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 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB1237 Introduced , by Rep. Kambium Buckner SYNOPSIS AS INTRODUCED: New Act 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 LRB103 05760 KTG 50780 b A BILL FOR HB1237LRB103 05760 KTG 50780 b HB1237 LRB103 05760 KTG 50780 b HB1237 LRB103 05760 KTG 50780 b 1 AN ACT concerning State government. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 1. Short title. This Act may be cited as the 5 Illinois Strategic Action Plan for Aging Equity Act. 6 Section 5. Purpose. The purpose of this Act is to direct 7 the appointment of a planning commission co-chaired by the 8 Governor's Office and the Department on Aging to research and 9 develop a comprehensive, cross-sector, long-term strategic 10 action plan for aging equity. A strategic action plan for 11 aging equity could draw upon Illinois' well-developed aging 12 network developed in accordance with the federal Older 13 Americans Act, the Illinois Act on the Aging, and the Older 14 Adult Services Act, all of which help older Illinoisans stay 15 connected and stay in their communities. With decades of 16 support for aging issues from the General Assembly, the 17 Department on Aging and its Aging Network staff, and aging 18 advocates, Illinois will develop, adopt, and implement a 19 strategic action plan for aging equity on a strong foundation. 20 Section 10. Findings. The General Assembly finds, 21 determines, and declares the following: 22 (1) This Act is necessary for the immediate 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB1237 Introduced , by Rep. Kambium Buckner SYNOPSIS AS INTRODUCED: New Act 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 LRB103 05760 KTG 50780 b A BILL FOR New Act LRB103 05760 KTG 50780 b HB1237 LRB103 05760 KTG 50780 b HB1237- 2 -LRB103 05760 KTG 50780 b HB1237 - 2 - LRB103 05760 KTG 50780 b HB1237 - 2 - LRB103 05760 KTG 50780 b 1 preservation of the public peace, health, and safety. 2 (2) Illinois' population is aging. Like the rest of 3 the United States and the world, Illinois is experiencing 4 a shift in the age demographics of its population. The 5 baby boomer generation is getting older; longevity is 6 increasing for many as well as the health, social, 7 financial, and other needs that come with it. The 8 migration of families and older persons out of Illinois 9 has also increased and the State is experiencing 10 historically low birthrates. All of these social changes 11 have contributed to Illinois' population shrinking. 12 (3) As Illinois' population shrinks, the State 13 continues to depend more on State or local funding for 14 older adult services as federal funding provided under the 15 Older Americans Act is tied to population numbers. 16 (4) State taxation leans heavily on income taxes. With 17 a growing percentage of people in older adulthood, new 18 fiscal challenges will likely require changes to how 19 Illinois generates revenue. 20 (5) The aging of communities has far-reaching effects 21 on all people and all sectors. As of 2019, the 60 and older 22 age group represented 21% of Illinois' total population, 23 with 10% of Illinois' 102 counties having more than 30% of 24 their population aged 60 or older, particularly rural 25 agricultural counties. Statewide, 11% of Illinois' older 26 persons are veterans. HB1237 - 2 - LRB103 05760 KTG 50780 b HB1237- 3 -LRB103 05760 KTG 50780 b HB1237 - 3 - LRB103 05760 KTG 50780 b HB1237 - 3 - LRB103 05760 KTG 50780 b 1 (6) Many older Illinoisans interact with, and their 2 lives and opportunities are shaped by, multiple systems 3 and aspects of society, including, but not limited to, 4 housing development and construction; health and human 5 services; parks and recreation; information technology; 6 arts and communications; public health; hospitality, 7 tourism and travel; workforce development; volunteerism; 8 business and financial planning; legal and human rights; 9 government services; education; transportation; and 10 veterans' affairs. 11 (7) Across Illinois, many people are suffering from 12 long-standing structural inequities such as racism, class 13 inequity, genderism, sexism, ageism, ableism, xenophobia, 14 homophobia, transphobia, and other forms of oppression all 15 of which shape how, and whether or not, individuals reach 16 older adulthood and their quality of life as they age. The 17 life expectancy across and within the 102 counties in 18 Illinois varies significantly, with 20% of counties 19 experiencing a life expectancy of less than 70 years. 