Bill Text: IL HB1237 | 2023-2024 | 103rd General Assembly | Introduced

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Bill Title: Creates the Illinois Strategic Action Plan for Aging Equity Act. Provides that the purpose of the Act is to appoint a planning commission to research and develop a comprehensive, cross-sector, long-term strategic action plan for aging equity that will lead to actionable goals and measurable outcomes for the years 2024 through 2036. Establishes the Strategic Action Planning Commission for Aging Equity. Provides that the planning commission shall be made up of State agency directors and appointed elected officials or their designees as ex officio members, and a group of voting individuals from the general public. Provides that the planning commission shall examine the effects, challenges, opportunities, and needs for planning related to the shifting age demographics toward an increasing portion of the State's and localities' populations being made up of older adults. Requires the planning commission to adopt guiding principles that include, but are not limited to: (i) advancing aging equity across the life course; (ii) developing cultural humility and being culturally responsive with inclusive policies, programs, and services; and (iii) harnessing the power of experience and knowledge of older persons in communities. Requires the Governor to appoint members to the planning commission within 3 months after the effective date of the amendatory Act; and to consult with the President and Minority Leader of the Senate, the Speaker and Minority Leader of the House of Representatives, and the Director of Aging about member appointments to ensure that (1) the planning commission reflects the geographic diversity of the State; (2) the planning commission is inclusive and consists of members who reflect a diversity of age, gender, ability, race, cultural, socioeconomic, and national background; (3) the planning commission includes Illinois residents age 60 or older; and other matters. Contains provisions on the composition of the planning commission; commission meetings; the commission's authority to establish a subcommittee; the establishment of an advisory committee; duties of the planning commission; data analysis; planning commission recommendations and reporting requirements; and other matters. Effective immediately.

Spectrum: Partisan Bill (Democrat 8-0)

Status: (Introduced) 2023-12-18 - Added Co-Sponsor Rep. Daniel Didech [HB1237 Detail]

Download: Illinois-2023-HB1237-Introduced.html

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103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB1237 Introduced , by Rep. Kambium Buckner SYNOPSIS AS INTRODUCED:
New Act
Creates the Illinois Strategic Action Plan for Aging Equity Act. Provides that the purpose of the Act is to appoint a planning commission to research and develop a comprehensive, cross-sector, long-term strategic action plan for aging equity that will lead to actionable goals and measurable outcomes for the years 2024 through 2036. Establishes the Strategic Action Planning Commission for Aging Equity. Provides that the planning commission shall be made up of State agency directors and appointed elected officials or their designees as ex officio members, and a group of voting individuals from the general public. Provides that the planning commission shall examine the effects, challenges, opportunities, and needs for planning related to the shifting age demographics toward an increasing portion of the State's and localities' populations being made up of older adults. Requires the planning commission to adopt guiding principles that include, but are not limited to: (i) advancing aging equity across the life course; (ii) developing cultural humility and being culturally responsive with inclusive policies, programs, and services; and (iii) harnessing the power of experience and knowledge of older persons in communities. Requires the Governor to appoint members to the planning commission within 3 months after the effective date of the amendatory Act; and to consult with the President and Minority Leader of the Senate, the Speaker and Minority Leader of the House of Representatives, and the Director of Aging about member appointments to ensure that (1) the planning commission reflects the geographic diversity of the State; (2) the planning commission is inclusive and consists of members who reflect a diversity of age, gender, ability, race, cultural, socioeconomic, and national background; (3) the planning commission includes Illinois residents age 60 or older; and other matters. Contains provisions on the composition of the planning commission; commission meetings; the commission's authority to establish a subcommittee; the establishment of an advisory committee; duties of the planning commission; data analysis; planning commission recommendations and reporting requirements; and other matters. 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 1. Short title. This Act may be cited as the
Illinois Strategic Action Plan for Aging Equity Act.
Section 5. Purpose. The purpose of this Act is to direct
the appointment of a planning commission co-chaired by the
Governor's Office and the Department on Aging to research and
develop a comprehensive, cross-sector, long-term strategic
action plan for aging equity. A strategic action plan for
aging equity could draw upon Illinois' well-developed aging
network developed in accordance with the federal Older
Americans Act, the Illinois Act on the Aging, and the Older
Adult Services Act, all of which help older Illinoisans stay
connected and stay in their communities. With decades of
support for aging issues from the General Assembly, the
Department on Aging and its Aging Network staff, and aging
advocates, Illinois will develop, adopt, and implement a
strategic action plan for aging equity on a strong foundation.
Section 10. Findings. The General Assembly finds,
determines, and declares the following:
(1) This Act is necessary for the immediate

