Human Services Committee

Adopted in House Comm. on Mar 09, 2005

 

 


 

 


 
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1
AMENDMENT TO HOUSE BILL 2374

2     AMENDMENT NO. ______. Amend House Bill 2374 by replacing
3 everything after the enacting clause with the following:
 
4     "Section 1. Short title. This Act may be cited as the
5 Illinois Family Case Management Act.
 
6     Section 5. Legislative findings and purpose. The General
7 Assembly finds as follows:
8         (1) The statewide rate of infant mortality continues to
9     remain at an unacceptable level in regard to the national
10     average.
11         (2) Within the State of Illinois, certain areas and
12     populations continue to experience rates of infant
13     mortality far greater than either the statewide or national
14     averages. Prevention activities need to be statewide for
15     maximum benefit.
16         (3) Family case management services are proven to be
17     effective in improving the health of women and infants and
18     lowering the incidence of infant morbidity and mortality,
19     particularly those individuals linked to the Special
20     Supplemental Nutrition Program for Women, Infants and
21     Children (WIC).
22         (4) Family case management improves the health and
23     development of children and families by providing the
24     earliest identification of their needs and promoting

 

 

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1     linkages to address those needs.
2         (5) Data demonstrates significantly lower Medicaid
3     expenditures for pregnant and postpartum women and
4     children who have been enrolled in family case management
5     and WIC services than for Medicaid-eligible persons not
6     receiving case management services.
7     Therefore, as a critical component in delivering
8 comprehensive maternal and child health services in Illinois,
9 it is the purpose of this Act to provide for the establishment
10 and recognition of a program of family case management to
11 ensure and provide statewide wrap-around services targeted
12 toward reducing the incidence of infant mortality, very low
13 birthweight infants, and low birthweight infants within the
14 State.
 
15     Section 10. Definitions. In this Act:
16     "Department" means the Illinois Department of Human
17 Services.
18     "Eligible participant" means, subject to available
19 appropriations, any pregnant woman or child through the age of
20 4 years enrolled in Medicaid or whose income is up to 200% of
21 the federal poverty level.
22     "Eligible organization" includes certified local public
23 health departments, a federally qualified health center
24 (FQHC), and private nonprofit health or human service agencies.
25     "Family Case Management program" or "program" means the
26 program established under Section 15 of this Act.
27     "Infant mortality rate" means the number of infant deaths
28 per 1,000 live births as reported on a calendar year basis by
29 the federal Department of Health and Human Services.
30     "Secretary" means the Secretary of Human Services.
31     "Targeted Intensive Case Management" means services
32 provided to any program-eligible pregnant woman or infant
33 through the age of one, where an assessment has been performed

 

 

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1 that deems the participant at greater risk for infant mortality
2 or morbidity.
 
3     Section 15. Family Case Management Program. The Department
4 shall establish and administer a family case management
5 program. The purposes of the program shall be to reduce the
6 incidence of infant mortality, very low birthweight infants,
7 and low birthweight infants and to assist low-income families
8 to obtain available health and human services needed for
9 healthy growth and development, including but not limited to
10 prenatal care, early periodic screening, diagnosis, and
11 treatment (EPSDT) services, immunizations, lead screenings,
12 nutritional support, and other specialized services for
13 families with additional challenges and needs. Under the
14 program, case management shall involve individualized
15 assessment of needs, planning of services, referral,
16 monitoring, and advocacy to assist a client in gaining access
17 to appropriate services. Under the program, case management
18 shall be an active and collaborative process involving a
19 qualified case manager, the client, the client's family, and
20 service providers in the community. Priority shall be given to
21 ensure that Targeted Intensive Case Management, as defined in
22 this Act, is available to each qualified participant as defined
23 within the Department's rules and program standards.
 
