Bill Amendment: IL HB1237 | 2023-2024 | 103rd General Assembly

NOTE: For additional amemendments please see the Bill Drafting List

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Bill Title: AGING EQUITY ACT

Status: 2025-01-07 - Session Sine Die [HB1237 Detail]

Download: Illinois-2023-HB1237-House_Amendment_001.html

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Rep. Kam Buckner

Filed: 2/28/2023

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AMENDMENT TO HOUSE BILL 1237
AMENDMENT NO. ______. Amend House Bill 1237 by replacing
everything after the enacting clause with the following:
"Section 1. Short title. This Act may be cited as the
Illinois Strategic Action Plan for Aging Equity Act.
Section 5. Purpose. The purpose of this Act is to direct
the appointment of a Strategic Action Planning Commission for
Aging Equity co-chaired by the Governor's Office and the
Department on Aging to research and develop a strategic action
plan for aging equity that is comprehensive, cross-sectoral,
and long-term. A strategic action plan for aging equity could
draw upon Illinois' well-developed aging network developed in
accordance with the federal Older Americans Act, the Illinois
Act on the Aging, and the Older Adult Services Act, all of
which help older Illinoisans stay connected and stay in their
communities, as well as other departments of State government

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in consideration of sectors outside of the aging network of
services. The established Commission will develop a strategic
action plan for aging equity for implementation across all of
Illinois State Government with support for collaboration
across other units of government within the state.
Section 10. Findings. The General Assembly finds,
determines, and declares the following:
(1) This Act is necessary for the immediate
preservation of the public peace, health, and safety.
(2) Illinois' population is aging, a trend occurring
in much of the United States and the world. The aging of
the population raises significant challenges and
opportunities in terms of health, social, financial, care,
and public systems, which affect virtually all Illinoisans
in varied ways.
(3) The aging of communities has far-reaching effects
on all people and all sectors. Many older Illinoisans
interact with, and their lives and opportunities are
shaped by, multiple systems and aspects of society,
including, but not limited to, the availability, cost, and
quality of: housing development and construction; health
and human services; parks and recreation; information
technology; arts and communications; public health;
hospitality, tourism and travel; workforce development;
volunteerism; business and financial planning; legal and

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human rights; government services; education;
transportation; and veterans' affairs.
(4) Across Illinois, many people suffer hardship from
long-standing structural inequities such as racism, class
inequity, genderism, sexism, ageism, ableism, xenophobia,
homophobia, transphobia, and other forms of oppression.
These systemic inequities shape how, and whether or not,
individuals reach older adulthood and their quality of
life as they age. Health inequities exist both across and
within Illinois's 102 counties.
(5) Chronic health conditions affect 85% of older
Americans and 70% of persons aged 65 or older will need
caregiver support at some point in their older years.
(6) There is a great demand for paid home care
workers, direct support workers, and personal aide workers
coupled with severe worker shortages, high turnover,
difficult work, and often low pay.
(7) A 2021 report by the Department of Healthcare and
Family Services found that, overwhelmingly, the
understaffed Medicaid facilities with 3-4 persons in a
room where the poorest of the poor and mostly Black and
Brown persons resided, were the ones that experienced the
highest risk of infection and death from COVID-19. These
health inequities show the effects of structural racism
and class inequity intersecting with ageism, which shape
the degree of crowdedness and quality of nursing home

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care.
(8) Health inequities are the systemic patterns of
differences that are unfair, unjust, and remediable. This
means that there is something we can do about health
inequities, and there is a justice and moral imperative to
do so. There is a need for equitable services across
communities with equitable and adequate funding in order
for Illinoisans across the State to feel supported across
their lifespans, including their older years.
(9) Coordinated action is needed across Illinois'
network of aging and disability advocates and providers,
across all sectors, policymakers, and units of government
to affirm the priority of the health and well-being of
older Illinoisans and the need for policies that promote
healthy aging throughout all Illinoisans' lives.
(10) Illinois has the unique opportunity to benefit
from comprehensive research, current innovation, and
lessons from the pandemic to identify long-term strategic
approaches to address current and future challenges and
opportunities and to better integrate current and future
innovative solutions that improve quality of life across
all communities.
Section 15. Legislative intent.
(1) It is the intent of the General Assembly that there is
established a multidisciplinary Strategic Action Planning

