SB1674 EnrolledLRB103 29556 SPS 55951 b SB1674 Enrolled LRB103 29556 SPS 55951 b SB1674 Enrolled 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PROGRAM 11 (Source: P.A. 100-924, eff. 7-1-19; 101-81, eff. 7-12-19.) 12 (405 ILCS 80/7A-1) 13 (Section scheduled to be repealed on January 1, 2025) 14 Sec. 7A-1.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 Enrolled LRB103 29556 SPS 55951 b SB1674 Enrolled- 2 -LRB103 29556 SPS 55951 b SB1674 Enrolled - 2 - LRB103 29556 SPS 55951 b SB1674 Enrolled - 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 Enrolled - 2 - LRB103 29556 SPS 55951 b SB1674 Enrolled- 3 -LRB103 29556 SPS 55951 b SB1674 Enrolled - 3 - LRB103 29556 SPS 55951 b SB1674 Enrolled - 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 Enrolled - 3 - LRB103 29556 SPS 55951 b SB1674 Enrolled- 4 -LRB103 29556 SPS 55951 b SB1674 Enrolled - 4 - LRB103 29556 SPS 55951 b SB1674 Enrolled - 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 Enrolled - 4 - LRB103 29556 SPS 55951 b SB1674 Enrolled- 5 -LRB103 29556 SPS 55951 b SB1674 Enrolled - 5 - LRB103 29556 SPS 55951 b SB1674 Enrolled - 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, including requesting 25 alternate placement when the wants or needs of the 26 individual, as reflected in the individual's personal SB1674 Enrolled - 5 - LRB103 29556 SPS 55951 b SB1674 Enrolled- 6 -LRB103 29556 SPS 55951 b SB1674 Enrolled - 6 - LRB103 29556 SPS 55951 b SB1674 Enrolled - 6 - LRB103 29556 SPS 55951 b 1 plan, would be better served in another setting along the 2 full spectrum of care. If an individual, his or her 3 guardian, if applicable, or family caregivers, in 4 conjunction with the independent service coordination 5 agency, the provider, and clinical staff, believe the 6 individual's wants or needs, as reflected in the 7 individual's personal plan, would be better served in an 8 alternate setting along the full spectrum of care, those 9 opportunities shall be discussed as they are identified. 10 The request may be made at any point during the period 11 specified in paragraph (1) or at the conclusion of that 12 period, when assessing whether continued participation in 13 the program would be appropriate for the individual. 14 (6) The Department shall ensure providers have 15 adequate resources, experience, and qualifications to 16 serve the population targeted by this program. 17 (7) The Department shall lead the providers in an 18 ongoing collaboration, whereby best practices and 19 treatment experiences shall be shared and utilized. 20 (8) The providers shall propose home locations in 21 collaboration with other community stakeholders. 22 (b) Beginning March 31, 2025, the Department shall publish 23 quarterly reports on the following: 24 (1) the number of individuals participating in the 25 program; 26 (2) the number of individuals transitioning from the SB1674 Enrolled - 6 - LRB103 29556 SPS 55951 b SB1674 Enrolled- 7 -LRB103 29556 SPS 55951 b SB1674 Enrolled - 7 - LRB103 29556 SPS 55951 b SB1674 Enrolled - 7 - LRB103 29556 SPS 55951 b 1 program; 2 (3) the location where individuals transition to 3 during and after participation in the program; and 4 (4) the length of time individuals are participating 5 in the program. 6 The report to the General Assembly shall be filed with the 7 Clerk of the House of Representatives and the Secretary of the 8 Senate in electronic form, in the manner that the Clerk and the 9 Secretary shall direct. 10 (c) The Department shall adopt rules to develop and 11 implement this program. 12 (405 ILCS 80/7A-3 new) 13 Sec. 7A-3. Short-Term Stabilization Support Program. 14 (a) Subject to appropriation or the availability of other 15 funds for these purposes at the discretion of the Department, 16 the Department shall establish the Short-Term Stabilization 17 Support Program consisting of at least 10 homes across the 18 State, in accordance with this Article and the following 19 requirements: 20 (1) The Short-Term Stabilization Support Program shall 21 serve individuals with intellectual disabilities or 22 developmental disabilities who are currently receiving 23 home and community-based services and are at risk of 24 facility-based care due to significant behavioral 25 challenges for a period ranging up to 90 days with an SB1674 Enrolled - 7 - LRB103 29556 SPS 55951 b SB1674 Enrolled- 8 -LRB103 29556 SPS 55951 b SB1674 Enrolled - 8 - LRB103 29556 SPS 55951 b SB1674 Enrolled - 8 - LRB103 29556 SPS 55951 b 1 option to extend if appropriate for the individual. 2 (2) The program shall be regulated by the Department 3 in accordance with the community-integrated living 4 arrangement guidelines set forth under the 5 Community-Integrated Living Arrangement Licensure and 6 Certification Act and any applicable rules or policies or 7 shall be regulated by the Department of Children and 8 Family Services in accordance with child group home 9 guidelines set forth under the Children and Family 10 Services Act and any applicable rules or policies. 11 (3) Each home shall support no more than 4 residents, 12 each having his or her own bedroom. 13 (4) If an individual is in need of this program, it 14 must be reflected in his or her individual plan. 15 (5) The individual, in conjunction with his or her 16 guardian, if applicable, may change his or her home and 17 community-based services, including his or her 18 participation in this program, including requesting 19 alternate placement when the wants or needs of the 20 individual, as reflected in the individual's personal 21 plan, would be better served in another setting along the 22 full spectrum of care. If an individual, his or her 23 guardian, if applicable, or family caregivers, in 24 conjunction with the independent service coordination 25 agency, the provider, and clinical staff, believe the 26 individual's wants or needs, as reflected in the SB1674 Enrolled - 8 - LRB103 29556 SPS 55951 b SB1674 Enrolled- 9 -LRB103 29556 SPS 55951 b SB1674 Enrolled - 9 - LRB103 29556 SPS 55951 b SB1674 Enrolled - 9 - LRB103 29556 SPS 55951 b 1 individual's personal plan, would be better served in an 2 alternate setting along the full spectrum of care, those 3 opportunities shall be discussed as they are identified. 4 The request may be made at any point during the period 5 specified in paragraph (1) or at the conclusion of that 6 period, when assessing whether continued participation in 7 the program would be appropriate for the individual. 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) Beginning March 31, 2025, the Department shall publish 17 quarterly reports on the following: 18 (1) the number of individuals participating in the 19 program; 20 (2) the number of individuals transitioning from the 21 program; 22 (3) the location where individuals transition to 23 during and after participation in the program; and 24 (4) the length of time individuals are participating 25 in the program. 26 The report to the General Assembly shall be filed with the SB1674 Enrolled - 9 - LRB103 29556 SPS 55951 b SB1674 Enrolled- 10 -LRB103 29556 SPS 55951 b SB1674 Enrolled - 10 - LRB103 29556 SPS 55951 b SB1674 Enrolled - 10 - LRB103 29556 SPS 55951 b 1 Clerk of the House of Representatives and the Secretary of the 2 Senate in electronic form, in the manner that the Clerk and the 3 Secretary shall direct. 4 (c) The Department shall adopt rules to develop and 5 implement this program. 6 (405 ILCS 80/7A-4 new) 7 Sec. 7A-4. Repealer. This Article is repealed January 1, 8 2028. SB1674 Enrolled - 10 - LRB103 29556 SPS 55951 b