24     Section 20. Maternal and Child Health Advisory Board.
25     (a) The Maternal and Child Health Advisory Board ("the
26 Board") is created within the Department to advise the
27 Department on the implementation of this Act, including
28 assessments and advice regarding rate structure, and other
29 activities related to maternal and child health and infant
30 mortality reduction programs in the State of Illinois. The
31 Board shall consist of the Secretary of Human Services (or his
32 or her designee), who shall serve as chairman, and one

 

 

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1 additional representative of the Department of Human Services
2 designated by the Secretary who has direct responsibility with
3 the family case management program; one representative each
4 from the Departments of Children and Family Services, Public
5 Health, and Public Aid; and 4 members of the Illinois General
6 Assembly, one each appointed by the President and Minority
7 Leader of the Senate and the Speaker and Minority Leader of the
8 House of Representatives. In addition, the Governor shall
9 appoint 17 additional members of the Board. Of the members
10 appointed by the Governor, 2 shall be physicians licensed to
11 practice medicine in all of its branches and Medicaid-eligible
12 providers, one of whom shall be an individual with a specialty
13 in obstetrics and gynecology and one of whom shall be an
14 individual with a specialty in pediatric medicine; 4
15 representatives from certified local health departments based
16 on recommendations made by the Illinois Association of Public
17 Health Administrators; 4 representatives from certified local
18 health departments based on recommendations made by the
19 Northern Illinois Public Health Consortium; a registered
20 professional nurse serving as a public health nurse within a
21 certified local health department; 4 individuals representing
22 community based programs providing family case management
23 services based on the recommendations of the Chicago Family
24 Case Management Coalition; and 2 consumers who are receiving or
25 have received family case management services.
26     Legislative members shall serve during their term of office
27 in the Illinois General Assembly. Members appointed by the
28 Governor shall serve a term of 3 years or until their
29 successors are appointed. Any member appointed to fill a
30 vacancy occurring prior to the expiration of the term for which
31 his or her predecessor was appointed shall be appointed for the
32 remainder of such term. Members of the Board shall serve
33 without compensation but shall be reimbursed for necessary
34 expenses incurred in the performance of their duties.

 

 

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1     (b) The Board shall advise the Secretary on efforts related
2 to maternal and child health programs, including infant
3 mortality reduction, in the State of Illinois. In addition, the
4 Board shall review and make recommendations to the Department
5 and the Governor in regard to the system for maternal and child
6 health programs, collaboration, and interrelation between and
7 delivery of programs including but not limited to Family Case
8 Management, Targeted Intensive Prenatal Case Management,
9 KidCare, Healthy Families Illinois, and HealthWorks. In
10 performing its duties, the Board may hold hearings throughout
11 the State and advise and receive advice from any local advisory
12 bodies created to address the infant mortality problem.
13     (c) The Board shall report to the General Assembly, on or
14 before April 15 of each year, a listing of activities taken in
15 regard to this Act and other efforts to address maternal and
16 child health and infant mortality in Illinois.
 
17     Section 25. Rules. Within one year after the effective date
18 of this Act, the Department shall adopt rules to implement this
19 Act. In developing the rules, the Department shall consult with
20 the Maternal and Child Health Advisory Board.
 
21     (410 ILCS 220/Act rep.)
22     Section 90. The Infant Mortality Reduction Act is repealed.
 
23     Section 95. The Prenatal and Newborn Care Act is amended by
24 changing Section 7 as follows:
 
25     (410 ILCS 225/7)  (from Ch. 111 1/2, par. 7027)
26     Sec. 7. Advisory board consultation. The Department shall
27 consult with the Maternal and Child Health Advisory Board
28 created under the Illinois Family Case Management Act the
29 Infant Mortality Reduction Advisory Board, established
30 pursuant to the Infant Mortality Reduction Act, as amended,

 

 

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1 regarding the implementation of this program. In addition, the
2 Board shall advise the Department on the coordination of
3 services provided under this program with services provided
4 under the Illinois Family Case Management Act Infant Mortality
5 Reduction Act and the Problem Pregnancy Health Services and
6 Care Act.
7 (Source: P.A. 86-860.)
 
8     Section 99. Effective date. This Act takes effect upon
9 becoming law.".