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Commission for Aging Equity for the purpose of developing a
comprehensive strategic action plan for aging equity in
Illinois that will lead to actionable goals and measurable
outcomes for the years 2025 through 2037. The purpose of the
Strategic Action Planning Commission for Aging Equity is to
provide the Governor and the General Assembly with data and
specific recommendations regarding public actions by all State
agencies so that the General Assembly can address the
demographic shift of an aging population. This includes
recommended changes in policy, procedures, programs, services,
and resources to support equitable aging across the life
course.
(2) Recommendations put forth by the Strategic Action
Planning Commission for Aging Equity shall be presented to the
Governor and General Assembly within 2 years from the date of
the Commission's first meeting.
(3) The Strategic Action Planning Commission for Aging
Equity shall continue to meet regularly to ensure recommended
actions are taken and transparent and tangible progress is
being made toward initial targeted goals with measurable
outcomes as well as establishing new goals as data and
research continues to drive equity, innovation, and quality
measures.
(4) Every 12 years, the Strategic Action Planning
Commission for Aging Equity shall develop a new strategic
action plan for aging equity.

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Section 20. Definitions. As used in this Act:
"Ableism" means discrimination in favor of able-bodied
people.
"Ageism" means prejudice or discrimination on the grounds
of a person's age.
"Aging equity" is both an outcome and a process. As an
outcome it means, aging equity is achieved when every person
can attain their full potential across the life course without
disadvantage because of social position or other socially and
structurally determined circumstances. As a process, aging
equity is a process of assurance of the conditions of optimal
aging for all people which requires at least 3 things: (i)
valuing all individuals and populations equally; (ii)
recognizing and rectifying historical injustices; and (iii)
providing resources according to need. Aging inequities will
be eliminated when aging equity is achieved.
"Aging Equity Commission" or "Commission" means the
Strategic Action Planning Commission for Aging Equity.
"Caregiver" means someone caring for a spouse or parent,
an extended family member, or even a friend or neighbor. A
caregiver provides help with transportation to medical
appointments, purchasing or organizing medications, monitoring
a person's medical condition, communicating with health care
professionals, advocating on a person's behalf with providers
or agencies, and assisting a person with getting in and out of

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bed or a chair, getting dressed, bathing or showering, grocery
or other shopping, housework, preparing meals, and managing
finances.
"Class inequity" means relations of power among networked
and organized social groups that direct society's major
institutions (such as corporations and government
authorities), material resources, and investments. "Class
inequity" or "classism" is the systematic oppression of
subordinated class groups, held in place by attitudes that
rank people according to economic status, family lineage, job
status, level of education, and other divisions.
"Cultural humility" means an approach to healthcare and
other services that incorporates a lifelong commitment to
self-evaluation and self-critique, to redressing the power
imbalances between the providers and institutions and their
patients or clients and to developing mutually beneficial and
non-paternalistic clinical, service-based, and advocacy
partnerships with communities on behalf of individuals and
defined populations.
"Cultural responsiveness" means a strengths-based approach
to serving others rooted in respect and appreciation for the
role of culture in a person's understanding and development,
taking into account each person's strengths, abilities,
experiences, and interests as developed within the person's
family and culture.
"Genderism" means the systematic belief that people need

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to conform to their gender assigned at birth in a
gender-binary system that includes only female and male.
"Historical and contemporary racism" means a system of
structuring opportunity and assigning value based on phenotype
("race"), that unfairly disadvantages some individuals and
communities, unfairly advantages other individuals and
communities, and saps the strength of the whole society
through the waste of human resources.
"Homophobia" means dislike of or prejudice against people
who are LGBTQ+.
"Older adults" or "older persons" means persons 60 years
of age or older.
"Sexism" means prejudice or discrimination based on sex,
especially discrimination against women, behavior, conditions,
or attitudes that foster stereotypes of social roles based on
sex.
"Social determinants of health" means the conditions in
which people are born, grow, live, work, and age. These
circumstances are shaped by the distribution of money, power,
and resources.
"Structural inequities" means the personal, interpersonal,
institutional, and systemic drivers, such as, racism, sexism,
classism, ableism, xenophobia, and homophobia, that make
people's various identities (race and ethnicity, gender,
employment status, socioeconomic status, disability status,
immigration status, geography, and more) salient to the fair

