Illinois 2023-2024 Regular Session

Illinois House Bill HB1237 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB1237 Introduced , by Rep. Kambium Buckner SYNOPSIS AS INTRODUCED: New Act Creates the Illinois Strategic Action Plan for Aging Equity Act. Provides that the purpose of the Act is to appoint a planning commission to research and develop a comprehensive, cross-sector, long-term strategic action plan for aging equity that will lead to actionable goals and measurable outcomes for the years 2024 through 2036. Establishes the Strategic Action Planning Commission for Aging Equity. Provides that the planning commission shall be made up of State agency directors and appointed elected officials or their designees as ex officio members, and a group of voting individuals from the general public. Provides that the planning commission shall examine the effects, challenges, opportunities, and needs for planning related to the shifting age demographics toward an increasing portion of the State's and localities' populations being made up of older adults. Requires the planning commission to adopt guiding principles that include, but are not limited to: (i) advancing aging equity across the life course; (ii) developing cultural humility and being culturally responsive with inclusive policies, programs, and services; and (iii) harnessing the power of experience and knowledge of older persons in communities. Requires the Governor to appoint members to the planning commission within 3 months after the effective date of the amendatory Act; and to consult with the President and Minority Leader of the Senate, the Speaker and Minority Leader of the House of Representatives, and the Director of Aging about member appointments to ensure that (1) the planning commission reflects the geographic diversity of the State; (2) the planning commission is inclusive and consists of members who reflect a diversity of age, gender, ability, race, cultural, socioeconomic, and national background; (3) the planning commission includes Illinois residents age 60 or older; and other matters. Contains provisions on the composition of the planning commission; commission meetings; the commission's authority to establish a subcommittee; the establishment of an advisory committee; duties of the planning commission; data analysis; planning commission recommendations and reporting requirements; and other matters. Effective immediately. LRB103 05760 KTG 50780 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB1237 Introduced , by Rep. Kambium Buckner SYNOPSIS AS INTRODUCED: New Act New Act Creates the Illinois Strategic Action Plan for Aging Equity Act. Provides that the purpose of the Act is to appoint a planning commission to research and develop a comprehensive, cross-sector, long-term strategic action plan for aging equity that will lead to actionable goals and measurable outcomes for the years 2024 through 2036. Establishes the Strategic Action Planning Commission for Aging Equity. Provides that the planning commission shall be made up of State agency directors and appointed elected officials or their designees as ex officio members, and a group of voting individuals from the general public. Provides that the planning commission shall examine the effects, challenges, opportunities, and needs for planning related to the shifting age demographics toward an increasing portion of the State's and localities' populations being made up of older adults. Requires the planning commission to adopt guiding principles that include, but are not limited to: (i) advancing aging equity across the life course; (ii) developing cultural humility and being culturally responsive with inclusive policies, programs, and services; and (iii) harnessing the power of experience and knowledge of older persons in communities. Requires the Governor to appoint members to the planning commission within 3 months after the effective date of the amendatory Act; and to consult with the President and Minority Leader of the Senate, the Speaker and Minority Leader of the House of Representatives, and the Director of Aging about member appointments to ensure that (1) the planning commission reflects the geographic diversity of the State; (2) the planning commission is inclusive and consists of members who reflect a diversity of age, gender, ability, race, cultural, socioeconomic, and national background; (3) the planning commission includes Illinois residents age 60 or older; and other matters. Contains provisions on the composition of the planning commission; commission meetings; the commission's authority to establish a subcommittee; the establishment of an advisory committee; duties of the planning commission; data analysis; planning commission recommendations and reporting requirements; and other matters. Effective immediately. LRB103 05760 KTG 50780 b LRB103 05760 KTG 50780 b A BILL FOR
2	2	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB1237 Introduced , by Rep. Kambium Buckner SYNOPSIS AS INTRODUCED:
3	3	New Act New Act
4	4	New Act
5	5	Creates the Illinois Strategic Action Plan for Aging Equity Act. Provides that the purpose of the Act is to appoint a planning commission to research and develop a comprehensive, cross-sector, long-term strategic action plan for aging equity that will lead to actionable goals and measurable outcomes for the years 2024 through 2036. Establishes the Strategic Action Planning Commission for Aging Equity. Provides that the planning commission shall be made up of State agency directors and appointed elected officials or their designees as ex officio members, and a group of voting individuals from the general public. Provides that the planning commission shall examine the effects, challenges, opportunities, and needs for planning related to the shifting age demographics toward an increasing portion of the State's and localities' populations being made up of older adults. Requires the planning commission to adopt guiding principles that include, but are not limited to: (i) advancing aging equity across the life course; (ii) developing cultural humility and being culturally responsive with inclusive policies, programs, and services; and (iii) harnessing the power of experience and knowledge of older persons in communities. Requires the Governor to appoint members to the planning commission within 3 months after the effective date of the amendatory Act; and to consult with the President and Minority Leader of the Senate, the Speaker and Minority Leader of the House of Representatives, and the Director of Aging about member appointments to ensure that (1) the planning commission reflects the geographic diversity of the State; (2) the planning commission is inclusive and consists of members who reflect a diversity of age, gender, ability, race, cultural, socioeconomic, and national background; (3) the planning commission includes Illinois residents age 60 or older; and other matters. Contains provisions on the composition of the planning commission; commission meetings; the commission's authority to establish a subcommittee; the establishment of an advisory committee; duties of the planning commission; data analysis; planning commission recommendations and reporting requirements; and other matters. Effective immediately.