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preservation of the public peace, health, and safety.
(2) Illinois' population is aging. Like the rest of
the United States and the world, Illinois is experiencing
a shift in the age demographics of its population. The
baby boomer generation is getting older; longevity is
increasing for many as well as the health, social,
financial, and other needs that come with it. The
migration of families and older persons out of Illinois
has also increased and the State is experiencing
historically low birthrates. All of these social changes
have contributed to Illinois' population shrinking.
(3) As Illinois' population shrinks, the State
continues to depend more on State or local funding for
older adult services as federal funding provided under the
Older Americans Act is tied to population numbers.
(4) State taxation leans heavily on income taxes. With
a growing percentage of people in older adulthood, new
fiscal challenges will likely require changes to how
Illinois generates revenue.
(5) The aging of communities has far-reaching effects
on all people and all sectors. As of 2019, the 60 and older
age group represented 21% of Illinois' total population,
with 10% of Illinois' 102 counties having more than 30% of
their population aged 60 or older, particularly rural
agricultural counties. Statewide, 11% of Illinois' older
persons are veterans.

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(6) Many older Illinoisans interact with, and their
lives and opportunities are shaped by, multiple systems
and aspects of society, including, but not limited to,
housing development and construction; health and human
services; parks and recreation; information technology;
arts and communications; public health; hospitality,
tourism and travel; workforce development; volunteerism;
business and financial planning; legal and human rights;
government services; education; transportation; and
veterans' affairs.
(7) Across Illinois, many people are suffering from
long-standing structural inequities such as racism, class
inequity, genderism, sexism, ageism, ableism, xenophobia,
homophobia, transphobia, and other forms of oppression all
of which shape how, and whether or not, individuals reach
older adulthood and their quality of life as they age. The
life expectancy across and within the 102 counties in
Illinois varies significantly, with 20% of counties
experiencing a life expectancy of less than 70 years.
Significant life expectancy and other health inequities
exist both within and across counties.
(8) Chronic health conditions impact 85% of older
Americans and 70% of persons aged 65 or older will need
caregiver support at some point in their older years.
(9) There is a great demand for paid home care
workers, direct support workers, and personal aide workers

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coupled with severe worker shortages, high turnover,
difficult work, and often low pay. Older Black and Brown
women make up much of this workforce, and the undervaluing
and underpaying of this labor is rooted in racism, sexism,
and class inequity. Due to worker shortages in all areas
of the State, contracted agencies are unable to fulfill
the care plans of persons enrolled in the State's Home and
Community Based Services Waiver Programs which are
designed to prevent the unnecessary institutionalization
of persons in need of long-term care services. Worker
shortages are also impacting the care management agencies
that determine eligibility for these services.
(10) Of the 28,804 Illinoisans who died from COVID-19
as of January 2022, 36.7% were persons of color and 86.2%
were persons aged 60 or older. As of August 2021, 43% of
all Illinois COVID-19 deaths were nursing home-related,
with significant health inequities. With vaccines and
boosters in place, as of January 2022, nursing
home-related deaths account for 26% of all COVID-19 deaths
in Illinois.
(11) A 2021 report by the Department of Healthcare and
Family Services found that, overwhelmingly, the
understaffed Medicaid facilities with 3-4 persons in a
room where the poorest of the poor and mostly Black and
Brown persons resided, were the ones that experienced the
highest risk of infection and death. These health

