Text of IL HB 5698 (2022)

102ND GENERAL ASSEMBLY State of Illinois 2021 and 2022 HB5698 Introduced , by Rep. Kambium Buckner SYNOPSIS AS INTRODUCED: New Act Creates the Illinois Strategic Action Plan for Aging Equity Act. Provides that the purpose of the Act is to appoint a planning commission to research and develop a comprehensive, cross-sector, long-term strategic action plan for aging equity that will lead to actionable goals and measurable outcomes for the years 2023 through 2035. Establishes the Strategic Action Planning Commission for Aging Equity. Provides that the planning commission shall be made up of State agency directors and appointed elected officials or their designees as ex officio members, and a group of voting individuals from the general public. Provides that the planning 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. Requires the planning commission to adopt guiding principles that include, but are not limited to: (i) advancing aging equity across the life course; (ii) developing cultural humility and being culturally responsive with inclusive policies, programs, and services; and (iii) harnessing the power of experience and knowledge of older persons in communities. Requires the Governor to appoint members to the planning commission within 3 months after the effective date of the amendatory Act; and to 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 member appointments to ensure that (1) the planning commission reflects the geographic diversity of the State; (2) the planning commission is inclusive and consists of members who reflect a diversity of age, gender, ability, race, cultural, socioeconomic, and national background; (3) the planning commission includes Illinois residents age 60 or older; and other matters. Contains provisions on the composition of the planning commission; commission meetings; the commission's authority to establish a subcommittee; the establishment of an advisory committee; duties of the planning commission; data analysis; planning commission recommendations and reporting requirements; and other matters. Effective immediately. LRB102 26263 KTG 36149 b A BILL FOR HB5698LRB102 26263 KTG 36149 b 1 AN ACT concerning State government. 2 Be it enacted by the People of the State of Illinois, 3represented in the General Assembly: 4 Section 1. Short title. This Act may be cited as the 5Illinois Strategic Action Plan for Aging Equity Act. 6 Section 5. Purpose. The purpose of this Act is to direct 7the appointment of a planning commission co-chaired by the 8Governor's Office and the Department on Aging to research and 9develop a comprehensive, cross-sector, long-term strategic 10action plan for aging equity. A strategic action plan for 11aging equity could draw upon Illinois' well-developed aging 12network developed in accordance with the federal Older 13Americans Act, the Illinois Act on the Aging, and the Older 14Adult Services Act, all of which help older Illinoisans stay 15connected and stay in their communities. With decades of 16support for aging issues from the General Assembly, the 17Department on Aging and its Aging Network staff, and aging 18advocates, Illinois will develop, adopt, and implement a 19strategic action plan for aging equity on a strong foundation. 20 Section 10. Findings. The General Assembly finds, 21determines, and declares the following: 22 (1) This Act is necessary for the immediate HB5698- 2 -LRB102 26263 KTG 36149 b 1 preservation of the public peace, health, and safety. 2 (2) Illinois' population is aging. Like the rest of 3 the United States and the world, Illinois is experiencing 4 a shift in the age demographics of its population. The 5 baby boomer generation is getting older; longevity is 6 increasing for many as well as the health, social, 7 financial, and other needs that come with it. The 8 migration of families and older persons out of Illinois 9 has also increased and the State is experiencing 10 historically low birthrates. All of these social changes 11 have contributed to Illinois' population shrinking. 12 (3) As Illinois' population shrinks, the State 13 continues to depend more on State or local funding for 14 older adult services as federal funding provided under the 15 Older Americans Act is tied to population numbers. 16 (4) State taxation leans heavily on income taxes. With 17 a growing percentage of people in older adulthood, new 18 fiscal challenges will likely require changes to how 19 Illinois generates revenue. 