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Rep. La Shawn K. Ford
Filed: 2/15/2022
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1 | | AMENDMENT TO HOUSE BILL 4700
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2 | | AMENDMENT NO. ______. Amend House Bill 4700 by replacing |
3 | | everything after the enacting clause with the following:
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4 | | "Section 5. The Substance Use Disorder Act is amended by |
5 | | changing Sections 1-5, 1-10, 5-5, 5-10, 5-20, 10-10, 10-15, |
6 | | 10-20, 10-25, 10-30, 10-35, 10-40, 10-45, 10-50, 10-55, 10-60, |
7 | | 15-10, 20-5, 25-5, 25-10, 30-5, 35-5, 35-10, 40-5, 40-10, |
8 | | 40-15,40-20, 45-5, 45-10, 45-15, 45-20, 45-25, 45-30, 45-35, |
9 | | 45-40, 45-45, 45-50, 45-55, 50-5, 50-10, 50-20, 50-25, 50-30, |
10 | | 50-40, 55-30, 55-35, and 55-40, as follows:
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11 | | (20 ILCS 301/1-5)
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12 | | Sec. 1-5. Legislative declaration. Substance use and |
13 | | gambling disorders, as defined in this Act, constitute a |
14 | | serious public health problem. The effects on
public safety |
15 | | and the criminal justice system cause serious social and |
16 | | economic
losses, as well as great human suffering. It is |
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1 | | imperative that a
comprehensive and coordinated strategy be |
2 | | developed under the leadership of a
State agency. This |
3 | | strategy should be implemented through the facilities of |
4 | | federal and local
government and community-based agencies |
5 | | (which may be public or private,
volunteer or professional). |
6 | | Through local
prevention, early intervention, treatment, and
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7 | | other recovery support services, this strategy should empower |
8 | | those struggling with these substance use disorders (and, when |
9 | | appropriate, the families of those persons) to lead healthy |
10 | | lives.
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11 | | The human, social, and economic benefits of preventing |
12 | | these substance use disorders are great, and it is imperative |
13 | | that there be
interagency cooperation in the planning and |
14 | | delivery of prevention, early intervention, treatment, and |
15 | | other recovery support services in Illinois.
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16 | | The provisions of this Act shall be liberally construed to |
17 | | enable the
Department to carry out these objectives and |
18 | | purposes.
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19 | | (Source: P.A. 100-759, eff. 1-1-19 .)
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20 | | (20 ILCS 301/1-10)
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21 | | Sec. 1-10. Definitions. As used in this Act, unless the |
22 | | context clearly
indicates otherwise, the following words and |
23 | | terms have the following meanings:
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24 | | "Case management" means a coordinated approach to the |
25 | | delivery of health and medical treatment, substance use |
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1 | | disorder treatment, gambling disorder treatment, mental health |
2 | | treatment, and social services, linking patients with |
3 | | appropriate services to address specific needs and achieve |
4 | | stated goals. In general, case management assists patients |
5 | | with other disorders and conditions that require multiple |
6 | | services over extended periods of time and who face difficulty |
7 | | in gaining access to those services. |
8 | | "Crime of violence" means any of the following crimes: |
9 | | murder, voluntary
manslaughter, criminal sexual assault, |
10 | | aggravated criminal sexual assault,
predatory criminal sexual |
11 | | assault of a child,
armed robbery, robbery, arson, kidnapping, |
12 | | aggravated battery, aggravated
arson, or any
other felony that |
13 | | involves the use or threat of physical force or violence
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14 | | against another individual. |
15 | | "Department" means the Department of Human Services. |
16 | | "DUI" means driving under the influence of alcohol or |
17 | | other drugs. |
18 | | "Designated program" means a category of service |
19 | | authorized by an intervention license issued by the Department |
20 | | for delivery of all services as described in Article 40 in this |
21 | | Act. |
22 | | "Early intervention" means services, authorized by a |
23 | | treatment license, that are sub-clinical and pre-diagnostic |
24 | | and that are designed to screen, identify, and address risk |
25 | | factors that may be related to problems associated with a |
26 | | substance use or gambling disorder substance use disorders and |
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1 | | to assist individuals in recognizing harmful consequences. |
2 | | Early intervention services facilitate emotional and social |
3 | | stability and involve involves referrals for treatment, as |
4 | | needed. |
5 | | "Facility" means the building or premises are used for the |
6 | | provision
of licensable services, including support services, |
7 | | as set forth by
rule. |
8 | | "Gambling disorder" means persistent and recurring |
9 | | maladaptive gambling behavior that disrupts personal, family, |
10 | | or vocational pursuits. |
11 | | "Gambling" means the risking of money or other items of |
12 | | value in games of chance, including video gaming, sports |
13 | | betting, and other games of chance. |
14 | | "Gaming" means the action or practice of playing video |
15 | | games. |
16 | | "Holds itself out" means any activity that would lead one |
17 | | to reasonably conclude that the individual or entity provides |
18 | | or intends to provide licensable substance-related disorder |
19 | | intervention or treatment services. Such activities include, |
20 | | but are not limited to, advertisements, notices, statements, |
21 | | or contractual arrangements with managed care organizations, |
22 | | private health insurance, or employee assistance programs to |
23 | | provide services that require a license as specified in |
24 | | Article 15. |
25 | | "Informed consent" means legally valid written consent, |
26 | | given by a client, patient, or legal guardian, that authorizes |
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1 | | intervention or treatment services from a licensed |
2 | | organization and that documents agreement to participate in |
3 | | those services and knowledge of the consequences of withdrawal |
4 | | from such services. Informed consent also acknowledges the |
5 | | client's or patient's right to a conflict-free choice of |
6 | | services from any licensed organization and the potential |
7 | | risks and benefits of selected services. |
8 | | "Intoxicated person" means a person whose mental or |
9 | | physical functioning is
substantially impaired as a result of |
10 | | the current effects of alcohol or other
drugs within the body. |
11 | | "Medication assisted treatment" means the prescription of |
12 | | medications that are approved by the U.S. Food and Drug |
13 | | Administration and the Center for Substance Abuse Treatment to |
14 | | assist with treatment for a substance use disorder and to |
15 | | support recovery for individuals receiving services in a |
16 | | facility licensed by the Department. Medication assisted |
17 | | treatment includes opioid treatment services as authorized by |
18 | | a Department license. |
19 | | "Off-site services" means licensable services are
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20 | | conducted at a location separate from the licensed location of |
21 | | the
provider, and services are operated by an entity licensed |
22 | | under
this Act and approved in advance by the Department. |
23 | | "Person" means any individual, firm, group, association, |
24 | | partnership,
corporation, trust, government or governmental |
25 | | subdivision or agency. |
26 | | "Prevention" means an interactive process of individuals, |
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1 | | families, schools,
religious organizations, communities and |
2 | | regional, state and national
organizations whose goals are to |
3 | | reduce the prevalence of substance use or gambling disorders, |
4 | | prevent the use of illegal drugs and the
abuse of legal drugs |
5 | | by persons of all ages, prevent the use of alcohol by
minors, |
6 | | reduce the severity of harm in gambling by persons of all ages, |
7 | | build the capacities of individuals and systems, and promote |
8 | | healthy
environments, lifestyles, and behaviors. |
9 | | "Recovery" means a process of change through which |
10 | | individuals improve their health and wellness, live a |
11 | | self-directed life, and reach their full potential. |
12 | | "Recovery support" means services designed to support |
13 | | individual recovery from a substance use or gambling disorder |
14 | | that may be delivered pre-treatment, during treatment, or post |
15 | | treatment. These services may be delivered in a wide variety |
16 | | of settings for the purpose of supporting the individual in |
17 | | meeting his or her recovery support goals. |
18 | | "Secretary" means the Secretary of the Department of Human |
19 | | Services or his or her designee. |
20 | | "Substance use disorder" means a spectrum of persistent |
21 | | and recurring problematic behavior that encompasses 10 |
22 | | separate classes of drugs: alcohol; caffeine; cannabis; |
23 | | hallucinogens; inhalants; opioids; sedatives, hypnotics and |
24 | | anxiolytics; stimulants; and tobacco; and other unknown |
25 | | substances leading to clinically significant impairment or |
26 | | distress. |
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1 | | "Treatment" means the broad range of emergency, |
2 | | outpatient, and residential care (including assessment, |
3 | | diagnosis, case management, treatment, and recovery support |
4 | | planning) may be extended to individuals with substance use |
5 | | disorders or to the families of those persons. |
6 | | "Withdrawal management" means services designed to manage |
7 | | intoxication or withdrawal episodes (previously referred to as |
8 | | detoxification), interrupt the momentum of habitual, |
9 | | compulsive substance use and begin the initial engagement in |
10 | | medically necessary substance use disorder treatment. |
11 | | Withdrawal management allows patients to safely withdraw from |
12 | | substances in a controlled medically-structured environment.