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inequities show the effects of structural racism and class
inequity intersecting with ageism, as well as the effect
of crowded and low-quality nursing home care.
(12) Health inequities are the systemic patterns of
differences that are unfair, unjust, and remediable,
meaning that there is something we can do about them, and
there is a justice and moral imperative to do so.
(13) There is a need for equitable services across
communities with equitable and adequate funding in order
for Illinoisans across the State to feel supported across
their lifespans, including their older years.
(14) Coordinated action is needed across Illinois'
network of aging and disability advocates and providers,
cross-sector leaders, policymakers, and units of local
government to affirm the priority of the health and
well-being of older Illinoisans and the need for policies
that promote healthy aging.
(15) There are many opportunities for Illinois to meet
the needs of its residents as they get older.
(16) Illinois has the unique opportunity to benefit
from comprehensive research, current innovation, and
lessons from the pandemic to identify long-term strategic
approaches to address current and future challenges and
opportunities and better integrate current and future
innovative solutions that improve quality across all
communities.

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Section 15. Legislative intent.
(1) It is the intent of the General Assembly that there is
established a multidisciplinary Strategic Action Planning
Commission for Aging Equity for the purpose of developing a
comprehensive strategic action plan for aging equity in
Illinois that will lead to actionable goals and measurable
outcomes for the years 2024 through 2036. The purpose of the
Strategic Action Planning Commission for Aging Equity is to
provide the Governor and the General Assembly with data and
specific recommendations regarding public actions by all State
agencies so that the General Assembly can address the
demographic shift of an aging population. This includes
recommended changes in policy, procedures, programs, services,
projects, and resources to support equitable aging across the
life course.
(2) Recommendations put forth by the Strategic Action
Planning Commission for Aging Equity will be presented to the
Governor and General Assembly within 2 years from the date of
the planning commission's first meeting.
(3) The Strategic Action Planning Commission for Aging
Equity will continue to meet regularly to ensure recommended
actions are taken and transparent and tangible progress is
being made toward initial targeted goals with measurable
outcomes as well as establishing new goals as data and
research continues to drive equity, innovation, and quality

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measures.
Section 20. Definitions. As used in this Act:
(1) "Ableism" means discrimination in favor of able-bodied
people.
(2) "Ageism" means prejudice or discrimination on the
grounds of a person's age.
(3) "Aging equity" is both an outcome and a process. As an
outcome it means, aging equity is achieved when every person
can attain their full potential across the life course without
disadvantage because of social position or other socially and
structurally determined circumstances. As a process, aging
equity is a process of assurance of the conditions of optimal
aging for all people which requires at least 3 things: (i)
valuing all individuals and populations equally; (ii)
recognizing and rectifying historical injustices; and (iii)
providing resources according to need. Aging inequities will
be eliminated when aging equity is achieved.
(4) "Caregiver" means someone caring for a spouse or
parent, an extended family member, or even a friend or
neighbor. A caregiver provides help with transportation to
medical appointments, purchasing or organizing medications,
monitoring a person's medical condition, communicating with
health care professionals, advocating on a person's behalf
with providers or agencies, and assisting a person with
getting in and out of bed or a chair, getting dressed, bathing

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or showering, grocery or other shopping, housework, preparing
meals, and managing finances.
(5) "Class inequity" means relations of power among
networked and organized social groups that direct society's
major institutions (such as corporations and government
authorities), material resources, and investments. "Class
inequity" or "classism" is the systematic oppression of
subordinated class groups, held in place by attitudes that
rank people according to economic status, family lineage, job
status, level of education, and other divisions.
(6) "Cultural humility" means an approach to healthcare
and other services that incorporates a lifelong commitment to
self-evaluation and self-critique, to redressing the power
imbalances between the providers and institutions and their
patients or clients and to developing mutually beneficial and
non-paternalistic clinical, service-based, and advocacy
partnerships with communities on behalf of individuals and
defined populations.
(7) "Cultural responsiveness" means a strengths-based
approach to serving others rooted in respect and appreciation
for the role of culture in a person's understanding and
development, taking into account each person's strengths,
abilities, experiences, and interests as developed within the
person's family and culture.
(8) "Genderism" means the systematic belief that people
need to conform to their gender assigned at birth in a

