Illinois 2023 2023-2024 Regular Session

Illinois House Bill HB3819 Engrossed / Bill

Filed 03/17/2023

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1  AN ACT concerning government.
2  Be it enacted by the People of the State of Illinois,
3  represented in the General Assembly:
4  Section 5. The Community-Law Enforcement and Other First
5  Responder Partnership for Deflection and Substance Use
6  Disorder Treatment Act is amended by changing Sections 1, 5,
7  10, 15, 20, 21, 30, and 35 as follows:
8  (5 ILCS 820/1)
9  Sec. 1. Short title. This Act may be cited as the Community
10  Community-Law Enforcement and Other First Responder
11  Partnership for Deflection and Substance Use Disorder
12  Treatment Act.
13  (Source: P.A. 100-1025, eff. 1-1-19; 101-652, eff. 7-1-21.)
14  (5 ILCS 820/5)
15  Sec. 5. Purposes. The General Assembly hereby acknowledges
16  that opioid use disorders, overdoses, and deaths in Illinois
17  are persistent and growing concerns for Illinois communities.
18  These concerns compound existing challenges to adequately
19  address and manage substance use and mental health disorders.
20  Local government agencies, law Law enforcement officers, other
21  first responders, and co-responders have a unique opportunity
22  to facilitate connections to community-based services,

 

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1  including case management, and mental and behavioral health
2  interventions that provide harm reduction or substance use
3  treatment and can help save and restore lives; help reduce
4  drug use, overdose incidence, criminal offending, and
5  recidivism; and help prevent arrest and conviction records
6  that destabilize health, families, and opportunities for
7  community citizenship and self-sufficiency. These efforts are
8  bolstered when pursued in partnership with licensed behavioral
9  health treatment providers and community members or
10  organizations. It is the intent of the General Assembly to
11  authorize law enforcement, and other first responders, and
12  local government agencies to develop and implement
13  collaborative deflection programs in Illinois that offer
14  immediate pathways to substance use treatment and other
15  services as an alternative to traditional case processing and
16  involvement in the criminal justice system, and to unnecessary
17  admission to emergency departments.
18  (Source: P.A. 100-1025, eff. 1-1-19; 101-652, eff. 7-1-21.)
19  (5 ILCS 820/10)
20  Sec. 10. Definitions. In this Act:
21  "Case management" means those services which use
22  evidence-based practices, including harm reduction and
23  motivational interviewing, to will assist persons in gaining
24  access to needed social, educational, medical, substance use
25  and mental health treatment, and other services.

 

 

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1  "Community member or organization" means an individual
2  volunteer, resident, public office, or a not-for-profit
3  organization, religious institution, charitable organization,
4  or other public body committed to the improvement of
5  individual and family mental and physical well-being and the
6  overall social welfare of the community, and may include
7  persons with lived experience in recovery from substance use
8  disorder, either themselves or as family members.
9  "Other first responder" means and includes emergency
10  medical services providers that are public units of
11  government, fire departments and districts, and officials and
12  responders representing and employed by these entities.
13  "Deflection program" means a program in which a peace
14  officer or member of a law enforcement agency, or other first
15  responder, or local government agency facilitates contact
16  between an individual and a licensed substance use treatment
17  provider, or clinician, or case management agency for
18  assessment and coordination of treatment planning, including
19  co-responder approaches that incorporate behavioral health,
20  peer, or social work professionals with law enforcement or
21  other first responders at the scene. This facilitation
22  includes defined criteria for eligibility and communication
23  protocols agreed to by the law enforcement agency or other
24  first responder entity and the licensed treatment provider or
25  case management agency for the purpose of providing substance
26  use treatment or care collaboration to those persons in lieu

 

 

