HB5057ham001 93RD GENERAL ASSEMBLY

Rep. Sara Feigenholtz

Filed: 3/23/2004

09300HB5057ham001 LRB093 19045 AMC 48972 a

AMENDMENT TO HOUSE BILL 5057

AMENDMENT NO. ______. Amend House Bill 5057, on page 7, by replacing lines 4 through 30 with the following:

"(20 ILCS 105/4.12 new)

Sec. 4.12. Assistance to nursing home residents.

(a) The Department on Aging shall assist nursing home residents and their families to select long-term care options that meet their needs and reflect their preferences. At any time during the process, the resident or his or her representative may decline further assistance.

(b) To provide assistance, the Department shall develop a community reintegration program. The program shall be established by rule pursuant to the Illinois Administrative Procedure Act and developed in consultation with nursing homes, case managers, Area Agencies on Aging, and others interested in the well-being of frail elderly Illinois residents. The rules shall address the following:

(1) Appropriate time frames for introducing the reintegration program to nursing home residents.

(2) A process for discussing community living options with the resident and the resident's family or representative to determine their preferences and to obtain information concerning the nature and availability of family and community assistance or support for the resident.

(3) Assessment of the resident's health, cognitive, and social needs to evaluate his or her functional level and eligibility and need for housing, health, and supportive services, including the opinions of the resident's personal physician, if any.

(4) Development of a comprehensive service transition plan based upon the best interests of the resident that includes cost-effective alternatives for which the resident would qualify and have been verified to be available upon discharge. The comprehensive service transition plans shall reflect:

(A) arrangements for housing, health, and supportive services for the resident;

(B) assistance in applying for financial assistance, if requested;

(C) environmental modifications and transitional services, equipment, and supplies to reestablish a community residence; and

(D) the provision of case management services and, if necessary, provisions for the readmission of the individual to a nursing home if the community placement is unsuccessful.

(5) A process for the resident and the resident's designated representative, if any, to review, approve, modify, or reject the comprehensive services transition plan, which shall include a procedure to present to and review the plan with the resident, the resident's designated representative, the resident's personal physician, if any, and the nursing facility staff responsible for the resident's care.

(c) The Director of Public Aid, in cooperation with the Director of Aging, shall apply for any necessary waivers under Title XIX of the Social Security Act.

(d) Funding to support community reintegration services must be identified in the appropriation process and is not intended to reduce the level of services provided to any other clients.".