20 Significant life expectancy and other health inequities 21 exist both within and across counties. 22 (8) Chronic health conditions impact 85% of older 23 Americans and 70% of persons aged 65 or older will need 24 caregiver support at some point in their older years. 25 (9) There is a great demand for paid home care 26 workers, direct support workers, and personal aide workers HB1237 - 3 - LRB103 05760 KTG 50780 b HB1237- 4 -LRB103 05760 KTG 50780 b HB1237 - 4 - LRB103 05760 KTG 50780 b HB1237 - 4 - LRB103 05760 KTG 50780 b 1 coupled with severe worker shortages, high turnover, 2 difficult work, and often low pay. Older Black and Brown 3 women make up much of this workforce, and the undervaluing 4 and underpaying of this labor is rooted in racism, sexism, 5 and class inequity. Due to worker shortages in all areas 6 of the State, contracted agencies are unable to fulfill 7 the care plans of persons enrolled in the State's Home and 8 Community Based Services Waiver Programs which are 9 designed to prevent the unnecessary institutionalization 10 of persons in need of long-term care services. Worker 11 shortages are also impacting the care management agencies 12 that determine eligibility for these services. 13 (10) Of the 28,804 Illinoisans who died from COVID-19 14 as of January 2022, 36.7% were persons of color and 86.2% 15 were persons aged 60 or older. As of August 2021, 43% of 16 all Illinois COVID-19 deaths were nursing home-related, 17 with significant health inequities. With vaccines and 18 boosters in place, as of January 2022, nursing 19 home-related deaths account for 26% of all COVID-19 deaths 20 in Illinois. 21 (11) A 2021 report by the Department of Healthcare and 22 Family Services found that, overwhelmingly, the 23 understaffed Medicaid facilities with 3-4 persons in a 24 room where the poorest of the poor and mostly Black and 25 Brown persons resided, were the ones that experienced the 26 highest risk of infection and death. These health HB1237 - 4 - LRB103 05760 KTG 50780 b HB1237- 5 -LRB103 05760 KTG 50780 b HB1237 - 5 - LRB103 05760 KTG 50780 b HB1237 - 5 - LRB103 05760 KTG 50780 b 1 inequities show the effects of structural racism and class 2 inequity intersecting with ageism, as well as the effect 3 of crowded and low-quality nursing home care. 4 (12) Health inequities are the systemic patterns of 5 differences that are unfair, unjust, and remediable, 6 meaning that there is something we can do about them, and 7 there is a justice and moral imperative to do so. 8 (13) There is a need for equitable services across 9 communities with equitable and adequate funding in order 10 for Illinoisans across the State to feel supported across 11 their lifespans, including their older years. 12 (14) Coordinated action is needed across Illinois' 13 network of aging and disability advocates and providers, 14 cross-sector leaders, policymakers, and units of local 15 government to affirm the priority of the health and 16 well-being of older Illinoisans and the need for policies 17 that promote healthy aging. 18 (15) There are many opportunities for Illinois to meet 19 the needs of its residents as they get older. 20 (16) Illinois has the unique opportunity to benefit 21 from comprehensive research, current innovation, and 22 lessons from the pandemic to identify long-term strategic 23 approaches to address current and future challenges and 24 opportunities and better integrate current and future 25 innovative solutions that improve quality across all 26 communities. HB1237 - 5 - LRB103 05760 KTG 50780 b HB1237- 6 -LRB103 05760 KTG 50780 b HB1237 - 6 - LRB103 05760 KTG 50780 b HB1237 - 6 - LRB103 05760 KTG 50780 b 1 Section 15. Legislative intent. 2 (1) It is the intent of the General Assembly that there is 3 established a multidisciplinary Strategic Action Planning 4 Commission for Aging Equity for the purpose of developing a 5 comprehensive strategic action plan for aging equity in 6 Illinois that will lead to actionable goals and measurable 7 outcomes for the years 2024 through 2036. The purpose of the 8 Strategic Action Planning Commission for Aging Equity is to 9 provide the Governor and the General Assembly with data and 10 specific recommendations regarding public actions by all State 11 agencies so that the General Assembly can address the 12 demographic shift of an aging population. This includes 13 recommended changes in policy, procedures, programs, services, 14 projects, and resources to support equitable aging across the 15 life course. 