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92_HR0852
LRB9216722DJmb
1 HOUSE RESOLUTION
2 WHEREAS, The Community Integrated Living Arrangement
3 ("CILA") is a small residential model that houses no more
4 than eight individuals and offers supports designed to
5 address the individual needs of persons with disabilities;
6 and
7 WHEREAS, CILA is the recommended option for individuals
8 who are discharged from State-operated developmental centers;
9 and
10 WHEREAS, Today more than 7,400 Illinois residents with
11 developmental disabilities live in CILAs; and
12 WHEREAS, The United States Supreme Court in Olmstead v.
13 L.C. Ex rel. Zimring, 119 S.Ct. 2176 (1999), held that the
14 unjustifiable institutionalization of a person with a
15 disability who is capable of living in the community with
16 proper supports, and wishes to do so, constitutes unlawful
17 discrimination in violation of the Americans with
18 Disabilities Act (ADA); and
19 WHEREAS, Availability of CILA placements for individuals
20 with disabilities advances the State's efforts to comply with
21 the ADA and the Court's holding in Olmstead; and
22 WHEREAS, The Illinois Department of Human Services
23 ("Department") has converted many of its grant-in-aid CILA
24 programs to a fee-for-service model beginning in State Fiscal
25 Year 2002; and
26 WHEREAS, The CILA rate model and the CILA payment
27 methodology utilized by the Department affects the type and
28 availability of CILA placements for Illinois residents with
29 developmental disabilities; and
30 WHEREAS, The CILA rate model and CILA payment methodology
-2- LRB9216722DJmb
1 must be analyzed in the broader context of the current fiscal
2 condition of the State; therefore, be it
3 RESOLVED, BY THE HOUSE OF REPRESENTATIVES OF THE
4 NINETY-SECOND GENERAL ASSEMBLY OF THE STATE OF ILLINOIS, that
5 the Secretary of Human Services is directed to:
6 (1) Meet and work with agencies providing CILAs in the
7 State of Illinois and associations representing those
8 agencies to review the current CILA rate model and payment
9 methodology, with particular attention paid to whether 100%
10 of the actual costs of delivering CILA services are being
11 met, including staff compensation, benefits, staffing levels,
12 workers compensation, physical plant maintenance and repairs,
13 and delivering services to individuals with challenging
14 behaviors or extraordinary medical needs;
15 (2) Determine the impact of the current CILA rate model
16 and payment methodology on the ability of the State to
17 implement the "most integrated setting" requirements of the
18 ADA and the holding in Olmstead; and
19 (3) File a written report with the House of
20 Representatives and the Senate on or before December 1, 2002,
21 that includes a summary of the actions taken pursuant to this
22 Resolution and specific recommendations as to whether and how
23 the CILA rate model and payment methodology should be
24 updated; and be it further
25 RESOLVED, That a copy of this Resolution be sent to the
26 Secretary of Human Services.