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gender-binary system that includes only female and male.
(9) "Historical and contemporary racism" means a system of
structuring opportunity and assigning value based on phenotype
("race"), that unfairly disadvantages some individuals and
communities, unfairly advantages other individuals and
communities, and saps the strength of the whole society
through the waste of human resources.
(10) "Homophobia" means dislike of or prejudice against
people who are LGBTQ+.
(11) "Older adults" or "older persons" means persons 60
years of age or older.
(12) "Planning commission" means the Strategic Action
Planning Commission for Aging Equity.
(13) "Sexism" means prejudice or discrimination based on
sex, especially discrimination against women, behavior,
conditions, or attitudes that foster stereotypes of social
roles based on sex.
(14) "Social determinants of health" means the conditions
in which people are born, grow, live, work, and age. These
circumstances are shaped by the distribution of money, power,
and resources.
(15) "Structural inequities" means the personal,
interpersonal, institutional, and systemic drivers, such as,
racism, sexism, classism, ableism, xenophobia, and homophobia,
that make people's various identities (race and ethnicity,
gender, employment status, socioeconomic status, disability

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status, immigration status, geography, and more) salient to
the fair distribution of health opportunities and outcomes.
(16) "Transphobia" means dislike of or prejudice against
transgender or transsexual people.
(17) "Trauma-informed systems" means systems that: (i)
realize the widespread impact of trauma and understand
potential paths for recovery; (ii) recognize signs and
symptoms of trauma in clients, families, staff, and others
involved with the system; (iii) respond by fully integrating
knowledge about trauma into policies, procedures, and
practices; and (iv) seek to actively resist re-traumatization.
(18) "Xenophobia" means dislike of or prejudice against
people from other countries.
Section 25. Strategic Action Planning Commission for Aging
Equity.
(a) The Strategic Action Planning Commission for Aging
Equity is established and shall be co-chaired by the
Governor's Office and the Department on Aging. The planning
commission shall be made up of State agency directors and
appointed elected officials or their designees as ex officio
members, and a group of voting individuals from the general
public, as outlined in subsection (d), and shall host a
monthly open meeting with an aging equity advisory committee.
(b) The planning commission shall examine the effects,
challenges, opportunities, and needs for planning related to

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the shifting age demographics toward an increasing portion of
the State's and localities' populations being made up of older
adults, including at least:
(1) Community and healthcare.
(2) Transportation.
(3) Housing.
(4) Social participation.
(5) Outdoor spaces and buildings.
(6) Respect and social inclusion.
(7) Civic participation and employment.
(8) Communication and information.
(9) The public sector as well as the broader economy,
workforce, community systems, businesses, and services.
(10) Changes in federal, State, and local tax bases,
revenues, budgets, fiscal policies, programs, and
workforce.
(11) Funding mechanisms for aging-related services.
(12) New economic opportunities for the State.
(c) The planning commission shall adopt guiding principles
that include:
(1) Advancing aging equity across the life course.
(2) Developing cultural humility and being culturally
responsive with inclusive policies, programs, and
services.
(3) Being language inclusive to reach and support
older persons and caregivers who primarily read and speak

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languages other than English.
(4) Supporting trauma-informed systems.
(5) Understanding the experiences of older
Illinoisans, caregivers, and future older Illinoisans of
diverse backgrounds.
(6) Recognizing the impact of historical and
contemporary racism, class inequity, ableism, genderism,
sexism, homophobia, transphobia, xenophobia, and other
structural inequities on systems, communities, families,
and individual Illinoisans of all ages.
(7) Equity and accessibility of policies, programs,
services, and resources for Illinoisans statewide.
(8) Harnessing the power of experience and knowledge
of older persons in communities.
(9) Opportunities for improved policies, programs, and
services that better reflect supporting the needs of
current and future older Illinoisans and caregivers.
(d) The planning commission shall be a public body
consisting of members appointed by the Governor within 3
months after the effective date of this Act. The Governor
shall consult with the President and Minority Leader of the
Senate, the Speaker and Minority Leader of the House of
Representatives, and the Director of Aging about appointments
to the planning commission to ensure the following:
(1) Members meet the criteria set forth in this
subsection. Members may fill multiple roles.