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11	11	1 AN ACT concerning State government.
12	12	2 Be it enacted by the People of the State of Illinois,
13	13	3 represented in the General Assembly:
14	14	4 Section 1. Short title. This Act may be cited as the
15	15	5 Illinois Strategic Action Plan for Aging Equity Act.
16	16	6 Section 5. Purpose. The purpose of this Act is to direct
17	17	7 the appointment of a planning commission co-chaired by the
18	18	8 Governor's Office and the Department on Aging to research and
19	19	9 develop a comprehensive, cross-sector, long-term strategic
20	20	10 action plan for aging equity. A strategic action plan for
21	21	11 aging equity could draw upon Illinois' well-developed aging
22	22	12 network developed in accordance with the federal Older
23	23	13 Americans Act, the Illinois Act on the Aging, and the Older
24	24	14 Adult Services Act, all of which help older Illinoisans stay
25	25	15 connected and stay in their communities. With decades of
26	26	16 support for aging issues from the General Assembly, the
27	27	17 Department on Aging and its Aging Network staff, and aging
28	28	18 advocates, Illinois will develop, adopt, and implement a
29	29	19 strategic action plan for aging equity on a strong foundation.
30	30	20 Section 10. Findings. The General Assembly finds,
31	31	21 determines, and declares the following:
32	32	22 (1) This Act is necessary for the immediate
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36	36	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB1237 Introduced , by Rep. Kambium Buckner SYNOPSIS AS INTRODUCED:
37	37	New Act New Act
38	38	New Act
39	39	Creates the Illinois Strategic Action Plan for Aging Equity Act. Provides that the purpose of the Act is to appoint a planning commission to research and develop a comprehensive, cross-sector, long-term strategic action plan for aging equity that will lead to actionable goals and measurable outcomes for the years 2024 through 2036. Establishes the Strategic Action Planning Commission for Aging Equity. Provides that the planning commission shall be made up of State agency directors and appointed elected officials or their designees as ex officio members, and a group of voting individuals from the general public. Provides that the planning commission shall examine the effects, challenges, opportunities, and needs for planning related to the shifting age demographics toward an increasing portion of the State's and localities' populations being made up of older adults. Requires the planning commission to adopt guiding principles that include, but are not limited to: (i) advancing aging equity across the life course; (ii) developing cultural humility and being culturally responsive with inclusive policies, programs, and services; and (iii) harnessing the power of experience and knowledge of older persons in communities. Requires the Governor to appoint members to the planning commission within 3 months after the effective date of the amendatory Act; and to consult with the President and Minority Leader of the Senate, the Speaker and Minority Leader of the House of Representatives, and the Director of Aging about member appointments to ensure that (1) the planning commission reflects the geographic diversity of the State; (2) the planning commission is inclusive and consists of members who reflect a diversity of age, gender, ability, race, cultural, socioeconomic, and national background; (3) the planning commission includes Illinois residents age 60 or older; and other matters. Contains provisions on the composition of the planning commission; commission meetings; the commission's authority to establish a subcommittee; the establishment of an advisory committee; duties of the planning commission; data analysis; planning commission recommendations and reporting requirements; and other matters. Effective immediately.
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67	67	1 preservation of the public peace, health, and safety.
68	68	2 (2) Illinois' population is aging. Like the rest of
69	69	3 the United States and the world, Illinois is experiencing
70	70	4 a shift in the age demographics of its population. The
71	71	5 baby boomer generation is getting older; longevity is
72	72	6 increasing for many as well as the health, social,
73	73	7 financial, and other needs that come with it. The
74	74	8 migration of families and older persons out of Illinois
75	75	9 has also increased and the State is experiencing
76	76	10 historically low birthrates. All of these social changes
77	77	11 have contributed to Illinois' population shrinking.
78	78	12 (3) As Illinois' population shrinks, the State
79	79	13 continues to depend more on State or local funding for
80	80	14 older adult services as federal funding provided under the
81	81	15 Older Americans Act is tied to population numbers.
82	82	16 (4) State taxation leans heavily on income taxes. With
83	83	17 a growing percentage of people in older adulthood, new
84	84	18 fiscal challenges will likely require changes to how
85	85	19 Illinois generates revenue.
86	86	20 (5) The aging of communities has far-reaching effects
87	87	21 on all people and all sectors. As of 2019, the 60 and older
88	88	22 age group represented 21% of Illinois' total population,
89	89	23 with 10% of Illinois' 102 counties having more than 30% of
90	90	24 their population aged 60 or older, particularly rural
91	91	25 agricultural counties. Statewide, 11% of Illinois' older
92	92	26 persons are veterans.
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103	103	1 (6) Many older Illinoisans interact with, and their
104	104	2 lives and opportunities are shaped by, multiple systems
105	105	3 and aspects of society, including, but not limited to,
106	106	4 housing development and construction; health and human
107	107	5 services; parks and recreation; information technology;
108	108	6 arts and communications; public health; hospitality,
109	109	7 tourism and travel; workforce development; volunteerism;
110	110	8 business and financial planning; legal and human rights;
111	111	9 government services; education; transportation; and
112	112	10 veterans' affairs.
