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91_HB1907 LRB9101433DHmg 1 AN ACT to amend the Department of Human Services Act by 2 adding Article 15. 3 Be it enacted by the People of the State of Illinois, 4 represented in the General Assembly: 5 Section 5. The Department of Human Services Act is 6 amended by adding Article 15 as follows: 7 (20 ILCS 1305/Art. 15 heading new) 8 ARTICLE 15. RURAL HUMAN SERVICES NETWORKING PROGRAM 9 (20 ILCS 1305/15-5 new) 10 Sec. 15-5. Legislative findings. The General Assembly 11 finds as follows: 12 (1) In rural areas there is a necessity to promote 13 different approaches to human services delivery if 14 programs are to properly address diverse community and 15 individual needs and such unique rural conditions as low 16 population density, a large proportion of elderly 17 persons, the absence of economics of scale, geographic 18 isolation, inadequate transportation, fluctuating service 19 demands, and general lack of suitable alternatives for 20 service delivery. 21 (2) The human services delivery system in rural 22 areas is often fragmented, consisting of isolated 23 providers with limited financial resources and limited 24 information-sharing networks. Many such providers are 25 currently providing identical or similar services to the 26 same clientele in the same area, often without being 27 aware of a possible duplication of effort. 28 (3) A full range of coordinated and integrated 29 human services is vital to the health and well-being of 30 residents of rural areas of the State who are or may in -2- LRB9101433DHmg 1 the future be confronted with such intense social 2 problems as domestic violence, teenage pregnancy, migrant 3 health problems, nutritional deficiencies, suicide, 4 hunger, unemployment, lack of suitable shelter, crime, 5 drug and alcohol abuse, and poverty. 6 (4) A proper response to intense social problems in 7 some rural areas would be to encourage greater sharing of 8 information and resources among human services providers 9 in those rural areas, thereby enhancing the 10 cost-effectiveness and delivery of services required to 11 address those social problems. These cooperative 12 undertakings could be accomplished if a program of 13 financial incentives and State-level technical assistance 14 were made available to encourage providers in rural areas 15 to embark upon these cooperative arrangements and 16 networking of the services they provide. 17 (20 ILCS 1305/15-10 new) 18 Sec. 15-10. In this Article 15: 19 "Advisory Committee" means the Committee created under 20 Section 15-15. 21 "Human service" means any service that is provided to 22 individuals or groups of individuals for the purpose of 23 improving or enhancing those individuals' health or welfare 24 and that addresses one or more social problems, including but 25 not limited to the following: domestic violence, child 26 abuse, crime, drug and alcohol abuse, suicide, teenage 27 pregnancy, nutritional deficiencies, migrant health problems, 28 unemployment, lack of suitable shelter, hunger, and poverty. 29 "Human services provider" means any public or 30 not-for-profit private entity that uses public or private 31 funds or both public and private funds to provide or to 32 contract for the provision of human services for the benefit 33 of the general public or specific client groups. -3- LRB9101433DHmg 1 "Rural area" means any of the following: 2 (1) An unincorporated area located in a county 3 having not more than 350,000 inhabitants. 4 (2) A municipality having not more than 20,000 5 inhabitants, but not a municipality that is contiguous to 6 a municipality having more than 20,000 inhabitants. 7 (20 ILCS 1305/15-15 new) 8 Sec. 15-15. Advisory Committee. 9 (a) The Rural Human Services Networking Advisory 10 Committee is created to assist the Secretary in carrying out 11 the provisions of this Article. The Advisory Committee shall 12 consist of the following members or their designees: the 13 Director of Aging, the Director of Children and Family 14 Services, the Director of Public Health, a representative of 15 the Department of Human Services whose duties pertain to the 16 Department's mental health and developmental disabilities 17 functions, and the head of the Office of Rural Community 18 Development within the Department of Commerce and Community 19 Affairs. The Secretary or the Secretary's designee shall 20 serve as the chair of the Advisory Committee. The Secretary 21 may invite the head of any other department of State 22 government or a representative of any other rural human 23 services provider or consumer, or their designees, to serve 24 as ex officio members of the Advisory Committee. The 25 Secretary shall take all actions necessary or appropriate to 26 promote the efficient and effective operation of the Advisory 27 Committee. 