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distribution of health opportunities and outcomes.
"Transphobia" means dislike of or prejudice against
transgender or transsexual people.
"Trauma-informed systems" means systems that: (i) realize
the widespread impact of trauma and understand potential paths
for recovery; (ii) recognize signs and symptoms of trauma in
clients, families, staff, and others involved with the system;
(iii) respond by fully integrating knowledge about trauma into
policies, procedures, and practices; and (iv) seek to actively
resist re-traumatization.
"Xenophobia" means dislike of or prejudice against people
from other countries.
Section 25. Strategic Action Planning Commission for Aging
Equity.
(a) The Strategic Action Planning Commission for Aging
Equity is established and shall be co-chaired by designees of
the Governor's Office and the Department on Aging. The Aging
Equity Commission shall be a public body consisting of members
appointed by the Governor within 3 months after the effective
date of this Act. The Governor shall consult with the
President and Minority Leader of the Senate, the Speaker and
Minority Leader of the House of Representatives, and the
Director of Aging about appointments to the Aging Equity
Commission to ensure the following:
(1) Members across the main Aging Equity Commission

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and its committees meet the criteria set forth in this
subsection. Individual members may fill multiple listed
knowledge areas.
(2) The Aging Equity Commission committees reflect the
geographic diversity of the State and includes members who
represent:
(A) the rural, suburban, and urban areas of the
State;
(B) the northern, central, and southern regions of
the State; and
(C) the various districts.
(3) The Aging Equity Commission committees are
inclusive and consist of members who reflect a diversity
of age, gender, ability, race, cultural, socioeconomic,
and national background.
(4) The Aging Equity Commission includes Illinois
residents aged 60 or older who represent urban, suburban,
and rural areas of the State.
(5) The Aging Equity Commission consists of the
following persons:
(A) One member with extensive professional
knowledge about aging.
(B) One member with extensive professional
knowledge of home and community-based services for
older Illinoisans.
(C) One member with extensive professional

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knowledge of community-based services provided under
the Older Americans Act.
(D) One member with extensive professional
knowledge of health policy.
(E) One member with extensive professional
knowledge of geriatric or palliative medicine.
(F) Two members with extensive professional
knowledge of health systems.
(G) Two members with extensive professional
knowledge of affordable accessible housing.
(H) One member with extensive professional
knowledge about nursing homes.
(I) One member who is a health insurance policy
advocate with extensive professional knowledge of
Medicare.
(J) One member with extensive professional
knowledge about the criminal-legal system and aging.
(K) One member with extensive professional
knowledge about caregiving.
(L) One member with extensive professional
knowledge of dementia.
(M) One member with extensive professional
knowledge about disabilities.
(N) Two members from the Senate, both major
parties represented, one appointed by the President of
the Senate and one appointed by the Minority Leader of

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the Senate.
(O) Two members from the House of Representatives,
both major parties represented, one appointed by the
Speaker of the House of Representatives and one
appointed by the Minority Leader of the House of
Representatives.
(6) The Aging Equity Commission consists of the heads
of the following agencies, offices, boards, and other
entities, or their designees:
(A) Department of Commerce and Economic
Opportunity.
(B) Department of Healthcare and Family Services.
(C) Department of Human Services.
(D) Department of Innovation and Technology.
(E) Department of Labor.
(F) Department of Public Health.
(G) Department of Transportation.
(H) Department of Veterans' Affairs.
(I) Department on Aging.
(K) Illinois Housing Development Authority.
(L) Illinois Emergency Management Agency.
(b) The Aging Equity Commission shall examine the effects,
challenges, opportunities, and needs for planning related to
the shifting age demographics toward an increasing portion of
the State's and localities' populations being made up of older
adults, including at least the following topic areas:

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(1) Home and community-based care and healthcare.
(2) Transportation.
(3) Housing.
(4) Social participation.
(5) Outdoor spaces and buildings.
(6) Respect and social inclusion.
(7) Civic participation.
(8) Employment.
(9) Communication and information.
(10) The public sector as well as the broader economy,
workforce, community systems, businesses, and services.
(11) Changes in federal, State, and local tax bases,
revenues, budgets, fiscal policies, programs, and
workforce.
(12) Funding mechanisms for aging-related services.
(13) New economic opportunities for the State.
(14) Ways to better support unpaid family caregivers
in Illinois through increased services, programs,
policies, and funding of caregiver supports that help
people achieve living longer in their homes and
communities.
(c) The Aging Equity Commission shall adopt guiding
principles that include:
(1) Advancing aging equity across the life course.
(2) Developing cultural humility and being culturally
responsive with inclusive policies, programs, and

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services.
(3) Being language inclusive to reach and support
older persons and caregivers who primarily read and speak
languages other than English.
(4) Supporting trauma-informed systems.
(5) Understanding the experiences of older
Illinoisans, caregivers, and future older Illinoisans of
diverse backgrounds.
(6) Recognizing the impact of historical and
contemporary racism, class inequity, ableism, genderism,
sexism, homophobia, transphobia, xenophobia, and other
structural inequities on systems, communities, families,
and individual Illinoisans of all ages.
(7) Equity and accessibility of policies, programs,
services, and resources for Illinoisans statewide.
(8) Harnessing the power of experience and knowledge
of older persons in communities.
(9) Opportunities for improved policies, programs, and
services that better reflect supporting the needs of
current and future older Illinoisans and caregivers.
(d) Commission guidelines.
(1) Anyone interested in becoming a member of one of
the Aging Equity Commission's committees, which may be
formed at the discretion of the Commission to delve deeper
into topics of interest to the Commission, may submit an
application to the Office of the Governor through the

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online application process, to be reviewed and assigned to
a committee by the Commission.
(2) The Aging Equity Commission shall elect a chair
and vice-chair from among its members to coordinate the
Aging Equity Commission's meetings along with State agency
staff or contractors. Members of the Aging Equity
Commission shall serve without compensation. Members shall
serve 4-year terms. The Aging Equity Commission shall
establish staggered end of term dates for initial members.
The Governor may reappoint a member for only one
additional 4-year term after a member's initial term has
expired. In case of a vacancy, the Governor shall appoint
a new member in the same manner as the initial
appointment.
(3) Members of the Aging Equity Commission may remove
a member for cause as determined by the Aging Equity
Commission, if approved by a two-thirds majority of all
members. The Aging Equity Commission shall meet 6 times
each calendar year, at a minimum, with dates determined by
the members of the Aging Equity Commission as soon as
practicable after all members have been appointed to the
Aging Equity Commission.
(4) The Aging Equity Commission shall establish a
minimum of 5 committees to conduct planning on substantive
issues listed in subsection (b) for the Strategic Action
Plan for Aging Equity. Each committee shall consider and

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evaluate issues related to guiding principles listed under
subsection (c). The committees shall include members of
the Aging Equity Commission and may include persons who
are not members of the Aging Equity Commission yet
represent relevant expertise. Members of the specialized
committees shall serve without compensation.
(5) Members of the committees shall include heads of
the following agencies, offices, boards, and other
entities, or their designees to ensure an
all-of-government approach for the strategic action plan
for aging equity:
(A) Department of Agriculture.
(B) Department of Commerce and Economic
Opportunity.
(C) Department of Healthcare and Family Services.
(D) Department of Human Rights.
(E) Department of Human Services.
(F) Department of Innovation and Technology.
(G) Department of Insurance.
(H) Department of Labor.
(I) Department of Natural Resources.
(J) Department of Public Health.
(K) Department of Human Services' Division of
Rehabilitative Services.
(L) Department of Revenue.
(M) Department of Transportation.

