HB1032 EngrossedLRB103 04885 CPF 49895 b HB1032 Engrossed LRB103 04885 CPF 49895 b HB1032 Engrossed LRB103 04885 CPF 49895 b 1 AN ACT concerning regulation. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 5. The Community-Integrated Living Arrangements 5 Licensure and Certification Act is amended by changing Section 6 4 as follows: 7 (210 ILCS 135/4) (from Ch. 91 1/2, par. 1704) 8 (Text of Section before amendment by P.A. 102-944) 9 Sec. 4. (a) Any community mental health or developmental 10 services agency who wishes to develop and support a variety of 11 community-integrated living arrangements may do so pursuant to 12 a license issued by the Department under this Act. However, 13 programs established under or otherwise subject to the Child 14 Care Act of 1969, the Nursing Home Care Act, the Specialized 15 Mental Health Rehabilitation Act of 2013, the ID/DD Community 16 Care Act, or the MC/DD Act, as now or hereafter amended, shall 17 remain subject thereto, and this Act shall not be construed to 18 limit the application of those Acts. 19 (b) The system of licensure established under this Act 20 shall be for the purposes of: 21 (1) ensuring that all recipients residing in 22 community-integrated living arrangements are receiving 23 appropriate community-based services, including HB1032 Engrossed LRB103 04885 CPF 49895 b HB1032 Engrossed- 2 -LRB103 04885 CPF 49895 b HB1032 Engrossed - 2 - LRB103 04885 CPF 49895 b HB1032 Engrossed - 2 - LRB103 04885 CPF 49895 b 1 treatment, training and habilitation or rehabilitation; 2 (2) ensuring that recipients' rights are protected and 3 that all programs provided to and placements arranged for 4 recipients comply with this Act, the Mental Health and 5 Developmental Disabilities Code, and applicable Department 6 rules and regulations; 7 (3) maintaining the integrity of communities by 8 requiring regular monitoring and inspection of placements 9 and other services provided in community-integrated living 10 arrangements. 11 The licensure system shall be administered by a quality 12 assurance unit within the Department which shall be 13 administratively independent of units responsible for funding 14 of agencies or community services. 15 (c) As a condition of being licensed by the Department as a 16 community mental health or developmental services agency under 17 this Act, the agency shall certify to the Department that: 18 (1) all recipients residing in community-integrated 19 living arrangements are receiving appropriate 20 community-based services, including treatment, training 21 and habilitation or rehabilitation; 22 (2) all programs provided to and placements arranged 23 for recipients are supervised by the agency; and 24 (3) all programs provided to and placements arranged 25 for recipients comply with this Act, the Mental Health and 26 Developmental Disabilities Code, and applicable Department HB1032 Engrossed - 2 - LRB103 04885 CPF 49895 b HB1032 Engrossed- 3 -LRB103 04885 CPF 49895 b HB1032 Engrossed - 3 - LRB103 04885 CPF 49895 b HB1032 Engrossed - 3 - LRB103 04885 CPF 49895 b 1 rules and regulations. 2 (d) An applicant for licensure as a community mental 3 health or developmental services agency under this Act shall 4 submit an application pursuant to the application process 5 established by the Department by rule and shall pay an 6 application fee in an amount established by the Department, 7 which amount shall not be more than $200. 8 (e) If an applicant meets the requirements established by 9 the Department to be licensed as a community mental health or 10 developmental services agency under this Act, after payment of 11 the licensing fee, the Department shall issue a license valid 12 for 3 years from the date thereof unless suspended or revoked 13 by the Department or voluntarily surrendered by the agency. 14 (f) Upon application to the Department, the Department may 15 issue a temporary permit to an applicant for up to a 2-year 16 period to allow the holder of such permit reasonable time to 17 become eligible for a license under this Act. 18 (g)(1) The Department may conduct site visits to an agency 19 licensed under this Act, or to any program or placement 20 certified by the agency, and inspect the records or premises, 21 or both, of such agency, program or placement as it deems 22 appropriate, for the purpose of determining compliance with 23 this Act, the Mental Health and Developmental Disabilities 24 Code, and applicable Department rules and regulations. The 25 Department shall conduct inspections of the records and 26 premises of each community-integrated living arrangement HB1032 Engrossed - 3 - LRB103 04885 CPF 49895 b HB1032 Engrossed- 4 -LRB103 04885 CPF 49895 b HB1032 Engrossed - 4 - LRB103 04885 CPF 49895 b HB1032 Engrossed - 4 - LRB103 04885 CPF 49895 b 1 certified under this Act at least once every 2 years. 