16 (2) Recommendations put forth by the Strategic Action 17 Planning Commission for Aging Equity will be presented to the 18 Governor and General Assembly within 2 years from the date of 19 the planning commission's first meeting. 20 (3) The Strategic Action Planning Commission for Aging 21 Equity will continue to meet regularly to ensure recommended 22 actions are taken and transparent and tangible progress is 23 being made toward initial targeted goals with measurable 24 outcomes as well as establishing new goals as data and 25 research continues to drive equity, innovation, and quality HB1237 - 6 - LRB103 05760 KTG 50780 b HB1237- 7 -LRB103 05760 KTG 50780 b HB1237 - 7 - LRB103 05760 KTG 50780 b HB1237 - 7 - LRB103 05760 KTG 50780 b 1 measures. 2 Section 20. Definitions. As used in this Act: 3 (1) "Ableism" means discrimination in favor of able-bodied 4 people. 5 (2) "Ageism" means prejudice or discrimination on the 6 grounds of a person's age. 7 (3) "Aging equity" is both an outcome and a process. As an 8 outcome it means, aging equity is achieved when every person 9 can attain their full potential across the life course without 10 disadvantage because of social position or other socially and 11 structurally determined circumstances. As a process, aging 12 equity is a process of assurance of the conditions of optimal 13 aging for all people which requires at least 3 things: (i) 14 valuing all individuals and populations equally; (ii) 15 recognizing and rectifying historical injustices; and (iii) 16 providing resources according to need. Aging inequities will 17 be eliminated when aging equity is achieved. 18 (4) "Caregiver" means someone caring for a spouse or 19 parent, an extended family member, or even a friend or 20 neighbor. A caregiver provides help with transportation to 21 medical appointments, purchasing or organizing medications, 22 monitoring a person's medical condition, communicating with 23 health care professionals, advocating on a person's behalf 24 with providers or agencies, and assisting a person with 25 getting in and out of bed or a chair, getting dressed, bathing HB1237 - 7 - LRB103 05760 KTG 50780 b HB1237- 8 -LRB103 05760 KTG 50780 b HB1237 - 8 - LRB103 05760 KTG 50780 b HB1237 - 8 - LRB103 05760 KTG 50780 b 1 or showering, grocery or other shopping, housework, preparing 2 meals, and managing finances. 3 (5) "Class inequity" means relations of power among 4 networked and organized social groups that direct society's 5 major institutions (such as corporations and government 6 authorities), material resources, and investments. "Class 7 inequity" or "classism" is the systematic oppression of 8 subordinated class groups, held in place by attitudes that 9 rank people according to economic status, family lineage, job 10 status, level of education, and other divisions. 11 (6) "Cultural humility" means an approach to healthcare 12 and other services that incorporates a lifelong commitment to 13 self-evaluation and self-critique, to redressing the power 14 imbalances between the providers and institutions and their 15 patients or clients and to developing mutually beneficial and 16 non-paternalistic clinical, service-based, and advocacy 17 partnerships with communities on behalf of individuals and 18 defined populations. 19 (7) "Cultural responsiveness" means a strengths-based 20 approach to serving others rooted in respect and appreciation 21 for the role of culture in a person's understanding and 22 development, taking into account each person's strengths, 23 abilities, experiences, and interests as developed within the 24 person's family and culture. 25 (8) "Genderism" means the systematic belief that people 26 need to conform to their gender assigned at birth in a HB1237 - 8 - LRB103 05760 KTG 50780 b HB1237- 9 -LRB103 05760 KTG 50780 b HB1237 - 9 - LRB103 05760 KTG 50780 b HB1237 - 9 - LRB103 05760 KTG 50780 b 1 gender-binary system that includes only female and male. 2 (9) "Historical and contemporary racism" means a system of 3 structuring opportunity and assigning value based on phenotype 4 ("race"), that unfairly disadvantages some individuals and 5 communities, unfairly advantages other individuals and 6 communities, and saps the strength of the whole society 7 through the waste of human resources. 8 (10) "Homophobia" means dislike of or prejudice against 9 people who are LGBTQ+. 10 (11) "Older adults" or "older persons" means persons 60 11 years of age or older. 