HB2374 94TH GENERAL ASSEMBLY

LRB094 08380 DRJ 38578 b

94TH GENERAL ASSEMBLY
State of Illinois
2005 and 2006
HB2374

Introduced 2/16/2005, by Rep. Lovana Jones

SYNOPSIS AS INTRODUCED:

New Act
410 ILCS 220/7	from Ch. 111 1/2, par. 7007
410 ILCS 225/7	from Ch. 111 1/2, par. 7027

Creates the Family Case Management Act. Requires the Department of Human Services to establish and administer a family case management program. The purpose of the program shall be to help low-income families obtain available health and human services needed for healthy growth and development, including but not limited to immunizations, lead screenings, nutritional support, and other specialized services for families with additional challenges and needs. Provides that under the program, case management shall involve individualized assessment of needs, planning of services, referral, monitoring, and advocacy to assist a client in gaining access to appropriate services. Provides that under the program, case management shall be an active and collaborative process involving a qualified case manager, the client, the client's family, and service providers in the community. Creates the Maternal and Child Health Advisory Board to advise the Department in implementing the Act. Amends the Infant Mortality Reduction Act and the Prenatal and Newborn Care Act. Abolishes the Infant Mortality Reduction Advisory Board, and provides that the Department shall consult with the Maternal and Child Health Advisory Board (instead of the Infant Mortality Reduction Advisory Board) in administering the Infant Mortality Reduction Act and the Prenatal and Newborn Care Act. Effective immediately.

FISCAL NOTE ACT MAY APPLY

A BILL FOR

AN ACT concerning health.

Be it enacted by the People of the State of Illinois, represented in the General Assembly:

Section 1. Short title. This Act may be cited as the Family Case Management Act.

Section 5. Legislative findings and purpose. The General Assembly finds as follows:

(1) The statewide rate of infant mortality continues to remain at an unacceptable level in regard to the national average.

(2) Within the State of Illinois, certain areas and populations continue to experience rates of infant mortality far greater than either the statewide or national averages.

(3) Family case management services are proven to be effective in improving the health of women and infants and in lowering the incidence of infant mortality and morbidity, particularly those individuals linked to the Special Supplemental Nutrition Program for Women, Infants and Children (WIC).

(4) Family case management improves the health and development of children and families by providing the earliest identification of their needs and promoting linkages to address those needs.

(5) Data demonstrates significantly lower Medicaid expenditures for pregnant and postpartum women and children who have been enrolled in family case management services than for Medicaid-eligible persons not receiving case management services.

Therefore, as a critical component in delivering comprehensive maternal and child health services in Illinois, it is the purpose of this Act to provide for the establishment and recognition of a program of family case management to ensure and provide wrap-around services targeted toward those areas and populations within the State that continue to experience high rates of infant mortality and morbidity.

Section 10. Definitions. In this Act:

"Department" means the Department of Human Services.

"Eligible participant" means, at a minimum, any pregnant woman or child through the age of 4 years enrolled in the program of medical assistance under Article V of the Illinois Public Aid Code or whose income is less than 200% of the federal poverty level.

"Eligible organization" includes a unit of local government, a public health agency, and a private nonprofit health or human service agency.

"Family case management program" or "program" means the program established under Section 15.

"Infant mortality rate" means the number of infant deaths per 1,000 live births as reported on a calendar year basis by the federal Department of Health and Human Services.

"Secretary" means the Secretary of Human Services.

Section 15. Family case management program. The Department shall establish and administer a family case management program. The purpose of the program shall be to help low-income families obtain available health and human services needed for healthy growth and development, including but not limited to immunizations, lead screenings, nutritional support, and other specialized services for families with additional challenges and needs. Under the program, case management shall involve individualized assessment of needs, planning of services, referral, monitoring, and advocacy to assist a client in gaining access to appropriate services. Under the program, case management shall be an active and collaborative process involving a qualified case manager, the client, the client's family, and service providers in the community.

Section 20. Maternal and Child Health Advisory Board.

(a) The Maternal and Child Health Advisory Board ("the Board") is created within the Department to advise the Department on the implementation of this Act and other activities related to maternal and child health and infant mortality reduction programs in the State of Illinois. The Board shall consist of: the Secretary (or his or her designee), who shall serve as chairman, and one additional representative of the Department designated by the Secretary; one representative each from the Departments of Children and Family Services, Public Health, and Public Aid; a representative from the University of Illinois' Division of Specialized Care for Children; a representative from the State Board of Education; and 4 members of the Illinois General Assembly, one each appointed by the President and Minority Leader of the Senate and the Speaker and Minority Leader of the House of Representatives. In addition, the Governor shall appoint 12 additional members of the Board. Of the members appointed by the Governor: 2 shall be physicians licensed to practice medicine in all of its branches, one of whom shall be an individual with a specialty in obstetrics and gynecology and one of whom shall be an individual with a specialty in pediatric medicine; one shall be an individual representing hospitals licensed in Illinois; one shall be a representative from a local health department; one shall be a social worker; one shall be a nutritionist; one shall be a registered professional nurse; 3 shall be individuals involved in programs to reduce infant mortality; and 2 shall be members of the general public.

