State of Illinois
91st General Assembly
Legislation

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91_HB4168

 
                                               LRB9111445JMmb

 1        AN ACT concerning preventive services.

 2        Be it enacted by the People of  the  State  of  Illinois,
 3    represented in the General Assembly:

 4        Section  5.   The Illinois Act on the Aging is amended by
 5    changing Section 4.02 as follows:

 6        (20 ILCS 105/4.02) (from Ch. 23, par. 6104.02)
 7        Sec. 4.02.  Preventive  services.  The  Department  shall
 8    establish  a  program  of  services  to  prevent  unnecessary
 9    institutionalization  of  persons age 60 and older in need of
10    long term care or who are established as persons  who  suffer
11    from  Alzheimer's  disease  or  a  related disorder under the
12    Alzheimer's Disease Assistance Act, thereby enabling them  to
13    remain  in  their  own homes or in other living arrangements.
14    Such preventive services, which may be coordinated with other
15    programs for the aged and monitored by area agencies on aging
16    in cooperation with the Department, may include, but are  not
17    limited to, any or all of the following:
18        (a)  home health services;
19        (b)  home nursing services;
20        (c)  homemaker services;
21        (d)  chore and housekeeping services;
22        (e)  day care services;
23        (f)  home-delivered meals;
24        (g)  education in self-care;
25        (h)  personal care services;
26        (i)  adult day health services;
27        (j)  habilitation services;
28        (k)  respite care;
29        (l)  other nonmedical social services that may enable the
30    person to become self-supporting; or
31        (m)  clearinghouse  for  information  provided  by senior
 
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 1    citizen home owners who want to rent rooms to or share living
 2    space with other senior citizens.
 3        The Department shall establish eligibility standards  for
 4    such  services  taking into consideration the unique economic
 5    and social needs of the target population for whom  they  are
 6    to  be provided. Such eligibility standards shall be based on
 7    the  recipient's  ability  to  pay  for  services;  provided,
 8    however,  that  in  determining  the  amount  and  nature  of
 9    services for which a person may qualify, consideration  shall
10    not  be  given to the value of cash, property or other assets
11    held in the name of the person's spouse pursuant to a written
12    agreement dividing marital property into equal  but  separate
13    shares  or pursuant to a transfer of the person's interest in
14    a home to his spouse, provided that the spouse's share of the
15    marital property is not made available to the person  seeking
16    such  services. The Department shall, in conjunction with the
17    Department of Public Aid, seek appropriate  amendments  under
18    Sections  1915  and  1924  of  the  Social Security Act.  The
19    purpose of the amendments shall be to extend eligibility  for
20    home  and  community  based  services under Sections 1915 and
21    1924 of the Social Security Act to persons who transfer to or
22    for the benefit of a  spouse  those  amounts  of  income  and
23    resources  allowed  under Section 1924 of the Social Security
24    Act.   Subject  to  the  approval  of  such  amendments,  the
25    Department shall extend the provisions of Section 5-4 of  the
26    Illinois  Public  Aid  Code  to  persons  who,  but  for  the
27    provision  of home or community-based services, would require
28    the level of care provided in an institution, as is  provided
29    for  in  federal  law.  Those  persons  no longer found to be
30    eligible  for  receiving  noninstitutional  services  due  to
31    changes in the eligibility criteria shall be  given  60  days
32    notice  prior  to actual termination. Those persons receiving
33    notice of termination may contact the Department and  request
34    the  determination  be appealed at any time during the 60 day
 
