103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB1674 Introduced 2/8/2023, by Sen. Laura Fine SYNOPSIS AS INTRODUCED: 405 ILCS 80/Art. VII-A heading405 ILCS 80/7A-1405 ILCS 80/7A-2 new405 ILCS 80/7A-3 new405 ILCS 80/7A-4 new Amends the Developmental Disability and Mental Disability Services Act. Provides that the Department of Human Services shall establish the Long-Term Stabilization Support Program consisting of at least 8 homes across the State and the Short-Term Stabilization Support Program consisting of at least 10 homes across the State. Provides for the requirements of each program. Provides that the Department shall submit an annual report to the General Assembly and Governor that outlines the progress and effectiveness of the programs beginning December 31, 2025. Provides that the Department shall adopt rules to develop and implement the programs. Provides for the repeal of the Article on January 1, 2028. LRB103 29556 SPS 55951 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB1674 Introduced 2/8/2023, by Sen. Laura Fine SYNOPSIS AS INTRODUCED: 405 ILCS 80/Art. VII-A heading405 ILCS 80/7A-1405 ILCS 80/7A-2 new405 ILCS 80/7A-3 new405 ILCS 80/7A-4 new 405 ILCS 80/Art. VII-A heading 405 ILCS 80/7A-1 405 ILCS 80/7A-2 new 405 ILCS 80/7A-3 new 405 ILCS 80/7A-4 new Amends the Developmental Disability and Mental Disability Services Act. Provides that the Department of Human Services shall establish the Long-Term Stabilization Support Program consisting of at least 8 homes across the State and the Short-Term Stabilization Support Program consisting of at least 10 homes across the State. Provides for the requirements of each program. Provides that the Department shall submit an annual report to the General Assembly and Governor that outlines the progress and effectiveness of the programs beginning December 31, 2025. Provides that the Department shall adopt rules to develop and implement the programs. Provides for the repeal of the Article on January 1, 2028. LRB103 29556 SPS 55951 b LRB103 29556 SPS 55951 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB1674 Introduced 2/8/2023, by Sen. Laura Fine SYNOPSIS AS INTRODUCED: 405 ILCS 80/Art. VII-A heading405 ILCS 80/7A-1405 ILCS 80/7A-2 new405 ILCS 80/7A-3 new405 ILCS 80/7A-4 new 405 ILCS 80/Art. VII-A heading 405 ILCS 80/7A-1 405 ILCS 80/7A-2 new 405 ILCS 80/7A-3 new 405 ILCS 80/7A-4 new 405 ILCS 80/Art. VII-A heading 405 ILCS 80/7A-1 405 ILCS 80/7A-2 new 405 ILCS 80/7A-3 new 405 ILCS 80/7A-4 new Amends the Developmental Disability and Mental Disability Services Act. Provides that the Department of Human Services shall establish the Long-Term Stabilization Support Program consisting of at least 8 homes across the State and the Short-Term Stabilization Support Program consisting of at least 10 homes across the State. Provides for the requirements of each program. Provides that the Department shall submit an annual report to the General Assembly and Governor that outlines the progress and effectiveness of the programs beginning December 31, 2025. Provides that the Department shall adopt rules to develop and implement the programs. Provides for the repeal of the Article on January 1, 2028. LRB103 29556 SPS 55951 b LRB103 29556 SPS 55951 b LRB103 29556 SPS 55951 b A BILL FOR SB1674LRB103 29556 SPS 55951 b SB1674 LRB103 29556 SPS 55951 b SB1674 LRB103 29556 SPS 55951 b 1 AN ACT concerning health. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 5. The Developmental Disability and Mental 5 Disability Services Act is amended by changing the heading of 6 Article VII-A and Section 7A-1 and by adding Sections 7A-2, 7 7A-3, and 7A-4 as follows: 8 (405 ILCS 80/Art. VII-A heading) 9 ARTICLE VII-A. STABILIZATION SUPPORT PILOT PROGRAMS DIVERSION 10 FROM FACILITY-BASED CARE PROGRAM 11 (Source: P.A. 100-924, eff. 7-1-19; 101-81, eff. 7-12-19.) 12 (405 ILCS 80/7A-1) 13 (Section scheduled to be repealed on January 1, 2025) 14 Sec. 7A-1. Stabilization Support Pilot Programs Diversion 15 from Facility-based Care Pilot Program. 