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| 1 | AN ACT concerning State government.
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| 2 | Be it enacted by the People of the State of Illinois,
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| 3 | represented in the General Assembly:
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| 4 | Section 5. The Mental Health and Developmental | |||||||||||||||||||
| 5 | Disabilities Administrative Act is amended by adding Sections | |||||||||||||||||||
| 6 | 76.1 and 76.2 as follows:
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| 7 | (20 ILCS 1705/76.1 new) | |||||||||||||||||||
| 8 | Sec. 76.1. Increased intellectual and developmental | |||||||||||||||||||
| 9 | services and supports; PUNS database. | |||||||||||||||||||
| 10 | (a) By June 30, 2024 the Department of Human Services | |||||||||||||||||||
| 11 | shall select from the Prioritization of the Urgency of Need of | |||||||||||||||||||
| 12 | Services (PUNS) database no fewer than 3,600 persons with | |||||||||||||||||||
| 13 | intellectual or developmental disabilities to receive relevant | |||||||||||||||||||
| 14 | State services and supports. No fewer than 600 persons with | |||||||||||||||||||
| 15 | intellectual or developmental disabilities shall be selected | |||||||||||||||||||
| 16 | to receive services under this Section by June 30, 2022. The | |||||||||||||||||||
| 17 | numbers of persons funded shall increase each year as follows: | |||||||||||||||||||
| 18 | (1) no fewer than 800 persons funded between July 1, | |||||||||||||||||||
| 19 | 2022 and June 30, 2023; | |||||||||||||||||||
| 20 | (2)
no fewer than 1,000 persons funded between July 1, | |||||||||||||||||||
| 21 | 2023 and June 30, 2024; | |||||||||||||||||||
| 22 | (3)
no fewer than 1,200 persons funded between July 1, | |||||||||||||||||||
| 23 | 2024 and June 30, 2025; and | |||||||||||||||||||
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| 1 | (4)
no fewer than 1,200 persons funded beginning July | ||||||
| 2 | 1, 2025, and every July 1 thereafter, until the list of | ||||||
| 3 | persons in the PUNS database awaiting State services is | ||||||
| 4 | exhausted. | ||||||
| 5 | (b) The Department shall fund services provided to persons | ||||||
| 6 | selected from the database by pursuing all federal funding | ||||||
| 7 | options for intellectual and developmental services and | ||||||
| 8 | supports, including, but not limited to, applying to the | ||||||
| 9 | federal Centers for Medicare and Medicaid Services for: | ||||||
| 10 | (1) a demonstration waiver under Section 1115 of the | ||||||
| 11 | Social Security Act to expand housing options and relevant | ||||||
| 12 | support services for persons with intellectual or | ||||||
| 13 | developmental disabilities; and | ||||||
| 14 | (2) approval of a Title XIX State Plan amendment to | ||||||
| 15 | implement the Community First Choice Option in accordance | ||||||
| 16 | with Section 1915(k) of the Social Security Act. | ||||||
| 17 | (c) All federal funding obtained as a result of federal | ||||||
| 18 | approval of a demonstration waiver under Section 1115 of the | ||||||
| 19 | Social Security Act shall be used to expand and increase the | ||||||
| 20 | availability of support services for persons with intellectual | ||||||
| 21 | or developmental disabilities, including, but not limited to, | ||||||
| 22 | housing options, employment opportunities, direct service | ||||||
| 23 | provider workers, day programming, and all other support | ||||||
| 24 | services necessary for persons with intellectual or | ||||||
| 25 | developmental disabilities. Federal funding used to expand | ||||||
| 26 | housing options shall be directed towards increasing the | ||||||
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| 1 | availability of permanent supportive housing as described in | ||||||
| 2 | 59 Ill. Adm. Code 145.20 and other community-integrated living | ||||||
| 3 | arrangements that provide a minimum of one person per unit to | ||||||
| 4 | no more than 8 persons per living arrangement. A person's | ||||||
| 5 | eligibility for housing and support services under this | ||||||
| 6 | Section shall be based on a flexible severity of needs sliding | ||||||
| 7 | scale to be defined by the Department by rule. The Department | ||||||
| 8 | must adopt a definition for the flexible severity of needs | ||||||
| 9 | sliding scale no later than March 1, 2022. The initial | ||||||
| 10 | availability of housing options and support services under | ||||||
| 11 | this Section shall occur no later than June 30, 2022 or 60 days | ||||||
| 12 | after the Department's receipt of federal approval for the | ||||||
| 13 | demonstration waiver, whichever is later. Upon receipt of all | ||||||
| 14 | necessary federal approvals, the availability of housing | ||||||
| 15 | options and support services under this Section shall be fully | ||||||
| 16 | implemented by June 30, 2024. | ||||||
| 17 | (d)(1) All federal funding obtained as a result of federal | ||||||
| 18 | approval of a Title XIX State Plan amendment to implement the | ||||||
| 19 | Community First Choice Option pursuant to Section 1915(k) of | ||||||
| 20 | the Social Security Act shall be used to fund the Illinois | ||||||