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13 | | (Source: P.A. 100-759, eff. 1-1-19 .)
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14 | | (20 ILCS 301/5-5)
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15 | | Sec. 5-5. Successor department; home rule.
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16 | | (a) The Department of Human Services, as successor to the |
17 | | Department of
Alcoholism and Substance Abuse, shall
assume the |
18 | | various rights, powers, duties, and functions provided for in
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19 | | this Act.
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20 | | (b) It is declared to be the public policy of this State, |
21 | | pursuant to
paragraphs (h) and (i) of Section 6 of Article VII |
22 | | of the Illinois Constitution
of 1970, that the powers and |
23 | | functions set forth in this Act and expressly
delegated to the |
24 | | Department
are exclusive State powers and functions. Nothing |
25 | | herein prohibits the
exercise of any power or the performance |
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1 | | of any function, including the power
to regulate, for the |
2 | | protection of the public health, safety, morals and
welfare, |
3 | | by any unit of local government, other than the powers and |
4 | | functions
set forth in this Act and expressly delegated to the |
5 | | Department to be exclusive
State powers and functions.
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6 | | (c) The Department shall, through accountable and |
7 | | efficient leadership,
example and commitment to excellence, |
8 | | strive to reduce the incidence of substance use or gambling |
9 | | disorders by:
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10 | | (1) Fostering public understanding of substance use |
11 | | disorders and how they affect individuals, families, and |
12 | | communities.
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13 | | (2) Promoting healthy lifestyles.
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14 | | (3) Promoting understanding and support for sound |
15 | | public policies.
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16 | | (4) Ensuring quality prevention, early intervention, |
17 | | treatment, and other recovery support
services that are |
18 | | accessible and responsive to the diverse needs of
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19 | | individuals, families, and communities.
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20 | | (Source: P.A. 100-759, eff. 1-1-19 .)
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21 | | (20 ILCS 301/5-10)
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22 | | Sec. 5-10. Functions of the Department.
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23 | | (a) In addition to the powers, duties and functions vested |
24 | | in the Department
by this Act, or by other laws of this State, |
25 | | the Department shall carry out the
following activities:
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1 | | (1) Design, coordinate and fund comprehensive
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2 | | community-based and culturally and gender-appropriate |
3 | | services
throughout the State. These services must include
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4 | | prevention, early intervention, treatment, and other
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5 | | recovery support services for substance use disorders that
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6 | | are accessible and address addresses the needs of at-risk
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7 | | individuals and their families.
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8 | | (2) Act as the exclusive State agency to accept, |
9 | | receive and expend,
pursuant to appropriation, any public |
10 | | or private monies, grants or services,
including those |
11 | | received from the federal government or from other State
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12 | | agencies, for the purpose of providing prevention, early
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13 | | intervention, treatment, and other recovery support
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14 | | services for substance use or gambling disorders.
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15 | | (2.5) In partnership with the Department of Healthcare |
16 | | and Family Services, act as one of the principal State |
17 | | agencies for the sole purpose of calculating the |
18 | | maintenance of effort requirement under Section 1930 of |
19 | | Title XIX, Part B, Subpart II of the Public Health Service |
20 | | Act (42 U.S.C. 300x-30) and the Interim Final Rule (45 CFR |
21 | | 96.134). |
22 | | (3) Coordinate a statewide strategy for the
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23 | | prevention, early intervention,
treatment, and recovery |
24 | | support of substance use or gambling
disorders. This |
25 | | strategy shall include the development of a
comprehensive |
26 | | plan, submitted annually with the
application for federal |
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1 | | substance use disorder block grant
funding, for the |
2 | | provision of an array of such services. The plan shall be |
3 | | based on local community-based needs and upon
data |
4 | | including, but not limited to, that which defines the |
5 | | prevalence of and
costs associated with these substance |
6 | | use
disorders.
This comprehensive plan shall include |
7 | | identification of problems, needs,
priorities, services |
8 | | and other pertinent information, including the needs of
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9 | | marginalized community members minorities and other |
10 | | specific priority populations in the State, and shall |
11 | | describe how
the identified problems and needs will be |
12 | | addressed. For purposes of this
paragraph, the term |
13 | | " marginalized community members minorities and other |
14 | | specific priority populations " may include,
but shall not |
15 | | be limited to, groups such as women, children, persons who |
16 | | use intravenous drugs intravenous drug
users , persons with |
17 | | AIDS or who are HIV infected, veterans, African-Americans, |
18 | | Latinxs/Hispanics, Asian-Americans, Puerto
Ricans, |
19 | | Hispanics, Asian Americans, the elderly, persons in the |
20 | | criminal
justice system, persons experiencing |
21 | | homelessness, persons who are clients of services provided |
22 | | by other State
agencies, persons with disabilities , and |
23 | | such other specific populations as the
Department may from |
24 | | time to time identify. In developing the plan, the
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25 | | Department shall seek input from providers, parent groups, |
26 | | associations and
interested citizens.
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1 | | The plan
developed under this Section shall include an |
2 | | explanation of the rationale to
be used in ensuring that |
3 | | funding shall be based upon local community needs,
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4 | | including, but not limited to, the incidence and |
5 | | prevalence of, and costs
associated with, these substance |
6 | | use
disorders, as
well as upon demonstrated program |
7 | | performance.
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8 | | The plan developed under this Section shall
also |
9 | | contain a report detailing the activities of and progress |
10 | | made through services for the
care and treatment of these |
11 | | substance use disorders among
pregnant women and mothers |
12 | | and their children established
under subsection (j) of |
13 | | Section 35-5.
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14 | | As applicable, the plan developed under this Section
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15 | | shall also include information about funding by other |
16 | | State
agencies for prevention, early intervention, |
17 | | treatment,
and other recovery support services.
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18 | | (4) Lead, foster and develop cooperation, coordination |
19 | | and agreements
among federal and State governmental |
20 | | agencies and local providers that provide
assistance, |
21 | | services, funding or other functions, peripheral or |
22 | | direct, in the
prevention, early intervention, treatment,
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23 | | and recovery support for substance use or gambling |
24 | | disorders. This shall include, but shall not be limited |
25 | | to,
the following:
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26 | | (A) Cooperate with and assist other State
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1 | | agencies, as applicable, in establishing and
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2 | | conducting these substance use disorder services among |
3 | | the
populations they respectively serve.
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4 | | (B) Cooperate with and assist the Illinois |
5 | | Department of Public Health
in the establishment, |
6 | | funding and support of programs and services for the
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7 | | promotion of maternal and child health and the |
8 | | prevention and treatment of
infectious diseases, |
9 | | including but not limited to HIV infection, especially
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10 | | with respect to those persons who are high risk due to
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11 | | intravenous injection of illegal drugs, or who may |
12 | | have
been sexual partners of these individuals, or who |
13 | | may
have impaired immune systems as a result of a
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14 | | substance use disorder.
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15 | | (C) Supply to the Department of Public Health and |
16 | | prenatal care
providers a list of all providers who |
17 | | are
licensed to provide substance use disorder |
18 | | treatment
for pregnant women in this State.
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19 | | (D) Assist in the placement of child abuse or |
20 | | neglect perpetrators
(identified by the Illinois |
21 | | Department of Children and Family Services (DCFS)) who
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22 | | have been determined to be in need of substance use
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23 | | disorder treatment
pursuant to Section 8.2 of the |
24 | | Abused and Neglected Child Reporting Act.
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25 | | (E) Cooperate with and assist DCFS in carrying out |
26 | | its mandates to:
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1 | | (i) identify substance use and gambling |
2 | | disorders among its clients and
their families; |
3 | | and
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4 | | (ii) develop services to deal with such |
5 | | disorders.
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6 | | These services may include, but shall not be limited |
7 | | to,
programs to prevent or treat substance
use or |
8 | | gambling disorders with DCFS clients and their |
9 | | families,
identifying child care needs within such |
10 | | treatment, and assistance with other
issues as |
11 | | required.
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12 | | (F) Cooperate with and assist the Illinois |
13 | | Criminal Justice Information
Authority with respect to |
14 | | statistical and other information concerning the |
15 | | incidence and prevalence of substance use or gambling
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16 | | disorders.
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17 | | (G) Cooperate with and assist the State |
18 | | Superintendent of Education,
boards of education, |
19 | | schools, police departments, the Illinois State |
20 | | Police, courts and other public and private agencies |
21 | | and individuals in
establishing substance use or |
22 | | gambling disorder prevention programs statewide and |
23 | | preparing curriculum materials
for use at all levels |
24 | | of education.
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25 | | (H) Cooperate with and assist the Illinois |
26 | | Department of Healthcare and Family Services in
the |
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1 | | development and provision of services offered to |
2 | | recipients of public
assistance for the treatment and |
3 | | prevention of substance use or gambling disorders.