12 (12) "Planning commission" means the Strategic Action 13 Planning Commission for Aging Equity. 14 (13) "Sexism" means prejudice or discrimination based on 15 sex, especially discrimination against women, behavior, 16 conditions, or attitudes that foster stereotypes of social 17 roles based on sex. 18 (14) "Social determinants of health" means the conditions 19 in which people are born, grow, live, work, and age. These 20 circumstances are shaped by the distribution of money, power, 21 and resources. 22 (15) "Structural inequities" means the personal, 23 interpersonal, institutional, and systemic drivers, such as, 24 racism, sexism, classism, ableism, xenophobia, and homophobia, 25 that make people's various identities (race and ethnicity, 26 gender, employment status, socioeconomic status, disability HB1237 - 9 - LRB103 05760 KTG 50780 b HB1237- 10 -LRB103 05760 KTG 50780 b HB1237 - 10 - LRB103 05760 KTG 50780 b HB1237 - 10 - LRB103 05760 KTG 50780 b 1 status, immigration status, geography, and more) salient to 2 the fair distribution of health opportunities and outcomes. 3 (16) "Transphobia" means dislike of or prejudice against 4 transgender or transsexual people. 5 (17) "Trauma-informed systems" means systems that: (i) 6 realize the widespread impact of trauma and understand 7 potential paths for recovery; (ii) recognize signs and 8 symptoms of trauma in clients, families, staff, and others 9 involved with the system; (iii) respond by fully integrating 10 knowledge about trauma into policies, procedures, and 11 practices; and (iv) seek to actively resist re-traumatization. 12 (18) "Xenophobia" means dislike of or prejudice against 13 people from other countries. 14 Section 25. Strategic Action Planning Commission for Aging 15 Equity. 16 (a) The Strategic Action Planning Commission for Aging 17 Equity is established and shall be co-chaired by the 18 Governor's Office and the Department on Aging. The planning 19 commission shall be made up of State agency directors and 20 appointed elected officials or their designees as ex officio 21 members, and a group of voting individuals from the general 22 public, as outlined in subsection (d), and shall host a 23 monthly open meeting with an aging equity advisory committee. 24 (b) The planning commission shall examine the effects, 25 challenges, opportunities, and needs for planning related to HB1237 - 10 - LRB103 05760 KTG 50780 b HB1237- 11 -LRB103 05760 KTG 50780 b HB1237 - 11 - LRB103 05760 KTG 50780 b HB1237 - 11 - LRB103 05760 KTG 50780 b 1 the shifting age demographics toward an increasing portion of 2 the State's and localities' populations being made up of older 3 adults, including at least: 4 (1) Community and healthcare. 5 (2) Transportation. 6 (3) Housing. 7 (4) Social participation. 8 (5) Outdoor spaces and buildings. 9 (6) Respect and social inclusion. 10 (7) Civic participation and employment. 11 (8) Communication and information. 12 (9) The public sector as well as the broader economy, 13 workforce, community systems, businesses, and services. 14 (10) Changes in federal, State, and local tax bases, 15 revenues, budgets, fiscal policies, programs, and 16 workforce. 17 (11) Funding mechanisms for aging-related services. 18 (12) New economic opportunities for the State. 19 (c) The planning commission shall adopt guiding principles 20 that include: 21 (1) Advancing aging equity across the life course. 22 (2) Developing cultural humility and being culturally 23 responsive with inclusive policies, programs, and 24 services. 25 (3) Being language inclusive to reach and support 26 older persons and caregivers who primarily read and speak HB1237 - 11 - LRB103 05760 KTG 50780 b HB1237- 12 -LRB103 05760 KTG 50780 b HB1237 - 12 - LRB103 05760 KTG 50780 b HB1237 - 12 - LRB103 05760 KTG 50780 b 1 languages other than English. 2 (4) Supporting trauma-informed systems. 3 (5) Understanding the experiences of older 4 Illinoisans, caregivers, and future older Illinoisans of 5 diverse backgrounds. 6 (6) Recognizing the impact of historical and 7 contemporary racism, class inequity, ableism, genderism, 8 sexism, homophobia, transphobia, xenophobia, and other 9 structural inequities on systems, communities, families, 10 and individual Illinoisans of all ages. 11 (7) Equity and accessibility of policies, programs, 12 services, and resources for Illinoisans statewide. 13 (8) Harnessing the power of experience and knowledge 14 of older persons in communities. 