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(2) The planning commission reflects the geographic
diversity of the State and includes members who represent
(i) the rural, suburban, and urban areas of the State,
(ii) the northern, central, and southern regions of the
State, and (iii) the various districts.
(3) The planning commission is inclusive and consists
of members who reflect a diversity of age, gender,
ability, race, cultural, socioeconomic, and national
background.
(4) The planning commission includes Illinois
residents aged 60 or older who represent urban, suburban,
and rural areas of the State.
(5) The planning commission consists of the following
persons:
(i) One member with extensive professional
knowledge about aging.
(ii) One member with extensive professional
knowledge of home and community-based services for
older Illinoisans.
(iii) One member with extensive professional
knowledge of community-based services provided under
the Older Americans Act.
(iv) One member with extensive professional
knowledge of health policy.
(v) One member with extensive professional
knowledge of geriatric or palliative medicine.

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(vi) Two members with extensive professional
knowledge of health systems.
(vii) Two members with extensive professional
knowledge of affordable accessible housing.
(viii) One member with extensive professional
knowledge of public transportation, active
transportation, and private transportation systems.
(ix) One member with extensive professional
knowledge of urban planning, community walkability,
and age-friendly principles.
(x) One member with extensive professional
knowledge about nursing homes.
(xi) One member who is a health insurance policy
advocate with extensive professional knowledge of
Medicare.
(xii) One member with extensive professional
knowledge about labor advocacy.
(xiii) One member with extensive professional
knowledge about the criminal-legal system and aging.
(xiv) One member with extensive professional
knowledge about caregiving.
(xv) One member with extensive professional
knowledge of dementia.
(xvi) One member with extensive professional
knowledge about disabilities.
(xvii) One member with extensive professional

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knowledge in partnering education and labor needs.
(xviii) One member with extensive professional
knowledge in volunteerism, community connecting, and
civic engagement of older persons.
(xix) One member representing park districts.
(xx) One member representing school systems.
(xxi) One member representing chambers of
commerce.
(xxii) One member with extensive professional
knowledge of electronic communications technology.
(xxiii) One member representing travel and
hospitality.
(xxiv) One member representing a philanthropic
foundation.
(xxv) Two members from the Senate, both major
parties represented, one appointed by the President of
the Senate and one appointed by the Minority Leader of
the Senate.
(xxvi) Two members from the House of
Representatives, both major parties represented, one
appointed by the Speaker of the House of
Representatives and one appointed by the Minority
Leader of the House of Representatives.
(6) The planning commission consists of the heads of
the following agencies, offices, boards, and other
entities, or their designees:

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(i) Department of Agriculture.
(ii) Department of Commerce and Economic
Opportunity.
(iii) Department of Healthcare and Family
Services.
(iv) Department of Human Rights.
(v) Department of Human Services.
(vi) Department of Innovation and Technology.
(vii) Department of Insurance.
(viii) Department of Labor.
(ix) Department of Natural Resources.
(x) Department of Public Health.
(xi) Department of Human Services' Division of
Rehabilitative Services.
(xii) Department of Revenue.
(xiii) Department of Transportation.
(xiv) Department of Veterans' Affairs.
(xv) Department on Aging.
(xvi) Department of Corrections.
(xvii) Department of Children and Family Services.
(xviii) Department of Financial and Professional
Regulation.
(xix) Illinois Housing Development Authority.
(xx) Office of the Illinois State Fire Marshal.
(xxi) Illinois Emergency Management Agency.
(xxii) Illinois State Board of Education.

