SB2424sam001 100TH GENERAL ASSEMBLY

Sen. Heather A. Steans

Filed: 4/4/2018

10000SB2424sam001 LRB100 17322 RLC 37336 a

AMENDMENT TO SENATE BILL 2424

AMENDMENT NO. ______. Amend Senate Bill 2424 by replacing everything after the enacting clause with the following:

"Section 5. The Developmental Disability and Mental Disability Services Act is amended by adding Article VII-A as follows:

(405 ILCS 80/Art. VII-A heading new)

VII-A. DIVERSION FROM INSTITUTIONALIZATION HOMES PROGRAM

(405 ILCS 80/7A-1 new)

Sec. 7A-1. Diversion from Institutionalization Homes Program.

(a) The purposes of this Article are to:

(1) decrease the number of admissions to State-operated facilities;

(2) address the needs of individuals with intellectual disabilities or developmental disabilities who are at-risk of institutionalization due to significant behavioral challenges, some with a dual diagnosis of mental illness, by providing a community-based residential alternative to institutionalization consistent with their individual plans, and to transition these individuals back to a traditional community-integrated living arrangement or other community-based residential program;

(3) create greater capacity within the short-term stabilization homes by allowing individuals who need an extended period of treatment to transfer to a long-term stabilization home;

(4) stabilize the existing community-integrated living arrangement homes where the presence of individuals with complex behavioral challenges is disruptive to their housemates;

(5) allow individuals currently residing in State-operated facilities who need a higher level of supervision and treatment expertise not currently available within the community-integrated living arrangement rate methodology to return to the community; and

(6) curtail the growing number of community service providers who are declining to serve individuals with significant behavioral challenges.

(b) The Department shall establish the Diversion from Institutionalization Home Program consisting of at least 6 homes in various locations in this State in accordance with this Article and the following model:

(1) the Diversion from Institutionalization Home Model shall serve individuals with intellectual disabilities or developmental disabilities who are at-risk of institutionalization due to significant behavioral challenges, some with a dual diagnosis of mental illness, for a period ranging from one to 2 years, or longer if appropriate for the individual;

(2) the Program shall be regulated in accordance with the community-integrated living arrangement guidelines;

(3) each home shall support no more than 4 residents, each having his or her own bedroom;

(4) if, at any point, an individual, his or her guardian, or family caregivers, in conjunction with the provider and clinical staff, believe the individual is capable of participating in other community residential options, those opportunities shall be offered as they become available;

(5) providers shall be experienced and qualified to serve the population target by the Program;

(6) participating Program providers and the Department shall participate in an ongoing collaborative whereby best practices and treatment experiences would be shared;

(7) home locations shall be proposed by the provider in collaboration with other community stakeholders;

(8) staffing and financial resources shall be adequate to meet the needs of the individuals served, including their mental health needs;

(9) the staffing model shall allow for a high level of community integration and engagement and family involvement; and

(10) appropriate day services, staff training priorities, and home modifications shall be incorporated into the Program model.

Section 99. Effective date. This Act takes effect upon becoming law.".