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 1    notice period. With the exception of  the  lengthened  notice
 2    and  time  frame  for  the appeal request, the appeal process
 3    shall follow the normal procedure. In addition,  each  person
 4    affected  regardless  of  the  circumstances for discontinued
 5    eligibility shall be given  notice  and  the  opportunity  to
 6    purchase  the  necessary  services through the Community Care
 7    Program.  If  the  individual  does  not  elect  to  purchase
 8    services,  the  Department  shall  advise  the  individual of
 9    alternative services. The target  population  identified  for
10    the  purposes  of  this  Section are persons age 60 and older
11    with an identified service need.  Priority shall be given  to
12    those  who are at imminent risk of institutionalization.  The
13    services shall be provided to eligible  persons  age  60  and
14    older  to  the  extent that the cost of the services together
15    with the other personal maintenance expenses of  the  persons
16    are  reasonably related to the standards established for care
17    in a group facility appropriate to  the  person's  condition.
18    These   non-institutional   services,   pilot   projects   or
19    experimental  facilities  may  be  provided  as part of or in
20    addition to those authorized by federal law or  those  funded
21    and  administered  by  the Department of Human Services.  The
22    Departments of Human Services,  Public  Aid,  Public  Health,
23    Veterans'  Affairs,  and  Commerce  and Community Affairs and
24    other  appropriate  agencies  of  State,  federal  and  local
25    governments shall cooperate with the Department on  Aging  in
26    the  establishment  and  development of the non-institutional
27    services.  The Department shall require an annual audit  from
28    all chore/housekeeping and homemaker vendors contracting with
29    the  Department  under  this Section.  The annual audit shall
30    assure  that  each  audited  vendor's   procedures   are   in
31    compliance  with  Department's financial reporting guidelines
32    requiring a 27% administrative cost split and a 73%  employee
33    wages  and benefits cost split.  The audit is a public record
34    under the Freedom of Information Act.  The  Department  shall
 
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 1    execute,  relative  to the nursing home prescreening project,
 2    written inter-agency agreements with the Department of  Human
 3    Services  and  the  Department  of  Public Aid, to effect the
 4    following:  (1)  intake  procedures  and  common  eligibility
 5    criteria    for    those    persons    who    are   receiving
 6    non-institutional services; and  (2)  the  establishment  and
 7    development  of  non-institutional  services  in areas of the
 8    State  where  they  are  not  currently  available   or   are
 9    undeveloped.  On  and  after  July  1, 1996, all nursing home
10    prescreenings for individuals 60 years of age or older  shall
11    be conducted by the Department.
12        The  Department  is  authorized  to establish a system of
13    recipient copayment for services provided under this Section,
14    such copayment to be based upon the  recipient's  ability  to
15    pay  but in no case to exceed the actual cost of the services
16    provided. Additionally, any  portion  of  a  person's  income
17    which  is  equal to or less than the federal poverty standard
18    shall not be considered by the Department in determining  the
19    copayment.  The  level  of  such  copayment shall be adjusted
20    whenever necessary to reflect any change  in  the  officially
21    designated federal poverty standard.
22        The    Department,   or   the   Department's   authorized
23    representative, shall recover the amount of  moneys  expended
24    for  services provided to or in behalf of a person under this
25    Section by a claim against the person's estate or against the
26    estate of the person's surviving spouse, but no recovery  may
27    be had until after the death of the surviving spouse, if any,
28    and  then  only at such time when there is no surviving child
29    who is under  age  21,  blind,  or  permanently  and  totally
30    disabled.   This  paragraph, however, shall not bar recovery,
31    at the death of the person, of moneys for  services  provided
32    to  the  person or in behalf of the person under this Section
33    to which the person was  not  entitled;  provided  that  such
34    recovery  shall not be enforced against any real estate while
 