16 (a) The purposes of this Article are to: 17 (1) decrease the number of admissions to and 18 transitions from State developmental centers 19 State-operated facilities; 20 (2) address the needs of individuals receiving Home 21 and Community Based Services (HCBS) with intellectual 22 disabilities or developmental disabilities who are at risk 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB1674 Introduced 2/8/2023, by Sen. Laura Fine SYNOPSIS AS INTRODUCED: 405 ILCS 80/Art. VII-A heading405 ILCS 80/7A-1405 ILCS 80/7A-2 new405 ILCS 80/7A-3 new405 ILCS 80/7A-4 new 405 ILCS 80/Art. VII-A heading 405 ILCS 80/7A-1 405 ILCS 80/7A-2 new 405 ILCS 80/7A-3 new 405 ILCS 80/7A-4 new 405 ILCS 80/Art. VII-A heading 405 ILCS 80/7A-1 405 ILCS 80/7A-2 new 405 ILCS 80/7A-3 new 405 ILCS 80/7A-4 new Amends the Developmental Disability and Mental Disability Services Act. Provides that the Department of Human Services shall establish the Long-Term Stabilization Support Program consisting of at least 8 homes across the State and the Short-Term Stabilization Support Program consisting of at least 10 homes across the State. Provides for the requirements of each program. Provides that the Department shall submit an annual report to the General Assembly and Governor that outlines the progress and effectiveness of the programs beginning December 31, 2025. Provides that the Department shall adopt rules to develop and implement the programs. Provides for the repeal of the Article on January 1, 2028. LRB103 29556 SPS 55951 b LRB103 29556 SPS 55951 b LRB103 29556 SPS 55951 b A BILL FOR 405 ILCS 80/Art. VII-A heading 405 ILCS 80/7A-1 405 ILCS 80/7A-2 new 405 ILCS 80/7A-3 new 405 ILCS 80/7A-4 new LRB103 29556 SPS 55951 b SB1674 LRB103 29556 SPS 55951 b SB1674- 2 -LRB103 29556 SPS 55951 b SB1674 - 2 - LRB103 29556 SPS 55951 b SB1674 - 2 - LRB103 29556 SPS 55951 b 1 of facility-based care due to significant behavioral 2 challenges, some with a dual diagnosis of mental illness, 3 by providing a community-based residential alternative to 4 facility-based care consistent with their personal 5 individual plans, and to transition these individuals back 6 to home and community-based services programming a 7 traditional community-integrated living arrangement or 8 other HCBS community setting program; 9 (3) (blank); create greater capacity within the 10 short-term stabilization homes by allowing individuals who 11 need an extended period of treatment to transfer to a 12 long-term stabilization home; 13 (4) stabilize the existing community-integrated living 14 arrangement system homes where the presence of individuals 15 with complex behavioral challenges is disruptive to their 16 housemates; and 17 (5) add support services to enhance community service 18 providers who serve individuals with significant 19 behavioral challenges; and . 20 (6) increase the number of individuals transitioning 21 out of State developmental centers into home and 22 community-based services programming. 23 (b) (Blank). Subject to appropriation or the availability 24 of other funds for these purposes at the discretion of the 25 Department, the Department shall establish the Diversion from 26 Facility-based Care Pilot Program consisting of at least 6 SB1674 - 2 - LRB103 29556 SPS 55951 b SB1674- 3 -LRB103 29556 SPS 55951 b SB1674 - 3 - LRB103 29556 SPS 55951 b SB1674 - 3 - LRB103 29556 SPS 55951 b 1 homes in various locations in this State in accordance with 2 this Article and the following model: 3 (1) the Diversion from Facility-based Care Model shall 4 serve individuals with intellectual disabilities or 5 developmental disabilities who are currently receiving 6 HCBS services and are at risk of facility-based care due 7 to significant behavioral challenges, some with a dual 8 diagnosis of mental illness, for a period ranging from one 9 to 2 years, or longer if appropriate for the individual; 10 (2) the Program shall be regulated in accordance with 11 the community-integrated living arrangement guidelines; 12 (3) each home shall support no more than 4 residents, 13 each having his or her own bedroom; 14 (4) if, at any point, an individual, his or her 15 guardian, or family caregivers, in conjunction with the 16 provider and clinical