SB1674 EngrossedLRB103 29556 SPS 55951 b SB1674 Engrossed LRB103 29556 SPS 55951 b SB1674 Engrossed 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PROGRAM 11 (Source: P.A. 100-924, eff. 7-1-19; 101-81, eff. 7-12-19.) 12 (405 ILCS 80/7A-1) 13 (Section scheduled to be repealed on January 1, 2025) 14 Sec. 7A-1.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 State 18 developmental centers State-operated facilities; 19 (2) address the needs of individuals receiving Home 20 and Community Based Services (HCBS) with intellectual 21 disabilities or developmental disabilities who are at risk 22 of facility-based care due to significant behavioral SB1674 Engrossed LRB103 29556 SPS 55951 b SB1674 Engrossed- 2 -LRB103 29556 SPS 55951 b SB1674 Engrossed - 2 - LRB103 29556 SPS 55951 b SB1674 Engrossed - 2 - LRB103 29556 SPS 55951 b 1 challenges, some with a dual diagnosis of mental illness, 2 by providing a community-based residential alternative to 3 facility-based care consistent with their personal 4 individual plans, and to transition these individuals back 5 to home and community-based services programming a 6 traditional community-integrated living arrangement or 7 other HCBS community setting program; 8 (3) (blank); create greater capacity within the 9 short-term stabilization homes by allowing individuals who 10 need an extended period of treatment to transfer to a 11 long-term stabilization home; 12 (4) stabilize the existing community-integrated living 13 arrangement system homes where the presence of individuals 14 with complex behavioral challenges is disruptive to their 15 housemates; and 16 (5) add support services to enhance community service 17 providers who serve individuals with significant 18 behavioral challenges; and . 19 (6) increase the number of individuals transitioning 20 out of State developmental centers into home and 21 community-based services programming. 22 (b) (Blank). Subject to appropriation or the availability 23 of other funds for these purposes at the discretion of the 24 Department, the Department shall establish the Diversion from 25 Facility-based Care Pilot Program consisting of at least 6 26 homes in various locations in this State in accordance with SB1674 Engrossed - 2 - LRB103 29556 SPS 55951 b SB1674 Engrossed- 3 -LRB103 29556 SPS 55951 b SB1674 Engrossed - 3 - LRB103 29556 SPS 55951 b SB1674 Engrossed - 3 - LRB103 29556 SPS 55951 b 1 this Article and the following model: 2 (1) the Diversion from Facility-based Care Model shall 3 serve individuals with intellectual disabilities or 4 developmental disabilities who are currently receiving 5 HCBS services and are at risk of facility-based care due 6 to significant behavioral challenges, some with a dual 7 diagnosis of mental illness, for a period ranging from one 8 to 2 years, or longer if appropriate for the individual; 9 (2) the Program shall be regulated in accordance with 10 the community-integrated living arrangement guidelines; 11 (3) each home shall support no more than 4 residents, 12 each having his or her own bedroom; 13 (4) if, at any point, an individual, his or her 14 guardian, or family caregivers, in conjunction with the 15 provider and clinical staff, believe the individual is 16 capable of participating in a HCBS service, those 17 opportunities shall be offered as they become available; 18 and 19 (5) providers shall have adequate resources, 20 experience, and qualifications to serve the population 21 target by the Program, as determined by the Department; 22 (6) participating Program providers and the Department 23 shall participate in an ongoing collaborative whereby best 24 practices and treatment experiences would be shared and 25 utilized; 26 (7) home locations shall be proposed by the provider SB1674 Engrossed - 3 - LRB103 29556 SPS 55951 b SB1674 Engrossed- 4 -LRB103 29556 SPS 55951 b SB1674 Engrossed - 4 - LRB103 29556 SPS 55951 b SB1674 Engrossed - 4 - LRB103 29556 SPS 55951 b 1 in collaboration with other community stakeholders; 2 (8) The Department, in collaboration with 3 participating providers, by rule shall develop data 4 collection and reporting requirements for participating 5 community service providers. Beginning December 31, 2020 6 the Department shall submit an annual report 7 electronically to the General Assembly and Governor that 8 outlines the progress and effectiveness of the pilot 9 program. The report to the General Assembly shall be filed 10 with the Clerk of the House of Representatives and the 11 Secretary of the Senate in electronic form only, in the 12 manner that the Clerk and the Secretary shall direct; 13 (9) the staffing model shall allow for a high level of 14 community integration and engagement and family 15 involvement; and 16 (10) appropriate day services, staff training 17 priorities, and home modifications shall be incorporated 18 into the Program model, as allowed by HCBS authorization. 19 (c) (Blank). This Section is repealed on January 1, 2025. 20 (Source: P.A. 102-1109, eff. 12-21-22.) 21 (405 ILCS 80/7A-2 new) 22 Sec. 7A-2. Long-Term Stabilization Support Program. 23 (a) Subject to appropriation or the availability of other 24 funds for these purposes at the discretion of the Department, 25 the Department shall establish the Long-Term Stabilization SB1674 Engrossed - 4 - LRB103 29556 SPS 55951 b SB1674 Engrossed- 5 -LRB103 29556 SPS 55951 b SB1674 Engrossed - 5 - LRB103 29556 SPS 55951 b SB1674 Engrossed - 5 - LRB103 29556 SPS 55951 b 1 Support Program consisting of at least 8 homes across the 2 State in accordance with this Article and the following 3 requirements: 4 (1) The Long-Term Stabilization Support Program shall 5 serve individuals with intellectual disabilities or 6 developmental disabilities who are currently receiving 7 home and community-based services and are at risk of 8 facility-based care due to significant behavioral 9 challenges and individuals transitioning out of State 10 developmental centers for a period of up to 2 years, or 11 longer if appropriate for the individual. 