15 (9) Opportunities for improved policies, programs, and 16 services that better reflect supporting the needs of 17 current and future older Illinoisans and caregivers. 18 (d) The planning commission shall be a public body 19 consisting of members appointed by the Governor within 3 20 months after the effective date of this Act. The Governor 21 shall consult with the President and Minority Leader of the 22 Senate, the Speaker and Minority Leader of the House of 23 Representatives, and the Director of Aging about appointments 24 to the planning commission to ensure the following: 25 (1) Members meet the criteria set forth in this 26 subsection. Members may fill multiple roles. HB1237 - 12 - LRB103 05760 KTG 50780 b HB1237- 13 -LRB103 05760 KTG 50780 b HB1237 - 13 - LRB103 05760 KTG 50780 b HB1237 - 13 - LRB103 05760 KTG 50780 b 1 (2) The planning commission reflects the geographic 2 diversity of the State and includes members who represent 3 (i) the rural, suburban, and urban areas of the State, 4 (ii) the northern, central, and southern regions of the 5 State, and (iii) the various districts. 6 (3) The planning commission is inclusive and consists 7 of members who reflect a diversity of age, gender, 8 ability, race, cultural, socioeconomic, and national 9 background. 10 (4) The planning commission includes Illinois 11 residents aged 60 or older who represent urban, suburban, 12 and rural areas of the State. 13 (5) The planning commission consists of the following 14 persons: 15 (i) One member with extensive professional 16 knowledge about aging. 17 (ii) One member with extensive professional 18 knowledge of home and community-based services for 19 older Illinoisans. 20 (iii) One member with extensive professional 21 knowledge of community-based services provided under 22 the Older Americans Act. 23 (iv) One member with extensive professional 24 knowledge of health policy. 25 (v) One member with extensive professional 26 knowledge of geriatric or palliative medicine. HB1237 - 13 - LRB103 05760 KTG 50780 b HB1237- 14 -LRB103 05760 KTG 50780 b HB1237 - 14 - LRB103 05760 KTG 50780 b HB1237 - 14 - LRB103 05760 KTG 50780 b 1 (vi) Two members with extensive professional 2 knowledge of health systems. 3 (vii) Two members with extensive professional 4 knowledge of affordable accessible housing. 5 (viii) One member with extensive professional 6 knowledge of public transportation, active 7 transportation, and private transportation systems. 8 (ix) One member with extensive professional 9 knowledge of urban planning, community walkability, 10 and age-friendly principles. 11 (x) One member with extensive professional 12 knowledge about nursing homes. 13 (xi) One member who is a health insurance policy 14 advocate with extensive professional knowledge of 15 Medicare. 16 (xii) One member with extensive professional 17 knowledge about labor advocacy. 18 (xiii) One member with extensive professional 19 knowledge about the criminal-legal system and aging. 20 (xiv) One member with extensive professional 21 knowledge about caregiving. 22 (xv) One member with extensive professional 23 knowledge of dementia. 24 (xvi) One member with extensive professional 25 knowledge about disabilities. 26 (xvii) One member with extensive professional HB1237 - 14 - LRB103 05760 KTG 50780 b HB1237- 15 -LRB103 05760 KTG 50780 b HB1237 - 15 - LRB103 05760 KTG 50780 b HB1237 - 15 - LRB103 05760 KTG 50780 b 1 knowledge in partnering education and labor needs. 2 (xviii) One member with extensive professional 3 knowledge in volunteerism, community connecting, and 4 civic engagement of older persons. 5 (xix) One member representing park districts. 6 (xx) One member representing school systems. 7 (xxi) One member representing chambers of 8 commerce. 9 (xxii) One member with extensive professional 10 knowledge of electronic communications technology. 11 (xxiii) One member representing travel and 12 hospitality. 13 (xxiv) One member representing a philanthropic 14 foundation. 15 (xxv) Two members from the Senate, both major 16 parties represented, one appointed by the President of 17 the Senate and one appointed by the Minority Leader of 18 the Senate. 19 (xxvi) Two members from the House of 20 Representatives, both major parties represented, one 21 appointed by the Speaker of the House of 22 Representatives and one appointed by the Minority 23 Leader of the House of Representatives. 24 (6) The planning commission consists of the heads of 25 the following agencies, offices, boards, and other 26 entities, or their designees: HB1237 - 15 - LRB103 05760 KTG 50780 b HB1237- 16 -LRB103 05760 KTG 50780 b HB1237 - 16 - LRB103 05760 KTG 50780 b HB1237 - 16 - LRB103 05760 KTG 50780 b 1 (i) Department of Agriculture. 