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4 | | (I) (Blank).
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5 | | (5) From monies appropriated to the Department from |
6 | | the Drunk and Drugged
Driving Prevention Fund, reimburse |
7 | | DUI evaluation and risk
education programs licensed by the |
8 | | Department for providing
indigent persons with free or |
9 | | reduced-cost evaluation and risk education services |
10 | | relating to a charge of
driving under the influence of |
11 | | alcohol or other drugs.
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12 | | (6) Promulgate regulations to identify and disseminate |
13 | | best practice guidelines that can be utilized by publicly
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14 | | and privately funded programs as well as for levels of |
15 | | payment to government
funded programs that provide |
16 | | prevention,
early intervention, treatment, and other |
17 | | recovery support services for substance use or gambling |
18 | | disorders and those services referenced in Sections 15-10
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19 | | and 40-5.
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20 | | (7) In consultation with providers and
related trade |
21 | | associations, specify a uniform
methodology for use by |
22 | | funded providers and the
Department for billing
and |
23 | | collection and dissemination of statistical information
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24 | | regarding services related to substance use or gambling
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25 | | disorders.
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26 | | (8) Receive data and assistance from federal, State |
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1 | | and local governmental
agencies, and obtain copies of |
2 | | identification and arrest data from all federal,
State and |
3 | | local law enforcement agencies for use in carrying out the |
4 | | purposes
and functions of the Department.
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5 | | (9) Designate and license providers to conduct |
6 | | screening, assessment,
referral and tracking of clients |
7 | | identified by the criminal justice system as
having |
8 | | indications of substance use
disorders and being
eligible |
9 | | to make an election for treatment under Section 40-5 of |
10 | | this Act, and
assist in the placement of individuals who |
11 | | are under court order to participate
in treatment.
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12 | | (10) Identify and disseminate evidence-based best |
13 | | practice guidelines as maintained in administrative rule |
14 | | that can be utilized to determine a substance use or |
15 | | gambling disorder diagnosis.
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16 | | (11) (Blank).
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17 | | (12) Make grants with funds appropriated from the Drug |
18 | | Treatment Fund in
accordance with Section 7 of the |
19 | | Controlled Substance and Cannabis Nuisance
Act, or in |
20 | | accordance with Section 80 of the Methamphetamine Control |
21 | | and Community Protection Act, or in accordance with |
22 | | subsections (h) and (i) of Section 411.2 of the
Illinois |
23 | | Controlled Substances Act, or in accordance with Section |
24 | | 6z-107 of the State Finance Act.
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25 | | (13) Encourage all health and disability insurance |
26 | | programs to include
substance use and gambling disorder
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1 | | treatment as a covered services service and to use |
2 | | evidence-based best practice criteria as maintained in |
3 | | administrative rule and as required in Public Act 99-0480 |
4 | | in determining the necessity for such services and |
5 | | continued stay.
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6 | | (14) Award grants and enter into fixed-rate and |
7 | | fee-for-service arrangements
with any other department, |
8 | | authority or commission of this State, or any other
state |
9 | | or the federal government or with any public or private |
10 | | agency, including
the disbursement of funds and furnishing |
11 | | of staff, to effectuate the purposes
of this Act.
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12 | | (15) Conduct a public information campaign to inform |
13 | | the State's
Hispanic residents regarding the prevention |
14 | | and treatment of substance use or gambling disorders.
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15 | | (b) In addition to the powers, duties and functions vested |
16 | | in it by this
Act, or by other laws of this State, the |
17 | | Department may undertake, but shall
not be limited to, the |
18 | | following activities:
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19 | | (1) Require all organizations licensed or funded by |
20 | | the Department to include an education
component to inform |
21 | | participants regarding the causes and means of |
22 | | transmission
and methods of reducing the risk of acquiring |
23 | | or transmitting HIV infection and other infectious
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24 | | diseases,
and to include funding for such education |
25 | | component in its support of the
program.
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26 | | (2) Review all State agency applications for federal |
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1 | | funds that include
provisions relating to the prevention, |
2 | | early intervention and treatment of
substance use or |
3 | | gambling
disorders in order to ensure consistency.
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4 | | (3) Prepare, publish, evaluate, disseminate and serve |
5 | | as a central
repository for educational materials dealing |
6 | | with the nature and effects of
substance use or gambling |
7 | | disorders. Such materials may deal with
the educational |
8 | | needs of the citizens of Illinois, and may include at |
9 | | least
pamphlets that describe the causes and effects of |
10 | | fetal alcohol
spectrum disorders.
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11 | | (4) Develop and coordinate, with regional and local |
12 | | agencies, education
and training programs for persons |
13 | | engaged in providing services
for persons with
substance |
14 | | use or gambling disorders,
which programs may include |
15 | | specific HIV education and training for program
personnel.
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16 | | (5) Cooperate with and assist in the development of |
17 | | education, prevention, early intervention,
and treatment |
18 | | programs for employees of State and local governments and
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19 | | businesses in the State.
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20 | | (6) Utilize the support and assistance of interested |
21 | | persons in the
community, including recovering persons, to |
22 | | assist individuals
and communities in understanding the |
23 | | dynamics of substance use or gambling
disorders, and to |
24 | | encourage
individuals with these substance use disorders |
25 | | to
voluntarily undergo treatment.
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26 | | (7) Promote, conduct, assist or sponsor basic |
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1 | | clinical, epidemiological
and statistical research into |
2 | | substance use or gambling disorders
and research into the |
3 | | prevention of those problems either solely or in
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4 | | conjunction with any public or private agency.
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5 | | (8) Cooperate with public and private agencies, |
6 | | organizations , institutions of higher education, and
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7 | | individuals in the development of programs, and to provide |
8 | | technical assistance
and consultation services for this |
9 | | purpose.
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10 | | (9) (Blank).
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11 | | (10) (Blank).
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12 | | (11) Fund, promote, or assist entities dealing with
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13 | | substance use or gambling disorders.
|
14 | | (12) With monies appropriated from the Group Home Loan |
15 | | Revolving Fund,
make loans, directly or through |
16 | | subcontract, to assist in underwriting the
costs of |
17 | | housing in which individuals recovering from substance use |
18 | | or gambling
disorders may reside, pursuant
to Section |
19 | | 50-40 of this Act.
|
20 | | (13) Promulgate such regulations as may be necessary |
21 | | to carry out the purposes and enforce the
provisions of |
22 | | this Act.
|
23 | | (14) Provide funding to help parents be effective in |
24 | | preventing
substance use or gambling disorders by building |
25 | | an awareness of the family's
role in preventing these |
26 | | substance use disorders through adjusting expectations, |
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1 | | developing new skills,
and setting positive family goals. |
2 | | The programs shall include, but not be
limited to, the |
3 | | following subjects: healthy family communication; |
4 | | establishing
rules and limits; how to reduce family |
5 | | conflict; how to build self-esteem,
competency, and |
6 | | responsibility in children; how to improve motivation and
|
7 | | achievement; effective discipline; problem solving |
8 | | techniques; healthy gaming and play habits; appropriate |
9 | | financial planning and investment strategies; how to talk |
10 | | about gambling and related activities; and how to talk
|
11 | | about substance use or gambling drugs and alcohol . The |
12 | | programs shall be open to all parents.
|
13 | | (Source: P.A. 101-10, eff. 6-5-19; 102-538, eff. 8-20-21.)
|
14 | | (20 ILCS 301/5-20)
|
15 | | Sec. 5-20. Gambling disorders.
|
16 | | (a) Subject to appropriation, the Department shall |
17 | | establish a program for
public education, research, and |
18 | | training regarding
gambling disorders and the treatment and |
19 | | prevention of gambling disorders.