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1  of arrest or further justice system involvement, or
2  unnecessary admissions to the emergency department. Deflection
3  programs may include, but are not limited to, the following
4  types of responses:
5  (1) a post-overdose deflection response initiated by a
6  peace officer or law enforcement agency subsequent to
7  emergency administration of medication to reverse an
8  overdose, or in cases of severe substance use disorder
9  with acute risk for overdose;
10  (2) a self-referral deflection response initiated by
11  an individual by contacting a peace officer, or law
12  enforcement agency, or other first responder, or local
13  government agency in the acknowledgment of their substance
14  use or disorder;
15  (3) an active outreach deflection response initiated
16  by a peace officer, or law enforcement agency, or other
17  first responder, or local government agency as a result of
18  proactive identification of persons thought likely to have
19  a substance use disorder or untreated or undiagnosed
20  mental illness;
21  (4) an officer, or other first responder, or local
22  government agency prevention deflection response initiated
23  by a peace officer, or law enforcement agency, or local
24  government agency in response to a community call when no
25  criminal charges are present; and
26  (5) an officer intervention deflection response when

 

 

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1  criminal charges are present but held in abeyance pending
2  engagement with treatment; and .
3  (6) pre-booking diversion response initiated by law
4  enforcement when criminal charges are possible, but the
5  individual is diverted to case management services in lieu
6  of charges.
7  "Harm reduction" means a reduction of, or attempt to
8  reduce, the adverse consequences of substance use, including,
9  but not limited to, by addressing the substance use and
10  conditions that give rise to the substance use. "Harm
11  reduction" includes, but is not limited to, syringe service
12  programs, naloxone distribution, and public awareness
13  campaigns about the Good Samaritan Act.
14  "Law enforcement agency" means a municipal police
15  department or county sheriff's office of this State, the
16  Illinois State Police, or other law enforcement agency whose
17  officers, by statute, are granted and authorized to exercise
18  powers similar to those conferred upon any peace officer
19  employed by a law enforcement agency of this State.
20  "Licensed treatment provider" means an organization
21  licensed by the Department of Human Services to perform an
22  activity or service, or a coordinated range of those
23  activities or services, as the Department of Human Services
24  may establish by rule, such as the broad range of emergency,
25  outpatient, intensive outpatient, and residential services and
26  care, including assessment, diagnosis, case management,

 

 

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1  medical, psychiatric, psychological and social services,
2  medication-assisted treatment, care and counseling, and
3  recovery support, which may be extended to persons to assess
4  or treat substance use disorder or to families of those
5  persons.
6  "Local government agency" means a county, municipality, or
7  township office, a State's Attorney's Office, a Public
8  Defender's Office, or a local health department.
9  "Peace officer" means any peace officer or member of any
10  duly organized State, county, or municipal peace officer unit,
11  any police force of another State, or any police force whose
12  members, by statute, are granted and authorized to exercise
13  powers similar to those conferred upon any peace officer
14  employed by a law enforcement agency of this State.
15  "Substance use disorder" means a pattern of use of alcohol
16  or other drugs leading to clinical or functional impairment,
17  in accordance with the definition in the Diagnostic and
18  Statistical Manual of Mental Disorders (DSM-5), or in any
19  subsequent editions.
20  "Treatment" means the broad range of emergency,
21  outpatient, intensive outpatient, and residential services and
22  care (including assessment, diagnosis, case management,
23  medical, psychiatric, psychological and social services,
24  medication-assisted treatment, care and counseling, and
25  recovery support) which may be extended to persons who have
26  substance use disorders, persons with mental illness, or

 

 

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1  families of those persons.
2  (Source: P.A. 101-652, eff. 7-1-21; 102-538, eff. 8-20-21;
3  102-813, eff. 5-13-22.)
4  (5 ILCS 820/15)
5  Sec. 15. Authorization.
6  (a) Any law enforcement agency, or other first responder
7  entity, or local government agency may establish a deflection
8  program subject to the provisions of this Act in partnership
9  with one or more licensed providers of substance use disorder
10  treatment services and one or more community members or
11  organizations. Programs established by another first responder
12  entity or a local government agency shall also include a law
13  enforcement agency.
14  (b) The deflection program may involve a post-overdose
15  deflection response, a self-referral deflection response, a
16  pre-arrest diversion response, an active outreach deflection
17  response, an officer or other first responder prevention
18  deflection response, or an officer intervention deflection
19  response, or any combination of those.
20  (c) Nothing shall preclude the General Assembly from
21  adding other responses to a deflection program, or preclude a
22  law enforcement agency, or other first responder entity, or
23  local government agency from developing a deflection program
24  response based on a model unique and responsive to local
25  issues, substance use or mental health needs, and

