49716 b
AN ACT concerning health.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 1. Short title. This Act may be cited as the
Children's Mental Health Local Integrated Fund Act.
Section 5. Purpose. The General Assembly finds that
children with emotional disturbances or who are at risk of
suffering those disturbances often require services from
multiple service systems including mental health, social
services, education, corrections, juvenile court, health, and
employment and economic development. To better meet the needs
of these children, it is the intent of the General Assembly to
establish an integrated children's mental health service
system that:
(1) allows local service decision makers to draw
funding from a single local source so that funds follow
clients and eliminates the need to match clients, funds,
services, and provider eligibilities;
(2) creates a local pool of State, local, and private
funds to procure a greater medical assistance federal
financial participation;
(3) improves the efficiency of use of existing
resources;

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(4) minimizes or eliminates the incentives for cost and
risk shifting; and
(5) increases the incentives for earlier
identification and intervention.
The children's mental health integrated fund established
under this Act must be used to develop and support this
integrated mental health service system. In developing this
integrated service system, it is not the intent of the General
Assembly to limit any rights available to children and their
families through existing federal and State laws.
Section 10. Definitions. In this Act:
"Child" means a person under 18 years of age.
"Department" means the Department of Human Services.
"Emotional disturbance" means an organic disorder of the
brain or a clinically significant disorder of thought, mood,
perception, orientation, memory, or behavior that:
(1) is detailed in a diagnostic code list published by
the Secretary; and
(2) seriously limits a child's capacity to function in
primary aspects of daily living such as personal relations,
living arrangements, work, school, or recreation.
"Emotional disturbance" is a generic term and is intended
to reflect all categories of disorder described in the clinical
code list published by the Secretary as usually first evident
in childhood or adolescence.

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"Family" means a child and one or more of the following
persons whose participation is necessary to accomplish the
child's treatment goals:
(1) a person related to the child by blood, marriage,
or adoption;
(2) a person who is the child's foster parent or
significant other; or
(3) a person who is the child's legal guardian or
custodian.
"Individualized rehabilitation services" means
alternative, flexible, coordinated, and highly individualized
services that are based on a multiagency plan of care. These
services are designed to build on the strengths and respond to
the needs identified in the child's multiagency assessment and
to improve the child's ability to function in the home, school,
and community. Individualized rehabilitation services may
include, but are not limited to, residential services, respite
services, services that assist the child or family in enrolling
in or participating in recreational activities, assistance in
purchasing otherwise unavailable items or services important
to maintain a specific child in the family, and services that
assist the child to participate in more traditional services
and programs.
"Integrated fund" means a pool of both public and private
local, State, and federal resources, consolidated at the local
level, to accomplish locally agreed-upon service goals for the

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target population. The fund shall be used to help the local
children's mental health collaborative to serve the mental
health needs of children in the target population by allowing
the local children's mental health collaboratives to develop
and implement an integrated service system.
"Integrated service system" means a coordinated set of
procedures established by the local children's mental health
collaborative for coordinating services and actions across
categorical systems and agencies that results in:
(1) integrated funding;
(2) improved outreach, early identification, and
intervention across systems;
(3) strong collaboration between parents and
professionals in identifying children in the target
population, facilitating access to the integrated system,
and coordinating care and services for these children;
(4) a coordinated assessment process across systems
that determines which children need multiagency care
coordination and wraparound services;
(5) a multiagency plan of care; and
(6) individualized rehabilitation services.
Services provided by the integrated service system must
meet the requirements set out in this Act. Children served by
the integrated service system must be economically and
culturally representative of children in the service delivery
area.

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"Local children's mental health collaborative" or
"collaborative" means an entity formed by the agreement of
representatives of the local system of care including mental
health services, social services, correctional services,
education services, health services, and vocational services
for the purpose of developing and governing an integrated
service system.
"Local system of care" means a coordinated network of
community-based services and supports designed to meet the
challenges of children and youth with serious mental health
needs and their families. These partnerships of families,
youth, public organizations, and private service providers
work to more effectively deliver mental health services and
supports that build on the strengths of individuals and fully
address children's and youths' needs.
"Mental health services" has the meaning ascribed to it in
Section 1-115 of the Mental Health and Developmental
Disabilities Code.
"Multiagency plan of care" means a written plan of
intervention and integrated services developed by a
multiagency team in conjunction with the child and family based
on their unique strengths and needs as determined by a
multiagency assessment. The plan must outline measurable
client outcomes and specific services needed to attain these
outcomes, the agencies responsible for providing the specified
services, funding responsibilities, timelines, the judicial or

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administrative procedures needed to implement the plan of care,
the agencies responsible for initiating these procedures and
designate one person with lead responsibility for overseeing
implementation of the plan.
"Respite care" means planned routine care to support the
continued residence of a child with emotional disturbance with
the child's family or long-term primary caretaker.
"Secretary" means the Secretary of Human Services.
"Service delivery area" means the geographic area to be
served by the local children's mental health collaborative and
must include at a minimum a part of a county and school
district or a special education cooperative.
"Target population" means children under 18 years of age
with an emotional disturbance or who are at risk of suffering
an emotional disturbance as evidenced by a behavior or
condition that affects the child's ability to function in a
primary aspect of daily living including personal relations,
living arrangements, work, school, and recreation, and a child
who can benefit from:
(1) multiagency service coordination and wraparound
services; or
(2) informal coordination of traditional mental health
services provided on a temporary basis.
Persons between the ages of 18 and 21 who meet these
criteria may be included in the target population at the option
of the local children's mental health collaborative.

