97TH GENERAL ASSEMBLY
State of Illinois
2011 and 2012
HB1426

 

Introduced , by Rep. John E. Bradley

 

SYNOPSIS AS INTRODUCED:
 
320 ILCS 42/20

    Amends the Older Adult Services Act. Requires the Department on Aging to investigate the cost of complying with the Act's provisions concerning the expansion of older adult community-based services, and to report these findings to the appropriation committees of both chambers assigned to hear the agency's budget no later than January 1, 2012. Requires the Department to recommend action in the alternative if the Department determines that compliance is cost prohibitive, and to identify priority service areas for the purpose of directing the allocation of new resources and the reallocation of existing resources to areas of greatest need. Changes the types of projects the Department may include in its Older Adult Services Demonstration Grants program. Makes other changes. Effective immediately.


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FISCAL NOTE ACT MAY APPLY

 

 

A BILL FOR

 

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1    AN ACT concerning aging.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Older Adult Services Act is amended by
5changing Section 20 as follows:
 
6    (320 ILCS 42/20)
7    Sec. 20. Priority service areas; service expansion.
8    (a) (Blank) The requirements of this Section are subject to
9the availability of funding.
10    (b) The Department, subject to appropriation, shall expand
11older adult services that promote independence and permit older
12adults to remain in their own homes and communities. Priority
13shall be given to both the expansion of services and the
14development of new services in priority service areas.
15    (c) Inventory of services. The Department shall develop and
16maintain an inventory and assessment of (i) the types and
17quantities of public older adult services and, to the extent
18possible, privately provided older adult services, including
19the unduplicated count, location, and characteristics of
20individuals served by each facility, program, or service and
21(ii) the resources supporting those services, no later than
22July 1, 2012. The Department shall investigate the cost of
23compliance with this provision and report these findings to the

 

 

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1appropriation committees of both chambers assigned to hear the
2agency's budget no later than January 1, 2012. If the
3Department determines that compliance is cost prohibitive, it
4shall recommend action in the alternative to achieve the intent
5of this Section and identify priority service areas for the
6purpose of directing the allocation of new resources and the
7reallocation of existing resources to areas of greatest need.
8    (d) Priority service areas. The Departments shall assess
9the current and projected need for older adult services
10throughout the State, analyze the results of the inventory, and
11identify priority service areas, which shall serve as the basis
12for a priority service plan to be filed with the Governor and
13the General Assembly no later than July 1, 2006, and every 5
14years thereafter. The January 1, 2012 report required under
15subsection (c) of this Section shall serve as compliance with
16the July 1, 2011 reporting requirement.
17    (e) Moneys appropriated by the General Assembly for the
18purpose of this Section, receipts from transfers, donations,
19grants, fees, or taxes that may accrue from any public or
20private sources to the Department for the purpose of providing
21services and care to older adult services this Section, and
22savings attributable to the nursing home conversion program as
23calculated in subsection (h) shall be deposited into the
24Department on Aging State Projects Fund. Interest earned by
25those moneys in the Fund shall be credited to the Fund.
26    (f) Moneys described in subsection (e) from the Department

 

 

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1on Aging State Projects Fund shall be used for older adult
2services, regardless of where the older adult receives the
3service, with priority given to both the expansion of services
4and the development of new services in priority service areas.
5Fundable services shall include:
6        (1) Housing, health services, and supportive services:
7            (A) adult day care;
8            (B) adult day care for persons with Alzheimer's
9        disease and related disorders;
10            (C) activities of daily living;
11            (D) care-related supplies and equipment;
12            (E) case management;
13            (F) community reintegration;
14            (G) companion;
15            (H) congregate meals;
16            (I) counseling and education;
17            (J) elder abuse prevention and intervention;
18            (K) emergency response and monitoring;
19            (L) environmental modifications;
20            (M) family caregiver support;
21            (N) financial;
22            (O) home delivered meals;
23            (P) homemaker;
24            (Q) home health;
25            (R) hospice;
26            (S) laundry;

 

 