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 1    it is occupied as a homestead  by  the  surviving  spouse  or
 2    other  dependent,  if  no claims by other creditors have been
 3    filed against the estate, or, if such claims have been filed,
 4    they remain dormant for failure of prosecution or failure  of
 5    the  claimant  to compel administration of the estate for the
 6    purpose of payment.  This paragraph shall  not  bar  recovery
 7    from  the estate of a spouse, under Sections 1915 and 1924 of
 8    the Social Security Act  and  Section  5-4  of  the  Illinois
 9    Public  Aid  Code,  who  precedes a person receiving services
10    under this Section in death.  All moneys for services paid to
11    or in behalf of  the  person  under  this  Section  shall  be
12    claimed  for  recovery  from  the  deceased  spouse's estate.
13    "Homestead", as used in this paragraph,  means  the  dwelling
14    house  and  contiguous  real  estate  occupied by a surviving
15    spouse or relative, as defined by the rules  and  regulations
16    of  the  Illinois Department of Public Aid, regardless of the
17    value of the property.
18        The  Department  shall  develop  procedures  to   enhance
19    availability  of  services  on  evenings, weekends, and on an
20    emergency basis to meet  the  respite  needs  of  caregivers.
21    Procedures  shall  be  developed to permit the utilization of
22    services in successive blocks of 24 hours up to  the  monthly
23    maximum  established  by  the Department.   Workers providing
24    these services shall be appropriately trained.
25        The  Department  shall  work  in  conjunction  with   the
26    Alzheimer's   Task  Force  and  members  of  the  Alzheimer's
27    Association  and  other  senior  citizens'  organizations  in
28    developing these procedures by December 30, 1991.
29        Beginning on the effective date of this Amendatory Act of
30    1991, no person may perform chore/housekeeping and  homemaker
31    services  under  a  program authorized by this Section unless
32    that person has been issued a certificate of  pre-service  to
33    do  so  by his or her employing agency.  Information gathered
34    to effect such certification shall include (i)  the  person's
 
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 1    name,  (ii)  the  date  the  person  was  hired by his or her
 2    current employer, and (iii) the training, including dates and
 3    levels.  Persons engaged in the program  authorized  by  this
 4    Section  before  the effective date of this amendatory Act of
 5    1991 shall be issued a certificate of all pre- and in-service
 6    training  from  his  or  her  employer  upon  submitting  the
 7    necessary  information.   The  employing  agency   shall   be
 8    required  to  retain records of all staff pre- and in-service
 9    training, and shall provide such records  to  the  Department
10    upon  request and upon termination of the employer's contract
11    with the Department.  In addition, the  employing  agency  is
12    responsible  for the issuance of certifications of in-service
13    training completed to their employees.
14        The Department is required to develop a system to  ensure
15    that  persons  working  as  homemakers and chore housekeepers
16    receive increases in their wages  when  the  federal  minimum
17    wage  is  increased by requiring vendors to certify that they
18    are meeting the federal minimum wage statute  for  homemakers
19    and  chore housekeepers.  An employer that cannot ensure that
20    the minimum wage increase is being given  to  homemakers  and
21    chore   housekeepers   shall   be   denied  any  increase  in
22    reimbursement costs. Beginning  July  1,  2000,  the  vendors
23    shall  receive  a rate increase equal to the percent increase
24    in the federal minimum wage each  time  the  federal  minimum
25    wage is increased.
26        The  Department  on  Aging  and  the  Department of Human
27    Services shall cooperate in the development and submission of
28    an annual report on programs and services provided under this
29    Section.  Such joint report shall be filed with the  Governor
30    and the General Assembly on or before September 30 each year.
31        The  requirement  for  reporting  to the General Assembly
32    shall be satisfied by filing copies of the  report  with  the
33    Speaker,  the  Minority  Leader and the Clerk of the House of
34    Representatives and the President, the  Minority  Leader  and
 
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 1    the  Secretary  of  the  Senate  and the Legislative Research
 2    Unit, as required by Section  3.1  of  the  General  Assembly
 3    Organization  Act  and filing such additional copies with the
 4    State Government Report Distribution Center for  the  General
 5    Assembly  as  is required under paragraph (t) of Section 7 of
 6    the State Library Act.
 7        Those persons previously  found  eligible  for  receiving
 8    non-institutional  services  whose services were discontinued
 9    under the Emergency Budget Act of Fiscal Year 1992,  and  who
10    do  not  meet the eligibility standards in effect on or after
11    July 1, 1992, shall remain ineligible on and  after  July  1,
12    1992.   Those  persons  previously not required to cost-share
13    and who were required to cost-share effective March 1,  1992,
14    shall  continue  to meet cost-share requirements on and after
15    July 1, 1992.  Beginning July 1, 1992, all  clients  will  be
16    required   to   meet   eligibility,   cost-share,  and  other
17    requirements and will have services discontinued  or  altered
18    when they fail to meet these requirements.
19    (Source: P.A. 91-303, eff. 1-1-00.)

