97TH GENERAL ASSEMBLY
State of Illinois
2011 and 2012
SB3404

 

Introduced 2/7/2012, by Sen. Heather A. Steans

 

SYNOPSIS AS INTRODUCED:
 
405 ILCS 30/4  from Ch. 91 1/2, par. 904
405 ILCS 30/4.9 new

    Amends the Community Services Act. Provides that the Department of Human Services shall establish and maintain an actuarially sound (rather than equitable) system of payment which adequately funds the cost of providing services defined in the Act, allows providers to improve persons with disabilities mental illness or substance use dependencies, or both, and their capabilities for independence, and which reduces their reliance on State-operated services. Provides that the Department shall ensure that individuals with intellectual or developmental disabilities, or both, mental illness or substance use dependencies, or both, receiving services and supports in community-based settings are provided those services and supports according to the needs identified in the individual's independent assessment plan and that those services and supports are adequately funded. Provides that the Department shall ensure that individuals receiving services and supports in community-based settings as of the effective date of the amendatory Act are afforded access to the same array of services and supports as individuals receiving services and supports as a result of court ordered consent decree implementation plans or as a result of the downsizing or closure of State-operated facilities. Effective immediately.


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FISCAL NOTE ACT MAY APPLY

 

 

A BILL FOR

 

SB3404LRB097 19087 RLC 64326 b

1    AN ACT concerning mental health.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Community Services Act is amended by
5changing Section 4 and adding Section 4.9 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
9provide financial reimbursement to eligible private service
10providers, corporations, local government entities or
11voluntary associations for the provision of services to persons
12with mental illness, persons with a developmental disability
13and alcohol and drug dependent persons living in the community
14for the purpose of achieving the goals of this Act.
15    The Department shall utilize the following funding
16mechanisms for community services:
17        (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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1        (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.
9        (3) Other Funding Arrangements: funding mechanisms may
10    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 actuarially
14sound equitable system of payment which adequately funds the
15cost of providing services defined in this Act, allows
16providers to improve persons with disabilities' mental illness
17or substance use dependencies, or both, and their capabilities
18for independence, and which reduces their reliance on
19State-operated services.
20    For services classified as entitlement services under
21federal law or guidelines, caps may not be placed on the total
22amount of payment a provider may receive in a fiscal year and
23the Department shall not require that a portion of the payments
24due be made in a subsequent fiscal year based on a yearly
25payment cap.
26    (b) The Governor shall create a commission by September 1,

 

 

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12009, or as soon thereafter as possible, to review funding
2methodologies, identify gaps in funding, identify revenue, and
3prioritize use of that revenue for community developmental
4disability services, mental health services, alcohol and
5substance abuse services, rehabilitation services, and early
6intervention services. The Office of the Governor shall provide
7staff support for the commission.
8    (c) The first meeting of the commission shall be held
9within the first month after the creation and appointment of
10the commission, and a final report summarizing the commission's
11recommendations must be issued within 12 months after the first
12meeting, and no later than September 1, 2010, to the Governor
13and the General Assembly.
14    (d) The commission shall have the following 13 voting
15members:
16        (A) one member of the House of Representatives,
17    appointed by the Speaker of the House of Representatives;
18        (B) one member of the House of Representatives,
19    appointed by the House Minority Leader;
20        (C) one member of the Senate, appointed by the
21    President of the Senate;
22        (D) one member of the Senate, appointed by the Senate
23    Minority Leader;
24        (E) one person with a developmental disability, or a
25    family member or guardian of such a person, appointed by
26    the Governor;

 

 

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1        (F) one person with a mental illness, or a family
2    member or guardian of such a person, appointed by the
3    Governor;
4        (G) two persons from unions that represent employees of
5    community providers that serve people with developmental
6    disabilities, mental illness, and alcohol and substance
7    abuse disorders, appointed by the Governor; and
8        (H) five persons from statewide associations that
9    represent community providers that provide residential,
10    day training, and other developmental disability services,
11    mental health services, alcohol and substance abuse
12    services, rehabilitation services, or early intervention
13    services, or any combination of those, appointed by the
14    Governor.
15    The commission shall also have the following ex-officio,
16nonvoting members:
17        (I) the Director of the Governor's Office of Management
18    and Budget or his or her designee;
19        (J) the Chief Financial Officer of the Department of
20    Human Services or his or her designee;
21        (K) the Administrator of the Department of Healthcare
22    and Family Services Division of Finance or his or her
23    designee;
24        (L) the Director of the Department of Human Services
25    Division of Developmental Disabilities or his or her
26    designee;

 

 

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1        (M) the Director of the Department of Human Services
2    Division of Mental Health or his or her designee; and
3        (N) the Director of the Department of Human Services
4    Division of Alcoholism Alcohol and Substance Abuse or his
5    or her designee.
6    (e) The funding methodologies must reflect economic
7factors inherent in providing services and supports, recognize
8individual disability needs, and consider geographic
9differences, transportation costs, required staffing ratios,
10and mandates not currently funded.
11    (f) In accepting Department funds, providers shall
12recognize their responsibility to be accountable to the
13Department and the State for the delivery of services which are
14consistent with the philosophies and goals of this Act and the
15rules and regulations promulgated under it.
16(Source: P.A. 95-682, eff. 10-11-07; 96-652, eff. 8-24-09;
1796-1472, eff. 8-23-10; revised 11-18-11.)
 
18    (405 ILCS 30/4.9 new)
19    Sec. 4.9. Parity of services and supports. The Department
20shall ensure that individuals with intellectual or
21developmental disabilities, or both, mental illness or
22substance use dependencies, or both, receiving services and
23supports in community-based settings are provided those
24services and supports according to the needs identified in the
25individual's independent assessment plan and that those

 

 

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1services and supports are adequately funded. The Department
2shall ensure that individuals receiving services and supports
3in community-based settings as of the effective date of this
4amendatory Act of the 97th General Assembly are afforded access
5to the same array of services and supports as individuals
6receiving services and supports as a result of court ordered
7consent decree implementation plans or as a result of the
8downsizing or closure of State-operated facilities.
 
9    Section 99. Effective date. This Act takes effect upon
10becoming law.