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1            (T) long-term care ombudsman;
2            (U) medication reminders;
3            (V) money management;
4            (W) nutrition services;
5            (X) personal care;
6            (Y) respite care;
7            (Z) residential care;
8            (AA) senior benefits outreach;
9            (BB) senior centers;
10            (CC) services provided under the Assisted Living
11        and Shared Housing Act, or sheltered care services that
12        meet the requirements of the Assisted Living and Shared
13        Housing Act, or services provided under Section
14        5-5.01a of the Illinois Public Aid Code (the Supportive
15        Living Facilities Program);
16            (DD) telemedicine devices to monitor recipients in
17        their own homes as an alternative to hospital care,
18        nursing home care, or home visits;
19            (EE) training for direct family caregivers;
20            (FF) transition;
21            (GG) transportation;
22            (HH) wellness and fitness programs; and
23            (II) other programs designed to assist older
24        adults in Illinois to remain independent and receive
25        services in the most integrated residential setting
26        possible for that person.

 

 

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1        (2) Older Adult Services Demonstration Grants,
2    pursuant to subsection (g) of this Section.
3    (g) Older Adult Services Demonstration Grants. The
4Department may shall establish a program of demonstration
5grants to assist in the restructuring of the delivery system
6for older adult services and provide funding for innovative
7service delivery models and system change and integration
8initiatives. The Department shall prescribe, by rule, the grant
9application process. At a minimum, every application must
10include:
11        (1) The type of grant sought;
12        (2) A description of the project;
13        (3) The objective of the project;
14        (4) The likelihood of the project meeting identified
15    needs;
16        (5) The plan for financing, administration, and
17    evaluation of the project;
18        (6) The timetable for implementation;
19        (7) The roles and capabilities of responsible
20    individuals and organizations;
21        (8) Documentation of collaboration with other service
22    providers, local community government leaders, and other
23    stakeholders, other providers, and any other stakeholders
24    in the community;
25        (9) Documentation of community support for the
26    project, including support by other service providers,

 

 

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1    local community government leaders, and other
2    stakeholders;
3        (10) The total budget for the project;
4        (11) The financial condition of the applicant; and
5        (12) Any other application requirements that may be
6    established by the Department by rule.
7    Each project may include provisions for a designated staff
8person who is responsible for the development of the project
9and recruitment of providers.
10    Projects may include, but are not limited to: adult family
11foster care; family adult day care; assisted living in a
12supervised apartment; personal services in a subsidized
13housing project; small incentive grants to attract new
14providers; money following the person; cash and counseling;
15managed long-term care; respite care; training for caregivers;
16community-based support groups; and specialized assisted
17living units evening and weekend home care coverage; small
18incentive grants to attract new providers; money following the
19person; cash and counseling; managed long-term care; and at
20least one respite care project that establishes a local
21coordinated network of volunteer and paid respite workers,
22coordinates assignment of respite workers to caregivers and
23older adults, ensures the health and safety of the older adult,
24provides training for caregivers, and ensures that support
25groups are available in the community.
26    A demonstration project funded in whole or in part by an

 

 

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1Older Adult Services Demonstration Grant is exempt from the
2requirements of the Illinois Health Facilities Planning Act. To
3the extent applicable, however, for the purpose of maintaining
4the statewide inventory authorized by the Illinois Health
5Facilities Planning Act, the Department shall send to the
6Health Facilities and Services Review Board a copy of each
7grant award made under this subsection (g).
8    The Department, in collaboration with the Departments of
9Public Health and Healthcare and Family Services, shall
10evaluate the effectiveness of the projects receiving grants
11under this Section.
12    (h) No later than July 1 of each year, the Department of
13Public Health shall provide information to the Department of
14Healthcare and Family Services to enable the Department of
15Healthcare and Family Services to annually document and verify
16the savings attributable to the nursing home conversion program
17for the previous fiscal year to estimate an annual amount of
18such savings that may be appropriated to the Department on
19Aging State Projects Fund and notify the General Assembly, the
20Department on Aging, the Department of Human Services, and the
21Advisory Committee of the savings no later than October 1 of
22the same fiscal year.
23(Source: P.A. 95-331, eff. 8-21-07; 96-31, eff. 6-30-09.)
 
24    Section 99. Effective date. This Act takes effect upon
25becoming law.