Sen. Heather A. Steans

Filed: 4/4/2018





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2    AMENDMENT NO. ______. Amend Senate Bill 2424 by replacing
3everything after the enacting clause with the following:
4    "Section 5. The Developmental Disability and Mental
5Disability Services Act is amended by adding Article VII-A as
7    (405 ILCS 80/Art. VII-A heading new)

9    (405 ILCS 80/7A-1 new)
10    Sec. 7A-1. Diversion from Institutionalization Homes
12    (a) The purposes of this Article are to:
13        (1) decrease the number of admissions to
14    State-operated facilities;
15        (2) address the needs of individuals with intellectual



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1    disabilities or developmental disabilities who are at-risk
2    of institutionalization due to significant behavioral
3    challenges, some with a dual diagnosis of mental illness,
4    by providing a community-based residential alternative to
5    institutionalization consistent with their individual
6    plans, and to transition these individuals back to a
7    traditional community-integrated living arrangement or
8    other community-based residential program;
9        (3) create greater capacity within the short-term
10    stabilization homes by allowing individuals who need an
11    extended period of treatment to transfer to a long-term
12    stabilization home;
13        (4) stabilize the existing community-integrated living
14    arrangement homes where the presence of individuals with
15    complex behavioral challenges is disruptive to their
16    housemates;
17        (5) allow individuals currently residing in
18    State-operated facilities who need a higher level of
19    supervision and treatment expertise not currently
20    available within the community-integrated living
21    arrangement rate methodology to return to the community;
22    and
23        (6) curtail the growing number of community service
24    providers who are declining to serve individuals with
25    significant behavioral challenges.
26    (b) The Department shall establish the Diversion from



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1Institutionalization Home Program consisting of at least 6
2homes in various locations in this State in accordance with
3this Article and the following model:
4        (1) the Diversion from Institutionalization Home Model
5    shall serve individuals with intellectual disabilities or
6    developmental disabilities who are at-risk of
7    institutionalization due to significant behavioral
8    challenges, some with a dual diagnosis of mental illness,
9    for a period ranging from one to 2 years, or longer if
10    appropriate for the individual;
11        (2) the Program shall be regulated in accordance with
12    the community-integrated living arrangement guidelines;
13        (3) each home shall support no more than 4 residents,
14    each having his or her own bedroom;
15        (4) if, at any point, an individual, his or her
16    guardian, or family caregivers, in conjunction with the
17    provider and clinical staff, believe the individual is
18    capable of participating in other community residential
19    options, those opportunities shall be offered as they
20    become available;
21        (5) providers shall be experienced and qualified to
22    serve the population target by the Program;
23        (6) participating Program providers and the Department
24    shall participate in an ongoing collaborative whereby best
25    practices and treatment experiences would be shared;
26        (7) home locations shall be proposed by the provider in



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1    collaboration with other community stakeholders;
2        (8) staffing and financial resources shall be adequate
3    to meet the needs of the individuals served, including
4    their mental health needs;
5        (9) the staffing model shall allow for a high level of
6    community integration and engagement and family
7    involvement; and
8        (10) appropriate day services, staff training
9    priorities, and home modifications shall be incorporated
10    into the Program model.
11    Section 99. Effective date. This Act takes effect upon
12becoming law.".