Subject to specific |
20 | | appropriation for these stated purposes, the program must
|
21 | | include all of the following:
|
22 | | (1) Establishment and maintenance of a toll-free |
23 | | hotline and website "800" telephone number
to provide |
24 | | crisis counseling and referral services for to families |
25 | | that experience experiencing
difficulty related to a as a |
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1 | | result of gambling disorder disorders .
|
2 | | (2) Promotion of public awareness regarding the |
3 | | recognition and
prevention of gambling disorders. |
4 | | Promotion of public awareness to create a gambling |
5 | | informed State regarding the impact of gambling disorders |
6 | | on individuals, families, and communities and the stigma |
7 | | that surrounds gambling disorders.
|
8 | | (3) Facilitation, through in-service training , |
9 | | certification promotion, and other innovative means, of |
10 | | the
availability of effective assistance programs for |
11 | | gambling disorders.
|
12 | | (4) Conducting studies to , and through other |
13 | | innovative means, identify adults and juveniles in this
|
14 | | State who have, or who are at risk of developing, gambling |
15 | | disorders.
|
16 | | (5) Utilize screening, crisis intervention, treatment, |
17 | | public awareness, prevention, in-service training, and |
18 | | other innovative means, to decrease the incidents of |
19 | | suicide attempts related to a gambling disorder or |
20 | | gambling issues. |
21 | | (b) Subject to appropriation, the Department shall either |
22 | | establish and
maintain the program or contract with a private |
23 | | or public entity for the
establishment and maintenance of the |
24 | | program. Subject to appropriation, either
the Department or |
25 | | the private or public entity shall implement the hotline and |
26 | | website toll-free
telephone number , promote public awareness, |
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1 | | conduct research, fund treatment and recovery services, and |
2 | | conduct in-service training
concerning gambling disorders.
|
3 | | (c) The Department shall determine a statement regarding |
4 | | obtaining assistance with a gambling disorder which each |
5 | | licensed gambling establishment owner shall post and each |
6 | | master sports wagering licensee shall include on the master |
7 | | sports wagering licensee's portal, Internet website, or |
8 | | computer or mobile application. Subject to appropriation, the |
9 | | Department shall produce and supply the
signs with the |
10 | | statement as specified in Section 10.7 of the Illinois Lottery |
11 | | Law, Section 34.1 of
the Illinois Horse Racing Act of 1975, |
12 | | Section 4.3 of the Bingo License and Tax
Act, Section 8.1 of |
13 | | the Charitable Games Act, Section 25.95 of the Sports Wagering |
14 | | Act, and Section 13.1 of the Illinois
Gambling Act , and the |
15 | | Video Gaming Act .
|
16 | | (d) Programs; gambling disorder prevention. |
17 | | (1) The Department may establish a program to provide
|
18 | | for the production and publication, in electronic and |
19 | | other formats, of gambling prevention, recognition, |
20 | | treatment, and recovery literature and other public |
21 | | education methods. The Department may develop and |
22 | | disseminate curricula for use by professionals, |
23 | | organizations, individuals, or committees interested in |
24 | | the prevention of gambling disorders. |
25 | | (2) The Department may provide advice to State and
|
26 | | local officials on gambling disorders, including the |
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1 | | prevalence of gambling disorders, programs treating or |
2 | | promoting prevention of gambling disorders, trends in |
3 | | gambling disorder prevalence, and the relationship between |
4 | | gaming and gambling disorders. |
5 | | (3) The Department may support gambling disorder |
6 | | prevention, recognition, treatment, and recovery projects |
7 | | by facilitating the acquisition of gambling prevention |
8 | | curriculums, providing trainings in gambling disorder |
9 | | prevention best practices, connecting programs to health |
10 | | care resources, establishing learning collaboratives |
11 | | between localities and programs, and assisting programs in |
12 | | navigating any regulatory requirements for establishing or |
13 | | expanding such programs. |
14 | | (4) In supporting best practices in gambling disorder |
15 | | prevention programming, the Department may promote the |
16 | | following programmatic elements: |
17 | | (A) Providing funding for community-based |
18 | | organizations to employ community health workers or |
19 | | peer
recovery specialists who are familiar with the |
20 | | communities served and can provide culturally |
21 | | competent services. |
22 | | (B) Collaborating with other community-based
|
23 | | organizations, substance use disorder treatment |
24 | | centers, or other health care providers engaged in |
25 | | treating individuals who are experiencing gambling |
26 | | disorder. |
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1 | | (C) Providing linkages for individuals to obtain
|
2 | | evidence-based gambling disorder treatment. |
3 | | (D) Engaging individuals exiting jails or prisons
|
4 | | who are at a high risk of developing a gambling |
5 | | disorder. |
6 | | (E) Providing education and training to
|
7 | | community-based organizations who work directly with |
8 | | individuals who are experiencing gambling disorders |
9 | | and those individuals' families and communities. |
10 | | (F) Providing education and training on gambling |
11 | | disorder prevention and response to the judicial |
12 | | system. |
13 | | (G) Informing communities of the impact gambling |
14 | | disorder has on suicidal ideation and suicide attempts |
15 | | and the role health care professionals can have in |
16 | | identifying appropriate treatment. |
17 | | (H) Producing and distributing targeted mass
media |
18 | | materials on gambling disorder prevention and |
19 | | response, and the potential dangers of gambling |
20 | | related stigma. |
21 | | (e) Grants. |
22 | | (1) The Department may award grants, in accordance
|
23 | | with this subsection, to create or support local gambling |
24 | | prevention, recognition, and response projects. Local |
25 | | health departments, correctional institutions, hospitals, |
26 | | universities, community-based organizations, and |
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1 | | faith-based organizations may apply to the Department for |
2 | | a grant under this subsection at the time and in the manner |
3 | | the Department prescribes. |
4 | | (2) In awarding grants, the Department shall consider
|
5 | | the necessity for gambling disorder prevention projects in |
6 | | various settings and shall encourage all grant applicants |
7 | | to develop interventions that will be effective and viable |
8 | | in their local areas. |
9 | | (3) In addition to moneys appropriated by the General
|
10 | | Assembly, the Department may seek grants from private |
11 | | foundations, the federal government, and other sources to |
12 | | fund the grants under this Section and to fund an |
13 | | evaluation of the programs supported by the grants. |
14 | | (4) The Department may award grants to create or |
15 | | support local gambling treatment programs. Such programs |
16 | | may include prevention, early intervention, residential |
17 | | and outpatient treatment, and recovery support services |
18 | | for gambling disorders. Local health departments, |
19 | | hospitals, universities, community-based organizations, |
20 | | and faith-based organizations may apply to the Department |
21 | | for a grant under this subsection at the time and in the |
22 | | manner the Department prescribes. |
23 | | (Source: P.A. 100-759, eff. 1-1-19; 101-31, eff. 6-28-19.)
|
24 | | (20 ILCS 301/10-10)
|
25 | | Sec. 10-10. Powers and duties of the Council. The Council |
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1 | | shall:
|
2 | | (a) Advise the Department on ways to encourage public |
3 | | understanding and
support of the Department's programs.
|
4 | | (b) Advise the Department on regulations and licensure |
5 | | proposed by the
Department.
|
6 | | (c) Advise the Department in the formulation, |
7 | | preparation, and
implementation of the annual plan |
8 | | submitted with the federal Substance Use Disorder Block |
9 | | Grant application for prevention, early intervention, |
10 | | treatment, and other recovery support services for |
11 | | substance use disorders.
|
12 | | (d) Advise the Department on implementation of |
13 | | substance use and gambling disorder education and |
14 | | prevention programs throughout the State.
|
15 | | (e) Assist with incorporating into the annual plan |
16 | | submitted with the federal Substance Use Disorder Block |
17 | | Grant application, planning information specific to |
18 | | Illinois' female population. The information shall |
19 | | contain, but need
not be limited to, the types of services
|
20 | | funded, the population served, the support services |
21 | | available, and the goals, objectives,
proposed methods of |
22 | | achievement, service projections and cost estimate for the
|
23 | | upcoming year.
|
24 | | (f) Perform other duties as requested by the |
25 | | Secretary. |
26 | | (g) Advise the Department in the planning, |
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1 | | development, and coordination of programs among all |
2 | | agencies and departments of State government, including |
3 | | programs to reduce substance use and gambling disorders, |
4 | | prevent the misuse of illegal and legal drugs by persons |
5 | | of all ages, prevent gambling and gaming by minors, and |
6 | | prevent the use of alcohol by minors. |
7 | | (h) Promote and encourage participation by the private |
8 | | sector, including business, industry, labor, and the |
9 | | media, in programs to prevent substance use and gambling |
10 | | disorders. |
11 | | (i) Encourage the implementation of programs to |
12 | | prevent substance use and gambling disorders in the public |
13 | | and private schools and educational institutions. |
14 | | (j) Gather information, conduct hearings, and make |
15 | | recommendations to the Secretary concerning additions, |
16 | | deletions, or rescheduling of substances under the |
17 | | Illinois Controlled Substances Act. |
18 | | (k) Report as requested to the General Assembly |
19 | | regarding the activities and recommendations made by the |
20 | | Council.
|
21 | | (Source: P.A. 100-759, eff. 1-1-19 .)
|
22 | | (20 ILCS 301/10-15)
|
23 | | Sec. 10-15. Qualification and appointment of members. The |
24 | | membership of
the Illinois Advisory Council may, as needed, |
25 | | consist of:
|
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1 | | (a) A State's Attorney designated by the President of |
2 | | the Illinois State's
Attorneys Association.
|
3 | | (b) A judge designated by the Chief Justice of the |
4 | | Illinois Supreme Court.
|
5 | | (c) A Public Defender appointed by the President of |
6 | | the Illinois Public Defender
Association.
|
7 | | (d) A local law enforcement officer appointed by the |
8 | | Governor.
|
9 | | (e) A labor representative appointed by the Governor.