20 (5) The aging of communities has far-reaching effects 21 on all people and all sectors. As of 2019, the 60 and older 22 age group represented 21% of Illinois' total population, 23 with 10% of Illinois' 102 counties having more than 30% of 24 their population aged 60 or older, particularly rural 25 agricultural counties. Statewide, 11% of Illinois' older 26 persons are veterans. HB5698- 3 -LRB102 26263 KTG 36149 b 1 (6) Many older Illinoisans interact with, and their 2 lives and opportunities are shaped by, multiple systems 3 and aspects of society, including, but not limited to, 4 housing development and construction; health and human 5 services; parks and recreation; information technology; 6 arts and communications; public health; hospitality, 7 tourism and travel; workforce development; volunteerism; 8 business and financial planning; legal and human rights; 9 government services; education; transportation; and 10 veterans' affairs. 11 (7) Across Illinois, many people are suffering from 12 long-standing structural inequities such as racism, class 13 inequity, genderism, sexism, ageism, ableism, xenophobia, 14 homophobia, transphobia, and other forms of oppression all 15 of which shape how, and whether or not, individuals reach 16 older adulthood and their quality of life as they age. The 17 life expectancy across and within the 102 counties in 18 Illinois varies significantly, with 20% of counties 19 experiencing a life expectancy of less than 70 years. 20 Significant life expectancy and other health inequities 21 exist both within and across counties. 22 (8) Chronic health conditions impact 85% of older 23 Americans and 70% of persons aged 65 or older will need 24 caregiver support at some point in their older years. 25 (9) There is a great demand for paid home care 26 workers, direct support workers, and personal aide workers HB5698- 4 -LRB102 26263 KTG 36149 b 1 coupled with severe worker shortages, high turnover, 2 difficult work, and often low pay. Older Black and Brown 3 women make up much of this workforce, and the undervaluing 4 and underpaying of this labor is rooted in racism, sexism, 5 and class inequity. Due to worker shortages in all areas 6 of the State, contracted agencies are unable to fulfill 7 the care plans of persons enrolled in the State's Home and 8 Community Based Services Waiver Programs which are 9 designed to prevent the unnecessary institutionalization 10 of persons in need of long-term care services. Worker 11 shortages are also impacting the care management agencies 12 that determine eligibility for these services. 13 (10) Of the 28,804 Illinoisans who died from COVID-19 14 as of January 2022, 36.7% were persons of color and 86.2% 15 were persons aged 60 or older. As of August 2021, 43% of 16 all Illinois COVID-19 deaths were nursing home-related, 17 with significant health inequities. With vaccines and 18 boosters in place, as of January 2022, nursing 19 home-related deaths account for 26% of all COVID-19 deaths 20 in Illinois. 21 (11) A 2021 report by the Department of Healthcare and 22 Family Services found that, overwhelmingly, the 23 understaffed Medicaid facilities with 3-4 persons in a 24 room where the poorest of the poor and mostly Black and 25 Brown persons resided, were the ones that experienced the 26 highest risk of infection and death. These health HB5698- 5 -LRB102 26263 KTG 36149 b 1 inequities show the effects of structural racism and class 2 inequity intersecting with ageism, as well as the effect 3 of crowded and low-quality nursing home care. 4 (12) Health inequities are the systemic patterns of 5 differences that are unfair, unjust, and remediable, 6 meaning that there is something we can do about them, and 7 there is a justice and moral imperative to do so. 8 (13) There is a need for equitable services across 9 communities with equitable and adequate funding in order 10 for Illinoisans across the State to feel supported across 11 their lifespans, including their older years. 12 (14) Coordinated action is needed across Illinois' 13 network of aging and disability advocates and providers, 14 cross-sector leaders, policymakers, and units of local 15 government to affirm the priority of the health and 16 well-being of older Illinoisans and the need for policies 17 that promote healthy aging. 18 (15) There are many opportunities for Illinois to meet 19 the needs of its residents as they get older. 20 (16) Illinois has the unique opportunity to benefit 21 from comprehensive research, current innovation, and 22 lessons from the pandemic to identify long-term strategic 23 approaches to address current and future challenges and 24 opportunities and better integrate current and future 25 innovative solutions that improve quality across all 26 communities. HB5698- 6 -LRB102 26263 KTG 36149 b 1 Section 15. Legislative intent. 