28 (b) The Advisory Committee shall do the following: 29 (1) Review and recommend to the Secretary 30 guidelines for the operation of the Rural Human Services 31 Networking Program created under Section 15-20. 32 (2) Recommend to the Secretary changes in statutes 33 or rules necessary to accomplish the purposes of this -4- LRB9101433DHmg 1 Article 15. 2 (3) Assist the Department in evaluating the Rural 3 Human Services Networking Program and in evaluating 4 individual pilot projects under that program. 5 (4) Assist the Secretary in developing interim and 6 final reports in accordance with Section 15-60. 7 (5) Assist the the Secretary in determining which 8 rural areas shall receive priority consideration in 9 selecting pilot project sites in accordance with Section 10 15-35. 11 (20 ILCS 1305/15-20 new) 12 Sec. 15-20. Program established. The Secretary shall 13 establish within the Department a Rural Human Services 14 Networking Program for the purpose of assisting human 15 services providers in rural areas who seek to participate in 16 the program and to develop pilot projects to address intense 17 social problems through the creation of contracts or joint or 18 cooperative agreements between those providers. These pilot 19 projects shall capitalize on the strength of existing human 20 services providers by promoting the sharing of resources and 21 service delivery in rural areas with the goal of reducing the 22 total cost of those services to both consumers and providers 23 of the services while increasing the availability and 24 accessibility of human services in rural areas. The pilot 25 projects shall also serve to identify methods of overcoming 26 impediments to the joint provision of integrated and 27 cost-effective human services in rural areas. 28 (20 ILCS 1305/15-25 new) 29 Sec. 15-25. Notice of Program. Within 120 days after 30 the effective date of this amendatory Act of 1999 and with 31 the advice and guidance of the Advisory Committee, the 32 Secretary shall give public notice of the existence of the -5- LRB9101433DHmg 1 Rural Human Services Networking Program and of the 2 availability of competitive grants to human services 3 providers who are interested in undertaking pilot projects 4 pursuant to this Article 15. In connection with the notice, 5 the Secretary shall distribute information on the Program and 6 shall distribute grant application forms and procedures to 7 eligible human services providers. 8 (20 ILCS 1305/15-30 new) 9 Sec. 15-30. Pilot project grants. 10 (a) In order to implement the Rural Human Services 11 Networking Program, the Secretary shall provide grants to 12 eligible human services provider applicants. The grants 13 shall be awarded on a competitive basis and subject to 14 amounts appropriated for that purpose. The Secretary may not 15 award a grant unless the application for the grant has been 16 reviewed by the department or departments of State government 17 that license or certify the applicants under State law. In 18 determining whether to award a grant, the Secretary shall 19 consider all comments on the application that are made by the 20 licensing or certifying department or departments. 21 (b) To be eligible for a grant under this Article 15, an 22 application must be submitted to the Secretary on behalf of 2 23 or more local or regional human services providers who intend 24 to implement a pilot project in a rural area pursuant to a 25 contract or a joint or cooperative agreement. Applications 26 for grants must be submitted on the forms and at the times 27 prescribed by the Secretary. 28 (c) If the Secretary determines that an application for 29 a grant is complete when submitted, the Secretary shall 30 approve or disapprove the application within 90 days after it 31 is received by the Secretary. If the Secretary initially 32 determines that an application is incomplete, or if the 33 applicant requests a waiver of any rule in order to implement -6- LRB9101433DHmg 1 the proposed pilot project, the Secretary shall approve or 2 disapprove the application within 90 days after the Secretary 3 determines that the application is complete or after the 4 Secretary makes a determination to approve or deny the waiver 5 request. 