State of Illinois
90th General Assembly
Legislation

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90_SB1927

      405 ILCS 30/4             from Ch. 91 1/2, par. 904
          Amends the Community Services  Act.   Provides  that  the
      annual  appropriation  to the Department of Human Services to
      fund community services for the developmentally disabled  and
      mentally  ill  shall  include  a  percentage increase for the
      wages of direct  care  workers  that  is  equivalent  to  the
      Employment  Cost  Index for Health Service Occupations, which
      increase shall be in addition to any increase attributable to
      other factors, including cost of doing business increases for
      community services.  Provides that  the  increases  in  wages
      that  are  based on the Employment Cost Index for direct care
      workers  in  community   settings   shall   be   applied   to
      appropriations  to  the Department beginning July 1, 1998 for
      the State fiscal year 1999 and ending June 30, 2001  for  the
      State  fiscal  year 2001.  Provides that the Department shall
      receive certification  from  the  provider  agency  that  any
      increase appropriated pursuant to this amendatory Act of 1998
      shall  be  utilized in its entirety to provide wage increases
      to direct care workers.  Effective immediately.
                                                     LRB9011695SMdv
                                               LRB9011695SMdv
 1        AN ACT in relation to public services.
 2        Be it enacted by the People of  the  State  of  Illinois,
 3    represented in the General Assembly:
 4        Section  5.  The  Community  Services  Act  is amended by
 5    changing Section 4 as follows:
 6        (405 ILCS 30/4) (from Ch. 91 1/2, par. 904)
 7        Sec. 4.  Financing for Community Services. The Department
 8    of  Human  Services  is  authorized  to   provide   financial
 9    assistance    to    eligible   private   service   providers,
10    corporations,  local   government   entities   or   voluntary
11    associations  for  the  provision of services to persons with
12    mental illness, persons with a developmental  disability  and
13    alcohol  and  drug  dependent persons living in the community
14    for the purpose of achieving the goals of this Act.
15        The  Department  shall  utilize  the  following   funding
16    mechanisms for community services:
17             (1)  Purchase  of Care Contracts: services purchased
18        on a predetermined fee per unit  of  service  basis  from
19        private  providers  or  governmental  entities.  Fee  per
20        service  rates  are  set  by an established formula which
21        covers some portion of  personnel,  supplies,  and  other
22        allowable  costs,  and  which  makes  some  allowance for
23        geographic variations in costs as well as for  additional
24        program components.
25             (2)  Grants:  sums  of  money  which  the Department
26        grants to  private  providers  or  governmental  entities
27        pursuant  to  the  grant recipient's agreement to provide
28        certain  services,  as  defined  by  departmental   grant
29        guidelines,   to   an   approximate   number  of  service
30        recipients. Grant levels are set through consideration of
31        personnel, supply and other allowable costs, as  well  as
                            -2-                LRB9011695SMdv
 1        other funds available to the program.
 2             (3)  Other  Funding Arrangements: funding mechanisms
 3        may be established on a pilot basis in order  to  examine
 4        the feasibility of alternative financing arrangements for
 5        the provision of community services.
 6        The  annual  appropriation  to  the  Department  of Human
 7    Services  (formerly  the  Department  of  Mental  Health  and
 8    Developmental Disabilities) to fund  community  services  for
 9    the developmentally disabled and mentally ill shall include a
10    percentage increase for the wages of direct care workers that
11    is equivalent to the Employment Cost Index for Health Service
12    Occupations.   The increases for direct care workers shall be
13    in addition to any increases that are attributable  to  other
14    factors,  including  general cost of doing business increases
15    for community services.  The  increases  in  wages  that  are
16    based on the Employment Cost Index for direct care workers in
17    community  settings shall be applied to appropriations to the
18    Department beginning July 1, 1998 for the State  fiscal  year
19    1999  and  ending  June  30,  2001, for the State fiscal year
20    2001.
21        The  Department  shall  receive  certification  from  the
22    provider agency that any increase  appropriated  pursuant  to
23    this amendatory Act of 1998 shall be utilized in its entirety
24    to  provide  wage  increases  to  direct  care  workers.  The
25    Department  shall  monitor  the effects of these increases on
26    turnover of direct care staff and quality of care for persons
27    served and shall report the results to the Governor,  Speaker
28    of  the House of Representative, President of the Senate, and
29    the minority leaders of both Houses by January 1, 2002.
30        The Department shall strive to establish and maintain  an
31    equitable  system  of  payment  which encourages providers to
32    improve their  clients'  capabilities  for  independence  and
33    reduces   their   reliance  on  community  or  State-operated
34    services.  In accepting  Department  funds,  providers  shall
                            -3-                LRB9011695SMdv
 1    recognize  their  responsibility  to  be  accountable  to the
 2    Department and the State for the delivery of  services  which
 3    are  consistent  with  the philosophies and goals of this Act
 4    and the rules and regulations promulgated under it.
 5    (Source: P.A. 88-380; 89-507, eff. 7-1-97.)
 6        Section 99.  Effective date.  This Act takes effect  upon
 7    becoming law.

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