|
10 | | (f) An educator appointed by the Governor.
|
11 | | (g) A physician licensed to practice medicine in all |
12 | | its branches
appointed
by the Governor with due regard for |
13 | | the appointee's knowledge of the field of
substance use |
14 | | disorders.
|
15 | | (h) 4 members of the Illinois House of |
16 | | Representatives, 2 each appointed
by the Speaker and |
17 | | Minority Leader.
|
18 | | (i) 4 members of the Illinois Senate, 2 each appointed |
19 | | by the President
and Minority Leader.
|
20 | | (j) The Chief Executive Officer of the Illinois |
21 | | Association for Behavioral Health or his or her designee.
|
22 | | (k) An advocate for the needs of youth appointed by |
23 | | the Governor.
|
24 | | (l) The President of the Illinois State Medical |
25 | | Society or his or her
designee.
|
26 | | (m) The President of the Illinois Hospital Association |
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1 | | or his or her
designee.
|
2 | | (n) The President of the Illinois Nurses Association |
3 | | or a registered nurse
designated by the President.
|
4 | | (o) The President of the Illinois Pharmacists |
5 | | Association or a licensed
pharmacist designated by the |
6 | | President.
|
7 | | (p) The President of the Illinois Chapter of the |
8 | | Association of Labor-Management Administrators and |
9 | | Consultants on Alcoholism.
|
10 | | (p-1) The Chief Executive Officer of the Community |
11 | | Behavioral Healthcare Association
of Illinois or his or |
12 | | her designee.
|
13 | | (q) The Attorney General or his or her designee.
|
14 | | (r) The State Comptroller or his or her designee.
|
15 | | (s) 20 public members, 8 appointed by the Governor, 3 |
16 | | of whom shall be
representatives of substance use or |
17 | | gambling disorder treatment
programs and one of whom shall |
18 | | be a representative of a manufacturer or
importing |
19 | | distributor of alcoholic liquor licensed by the State of |
20 | | Illinois,
and 3 public members appointed by each of the |
21 | | President and Minority Leader of
the Senate and the |
22 | | Speaker and Minority Leader of the House. |
23 | | (t) The Director, Secretary, or other chief |
24 | | administrative officer, ex officio, or his or her |
25 | | designee, of each of the following: the Department on |
26 | | Aging, the Department of Children and Family Services, the |
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1 | | Department of Corrections, the Department of Juvenile |
2 | | Justice, the Department of Healthcare and Family Services, |
3 | | the Department of Revenue, the Department of Public |
4 | | Health, the Department of Financial and Professional |
5 | | Regulation, the Illinois State Police, the Administrative |
6 | | Office of the Illinois Courts, the Criminal Justice |
7 | | Information Authority, and the Department of |
8 | | Transportation. |
9 | | (u) Each of the following, ex officio, or his or her |
10 | | designee: the Secretary of State, the State Superintendent |
11 | | of Education, and the Chairman of the Board of Higher |
12 | | Education.
|
13 | | The public members may not be officers or employees of the |
14 | | executive branch
of State government; however, the public |
15 | | members may be officers or employees
of a State college or |
16 | | university or of any law enforcement agency. In
appointing |
17 | | members, due consideration shall be given to the experience of
|
18 | | appointees in the fields of medicine, law, prevention, |
19 | | correctional activities,
and social welfare. Vacancies in the |
20 | | public membership shall be filled for the
unexpired term by |
21 | | appointment in like manner as for original appointments, and
|
22 | | the appointive members shall serve until their successors are |
23 | | appointed and
have qualified. Vacancies among the public |
24 | | members appointed by the
legislative leaders shall be filled |
25 | | by the leader of the same house and of the
same political party |
26 | | as the leader who originally appointed the member.
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1 | | Each non-appointive member may designate a representative |
2 | | to serve in his
place by written notice to the Department. All |
3 | | General Assembly members shall
serve until their respective |
4 | | successors are appointed or until termination of
their |
5 | | legislative service, whichever occurs first. The terms of |
6 | | office for
each of the members appointed by the Governor shall |
7 | | be for 3 years, except that
of the members first appointed, 3 |
8 | | shall be appointed for a term of one year,
and 4 shall be |
9 | | appointed for a term of 2 years. The terms of office of each of
|
10 | | the public members appointed by the legislative leaders shall |
11 | | be for 2 years.
|
12 | | (Source: P.A. 102-538, eff. 8-20-21.)
|
13 | | (20 ILCS 301/15-10)
|
14 | | Sec. 15-10. Licensure categories and services. No person |
15 | | or program may provide the
services or conduct the activities |
16 | | described in this Section without first
obtaining a license |
17 | | therefor from the Department, unless otherwise exempted under |
18 | | this Act. The Department shall, by
rule, provide requirements |
19 | | for each of the following types of licenses and categories of |
20 | | service: |
21 | | (a) Treatment: Categories of treatment service for a |
22 | | substance use or gambling disorder authorized by a |
23 | | treatment license are Early Intervention, Outpatient, |
24 | | Intensive Outpatient/Partial Hospitalization, Subacute |
25 | | Residential/Inpatient, and Withdrawal Management. |
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1 | | Medication assisted treatment that includes methadone used |
2 | | for an opioid use disorder can be licensed as an adjunct to |
3 | | any of the treatment levels of care specified in this |
4 | | Section. |
5 | | (b) Intervention: Categories of an intervention |
6 | | service authorized by an intervention license are DUI |
7 | | Evaluation, DUI Risk Education, Designated Program, Harm |
8 | | Reduction Program, and Recovery Homes for persons in any |
9 | | stage of recovery from a substance use or gambling |
10 | | disorder. Harm reduction programs may include overdose |
11 | | prevention sites and services. Overdose prevention sites |
12 | | and services are under the Harm Reduction category of |
13 | | intervention licensure which may be issued if and when |
14 | | legal authorization is adopted to allow for these services |
15 | | and upon adoption of administrative or funding rules that |
16 | | govern the delivery of the services.
|
17 | | The Department may, under procedures established by rule |
18 | | and upon a showing
of good cause for such, exempt off-site |
19 | | services from having to obtain a
separate license for services |
20 | | conducted away from the provider's licensed location.
|
21 | | (Source: P.A. 100-759, eff. 1-1-19 .)
|
22 | | (20 ILCS 301/20-5)
|
23 | | Sec. 20-5. Development of statewide prevention system.
|
24 | | (a) The Department shall develop and implement a |
25 | | comprehensive, statewide,
community-based strategy to reduce |
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1 | | substance use and gambling disorders and prevent the misuse of |
2 | | illegal and legal drugs by persons of all ages, and to prevent |
3 | | the use of
alcohol by minors. The system created to implement |
4 | | this strategy shall be
based on the premise that coordination |
5 | | among and integration between all
community and governmental |
6 | | systems will facilitate effective and efficient
program |
7 | | implementation and utilization of existing resources.
|
8 | | (b) The statewide system developed under this Section may |
9 | | be adopted by administrative rule or funded as a grant award |
10 | | condition and shall be responsible
for:
|
11 | | (1) Providing programs and technical assistance to |
12 | | improve the ability of
Illinois communities and schools to |
13 | | develop, implement and evaluate prevention
programs.
|
14 | | (2) Initiating and fostering continuing cooperation |
15 | | among the Department,
Department-funded prevention |
16 | | programs, other community-based prevention
providers and |
17 | | other State, regional, or local systems or agencies that |
18 | | have an interest
in substance use disorder prevention.
|
19 | | (c) In developing, implementing, and advocating for this |
20 | | statewide strategy and system, the
Department may engage in, |
21 | | but shall not be limited to, the following
activities:
|
22 | | (1) Establishing and conducting programs to provide |
23 | | awareness and
knowledge of the nature and extent of |
24 | | substance use and gambling disorders and their effect on |
25 | | individuals, families, and communities.
|
26 | | (2) Conducting or providing prevention skill building |
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1 | | or education through
the use of structured experiences.
|
2 | | (3) Developing, supporting, and advocating with new |
3 | | and existing local community coalitions or
|
4 | | neighborhood-based grassroots networks using action |
5 | | planning and collaborative
systems to initiate change |
6 | | regarding substance use and gambling disorders in
their |
7 | | communities.
|
8 | | (4) Encouraging, supporting, and advocating for |
9 | | programs and activities that emphasize
alcohol-free and |
10 | | other drug-free lifestyles.
|
11 | | (5) Drafting and implementing efficient plans for the |
12 | | use of available
resources to address issues of substance |
13 | | use disorder prevention.
|
14 | | (6) Coordinating local programs of alcoholism and |
15 | | other drug abuse
education and prevention.
|
16 | | (7) Encouraging the development of local advisory |
17 | | councils.
|
18 | | (d) In providing leadership to this system, the Department |
19 | | shall take into
account, wherever possible, the needs and |
20 | | requirements of local communities.