6 (20 ILCS 1305/15-35 new) 7 Sec. 15-35. Matters to be considered in awarding grants. 8 The Secretary, with the advice and guidance of the Advisory 9 Committee, shall determine the most sparsely populated rural 10 areas in the State. In determining whether to approve an 11 application and award a grant under this Article 15, the 12 Secretary shall give priority consideration to applications 13 received from human services providers who intend to 14 implement pilot projects in those rural areas. In addition, 15 the Secretary shall consider matters that include, but are 16 not limited to, the following: 17 (1) A description of the proposed pilot project and 18 its specific objective, including a demonstrated 19 awareness of the level of human services currently being 20 provided in the service area. 21 (2) The degree to which the proposed pilot project 22 will meet local or regional human services needs. 23 (3) The applicants' demonstrated ability to 24 undertake the proposed pilot project. 25 (4) The contribution that the proposed pilot 26 project will make toward identifying and developing 27 innovative delivery systems. 28 (5) The degree to which the proposed pilot project 29 will enhance the delivery or improve the availability and 30 accessibility of human services with respect to the full 31 continuum of human services needs. 32 (6) The degree to which the proposed pilot project 33 will foster and improve continuity of care. -7- LRB9101433DHmg 1 (7) The degree to which the proposed pilot project 2 will enhance cost efficiency and access to human services 3 by populations that need those services. 4 (8) The degree to which the proposed pilot project 5 will foster information sharing, communication, and 6 cooperation between human services providers and 7 consumers. 8 (9) The degree to which the proposed pilot project 9 will address economies of scale in both the supply of and 10 the demand for human services. 11 (10) The demonstrated level of commitment and 12 support for the proposed pilot project expressed by the 13 community, local governmental bodies, and other local or 14 regional human services providers. 15 (11) The impact that the proposed pilot project 16 will have on State agencies that provide human services 17 or moneys for human services programs in the rural area, 18 as determined by the Secretary after consulting with 19 those State agencies. 20 (12) Whether implementation of the proposed pilot 21 project will result in any potential decrease in moneys 22 or State or federal aid, including but not limited to 23 reimbursements under Article V of the Illinois Public Aid 24 Code, received by human services providers, and the 25 actions that will be taken by the applicants and by the 26 Secretary to ensure that current levels of funding and 27 aid are continued. 28 (20 ILCS 1305/15-40 new) 29 Sec. 15-40. Preliminary plans. The Secretary or the 30 Secretary's authorized representative may meet with 31 representatives of grant applicants to informally discuss 32 preliminary and informal plans for a proposed pilot project. -8- LRB9101433DHmg 1 (20 ILCS 1305/15-45 new) 2 Sec. 15-45. Grant amounts; use; grantee reports. 3 (a) The Secretary shall approve a pilot project under 4 this Article 15 for a period of time not exceeding 3 years. 5 (b) Subject to amounts appropriated for that purpose, 6 the Secretary shall award pilot project grants under this 7 Article 15 in amounts of not less than $10,000 nor more than 8 $50,000 to any pilot project in any calendar year. Subject 9 to amounts appropriated for the purpose, the Secretary may 10 annually renew a grant, but a grantee may not receive a grant 11 for more than 3 consecutive years. The amount of a grant 12 awarded for a second or third year may be the same as the 13 amount awarded for the first year or may be a lesser amount 14 but in any event shall be determined in accordance with the 15 nature of the pilot project and the number of human services 16 providers and consumers involved in the pilot project. 17 (c) If the Secretary determines that a grantee is using 18 grant moneys awarded under this Article 15 for purposes that 19 do not conform with the purposes of this Article, the 20 Secretary may withdraw approval of the grantee's pilot 21 project and require that the grantee repay all or a part of 22 the grant amount to the State. 