113	113	11 (7) Across Illinois, many people are suffering from
114	114	12 long-standing structural inequities such as racism, class
115	115	13 inequity, genderism, sexism, ageism, ableism, xenophobia,
116	116	14 homophobia, transphobia, and other forms of oppression all
117	117	15 of which shape how, and whether or not, individuals reach
118	118	16 older adulthood and their quality of life as they age. The
119	119	17 life expectancy across and within the 102 counties in
120	120	18 Illinois varies significantly, with 20% of counties
121	121	19 experiencing a life expectancy of less than 70 years.
122	122	20 Significant life expectancy and other health inequities
123	123	21 exist both within and across counties.
124	124	22 (8) Chronic health conditions impact 85% of older
125	125	23 Americans and 70% of persons aged 65 or older will need
126	126	24 caregiver support at some point in their older years.
127	127	25 (9) There is a great demand for paid home care
128	128	26 workers, direct support workers, and personal aide workers
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139	139	1 coupled with severe worker shortages, high turnover,
140	140	2 difficult work, and often low pay. Older Black and Brown
141	141	3 women make up much of this workforce, and the undervaluing
142	142	4 and underpaying of this labor is rooted in racism, sexism,
143	143	5 and class inequity. Due to worker shortages in all areas
144	144	6 of the State, contracted agencies are unable to fulfill
145	145	7 the care plans of persons enrolled in the State's Home and
146	146	8 Community Based Services Waiver Programs which are
147	147	9 designed to prevent the unnecessary institutionalization
148	148	10 of persons in need of long-term care services. Worker
149	149	11 shortages are also impacting the care management agencies
150	150	12 that determine eligibility for these services.
151	151	13 (10) Of the 28,804 Illinoisans who died from COVID-19
152	152	14 as of January 2022, 36.7% were persons of color and 86.2%
153	153	15 were persons aged 60 or older. As of August 2021, 43% of
154	154	16 all Illinois COVID-19 deaths were nursing home-related,
155	155	17 with significant health inequities. With vaccines and
156	156	18 boosters in place, as of January 2022, nursing
157	157	19 home-related deaths account for 26% of all COVID-19 deaths
158	158	20 in Illinois.
159	159	21 (11) A 2021 report by the Department of Healthcare and
160	160	22 Family Services found that, overwhelmingly, the
161	161	23 understaffed Medicaid facilities with 3-4 persons in a
162	162	24 room where the poorest of the poor and mostly Black and
163	163	25 Brown persons resided, were the ones that experienced the
164	164	26 highest risk of infection and death. These health
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175	175	1 inequities show the effects of structural racism and class
176	176	2 inequity intersecting with ageism, as well as the effect
177	177	3 of crowded and low-quality nursing home care.
178	178	4 (12) Health inequities are the systemic patterns of
179	179	5 differences that are unfair, unjust, and remediable,
180	180	6 meaning that there is something we can do about them, and
181	181	7 there is a justice and moral imperative to do so.
182	182	8 (13) There is a need for equitable services across
183	183	9 communities with equitable and adequate funding in order
184	184	10 for Illinoisans across the State to feel supported across
185	185	11 their lifespans, including their older years.
186	186	12 (14) Coordinated action is needed across Illinois'
187	187	13 network of aging and disability advocates and providers,
188	188	14 cross-sector leaders, policymakers, and units of local
189	189	15 government to affirm the priority of the health and
190	190	16 well-being of older Illinoisans and the need for policies
191	191	17 that promote healthy aging.
192	192	18 (15) There are many opportunities for Illinois to meet
193	193	19 the needs of its residents as they get older.
194	194	20 (16) Illinois has the unique opportunity to benefit
195	195	21 from comprehensive research, current innovation, and
196	196	22 lessons from the pandemic to identify long-term strategic
197	197	23 approaches to address current and future challenges and
198	198	24 opportunities and better integrate current and future
199	199	25 innovative solutions that improve quality across all
200	200	26 communities.
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211	211	1 Section 15. Legislative intent.
212	212	2 (1) It is the intent of the General Assembly that there is
213	213	3 established a multidisciplinary Strategic Action Planning
214	214	4 Commission for Aging Equity for the purpose of developing a
215	215	5 comprehensive strategic action plan for aging equity in
216	216	6 Illinois that will lead to actionable goals and measurable
217	217	7 outcomes for the years 2024 through 2036. The purpose of the
218	218	8 Strategic Action Planning Commission for Aging Equity is to
219	219	9 provide the Governor and the General Assembly with data and
220	220	10 specific recommendations regarding public actions by all State
221	221	11 agencies so that the General Assembly can address the
222	222	12 demographic shift of an aging population. This includes
223	223	13 recommended changes in policy, procedures, programs, services,
224	224	14 projects, and resources to support equitable aging across the
225	225	15 life course.
226	226	16 (2) Recommendations put forth by the Strategic Action
227	227	17 Planning Commission for Aging Equity will be presented to the
228	228	18 Governor and General Assembly within 2 years from the date of
229	229	19 the planning commission's first meeting.