12 (2) The program shall be regulated by the Department 13 in accordance with the community-integrated living 14 arrangement guidelines set forth under the 15 Community-Integrated Living Arrangement Licensure and 16 Certification Act and any applicable rules or policies. 17 (3) Each home shall support no more than 4 residents, 18 each having his or her own bedroom. 19 (4) If an individual is in need of this program, it 20 must be reflected in his or her individual plan. 21 (5) The individual, in conjunction with his or her 22 guardian, if applicable, may change his or her home and 23 community-based services, including his or her 24 participation in this program. If an individual, his or 25 her guardian, if applicable, or family caregivers, in 26 conjunction with the provider and clinical staff, believe SB1674 Engrossed - 5 - LRB103 29556 SPS 55951 b SB1674 Engrossed- 6 -LRB103 29556 SPS 55951 b SB1674 Engrossed - 6 - LRB103 29556 SPS 55951 b SB1674 Engrossed - 6 - LRB103 29556 SPS 55951 b 1 the individual is capable of participating in home and 2 community-based services, those opportunities shall be 3 offered as services become available. 4 (6) The Department shall ensure providers have 5 adequate resources, experience, and qualifications to 6 serve the population targeted by this program. 7 (7) The Department shall lead the providers in an 8 ongoing collaboration, whereby best practices and 9 treatment experiences shall be shared and utilized. 10 (8) The providers shall propose home locations in 11 collaboration with other community stakeholders. 12 (b) The Department shall submit an annual report 13 electronically to the General Assembly and Governor that 14 outlines the progress and effectiveness of this program 15 beginning December 31, 2025. The report to the General 16 Assembly shall be filed with the Clerk of the House of 17 Representatives and the Secretary of the Senate in electronic 18 form only, in the manner that the Clerk and the Secretary shall 19 direct. 20 (c) The Department shall adopt rules to develop and 21 implement this program. 22 (405 ILCS 80/7A-3 new) 23 Sec. 7A-3. Short-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 Engrossed - 6 - LRB103 29556 SPS 55951 b SB1674 Engrossed- 7 -LRB103 29556 SPS 55951 b SB1674 Engrossed - 7 - LRB103 29556 SPS 55951 b SB1674 Engrossed - 7 - LRB103 29556 SPS 55951 b 1 the Department shall establish the Short-Term Stabilization 2 Support Program consisting of at least 10 homes across the 3 State, in accordance with this Article and the following 4 requirements: 5 (1) The Short-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 for a period ranging up to 90 days with an 11 option to extend if appropriate for the individual. 12 (2) The program shall be regulated by the Department 13 in accordance with the community-integrated living 14 arrangement guidelines set forth under the 15 Community-Integrated Living Arrangement Licensure and 16 Certification Act and any applicable rules or policies or 17 shall be regulated by the Department of Children and 18 Family Services in accordance with child group home 19 guidelines set forth under the Children and Family 20 Services Act and any applicable rules or policies. 21 (3) Each home shall support no more than 4 residents, 22 each having his or her own bedroom. 23 (4) If an individual is in need of this program, it 24 must be reflected in his or her individual plan. 25 (5) The individual, in conjunction with his or her 26 guardian, if applicable, may change his or her home and SB1674 Engrossed - 7 - LRB103 29556 SPS 55951 b SB1674 Engrossed- 8 -LRB103 29556 SPS 55951 b SB1674 Engrossed - 8 - LRB103 29556 SPS 55951 b SB1674 Engrossed - 8 - LRB103 29556 SPS 55951 b 1 community-based services, including his or her 2 participation in this program. If an individual, his or 3 her guardian, if applicable, or family caregivers, in 4 conjunction with the provider and clinical staff, believe 5 the individual is capable of participating in home and 6 community-based services, those opportunities shall be 7 offered as services become available. 8 (6) The Department shall ensure providers have 9 adequate resources, experience, and qualifications to 10 serve the population targeted by this program. 11 (7) The Department shall lead the providers in an 12 ongoing collaboration, whereby best practices and 13 treatment experiences shall be shared and utilized. 14 (8) The providers shall propose home locations in 15 collaboration with other community stakeholders. 16 (b) The Department shall submit an annual report 17 electronically to the General Assembly and Governor that 18 outlines the progress and effectiveness of this program 19 beginning December 31, 2025. The report to the General 20 Assembly shall be filed with the Clerk of the House of 21 Representatives and the Secretary of the Senate in electronic 22 form only, in the manner that the Clerk and the Secretary shall 23 direct. 24 (c) The Department shall adopt rules to develop and 25 implement this program. SB1674 Engrossed - 8 - LRB103 29556 SPS 55951 b SB1674 Engrossed- 9 -LRB103 29556 SPS 55951 b SB1674 Engrossed - 9 - LRB103 29556 SPS 55951 b SB1674 Engrossed - 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 Engrossed - 9 - LRB103 29556 SPS 55951 b