| 21 | Children and Adult Home and Community-Based Services Pilot | ||||||
| 22 | Program established and maintained by the Department as | ||||||
| 23 | provided under paragraph (2) of this subsection. | ||||||
| 24 | (2) The Department shall establish and maintain the | ||||||
| 25 | Illinois Children and Adult Home and Community-Based Services | ||||||
| 26 | Pilot Program to expand and increase community-based services | ||||||
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| 1 | and housing options for adults and children with disabilities | ||||||
| 2 | who are eligible for services under the Department's Home and | ||||||
| 3 | Community-Based Services Waiver for Persons with Developmental | ||||||
| 4 | Disabilities. The Pilot Program shall be funded with all | ||||||
| 5 | federal moneys received as a result of federal approval of a | ||||||
| 6 | Title XIX State Plan amendment to implement the Community | ||||||
| 7 | First Choice Option pursuant to Section 1915(k) of the Social | ||||||
| 8 | Security Act. The Department shall establish the program no | ||||||
| 9 | later than June 30, 2022 or 60 days after the Department's | ||||||
| 10 | receipt of federal approval to implement the Community First | ||||||
| 11 | Choice Option, whichever is later. Upon receipt of all | ||||||
| 12 | necessary federal approvals, the Illinois Children and Adult | ||||||
| 13 | Home and Community-Based Services Pilot Program shall be fully | ||||||
| 14 | operational by June 30, 2025. | ||||||
| 15 | (e) The Department, in consultation with all relevant | ||||||
| 16 | State agencies, shall annually report to the General Assembly | ||||||
| 17 | on the progress made in implementing the provisions of this | ||||||
| 18 | Section. The Department shall submit its first report no later | ||||||
| 19 | than May 31, 2023 and every May 31 thereafter. The Department, | ||||||
| 20 | and all relevant State agencies, shall fully implement the | ||||||
| 21 | supports and services required under this Section by June 30, | ||||||
| 22 | 2025. | ||||||
| 23 | (f) Implementation of this Section shall be contingent on | ||||||
| 24 | the receipt of all necessary federal waivers or approvals. | ||||||
| 25 | Upon receipt of all necessary federal waivers or approvals, | ||||||
| 26 | the Department shall implement the provisions of this Section | ||||||
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| 1 | 60 days after the date federal approval is received or 60 days | ||||||
| 2 | after the effective date of this amendatory Act of the 102nd | ||||||
| 3 | General Assembly, whichever is later.
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| 4 | (20 ILCS 1705/76.2 new) | ||||||
| 5 | Sec. 76.2. Equity in housing and support services. | ||||||
| 6 | (a) The Department of Human Services shall create a program
to | ||||||
| 7 | select people listed on the Department's Prioritization of
the | ||||||
| 8 | Urgency of Need of Services (PUNS) database to receive
housing | ||||||
| 9 | and community-based support services. By June 30, 2025,
every | ||||||
| 10 | individual selected from the PUNS list shall qualify for
and | ||||||
| 11 | receive housing as provided in subsection (b) of this
Section, | ||||||
| 12 | unless he or she chooses in-home services.
(b) By June 30, | ||||||
| 13 | 2025, the Department shall fully reform the
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| 14 | community-integrated living arrangements model as a housing
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| 15 | option for persons eligible for services under the State's | ||||||
| 16 | Home
and Community-Based Services Waiver for Persons with | ||||||
| 17 | Developmental Disabilities by implementing a flexible housing
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| 18 | model, as defined by the Department by rule. The flexible
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| 19 | housing model shall utilize a needs-based sliding scale to
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| 20 | determine a person's eligibility and placement for housing. | ||||||
| 21 | The Department may adopt any rules necessary to implement the
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| 22 | provisions of this subsection.
(c) The Department of Human | ||||||
| 23 | Services, in collaboration with
the Department of Healthcare | ||||||
| 24 | and Family Services and any other
interested State agencies, | ||||||
| 25 | shall submit a report to the General
Assembly on May 31, 2022, | ||||||
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| 1 | and each May 31 thereafter, that
details the Department's | |||||||||||||||||||||||||
| 2 | progress in implementing the
requirements under subsections | |||||||||||||||||||||||||
| 3 | (a) and (b).
(d) The Department, in collaboration with the | |||||||||||||||||||||||||
| 4 | Department of
Healthcare and Family Services, shall apply for | |||||||||||||||||||||||||
| 5 | any federal waivers or approvals necessary to implement the | |||||||||||||||||||||||||
| 6 | provisions of
this Section. Implementation of this Section | |||||||||||||||||||||||||
| 7 | shall be
contingent upon the receipt of all necessary federal | |||||||||||||||||||||||||
| 8 | approvals.
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