230	230	20 (3) The Strategic Action Planning Commission for Aging
231	231	21 Equity will continue to meet regularly to ensure recommended
232	232	22 actions are taken and transparent and tangible progress is
233	233	23 being made toward initial targeted goals with measurable
234	234	24 outcomes as well as establishing new goals as data and
235	235	25 research continues to drive equity, innovation, and quality
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246	246	1 measures.
247	247	2 Section 20. Definitions. As used in this Act:
248	248	3 (1) "Ableism" means discrimination in favor of able-bodied
249	249	4 people.
250	250	5 (2) "Ageism" means prejudice or discrimination on the
251	251	6 grounds of a person's age.
252	252	7 (3) "Aging equity" is both an outcome and a process. As an
253	253	8 outcome it means, aging equity is achieved when every person
254	254	9 can attain their full potential across the life course without
255	255	10 disadvantage because of social position or other socially and
256	256	11 structurally determined circumstances. As a process, aging
257	257	12 equity is a process of assurance of the conditions of optimal
258	258	13 aging for all people which requires at least 3 things: (i)
259	259	14 valuing all individuals and populations equally; (ii)
260	260	15 recognizing and rectifying historical injustices; and (iii)
261	261	16 providing resources according to need. Aging inequities will
262	262	17 be eliminated when aging equity is achieved.
263	263	18 (4) "Caregiver" means someone caring for a spouse or
264	264	19 parent, an extended family member, or even a friend or
265	265	20 neighbor. A caregiver provides help with transportation to
266	266	21 medical appointments, purchasing or organizing medications,
267	267	22 monitoring a person's medical condition, communicating with
268	268	23 health care professionals, advocating on a person's behalf
269	269	24 with providers or agencies, and assisting a person with
270	270	25 getting in and out of bed or a chair, getting dressed, bathing
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281	281	1 or showering, grocery or other shopping, housework, preparing
282	282	2 meals, and managing finances.
283	283	3 (5) "Class inequity" means relations of power among
284	284	4 networked and organized social groups that direct society's
285	285	5 major institutions (such as corporations and government
286	286	6 authorities), material resources, and investments. "Class
287	287	7 inequity" or "classism" is the systematic oppression of
288	288	8 subordinated class groups, held in place by attitudes that
289	289	9 rank people according to economic status, family lineage, job
290	290	10 status, level of education, and other divisions.
291	291	11 (6) "Cultural humility" means an approach to healthcare
292	292	12 and other services that incorporates a lifelong commitment to
293	293	13 self-evaluation and self-critique, to redressing the power
294	294	14 imbalances between the providers and institutions and their
295	295	15 patients or clients and to developing mutually beneficial and
296	296	16 non-paternalistic clinical, service-based, and advocacy
297	297	17 partnerships with communities on behalf of individuals and
298	298	18 defined populations.
299	299	19 (7) "Cultural responsiveness" means a strengths-based
300	300	20 approach to serving others rooted in respect and appreciation
301	301	21 for the role of culture in a person's understanding and
302	302	22 development, taking into account each person's strengths,
303	303	23 abilities, experiences, and interests as developed within the
304	304	24 person's family and culture.
305	305	25 (8) "Genderism" means the systematic belief that people
306	306	26 need to conform to their gender assigned at birth in a
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317	317	1 gender-binary system that includes only female and male.
318	318	2 (9) "Historical and contemporary racism" means a system of
319	319	3 structuring opportunity and assigning value based on phenotype
320	320	4 ("race"), that unfairly disadvantages some individuals and
321	321	5 communities, unfairly advantages other individuals and
322	322	6 communities, and saps the strength of the whole society
323	323	7 through the waste of human resources.
324	324	8 (10) "Homophobia" means dislike of or prejudice against
325	325	9 people who are LGBTQ+.
326	326	10 (11) "Older adults" or "older persons" means persons 60
327	327	11 years of age or older.
328	328	12 (12) "Planning commission" means the Strategic Action
329	329	13 Planning Commission for Aging Equity.
330	330	14 (13) "Sexism" means prejudice or discrimination based on
331	331	15 sex, especially discrimination against women, behavior,
332	332	16 conditions, or attitudes that foster stereotypes of social
333	333	17 roles based on sex.
334	334	18 (14) "Social determinants of health" means the conditions
335	335	19 in which people are born, grow, live, work, and age. These
336	336	20 circumstances are shaped by the distribution of money, power,
337	337	21 and resources.
338	338	22 (15) "Structural inequities" means the personal,
339	339	23 interpersonal, institutional, and systemic drivers, such as,
340	340	24 racism, sexism, classism, ableism, xenophobia, and homophobia,
341	341	25 that make people's various identities (race and ethnicity,
342	342	26 gender, employment status, socioeconomic status, disability
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353	353	1 status, immigration status, geography, and more) salient to
354	354	2 the fair distribution of health opportunities and outcomes.
355	355	3 (16) "Transphobia" means dislike of or prejudice against
356	356	4 transgender or transsexual people.
357	357	5 (17) "Trauma-informed systems" means systems that: (i)
358	358	6 realize the widespread impact of trauma and understand
359	359	7 potential paths for recovery; (ii) recognize signs and
360	360	8 symptoms of trauma in clients, families, staff, and others
361	361	9 involved with the system; (iii) respond by fully integrating
362	362	10 knowledge about trauma into policies, procedures, and
363	363	11 practices; and (iv) seek to actively resist re-traumatization.