2 (1) It is the intent of the General Assembly that there is 3established a multidisciplinary Strategic Action Planning 4Commission for Aging Equity for the purpose of developing a 5comprehensive strategic action plan for aging equity in 6Illinois that will lead to actionable goals and measurable 7outcomes for the years 2023 through 2035. The purpose of the 8Strategic Action Planning Commission for Aging Equity is to 9provide the Governor and the General Assembly with data and 10specific recommendations regarding public actions by all State 11agencies so that the General Assembly can address the 12demographic shift of an aging population. This includes 13recommended changes in policy, procedures, programs, services, 14projects, and resources to support equitable aging across the 15life course. 16 (2) Recommendations put forth by the Strategic Action 17Planning Commission for Aging Equity will be presented to the 18Governor and General Assembly within 2 years from the date of 19the planning commission's first meeting. 20 (3) The Strategic Action Planning Commission for Aging 21Equity will continue to meet regularly to ensure recommended 22actions are taken and transparent and tangible progress is 23being made toward initial targeted goals with measurable 24outcomes as well as establishing new goals as data and 25research continues to drive equity, innovation, and quality HB5698- 7 -LRB102 26263 KTG 36149 b 1measures. 2 Section 20. Definitions. As used in this Act: 3 (1) "Ableism" means discrimination in favor of able-bodied 4people. 5 (2) "Ageism" means prejudice or discrimination on the 6grounds of a person's age. 7 (3) "Aging equity" is both an outcome and a process. As an 8outcome it means, aging equity is achieved when every person 9can attain their full potential across the life course without 10disadvantage because of social position or other socially and 11structurally determined circumstances. As a process, aging 12equity is a process of assurance of the conditions of optimal 13aging for all people which requires at least 3 things: (i) 14valuing all individuals and populations equally; (ii) 15recognizing and rectifying historical injustices; and (iii) 16providing resources according to need. Aging inequities will 17be eliminated when aging equity is achieved. 18 (4) "Caregiver" means someone caring for a spouse or 19parent, an extended family member, or even a friend or 20neighbor. A caregiver provides help with transportation to 21medical appointments, purchasing or organizing medications, 22monitoring a person's medical condition, communicating with 23health care professionals, advocating on a person's behalf 24with providers or agencies, and assisting a person with 25getting in and out of bed or a chair, getting dressed, bathing HB5698- 8 -LRB102 26263 KTG 36149 b 1or showering, grocery or other shopping, housework, preparing 2meals, and managing finances. 3 (5) "Class inequity" means relations of power among 4networked and organized social groups that direct society's 5major institutions (such as corporations and government 6authorities), material resources, and investments. "Class 7inequity" or "classism" is the systematic oppression of 8subordinated class groups, held in place by attitudes that 9rank people according to economic status, family lineage, job 10status, level of education, and other divisions. 11 (6) "Cultural humility" means an approach to healthcare 12and other services that incorporates a lifelong commitment to 13self-evaluation and self-critique, to redressing the power 14imbalances between the providers and institutions and their 15patients or clients and to developing mutually beneficial and 16non-paternalistic clinical, service-based, and advocacy 17partnerships with communities on behalf of individuals and 18defined populations. 19 (7) "Cultural responsiveness" means a strengths-based 20approach to serving others rooted in respect and appreciation 21for the role of culture in a person's understanding and 22development, taking into account each person's strengths, 23abilities, experiences, and interests as developed within the 24person's family and culture. 25 (8) "Genderism" means the systematic belief that people 26need to conform to their gender assigned at birth in a HB5698- 9 -LRB102 26263 KTG 36149 b 1gender-binary system that includes only female and male. 2 (9) "Historical and contemporary racism" means a system of 3structuring opportunity and assigning value based on phenotype 4("race"), that unfairly disadvantages some individuals and 5communities, unfairly advantages other individuals and 6communities, and saps the strength of the whole society 7through the waste of human resources. 8 (10) "Homophobia" means dislike of or prejudice against 9people who are LGBTQ+. 10 (11) "Older adults" or "older persons" means persons 60 11years of age or older. 