Legislative members of the Board shall serve during their term of office in the Illinois General Assembly. Members appointed by the Governor shall serve a term of 3 years or until their successors are appointed. Any member appointed to fill a vacancy occurring prior to the expiration of the term for which his or her predecessor was appointed shall be appointed for the remainder of such term. Members of the Board shall serve without compensation but shall be reimbursed for necessary expenses incurred in the performance of their duties.

(b) The Board shall advise the Secretary on efforts related to maternal and child health programs, including infant mortality reduction, in the State of Illinois. In addition, the Board shall review and make recommendations to the Department and the Governor in regard to the system for maternal and child health programs, collaboration, interrelation between and delivery of programs including but not limited to Family Case Management, Targeted Intensive Prenatal Case Management, KidCare, Healthy Families Illinois and HealthWorks. In performing its duties, the Board may hold hearings throughout the State and advise and receive advice from any local advisory bodies created to address the infant mortality problem.

(c) The Board shall report to the General Assembly, on or before April 15 of each year, a description of the activities conducted pursuant to this Act and other efforts to address maternal and child health and infant mortality in Illinois.

Section 25. Rules. Within one year after the effective date of this Act, the Department shall adopt rules to implement this Act. In developing the rules, the Department shall consult with and obtain the approval of the Maternal and Child Health Advisory Board.

Section 90. The Infant Mortality Reduction Act is amended by changing Section 7 as follows:

(410 ILCS 220/7) (from Ch. 111 1/2, par. 7007)

Sec. 7. Advisory board consultation. For the purpose of receiving advice and recommendations concerning infant mortality programs, the Department shall consult with the Maternal and Child Health Advisory Board created under the Family Case Management Act. The Infant Mortality Reduction Advisory Board is abolished. (a) There is created within the Department an Infant Mortality Reduction Advisory Board to advise the Department on the implementation of this Act and other activities related to the reduction of infant mortality in the State of Illinois. The Board shall consist of the Secretary of Human Services (or his or her designee), who shall serve as chairman, and one additional representative of the Department of Human Services designated by the Secretary; one representative each from the Departments of Children and Family Services, Public Health, and Public Aid; a representative from the University of Illinois' Division of Specialized Care for Children; a representative from the State Board of Education and 4 members of the Illinois General Assembly, one each appointed by the President and Minority Leader of the Senate and the Speaker and Minority Leader of the House of Representatives. In addition, the Governor shall appoint 4 physicians licensed to practice medicine in all of its branches, one of whom shall be an individual with a specialty in obstetrics and gynecology, one of whom shall be an individual with a specialty in perinatal medicine, one of whom shall be an individual with a specialty in neonatal medicine and one of whom shall be an individual with a specialty in pediatrics; the director of a perinatal center; a hospital administrator; a representative from a local health department; a social worker; a nutritionist; a registered professional nurse; 4 individuals involved in programs to reduce infant mortality and 2 public members, one of whom shall be a senior citizen 60 years of age or older.

Each legislative member shall serve during his term of office in the Illinois General Assembly. Each member appointed by the Governor shall serve a term of 3 years or until his successor is appointed. Any member appointed to fill a vacancy occurring prior to the expiration of the term for which his predecessor was appointed shall be appointed for the remainder of such term. Members of the Board shall serve without compensation but shall be reimbursed for necessary expenses incurred in the performance of their duties.

(b) The Board shall advise the Secretary on efforts to reduce infant mortality in the State of Illinois. In addition, the Board shall review the formula developed pursuant to Section 4 and make such recommendations as it deems appropriate. In performing its duties the Board may hold hearings throughout the State and advise and receive advice from any local advisory bodies created to address the infant mortality problem.

(c) The Board shall report to the General Assembly on or before April 15th of each year, a listing of activities taken to address infant mortality and a annual summary of data collected under Section 4 of this Act.

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

Section 95. The Prenatal and Newborn Care Act is amended by changing Section 7 as follows:

(410 ILCS 225/7) (from Ch. 111 1/2, par. 7027)

Sec. 7. Advisory board consultation. The Department shall consult with the Maternal and Child Health Advisory Board created under the Family Case Management Act the Infant Mortality Reduction Advisory Board, established pursuant to the Infant Mortality Reduction Act, as amended, regarding the implementation of this program. In addition, the Board shall advise the Department on the coordination of services provided under this program with services provided under the Infant Mortality Reduction Act and the Problem Pregnancy Health Services and Care Act.

(Source: P.A. 86-860.)

Section 999. Effective date. This Act takes effect upon becoming law.