2 (2) If the Department determines that an agency licensed 3 under this Act is not in compliance with this Act or the rules 4 and regulations promulgated under this Act, the Department 5 shall serve a notice of violation upon the licensee. Each 6 notice of violation shall be prepared in writing and shall 7 specify the nature of the violation, the statutory provision 8 or rule alleged to have been violated, and that the licensee 9 submit a plan of correction to the Department if required. The 10 notice shall also inform the licensee of any other action 11 which the Department might take pursuant to this Act and of the 12 right to a hearing. 13 (g-5) As determined by the Department, a disproportionate 14 number or percentage of licensure complaints; a 15 disproportionate number or percentage of substantiated cases 16 of abuse, neglect, or exploitation involving an agency; an 17 apparent unnatural death of an individual served by an agency; 18 any egregious or life-threatening abuse or neglect within an 19 agency; or any other significant event as determined by the 20 Department shall initiate a review of the agency's license by 21 the Department, as well as a review of its service agreement 22 for funding. The Department shall adopt rules to establish the 23 process by which the determination to initiate a review shall 24 be made and the timeframe to initiate a review upon the making 25 of such determination. 26 (h) Upon the expiration of any license issued under this HB1032 Engrossed - 4 - LRB103 04885 CPF 49895 b HB1032 Engrossed- 5 -LRB103 04885 CPF 49895 b HB1032 Engrossed - 5 - LRB103 04885 CPF 49895 b HB1032 Engrossed - 5 - LRB103 04885 CPF 49895 b 1 Act, a license renewal application shall be required of and a 2 license renewal fee in an amount established by the Department 3 shall be charged to a community mental health or developmental 4 services agency, provided that such fee shall not be more than 5 $200. 6 (i) A public or private agency, association, partnership, 7 corporation, or organization that has had a license revoked 8 under subsection (b) of Section 6 of this Act may not apply for 9 or possess a license under a different name. 10 (Source: P.A. 99-180, eff. 7-29-15; 100-58, eff. 8-11-17; 11 100-313, eff. 8-24-17; 100-863, eff. 8-14-18.) 12 (Text of Section after amendment by P.A. 102-944) 13 Sec. 4. (a) Any community mental health or developmental 14 services agency who wishes to develop and support a variety of 15 community-integrated living arrangements may do so pursuant to 16 a license issued by the Department under this Act. However, 17 programs established under or otherwise subject to the Child 18 Care Act of 1969, the Nursing Home Care Act, the Specialized 19 Mental Health Rehabilitation Act of 2013, the ID/DD Community 20 Care Act, or the MC/DD Act, as now or hereafter amended, shall 21 remain subject thereto, and this Act shall not be construed to 22 limit the application of those Acts. 23 (b) The system of licensure established under this Act 24 shall be for the purposes of: 25 (1) ensuring that all recipients residing in HB1032 Engrossed - 5 - LRB103 04885 CPF 49895 b HB1032 Engrossed- 6 -LRB103 04885 CPF 49895 b HB1032 Engrossed - 6 - LRB103 04885 CPF 49895 b HB1032 Engrossed - 6 - LRB103 04885 CPF 49895 b 1 community-integrated living arrangements are receiving 2 appropriate community-based services, including 3 treatment, training and habilitation or rehabilitation; 4 (2) ensuring that recipients' rights are protected and 5 that all programs provided to and placements arranged for 6 recipients comply with this Act, the Mental Health and 7 Developmental Disabilities Code, and applicable Department 8 rules and regulations; 9 (3) maintaining the integrity of communities by 10 requiring regular monitoring and inspection of placements 11 and other services provided in community-integrated living 12 arrangements. 13 The licensure system shall be administered by a quality 14 assurance unit within the Department which shall be 15 administratively independent of units responsible for funding 16 of agencies or community services. 17 (c) As a condition of being licensed by the Department as a 18 community mental health or developmental services agency under 19 this Act, the agency shall certify to the Department that: 20 (1) all recipients residing in community-integrated 21 living arrangements are receiving appropriate 22 community-based services, including treatment, training 23 and habilitation or rehabilitation; 24 (2) all programs provided to and placements arranged 25 for recipients are supervised by the agency; and 26 (3) all programs provided to and placements arranged HB1032 Engrossed - 6 - LRB103 04885 CPF 49895 b HB1032 Engrossed- 7 -LRB103 04885 CPF 49895 b HB1032 Engrossed - 7 - LRB103 04885 CPF 49895 b HB1032 Engrossed - 7 - LRB103 04885 CPF 49895 b 1 for recipients comply with this Act, the Mental Health and 2 Developmental Disabilities Code, and applicable Department 3 rules and regulations. 