103RD GENERAL ASSEMBLY
State of Illinois
2023 and 2024
SB2341

 

Introduced 2/10/2023, by Sen. Dale Fowler

 

SYNOPSIS AS INTRODUCED:
 
305 ILCS 5/5-5.01a

    Amends the Medical Assistance Article of the Illinois Public Aid Code. In provisions concerning the supportive living facilities program, provides that a facility selected by the Department of Healthcare and Family Services to participate in the supportive living facilities program may employ direct support persons who are at least 18 years of age and have successfully completed a direct support persons training program, approved by the Department of Human Services, within 120 days of their date of hire or the date they were first assigned direct support responsibilities at the facility. Requires the facility to check the Department of Public Health's Health Care Worker Registry to verify that an individual hired to provide direct support services is listed on the Registry as eligible to work for a health care employer. Provides that the responsibilities of a direct support person hired in accordance with the amendatory Act shall include, but not be limited to: (i) following and helping to carry out a facility resident's written service plan; (ii) providing personal care services to facility residents, including, but not limited to, bathing, eating, dressing, personal hygiene, grooming, toileting, ambulation, medication reminders, and assistance with transfer; (iii) observing a facility resident's functioning, maintaining written records of those observations, and reporting any changes to a licensed nurse on duty at the facility; and (iv) attending initial training and in-service training sessions and staff conferences.


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A BILL FOR

 

SB2341LRB103 28660 KTG 55041 b

1    AN ACT concerning public aid.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Illinois Public Aid Code is amended by
5changing Section 5-5.01a as follows:
 
6    (305 ILCS 5/5-5.01a)
7    Sec. 5-5.01a. Supportive living facilities program.
8    (a) The Department shall establish and provide oversight
9for a program of supportive living facilities that seek to
10promote resident independence, dignity, respect, and
11well-being in the most cost-effective manner.
12    A supportive living facility is (i) a free-standing
13facility or (ii) a distinct physical and operational entity
14within a mixed-use building that meets the criteria
15established in subsection (d). A supportive living facility
16integrates housing with health, personal care, and supportive
17services and is a designated setting that offers residents
18their own separate, private, and distinct living units.
19    Sites for the operation of the program shall be selected
20by the Department based upon criteria that may include the
21need for services in a geographic area, the availability of
22funding, and the site's ability to meet the standards.
23    (b) Beginning July 1, 2014, subject to federal approval,

 

 

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1the Medicaid rates for supportive living facilities shall be
2equal to the supportive living facility Medicaid rate
3effective on June 30, 2014 increased by 8.85%. Once the
4assessment imposed at Article V-G of this Code is determined
5to be a permissible tax under Title XIX of the Social Security
6Act, the Department shall increase the Medicaid rates for
7supportive living facilities effective on July 1, 2014 by
89.09%. The Department shall apply this increase retroactively
9to coincide with the imposition of the assessment in Article
10V-G of this Code in accordance with the approval for federal
11financial participation by the Centers for Medicare and
12Medicaid Services.
13    The Medicaid rates for supportive living facilities
14effective on July 1, 2017 must be equal to the rates in effect
15for supportive living facilities on June 30, 2017 increased by
162.8%.
17    The Medicaid rates for supportive living facilities
18effective on July 1, 2018 must be equal to the rates in effect
19for supportive living facilities on June 30, 2018.
20    Subject to federal approval, the Medicaid rates for
21supportive living services on and after July 1, 2019 must be at
22least 54.3% of the average total nursing facility services per
23diem for the geographic areas defined by the Department while
24maintaining the rate differential for dementia care and must
25be updated whenever the total nursing facility service per
26diems are updated. Beginning July 1, 2022, upon the

 

 

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1implementation of the Patient Driven Payment Model, Medicaid
2rates for supportive living services must be at least 54.3% of
3the average total nursing services per diem rate for the
4geographic areas. For purposes of this provision, the average
5total nursing services per diem rate shall include all add-ons
6for nursing facilities for the geographic area provided for in
7Section 5-5.2. The rate differential for dementia care must be
8maintained in these rates and the rates shall be updated
9whenever nursing facility per diem rates are updated.
10    (c) The Department may adopt rules to implement this
11Section. Rules that establish or modify the services,
12standards, and conditions for participation in the program
13shall be adopted by the Department in consultation with the
14Department on Aging, the Department of Rehabilitation
15Services, and the Department of Mental Health and
16Developmental Disabilities (or their successor agencies).
17    (c-5) A facility selected by the Department to participate
18in the supportive living facilities program may employ direct
19support persons who are at least 18 years of age and have
20successfully completed a direct support persons training
21program, approved by the Department of Human Services, within
22120 days of their date of hire or the date they were first
23assigned direct support responsibilities at the facility. The
24facility must check the Department of Public Health's Health
25Care Worker Registry to verify that an individual hired to
26provide direct support services is listed on the Registry as

 

 

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1eligible to work for a health care employer. The
2responsibilities of a direct support person hired in
3accordance with this subsection shall include, but not be
4limited to:
5        (1) Following and helping to carry out a facility
6    resident's written service plan.
7        (2) Providing personal care services to facility
8    residents, including, but not limited to, bathing, eating,
9    dressing, personal hygiene, grooming, toileting,
10    ambulation, medication reminders, and assistance with
11    transfer.
12        (3) Observing a facility resident's functioning,
13    maintaining written records of those observations, and
14    reporting any changes to a licensed nurse on duty at the
15    facility.
16        (4) Attending initial training and in-service training
17    sessions and staff conferences.
18    (d) Subject to federal approval by the Centers for
19Medicare and Medicaid Services, the Department shall accept
20for consideration of certification under the program any
21application for a site or building where distinct parts of the
22site or building are designated for purposes other than the
23provision of supportive living services, but only if:
24        (1) those distinct parts of the site or building are
25    not designated for the purpose of providing assisted
26    living services as required under the Assisted Living and

 

 

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1    Shared Housing Act;
2        (2) those distinct parts of the site or building are
3    completely separate from the part of the building used for
4    the provision of supportive living program services,
5    including separate entrances;
6        (3) those distinct parts of the site or building do
7    not share any common spaces with the part of the building
8    used for the provision of supportive living program
9    services; and
10        (4) those distinct parts of the site or building do
11    not share staffing with the part of the building used for
12    the provision of supportive living program services.
13    (e) Facilities or distinct parts of facilities which are
14selected as supportive living facilities and are in good
15standing with the Department's rules are exempt from the
16provisions of the Nursing Home Care Act and the Illinois
17Health Facilities Planning Act.
18    (f) Section 9817 of the American Rescue Plan Act of 2021
19(Public Law 117-2) authorizes a 10% enhanced federal medical
20assistance percentage for supportive living services for a
2112-month period from April 1, 2021 through March 31, 2022.
22Subject to federal approval, including the approval of any
23necessary waiver amendments or other federally required
24documents or assurances, for a 12-month period the Department
25must pay a supplemental $26 per diem rate to all supportive
26living facilities with the additional federal financial

 

 

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1participation funds that result from the enhanced federal
2medical assistance percentage from April 1, 2021 through March
331, 2022. The Department may issue parameters around how the
4supplemental payment should be spent, including quality
5improvement activities. The Department may alter the form,
6methods, or timeframes concerning the supplemental per diem
7rate to comply with any subsequent changes to federal law,
8changes made by guidance issued by the federal Centers for
9Medicare and Medicaid Services, or other changes necessary to
10receive the enhanced federal medical assistance percentage.
11(Source: P.A. 101-10, eff. 6-5-19; 102-43, eff. 7-6-21;
12102-699, eff. 4-19-22.)