364	364	12 (18) "Xenophobia" means dislike of or prejudice against
365	365	13 people from other countries.
366	366	14 Section 25. Strategic Action Planning Commission for Aging
367	367	15 Equity.
368	368	16 (a) The Strategic Action Planning Commission for Aging
369	369	17 Equity is established and shall be co-chaired by the
370	370	18 Governor's Office and the Department on Aging. The planning
371	371	19 commission shall be made up of State agency directors and
372	372	20 appointed elected officials or their designees as ex officio
373	373	21 members, and a group of voting individuals from the general
374	374	22 public, as outlined in subsection (d), and shall host a
375	375	23 monthly open meeting with an aging equity advisory committee.
376	376	24 (b) The planning commission shall examine the effects,
377	377	25 challenges, opportunities, and needs for planning related to
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388	388	1 the shifting age demographics toward an increasing portion of
389	389	2 the State's and localities' populations being made up of older
390	390	3 adults, including at least:
391	391	4 (1) Community and healthcare.
392	392	5 (2) Transportation.
393	393	6 (3) Housing.
394	394	7 (4) Social participation.
395	395	8 (5) Outdoor spaces and buildings.
396	396	9 (6) Respect and social inclusion.
397	397	10 (7) Civic participation and employment.
398	398	11 (8) Communication and information.
399	399	12 (9) The public sector as well as the broader economy,
400	400	13 workforce, community systems, businesses, and services.
401	401	14 (10) Changes in federal, State, and local tax bases,
402	402	15 revenues, budgets, fiscal policies, programs, and
403	403	16 workforce.
404	404	17 (11) Funding mechanisms for aging-related services.
405	405	18 (12) New economic opportunities for the State.
406	406	19 (c) The planning commission shall adopt guiding principles
407	407	20 that include:
408	408	21 (1) Advancing aging equity across the life course.
409	409	22 (2) Developing cultural humility and being culturally
410	410	23 responsive with inclusive policies, programs, and
411	411	24 services.
412	412	25 (3) Being language inclusive to reach and support
413	413	26 older persons and caregivers who primarily read and speak
414	414
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424	424	1 languages other than English.
425	425	2 (4) Supporting trauma-informed systems.
426	426	3 (5) Understanding the experiences of older
427	427	4 Illinoisans, caregivers, and future older Illinoisans of
428	428	5 diverse backgrounds.
429	429	6 (6) Recognizing the impact of historical and
430	430	7 contemporary racism, class inequity, ableism, genderism,
431	431	8 sexism, homophobia, transphobia, xenophobia, and other
432	432	9 structural inequities on systems, communities, families,
433	433	10 and individual Illinoisans of all ages.
434	434	11 (7) Equity and accessibility of policies, programs,
435	435	12 services, and resources for Illinoisans statewide.
436	436	13 (8) Harnessing the power of experience and knowledge
437	437	14 of older persons in communities.
438	438	15 (9) Opportunities for improved policies, programs, and
439	439	16 services that better reflect supporting the needs of
440	440	17 current and future older Illinoisans and caregivers.
441	441	18 (d) The planning commission shall be a public body
442	442	19 consisting of members appointed by the Governor within 3
443	443	20 months after the effective date of this Act. The Governor
444	444	21 shall consult with the President and Minority Leader of the
445	445	22 Senate, the Speaker and Minority Leader of the House of
446	446	23 Representatives, and the Director of Aging about appointments
447	447	24 to the planning commission to ensure the following:
448	448	25 (1) Members meet the criteria set forth in this
449	449	26 subsection. Members may fill multiple roles.
450	450
451	451
452	452
453	453
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460	460	1 (2) The planning commission reflects the geographic
461	461	2 diversity of the State and includes members who represent
462	462	3 (i) the rural, suburban, and urban areas of the State,
463	463	4 (ii) the northern, central, and southern regions of the
464	464	5 State, and (iii) the various districts.
465	465	6 (3) The planning commission is inclusive and consists
466	466	7 of members who reflect a diversity of age, gender,
467	467	8 ability, race, cultural, socioeconomic, and national
468	468	9 background.
469	469	10 (4) The planning commission includes Illinois
470	470	11 residents aged 60 or older who represent urban, suburban,
471	471	12 and rural areas of the State.
472	472	13 (5) The planning commission consists of the following
473	473	14 persons:
474	474	15 (i) One member with extensive professional
475	475	16 knowledge about aging.
476	476	17 (ii) One member with extensive professional
477	477	18 knowledge of home and community-based services for
478	478	19 older Illinoisans.
479	479	20 (iii) One member with extensive professional
480	480	21 knowledge of community-based services provided under
481	481	22 the Older Americans Act.
482	482	23 (iv) One member with extensive professional
483	483	24 knowledge of health policy.
484	484	25 (v) One member with extensive professional
485	485	26 knowledge of geriatric or palliative medicine.
486	486
487	487
488	488
489	489
490	490
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496	496	1 (vi) Two members with extensive professional
497	497	2 knowledge of health systems.
498	498	3 (vii) Two members with extensive professional
499	499	4 knowledge of affordable accessible housing.