 

 

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1  partnerships, using sound and promising or evidence-based
2  practices.
3  (c-5) Whenever appropriate and available, case management
4  should be provided by a licensed treatment provider or other
5  appropriate provider and may include peer recovery support
6  approaches.
7  (d) To receive funding for activities as described in
8  Section 35 of this Act, planning for the deflection program
9  shall include:
10  (1) the involvement of one or more licensed treatment
11  programs and one or more community members or
12  organizations; and
13  (2) an agreement with the Illinois Criminal Justice
14  Information Authority to collect and evaluate relevant
15  statistical data related to the program, as established by
16  the Illinois Criminal Justice Information Authority in
17  paragraph (2) of subsection (a) of Section 25 of this Act.
18  (3) an agreement with participating licensed treatment
19  providers authorizing the release of statistical data to
20  the Illinois Criminal Justice Information Authority, in
21  compliance with State and Federal law, as established by
22  the Illinois Criminal Justice Information Authority in
23  paragraph (2) of subsection (a) of Section 25 of this Act.
24  (Source: P.A. 100-1025, eff. 1-1-19; 101-81, eff. 7-12-19;
25  101-652, eff. 7-1-21.)

 

 

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1  (5 ILCS 820/20)
2  Sec. 20. Procedure. The law enforcement agency, or other
3  first responder entity, local government agency, licensed
4  treatment providers, and community members or organizations
5  shall establish a local deflection program plan that includes
6  protocols and procedures for participant identification,
7  screening or assessment, case management, treatment
8  facilitation, reporting, restorative justice, and ongoing
9  involvement of the law enforcement agency. Licensed substance
10  use disorder treatment organizations shall adhere to 42 CFR
11  Part 2 regarding confidentiality regulations for information
12  exchange or release. Substance use disorder treatment services
13  shall adhere to all regulations specified in Department of
14  Human Services Administrative Rules, Parts 2060 and 2090.
15  A deflection program organized and operating under this
16  Act may accept, receive, and disburse, in furtherance of its
17  duties and functions, any funds, grants, and services made
18  available by the State and its agencies, the federal
19  government and its agencies, units of local government, and
20  private or civic sources.
21  (Source: P.A. 100-1025, eff. 1-1-19; 101-652, eff. 7-1-21.)
22  (5 ILCS 820/21)
23  Sec. 21. Training. Employees of the The law enforcement
24  agency, or other first responder entity, or local government
25  agency who are participating in programs that receive funding

 

 

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1  for services under Section 35 of this Act shall and that
2  receive training under subsection (a.1) of Section 35 shall be
3  trained in:
4  (a) Neuroscience of Addiction for Law Enforcement;
5  (b) Medication-Assisted Treatment;
6  (c) Criminogenic Risk-Need for Health and Safety;
7  (d) Why Drug Treatment Works?;
8  (e) Eliminating Stigma for People with Substance-Use
9  Disorders and Mental Health;
10  (f) Avoiding Racial Bias in Deflection Program;
11  (g) Promotion Racial and Gender Equity in Deflection;
12  (h) Working With Community Partnerships; and
13  (i) Deflection in Rural Communities; and .
14  (j) Harm Reduction.
15  (Source: P.A. 101-652, eff. 7-1-21.)
16  (5 ILCS 820/30)
17  Sec. 30. Exemption from civil liability. The law
18  enforcement agency, or peace officer, or other first
19  responder, or local government agency or employee of the
20  agency acting in good faith shall not, as the result of acts or
21  omissions in providing services under Section 15 of this Act,
22  be liable for civil damages, unless the acts or omissions
23  constitute willful and wanton misconduct.
24  (Source: P.A. 100-1025, eff. 1-1-19; 101-652, eff. 7-1-21.)

