Bill Text: IL SB1787 | 2021-2022 | 102nd General Assembly | Introduced

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Bill Title: Amends the Mental Health and Developmental Disabilities Administrative Act. Provides that by June 30, 2024 the Department of Human Services shall select from the Prioritization of the Urgency of Need of Services (PUNS) database no fewer than 3,600 persons with intellectual or developmental disabilities to receive relevant State services and supports. Provides that no fewer than 600 persons with intellectual or developmental disabilities shall be selected to receive services under this provision by June 30, 2022. Provides that the Department shall establish and maintain the Illinois Children and Adult Home and Community-Based Services Pilot Program to expand and increase community-based services and housing options for adults and children with disabilities who are eligible for services under the Department's Home and Community-Based Services Waiver for Persons with Developmental Disabilities. Provides that the Department, in consultation with all relevant State agencies, shall annually report to the General Assembly on the progress made in implementing these provisions. Provides that the Department shall submit its first report no later than May 31, 2025 and every May 31 thereafter. Provides that by June 30, 2025, every individual selected from the PUNS list shall qualify for and receive housing as provided in these provisions, unless he or she chooses in-home services. Provides that the Department of Human Services, in collaboration with the Department of Healthcare and Family Services and any other interested State agencies, shall submit a report to the General Assembly on May 31, 2024, and each May 31 thereafter, that details the Department's progress in implementing the program. Provides that the Department, in collaboration with the Department of Healthcare and Family Services, shall apply for any federal waivers or approvals necessary to implement these provisions. Provides that implementation of this program shall be contingent upon the receipt of all necessary federal approvals.

Spectrum: Partisan Bill (Democrat 3-0)

Status: (Introduced - Dead) 2022-02-10 - Rule 3-9(a) / Re-referred to Assignments [SB1787 Detail]

Download: Illinois-2021-SB1787-Introduced.html

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102ND GENERAL ASSEMBLY State of Illinois 2021 and 2022 SB1787 Introduced 2/26/2021, by Sen. Laura M. Murphy SYNOPSIS AS INTRODUCED:
See Index
Amends the Mental Health and Developmental Disabilities Administrative Act. Provides that by June 30, 2024 the Department of Human Services shall select from the Prioritization of the Urgency of Need of Services (PUNS) database no fewer than 3,600 persons with intellectual or developmental disabilities to receive relevant State services and supports. Provides that no fewer than 600 persons with intellectual or developmental disabilities shall be selected to receive services under this provision by June 30, 2022. Provides that the Department shall establish and maintain the Illinois Children and Adult Home and Community-Based Services Pilot Program to expand and increase community-based services and housing options for adults and children with disabilities who are eligible for services under the Department's Home and Community-Based Services Waiver for Persons with Developmental Disabilities. Provides that the Department, in consultation with all relevant State agencies, shall annually report to the General Assembly on the progress made in implementing these provisions. Provides that the Department shall submit its first report no later than May 31, 2025 and every May 31 thereafter. Provides that by June 30, 2025, every individual selected from the PUNS list shall qualify for and receive housing as provided in these provisions, unless he or she chooses in-home services. Provides that the Department of Human Services, in collaboration with the Department of Healthcare and Family Services and any other interested State agencies, shall submit a report to the General Assembly on May 31, 2024, and each May 31 thereafter, that details the Department's progress in implementing the program. Provides that the Department, in collaboration with the Department of Healthcare and Family Services, shall apply for any federal waivers or approvals necessary to implement these provisions. Provides that implementation of this program shall be contingent upon the receipt of all necessary federal approvals.
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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 Mental Health and Developmental
Disabilities Administrative Act is amended by adding Sections
76.1 and 76.2 as follows:
(20 ILCS 1705/76.1 new)
Sec. 76.1. Increased intellectual and developmental
services and supports; PUNS database.
(a) By June 30, 2024 the Department of Human Services
shall select from the Prioritization of the Urgency of Need of
Services (PUNS) database no fewer than 3,600 persons with
intellectual or developmental disabilities to receive relevant
State services and supports. No fewer than 600 persons with
intellectual or developmental disabilities shall be selected
to receive services under this Section by June 30, 2022. The
numbers of persons funded shall increase each year as follows:
(1) no fewer than 800 persons funded between July 1,
2022 and June 30, 2023;
(2) no fewer than 1,000 persons funded between July 1,
2023 and June 30, 2024;
(3) no fewer than 1,200 persons funded between July 1,
2024 and June 30, 2025; and

