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                                                      PRINTER'S NO. 2360

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 1764 Session of 2007


        INTRODUCED BY HARPER, ADOLPH, BEAR, BENNINGHOFF, BOYD, BRENNAN,
           CAPPELLI, CURRY, GINGRICH, GRUCELA, HARKINS, HUTCHINSON,
           KENNEY, MARKOSEK, McGEEHAN, McILHATTAN, MELIO, MENSCH,
           R. MILLER, MOUL, NAILOR, O'NEILL, PALLONE, RAPP, REICHLEY,
           ROEBUCK, ROSS, SAINATO, SCAVELLO, SIPTROTH, SOLOBAY, SONNEY,
           SWANGER, TANGRETTI, THOMAS, WATSON, YOUNGBLOOD AND GOODMAN,
           JULY 17, 2007

        REFERRED TO COMMITTEE ON HEALTH AND HUMAN SERVICES,
           JULY 17, 2007

                                     AN ACT

     1  Establishing a bill of rights for individuals with intellectual
     2     and developmental disabilities; and conferring powers and
     3     duties on the Department of Public Welfare.

     4     The General Assembly of the Commonwealth of Pennsylvania
     5  hereby enacts as follows:
     6  Section 1.  Short title.
     7     This act shall be known and may be cited as the Individuals
     8  with Intellectual and Developmental Disabilities Bill of Rights
     9  Act.
    10  Section 2.  Findings.
    11     The General Assembly finds and declares as follows:
    12         (1)  Disability is a natural part of the human
    13     experience, which does not diminish the right of individuals
    14     with intellectual and developmental disabilities to:
    15             (i)  enjoy the opportunity to live, to the extent