500	500	5 (viii) One member with extensive professional
501	501	6 knowledge of public transportation, active
502	502	7 transportation, and private transportation systems.
503	503	8 (ix) One member with extensive professional
504	504	9 knowledge of urban planning, community walkability,
505	505	10 and age-friendly principles.
506	506	11 (x) One member with extensive professional
507	507	12 knowledge about nursing homes.
508	508	13 (xi) One member who is a health insurance policy
509	509	14 advocate with extensive professional knowledge of
510	510	15 Medicare.
511	511	16 (xii) One member with extensive professional
512	512	17 knowledge about labor advocacy.
513	513	18 (xiii) One member with extensive professional
514	514	19 knowledge about the criminal-legal system and aging.
515	515	20 (xiv) One member with extensive professional
516	516	21 knowledge about caregiving.
517	517	22 (xv) One member with extensive professional
518	518	23 knowledge of dementia.
519	519	24 (xvi) One member with extensive professional
520	520	25 knowledge about disabilities.
521	521	26 (xvii) One member with extensive professional
522	522
523	523
524	524
525	525
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532	532	1 knowledge in partnering education and labor needs.
533	533	2 (xviii) One member with extensive professional
534	534	3 knowledge in volunteerism, community connecting, and
535	535	4 civic engagement of older persons.
536	536	5 (xix) One member representing park districts.
537	537	6 (xx) One member representing school systems.
538	538	7 (xxi) One member representing chambers of
539	539	8 commerce.
540	540	9 (xxii) One member with extensive professional
541	541	10 knowledge of electronic communications technology.
542	542	11 (xxiii) One member representing travel and
543	543	12 hospitality.
544	544	13 (xxiv) One member representing a philanthropic
545	545	14 foundation.
546	546	15 (xxv) Two members from the Senate, both major
547	547	16 parties represented, one appointed by the President of
548	548	17 the Senate and one appointed by the Minority Leader of
549	549	18 the Senate.
550	550	19 (xxvi) Two members from the House of
551	551	20 Representatives, both major parties represented, one
552	552	21 appointed by the Speaker of the House of
553	553	22 Representatives and one appointed by the Minority
554	554	23 Leader of the House of Representatives.
555	555	24 (6) The planning commission consists of the heads of
556	556	25 the following agencies, offices, boards, and other
557	557	26 entities, or their designees:
558	558
559	559
560	560
561	561
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565	565
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568	568	1 (i) Department of Agriculture.
569	569	2 (ii) Department of Commerce and Economic
570	570	3 Opportunity.
571	571	4 (iii) Department of Healthcare and Family
572	572	5 Services.
573	573	6 (iv) Department of Human Rights.
574	574	7 (v) Department of Human Services.
575	575	8 (vi) Department of Innovation and Technology.
576	576	9 (vii) Department of Insurance.
577	577	10 (viii) Department of Labor.
578	578	11 (ix) Department of Natural Resources.
579	579	12 (x) Department of Public Health.
580	580	13 (xi) Department of Human Services' Division of
581	581	14 Rehabilitative Services.
582	582	15 (xii) Department of Revenue.
583	583	16 (xiii) Department of Transportation.
584	584	17 (xiv) Department of Veterans' Affairs.
585	585	18 (xv) Department on Aging.
586	586	19 (xvi) Department of Corrections.
587	587	20 (xvii) Department of Children and Family Services.
588	588	21 (xviii) Department of Financial and Professional
589	589	22 Regulation.
590	590	23 (xix) Illinois Housing Development Authority.
591	591	24 (xx) Office of the Illinois State Fire Marshal.
592	592	25 (xxi) Illinois Emergency Management Agency.
593	593	26 (xxii) Illinois State Board of Education.
594	594
595	595
596	596
597	597
598	598
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604	604	1 (xxiii) Illinois Community College Board.
605	605	2 (xxiv) Illinois Board of Higher Education.
606	606	3 (xxv) Illinois State Police.
607	607	4 (xxvi) Illinois Cognitive Support Network.
608	608	5 (xxvii) Illinois Council on Developmental
609	609	6 Disabilities.
610	610	7 (xxviii) Illinois Finance Authority.
611	611	8 (xxix) The Governor's Office of Management and
612	612	9 Budget.
613	613	10 (xxx) Department of Central Management Services.
614	614	11 (xxxi) Office of the Attorney General.
615	615	12 (xxxii) Office of the Secretary of State.
616	616	13 (xxxiii) Office of the State Treasurer.
617	617	14 (e) Anyone interested in becoming a member of the planning
618	618	15 commission may submit an application to the Office of the
619	619	16 Governor through the online application process.
620	620	17 (f) The planning commission shall elect a chair and
621	621	18 vice-chair from among its members to coordinate the planning
622	622	19 commission's meetings along with State agency staff or
623	623	20 contractors. Members of the planning commission shall serve
624	624	21 without compensation. Members shall serve 4-year terms. The
625	625	22 planning commission shall establish staggered end of term
626	626	23 dates of initial members. The Governor may reappoint a member
627	627	24 for only one additional 4-year term after a member's initial
628	628	25 term has expired. In case of a vacancy, the Governor shall
629	629	26 appoint a new member in the same manner as the initial
630	630
631	631
632	632
633	633
634	634
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640	640	1 appointment.
