IL HB5605

Creates the Community Supported Living Arrangement Services Act requiring the Department of Human Services Division of Developmental Disabilities to work with the Department of Healthcare and Family Services to amend Illinois' Section 1915(c) Home and Community-Based Services Waiver for adults with developmental disabilities

Establishes 24-hour availability of trained personnel for individuals with intense physical, medical, or behavioral support needs, with services delivered in the person's own home without requiring facility licensing or Bureau of Accreditation, Licensure and Certification reviews

Addresses gaps in current waiver services that result in unnecessary institutionalization, noting state-operated developmental center costs exceed $320,000 per individual annually compared to approximately $71,328 for home and community-based waiver services

Requires use of validated assessment tools including the Health Risk Screening Tool to accurately identify medical, behavioral, and supervision risks for community living eligibility and service authorization decisions

Creates a Community Supported Living Advisory Council and includes provisions for person-centered plans, dignity of risk, quality assurance, workforce standards, phased implementation, and compliance with federal mandates including the Americans with Disabilities Act, Olmstead v. L.C., and the Ligas consent decree