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(xxiii) Illinois Community College Board.
(xxiv) Illinois Board of Higher Education.
(xxv) Illinois State Police.
(xxvi) Illinois Cognitive Support Network.
(xxvii) Illinois Council on Developmental
Disabilities.
(xxviii) Illinois Finance Authority.
(xxix) The Governor's Office of Management and
Budget.
(xxx) Department of Central Management Services.
(xxxi) Office of the Attorney General.
(xxxii) Office of the Secretary of State.
(xxxiii) Office of the State Treasurer.
(e) Anyone interested in becoming a member of the planning
commission may submit an application to the Office of the
Governor through the online application process.
(f) The planning commission shall elect a chair and
vice-chair from among its members to coordinate the planning
commission's meetings along with State agency staff or
contractors. Members of the planning commission shall serve
without compensation. Members shall serve 4-year terms. The
planning commission shall establish staggered end of term
dates of initial members. The Governor may reappoint a member
for only one additional 4-year term after a member's initial
term has expired. In case of a vacancy, the Governor shall
appoint a new member in the same manner as the initial

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appointment.
(g) Members of the planning commission may remove a member
for cause as determined by the planning commission, if
approved by a two-thirds majority of all members. The planning
commission shall meet 6 times each calendar year, at a
minimum, with dates determined by the members of the planning
commission as soon as practicable after all members have been
appointed to the planning commission.
(h) The planning commission may establish subcommittees.
Each subcommittee shall consider and evaluate issues related
to guiding principles listed under subsection (c). The
subcommittees may include persons who are not members of the
planning commission yet represent relevant expertise not
otherwise represented on the planning commission. Members of
the specialized subcommittee shall serve without compensation.
(i) The planning commission shall establish an aging
equity advisory committee which shall consist of the State
demographer and subject matter experts from local governmental
and nongovernmental organizations to advise and assist the
planning commission.
(j) The planning commission shall exercise its powers and
perform its duties and functions as specified under this Act
independently of the State agencies. The planning commission
may establish bylaws as appropriate for its effective
operation. The chair of the planning commission shall
establish a schedule for planning commission meetings. Members

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of the planning commission, staff, and consultants are not
liable for an act or omission in their official capacity
performed in good faith in accordance with this Act.
Section 30. Duties of the Strategic Action Planning
Commission for Aging Equity.
(a) The planning commission shall develop a preliminary
comprehensive strategic action plan for aging in Illinois
through the year 2036 to be completed within 18 months of
commencement of the planning commission. A 2-month comment
period shall be included and then a final strategic action
plan for aging shall be developed within 2 years from the
commencement of the planning commission.
(b) In developing the strategic action plan, the planning
commission shall review and incorporate past recommendations
and findings from previous studies and commissions, task
forces, departments, and area agencies on aging that the
planning commission considers relevant and necessary to its
duties. Previous recommendations must be reviewed in
conjunction with the latest demographic and economic
projections specified in the analysis conducted in accordance
with Section 30.
(c) The strategic action plan must address at least the
following 3 areas:
(1) Demographic, economic, fiscal, and budget data
analysis through the year 2041.

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(2) Actionable recommendations.
(3) Plans for periodic updates to the strategic action
plan.
Section 35. Data analysis. The Strategic Action Planning
Commission for Aging Equity shall include data analysis that
is inclusive of, but not limited to, the following areas:
(1) Community and healthcare.
(2) Transportation.
(3) Housing.
(4) Social participation.
(5) Outdoor spaces and buildings.
(6) Respect and social inclusion.
(7) Civic participation and employment.
(8) Communication and information.
(9) Retirement savings gaps and retirement security
for the State's current and future older adult
populations.
Section 40. Actionable recommendations. Planning
commission recommendations shall include the following at a
minimum:
(1) Potential and recommended actions to address the
long-term effects of the demographic shift on Illinois
residents, State government, and the private sector,
including disproportional regional demographic shifts in