12 (12) "Planning commission" means the Strategic Action 13Planning Commission for Aging Equity. 14 (13) "Sexism" means prejudice or discrimination based on 15sex, especially discrimination against women, behavior, 16conditions, or attitudes that foster stereotypes of social 17roles based on sex. 18 (14) "Social determinants of health" means the conditions 19in which people are born, grow, live, work, and age. These 20circumstances are shaped by the distribution of money, power, 21and resources. 22 (15) "Structural inequities" means the personal, 23interpersonal, institutional, and systemic drivers, such as, 24racism, sexism, classism, ableism, xenophobia, and homophobia, 25that make people's various identities (race and ethnicity, 26gender, employment status, socioeconomic status, disability HB5698- 10 -LRB102 26263 KTG 36149 b 1status, immigration status, geography, and more) salient to 2the fair distribution of health opportunities and outcomes. 3 (16) "Transphobia" means dislike of or prejudice against 4transgender or transsexual people. 5 (17) "Trauma-informed systems" means systems that: (i) 6realize the widespread impact of trauma and understand 7potential paths for recovery; (ii) recognize signs and 8symptoms of trauma in clients, families, staff, and others 9involved with the system; (iii) respond by fully integrating 10knowledge about trauma into policies, procedures, and 11practices; and (iv) seek to actively resist re-traumatization. 12 (18) "Xenophobia" means dislike of or prejudice against 13people from other countries. 14 Section 25. Strategic Action Planning Commission for Aging 15Equity. 16 (a) The Strategic Action Planning Commission for Aging 17Equity is established and shall be co-chaired by the 18Governor's Office and the Department on Aging. The planning 19commission shall be made up of State agency directors and 20appointed elected officials or their designees as ex officio 21members, and a group of voting individuals from the general 22public, as outlined in subsection (d), and shall host a 23monthly open meeting with an aging equity advisory committee. 24 (b) The planning commission shall examine the effects, 25challenges, opportunities, and needs for planning related to HB5698- 11 -LRB102 26263 KTG 36149 b 1the shifting age demographics toward an increasing portion of 2the State's and localities' populations being made up of older 3adults, including at least: 4 (1) Community and healthcare. 5 (2) Transportation. 6 (3) Housing. 7 (4) Social participation. 8 (5) Outdoor spaces and buildings. 9 (6) Respect and social inclusion. 10 (7) Civic participation and employment. 11 (8) Communication and information. 12 (9) The public sector as well as the broader economy, 13 workforce, community systems, businesses, and services. 14 (10) Changes in federal, State, and local tax bases, 15 revenues, budgets, fiscal policies, programs, and 16 workforce. 17 (11) Funding mechanisms for aging-related services. 18 (12) New economic opportunities for the State. 19 (c) The planning commission shall adopt guiding principles 20that include: 21 (1) Advancing aging equity across the life course. 22 (2) Developing cultural humility and being culturally 23 responsive with inclusive policies, programs, and 24 services. 25 (3) Being language inclusive to reach and support 26 older persons and caregivers who primarily read and speak HB5698- 12 -LRB102 26263 KTG 36149 b 1 languages other than English. 2 (4) Supporting trauma-informed systems. 3 (5) Understanding the experiences of older 4 Illinoisans, caregivers, and future older Illinoisans of 5 diverse backgrounds. 6 (6) Recognizing the impact of historical and 7 contemporary racism, class inequity, ableism, genderism, 8 sexism, homophobia, transphobia, xenophobia, and other 9 structural inequities on systems, communities, families, 10 and individual Illinoisans of all ages. 11 (7) Equity and accessibility of policies, programs, 12 services, and resources for Illinoisans statewide. 13 (8) Harnessing the power of experience and knowledge 14 of older persons in communities. 15 (9) Opportunities for improved policies, programs, and 16 services that better reflect supporting the needs of 17 current and future older Illinoisans and caregivers. 18 (d) The planning commission shall be a public body 19consisting of members appointed by the Governor within 3 20months after the effective date of this Act. The Governor 21shall consult with the President and Minority Leader of the 22Senate, the Speaker and Minority Leader of the House of 23Representatives, and the Director of Aging about appointments 24to the planning commission to ensure the following: 25 (1) Members meet the criteria set forth in this 26 subsection. Members may fill multiple roles. HB5698- 13 -LRB102 26263 KTG 36149 b 1 (2) The planning commission reflects the geographic 2 diversity of the State and includes members who represent 3 (i) the rural, suburban, and urban areas of the State, 4 (ii) the northern, central, and southern regions of the 5 State, and (iii) the various districts. 