The Department shall also |
21 | | involve, wherever possible, local communities in its
statewide |
22 | | planning efforts. These planning efforts shall include, but |
23 | | shall
not be limited to, in cooperation with local community |
24 | | representatives and
Department-funded agencies, the analysis |
25 | | and application of results of local
needs assessments, as well |
26 | | as a process for the integration of an evaluation
component |
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1 | | into the system. The results of this collaborative planning |
2 | | effort
shall be taken into account by the Department in making |
3 | | decisions regarding the
allocation of prevention resources.
|
4 | | (e) Prevention programs funded in whole or in part by the |
5 | | Department shall
maintain staff whose skills, training, |
6 | | experiences and cultural awareness
demonstrably match the |
7 | | needs of the people they are serving.
|
8 | | (f) The Department may delegate the functions and |
9 | | activities described in
subsection (c) of this Section to |
10 | | local, community-based providers.
|
11 | | (Source: P.A. 100-759, eff. 1-1-19 .)
|
12 | | (20 ILCS 301/25-5)
|
13 | | Sec. 25-5. Establishment of comprehensive treatment |
14 | | system. The
Department shall develop, fund and implement a |
15 | | comprehensive, statewide,
community-based system for the |
16 | | provision of early intervention,
treatment, and recovery |
17 | | support services for persons suffering from substance use or |
18 | | gambling disorders. The system created under this Section |
19 | | shall be based on the
premise that coordination among and |
20 | | integration between all community and
governmental systems |
21 | | will facilitate effective and efficient program
implementation |
22 | | and utilization of existing resources.
|
23 | | (Source: P.A. 100-759, eff. 1-1-19 .)
|
24 | | (20 ILCS 301/25-10)
|
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1 | | Sec. 25-10. Promulgation of regulations. The Department |
2 | | shall adopt
regulations for licensure, certification for |
3 | | Medicaid reimbursement, and to identify evidence-based best |
4 | | practice criteria that can be utilized for intervention and |
5 | | treatment services, taking into consideration
available |
6 | | resources and facilities, for the purpose of early and |
7 | | effective
treatment of substance use and gambling disorders.
|
8 | | (Source: P.A. 100-759, eff. 1-1-19 .)
|
9 | | (20 ILCS 301/30-5)
|
10 | | Sec. 30-5. Patients' rights established.
|
11 | | (a) For purposes of this Section, "patient" means any |
12 | | person who is
receiving or has received early intervention, |
13 | | treatment, or other recovery support services under
this Act |
14 | | or any category of service licensed as "intervention" under |
15 | | this Act.
|
16 | | (b) No patient shall be deprived of any rights, benefits,
|
17 | | or privileges guaranteed by law, the Constitution of the |
18 | | United States of
America, or the Constitution of the State of |
19 | | Illinois solely because of his
or her status as a patient.
|
20 | | (c) Persons who have substance use or gambling disorders |
21 | | who are
also suffering from medical conditions shall not be |
22 | | discriminated against in
admission or treatment by any |
23 | | hospital that receives support in any form supported in whole |
24 | | or in part by funds appropriated to any State
department or |
25 | | agency.
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1 | | (d) Every patient shall have impartial access to services |
2 | | without regard to
race, religion, sex, ethnicity, age, sexual |
3 | | orientation, gender identity, marital status, or other |
4 | | disability.
|
5 | | (e) Patients shall be permitted the free exercise of |
6 | | religion.
|
7 | | (f) Every patient's personal dignity shall be recognized |
8 | | in the provision
of services, and a patient's personal privacy |
9 | | shall be assured and protected
within the constraints of his |
10 | | or her individual treatment.
|
11 | | (g) Treatment services shall be provided in the least |
12 | | restrictive
environment possible.
|
13 | | (h) Each patient receiving treatment services shall be |
14 | | provided an individual treatment plan, which
shall be |
15 | | periodically reviewed and updated as mandated by |
16 | | administrative rule.
|
17 | | (i) Treatment shall be person-centered, meaning that every |
18 | | patient shall be permitted to participate in the planning of |
19 | | his
or her total care and medical treatment to the extent that |
20 | | his or her condition permits.
|
21 | | (j) A person shall not be denied treatment solely because |
22 | | he or she has withdrawn
from treatment against medical advice |
23 | | on a prior occasion or had prior treatment episodes.
|
24 | | (k) The patient in residential treatment shall be |
25 | | permitted visits by family and
significant others, unless such |
26 | | visits are clinically contraindicated.
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1 | | (l) A patient in residential treatment shall be allowed to |
2 | | conduct private telephone
conversations with family and |
3 | | friends unless clinically contraindicated.
|
4 | | (m) A patient in residential treatment shall be permitted |
5 | | to send and receive mail without
hindrance, unless clinically |
6 | | contraindicated.
|
7 | | (n) A patient shall be permitted to manage his or her own |
8 | | financial affairs unless
the patient or the patient's |
9 | | guardian, or if the patient is a minor, the patient's parent, |
10 | | authorizes
another competent person to do so.
|
11 | | (o) A patient shall be permitted to request the opinion of |
12 | | a consultant at
his or her own expense, or to request an |
13 | | in-house review of a treatment plan, as
provided in the |
14 | | specific procedures of the provider. A treatment provider is
|
15 | | not liable for the negligence of any consultant.
|
16 | | (p) Unless otherwise prohibited by State or federal law, |
17 | | every patient
shall be permitted to obtain from his or her own |
18 | | physician, the treatment provider, or
the treatment provider's |
19 | | consulting physician complete and current information
|
20 | | concerning the nature of care, procedures, and treatment that |
21 | | he or she will receive.
|
22 | | (q) A patient shall be permitted to refuse to participate |
23 | | in any
experimental research or medical procedure without |
24 | | compromising his or her access to
other, non-experimental |
25 | | services. Before a patient is placed in an
experimental |
26 | | research or medical procedure, the provider must first obtain |
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1 | | his
or her informed written consent or otherwise comply with |
2 | | the federal requirements
regarding the protection of human |
3 | | subjects contained in 45 CFR C.F.R.
Part 46.
|
4 | | (r) All medical treatment and procedures shall be |
5 | | administered as ordered
by a physician and in accordance with |
6 | | all Department rules.
|
7 | | (s) Every patient in treatment shall be permitted to |
8 | | refuse medical treatment and to
know the consequences of such |
9 | | action. Such refusal by a patient shall free the
treatment |
10 | | licensee from the obligation to provide the treatment.
|
11 | | (t) Unless otherwise prohibited by State or federal law, |
12 | | every patient,
patient's guardian, or parent, if the patient |
13 | | is a minor, shall be permitted to
inspect and copy all clinical |
14 | | and other records kept by the intervention or treatment |
15 | | licensee
or by his or her physician concerning his or her care |
16 | | and maintenance. The licensee
or physician may charge a |
17 | | reasonable fee for the duplication of a record.
|
18 | | (u) No owner, licensee, administrator, employee, or agent |
19 | | of a licensed intervention or treatment
program shall abuse or |
20 | | neglect a patient. It is the duty of any individual who becomes |
21 | | aware of such abuse or neglect to report it to
the Department |
22 | | immediately.
|
23 | | (v) The licensee may refuse access to any
person if the |
24 | | actions of that person are or could be
injurious to the health |
25 | | and safety of a patient or the licensee, or if the
person seeks |
26 | | access for commercial purposes.
|
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1 | | (w) All patients admitted to community-based treatment |
2 | | facilities shall be considered voluntary treatment patients |
3 | | and such patients shall not be contained within a locked |
4 | | setting.
|
5 | | (x) Patients and their families or legal guardians shall |
6 | | have the right to
present complaints to the provider or the |
7 | | Department concerning the quality of care provided to the |
8 | | patient,
without threat of discharge or reprisal in any form |
9 | | or manner whatsoever. The complaint process and procedure |
10 | | shall be adopted by the Department by rule. The
treatment |
11 | | provider shall have in place a mechanism for receiving and |
12 | | responding
to such complaints, and shall inform the patient |
13 | | and the patient's family or legal
guardian of this mechanism |
14 | | and how to use it. The provider shall analyze any
complaint |
15 | | received and, when indicated, take appropriate corrective |
16 | | action.
Every patient and his or her family member or legal |
17 | | guardian who makes a complaint
shall receive a timely response |
18 | | from the provider that substantively addresses
the complaint. |
19 | | The provider shall inform the patient and the patient's family |
20 | | or legal
guardian about other sources of assistance if the |
21 | | provider has not resolved the
complaint to the satisfaction of |
22 | | the patient or the patient's family or legal guardian.
|
23 | | (y) A patient may refuse to perform labor at a program |
24 | | unless such labor
is a part of the patient's individual |
25 | | treatment plan as documented in the patient's clinical
record.
|
26 | | (z) A person who is in need of services may apply for |
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1 | | voluntary admission
in the manner and with the rights provided |
2 | | for under
regulations promulgated by the Department. If a |
3 | | person is refused admission, then staff, subject to rules
|
4 | | promulgated by the Department, shall refer the person to |
5 | | another facility or to other appropriate services.
|
6 | | (aa) No patient shall be denied services based solely on |
7 | | HIV status.
