96TH GENERAL ASSEMBLY
State of Illinois
2009 and 2010
HB5305


 
Introduced 2/3/2010, by Rep. David R. Leitch
 
SYNOPSIS AS INTRODUCED:















405 ILCS 30/4
 from Ch. 91 1/2, par. 904








 Amends the Community Services Act. Provides that subject to appropriation, the Department of Human Services shall develop a community based mental health and alcohol and substance abuse crisis intervention system for adults, and that the system shall seek to ensure statewide access to competent rapid response services, the avoidance of hospitalization, and a reduction in the need for transportation. Requires the Department of Human Services to submit an implementation plan to the General Assembly and the Governor at least 6 months prior to operation of the system.
















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FISCAL NOTE ACT MAY APPLY
















 


 


A BILL FOR









 











HB5305

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1
 AN ACT concerning health.


2
 Be it enacted by the People of the State of Illinois,

3
represented in the General Assembly:



4
 Section 5. The Community Services Act is amended by 
5
changing Section 4 as follows:




6
 (405 ILCS 30/4) (from Ch. 91 1/2, par. 904)



7
 Sec. 4. Financing for Community Services. 
8
 (a) The Department of Human Services
is authorized to

9
provide financial reimbursement to eligible private service 
10
providers,
corporations, local government entities or 
11
voluntary associations for the
provision of services to persons 
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with mental illness, persons with a
developmental disability 
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and alcohol and drug dependent persons living in the
community 
14
for the purpose of achieving the goals of this Act.

15
 The Department shall utilize the following funding 
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mechanisms for community
services:


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  (1) Purchase of Care Contracts: services purchased on a 
18
 predetermined fee
per unit of service basis from private 
19
 providers or governmental entities. Fee
per service rates 
20
 are set by an established formula which covers some portion

21
 of personnel, supplies, and other allowable costs, and 
22
 which makes some
allowance for geographic variations in 
23
 costs as well as for additional program
components.


 


 






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  (2) Grants: sums of money which the Department grants 
2
 to private providers or
governmental
entities pursuant to 
3
 the grant recipient's agreement to provide certain

4
 services, as defined by departmental grant guidelines, to 
5
 an
approximate number of service
recipients. Grant levels 
6
 are set through consideration of personnel, supply and

7
 other allowable costs, as well as other funds available to 
8
 the program.


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  (3) Other Funding Arrangements: funding mechanisms may 
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 be established
on a pilot basis in order to examine the 
11
 feasibility of alternative financing
arrangements for the 
12
 provision of community services.

13
 The Department shall establish and maintain an equitable 
14
system of
payment
which allows providers to improve persons 
15
with disabilities'
capabilities for
independence and reduces 
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their reliance on State-operated
services. 
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 (b) The Governor shall create a commission by September 1, 
18
2009, or as soon thereafter as possible, to review funding 
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methodologies, identify gaps in funding, identify revenue, and 
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prioritize use of that revenue for community developmental 
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disability services, mental health services, alcohol and 
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substance abuse services, rehabilitation services, and early 
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intervention services. The Office of the Governor shall provide 
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staff support for the commission. 
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 (c) The first meeting of the commission shall be held 
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within the first month after the creation and appointment of 
 


 






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the commission, and a final report summarizing the commission's 
2
recommendations must be issued within 12 months after the first 
3
meeting, and no later than September 1, 2010, to the Governor 
4
and the General Assembly. 
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 (d) The commission shall have the following 13 voting 
6
members:
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  (A) one member of the House of Representatives, 
8
 appointed by the Speaker of the House of Representatives;
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  (B) one member of the House of Representatives, 
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 appointed by the House Minority Leader;
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  (C) one member of the Senate, appointed by the 
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 President of the Senate;
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  (D) one member of the Senate, appointed by the Senate 
14
 Minority Leader;
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  (E) one person with a developmental disability, or a 
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 family member or guardian of such a person, appointed by 
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 the Governor;
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  (F) one person with a mental illness, or a family 
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 member or guardian of such a person, appointed by the 
20
 Governor;
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  (G) two persons from unions that represent employees of 
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 community providers that serve people with developmental 
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 disabilities, mental illness, and alcohol and substance 
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 abuse disorders, appointed by the Governor; and
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  (H) five persons from statewide associations that 
26
 represent community providers that provide residential, 
 


 






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 day training, and other developmental disability services, 
2
 mental health services, alcohol and substance abuse 
3
 services, rehabilitation services, or early intervention 
4
 services, or any combination of those, appointed by the 
5
 Governor.
6
 The commission shall also have the following ex-officio, 
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nonvoting members:
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  (I) the Director of the Governor's Office of Management 
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 and Budget or his or her designee;
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  (J) the Chief Financial Officer of the Department of 
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 Human Services or his or her designee;
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  (K) the Administrator of the Department of Healthcare 
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 and Family Services Division of Finance or his or her 
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 designee;
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  (L) the Director of the Department of Human Services 
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 Division of Developmental Disabilities or his or her 
17
 designee;
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  (M) the Director of the Department of Human Services 
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 Division of Mental Health or his or her designee;
and
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  (N) the Director of the Department of Human Services 
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 Division of Alcohol and Substance Abuse or his or her 
22
 designee. 
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 (e) The funding methodologies must reflect economic 
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factors inherent in providing services and supports, recognize 
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individual disability needs, and consider geographic 
26
differences, transportation costs, required staffing ratios, 
 


 






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and mandates not currently funded.

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 (f) In accepting Department funds, providers shall 
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recognize
their responsibility to be
accountable to the 
4
Department and the State for the delivery of services
which are 
5
consistent
with the philosophies and goals of this Act and the 
6
rules and regulations
promulgated under it.

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 (g) Subject to appropriation, the Department of Human 
8
Services shall develop a community based mental health and 
9
alcohol and substance abuse crisis intervention system for 
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adults. The system developed under this Section shall seek to 
11
ensure statewide access to competent rapid response services, 
12
the avoidance of hospitalization, and a reduction in the need 
13
for transportation. The Department of Human Services shall 
14
submit an implementation plan to the General Assembly and the 
15
Governor at least 6 months prior to operation of the system. 
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(Source: P.A. 95-682, eff. 10-11-07; 96-652, eff. 8-24-09.)