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(N) Department of Veterans' Affairs.
(O) Department on Aging.
(P) Department of Corrections.
(Q) Department of Children and Family Services.
(R) Department of Financial and Professional
Regulation.
(S) Illinois Housing Development Authority.
(T) Office of the Illinois State Fire Marshal.
(U) Illinois Emergency Management Agency.
(V) Illinois State Board of Education.
(W) Illinois Board of Higher Education.
(X) Illinois Cognitive Support Network.
(Y) Illinois Council on Developmental
Disabilities.
(Z) The Governor's Office of Management and
Budget.
(AA) Department of Central Management Services.
(BB) Office of the Attorney General.
(CC) Office of the Secretary of State.
(DD) Office of the State Treasurer.
(6) Additionally, committees shall seek to include
individuals with the following described backgrounds and
expertise to engage a wide array of expertise:
(A) One member with extensive professional
knowledge of public transportation, active
transportation, and private transportation systems.

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(B) One member with extensive professional
knowledge of urban planning, community walkability,
and age-friendly principles.
(C) One member with extensive professional
knowledge about labor advocacy.
(D) One member with extensive professional
knowledge in partnering education and labor needs.
(E) One member with extensive professional
knowledge in volunteerism, community connection, and
civic engagement of older persons.
(F) One member representing park districts.
(G) One member representing K-12 school systems.
(H) One member representing chambers of commerce.
(I) One member with extensive professional
knowledge of electronic communications technology.
(J) One member representing travel and
hospitality.
(K) One member representing a philanthropic
foundation.
(L) one member with extensive background in
advocacy for unpaid family caregivers in both
long-term care facilities and home services.
(7) The Aging Equity Commission shall establish and
regularly engage with an Aging Equity Advisory Committee
which consists of the State demographer and subject matter
experts from local governmental and nongovernmental

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organizations to advise, inform, and assist the Aging
Equity Commission.
(8) The Aging Equity Commission shall exercise its
powers and perform its duties and functions as specified
under this Act independently of the State agencies. The
Aging Equity Commission may establish bylaws as
appropriate for its effective operation. The chair of the
Aging Equity Commission shall establish a schedule for
Aging Equity Commission meetings. Members of the Aging
Equity Commission, staff, and consultants are not liable
for an act or omission in their official capacity
performed in good faith in accordance with this Act.
Section 30. Duties of the Strategic Action Aging Equity
Commission for Aging Equity.
(a) The Aging Equity Commission shall develop a
preliminary comprehensive strategic action plan for aging
equity in Illinois through the year 2035 to be completed
within 18 months of commencement of the Aging Equity
Commission. A 2-month public comment period shall be included
and the strategic action plan for aging equity shall be
finalized within 2 years from the commencement of the Aging
Equity Commission.
(b) In developing the strategic action plan for aging
equity, the Aging Equity Commission shall review and
incorporate past recommendations and findings from previous

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studies and commissions, task forces, departments, and area
agencies on aging that the Aging Equity Commission considers
relevant and necessary to its duties. Previous recommendations
must be reviewed in conjunction with the latest demographic
and economic projections specified in the analysis conducted.
The strategic action plan must address at least the following
3 areas:
(1) Demographic, economic, fiscal, and budget data
analysis through the year 2040.
(2) Actionable recommendations.
(3) Plans for periodic updates to the strategic action
plan.
Section 35. Actionable recommendations. Aging Equity
Commission recommendations shall be responsive to the
following at a minimum:
(1) Potential and recommended actions to address the
long-term effects of the demographic shift on Illinois
residents, State government, and the private sector.
(2) Potential and recommended actions to strengthen
and improve service infrastructure for and the quality,
staffing, accessibility, and availability of long-term
services and supports to better enable older persons to
remain in their homes and communities according to their
wishes (to age-in-place).
(3) Potential and recommended actions to enhance