20        Section  10.   The Disabled Persons Rehabilitation Act is
21    amended by changing Section 3 as follows:

22        (20 ILCS 2405/3) (from Ch. 23, par. 3434)
23        Sec. 3.  Powers and duties. The Department shall have the
24    powers and duties enumerated herein:
25        (a)  To co-operate with the  federal  government  in  the
26    administration    of    the   provisions   of   the   federal
27    Rehabilitation Act of 1973,  as  amended,  of  the  Workforce
28    Investment  Act  of  1998, and of the federal Social Security
29    Act to the extent and in the manner provided in these Acts.
30        (b)  To  prescribe  and   supervise   such   courses   of
31    vocational training and provide such other services as may be
32    necessary  for the habilitation and rehabilitation of persons
 
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 1    with one or more disabilities, including  the  administrative
 2    activities  under  subsection  (e)  of  this  Section, and to
 3    co-operate with State and local school authorities and  other
 4    recognized  agencies  engaged in habilitation, rehabilitation
 5    and comprehensive rehabilitation services; and  to  cooperate
 6    with the Department of Children and Family Services regarding
 7    the   care  and  education  of  children  with  one  or  more
 8    disabilities.
 9        (c)  To make such reports and submit such  plans  to  the
10    federal  government  as are required by the provisions of the
11    federal Rehabilitation Act of 1973, as amended,  and  by  the
12    rules  and  regulations  of  the  federal  agency or agencies
13    administering the federal  Rehabilitation  Act  of  1973,  as
14    amended,  the  Workforce  Investment  Act  of  1998,  and the
15    federal Social Security Act.
16        (d)  To report in writing, to the Governor,  annually  on
17    or  before the first day of December, and at such other times
18    and in such manner and upon such subjects as the Governor may
19    require.  The annual report shall contain (1) a statement  of
20    the   existing   condition  of  comprehensive  rehabilitation
21    services, habilitation and rehabilitation in the State; (2) a
22    statement of suggestions and recommendations  with  reference
23    to  the development of comprehensive rehabilitation services,
24    habilitation and rehabilitation in  the  State;  and  (3)  an
25    itemized  statement  of  the  amounts  of money received from
26    federal, State and other sources,  and  of  the  objects  and
27    purposes  to  which  the  respective  items  of these several
28    amounts have been devoted.
29        (e)  To exercise, pursuant to Section  13  of  this  Act,
30    executive    and    administrative   supervision   over   all
31    institutions, divisions, programs and services  now  existing
32    or  hereafter  acquired  or created under the jurisdiction of
33    the Department, including, but not limited to, the following:
34        The  Illinois  School  for  the  Visually   Impaired   at
 
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 1    Jacksonville, as provided under Section 10 of this Act,
 2        The  Illinois  School  for  the  Deaf at Jacksonville, as
 3    provided under Section 10 of this Act, and
 4        The Illinois Center for Rehabilitation and Education,  as
 5    provided under Section 11 of this Act.
 6        (f)  To  establish  a  program  of  services  to  prevent
 7    unnecessary  institutionalization of persons with Alzheimer's
 8    disease and related disorders or persons in need of long term
 9    care who are established as blind or disabled as  defined  by
10    the  Social  Security Act, thereby enabling them to remain in
11    their own homes or other living arrangements. Such preventive
12    services may include, but are not limited to, any or  all  of
13    the following:
14             (1)  home health services;
15             (2)  home nursing services;
16             (3)  homemaker services;
17             (4)  chore and housekeeping services;
18             (5)  day care services;
19             (6)  home-delivered meals;
20             (7)  education in self-care;
21             (8)  personal care services;
22             (9)  adult day health services;
23             (10)  habilitation services;
24             (11)  respite care; or
25             (12)  other  nonmedical  social  services  that  may
26        enable the person to become self-supporting.
27        The  Department shall establish eligibility standards for
28    such services taking into consideration the  unique  economic
29    and  social  needs  of the population for whom they are to be
30    provided.  Such eligibility standards may  be  based  on  the
31    recipient's  ability  to pay for services; provided, however,
32    that any portion of a person's income that  is  equal  to  or
33    less   than   the  "protected  income"  level  shall  not  be
34    considered by the Department in determining eligibility.  The
 