6 (3) The planning commission is inclusive and consists 7 of members who reflect a diversity of age, gender, 8 ability, race, cultural, socioeconomic, and national 9 background. 10 (4) The planning commission includes Illinois 11 residents aged 60 or older who represent urban, suburban, 12 and rural areas of the State. 13 (5) The planning commission consists of the following 14 persons: 15 (i) One member with extensive professional 16 knowledge about aging. 17 (ii) One member with extensive professional 18 knowledge of home and community-based services for 19 older Illinoisans. 20 (iii) One member with extensive professional 21 knowledge of community-based services provided under 22 the Older Americans Act. 23 (iv) One member with extensive professional 24 knowledge of health policy. 25 (v) One member with extensive professional 26 knowledge of geriatric or palliative medicine. HB5698- 14 -LRB102 26263 KTG 36149 b 1 (vi) Two members with extensive professional 2 knowledge of health systems. 3 (vii) Two members with extensive professional 4 knowledge of affordable accessible housing. 5 (viii) One member with extensive professional 6 knowledge of public transportation, active 7 transportation, and private transportation systems. 8 (ix) One member with extensive professional 9 knowledge of urban planning, community walkability, 10 and age-friendly principles. 11 (x) One member with extensive professional 12 knowledge about nursing homes. 13 (xi) One member who is a health insurance policy 14 advocate with extensive professional knowledge of 15 Medicare. 16 (xii) One member with extensive professional 17 knowledge about labor advocacy. 18 (xiii) One member with extensive professional 19 knowledge about the criminal-legal system and aging. 20 (xiv) One member with extensive professional 21 knowledge about caregiving. 22 (xv) One member with extensive professional 23 knowledge of dementia. 24 (xvi) One member with extensive professional 25 knowledge about disabilities. 26 (xvii) One member with extensive professional HB5698- 15 -LRB102 26263 KTG 36149 b 1 knowledge in partnering education and labor needs. 2 (xviii) One member with extensive professional 3 knowledge in volunteerism, community connecting, and 4 civic engagement of older persons. 5 (xix) One member representing park districts. 6 (xx) One member representing school systems. 7 (xxi) One member representing chambers of 8 commerce. 9 (xxii) One member with extensive professional 10 knowledge of electronic communications technology. 11 (xxiii) One member representing travel and 12 hospitality. 13 (xxiv) One member representing a philanthropic 14 foundation. 15 (xxv) Two members from the Senate, both major 16 parties represented, one appointed by the President of 17 the Senate and one appointed by the Minority Leader of 18 the Senate. 19 (xxvi) Two members from the House of 20 Representatives, both major parties represented, one 21 appointed by the Speaker of the House of 22 Representatives and one appointed by the Minority 23 Leader of the House of Representatives. 24 (6) The planning commission consists of the heads of 25 the following agencies, offices, boards, and other 26 entities, or their designees: HB5698- 16 -LRB102 26263 KTG 36149 b 1 (i) Department of Agriculture. 2 (ii) Department of Commerce and Economic 3 Opportunity. 4 (iii) Department of Healthcare and Family 5 Services. 6 (iv) Department of Human Rights. 7 (v) Department of Human Services. 8 (vi) Department of Innovation and Technology. 9 (vii) Department of Insurance. 10 (viii) Department of Labor. 11 (ix) Department of Natural Resources. 12 (x) Department of Public Health. 13 (xi) Department of Human Services' Division of 14 Rehabilitative Services. 15 (xii) Department of Revenue. 16 (xiii) Department of Transportation. 17 (xiv) Department of Veterans' Affairs. 18 (xv) Department on Aging. 19 (xvi) Department of Corrections. 20 (xvii) Department of Children and Family Services. 21 (xviii) Department of Financial and Professional 22 Regulation. 23 (xix) Illinois Housing Development Authority. 24 (xx) Office of the Illinois State Fire Marshal. 25 (xxi) Illinois Emergency Management Agency. 26 (xxii) Illinois State Board of Education. HB5698- 17 -LRB102 26263 KTG 36149 b 1 (xxiii) Illinois Community College Board. 2 (xxiv) Illinois Board of Higher Education. 