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Section 15. Local children's mental health collaborative.
(a) To qualify as a local children's mental health
collaborative and be eligible to receive start-up funds, the
representatives of the local system of care and nongovernmental
entities such as parents of children in the target population;
parent and consumer organizations; community, civic, and
religious organizations; private and nonprofit mental and
physical health care providers; culturally specific
organizations; local foundations; and businesses, or at a
minimum one county, one school district or special education
cooperative, one mental health entity, and one juvenile justice
or corrections entity, must agree to the following:
(1) to establish a local children's mental health
collaborative and develop an integrated service system;
(2) to commit resources to providing services through
the local children's mental health cooperative; and
(3) to develop a plan to contribute funds to the
children's mental health collaborative.
(b) Two or more children's mental health collaboratives may
consolidate decision making, pool resources, and collectively
act on behalf of the individual collaboratives, based on a
written agreement among the participating collaboratives.
(c) Each local children's mental health collaborative
must:
(1) notify the Secretary within 10 days of formation by

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signing a collaborative agreement and providing the
Secretary with a copy of the signed agreement;
(2) identify a service delivery area and an operational
target population within that service delivery area. The
operational target population must be economically and
culturally representative of children in the service
delivery area to be served by the local children's mental
health collaborative. The size of the operational target
population must also be economically viable for the service
delivery area;
(3) seek to maximize federal revenues available to
serve children in the target population by designating
local expenditures for services for these children and
their families that can be matched with federal dollars;
(4) design, develop, and ensure implementation of an
integrated service system that meets the requirements for
State and federal reimbursement and develop interagency
agreements necessary to implement the system;
(5) expand membership to include representatives of
other services in the local system of care including
prepaid health plans under contract with the Secretary to
serve the needs of children in the target population and
their families;
(6) create or designate a management structure for
fiscal and clinical responsibility and outcome evaluation;
(7) spend funds generated by the local children's

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mental health collaborative as required in this Act;
(8) explore methods and recommend changes needed at the
State level to reduce duplication and promote coordination
of services, including the use of uniform forms for
reporting, billing, and planning of services;
(9) submit its integrated service system design to the
Department for approval within one year of notifying the
Secretary of its formation;
(10) provide an annual report and the collaborative's
planned timeline to expand its operational target
population to the Department; and
(11) expand its operational target population.
(d) The members of a local children's mental health
collaborative may share data on persons being served by the
collaborative or its members if the person gives written
informed consent and the information sharing is necessary in
order for the collaborative to carry out its duties under this
Section. Data on persons shared under this subsection (d)
retain the original classification as to each member of the
collaborative with whom the data is shared. If a federal law or
regulation impedes information sharing that is necessary in
order for a collaborative to carry out duties under this
Section, the appropriate State agencies shall attempt to obtain
a waiver or exemption from the applicable law or regulation.
Section 20. Integrated local service system. The

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integrated service system established by the local children's
mental health collaborative must:
(1) include a process for communicating to agencies in
the local system of care eligibility criteria for services
received through the local children's mental health
collaborative and a process for determining eligibility.
The process shall place strong emphasis on outreach to
families, respecting the family role in identifying
children in need, and valuing families as partners;
(2) include measurable outcomes, timelines for
evaluating progress, and mechanisms for quality assurance
and appeals;
(3) involve the family, and when appropriate the child,
in developing multiagency service plans to the extent
required by law;
(4) meet all standards and provide all mental health
services as required in this Act, and ensure that the
services provided are culturally appropriate;
(5) spend funds generated by the local children's
mental health collaborative as required in this Act; and
(6) encourage public-private partnerships to increase
efficiency, reduce redundancy, and promote quality of
care.
Section 25. Revenue enhancement; authority and
responsibilities. The children's mental health collaborative

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shall have the following authority and responsibilities
regarding federal revenue enhancement:
(1) the collaborative must establish an integrated
fund;
(2) the collaborative shall designate a lead county or
other qualified entity as the fiscal agency for reporting,
claiming, and receiving payments;
(3) the collaborative or lead county may enter into
subcontracts with other counties, school districts,
special education cooperatives, municipalities, and other
public and nonprofit entities for purposes of identifying
and claiming eligible expenditures to enhance federal
reimbursement;
(4) the collaborative shall use any enhanced revenue
attributable to the activities of the collaborative,
including administrative and service revenue, solely to
provide mental health services or to expand the operational
target population. The lead county or other qualified
entity may not use enhanced federal revenue for any other
purpose;
(5) the collaborative or lead county must develop and
maintain an accounting and financial management system
adequate to support all claims for federal reimbursement,
including a clear audit trail and any provisions specified
in the contract with the Secretary;
(6) the collaborative or its members may elect to pay

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the nonfederal share of the medical assistance costs for
services designated by the collaborative; and
(7) the lead county or other qualified entity may not
use federal funds or local funds designated as matching for
other federal funds to provide the nonfederal share of
medical assistance.
Section 30. Additional federal revenues. Each local
children's mental health collaborative shall report
expenditures eligible for federal reimbursement in a manner
prescribed by the Secretary. The Secretary shall pay all funds
earned by each local children's mental health collaborative to
the collaborative. Each local children's mental health
collaborative must use these funds to expand the operational
target population or to develop or provide mental health
services through the local integrated service system to
children in the target population. Funds may not be used to
supplant funding for services to children in the target
population. As used in this Section, "mental health services"
are community-based, nonresidential services, which may
include respite care, that are identified in the child's
multiagency plan of care.