103RD GENERAL ASSEMBLY
State of Illinois
2023 and 2024
HB3629

 

Introduced 2/17/2023, by Rep. Anna Moeller

 

SYNOPSIS AS INTRODUCED:
 
210 ILCS 45/Art. V heading new
210 ILCS 45/5-101 new
210 ILCS 45/5-105 new
210 ILCS 45/5-110 new

    Amends the Nursing Home Care Act. Creates the Transition and Emergency Home Services Article. Provides that within 4 months after the effective date of the amendatory Act, the Department of Human Services shall create a program to provide nursing services and assistance with activities of daily living sufficient to allow individuals who otherwise qualify for placement in a nursing facility to receive short-term services in the community. Provides that the short-term services shall cover both: (1) emergency home services for individuals currently receiving home services who experience a temporary need for a substitute personal assistant because of the unavailability of their other home services providers; and (2) short-term services to bridge periods between release from medical or institutional settings and establishment of long-term home services under a State waiver or other arrangements that allow the individual to live in the community. Provides that a person receiving benefits under Title XVI of the Social Security Act and residing in a facility, shall receive a personal needs allowance of $90 per monthly, with the Department providing $60 per month in addition to the amount required under Title XVI of the Social Security Act. Provides that facility owners, management, and employees are prohibited from retaliating against facility residents or employees who complain about facility services, including the facility's physical condition, medical care, social supports and services, access to visitation and time outside the facility, and any other attribute connected to a resident's experience of living in a facility. Makes other changes.


LRB103 30276 CPF 56704 b

 

 

A BILL FOR

 

HB3629LRB103 30276 CPF 56704 b

1    AN ACT concerning regulation.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Nursing Home Care Act is amended by adding
5Article V as follows:
 
6    (210 ILCS 45/Art. V heading new)
7
ARTICLE V TRANSITIONAL AND EMERGENCY HOME SERVICES

 
8    (210 ILCS 45/5-101 new)
9    Sec. 5-101. Transitional and Emergency Home Services.
10    (a) Within 4 months of the effective date of this
11amendatory Act of the 103rd General Assembly, the Department
12of Human Services shall create a program to provide nursing
13services and assistance with activities of daily living
14sufficient to allow individuals who otherwise qualify for
15placement in a nursing facility to receive short-term services
16in the community. The short-term services shall cover both:
17(i) emergency home services for individuals currently
18receiving home services who experience a temporary need for a
19substitute personal assistant because of the unavailability of
20the individual's other home services providers; and (ii)
21short-term services to bridge periods between release from
22medical or institutional settings and establishment of

 

 

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1long-term home services under a State waiver or other
2arrangements that allow the individual to live in the
3community. To accomplish this goal, at a minimum the program
4must:
5        (1) determine eligibility for those at risk of
6    placement in a facility in no more than 24 hours from the
7    time of the request for services;
8        (2) provide every service available under any State
9    Medicaid waiver program. Those services shall include, but
10    not be limited to, medication management, toileting,
11    transferring, catheterization, and bathing;
12        (3) provide emergency services to State waiver
13    recipients who experience a temporary, unanticipated
14    interruption in services, regardless of the type of waiver
15    serving the recipient or the age of the recipient; and
16        (4) for those at risk of placement in a facility, the
17    short-term service must continue until a full assessment
18    of waiver eligibility is complete and there is either a
19    finding of ineligibility for waiver services or long-term
20    services under the appropriate waiver have begun.
 
21    (210 ILCS 45/5-105 new)
22    Sec. 5-105. Personal needs allowance.
23    (a) A person receiving benefits under Title XVI of the
24Social Security Act, or 42 U.S.C. 1381 and residing in a
25facility, shall receive a personal needs allowance of $90 per

 

 

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1month, with the Department of Human Services providing $60 per
2month in addition to the amount required under Title XVI of the
3Social Security Act.
4    (b) Beginning January 1 of the year following the
5effective date of this amendatory Act of the 103rd General
6Assembly, and each year thereafter, the personal needs
7allowance shall be increased by the percentage cost-of-living
8adjustment for the Old Age, Survivors, and Disability Social
9Security Benefits as published by the federal Social Security
10Administration, subject to the maximum personal needs
11allowance permissible under the federal Social Security Act.
 
12    (210 ILCS 45/5-110 new)
13    Sec. 5-110. Prohibition on retaliation for resident or
14facility employee complaint.
15    (a) Facility owners, management, and employees are
16prohibited from retaliating against facility residents or
17employees who complain about facility services including the
18facility's physical condition, medical care, social supports
19and services, access to visitation and time outside the
20facility, and any other attribute connected to a resident's
21experience of living in a facility.
22    (b) There is a rebuttable presumption of retaliation if a
23resident or employee experiences reduced access to services,
24neglect, selective restrictions, hostility, transfer to
25another facility, reduction of work hours, reassignment to

 

 

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1less desirable hours, or threats to take any of these actions
2within a year after a resident or employee:
3        (1) complains of violations or problems applicable to
4    the facility to a competent governmental agency, elected
5    representative, or other individual responsible for
6    enforcing any code applicable to a facility;
7        (2) complains of violations or problems applicable to
8    a facility to a community organization or the news media;
9        (3) complains of violations or problems applicable to
10    a facility to an ombudsman;
11        (4) complains of building, health, or similar code
12    violations or an illegal facility practice to any
13    government official, ombudsman, or member of the public;
14        (5) seeks the assistance of a community organization,
15    union, or the news media to remedy a violation or improper
16    practice;
17        (6) seeks assistance for themselves or others to
18    transition to independent living;
19        (7) requests the facility make repairs, address
20    grievances, meet regulatory requirements under a building
21    code, health ordinance, or other regulation;
22        (8) requests the facility comply with a care plan;
23        (9) becomes a member of a resident council, resident
24    union, employee union, or similar organization;
25        (10) testifies in any court or administrative
26    proceeding concerning the condition of the facility; or

 

 

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1        (11) took other good faith action in support of any
2    other right or remedy provided by law.
3    (c) Whoever retaliates as prohibited by this Act is liable
4for each and every offense for all remedies available at law,
5including, but not limited to, future pecuniary losses,
6emotional pain, suffering, inconvenience, mental anguish, loss
7of enjoyment of life, and other nonpecuniary losses, plus
8attorney's fees and costs. In addition, where the facility or
9facility management is found to have retaliated as prohibited
10by this Act, the facility is liable to the complaining
11resident for a penalty in the additional amount of 2 times the
12facility's monthly billing for that resident.
13    (d) A resident may allege retaliation as an affirmative
14defense to any action to remove or transfer the resident from a
15facility.
16    (e) A claim for retaliation under this Act may be filed in
17any court of competent jurisdiction or any administrative
18hearing process operated by or through the State and its
19departments.
20    (f) The Office of the State Long Term Care Ombudsman shall
21have the power, either directly or by contract with another
22entity, to provide legal services to represent residents who
23experience retaliation as prohibited by this Act.
24    (g) The Attorney General shall have the power to enjoin
25retaliation and seek payment of the penalty provided in
26subsection (c) when the retaliatory conduct impacts 3 or more

 

 

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1residents or employees.