State of Illinois
91st General Assembly
Legislation

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91_HB1308

 
                                               LRB9102096JMmb

 1        AN ACT to amend the Illinois Act on the Aging by changing
 2    Section 4.02.

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

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

 7        (20 ILCS 105/4.02) (from Ch. 23, par. 6104.02)
 8        Sec. 4.02.  The Department shall establish a  program  of
 9    services   to  prevent  unnecessary  institutionalization  of
10    persons age 60 and older in need of long term care or who are
11    established as persons who suffer from Alzheimer's disease or
12    a related disorder under the Alzheimer's  Disease  Assistance
13    Act, thereby enabling them to remain in their own homes or in
14    other  living  arrangements.  Such preventive services, which
15    may be coordinated with  other  programs  for  the  aged  and
16    monitored  by  area agencies on aging in cooperation with the
17    Department, may include, but are not limited to, any  or  all
18    of the following:
19        (a)  home health services;
20        (b)  home nursing services;
21        (c)  homemaker services;
22        (d)  chore and housekeeping services;
23        (e)  day care services;
24        (f)  home-delivered meals;
25        (g)  education in self-care;
26        (h)  personal care services;
27        (i)  adult day health services;
28        (j)  habilitation services;
29        (k)  respite care; or
30        (l)  other nonmedical social services that may enable the
31    person to become self-supporting; or.
 
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 1        (m)  clearinghouse  for  information  provided  by senior
 2    citizen home owners who want to rent rooms to or share living
 3    space with other senior citizens.
 4        The Department shall establish eligibility standards  for
 5    such  services  taking into consideration the unique economic
 6    and social needs of the target population for whom  they  are
 7    to  be provided. Such eligibility standards shall be based on
 8    the  recipient's  ability  to  pay  for  services;  provided,
 9    however,  that  in  determining  the  amount  and  nature  of
10    services for which a person may qualify, consideration  shall
11    not  be  given to the value of cash, property or other assets
12    held in the name of the person's spouse pursuant to a written
13    agreement dividing marital property into equal  but  separate
14    shares  or pursuant to a transfer of the person's interest in
15    a home to his spouse, provided that the spouse's share of the
16    marital property is not made available to the person  seeking
17    such  services. The Department shall, in conjunction with the
18    Department of Public Aid, seek appropriate  amendments  under
19    Sections  1915  and  1924  of  the  Social Security Act.  The
20    purpose of the amendments shall be to extend eligibility  for
21    home  and  community  based  services under Sections 1915 and
22    1924 of the Social Security Act to persons who transfer to or
23    for the benefit of a  spouse  those  amounts  of  income  and
24    resources  allowed  under Section 1924 of the Social Security
25    Act.   Subject  to  the  approval  of  such  amendments,  the
26    Department shall extend the provisions of Section 5-4 of  the
27    Illinois  Public  Aid  Code  to  persons  who,  but  for  the
28    provision  of home or community-based services, would require
29    the level of care provided in an institution, as is  provided
30    for  in  federal  law.  Those  persons  no longer found to be
31    eligible  for  receiving  noninstitutional  services  due  to
32    changes in the eligibility criteria shall be  given  60  days
33    notice  prior  to actual termination. Those persons receiving
34    notice of termination may contact the Department and  request
 
