HB5000ham001 93RD GENERAL ASSEMBLY

Developmental Disabilities and Mental Illness Committee

Adopted in House Comm. on Mar 04, 2004

09300HB5000ham001 LRB093 16715 DRJ 48533 a

AMENDMENT TO HOUSE BILL 5000

AMENDMENT NO. ______. Amend House Bill 5000 by replacing everything after the enacting clause with the following:

"Section 5. The Department of Human Services Act is amended by adding Section 1-35 as follows:

(20 ILCS 1305/1-35 new)

Sec. 1-35. Community-based services contracting pilot project.

(a) The Department of Human Services may initiate a 2-year pilot project aimed at the improvement of delivery of community-based services by contract, which will increase the number of service contracts open to a competitive selection process, increase the number of programs contracted on a fee-for-service basis to attract federal Medicaid match dollars, and utilize performance-based contracts in the provision of such services. Only contracts for community-based services executed under this project shall be subject to a competitive selection process, a fee-for-services method of payment, and performance measurement. Nothing in this Section prohibits the Department from continuing to issue requests for proposals or entering into fee-for-service contracts that were subject to requests for proposals or a fee-for-services method of payment before January 1, 2004.

If implemented, the pilot project authorized by this Section shall be directed toward community-based services that assist Illinois residents in achieving self-sufficiency, independence and health to the maximum extent possible by providing integrated family-oriented services, promoting prevention, and establishing measurable outcomes in partnership with communities.

The 2-year pilot project must be implemented in a manner that ensures the continuation of existing client and provider relationships to the maximum extent possible in cases where there is an ongoing plan of treatment. The pilot project shall ensure that "critical access" providers of services, as defined by rule, continue to provide essential services to the communities serving persons who need such services.

(b) For the fiscal year beginning July 1, 2004, the Department shall limit the total amount of the contracts issued under this project or that are subject to fee-for-service requirements to $64,000,000 with respect to no more than the following services:

(1) Mental Health: Screening and Support Services.

(2) Mental Health: Preadmission Assessment and Screening.

(3) Rehabilitation Services: Extended Services Programs.

(4) Alcoholism and Substance Abuse: HIV Counseling and Testing.

(5) Alcoholism and Substance Abuse: Technical Assistance

(6) Developmental Disabilities: Self-Advocacy Training.

(7) Developmental Disabilities: Enhanced Respite Services in Underserved Areas.

(8) Community Health and Prevention: Abstinence Only Education.

(9) Community Health and Prevention: Early Intervention and Family Connections.

(10) Community Health and Prevention: Crossroads Program.

(11) Community Health and Prevention: Family Planning.

(12) Human Capital Development: Temporary Assistance for Needy Families (TANF) - Work First.

(13) Human Capital Development: Temporary Assistance for Needy Families (TANF) - Job Placement with Retention.

(14) Human Capital Development: Food Stamp Employment and Training with retention.

(15) Human Capital Development: Emergency Food Program.

(16) Human Capital Development: Emergency Food and Shelter Program.

(17) Human Capital Development: Donated Funds Initiative Employability Development Service (EDS).

The amount of the contracts to be issued and the programs affected for the fiscal year beginning July 1, 2005 shall be established by rule, which must be proposed by March 1, 2005.

(c) The Department must track real outcomes and achievements that improve the quality of life for people. Prospective bidders must provide affirmative statements in the proposals submitted regarding the services to be provided and the outcomes expected. Performance measurements must be incorporated into the requests-for-proposals. Deliverables must demonstrate performance and actual outcomes achieved. Under the performance-based contracting system, providers must be measured on the indicators set forth in the proposals submitted and the contracts formally executed. Requests-for-proposals shall be evaluated on the basis of a tool to be referenced by the Department as Performance-based Measures (PERMS), a web-based data collection system used by the Department to collect data on service delivery, to assess program progress, and to measure provider performance. Providers will report the services rendered in real time, online, daily. The system must be designed to support the quality of services, to promote creativity and innovation, and to ensure that resources are directed to areas of critical need. Under this pilot project, the Department shall not re-bid all of the community service contracts under its jurisdiction. The Department may only issue requests-for-proposals where an improved system is expected to result. The Department may execute multi-year agreements, when applicable, with annual renewals. In designing the pilot project and in issuing and evaluating requests-for-proposals, the Department must consult and utilize experts in the field.

(d) The Department must consult with stakeholders and consumers in the design, development, and implementation of this pilot project. The Department must conduct regional focus group discussions with stakeholders (including consumers and providers), legislators, foundations, trade associations, consumers, and advocacy groups in the development and evaluation of this system. The Department must implement a system using internet technology under which concerned individuals will be able to submit inquiries and receive responses about the system. The Department must issue quarterly reports and post on its internet website information about this project, information about roundtable discussions with stakeholders, the content and postings regarding the request-for-proposal process, the Department's work with foundations and other experts in grant-making, the evaluation of the request-for-proposal processes, and the Department's work with stakeholders in establishing criteria that will govern the determination of future additional program areas that may be included in the request-for-proposal process.

(e) The Department must establish an "ombudsman" system that will enable providers and consumers to resolve problems and disputes.

(f) The pilot project must be evaluated by an independent contractor with expertise in such matters, and a preliminary report on the progress and results of the project must be submitted to the Governor and General Assembly by March 1, 2005 and a final report March 1, 2006.

Section 10. The Community Services Act is amended by adding Section 4.4 as follows:

(405 ILCS 30/4.4 new)

Sec. 4.4. Medicaid recipients; separate billing. The Department of Human Services must bill the Department of Public Aid separately for services provided to recipients of medical assistance under Article V of the Illinois Public Aid Code through the Division of Mental Health and for services provided to such recipients through the Division of Developmental Disabilities.

Section 99. Effective date. This Act takes effect upon becoming law.".