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(4) no fewer than 1,200 persons funded beginning July
1, 2025, and every July 1 thereafter, until the list of
persons in the PUNS database awaiting State services is
exhausted.
(b) The Department shall fund services provided to persons
selected from the database by pursuing all federal funding
options for intellectual and developmental services and
supports, including, but not limited to, applying to the
federal Centers for Medicare and Medicaid Services for:
(1) a demonstration waiver under Section 1115 of the
Social Security Act to expand housing options and relevant
support services for persons with intellectual or
developmental disabilities; and
(2) approval of a Title XIX State Plan amendment to
implement the Community First Choice Option in accordance
with Section 1915(k) of the Social Security Act.
(c) All federal funding obtained as a result of federal
approval of a demonstration waiver under Section 1115 of the
Social Security Act shall be used to expand and increase the
availability of support services for persons with intellectual
or developmental disabilities, including, but not limited to,
housing options, employment opportunities, direct service
provider workers, day programming, and all other support
services necessary for persons with intellectual or
developmental disabilities. Federal funding used to expand
housing options shall be directed towards increasing the

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availability of permanent supportive housing as described in
59 Ill. Adm. Code 145.20 and other community-integrated living
arrangements that provide a minimum of one person per unit to
no more than 8 persons per living arrangement. A person's
eligibility for housing and support services under this
Section shall be based on a flexible severity of needs sliding
scale to be defined by the Department by rule. The Department
must adopt a definition for the flexible severity of needs
sliding scale no later than March 1, 2022. The initial
availability of housing options and support services under
this Section shall occur no later than June 30, 2022 or 60 days
after the Department's receipt of federal approval for the
demonstration waiver, whichever is later. Upon receipt of all
necessary federal approvals, the availability of housing
options and support services under this Section shall be fully
implemented by June 30, 2024.
(d)(1) All federal funding obtained as a result of federal
approval of a Title XIX State Plan amendment to implement the
Community First Choice Option pursuant to Section 1915(k) of
the Social Security Act shall be used to fund the Illinois
Children and Adult Home and Community-Based Services Pilot
Program established and maintained by the Department as
provided under paragraph (2) of this subsection.
(2) The Department shall establish and maintain the
Illinois Children and Adult Home and Community-Based Services
Pilot Program to expand and increase community-based services

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and housing options for adults and children with disabilities
who are eligible for services under the Department's Home and
Community-Based Services Waiver for Persons with Developmental
Disabilities. The Pilot Program shall be funded with all
federal moneys received as a result of federal approval of a
Title XIX State Plan amendment to implement the Community
First Choice Option pursuant to Section 1915(k) of the Social
Security Act. The Department shall establish the program no
later than June 30, 2022 or 60 days after the Department's
receipt of federal approval to implement the Community First
Choice Option, whichever is later. Upon receipt of all
necessary federal approvals, the Illinois Children and Adult
Home and Community-Based Services Pilot Program shall be fully
operational by June 30, 2025.
(e) The Department, in consultation with all relevant
State agencies, shall annually report to the General Assembly
on the progress made in implementing the provisions of this
Section. The Department shall submit its first report no later
than May 31, 2023 and every May 31 thereafter. The Department,
and all relevant State agencies, shall fully implement the
supports and services required under this Section by June 30,
2025.
(f) Implementation of this Section shall be contingent on
the receipt of all necessary federal waivers or approvals.
Upon receipt of all necessary federal waivers or approvals,
the Department shall implement the provisions of this Section

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60 days after the date federal approval is received or 60 days
after the effective date of this amendatory Act of the 102nd
General Assembly, whichever is later.
(20 ILCS 1705/76.2 new)
Sec. 76.2. Equity in housing and support services.
(a) The Department of Human Services shall create a program to
select people listed on the Department's Prioritization of the
Urgency of Need of Services (PUNS) database to receive housing
and community-based support services. By June 30, 2025, every
individual selected from the PUNS list shall qualify for and
receive housing as provided in subsection (b) of this Section,
unless he or she chooses in-home services. (b) By June 30,
2025, the Department shall fully reform the
community-integrated living arrangements model as a housing
option for persons eligible for services under the State's
Home and Community-Based Services Waiver for Persons with
Developmental Disabilities by implementing a flexible housing
model, as defined by the Department by rule. The flexible
housing model shall utilize a needs-based sliding scale to
determine a person's eligibility and placement for housing.
The Department may adopt any rules necessary to implement the
provisions of this subsection. (c) The Department of Human
Services, in collaboration with the Department of Healthcare
and Family Services and any other interested State agencies,
shall submit a report to the General Assembly on May 31, 2022,

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and each May 31 thereafter, that details the Department's
progress in implementing the requirements under subsections
(a) and (b). (d) The Department, in collaboration with the
Department of Healthcare and Family Services, shall apply for
any federal waivers or approvals necessary to implement the
provisions of this Section. Implementation of this Section
shall be contingent upon the receipt of all necessary federal
approvals.
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INDEX
Statutes amended in order of appearance