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 1    the  determination  be appealed at any time during the 60 day
 2    notice period. With the exception of  the  lengthened  notice
 3    and  time  frame  for  the appeal request, the appeal process
 4    shall follow the normal procedure. In addition,  each  person
 5    affected  regardless  of  the  circumstances for discontinued
 6    eligibility shall be given  notice  and  the  opportunity  to
 7    purchase  the  necessary  services through the Community Care
 8    Program.  If  the  individual  does  not  elect  to  purchase
 9    services,  the  Department  shall  advise  the  individual of
10    alternative services. The target  population  identified  for
11    the  purposes  of  this  Section are persons age 60 and older
12    with an identified service need.  Priority shall be given  to
13    those  who are at imminent risk of institutionalization.  The
14    services shall be provided to eligible  persons  age  60  and
15    older  to  the  extent that the cost of the services together
16    with the other personal maintenance expenses of  the  persons
17    are  reasonably related to the standards established for care
18    in a group facility appropriate to  the  person's  condition.
19    These   non-institutional   services,   pilot   projects   or
20    experimental  facilities  may  be  provided  as part of or in
21    addition to those authorized by federal law or  those  funded
22    and  administered  by  the Department of Human Services.  The
23    Departments of Human Services,  Public  Aid,  Public  Health,
24    Veterans'  Affairs,  and  Commerce  and Community Affairs and
25    other  appropriate  agencies  of  State,  federal  and  local
26    governments shall cooperate with the Department on  Aging  in
27    the  establishment  and  development of the non-institutional
28    services.  The Department shall require an annual audit  from
29    all chore/housekeeping and homemaker vendors contracting with
30    the  Department  under  this Section.  The annual audit shall
31    assure  that  each  audited  vendor's   procedures   are   in
32    compliance  with  Department's financial reporting guidelines
33    requiring a 27% administrative cost split and a 73%  employee
34    wages  and benefits cost split.  The audit is a public record
 
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 1    under the Freedom of Information Act.  The  Department  shall
 2    execute,  relative  to the nursing home prescreening project,
 3    written inter-agency agreements with the Department of  Human
 4    Services  and  the  Department  of  Public Aid, to effect the
 5    following:  (1)  intake  procedures  and  common  eligibility
 6    criteria    for    those    persons    who    are   receiving
 7    non-institutional services; and  (2)  the  establishment  and
 8    development  of  non-institutional  services  in areas of the
 9    State  where  they  are  not  currently  available   or   are
10    undeveloped.  On  and  after  July  1, 1996, all nursing home
11    prescreenings for individuals 60 years of age or older  shall
12    be conducted by the Department.
13        The  Department  is  authorized  to establish a system of
14    recipient copayment for services provided under this Section,
15    such copayment to be based upon the  recipient's  ability  to
16    pay  but in no case to exceed the actual cost of the services
17    provided. Additionally, any  portion  of  a  person's  income
18    which  is  equal to or less than the federal poverty standard
19    shall not be considered by the Department in determining  the
20    copayment.  The  level  of  such  copayment shall be adjusted
21    whenever necessary to reflect any change  in  the  officially
22    designated federal poverty standard.
23        The    Department,   or   the   Department's   authorized
24    representative, shall recover the amount of  moneys  expended
25    for  services provided to or in behalf of a person under this
26    Section by a claim against the person's estate or against the
27    estate of the person's surviving spouse, but no recovery  may
28    be had until after the death of the surviving spouse, if any,
29    and  then  only at such time when there is no surviving child
30    who is under  age  21,  blind,  or  permanently  and  totally
31    disabled.   This  paragraph, however, shall not bar recovery,
32    at the death of the person, of moneys for  services  provided
33    to  the  person or in behalf of the person under this Section
34    to which the person was  not  entitled;  provided  that  such
 