     1         possible, independently;
     2             (ii)  make choices;
     3             (iii)  contribute to society; and
     4             (iv)  experience full integration and inclusion in
     5         the economic, political, social, cultural and educational
     6         mainstream of society in this Commonwealth.
     7         (2)  Individuals with intellectual and developmental
     8     disabilities continually encounter various forms of
     9     discrimination in critical areas.
    10         (3)  There is a lack of public awareness of the
    11     capabilities and competencies of individuals with
    12     intellectual and developmental disabilities.
    13         (4)  A substantial number of individuals with
    14     intellectual and developmental disabilities and their
    15     families or legal guardians do not have access to appropriate
    16     support and services from generic and specialized service
    17     systems and remain unserved or underserved.
    18         (5)  Communities can be enriched by the full and active
    19     participation and the contributions by individuals with
    20     intellectual and developmental disabilities and their
    21     families; and there is a need to ensure that, within this
    22     Commonwealth, there is the availability and equitable
    23     provision of necessary services for individuals with
    24     intellectual and developmental disabilities, regardless of
    25     religion, race, color, national origin, economic, social
    26     status and degree or type of disability.
    27         (6)  The long-time commitment of the General Assembly to
    28     secure for individuals with intellectual and developmental
    29     disabilities in partnership with their families or legal
    30     guardians the opportunity to choose where they live is
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     1     affirmed. The choice of service options must be supported by
     2     State policy. The choice of service options is to be ensured
     3     to individuals with intellectual and developmental
     4     disabilities, encouraging that they not leave their homes or
     5     community to the maximum extent possible.
     6         (7)  Services must ensure accountability, credibility,
     7     responsiveness and quality assurance, whether the funding is
     8     Federal, State, local or community.
     9         (8)  There are approximately 21,412 individuals in this
    10     Commonwealth with mental retardation who are waiting for
    11     services and programs. There are more than 13,724 people with
    12     emergency and critical needs. The waiting list for these
    13     persons is expected to grow substantially into the
    14     foreseeable future.
    15         (9)  The Department of Public Welfare needs to develop an
    16     adequate plan to address the needs and services for the
    17     individuals on the waiting list for mental retardation
    18     services.
    19         (10)  For true choice to exist, individuals with
    20     intellectual and developmental disabilities and their
    21     families or legal guardians must be provided with information
    22     about their options for services.
    23         (11)  The goals of the Commonwealth properly include the
    24     goal of providing individuals with intellectual and
    25     developmental disabilities and their families or legal
    26     guardians with the opportunities and support to:
    27             (i)  Make informed choices and decisions.
    28             (ii)  Pursue meaningful and productive lives.
    29             (iii)  Live in a home and community of their choice.
    30             (iv)  Achieve full integration and inclusion in
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     1         society, in an individualized manner, consistent with the
     2         unique strengths, resources, priorities, concerns,
     3         abilities and capabilities of the individual.
     4         (12)  The purpose of this act is to reflect the United
     5     States Supreme Court decision of Olmstead v. L.C. (No.98-536
     6     U.S. 1999); and the Commonwealth desires to assure
     7     individuals with intellectual and developmental disabilities
     8     and their families or legal guardians full and complete
     9     participation in the design of and access to services,
    10     supports and other assistance and opportunities which promote
    11     independence, productivity and choice of living arrangement.
    12         (13)  It is the policy of the Commonwealth that all
    13     programs, projects and activities operating in this
    14     Commonwealth be carried out in a manner consistent with the
    15     following principles:
    16             (i)  Individuals with intellectual and developmental
    17         disabilities are capable of pursuing independence,
    18         productivity and integration and inclusion into the
    19         community and often require the provision of services,
    20         supports and other assistance to achieve independence,
    21         productivity and integration and inclusion.
    22             (ii)  Individuals with intellectual and developmental
    23         disabilities and their families or legal guardians have
    24         competencies, capabilities and personal goals which shall
    25         be recognized, supported and encouraged; and any
    26         assistance to such individuals shall be provided in an
    27         individualized manner, consistent with the unique
    28         strengths, resources, priorities, concerns, abilities and
    29         capabilities of the individuals.
    30             (iii)  Individuals with intellectual and
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     1         developmental disabilities and their families or legal
     2         guardians are the primary decision makers regarding the
     3         services and supports such individuals and their families
     4         receive and play significant decision-making roles in
     5         policies and programs which affect the lives of such
     6         individuals and their families.
     7             (iv)  Individuals with intellectual and developmental
     8         disabilities and their families or legal guardians have
     9         varying goals and needs, and, therefore, this act does
    10         not support one specific service system or setting over
    11         another so long as it is within the parameters of
    12         applicable reported judicial decisions.
    13             (v)  The Commonwealth shall, within budgetary
    14         accountability, provide services, supports and other
    15         assistance which reflect the principles of everyday life
    16         that have been the cornerstone of the Commonwealth's
    17         human services for people with intellectual and
    18         developmental disabilities.
    19  Section 3.  Definitions.
    20     The following words and phrases when used in this act shall
    21  have the meanings given to them in this section unless the
    22  context clearly indicates otherwise:
    23     "Department."  The Department of Public Welfare of the
    24  Commonwealth.
    25  Section 4.  Choice.
    26     (a)  Community-based service.--The Commonwealth is required
    27  to provide individualized community-integrated supports and
    28  services for an individual with intellectual and developmental
    29  disabilities if all of the following apply:
    30         (1)  The individual has an intellectual or developmental
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     1     disability.
     2         (2)  The affected individual chooses certain supports and
     3     services or does not oppose the supports and services.
     4         (3)  The supports and services are included in an
     5     individualized services plan developed by an authorized State
     6     or county supports coordinator with the input of the
     7     individual and the individual's guardian and advocate.
     8     (b)  Family.--Unless an individual determines otherwise,
     9  family members and legal guardians shall be involved in meetings
    10  regarding the planning for and arrangement of community-based
    11  services or other allowable services.
    12     (c)  Contact.--Nothing shall prohibit an individual with
    13  intellectual and developmental disabilities from maintaining
    14  contact with family and friends at an intermediate care
    15  facility, a community living arrangement or a day program.
    16     (d)  Complaints.--An individual, a family member or a legal
    17  guardian who believes that the needs as detailed in the
    18  individualized service plan are not being met may provide the
    19  State or county a letter expressing concerns. The State or
    20  county shall, within 30 days, address the concerns and, if
    21  necessary, take corrective action.
    22  Section 5.  Waiting list for mental retardation services.
    23     (a)  Waiting list plan.--Within 180 days of the effective
    24  date of this section, the department shall develop and submit to
    25  the Governor, the General Assembly and the county mental
    26  retardation program administrators, a plan to eliminate by the
    27  year 2010 the current and future critical and emergency waiting
    28  list for individuals with mental retardation who are in need of
    29  allowable supports and services.
    30     (b)  Contents of plan.--The plan required by this subsection
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     1  shall include:
     2         (1)  Statistical information on the current and projected
     3     annual increase in the waiting list on a county basis. The
     4     department shall develop a Statewide standardized form to
     5     collect the information from the counties.
     6         (2)  Financial information on the amount of additional
     7     Federal, State or other funds in each county which may be
     8     required annually for the operational costs associated with
     9     the elimination of the waiting list in each county by the
    10     year 2010 and the projected annual waiting list in each
    11     annual plan update.
    12     (c)  Public hearings and comment.--In the development of the
    13  plan required by subsection (a), the department shall conduct
    14  public hearings and obtain public comment from individuals with
    15  mental retardation, their families and guardians and providers
    16  of services to the mental retardation community.
    17     (d)  Annual submission of updated plan.--The department shall
    18  update the statistical and financial data to the plan required
    19  by subsection (a) annually and submit the updated plan to the
    20  Governor, General Assembly and the county mental retardation
    21  program administrators by December 31, beginning December 31,
    22  2010.
    23  Section 6.  Funding.
    24     It is the intent of the General Assembly that services under
    25  this act shall be made available across this Commonwealth,
    26  taking into account the resources available to the Commonwealth
    27  and the needs of others with intellectual and developmental
    28  disabilities.
    29  Section 7.  Effective date.
    30     This act shall take effect in 60 days.
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