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| | 99TH GENERAL ASSEMBLY
State of Illinois
2015 and 2016
SB0151 Introduced 1/28/2015, by Sen. John J. Cullerton SYNOPSIS AS INTRODUCED:
| | 325 ILCS 20/11 | from Ch. 23, par. 4161 |
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Amends the Early Intervention Services System Act. Makes a technical change
in
a Section concerning family service plans.
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| | A BILL FOR |
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| 1 | | AN ACT concerning children.
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| 2 | | Be it enacted by the People of the State of Illinois, |
| 3 | | represented in the General Assembly:
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| 4 | | Section 5. The Early Intervention Services System Act is |
| 5 | | amended by changing Section 11 as follows:
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| 6 | | (325 ILCS 20/11) (from Ch. 23, par. 4161)
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| 7 | | Sec. 11. Individualized Family Service Plans.
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| 8 | | (a) Each eligible infant or toddler and
and that infant's |
| 9 | | or toddler's family
shall receive:
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| 10 | | (1) timely, comprehensive, multidisciplinary |
| 11 | | assessment of the unique
strengths and needs of each |
| 12 | | eligible infant and toddler, and assessment of the concerns
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| 13 | | and priorities of the families to appropriately assist them |
| 14 | | in meeting
their needs and identify supports and services |
| 15 | | to meet those needs; and
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| 16 | | (2) a written Individualized Family Service Plan |
| 17 | | developed by a
multidisciplinary team which includes the |
| 18 | | parent or guardian. The
individualized family service plan |
| 19 | | shall be based on the
multidisciplinary team's assessment |
| 20 | | of the resources, priorities,
and concerns of the family |
| 21 | | and its identification of the supports
and services |
| 22 | | necessary to enhance the family's capacity to meet the
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| 23 | | developmental needs of the infant or toddler, and shall |
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| 1 | | include the
identification of services appropriate to meet |
| 2 | | those needs, including the
frequency, intensity, and |
| 3 | | method of delivering services. During and as part of
the |
| 4 | | initial development of the individualized family services |
| 5 | | plan, and any
periodic reviews of the plan, the |
| 6 | | multidisciplinary team may seek consultation from the lead
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| 7 | | agency's designated experts, if any, to help
determine |
| 8 | | appropriate services and the frequency and intensity of |
| 9 | | those
services. All services in the individualized family |
| 10 | | services plan must be
justified by the multidisciplinary |
| 11 | | assessment of the unique strengths and
needs of the infant |
| 12 | | or toddler and must be appropriate to meet those needs.
At |
| 13 | | the periodic reviews, the team shall determine whether |
| 14 | | modification or
revision of the outcomes or services is |
| 15 | | necessary.
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| 16 | | (b) The Individualized Family Service Plan shall be |
| 17 | | evaluated once a year
and the family shall be provided a review |
| 18 | | of the Plan at 6 month intervals or
more often where |
| 19 | | appropriate based on infant or toddler and family needs.
The |
| 20 | | lead agency shall create a quality review process regarding |
| 21 | | Individualized
Family Service Plan development and changes |
| 22 | | thereto, to monitor
and help assure that resources are being |
| 23 | | used to provide appropriate early
intervention services.
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| 24 | | (c) The initial evaluation and initial assessment and |
| 25 | | initial
Plan meeting must be held within 45 days after the |
| 26 | | initial
contact with the early intervention services system. |
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| 1 | | The 45-day timeline does not apply for any period when the |
| 2 | | child or parent is unavailable to complete the initial |
| 3 | | evaluation, the initial assessments of the child and family, or |
| 4 | | the initial Plan meeting, due to exceptional family |
| 5 | | circumstances that are documented in the child's early |
| 6 | | intervention records, or when the parent has not provided |
| 7 | | consent for the initial evaluation or the initial assessment of |
| 8 | | the child despite documented, repeated attempts to obtain |
| 9 | | parental consent. As soon as exceptional family circumstances |
| 10 | | no longer exist or parental consent has been obtained, the |
| 11 | | initial evaluation, the initial assessment, and the initial |
| 12 | | Plan meeting must be completed as soon as possible. With |
| 13 | | parental consent,
early intervention services may commence |
| 14 | | before the completion of the
comprehensive assessment and |
| 15 | | development of the Plan.
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| 16 | | (d) Parents must be informed that early
intervention
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| 17 | | services shall be provided to each eligible infant and toddler, |
| 18 | | to the maximum extent appropriate, in the natural
environment, |
| 19 | | which may include the home or other community settings. Parents
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| 20 | | shall make
the final decision to accept or decline
early |
| 21 | | intervention services. A decision to decline such services |
| 22 | | shall
not be a basis for administrative determination of |
| 23 | | parental fitness, or
other findings or sanctions against the |
| 24 | | parents. Parameters of the Plan
shall be set forth in rules.
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| 25 | | (e) The regional intake offices shall explain to each |
| 26 | | family, orally and
in
writing, all of the following:
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| 1 | | (1) That the early intervention program will pay for |
| 2 | | all early
intervention services set forth in the |
| 3 | | individualized family service plan that
are not
covered or |
| 4 | | paid under the family's public or private insurance plan or |
| 5 | | policy
and not
eligible for payment through any other third |
| 6 | | party payor.
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| 7 | | (2) That services will not be delayed due to any rules |
| 8 | | or restrictions
under the family's insurance plan or |
| 9 | | policy.
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| 10 | | (3) That the family may request, with appropriate |
| 11 | | documentation
supporting the request, a
determination of |
| 12 | | an exemption from private insurance use under
Section |
| 13 | | 13.25.
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| 14 | | (4) That responsibility for co-payments or
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| 15 | | co-insurance under a family's private insurance
plan or |
| 16 | | policy will be transferred to the lead
agency's central |
| 17 | | billing office.
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| 18 | | (5) That families will be responsible
for payments of |
| 19 | | family fees,
which will be based on a sliding scale
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| 20 | | according to the State's definition of ability to pay which |
| 21 | | is comparing household size and income to the sliding scale |
| 22 | | and considering out-of-pocket medical or disaster |
| 23 | | expenses, and that these fees
are payable to the central |
| 24 | | billing office. Families who fail to provide income |
| 25 | | information shall be charged the maximum amount on the |
| 26 | | sliding scale.
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| 1 | | (f) The individualized family service plan must state |
| 2 | | whether the family
has private insurance coverage and, if the |
| 3 | | family has such coverage, must
have attached to it a copy of |
| 4 | | the family's insurance identification card or
otherwise
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| 5 | | include all of the following information:
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| 6 | | (1) The name, address, and telephone number of the |
| 7 | | insurance
carrier.
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| 8 | | (2) The contract number and policy number of the |
| 9 | | insurance plan.
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| 10 | | (3) The name, address, and social security number of |
| 11 | | the primary
insured.
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| 12 | | (4) The beginning date of the insurance benefit year.
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| 13 | | (g) A copy of the individualized family service plan must |
| 14 | | be provided to
each enrolled provider who is providing early |
| 15 | | intervention services to the
child
who is the subject of that |
| 16 | | plan.
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| 17 | | (h) Children receiving services under this Act shall |
| 18 | | receive a smooth and effective transition by their third |
| 19 | | birthday consistent with federal regulations adopted pursuant |
| 20 | | to Sections 1431 through 1444 of Title 20 of the United States |
| 21 | | Code. |
| 22 | | (Source: P.A. 97-902, eff. 8-6-12; 98-41, eff. 6-28-13.)
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