3 (xxv) Illinois State Police. 4 (xxvi) Illinois Cognitive Support Network. 5 (xxvii) Illinois Council on Developmental 6 Disabilities. 7 (xxviii) Illinois Finance Authority. 8 (xxix) The Governor's Office of Management and 9 Budget. 10 (xxx) Department of Central Management Services. 11 (xxxi) Office of the Attorney General. 12 (xxxii) Office of the Secretary of State. 13 (xxxiii) Office of the State Treasurer. 14 (e) Anyone interested in becoming a member of the planning 15commission may submit an application to the Office of the 16Governor through the online application process. 17 (f) The planning commission shall elect a chair and 18vice-chair from among its members to coordinate the planning 19commission's meetings along with State agency staff or 20contractors. Members of the planning commission shall serve 21without compensation. Members shall serve 4-year terms. The 22planning commission shall establish staggered end of term 23dates of initial members. The Governor may reappoint a member 24for only one additional 4-year term after a member's initial 25term has expired. In case of a vacancy, the Governor shall 26appoint a new member in the same manner as the initial HB5698- 18 -LRB102 26263 KTG 36149 b 1appointment. 2 (g) Members of the planning commission may remove a member 3for cause as determined by the planning commission, if 4approved by a two-thirds majority of all members. The planning 5commission shall meet 6 times each calendar year, at a 6minimum, with dates determined by the members of the planning 7commission as soon as practicable after all members have been 8appointed to the planning commission. 9 (h) The planning commission may establish subcommittees. 10Each subcommittee shall consider and evaluate issues related 11to guiding principles listed under subsection (c). The 12subcommittees may include persons who are not members of the 13planning commission yet represent relevant expertise not 14otherwise represented on the planning commission. Members of 15the specialized subcommittee shall serve without compensation. 16 (i) The planning commission shall establish an aging 17equity advisory committee which shall consist of the State 18demographer and subject matter experts from local governmental 19and nongovernmental organizations to advise and assist the 20planning commission. 21 (j) The planning commission shall exercise its powers and 22perform its duties and functions as specified under this Act 23independently of the State agencies. The planning commission 24may establish bylaws as appropriate for its effective 25operation. The chair of the planning commission shall 26establish a schedule for planning commission meetings. Members HB5698- 19 -LRB102 26263 KTG 36149 b 1of the planning commission, staff, and consultants are not 2liable for an act or omission in their official capacity 3performed in good faith in accordance with this Act. 4 Section 30. Duties of the Strategic Action Planning 5Commission for Aging Equity. 6 (a) The planning commission shall develop a preliminary 7comprehensive strategic action plan for aging in Illinois 8through the year 2035 to be completed within 18 months of 9commencement of the planning commission. A 2-month comment 10period shall be included and then a final strategic action 11plan for aging shall be developed within 2 years from the 12commencement of the planning commission. 13 (b) In developing the strategic action plan, the planning 14commission shall review and incorporate past recommendations 15and findings from previous studies and commissions, task 16forces, departments, and area agencies on aging that the 17planning commission considers relevant and necessary to its 18duties. Previous recommendations must be reviewed in 19conjunction with the latest demographic and economic 20projections specified in the analysis conducted in accordance 21with Section 30. 22 (c) The strategic action plan must address at least the 23following 3 areas: 24 (1) Demographic, economic, fiscal, and budget data 25 analysis through the year 2040. HB5698- 20 -LRB102 26263 KTG 36149 b 1 (2) Actionable recommendations. 2 (3) Plans for periodic updates to the strategic action 3 plan. 4 Section 35. Data analysis. The Strategic Action Planning 5Commission for Aging Equity shall include data analysis that 6is inclusive of, but not limited to, the following areas: 7 (1) Community and healthcare. 8 (2) Transportation. 9 (3) Housing. 10 (4) Social participation. 11 (5) Outdoor spaces and buildings. 12 (6) Respect and social inclusion. 13 (7) Civic participation and employment. 14 (8) Communication and information. 15 (9) Retirement savings gaps and retirement security 16 for the State's current and future older adult 17 populations. 