641	641	2 (g) Members of the planning commission may remove a member
642	642	3 for cause as determined by the planning commission, if
643	643	4 approved by a two-thirds majority of all members. The planning
644	644	5 commission shall meet 6 times each calendar year, at a
645	645	6 minimum, with dates determined by the members of the planning
646	646	7 commission as soon as practicable after all members have been
647	647	8 appointed to the planning commission.
648	648	9 (h) The planning commission may establish subcommittees.
649	649	10 Each subcommittee shall consider and evaluate issues related
650	650	11 to guiding principles listed under subsection (c). The
651	651	12 subcommittees may include persons who are not members of the
652	652	13 planning commission yet represent relevant expertise not
653	653	14 otherwise represented on the planning commission. Members of
654	654	15 the specialized subcommittee shall serve without compensation.
655	655	16 (i) The planning commission shall establish an aging
656	656	17 equity advisory committee which shall consist of the State
657	657	18 demographer and subject matter experts from local governmental
658	658	19 and nongovernmental organizations to advise and assist the
659	659	20 planning commission.
660	660	21 (j) The planning commission shall exercise its powers and
661	661	22 perform its duties and functions as specified under this Act
662	662	23 independently of the State agencies. The planning commission
663	663	24 may establish bylaws as appropriate for its effective
664	664	25 operation. The chair of the planning commission shall
665	665	26 establish a schedule for planning commission meetings. Members
666	666
667	667
668	668
669	669
670	670
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676	676	1 of the planning commission, staff, and consultants are not
677	677	2 liable for an act or omission in their official capacity
678	678	3 performed in good faith in accordance with this Act.
679	679	4 Section 30. Duties of the Strategic Action Planning
680	680	5 Commission for Aging Equity.
681	681	6 (a) The planning commission shall develop a preliminary
682	682	7 comprehensive strategic action plan for aging in Illinois
683	683	8 through the year 2036 to be completed within 18 months of
684	684	9 commencement of the planning commission. A 2-month comment
685	685	10 period shall be included and then a final strategic action
686	686	11 plan for aging shall be developed within 2 years from the
687	687	12 commencement of the planning commission.
688	688	13 (b) In developing the strategic action plan, the planning
689	689	14 commission shall review and incorporate past recommendations
690	690	15 and findings from previous studies and commissions, task
691	691	16 forces, departments, and area agencies on aging that the
692	692	17 planning commission considers relevant and necessary to its
693	693	18 duties. Previous recommendations must be reviewed in
694	694	19 conjunction with the latest demographic and economic
695	695	20 projections specified in the analysis conducted in accordance
696	696	21 with Section 30.
697	697	22 (c) The strategic action plan must address at least the
698	698	23 following 3 areas:
699	699	24 (1) Demographic, economic, fiscal, and budget data
700	700	25 analysis through the year 2041.
701	701
702	702
703	703
704	704
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708	708
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711	711	1 (2) Actionable recommendations.
712	712	2 (3) Plans for periodic updates to the strategic action
713	713	3 plan.
714	714	4 Section 35. Data analysis. The Strategic Action Planning
715	715	5 Commission for Aging Equity shall include data analysis that
716	716	6 is inclusive of, but not limited to, the following areas:
717	717	7 (1) Community and healthcare.
718	718	8 (2) Transportation.
719	719	9 (3) Housing.
720	720	10 (4) Social participation.
721	721	11 (5) Outdoor spaces and buildings.
722	722	12 (6) Respect and social inclusion.
723	723	13 (7) Civic participation and employment.
724	724	14 (8) Communication and information.
725	725	15 (9) Retirement savings gaps and retirement security
726	726	16 for the State's current and future older adult
727	727	17 populations.
728	728	18 Section 40. Actionable recommendations. Planning
729	729	19 commission recommendations shall include the following at a
730	730	20 minimum:
731	731	21 (1) Potential and recommended actions to address the
732	732	22 long-term effects of the demographic shift on Illinois
733	733	23 residents, State government, and the private sector,
734	734	24 including disproportional regional demographic shifts in
735	735
736	736
737	737
738	738
739	739
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741	741
742	742
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745	745	1 older adult populations.
746	746	2 (2) Potential and recommended actions to strengthen
747	747	3 and improve service infrastructure for and the quality,
748	748	4 staffing, accessibility, and availability of long-term
749	749	5 services and supports to better enable the services and
750	750	6 supports to meet future demand.
751	751	7 (3) Potential and recommended actions to enhance
752	752	8 access to services and public education on opportunities,
753	753	9 challenges, resources, and topics for older Illinoisans
754	754	10 and caregivers.
755	755	11 (4) Potential and recommended actions to improve
756	756	12 caregiver supports and mitigate both the financial and
757	757	13 nonfinancial impacts of caregiving on patients,
758	758	14 caregivers, businesses, and the State.
759	759	15 (5) Potential and recommended actions to improve
760	760	16 financial security and retirement preparation for the
761	761	17 older adult population.
762	762	18 (6) Potential and recommended actions to improve the
763	763	19 accessibility and sustainability of healthy, safe,
764	764	20 affordable, accessible, and non-segregated housing.