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access to services and public education on opportunities,
challenges, resources, and topics for older Illinoisans
and caregivers.
(4) Potential and recommended actions to improve
caregiver supports and mitigate both the financial and
nonfinancial impacts of caregiving on patients,
caregivers, businesses, and the State.
(5) Potential and recommended actions to improve
financial security and retirement preparation for the
older adult population.
(6) Potential and recommended actions to improve the
accessibility and sustainability of healthy, safe,
affordable, accessible, and non-segregated housing.
(7) Potential and recommended actions to improve the
accessibility and sustainability of affordable
transportation services.
(8) Potential and recommended actions to reduce
administrative and service delivery costs of public and
private long-term services and supports while improving
service quality.
(9) Administrative and regulatory reforms needed to
more cost-effectively organize State agencies to implement
statewide programs and services.
(10) Possible legislation for consideration by the
General Assembly needed to implement the Aging Equity
Commission's recommendations and achieve its stated goals.

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(11) Possible regulatory and administrative changes to
be offered to State departments needed to implement the
Aging Equity Commission's recommendations and achieve its
stated goals.
(12) Private sector potential and recommended actions
for quality long-term care, services, and supports that
are accessible, equitable, and meet cultural and
linguistic needs.
(13) Potential and recommended actions to extend and
improve other services and supports that would support
individuals' abilities to remain in their homes and
communities for as long as possible.
(14) Potential and recommended actions to make
Illinois an age-friendly state.
(15) Potential and recommended actions to support
health equity as it relates to advancing aging equity.
(16) Projections on the economic, fiscal, and
population impacts of implementing or not implementing the
recommendations.
Section 40. Reporting.
(a) During the 2024 and 2025 legislative sessions, the
Aging Equity Commission shall submit an oral and written
report summarizing its work and any preliminary findings or
recommendations to the joint budget committee and the General
Assembly.

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(b) Within 2 years of commencement, the Aging Equity
Commission shall submit to the Governor, the General Assembly,
and any affected State agency its strategic action plan
detailing the work of the Aging Equity Commission and its
final recommendations.
(c) If the strategic action plan identifies programs,
services, projects, policies, or procedures that would result
in cost savings, without adversely affecting the quality of
care and services, and do not require legislation, the
Governor and the associated State agencies must pursue the
necessary actions to implement the recommendations, including,
as necessary, requesting adequate funding through the State
budget process.
(d) If the strategic action plan identifies programs,
services, projects, policies, or procedures that would result
in cost savings, without adversely affecting the quality of
care and services, that require legislation, the Aging Equity
Commission shall recommend legislation to implement the
changes to the General Assembly. In its plan, the Aging Equity
Commission shall specify the laws and the policies and
procedures of the relevant State agencies that need to be
created, amended, or repealed to implement the
recommendations.
Section 45. Strategic plan updates and oversight.
(a) The Aging Equity Commission shall submit updates to

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the strategic action plan every 4 years, to update the Aging
Equity Commission's analysis and recommendations.
(1) These updates shall include new economic and
demographic data as well as respond to new State and
national public and private initiatives and must address a
time period for analysis and recommendation that extends
15 years after the delivery of the update.
(2) The process for creating these updates shall be
determined by the Aging Equity Commission as part of its
strategic action plan.
(3) New legislative or regulatory recommendations may
be offered in order to address new or changing
circumstances.
(b) The Aging Equity Commission shall be subject to the
Open Meetings Act and take measures to ensure transparency to
the public, the General Assembly, and to stakeholders in
planning, goal setting, action steps, and reporting on
successful implementation and outcomes. The Commission shall
ensure documents regarding proceedings are available on an
appropriate State website.
(c) After the initial development of the plan, the Aging
Equity Commission's plan updates shall list areas in which the
plan is not being implemented or followed.
(d) The initial Aging Equity Commission shall determine
the staffing and process for updating the initial strategic
action plan. The Aging Equity Commission shall only undertake

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the plan updates if sufficient funding is secured through
appropriations, grants, or donations.
Section 50. Repeal. The Aging Equity Commission is
dissolved, and this Act is repealed, on December 31, 2043.
Section 99. Effective date. This Act takes effect upon
becoming law.".