Further, records and information governed by the |
8 | | AIDS Confidentiality Act and
the AIDS Confidentiality and |
9 | | Testing Code (77 Ill. Adm. Code 697) shall be
maintained in |
10 | | accordance therewith.
|
11 | | (bb) Records of the identity, diagnosis, prognosis or |
12 | | treatment of any
patient maintained in connection with the |
13 | | performance of any service or
activity relating to substance |
14 | | use or gambling disorder education, early
intervention, |
15 | | intervention, training, or treatment that is
regulated, |
16 | | authorized, or directly or indirectly assisted by any |
17 | | Department or
agency of this State or under any provision of |
18 | | this Act shall be confidential
and may be disclosed only in |
19 | | accordance with the provisions of federal law and
regulations |
20 | | concerning the confidentiality of substance use disorder |
21 | | patient
records as contained in 42 U.S.C. Sections 290dd-2 and |
22 | | 42 CFR C.F.R.
Part 2, or any successor federal statute or |
23 | | regulation.
|
24 | | (1) The following are exempt from the confidentiality |
25 | | protections set
forth in 42 CFR C.F.R. Section 2.12(c):
|
26 | | (A) Veteran's Administration records.
|
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1 | | (B) Information obtained by the Armed Forces.
|
2 | | (C) Information given to qualified service |
3 | | organizations.
|
4 | | (D) Communications within a program or between a |
5 | | program and an entity
having direct administrative |
6 | | control over that program.
|
7 | | (E) Information given to law enforcement personnel |
8 | | investigating a
patient's commission of a crime on the |
9 | | program premises or against program
personnel.
|
10 | | (F) Reports under State law of incidents of |
11 | | suspected child abuse and
neglect; however, |
12 | | confidentiality restrictions continue to
apply to the |
13 | | records and any follow-up information for disclosure |
14 | | and use in
civil or criminal proceedings arising from |
15 | | the report of suspected abuse or
neglect.
|
16 | | (2) If the information is not exempt, a disclosure can |
17 | | be made only under
the following circumstances:
|
18 | | (A) With patient consent as set forth in 42 CFR |
19 | | C.F.R. Sections 2.1(b)(1)
and 2.31, and as consistent |
20 | | with pertinent State law.
|
21 | | (B) For medical emergencies as set forth in 42 CFR |
22 | | C.F.R. Sections
2.1(b)(2) and 2.51.
|
23 | | (C) For research activities as set forth in 42 CFR |
24 | | C.F.R. Sections
2.1(b)(2) and 2.52.
|
25 | | (D) For audit evaluation activities as set forth |
26 | | in 42 CFR C.F.R. Section
2.53.
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1 | | (E) With a court order as set forth in 42 CFR |
2 | | C.F.R. Sections 2.61 through
2.67.
|
3 | | (3) The restrictions on disclosure and use of patient |
4 | | information apply
whether the holder of the information |
5 | | already has it, has other means of
obtaining it, is a law |
6 | | enforcement or other official, has obtained a subpoena,
or |
7 | | asserts any other justification for a disclosure or use |
8 | | that is not
permitted by 42 CFR C.F.R. Part 2. Any court |
9 | | orders authorizing disclosure of
patient records under |
10 | | this Act must comply with the procedures and criteria set
|
11 | | forth in 42 CFR C.F.R. Sections 2.64 and 2.65. Except as |
12 | | authorized by a court
order granted under this Section, no |
13 | | record referred to in this Section may be
used to initiate |
14 | | or substantiate any charges against a patient or to |
15 | | conduct
any investigation of a patient.
|
16 | | (4) The prohibitions of this subsection shall apply to |
17 | | records concerning
any person who has been a patient, |
18 | | regardless of whether or when the person ceases to
be a |
19 | | patient.
|
20 | | (5) Any person who discloses the content of any record |
21 | | referred to in this
Section except as authorized shall, |
22 | | upon conviction, be guilty of a Class A
misdemeanor.
|
23 | | (6) The Department shall prescribe regulations to |
24 | | carry out the purposes
of
this subsection. These |
25 | | regulations may contain such definitions, and may
provide |
26 | | for such safeguards and procedures, including procedures |
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1 | | and criteria
for the issuance and scope of court orders, |
2 | | as in the judgment of the
Department are necessary or |
3 | | proper to effectuate the purposes of this Section,
to |
4 | | prevent circumvention or evasion thereof, or to facilitate |
5 | | compliance
therewith.
|
6 | | (cc) Each patient shall be given a written explanation of |
7 | | all the rights
enumerated in this Section and a copy, signed by |
8 | | the patient, shall be kept in every patient record. If a |
9 | | patient is unable to read such written
explanation, it shall |
10 | | be read to the patient in a language that the patient
|
11 | | understands. A copy of all the rights enumerated in this |
12 | | Section shall be
posted in a conspicuous place within the |
13 | | program where it may readily be
seen and read by program |
14 | | patients and visitors.
|
15 | | (dd) The program shall ensure that its staff is familiar |
16 | | with and observes
the rights and responsibilities enumerated |
17 | | in this Section.
|
18 | | (ee) Licensed organizations shall comply with the right of |
19 | | any adolescent to consent to treatment without approval of the |
20 | | parent or legal guardian in accordance with the Consent by |
21 | | Minors to Health Care Services Medical Procedures Act. |
22 | | (ff) At the point of admission for services, licensed |
23 | | organizations must obtain written informed consent, as defined |
24 | | in Section 1-10 and in administrative rule, from each client, |
25 | | patient, or legal guardian. |
26 | | (Source: P.A. 99-143, eff. 7-27-15; 100-759, eff. 1-1-19; |
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1 | | revised 12-1-21.)
|
2 | | (20 ILCS 301/35-5)
|
3 | | Sec. 35-5. Services for pregnant women and mothers.
|
4 | | (a) In order to promote a comprehensive, statewide and |
5 | | multidisciplinary
approach to serving pregnant women and |
6 | | mothers, including those who
are minors, and their children |
7 | | who are affected by substance use or gambling disorders, the |
8 | | Department shall have responsibility for an ongoing
exchange |
9 | | of referral information among the following:
|
10 | | (1) those who provide medical and social services to |
11 | | pregnant women,
mothers and their children, whether or not |
12 | | there exists evidence of a substance use or gambling |
13 | | disorder. These include any other State-funded medical or |
14 | | social services to pregnant women.
|
15 | | (2) providers of treatment services to women affected |
16 | | by substance use or gambling disorders.
|
17 | | (b) (Blank).
|
18 | | (c) (Blank).
|
19 | | (d) (Blank).
|
20 | | (e) (Blank).
|
21 | | (f) The Department shall develop and maintain an updated |
22 | | and comprehensive
directory of licensed providers that deliver |
23 | | treatment and intervention services. The Department shall post |
24 | | on its website a licensed provider directory updated at least |
25 | | quarterly.
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1 | | (g) As a condition of any State grant or contract, the |
2 | | Department shall
require that any treatment program for women |
3 | | with substance use or gambling disorders provide services, |
4 | | either
by its own staff or by agreement with other agencies or |
5 | | individuals, which
include but need not be limited to the |
6 | | following:
|
7 | | (1) coordination with any program providing case
|
8 | | management services to ensure ongoing monitoring and |
9 | | coordination of services
after the addicted woman has |
10 | | returned home.
|
11 | | (2) coordination with medical services for individual |
12 | | medical care of
pregnant women, including prenatal care |
13 | | under the supervision of a
physician.
|
14 | | (3) coordination with child care services.
|
15 | | (h) As a condition of any State grant or contract, the |
16 | | Department shall
require that any nonresidential program |
17 | | receiving any funding for treatment
services accept women who |
18 | | are pregnant, provided that such services are
clinically |
19 | | appropriate. Failure to comply with this subsection shall |
20 | | result in
termination of the grant or contract and loss of |
21 | | State funding.
|
22 | | (i)(1) From funds appropriated expressly for the purposes |
23 | | of this Section,
the Department shall create or contract with |
24 | | licensed, certified agencies to
develop a program for the care |
25 | | and treatment of pregnant women,
mothers and their children. |
26 | | The program shall be in Cook County in an
area of high density |
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1 | | population having a disproportionate number of
women with |
2 | | substance use and other disorders and a high infant mortality |
3 | | rate.