staff, believe the individual is 17 capable of participating in a HCBS service, those 18 opportunities shall be offered as they become available; 19 and 20 (5) providers shall have adequate resources, 21 experience, and qualifications to serve the population 22 target by the Program, as determined by the Department; 23 (6) participating Program providers and the Department 24 shall participate in an ongoing collaborative whereby best 25 practices and treatment experiences would be shared and 26 utilized; SB1674 - 3 - LRB103 29556 SPS 55951 b SB1674- 4 -LRB103 29556 SPS 55951 b SB1674 - 4 - LRB103 29556 SPS 55951 b SB1674 - 4 - LRB103 29556 SPS 55951 b 1 (7) home locations shall be proposed by the provider 2 in collaboration with other community stakeholders; 3 (8) The Department, in collaboration with 4 participating providers, by rule shall develop data 5 collection and reporting requirements for participating 6 community service providers. Beginning December 31, 2020 7 the Department shall submit an annual report 8 electronically to the General Assembly and Governor that 9 outlines the progress and effectiveness of the pilot 10 program. The report to the General Assembly shall be filed 11 with the Clerk of the House of Representatives and the 12 Secretary of the Senate in electronic form only, in the 13 manner that the Clerk and the Secretary shall direct; 14 (9) the staffing model shall allow for a high level of 15 community integration and engagement and family 16 involvement; and 17 (10) appropriate day services, staff training 18 priorities, and home modifications shall be incorporated 19 into the Program model, as allowed by HCBS authorization. 20 (c) (Blank). This Section is repealed on January 1, 2025. 21 (Source: P.A. 102-1109, eff. 12-21-22.) 22 (405 ILCS 80/7A-2 new) 23 Sec. 7A-2. Long-Term Stabilization Support Program. 24 (a) Subject to appropriation or the availability of other 25 funds for these purposes at the discretion of the Department, SB1674 - 4 - LRB103 29556 SPS 55951 b SB1674- 5 -LRB103 29556 SPS 55951 b SB1674 - 5 - LRB103 29556 SPS 55951 b SB1674 - 5 - LRB103 29556 SPS 55951 b 1 the Department shall establish the Long-Term Stabilization 2 Support Program consisting of at least 8 homes across the 3 State in accordance with this Article and the following 4 requirements: 5 (1) The Long-Term Stabilization Support Program shall 6 serve individuals with intellectual disabilities or 7 developmental disabilities who are currently receiving 8 home and community-based services and are at risk of 9 facility-based care due to significant behavioral 10 challenges and individuals transitioning out of State 11 developmental centers for a period of up to 2 years, or 12 longer if appropriate for the individual. 13 (2) The program shall be regulated by the Department 14 in accordance with the community-integrated living 15 arrangement guidelines set forth under the 16 Community-Integrated Living Arrangement Licensure and 17 Certification Act and any applicable rules or policies. 18 (3) Each home shall support no more than 4 residents, 19 each having his or her own bedroom. 20 (4) If an individual is in need of this program, it 21 must be reflected in his or her individual plan. 22 (5) The individual, in conjunction with his or her 23 guardian, if applicable, may change his or her home and 24 community-based services, including his or her 25 participation in this program. If an individual, his or 26 her guardian, if applicable, or family caregivers, in SB1674 - 5 - LRB103 29556 SPS 55951 b SB1674- 6 -LRB103 29556 SPS 55951 b SB1674 - 6 - LRB103 29556 SPS 55951 b SB1674 - 6 - LRB103 29556 SPS 55951 b 1 conjunction with the provider and clinical staff, believe 2 the individual is capable of participating in home and 3 community-based services, those opportunities shall be 4 offered as services become available. 5 (6) The Department shall ensure providers have 6 adequate resources, experience, and qualifications to 7 serve the population targeted by this program. 8 (7) The Department shall lead the providers in an 9 ongoing collaboration, whereby best practices and 10 treatment experiences shall be shared and utilized. 