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older adult populations.
(2) Potential and recommended actions to strengthen
and improve service infrastructure for and the quality,
staffing, accessibility, and availability of long-term
services and supports to better enable the services and
supports to meet future demand.
(3) Potential and recommended actions to enhance
access to services and public education on opportunities,
challenges, resources, and topics for older Illinoisans
and caregivers.
(4) Potential and recommended actions to improve
caregiver supports and mitigate both the financial and
nonfinancial impacts of caregiving on patients,
caregivers, businesses, and the State.
(5) Potential and recommended actions to improve
financial security and retirement preparation for the
older adult population.
(6) Potential and recommended actions to improve the
accessibility and sustainability of healthy, safe,
affordable, accessible, and non-segregated housing.
(7) Potential and recommended actions to improve the
accessibility and sustainability of affordable
transportation services.
(8) Potential and recommended actions to reduce
administrative and service delivery costs of public and
private long-term services and supports while improving

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service quality.
(9) Administrative and regulatory reforms needed to
more cost-effectively organize State agencies to implement
statewide programs and services.
(10) Possible legislation for consideration by the
General Assembly in order to implement the planning
commission's recommendations and achieve its stated goals.
(11) Possible regulatory and administrative changes to
be offered to State departments in order to implement the
planning commission's recommendations and achieve its
stated goals.
(12) Private sector potential and recommended actions
for quality long-term care, services, and supports that
are accessible, equitable, and meet cultural and
linguistic needs.
(13) Potential and recommended actions to extend and
improve other services and supports that would allow
individuals to remain in their residences and communities
for as long as possible.
(14) Potential and recommended actions to improve
migration of college students, professionals, families,
and retirees from outside of the State to communities
across Illinois.
(15) Potential and recommended actions to make
Illinois an age-friendly State.
(16) Potential and recommended actions to support

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health equity as it relates to advancing aging equity.
(17) Projections on the economic, fiscal, and personal
impacts of implementing or not implementing the
recommendations.
Section 45. Reporting.
(a) During the 2024 and 2025 legislative sessions, the
planning commission shall submit an oral and written report
summarizing its work and any preliminary findings or
recommendations to the joint budget committee and the General
Assembly.
(b) Within 2 years of commencement, the planning
commission shall submit to the Governor, the General Assembly,
and any affected State agency its strategic action plan
detailing the work of the planning commission and its final
recommendations.
(c) If the strategic action plan identifies programs,
services, projects, policies, or procedures that would result
in cost savings, without adversely affecting the quality of
care and services, and do not require legislation, the
Governor and the associated State agencies must pursue the
necessary actions to implement the recommendations, including,
as necessary, requesting adequate funding through the State
budget process.
(d) If the strategic action plan identifies programs,
services, projects, policies, or procedures that would result

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in cost savings, without adversely affecting the quality of
care and services, that require legislation, the planning
commission shall recommend legislation to implement the
changes to the General Assembly. In its plan, the planning
commission shall specify the laws and the policies and
procedures of the relevant State agencies that need to be
created, amended, or repealed to implement the
recommendations.
Section 50. Strategic plan updates and oversight.
(a) The planning commission shall submit updates to the
strategic action plan every 4 years, to update the planning
commission's analysis and recommendations.
(1) These updates shall include new economic and
demographic data as well as respond to new State and
national public and private initiatives and must address a
time period for analysis and recommendation that extends
15 years after the delivery of the update.
(2) The process for creating these updates shall be
determined by the planning commission as part of its
strategic action plan.
(3) New legislative or regulatory recommendations may
be offered in order to address new or changing
circumstances.
(b) The planning commission shall take measures to ensure
transparency to the public, the General Assembly, and to

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stakeholders in planning, goal setting, action steps, and
reporting on successful implementation and outcomes such as by
adhering to the Open Meetings Act and ensuring documents
regarding proceedings are posted, organized, and maintained on
an appropriate State website.
(c) After the initial development of the plan, the
planning commission's plan updates shall list areas in which
the plan is not being implemented or followed.
(d) The initial planning commission shall determine the
staffing and process for updating the initial strategic action
plan. The planning commission shall only undertake the plan
updates if sufficient funding is secured through
appropriations, gifts, grants, or donations.
Section 99. Effective date. This Act takes effect upon
becoming law.