 

 

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1  (5 ILCS 820/35)
2  Sec. 35. Funding.
3  (a) The General Assembly may appropriate funds to the
4  Illinois Criminal Justice Information Authority for the
5  purpose of funding law enforcement agencies, or other first
6  responder entities, or local government agencies for services
7  provided by deflection program partners as part of deflection
8  programs subject to subsection (d) of Section 15 of this Act.
9  (a.1) Up to 10 percent of appropriated funds may be
10  expended on activities related to knowledge dissemination,
11  training, technical assistance, or other similar activities
12  intended to increase practitioner and public awareness of
13  deflection and/or to support its implementation. The Illinois
14  Criminal Justice Information Authority may adopt guidelines
15  and requirements to direct the distribution of funds for these
16  activities.
17  (b) For all appropriated funds not distributed under
18  subsection (a.1), the Illinois Criminal Justice Information
19  Authority may adopt guidelines and requirements to direct the
20  distribution of funds for expenses related to deflection
21  programs. Funding shall be made available to support both new
22  and existing deflection programs in a broad spectrum of
23  geographic regions in this State, including urban, suburban,
24  and rural communities. Funding for deflection programs shall
25  be prioritized for communities that have been impacted by the
26  war on drugs, communities that have a police/community

 

 

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1  relations issue, and communities that have a disproportionate
2  lack of access to mental health and drug treatment. Activities
3  eligible for funding under this Act may include, but are not
4  limited to, the following:
5  (1) activities related to program administration,
6  coordination, or management, including, but not limited
7  to, the development of collaborative partnerships with
8  licensed treatment providers and community members or
9  organizations; collection of program data; or monitoring
10  of compliance with a local deflection program plan;
11  (2) case management including case management provided
12  prior to assessment, diagnosis, and engagement in
13  treatment, as well as assistance navigating and gaining
14  access to various treatment modalities and support
15  services;
16  (3) peer recovery or recovery support services that
17  include the perspectives of persons with the experience of
18  recovering from a substance use disorder, either
19  themselves or as family members;
20  (4) transportation to a licensed treatment provider or
21  other program partner location;
22  (5) program evaluation activities;
23  (6) naloxone and related harm reduction supplies
24  necessary for carrying out overdose prevention and
25  reversal for purposes of distribution to program
26  participants or for use by law enforcement, or other first

 

 

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1  responders, or local government agencies; and
2  (7) treatment necessary to prevent gaps in service
3  delivery between linkage and coverage by other funding
4  sources when otherwise non-reimbursable; and .
5  (8) wraparound participant funds to be used to
6  incentivize participation and meet participant needs.
7  Eligible items include, but are not limited to, clothing,
8  transportation, application fees, emergency shelter,
9  utilities, toiletries, medical supplies, haircuts, and
10  snacks. Food and drink is allowed if it is necessary for
11  the program's success where it incentivizes participation
12  in case management or addresses an emergency need as a
13  bridge to self-sufficiency when other sources of emergency
14  food are not available.
15  (c) Specific linkage agreements with recovery support
16  services or self-help entities may be a requirement of the
17  program services protocols. All deflection programs shall
18  encourage the involvement of key family members and
19  significant others as a part of a family-based approach to
20  treatment. All deflection programs are encouraged to use
21  evidence-based practices and outcome measures in the provision
22  of case management, substance use disorder treatment, and
23  medication-assisted treatment for persons with opioid use
24  disorders.
25  (Source: P.A. 101-81, eff. 7-12-19; 101-652, eff. 7-1-21;
26  102-813, eff. 5-13-22.)

 

 

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1  Section 95. Illinois Compiled Statutes reassignment. The
2  Legislative Reference Bureau shall reassign the following Act
3  to the specified location in the Illinois Compiled Statutes
4  and file appropriate documents with the Index Division of the
5  Office of the Secretary of State in accordance with subsection
6  (c) of Section 5.04 of the Legislative Reference Bureau Act:
7  Community Partnership for Deflection and Substance Use
8  Disorder Treatment Act, reassigned from 5 ILCS 820/ to 50 ILCS
9  71/.

 

 

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