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 1    recovery  shall not be enforced against any real estate while
 2    it is occupied as a homestead  by  the  surviving  spouse  or
 3    other  dependent,  if  no claims by other creditors have been
 4    filed against the estate, or, if such claims have been filed,
 5    they remain dormant for failure of prosecution or failure  of
 6    the  claimant  to compel administration of the estate for the
 7    purpose of payment.  This paragraph shall  not  bar  recovery
 8    from  the estate of a spouse, under Sections 1915 and 1924 of
 9    the Social Security Act  and  Section  5-4  of  the  Illinois
10    Public  Aid  Code,  who  precedes a person receiving services
11    under this Section in death.  All moneys for services paid to
12    or in behalf of  the  person  under  this  Section  shall  be
13    claimed  for  recovery  from  the  deceased  spouse's estate.
14    "Homestead", as used in this paragraph,  means  the  dwelling
15    house  and  contiguous  real  estate  occupied by a surviving
16    spouse or relative, as defined by the rules  and  regulations
17    of  the  Illinois Department of Public Aid, regardless of the
18    value of the property.
19        The  Department  shall  develop  procedures  to   enhance
20    availability  of  services  on  evenings, weekends, and on an
21    emergency basis to meet  the  respite  needs  of  caregivers.
22    Procedures  shall  be  developed to permit the utilization of
23    services in successive blocks of 24 hours up to  the  monthly
24    maximum  established  by  the Department.   Workers providing
25    these services shall be appropriately trained.
26        The  Department  shall  work  in  conjunction  with   the
27    Alzheimer's   Task  Force  and  members  of  the  Alzheimer's
28    Association  and  other  senior  citizens'  organizations  in
29    developing these procedures by December 30, 1991.
30        Beginning on the effective date of this Amendatory Act of
31    1991, no person may perform chore/housekeeping and  homemaker
32    services  under  a  program authorized by this Section unless
33    that person has been issued a certificate of  pre-service  to
34    do  so  by his or her employing agency.  Information gathered
 
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 1    to effect such certification shall include (i)  the  person's
 2    name,  (ii)  the  date  the  person  was  hired by his or her
 3    current employer, and (iii) the training, including dates and
 4    levels.  Persons engaged in the program  authorized  by  this
 5    Section  before  the effective date of this amendatory Act of
 6    1991 shall be issued a certificate of all pre- and in-service
 7    training  from  his  or  her  employer  upon  submitting  the
 8    necessary  information.   The  employing  agency   shall   be
 9    required  to  retain records of all staff pre- and in-service
10    training, and shall provide such records  to  the  Department
11    upon  request and upon termination of the employer's contract
12    with the Department.  In addition, the  employing  agency  is
13    responsible  for the issuance of certifications of in-service
14    training completed to their employees.
15        The Department is required to develop a system to  ensure
16    that  persons  working  as  homemakers and chore housekeepers
17    receive increases in their wages  when  the  federal  minimum
18    wage  is  increased by requiring vendors to certify that they
19    are meeting the federal minimum wage statute  for  homemakers
20    and  chore housekeepers.  An employer that cannot ensure that
21    the minimum wage increase is being given  to  homemakers  and
22    chore   housekeepers   shall   be   denied  any  increase  in
23    reimbursement costs.
24        The Department on  Aging  and  the  Department  of  Human
25    Services shall cooperate in the development and submission of
26    an annual report on programs and services provided under this
27    Section.   Such joint report shall be filed with the Governor
28    and the General Assembly on or before September 30 each year.
29        The requirement for reporting  to  the  General  Assembly
30    shall  be  satisfied  by filing copies of the report with the
31    Speaker, the Minority Leader and the Clerk of  the  House  of
32    Representatives  and  the  President, the Minority Leader and
33    the Secretary of the  Senate  and  the  Legislative  Research
34    Unit,  as  required  by  Section  3.1 of the General Assembly
 
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 1    Organization Act  and filing such additional copies with  the
 2    State  Government  Report Distribution Center for the General
 3    Assembly as is required under paragraph (t) of Section  7  of
 4    the State Library Act.
 5        Those  persons  previously  found  eligible for receiving
 6    non-institutional services whose services  were  discontinued
 7    under  the  Emergency Budget Act of Fiscal Year 1992, and who
 8    do not meet the eligibility standards in effect on  or  after
 9    July  1,  1992,  shall remain ineligible on and after July 1,
10    1992.  Those persons previously not  required  to  cost-share
11    and  who were required to cost-share effective March 1, 1992,
12    shall continue to meet cost-share requirements on  and  after
13    July  1,  1992.   Beginning July 1, 1992, all clients will be
14    required  to  meet   eligibility,   cost-share,   and   other
15    requirements  and  will have services discontinued or altered
16    when they fail to meet these requirements.
17    (Source: P.A. 89-21, eff. 7-1-95; 89-507, eff. 7-1-97.)

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