2 (ii) Department of Commerce and Economic 3 Opportunity. 4 (iii) Department of Healthcare and Family 5 Services. 6 (iv) Department of Human Rights. 7 (v) Department of Human Services. 8 (vi) Department of Innovation and Technology. 9 (vii) Department of Insurance. 10 (viii) Department of Labor. 11 (ix) Department of Natural Resources. 12 (x) Department of Public Health. 13 (xi) Department of Human Services' Division of 14 Rehabilitative Services. 15 (xii) Department of Revenue. 16 (xiii) Department of Transportation. 17 (xiv) Department of Veterans' Affairs. 18 (xv) Department on Aging. 19 (xvi) Department of Corrections. 20 (xvii) Department of Children and Family Services. 21 (xviii) Department of Financial and Professional 22 Regulation. 23 (xix) Illinois Housing Development Authority. 24 (xx) Office of the Illinois State Fire Marshal. 25 (xxi) Illinois Emergency Management Agency. 26 (xxii) Illinois State Board of Education. HB1237 - 16 - LRB103 05760 KTG 50780 b HB1237- 17 -LRB103 05760 KTG 50780 b HB1237 - 17 - LRB103 05760 KTG 50780 b HB1237 - 17 - LRB103 05760 KTG 50780 b 1 (xxiii) Illinois Community College Board. 2 (xxiv) Illinois Board of Higher Education. 3 (xxv) Illinois State Police. 4 (xxvi) Illinois Cognitive Support Network. 5 (xxvii) Illinois Council on Developmental 6 Disabilities. 7 (xxviii) Illinois Finance Authority. 8 (xxix) The Governor's Office of Management and 9 Budget. 10 (xxx) Department of Central Management Services. 11 (xxxi) Office of the Attorney General. 12 (xxxii) Office of the Secretary of State. 13 (xxxiii) Office of the State Treasurer. 14 (e) Anyone interested in becoming a member of the planning 15 commission may submit an application to the Office of the 16 Governor through the online application process. 17 (f) The planning commission shall elect a chair and 18 vice-chair from among its members to coordinate the planning 19 commission's meetings along with State agency staff or 20 contractors. Members of the planning commission shall serve 21 without compensation. Members shall serve 4-year terms. The 22 planning commission shall establish staggered end of term 23 dates of initial members. The Governor may reappoint a member 24 for only one additional 4-year term after a member's initial 25 term has expired. In case of a vacancy, the Governor shall 26 appoint a new member in the same manner as the initial HB1237 - 17 - LRB103 05760 KTG 50780 b HB1237- 18 -LRB103 05760 KTG 50780 b HB1237 - 18 - LRB103 05760 KTG 50780 b HB1237 - 18 - LRB103 05760 KTG 50780 b 1 appointment. 2 (g) Members of the planning commission may remove a member 3 for cause as determined by the planning commission, if 4 approved by a two-thirds majority of all members. The planning 5 commission shall meet 6 times each calendar year, at a 6 minimum, with dates determined by the members of the planning 7 commission as soon as practicable after all members have been 8 appointed to the planning commission. 9 (h) The planning commission may establish subcommittees. 10 Each subcommittee shall consider and evaluate issues related 11 to guiding principles listed under subsection (c). The 12 subcommittees may include persons who are not members of the 13 planning commission yet represent relevant expertise not 14 otherwise represented on the planning commission. Members of 15 the specialized subcommittee shall serve without compensation. 16 (i) The planning commission shall establish an aging 17 equity advisory committee which shall consist of the State 18 demographer and subject matter experts from local governmental 19 and nongovernmental organizations to advise and assist the 20 planning commission. 21 (j) The planning commission shall exercise its powers and 22 perform its duties and functions as specified under this Act 23 independently of the State agencies. The planning commission 24 may establish bylaws as appropriate for its effective 25 operation. The chair of the planning commission shall 26 establish a schedule for planning commission meetings. Members HB1237 - 18 - LRB103 05760 KTG 50780 b HB1237- 19 -LRB103 05760 KTG 50780 b HB1237 - 19 - LRB103 05760 KTG 50780 b HB1237 - 19 - LRB103 05760 KTG 50780 b 1 of the planning commission, staff, and consultants are not 2 liable for an act or omission in their official capacity 3 performed in good faith in accordance with this Act. 4 Section 30. Duties of the Strategic Action Planning 5 Commission for Aging Equity. 