|
4 | | (2) From funds appropriated expressly for the purposes of |
5 | | this Section,
the
Department shall create or contract with |
6 | | licensed, certified agencies to
develop a program for the care |
7 | | and treatment of low income pregnant women. The
program shall |
8 | | be located anywhere in the State outside of Cook County in an
|
9 | | area of high density population having a disproportionate |
10 | | number of low income
pregnant women.
|
11 | | (3) In implementing the programs established under this |
12 | | subsection, the
Department shall contract with existing |
13 | | residential treatment or recovery homes in areas
having a |
14 | | disproportionate number of women with substance use and other |
15 | | disorders who
need residential treatment. Priority shall be |
16 | | given to women who:
|
17 | | (A) are pregnant, especially if they are intravenous |
18 | | drug users,
|
19 | | (B) have minor children,
|
20 | | (C) are both pregnant and have minor children, or
|
21 | | (D) are referred by medical personnel because they |
22 | | either have given
birth
to a baby with a substance use |
23 | | disorder, or will give birth to a baby
with a substance use |
24 | | disorder.
|
25 | | (4) The services provided by the programs shall include |
26 | | but not be limited
to:
|
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1 | | (A) individual medical care, including prenatal care, |
2 | | under the
supervision of a physician.
|
3 | | (B) temporary, residential shelter for pregnant women, |
4 | | mothers and
children when necessary.
|
5 | | (C) a range of educational or counseling services.
|
6 | | (D) comprehensive and coordinated social services, |
7 | | including therapy groups for the treatment of substance |
8 | | use disorders; family therapy groups; programs to develop |
9 | | positive self-awareness;
parent-child therapy; and |
10 | | residential support groups.
|
11 | | (5) (Blank).
|
12 | | (Source: P.A. 100-759, eff. 1-1-19 .)
|
13 | | (20 ILCS 301/35-10)
|
14 | | Sec. 35-10. Adolescent Family Life Program.
|
15 | | (a) The General Assembly finds and declares the following:
|
16 | | (1) In Illinois, a substantial number of babies are |
17 | | born each year to
adolescent mothers between 12 and 19 |
18 | | years of age.
|
19 | | (2) A substantial percentage of pregnant adolescents |
20 | | have substance use disorders or live in environments in |
21 | | which substance use disorders occur and thus are at risk |
22 | | of exposing
their infants to dangerous and harmful |
23 | | circumstances.
|
24 | | (3) It is difficult to provide substance use disorder |
25 | | counseling for adolescents
in settings designed to serve |
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1 | | adults.
|
2 | | (b) To address the findings set forth in subsection (a), |
3 | | and subject to appropriation, the Department
may
establish and |
4 | | fund treatment strategies to meet the developmental, social, |
5 | | and educational
needs of high-risk pregnant adolescents and |
6 | | shall do the
following:
|
7 | | (1) To the maximum extent feasible and appropriate, |
8 | | utilize existing
services and funding rather than create |
9 | | new, duplicative services.
|
10 | | (2) Include plans for coordination and collaboration |
11 | | with existing
perinatal substance use disorder services.
|
12 | | (3) Include goals and objectives for reducing the |
13 | | incidence of high-risk
pregnant adolescents.
|
14 | | (4) Be culturally and linguistically appropriate to |
15 | | the population
being served.
|
16 | | (5) Include staff development training by substance |
17 | | use and other disorder counselors.
|
18 | | As used in this Section, "high-risk pregnant adolescent" |
19 | | means a person at
least 12
but not more than 18 years of age |
20 | | with a substance use or other disorder who is pregnant.
|
21 | | (c) (Blank).
|
22 | | (Source: P.A. 100-759, eff. 1-1-19 .)
|
23 | | (20 ILCS 301/50-40)
|
24 | | Sec. 50-40. Group Home Loan Revolving Fund.
|
25 | | (a) There is hereby established the Group Home Loan |
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1 | | Revolving Fund, referred
to in this Section as the "fund", to |
2 | | be held as a separate fund within the
State Treasury. Monies in |
3 | | this fund shall be appropriated to the Department on
a |
4 | | continuing annual basis. With these funds, the Department |
5 | | shall, directly or
through subcontract, make loans to assist |
6 | | in underwriting the costs of housing
in which there may reside |
7 | | individuals who are recovering from
substance use or gambling |
8 | | disorders, and who are seeking an alcohol-free , gambling-free, |
9 | | or drug-free
environment in which to live. Consistent with |
10 | | federal law and regulation, the
Department may establish |
11 | | guidelines for approving the use and management of monies |
12 | | loaned
from the fund, the operation of group homes receiving |
13 | | loans under this Section
and the repayment of monies loaned.
|
14 | | (b) There shall be deposited into the fund such amounts |
15 | | including, but not
limited to:
|
16 | | (1) All receipts, including principal and interest |
17 | | payments and royalties,
from any applicable loan agreement |
18 | | made from the fund.
|
19 | | (2) All proceeds of assets of whatever nature received |
20 | | by the Department
as a result of default or delinquency |
21 | | with respect to loan agreements made from
the fund, |
22 | | including proceeds from the sale, disposal, lease or |
23 | | rental of real
or personal property that the Department |
24 | | may receive as a result thereof.
|
25 | | (3) Any direct appropriations made by the General |
26 | | Assembly, or any gifts
or grants made by any person to the |
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1 | | fund.
|
2 | | (4) Any income received from interest on investments |
3 | | of monies in the
fund.
|
4 | | (c) The Treasurer may invest monies in the fund in |
5 | | securities constituting
obligations of the United States |
6 | | government, or in obligations the principal of
and interest on |
7 | | which are guaranteed by the United States government, or in
|
8 | | certificates of deposit of any State or national bank which |
9 | | are fully secured
by obligations guaranteed as to principal |
10 | | and interest by the United States
government.
|
11 | | (Source: P.A. 100-759, eff. 1-1-19 .)
|
12 | | (20 ILCS 301/55-30) |
13 | | Sec. 55-30. Rate increase. |
14 | | (a) The Department shall by rule develop the increased |
15 | | rate methodology and annualize the increased rate beginning |
16 | | with State fiscal year 2018 contracts to licensed providers of |
17 | | community-based substance use and gambling disorders disorder |
18 | | intervention or treatment, based on the additional amounts |
19 | | appropriated for the purpose of providing a rate increase to |
20 | | licensed providers. The Department shall adopt rules, |
21 | | including emergency rules under subsection (y) of Section 5-45 |
22 | | of the Illinois Administrative Procedure Act, to implement the |
23 | | provisions of this Section.
|
24 | | (b) Within 30 days after June 4, 2018 (the effective date |
25 | | of Public Act 100-587), the Division of Substance Use |
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1 | | Prevention and Recovery shall apply an increase in rates of 3% |
2 | | above the rate paid on June 30, 2017 to all Medicaid and |
3 | | non-Medicaid reimbursable service rates. The Department shall |
4 | | adopt rules, including emergency rules under subsection (bb) |
5 | | of Section 5-45 of the Illinois Administrative Procedure Act, |
6 | | to implement the provisions of this subsection (b). |
7 | | (Source: P.A. 100-23, eff. 7-6-17; 100-587, eff. 6-4-18; |
8 | | 100-759, eff. 1-1-19; 101-81, eff. 7-12-19.)
|
9 | | (20 ILCS 301/55-40) |
10 | | Sec. 55-40. Recovery residences. |
11 | | (a) As used in this Section, "recovery residence" means a |
12 | | sober, safe, and healthy living environment that promotes |
13 | | recovery from alcohol and other drug use and associated |
14 | | problems. These residences are not subject to Department |
15 | | licensure as they are viewed as independent living residences |
16 | | that only provide peer support and a lengthened exposure to |
17 | | the culture of recovery. |
18 | | (b) The Department shall develop and maintain an online |
19 | | registry for recovery residences that operate in Illinois to |
20 | | serve as a resource for individuals seeking continued recovery |
21 | | assistance. |
22 | | (c) Non-licensable recovery residences are encouraged to |
23 | | register with the Department and the registry shall be |
24 | | publicly available through online posting. |
25 | | (d) The registry shall indicate any accreditation, |
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1 | | certification, or licensure that each recovery residence has |
2 | | received from an entity that has developed uniform national |
3 | | standards. The registry shall also indicate each recovery |
4 | | residence's location in order to assist providers and |
5 | | individuals in finding alcohol , gambling, and drug free |
6 | | housing options with like-minded residents who are committed |
7 | | to alcohol , gambling, and drug free living. |
8 | | (e) Registrants are encouraged to seek national |
9 | | accreditation from any entity that has developed uniform State |
10 | | or national standards for recovery residences. |
11 | | (f) The Department shall include a disclaimer on the |
12 | | registry that states that the recovery residences are not |
13 | | regulated by the Department and their listing is provided as a |
14 | | resource but not as an endorsement by the State.
|
15 | | (Source: P.A. 100-1062, eff. 1-1-19; 101-81, eff. 7-12-19.)".
|