4 (c-5) Each developmental services agency licensed under 5 this Act shall submit an annual report to the Department, as a 6 contractual requirement between the Department and the 7 developmental services agency, certifying that all 8 legislatively or administratively mandated wage increases to 9 benefit workers are passed through in accordance with the 10 legislative or administrative mandate. The Department shall 11 determine the manner and form of the annual report. 12 (d) An applicant for licensure as a community mental 13 health or developmental services agency under this Act shall 14 submit an application pursuant to the application process 15 established by the Department by rule and shall pay an 16 application fee in an amount established by the Department, 17 which amount shall not be more than $200. 18 (e) If an applicant meets the requirements established by 19 the Department to be licensed as a community mental health or 20 developmental services agency under this Act, after payment of 21 the licensing fee, the Department shall issue a license valid 22 for 2 3 years from the date thereof unless suspended or revoked 23 by the Department or voluntarily surrendered by the agency. 24 (f) Upon application to the Department, the Department may 25 issue a temporary permit to an applicant for up to a 2-year 26 period to allow the holder of such permit reasonable time to HB1032 Engrossed - 7 - LRB103 04885 CPF 49895 b HB1032 Engrossed- 8 -LRB103 04885 CPF 49895 b HB1032 Engrossed - 8 - LRB103 04885 CPF 49895 b HB1032 Engrossed - 8 - LRB103 04885 CPF 49895 b 1 become eligible for a license under this Act. 2 (g)(1) The Department may conduct site visits to an agency 3 licensed under this Act, or to any program or placement 4 certified by the agency, and inspect the records or premises, 5 or both, of such agency, program or placement as it deems 6 appropriate, for the purpose of determining compliance with 7 this Act, the Mental Health and Developmental Disabilities 8 Code, and applicable Department rules and regulations. The 9 Department shall conduct inspections of the records and 10 premises of each community-integrated living arrangement 11 certified under this Act at least once every 2 years. 12 (2) If the Department determines that an agency licensed 13 under this Act is not in compliance with this Act or the rules 14 and regulations promulgated under this Act, the Department 15 shall serve a notice of violation upon the licensee. Each 16 notice of violation shall be prepared in writing and shall 17 specify the nature of the violation, the statutory provision 18 or rule alleged to have been violated, and that the licensee 19 submit a plan of correction to the Department if required. The 20 notice shall also inform the licensee of any other action 21 which the Department might take pursuant to this Act and of the 22 right to a hearing. 23 (3) If an agency licensed under this Act receives a 24 compliance score as the result of a survey or audit from the 25 Department or the Bureau of Accreditation, Licensure and 26 Certification that is less than acceptably compliant, then the HB1032 Engrossed - 8 - LRB103 04885 CPF 49895 b HB1032 Engrossed- 9 -LRB103 04885 CPF 49895 b HB1032 Engrossed - 9 - LRB103 04885 CPF 49895 b HB1032 Engrossed - 9 - LRB103 04885 CPF 49895 b 1 agency shall implement a plan of corrections to address the 2 violations listed in the survey or audit and may be subject to 3 additional sanctions based on the agency's compliance score, 4 including, but not limited to, a freeze on admissions and 5 revocation of the agency's license. 6 (g-5) As determined by the Department, a disproportionate 7 number or percentage of licensure complaints; a 8 disproportionate number or percentage of substantiated cases 9 of abuse, neglect, or exploitation involving an agency; an 10 apparent unnatural death of an individual served by an agency; 11 any egregious or life-threatening abuse or neglect within an 12 agency; or any other significant event as determined by the 13 Department shall initiate a review of the agency's license by 14 the Department, as well as a review of its service agreement 15 for funding. The Department shall adopt rules to establish the 16 process by which the determination to initiate a review shall 17 be made and the timeframe to initiate a review upon the making 18 of such determination. 19 (h) Upon the expiration of any license issued under this 20 Act, a license renewal application shall be required of and a 21 license renewal fee in an amount established by the Department 22 shall be charged to a community mental health or developmental 23 services agency, provided that such fee shall not be more than 24 $200. 25 (i) A public or private agency, association, partnership, 26 corporation, or organization that has had a license revoked HB1032 Engrossed - 9 - LRB103 04885 CPF 49895 b HB1032 Engrossed- 10 -LRB103 04885 CPF 49895 b HB1032 Engrossed - 10 - LRB103 04885 CPF 49895 b HB1032 Engrossed - 10 - LRB103 04885 CPF 49895 b 1 under subsection (b) of Section 6 of this Act may not apply for 2 or possess a license under a different name. 3 (Source: P.A. 102-944, eff. 1-1-23.) HB1032 Engrossed - 10 - LRB103 04885 CPF 49895 b