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 1    "protected  income"  level  shall  be   determined   by   the
 2    Department,  shall  never  be  less  than the federal poverty
 3    standard, and shall be adjusted each year to reflect  changes
 4    in  the  Consumer  Price  Index  For  All  Urban Consumers as
 5    determined  by  the  United  States  Department   of   Labor.
 6    Additionally,   in  determining  the  amount  and  nature  of
 7    services for which a person may qualify, consideration  shall
 8    not  be  given to the value of cash, property or other assets
 9    held in the name of the person's spouse pursuant to a written
10    agreement dividing marital property into equal  but  separate
11    shares  or pursuant to a transfer of the person's interest in
12    a home to his spouse, provided that the spouse's share of the
13    marital property is not made available to the person  seeking
14    such services.
15        The  services  shall  be  provided to eligible persons to
16    prevent unnecessary or premature institutionalization, to the
17    extent that the cost of the services, together with the other
18    personal maintenance expenses of the persons, are  reasonably
19    related  to  the  standards  established  for care in a group
20    facility   appropriate    to    their    condition.     These
21    non-institutional  services,  pilot  projects or experimental
22    facilities may be provided as part of or in addition to those
23    authorized by federal law or those funded and administered by
24    the Illinois Department on Aging.
25        Personal care attendants shall be paid:
26             (i)  A $5 per hour minimum rate  beginning  July  1,
27        1995.
28             (ii)  A  $5.30  per hour minimum rate beginning July
29        1, 1997.
30             (iii)  A $5.40 per hour minimum rate beginning  July
31        1, 1998.
32    Beginning  July  1,  2000,  personal  care  attendants  shall
33    receive  a  percentage increase in wages equal to the percent
34    increase in the federal minimum wage each  time  the  federal
 
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 1    minimum wage is increased.
 2        The  Department  shall  execute,  relative to the nursing
 3    home prescreening project, as authorized by Section  4.03  of
 4    the   Illinois   Act   on  the  Aging,  written  inter-agency
 5    agreements with the Department on Aging and the Department of
 6    Public Aid, to effect the following:  (i)  intake  procedures
 7    and  common  eligibility  criteria  for those persons who are
 8    receiving   non-institutional   services;   and   (ii)    the
 9    establishment  and  development of non-institutional services
10    in areas of the State where they are not currently  available
11    or  are  undeveloped.  On and after July 1, 1996, all nursing
12    home prescreenings for individuals 18 through 59 years of age
13    shall be conducted by the Department.
14        The Department is authorized to  establish  a  system  of
15    recipient  cost-sharing  for  services  provided  under  this
16    Section.    The   cost-sharing   shall   be  based  upon  the
17    recipient's ability to pay for services, but in no case shall
18    the recipient's share exceed the actual cost of the  services
19    provided.   Protected  income  shall not be considered by the
20    Department in its determination of the recipient's ability to
21    pay  a  share  of  the  cost  of  services.   The  level   of
22    cost-sharing  shall  be adjusted each year to reflect changes
23    in the "protected income" level.  The Department shall deduct
24    from the recipient's share of the cost of services any  money
25    expended by the recipient for disability-related expenses.
26        The    Department,   or   the   Department's   authorized
27    representative, shall recover the amount of  moneys  expended
28    for  services provided to or in behalf of a person under this
29    Section by a claim against the person's estate or against the
30    estate of the person's surviving spouse, but no recovery  may
31    be had until after the death of the surviving spouse, if any,
32    and  then  only at such time when there is no surviving child
33    who is under  age  21,  blind,  or  permanently  and  totally
34    disabled.   This  paragraph, however, shall not bar recovery,
 