6 (a) The planning commission shall develop a preliminary 7 comprehensive strategic action plan for aging in Illinois 8 through the year 2036 to be completed within 18 months of 9 commencement of the planning commission. A 2-month comment 10 period shall be included and then a final strategic action 11 plan for aging shall be developed within 2 years from the 12 commencement of the planning commission. 13 (b) In developing the strategic action plan, the planning 14 commission shall review and incorporate past recommendations 15 and findings from previous studies and commissions, task 16 forces, departments, and area agencies on aging that the 17 planning commission considers relevant and necessary to its 18 duties. Previous recommendations must be reviewed in 19 conjunction with the latest demographic and economic 20 projections specified in the analysis conducted in accordance 21 with Section 30. 22 (c) The strategic action plan must address at least the 23 following 3 areas: 24 (1) Demographic, economic, fiscal, and budget data 25 analysis through the year 2041. HB1237 - 19 - LRB103 05760 KTG 50780 b HB1237- 20 -LRB103 05760 KTG 50780 b HB1237 - 20 - LRB103 05760 KTG 50780 b HB1237 - 20 - LRB103 05760 KTG 50780 b 1 (2) Actionable recommendations. 2 (3) Plans for periodic updates to the strategic action 3 plan. 4 Section 35. Data analysis. The Strategic Action Planning 5 Commission for Aging Equity shall include data analysis that 6 is inclusive of, but not limited to, the following areas: 7 (1) Community and healthcare. 8 (2) Transportation. 9 (3) Housing. 10 (4) Social participation. 11 (5) Outdoor spaces and buildings. 12 (6) Respect and social inclusion. 13 (7) Civic participation and employment. 14 (8) Communication and information. 15 (9) Retirement savings gaps and retirement security 16 for the State's current and future older adult 17 populations. 18 Section 40. Actionable recommendations. Planning 19 commission recommendations shall include the following at a 20 minimum: 21 (1) Potential and recommended actions to address the 22 long-term effects of the demographic shift on Illinois 23 residents, State government, and the private sector, 24 including disproportional regional demographic shifts in HB1237 - 20 - LRB103 05760 KTG 50780 b HB1237- 21 -LRB103 05760 KTG 50780 b HB1237 - 21 - LRB103 05760 KTG 50780 b HB1237 - 21 - LRB103 05760 KTG 50780 b 1 older adult populations. 2 (2) Potential and recommended actions to strengthen 3 and improve service infrastructure for and the quality, 4 staffing, accessibility, and availability of long-term 5 services and supports to better enable the services and 6 supports to meet future demand. 7 (3) Potential and recommended actions to enhance 8 access to services and public education on opportunities, 9 challenges, resources, and topics for older Illinoisans 10 and caregivers. 11 (4) Potential and recommended actions to improve 12 caregiver supports and mitigate both the financial and 13 nonfinancial impacts of caregiving on patients, 14 caregivers, businesses, and the State. 15 (5) Potential and recommended actions to improve 16 financial security and retirement preparation for the 17 older adult population. 18 (6) Potential and recommended actions to improve the 19 accessibility and sustainability of healthy, safe, 20 affordable, accessible, and non-segregated housing. 21 (7) Potential and recommended actions to improve the 22 accessibility and sustainability of affordable 23 transportation services. 24 (8) Potential and recommended actions to reduce 25 administrative and service delivery costs of public and 26 private long-term services and supports while improving HB1237 - 21 - LRB103 05760 KTG 50780 b HB1237- 22 -LRB103 05760 KTG 50780 b HB1237 - 22 - LRB103 05760 KTG 50780 b HB1237 - 22 - LRB103 05760 KTG 50780 b 1 service quality. 2 (9) Administrative and regulatory reforms needed to 3 more cost-effectively organize State agencies to implement 4 statewide programs and services. 5 (10) Possible legislation for consideration by the 6 General Assembly in order to implement the planning 7 commission's recommendations and achieve its stated goals. 8 (11) Possible regulatory and administrative changes to 9 be offered to State departments in order to implement the 10 planning commission's recommendations and achieve its 11 stated goals. 