98TH GENERAL ASSEMBLY
State of Illinois
2013 and 2014
SB0806

 

Introduced 1/24/2013, by Sen. John J. Cullerton

 

SYNOPSIS AS INTRODUCED:
 
325 ILCS 20/11  from Ch. 23, par. 4161

    Amends the Early Intervention Services System Act. Makes a technical change in a Section concerning family service plans.


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A BILL FOR

 

SB0806LRB098 05017 KTG 35048 b

1    AN ACT concerning children.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Early Intervention Services System Act is
5amended by changing Section 11 as follows:
 
6    (325 ILCS 20/11)  (from Ch. 23, par. 4161)
7    Sec. 11. Individualized Family Service Plans.
8    (a) Each eligible infant or toddler and and that infant's
9or toddler's family shall receive:
10        (1) timely, comprehensive, multidisciplinary
11    assessment of the unique needs of each eligible infant and
12    toddler, and assessment of the concerns and priorities of
13    the families to appropriately assist them in meeting their
14    needs and identify services to meet those needs; and
15        (2) a written Individualized Family Service Plan
16    developed by a multidisciplinary team which includes the
17    parent or guardian. The individualized family service plan
18    shall be based on the multidisciplinary team's assessment
19    of the resources, priorities, and concerns of the family
20    and its identification of the supports and services
21    necessary to enhance the family's capacity to meet the
22    developmental needs of the infant or toddler, and shall
23    include the identification of services appropriate to meet

 

 

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1    those needs, including the frequency, intensity, and
2    method of delivering services. During and as part of the
3    initial development of the individualized family services
4    plan, and any periodic reviews of the plan, the
5    multidisciplinary team shall consult the lead agency's
6    therapy guidelines and its designated experts, if any, to
7    help determine appropriate services and the frequency and
8    intensity of those services. All services in the
9    individualized family services plan must be justified by
10    the multidisciplinary assessment of the unique strengths
11    and needs of the infant or toddler and must be appropriate
12    to meet those needs. At the periodic reviews, the team
13    shall determine whether modification or revision of the
14    outcomes or services is necessary.
15    (b) The Individualized Family Service Plan shall be
16evaluated once a year and the family shall be provided a review
17of the Plan at 6 month intervals or more often where
18appropriate based on infant or toddler and family needs. The
19lead agency shall create a quality review process regarding
20Individualized Family Service Plan development and changes
21thereto, to monitor and help assure that resources are being
22used to provide appropriate early intervention services.
23    (c) The evaluation and initial assessment and initial Plan
24meeting must be held within 45 days after the initial contact
25with the early intervention services system. With parental
26consent, early intervention services may commence before the

 

 

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1completion of the comprehensive assessment and development of
2the Plan.
3    (d) Parents must be informed that, at their discretion,
4early intervention services shall be provided to each eligible
5infant and toddler in the natural environment, which may
6include the home or other community settings. Parents shall
7make the final decision to accept or decline early intervention
8services. A decision to decline such services shall not be a
9basis for administrative determination of parental fitness, or
10other findings or sanctions against the parents. Parameters of
11the Plan shall be set forth in rules.
12    (e) The regional intake offices shall explain to each
13family, orally and in writing, all of the following:
14        (1) That the early intervention program will pay for
15    all early intervention services set forth in the
16    individualized family service plan that are not covered or
17    paid under the family's public or private insurance plan or
18    policy and not eligible for payment through any other third
19    party payor.
20        (2) That services will not be delayed due to any rules
21    or restrictions under the family's insurance plan or
22    policy.
23        (3) That the family may request, with appropriate
24    documentation supporting the request, a determination of
25    an exemption from private insurance use under Section
26    13.25.

 

 

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1        (4) That responsibility for co-payments or
2    co-insurance under a family's private insurance plan or
3    policy will be transferred to the lead agency's central
4    billing office.
5        (5) That families will be responsible for payments of
6    family fees, which will be based on a sliding scale
7    according to income, and that these fees are payable to the
8    central billing office, and that if the family encounters a
9    catastrophic circumstance, as defined under subsection (f)
10    of Section 13 of this Act, making it unable to pay the
11    fees, the lead agency may, upon proof of inability to pay,
12    waive the fees.
13    (f) The individualized family service plan must state
14whether the family has private insurance coverage and, if the
15family has such coverage, must have attached to it a copy of
16the family's insurance identification card or otherwise
17include all of the following information:
18        (1) The name, address, and telephone number of the
19    insurance carrier.
20        (2) The contract number and policy number of the
21    insurance plan.
22        (3) The name, address, and social security number of
23    the primary insured.
24        (4) The beginning date of the insurance benefit year.
25    (g) A copy of the individualized family service plan must
26be provided to each enrolled provider who is providing early

 

 

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1intervention services to the child who is the subject of that
2plan.
3    (h) Children receiving services under this Act shall
4receive a smooth and effective transition by their third
5birthday consistent with federal regulations adopted pursuant
6to Sections 1431 through 1444 of Title 20 of the United States
7Code.
8(Source: P.A. 97-902, eff. 8-6-12.)