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 1    at the death of the person, of moneys for  services  provided
 2    to  the  person or in behalf of the person under this Section
 3    to which the person was  not  entitled;  provided  that  such
 4    recovery  shall not be enforced against any real estate while
 5    it is occupied as a homestead  by  the  surviving  spouse  or
 6    other  dependent,  if  no claims by other creditors have been
 7    filed against the estate, or, if such claims have been filed,
 8    they remain dormant for failure of prosecution or failure  of
 9    the  claimant  to compel administration of the estate for the
10    purpose of payment.  This paragraph shall  not  bar  recovery
11    from  the estate of a spouse, under Sections 1915 and 1924 of
12    the Social Security Act  and  Section  5-4  of  the  Illinois
13    Public  Aid  Code,  who  precedes a person receiving services
14    under this Section in death.  All moneys for services paid to
15    or in behalf of  the  person  under  this  Section  shall  be
16    claimed  for  recovery  from  the  deceased  spouse's estate.
17    "Homestead", as used in this paragraph,  means  the  dwelling
18    house  and  contiguous  real  estate  occupied by a surviving
19    spouse or relative, as defined by the rules  and  regulations
20    of  the  Illinois Department of Public Aid, regardless of the
21    value of the property.
22        The  Department  and  the  Department  on   Aging   shall
23    cooperate  in  the  development  and  submission of an annual
24    report on programs and services provided under this  Section.
25    Such  joint  report  shall be filed with the Governor and the
26    General Assembly on or before March 30 each year.
27        The requirement for reporting  to  the  General  Assembly
28    shall  be  satisfied  by filing copies of the report with the
29    Speaker, the Minority Leader and the Clerk of  the  House  of
30    Representatives  and  the  President, the Minority Leader and
31    the Secretary of the  Senate  and  the  Legislative  Research
32    Unit,  as  required  by  Section  3.1 of the General Assembly
33    Organization Act, and filing additional copies with the State
34    Government  Report  Distribution  Center  for   the   General
 
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 1    Assembly  as required under paragraph (t) of Section 7 of the
 2    State Library Act.
 3        (g)  To establish such subdivisions of the Department  as
 4    shall be desirable and assign to the various subdivisions the
 5    responsibilities  and  duties  placed  upon the Department by
 6    law.
 7        (h)  To cooperate and enter into any necessary agreements
 8    with the Department of Employment Security for the  provision
 9    of  job placement and job referral services to clients of the
10    Department,  including  job  service  registration  of   such
11    clients  with Illinois Employment Security offices and making
12    job listings  maintained  by  the  Department  of  Employment
13    Security available to such clients.
14        (i)  To  possess  all powers reasonable and necessary for
15    the exercise and administration of  the  powers,  duties  and
16    responsibilities  of the Department which are provided for by
17    law.
18        (j)  To establish a procedure whereby  new  providers  of
19    personal care attendant services shall submit vouchers to the
20    State  for  payment  two  times  during  their first month of
21    employment and one time per month  thereafter.   In  no  case
22    shall  the  Department pay personal care attendants an hourly
23    wage that is less than the federal minimum wage.
24        (k)  To provide adequate notice to providers of chore and
25    housekeeping services informing them that they  are  entitled
26    to  an  interest payment on bills which are not promptly paid
27    pursuant to Section 3 of the State Prompt Payment Act.
28        (l)  To  establish,  operate  and  maintain  a  Statewide
29    Housing Clearinghouse of information on available, government
30    subsidized  housing  accessible  to  disabled   persons   and
31    available  privately  owned  housing  accessible  to disabled
32    persons.  The information shall include but not be limited to
33    the  location,  rental  requirements,  access  features   and
34    proximity to public transportation of available housing.  The
 
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 1    Clearinghouse  shall  consist  of  at  least  a  computerized
 2    database  for  the storage and retrieval of information and a
 3    separate or shared toll free  telephone  number  for  use  by
 4    those seeking information from the Clearinghouse.  Department
 5    offices  and personnel throughout the State shall also assist
 6    in the operation  of  the  Statewide  Housing  Clearinghouse.
 7    Cooperation  with  local,  State and federal housing managers
 8    shall be sought and  extended  in  order  to  frequently  and
 9    promptly update the Clearinghouse's information.
10    (Source: P.A.  90-365, eff. 8-10-97; 91-540, eff. 8-13-99.)

11        Section  99.  Effective date.  This Act takes effect July
12    1, 2000.

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