11 (8) The providers shall propose home locations in 12 collaboration with other community stakeholders. 13 (b) The Department shall submit an annual report 14 electronically to the General Assembly and Governor that 15 outlines the progress and effectiveness of this program 16 beginning December 31, 2025. The report to the General 17 Assembly shall be filed with the Clerk of the House of 18 Representatives and the Secretary of the Senate in electronic 19 form only, in the manner that the Clerk and the Secretary shall 20 direct. 21 (c) The Department shall adopt rules to develop and 22 implement this program. 23 (405 ILCS 80/7A-3 new) 24 Sec. 7A-3. Short-Term Stabilization Support Program. 25 (a) Subject to appropriation or the availability of other SB1674 - 6 - LRB103 29556 SPS 55951 b SB1674- 7 -LRB103 29556 SPS 55951 b SB1674 - 7 - LRB103 29556 SPS 55951 b SB1674 - 7 - LRB103 29556 SPS 55951 b 1 funds for these purposes at the discretion of the Department, 2 the Department shall establish the Short-Term Stabilization 3 Support Program consisting of at least 10 homes across the 4 State, in accordance with this Article and the following 5 requirements: 6 (1) The Short-Term Stabilization Support Program shall 7 serve individuals with intellectual disabilities or 8 developmental disabilities who are currently receiving 9 home and community-based services and are at risk of 10 facility-based care due to significant behavioral 11 challenges for a period ranging up to 90 days with an 12 option to extend if appropriate for the individual. 13 (2) The program shall be regulated by the Department 14 in accordance with the community-integrated living 15 arrangement guidelines set forth under the 16 Community-Integrated Living Arrangement Licensure and 17 Certification Act and any applicable rules or policies or 18 shall be regulated by the Department of Children and 19 Family Services in accordance with child group home 20 guidelines set forth under the Children and Family 21 Services Act and any applicable rules or policies. 22 (3) Each home shall support no more than 4 residents, 23 each having his or her own bedroom. 24 (4) If an individual is in need of this program, it 25 must be reflected in his or her individual plan. 26 (5) The individual, in conjunction with his or her SB1674 - 7 - LRB103 29556 SPS 55951 b SB1674- 8 -LRB103 29556 SPS 55951 b SB1674 - 8 - LRB103 29556 SPS 55951 b SB1674 - 8 - LRB103 29556 SPS 55951 b 1 guardian, if applicable, may change his or her home and 2 community-based services, including his or her 3 participation in this program. If an individual, his or 4 her guardian, if applicable, or family caregivers, in 5 conjunction with the provider and clinical staff, believe 6 the individual is capable of participating in home and 7 community-based services, those opportunities shall be 8 offered as services become available. 9 (6) The Department shall ensure providers have 10 adequate resources, experience, and qualifications to 11 serve the population targeted by this program. 12 (7) The Department shall lead the providers in an 13 ongoing collaboration, whereby best practices and 14 treatment experiences shall be shared and utilized. 15 (8) The providers shall propose home locations in 16 collaboration with other community stakeholders. 17 (b) The Department shall submit an annual report 18 electronically to the General Assembly and Governor that 19 outlines the progress and effectiveness of this program 20 beginning December 31, 2025. The report to the General 21 Assembly shall be filed with the Clerk of the House of 22 Representatives and the Secretary of the Senate in electronic 23 form only, in the manner that the Clerk and the Secretary shall 24 direct. 25 (c) The Department shall adopt rules to develop and 26 implement this program. SB1674 - 8 - LRB103 29556 SPS 55951 b SB1674- 9 -LRB103 29556 SPS 55951 b SB1674 - 9 - LRB103 29556 SPS 55951 b SB1674 - 9 - LRB103 29556 SPS 55951 b 1 (405 ILCS 80/7A-4 new) 2 Sec. 7A-4. Repealer. This Article is repealed January 1, 3 2028. SB1674 - 9 - LRB103 29556 SPS 55951 b