DHS-DELAY CUTS-DSP SERVICE HRS

Illinois General Assembly - Full Text of HJR0044

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HJR0044 - 104th General Assembly

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HJ0044
LRB104 15450 LAW 28606 r
1
HOUSE JOINT RESOLUTION

2

WHEREAS, Community Integrated Living Arrangements (CILAs),
3
or group homes, provide community-based housing and essential
4
support for nearly 10,336 adults with intellectual and
5
developmental disabilities (I/DD) across Illinois, many of
6
whom require extensive supervision and care; and

7

WHEREAS, The State of Illinois is under the Ligas Consent
8
Decree, requiring expanded access to community-based services
9
for individuals with I/DD, and has repeatedly been found out
10
of compliance; and

11

WHEREAS, The Illinois Department of Human
12
Services-Division of Developmental Disabilities (DHS-DDD)
13
Guidehouse Rate Study, published in 2020, outlined several
14
I/DD rate changes based on approved recommendations by the
15
Ligas Rates Oversight Committee; from 2021 to 2025, DHS has
16
implemented portions of the rate study, and the General
17
Assembly has made significant investments into the I/DD
18
community system; and

19

WHEREAS, Beginning January 1, 2026, the final FY26 budget
20
for the State of Illinois eliminates $11.2 million in funding
21
for CILA providers, reducing services for all 24-hour CILA
22
residents, thereby threatening care quality and compliance

HJ0044
- 2 -
LRB104 15450 LAW 28606 r
1
with federal home and community-based services regulations;
2
and

3

WHEREAS, Removing this funding from the I/DD system is a
4
piecemeal approach that does not consider the wholistic
5
funding needs presented in the DHS-DDD Guidehouse Rate Study
6
that exist as result of the Ligas Consent Decree; and

7

WHEREAS, Cuts to CILA Direct Support Professional (DSP)
8
service hours will result in reductions in services for people
9
with I/DD, particularly those with the most intense needs,
10
resulting in high levels of system destabilization and service
11
degradation over the long term; and

12

WHEREAS, Some crucial priorities contained within the
13
DHS-DDD Guidehouse Rate Study remain fully unfunded such as
14
the "Zero Hour" Staffing Model, which funds staff for 24 hours
15
a day, seven days a week and would add 2.4 million DSP service
16
hours into the system; and

17

WHEREAS, Removing CILA DSP Service hours from the State's
18
I/DD system as is contained within the FY26 final budget, only
19
to reinsert CILA DSP Service Hours associated with
20
implementation of the "Zero Hour" Staffing Model at a future
21
date, is budgetarily inefficient and unhealthy for system
22
stability; and

HJ0044
- 3 -
LRB104 15450 LAW 28606 r
1

WHEREAS, Significant cuts to Medicaid and other federal
2
programs that provide care to thousands in Illinois in the
3
I/DD community have created great uncertainty for individuals,
4
families, providers, lawmakers, and advocates, and more time
5
is needed to fully understand and plan for those impacts on
6
I/DD services; therefore, be it

7

RESOLVED, BY THE HOUSE OF REPRESENTATIVES OF THE ONE
8
HUNDRED FOURTH GENERAL ASSEMBLY OF THE STATE OF ILLINOIS, THE
9
SENATE CONCURRING HEREIN, that we urge the Illinois Department
10
of Human Services and the Pritzker Administration to delay
11
cuts to Direct Service Professional (DSP) service hours set to
12
begin January 1,2026, until such time as the State is prepared
13
to implement the "Zero Hour" Staffing Model, to protect the
14
services depended on by individuals with intellectual and
15
developmental disabilities (I/DD); and be it further

16

RESOLVED, That suitable copies of this resolution be
17
delivered to the Governor, the Speaker and Minority Leader of
18
the Illinois House of Representatives, the President and
19
Minority Leader of the Illinois Senate, and the Illinois
20
Department of Human Services-Division of Developmental
21
Disabilities.

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