23 (d) Each grantee under this Article 15 shall submit to 24 the Secretary reports concerning the grantee's pilot project. 25 The Secretary shall prescribe the matters to be reported, the 26 times for submitting the reports, and the manner in which the 27 reports are to be submitted. 28 (20 ILCS 1305/15-50 new) 29 Sec. 15-50. Waiver of rules. 30 (a) For the purpose of promoting innovative approaches 31 and maximum effectiveness in utilizing State and local 32 moneys, and notwithstanding any other provision of law, the 33 Secretary may waive any rule of the Department that may -9- LRB9101433DHmg 1 impede the successful implementation and testing of a pilot 2 project. The Secretary may not waive a rule, however, unless 3 the Secretary finds that the general welfare of the people 4 receiving human services will not be impaired by the waiver. 5 (b) The Secretary shall consult with appropriate 6 federal, State, and local officials in an effort to secure 7 their cooperation in coordinating related programs and in 8 seeking the waiver of administrative rules as necessary to 9 ensure the effective operation of pilot projects. 10 Notwithstanding any other provision of law, at the request of 11 the Secretary on behalf of an applicant for a grant under 12 this Article 15, the head of any other department of State 13 government may waive any applicable rule of that department 14 that may impede the successful implementation of a pilot 15 project, provided that the Secretary finds that the general 16 welfare of the people receiving human services will not be 17 impaired by the waiver. 18 (20 ILCS 1305/15-55 new) 19 Sec. 15-55. Technical assistance to implement project. 20 Upon the request of an applicant for a grant under this 21 Article 15, the Secretary or the Secretary's authorized 22 representative may provide to the applicant any technical 23 services or assistance that the Department possesses or that 24 is available to the Department in order to enable the 25 applicant to implement the pilot project and the terms of the 26 contract or joint or cooperative agreement upon which the 27 pilot project is based. 28 (20 ILCS 1305/15-60 new) 29 Sec. 15-60. Reports. 30 (a) The Secretary, in conjunction with the advisory 31 committee, shall prepare an interim report within 30 months 32 after the effective date of this amendatory Act of 1999. The -10- LRB9101433DHmg 1 interim report shall include a review of each pilot project 2 approved for a grant under this Article 15. 3 (b) The Secretary, in conjunction with the advisory 4 committee, shall prepare a final report within 60 months 5 after the effective date of this amendatory Act of 1999. The 6 final report shall contain a description of each pilot 7 project approved for a grant under this Article 15 and the 8 effect of each pilot project on the cost, delivery, and 9 accessibility of human services in the rural area served by 10 the pilot project. The final report shall describe the 11 effect of each pilot project on existing providers and 12 consumers of human services in the rural area served by the 13 pilot project and shall describe the pilot project's effect 14 on each community served. The final report shall identify 15 laws or administrative rules that, in the opinion of the 16 Secretary or the Advisory Committee, should be amended or 17 repealed in order to make it possible to properly and 18 efficiently implement similar projects or programs in other 19 rural areas of the State. 20 (c) The Secretary shall distribute copies of the interim 21 and final reports to the Governor, the General Assembly, and 22 each human services provider participating in the pilot 23 projects. 24 (20 ILCS 1305/15-65 new) 25 Sec. 15-65. No diminution of other funding. For the 26 duration of the period of a grant under this Article 15, 27 other funding to which a local or regional human services 28 provider would be entitled by law if it were not 29 participating in an approved pilot project may not be denied 30 or diminished solely because the provider elects to 31 participate in the pilot project. Notwithstanding any other 32 provision of law, that other funding shall continue to be 33 allocated in the same manner and in the same amount as if the -11- LRB9101433DHmg 1 human services provider were not participating in the pilot 2 project. 3 (20 ILCS 1305/15-70 new) 4 Sec. 15-70. This Article 15 is repealed 5 years after 5 the effective date of this amendatory Act of 1999.