12 (12) Private sector potential and recommended actions 13 for quality long-term care, services, and supports that 14 are accessible, equitable, and meet cultural and 15 linguistic needs. 16 (13) Potential and recommended actions to extend and 17 improve other services and supports that would allow 18 individuals to remain in their residences and communities 19 for as long as possible. 20 (14) Potential and recommended actions to improve 21 migration of college students, professionals, families, 22 and retirees from outside of the State to communities 23 across Illinois. 24 (15) Potential and recommended actions to make 25 Illinois an age-friendly State. 26 (16) Potential and recommended actions to support HB1237 - 22 - LRB103 05760 KTG 50780 b HB1237- 23 -LRB103 05760 KTG 50780 b HB1237 - 23 - LRB103 05760 KTG 50780 b HB1237 - 23 - LRB103 05760 KTG 50780 b 1 health equity as it relates to advancing aging equity. 2 (17) Projections on the economic, fiscal, and personal 3 impacts of implementing or not implementing the 4 recommendations. 5 Section 45. Reporting. 6 (a) During the 2024 and 2025 legislative sessions, the 7 planning commission shall submit an oral and written report 8 summarizing its work and any preliminary findings or 9 recommendations to the joint budget committee and the General 10 Assembly. 11 (b) Within 2 years of commencement, the planning 12 commission shall submit to the Governor, the General Assembly, 13 and any affected State agency its strategic action plan 14 detailing the work of the planning commission and its final 15 recommendations. 16 (c) If the strategic action plan identifies programs, 17 services, projects, policies, or procedures that would result 18 in cost savings, without adversely affecting the quality of 19 care and services, and do not require legislation, the 20 Governor and the associated State agencies must pursue the 21 necessary actions to implement the recommendations, including, 22 as necessary, requesting adequate funding through the State 23 budget process. 24 (d) If the strategic action plan identifies programs, 25 services, projects, policies, or procedures that would result HB1237 - 23 - LRB103 05760 KTG 50780 b HB1237- 24 -LRB103 05760 KTG 50780 b HB1237 - 24 - LRB103 05760 KTG 50780 b HB1237 - 24 - LRB103 05760 KTG 50780 b 1 in cost savings, without adversely affecting the quality of 2 care and services, that require legislation, the planning 3 commission shall recommend legislation to implement the 4 changes to the General Assembly. In its plan, the planning 5 commission shall specify the laws and the policies and 6 procedures of the relevant State agencies that need to be 7 created, amended, or repealed to implement the 8 recommendations. 9 Section 50. Strategic plan updates and oversight. 10 (a) The planning commission shall submit updates to the 11 strategic action plan every 4 years, to update the planning 12 commission's analysis and recommendations. 13 (1) These updates shall include new economic and 14 demographic data as well as respond to new State and 15 national public and private initiatives and must address a 16 time period for analysis and recommendation that extends 17 15 years after the delivery of the update. 18 (2) The process for creating these updates shall be 19 determined by the planning commission as part of its 20 strategic action plan. 21 (3) New legislative or regulatory recommendations may 22 be offered in order to address new or changing 23 circumstances. 24 (b) The planning commission shall take measures to ensure 25 transparency to the public, the General Assembly, and to HB1237 - 24 - LRB103 05760 KTG 50780 b HB1237- 25 -LRB103 05760 KTG 50780 b HB1237 - 25 - LRB103 05760 KTG 50780 b HB1237 - 25 - LRB103 05760 KTG 50780 b 1 stakeholders in planning, goal setting, action steps, and 2 reporting on successful implementation and outcomes such as by 3 adhering to the Open Meetings Act and ensuring documents 4 regarding proceedings are posted, organized, and maintained on 5 an appropriate State website. 6 (c) After the initial development of the plan, the 7 planning commission's plan updates shall list areas in which 8 the plan is not being implemented or followed. 9 (d) The initial planning commission shall determine the 10 staffing and process for updating the initial strategic action 11 plan. The planning commission shall only undertake the plan 12 updates if sufficient funding is secured through 13 appropriations, gifts, grants, or donations. 14 Section 99. Effective date. This Act takes effect upon 15 becoming law. HB1237 - 25 - LRB103 05760 KTG 50780 b