Bill Text: IL SB3542 | 2019-2020 | 101st General Assembly | Introduced

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Bill Title: Amends the Children and Family Services Act. Provides that any foster child 6 years old or younger who participates in the Family Case Management program established under the Illinois Family Case Management Act, shall be exempt from the State's Medicaid managed care program for those services that are provided by local health departments, federally qualified health centers, and local community-based agencies under the Family Case Management program. Requires the Department of Children and Family Services to refer foster children to the Department of Human Services for participation in the Family Case Management program for specified services and care, including, but not limited to: (i) prenatal care; (ii) early and periodic screening, diagnosis and treatment services; and (iii) other specialized services for families with additional challenges and needs. Provides that foster children shall also receive case management services under the Family Case Management program that involve individualized assessment of needs, planning of services, referral, monitoring, and advocacy to assist a client in gaining access to appropriate services.

Spectrum: Partisan Bill (Democrat 3-0)

Status: (Failed) 2021-01-13 - Session Sine Die [SB3542 Detail]

Download: Illinois-2019-SB3542-Introduced.html

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101ST GENERAL ASSEMBLY State of Illinois 2019 and 2020 SB3542 Introduced 2/13/2020, by Sen. Andy Manar SYNOPSIS AS INTRODUCED:
20 ILCS 505/5.45a new
Amends the Children and Family Services Act. Provides that any foster child 6 years old or younger who participates in the Family Case Management program established under the Illinois Family Case Management Act, shall be exempt from the State's Medicaid managed care program for those services that are provided by local health departments, federally qualified health centers, and local community-based agencies under the Family Case Management program. Requires the Department of Children and Family Services to refer foster children to the Department of Human Services for participation in the Family Case Management program for specified services and care, including, but not limited to: (i) prenatal care; (ii) early and periodic screening, diagnosis and treatment services; and (iii) other specialized services for families with additional challenges and needs. Provides that foster children shall also receive case management services under the Family Case Management program that involve individualized assessment of needs, planning of services, referral, monitoring, and advocacy to assist a client in gaining access to appropriate services.
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FISCAL NOTE ACT MAY APPLY
A BILL FOR
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AN ACT concerning State government.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 5. The Children and Family Services Act is amended
by adding Section 5.45a as follows:
(20 ILCS 505/5.45a new)
Sec. 5.45a. Managed care exemption for foster children.
(a) Findings and purpose. The General Assembly finds as
follows:
(1) The most formative years in a child's life are from
zero to 6 years of age when preventive health care
appointments are greater in number. This timeframe is a
critical growth and development stage that can affect and
influence a child's life course trajectory with
implications for the child's health later in life.
(2) Family case management services are proven to be
effective in improving the health outcomes of women and
children and lowering the incidence of infant morbidity and
mortality, particularly for those individuals linked to
the Special Supplemental Nutrition Program for Women,
Infants, and Children (WIC).
(3) Family case management improves the health and
development of children and families by providing the

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earliest identification of their needs and promoting
linkages to address those needs.
(4) Data demonstrates significantly lower Medicaid
expenditures for pregnant and postpartum women and
children who have been enrolled in family case management
and WIC services than for Medicaid-eligible persons not
receiving case management services.
(5) Foster children already participate in other
health programs provided by local health departments and
community-based organizations. Foster children under the
age of 5 are automatically eligible for WIC services,
regardless of the income of the foster parent, which makes
the local health department staff uniquely equipped to
contact and support the addition and or continuation of a
child in WIC services. In addition to the WIC program,
there are other health department programs and services
that overlap with the population of foster care children
who are 6 years old or younger. Frequently children in
foster care have been exposed to drugs prenatally, received
poor prenatal care, and are born with risks that are
identified as adverse pregnancy outcomes. A referral from
the discharging hospital to the High Risk Infant
Follow-Up/Adverse Pregnancy Outcome Reporting System
program located in the local health department, leads to a
nurse case manager assignment and follow-up related to the
high risk medical needs of the child.

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(6) As a critical component in delivering
comprehensive child health services in Illinois, it is the
purpose of this Section to provide for the recognition and
continuation of a program of family case management
services to ensure and provide statewide wrap-around
services targeted toward reducing adverse health outcomes
for foster children in the State of Illinois.
(b) Exemption. Any foster child 6 years old or younger who
participates in the Family Case Management program established
under the Illinois Family Case Management Act, shall be exempt
from the State's Medicaid managed care program for those
services that are provided by local health departments,
federally qualified health centers, and local community-based
agencies under the Family Case Management program. The
Department shall refer foster children to the Department of
Human Services for participation in the Family Case Management
program for the following services and care:
(1) prenatal care;
(2) early and periodic screening, diagnosis and
treatment services;
(3) immunizations;
(4) lead screenings;
(5) nutritional support; and
(6) other specialized services for families with
additional challenges and needs.
Foster children who are referred to the Department of Human

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Services for participation in the Family Case Management
program shall receive case management services under the
program that involve individualized assessment of needs,
planning of services, referral, monitoring, and advocacy to
assist a client in gaining access to appropriate services.