765	765	21 (7) Potential and recommended actions to improve the
766	766	22 accessibility and sustainability of affordable
767	767	23 transportation services.
768	768	24 (8) Potential and recommended actions to reduce
769	769	25 administrative and service delivery costs of public and
770	770	26 private long-term services and supports while improving
771	771
772	772
773	773
774	774
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781	781	1 service quality.
782	782	2 (9) Administrative and regulatory reforms needed to
783	783	3 more cost-effectively organize State agencies to implement
784	784	4 statewide programs and services.
785	785	5 (10) Possible legislation for consideration by the
786	786	6 General Assembly in order to implement the planning
787	787	7 commission's recommendations and achieve its stated goals.
788	788	8 (11) Possible regulatory and administrative changes to
789	789	9 be offered to State departments in order to implement the
790	790	10 planning commission's recommendations and achieve its
791	791	11 stated goals.
792	792	12 (12) Private sector potential and recommended actions
793	793	13 for quality long-term care, services, and supports that
794	794	14 are accessible, equitable, and meet cultural and
795	795	15 linguistic needs.
796	796	16 (13) Potential and recommended actions to extend and
797	797	17 improve other services and supports that would allow
798	798	18 individuals to remain in their residences and communities
799	799	19 for as long as possible.
800	800	20 (14) Potential and recommended actions to improve
801	801	21 migration of college students, professionals, families,
802	802	22 and retirees from outside of the State to communities
803	803	23 across Illinois.
804	804	24 (15) Potential and recommended actions to make
805	805	25 Illinois an age-friendly State.
806	806	26 (16) Potential and recommended actions to support
807	807
808	808
809	809
810	810
811	811
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814	814
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817	817	1 health equity as it relates to advancing aging equity.
818	818	2 (17) Projections on the economic, fiscal, and personal
819	819	3 impacts of implementing or not implementing the
820	820	4 recommendations.
821	821	5 Section 45. Reporting.
822	822	6 (a) During the 2024 and 2025 legislative sessions, the
823	823	7 planning commission shall submit an oral and written report
824	824	8 summarizing its work and any preliminary findings or
825	825	9 recommendations to the joint budget committee and the General
826	826	10 Assembly.
827	827	11 (b) Within 2 years of commencement, the planning
828	828	12 commission shall submit to the Governor, the General Assembly,
829	829	13 and any affected State agency its strategic action plan
830	830	14 detailing the work of the planning commission and its final
831	831	15 recommendations.
832	832	16 (c) If the strategic action plan identifies programs,
833	833	17 services, projects, policies, or procedures that would result
834	834	18 in cost savings, without adversely affecting the quality of
835	835	19 care and services, and do not require legislation, the
836	836	20 Governor and the associated State agencies must pursue the
837	837	21 necessary actions to implement the recommendations, including,
838	838	22 as necessary, requesting adequate funding through the State
839	839	23 budget process.
840	840	24 (d) If the strategic action plan identifies programs,
841	841	25 services, projects, policies, or procedures that would result
842	842
843	843
844	844
845	845
846	846
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848	848
849	849
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852	852	1 in cost savings, without adversely affecting the quality of
853	853	2 care and services, that require legislation, the planning
854	854	3 commission shall recommend legislation to implement the
855	855	4 changes to the General Assembly. In its plan, the planning
856	856	5 commission shall specify the laws and the policies and
857	857	6 procedures of the relevant State agencies that need to be
858	858	7 created, amended, or repealed to implement the
859	859	8 recommendations.
860	860	9 Section 50. Strategic plan updates and oversight.
861	861	10 (a) The planning commission shall submit updates to the
862	862	11 strategic action plan every 4 years, to update the planning
863	863	12 commission's analysis and recommendations.
864	864	13 (1) These updates shall include new economic and
865	865	14 demographic data as well as respond to new State and
866	866	15 national public and private initiatives and must address a
867	867	16 time period for analysis and recommendation that extends
868	868	17 15 years after the delivery of the update.
869	869	18 (2) The process for creating these updates shall be
870	870	19 determined by the planning commission as part of its
871	871	20 strategic action plan.
872	872	21 (3) New legislative or regulatory recommendations may
873	873	22 be offered in order to address new or changing
874	874	23 circumstances.
875	875	24 (b) The planning commission shall take measures to ensure
876	876	25 transparency to the public, the General Assembly, and to
877	877
878	878
879	879
880	880
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883	883
884	884
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887	887	1 stakeholders in planning, goal setting, action steps, and
888	888	2 reporting on successful implementation and outcomes such as by
889	889	3 adhering to the Open Meetings Act and ensuring documents
890	890	4 regarding proceedings are posted, organized, and maintained on
891	891	5 an appropriate State website.
892	892	6 (c) After the initial development of the plan, the
893	893	7 planning commission's plan updates shall list areas in which
894	894	8 the plan is not being implemented or followed.
895	895	9 (d) The initial planning commission shall determine the
896	896	10 staffing and process for updating the initial strategic action
897	897	11 plan. The planning commission shall only undertake the plan
898	898	12 updates if sufficient funding is secured through
899	899	13 appropriations, gifts, grants, or donations.
900	900	14 Section 99. Effective date. This Act takes effect upon
901	901	15 becoming law.
902	902
903	903
904	904
905	905
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