Public Act 103-0829
 
HB4758 EnrolledLRB103 39252 KTG 69404 b

    AN ACT concerning State government.
 
    Be it enacted by the People of the State of Illinois, 
represented in the General Assembly:
 
    Section 5. The Children and Family Services Act is amended 
by changing Section 2.2 as follows:
 
    (20 ILCS 505/2.2)
    Sec. 2.2. Annual reports on youth in care waiting for 
placement. No later than December 31, 2018, and on December 31 
of each year thereafter, the Department shall prepare and 
submit an annual report, covering the previous fiscal year, to 
the General Assembly regarding youth in care waiting for 
placements or psychiatric hospitalization. The report shall 
also be posted on the Department's website. The report shall 
include:
        (1) the number of youth in care who remained in 
    emergency placements, including but not limited to 
    shelters and emergency foster homes, for longer than 30 
    days, their genders and ages, their recommended placement 
    type, the total length of time each youth remained in 
    emergency care, the barriers to timely placement, and 
    whether they were placed in the recommended placement type 
    after they were removed from the emergency placement, and 
    if not, what type of placement they were placed in;
        (2) the number of youth in care who remained in 
    psychiatric hospitals beyond the time they were clinically 
    ready for discharge or beyond medical necessity, whichever 
    is sooner, their genders and ages, their recommended 
    placement type, the total length of time each youth 
    remained psychiatrically hospitalized beyond necessity, 
    the barriers to timely placement, and whether they were 
    placed in the recommended placement type after they were 
    removed from the psychiatric hospital, and if not, what 
    type of placement they were placed in;
        (3) the number of youth in care who remained in a 
    detention center or Department of Juvenile Justice 
    facility solely because the Department cannot locate an 
    appropriate placement for the youth, their genders and 
    ages, their recommended placement type, the total length 
    of time each youth remained in the detention center or 
    Department of Juvenile Justice facility after they could 
    have been released, the barriers to timely placement, and 
    whether they were placed in the recommended placement type 
    after being released from detention of the Juvenile 
    Justice facility, and if not, what type of placement they 
    were placed in;
        (3.1) the number of youth in care placed in 
    out-of-state residential treatment facilities, whether 
    each youth was referred to any in-state programs for 
    placement and, if so, the number of in-state referrals for 
    each youth prior to referring the youth to out-of-state 
    programs; whether the youth was psychiatrically 
    hospitalized beyond medical necessity prior to being sent 
    out of state; the state each youth is placed in; and 
    whether the youth is placed in a secure facility out of 
    state; 
        (3.2) the number of youth not in the temporary custody 
    or guardianship of the Department who are or were the 
    subjects of child protection investigations coded as 84b 
    (lock-out, psychiatrically hospitalized) under the 
    Department's Neglect Allegation Classification system, 
    including youth for whom the Department is required to 
    make payments in accordance with Section 5-5.07 of the 
    Illinois Public Aid Code because they were hospitalized in 
    inpatient psychiatric hospitals or units and were beyond 
    medical necessity during the Department's involvement with 
    the case. At a minimum, the report shall include the 
    following information regarding each youth: age, region, 
    date of hospitalization, date the youth was beyond medical 
    necessity, date and reason for the Department's 
    involvement, length of time the youth was beyond medical 
    necessity, whether the youth was referred for services 
    under the Department of Healthcare and Family Services' 
    Family Support Program, whether the youth was referred for 
    intact family services, whether and when the Department 
    petitioned for custody of the youth, and the youth's 
    living arrangement upon being discharged from the 
    hospital; 
        (3.3) the number of youth in care who remain in 
    emergency rooms for longer than 24 hours waiting for 
    admission to a psychiatric hospital bed. At a minimum, the 
    report shall include the following information regarding 
    each youth: age, region, date of admission to the 
    emergency room, length of time the youth was in the 
    emergency room, date and time the youth was discharged 
    from the emergency room, hospital or placement the youth 
    was discharged to, and a description of any critical 
    incidents that occurred during the hospitalization, 
    including, but not limited to, the use of emergency 
    psychotropic medication or the use of any type of 
    restraint; . 
        (3.4) the number of youth in care who remained 
    overnight in temporary living spaces not licensed under 
    the Child Care Act of 1969 solely because the Department 
    cannot locate an appropriate placement for the youth. 
    Temporary living spaces not authorized under the Child 
    Care Act of 1969 include, but are not limited to, 
    Department or licensed child welfare agency offices or 
    welcome centers. As used in this paragraph, "remaining 
    overnight" means being present in the temporary living 
    space at 1:00 a.m. At a minimum, the report shall include 
    the following information regarding each youth: age, 
    region, date of stay, length of time the youth was in the 
    temporary living space, date and time the youth was moved 
    from the temporary living space, the reason for the youth 
    remaining overnight, and the type of placement or setting 
    the youth was in immediately after leaving the temporary 
    living space. The report shall reflect the number of 
    unique youth involved, the number of episodes that 
    occurred fitting the criteria, and the number of unique 
    youth involved in multiple episodes; 
        (4) a description of how the Department collected the 
    information reported and any difficulties the Department 
    had in collecting the information and whether there are 
    concerns about the validity of the information; and
        (5) a description of any steps the Department is 
    taking to reduce the length of time youth in care wait in 
    psychiatric hospitals, emergency placements, detention 
    centers, and Department of Juvenile Justice facilities for 
    clinically appropriate placements.
(Source: P.A. 102-76, eff. 7-9-21.)
 
    Section 99. Effective date. This Act takes effect upon 
becoming law.