HB1450ham001 94TH GENERAL ASSEMBLY

Rep. Lee A. Daniels

Filed: 3/15/2005

09400HB1450ham001 LRB094 08791 RSP 43150 a

AMENDMENT TO HOUSE BILL 1450

AMENDMENT NO. ______. Amend House Bill 1450 by replacing everything after the enacting clause with the following:

"Section 5. The Mental Health and Developmental Disabilities Administrative Act is amended by changing Section 18.3 as follows:

(20 ILCS 1705/18.3)

Sec. 18.3. Integrated system for services for the mentally ill. The Department shall develop an effective, recovery oriented, integrated system for delivering State-funded and State-operated services to persons with mental illness. The No later than June 30, 1994, the Department shall enter into one or more cooperative arrangements with the Department of Public Aid, the Department of Rehabilitation Services, the Department of Public Health, and any other appropriate entities for administration or supervision by the Department of Mental Health and Developmental Disabilities of all State programs for services to persons in community care facilities for persons with mental illness, including but not limited to inpatient, outpatient, community, and office settings, as well as intermediate care facilities, that are supported by State funds or by funding under Title XIX of the federal Social Security Act. The Department shall report to the Senate Health and Human Services Committee and the House Special Committee on Fee-for-Service Initiatives, or their successor committees, on the development of the integrated system provided under this Section no later than January 1, 2006 and annually thereafter. The Department shall form a medical advisory panel, appointed by the Secretary, comprised of 5 physicians licensed to practice medicine in all its branches with a special emphasis in treating mental illness, to provide advice on care rendered to patients in any recovery oriented, integrated delivery system. The Department of Human Services shall succeed to the responsibilities of the Department of Mental Health and Developmental Disabilities and the Department of Rehabilitation Services under any such cooperative arrangement in existence on July 1, 1997.

(Source: P.A. 88-388; 89-507, eff. 7-1-97.)

Section 10. The Community Services Act is amended by changing Section 1 as follows:

(405 ILCS 30/1) (from Ch. 91 1/2, par. 901)

Sec. 1. Purpose. It is declared to be the policy and intent of the Illinois General Assembly that the Department of Human Services assume leadership in facilitating the establishment of comprehensive and coordinated arrays of private and public services for persons with mental illness, persons with a developmental disability, and alcohol and drug dependent citizens residing in communities throughout the state. The Department shall work in partnership with local government entities, direct service providers, voluntary associations and communities to create a system that is sensitive to the needs of local communities and which complements existing family and other natural supports, social institutions and programs.

The goals of the service system shall include but not be limited to the following: to strengthen the disabled individual's independence, self-esteem and ability to participate in and contribute to community life; to provide recovery oriented services directed toward achieving and maintaining a person's full or partial recovery from the symptoms of mental illness and the attainment of economic self-sufficiency and community integration; to insure continuity of care for clients; to enable disabled persons to access needed services, commensurate with their individual wishes and needs, regardless of where they reside in the state; to prevent unnecessary institutionalization and the dislocation of individuals from their home communities; to provide a range of services so that persons can receive these services in settings which do not unnecessarily restrict their liberty; and to encourage clients to move among settings as their needs change.

The system shall include provision of services in the areas of prevention, client assessment and diagnosis, case coordination, crisis and emergency care, treatment and habilitation and support services, and community residential alternatives to institutional settings. The General Assembly recognizes that community programs are an integral part of the larger service system, which includes state-operated facilities for persons who cannot receive appropriate services in the community.

Towards achievement of these ends, the Department of Human Services, working in coordination with other State agencies, shall assume responsibilities pursuant to this Act, which includes activities in the areas of planning, quality assurance, program evaluation, community education, and the provision of financial and technical assistance to local provider agencies.

(Source: P.A. 88-380; 89-507, eff. 7-1-97.)

Section 15. The Community Support Systems Act is amended by changing Sections 1 and 2 as follows:

(405 ILCS 35/1) (from Ch. 91 1/2, par. 1101)

Sec. 1. Purpose. The statewide development and implementation of local community support systems, including recovery oriented services, to serve the chronically mentally ill with emphasis on care and treatment of extended and/or repeated users of inpatient and/or other intensive mental health services such as day treatment, emergency and non-medical residential care shall be a priority for the Department of Human Services, hereinafter referred to as the Department, in community program funding. The goal of the local community service system shall include but not be limited to recovery. Mental health recovery oriented services shall be directed toward achieving and maintaining a person's full or partial recovery from the symptoms of mental illness and the attainment of economic self-sufficiency and community integration.

In order to achieve this goal, the Department shall develop and facilitate, in cooperation with community agencies serving the mentally ill, the implementation of appropriate plans providing guidance for the Department and community agencies in planning, securing, funding, client assessment, service system evaluation, technical assistance, and local level development of community support systems. In addition, the Department shall continue funding community support system pilot projects established pursuant to Section 16.2 of the Mental Health and Developmental Disabilities Administrative Act for the duration of the established pilot project period, and shall give priority for continuing funding of such community support system program components of proven effectiveness at cessation of the pilot project period through the Department's regular grant-in-aid and purchase care resources.

(Source: P.A. 89-507, eff. 7-1-97.)

(405 ILCS 35/2) (from Ch. 91 1/2, par. 1102)

Sec. 2. Department responsibilities.

(a) The Secretary of Human Services shall designate staff of the Department to coordinate the development of the Department's community support system strategic plan. In developing the appropriate plans the responsibilities of the coordinator and any additional required staff shall include:

(1) the development of a statewide inventory of community support system service components, including recovery oriented services, currently available, including those components funded or provided by other public and private agencies;

(2) delineation of a comprehensive set of community support services with adequate flexibility to accommodate the needs of disparate chronically mentally ill populations including the young chronically mentally ill client, and local conditions in the state, which shall serve as the basis of the development and enhancement of community support systems, including recovery oriented services, statewide;

(3) the development of a statewide client assessment system providing descriptive data appropriate for use in individual service planning, aggregate statistics descriptive of client population groups which can be utilized in the development of local community support systems, statistics for discrimination of varying client populations according to client characteristics and needs, and information for statewide planning;

(4) a study of mechanisms currently employed in funding community support system components, including recovery oriented services, followed by the establishment of a Department policy specifying funding mechanisms appropriate for specific community support system program components, including recovery oriented service or program components;

(5) the development of program and service standards to enhance accountability and evaluation of community support systems, including recovery oriented services, on both a system-wide and component-by-component basis;

(b) The coordinator and his staff shall provide technical assistance and training to local community agencies involved in the development and provision of community support systems;

(c) The coordinator and his staff shall serve as the Department liaison with other public and private agencies involved through funding or service provision in the development and maintenance of community support systems;

(d) The coordinator and his staff shall coordinate internal Department efforts to develop community support systems, including recovery oriented services. Activities shall include consultation, technical assistance, leadership in implementation of the strategic plan, and administration of pilot projects as established in Section 3 of this Act.

(Source: P.A. 89-507, eff. 7-1-97.)

Section 99. Effective date. This Act takes effect July 1, 2005.".