18 Section 40. Actionable recommendations. Planning 19commission recommendations shall include the following at a 20minimum: 21 (1) Potential and recommended actions to address the 22 long-term effects of the demographic shift on Illinois 23 residents, State government, and the private sector, 24 including disproportional regional demographic shifts in HB5698- 21 -LRB102 26263 KTG 36149 b 1 older adult populations. 2 (2) Potential and recommended actions to strengthen 3 and improve service infrastructure for and the quality, 4 staffing, accessibility, and availability of long-term 5 services and supports to better enable the services and 6 supports to meet future demand. 7 (3) Potential and recommended actions to enhance 8 access to services and public education on opportunities, 9 challenges, resources, and topics for older Illinoisans 10 and caregivers. 11 (4) Potential and recommended actions to improve 12 caregiver supports and mitigate both the financial and 13 nonfinancial impacts of caregiving on patients, 14 caregivers, businesses, and the State. 15 (5) Potential and recommended actions to improve 16 financial security and retirement preparation for the 17 older adult population. 18 (6) Potential and recommended actions to improve the 19 accessibility and sustainability of healthy, safe, 20 affordable, accessible, and non-segregated housing. 21 (7) Potential and recommended actions to improve the 22 accessibility and sustainability of affordable 23 transportation services. 24 (8) Potential and recommended actions to reduce 25 administrative and service delivery costs of public and 26 private long-term services and supports while improving HB5698- 22 -LRB102 26263 KTG 36149 b 1 service quality. 2 (9) Administrative and regulatory reforms needed to 3 more cost-effectively organize State agencies to implement 4 statewide programs and services. 5 (10) Possible legislation for consideration by the 6 General Assembly in order to implement the planning 7 commission's recommendations and achieve its stated goals. 8 (11) Possible regulatory and administrative changes to 9 be offered to State departments in order to implement the 10 planning commission's recommendations and achieve its 11 stated goals. 12 (12) Private sector potential and recommended actions 13 for quality long-term care, services, and supports that 14 are accessible, equitable, and meet cultural and 15 linguistic needs. 16 (13) Potential and recommended actions to extend and 17 improve other services and supports that would allow 18 individuals to remain in their residences and communities 19 for as long as possible. 20 (14) Potential and recommended actions to improve 21 migration of college students, professionals, families, 22 and retirees from outside of the State to communities 23 across Illinois. 24 (15) Potential and recommended actions to make 25 Illinois an age-friendly State. 26 (16) Potential and recommended actions to support HB5698- 23 -LRB102 26263 KTG 36149 b 1 health equity as it relates to advancing aging equity. 2 (17) Projections on the economic, fiscal, and personal 3 impacts of implementing or not implementing the 4 recommendations. 5 Section 45. Reporting. 6 (a) During the 2023 and 2024 legislative sessions, the 7planning commission shall submit an oral and written report 8summarizing its work and any preliminary findings or 9recommendations to the joint budget committee and the General 10Assembly. 11 (b) Within 2 years of commencement, the planning 12commission shall submit to the Governor, the General Assembly, 13and any affected State agency its strategic action plan 14detailing the work of the planning commission and its final 15recommendations. 16 (c) If the strategic action plan identifies programs, 17services, projects, policies, or procedures that would result 18in cost savings, without adversely affecting the quality of 19care and services, and do not require legislation, the 20Governor and the associated State agencies must pursue the 21necessary actions to implement the recommendations, including, 22as necessary, requesting adequate funding through the State 23budget process. 24 (d) If the strategic action plan identifies programs, 25services, projects, policies, or procedures that would result HB5698- 24 -LRB102 26263 KTG 36149 b 1in cost savings, without adversely affecting the quality of 2care and services, that require legislation, the planning 3commission shall recommend legislation to implement the 4changes to the General Assembly. In its plan, the planning 5commission shall specify the laws and the policies and 6procedures of the relevant State agencies that need to be 7created, amended, or repealed to implement the 8recommendations. 9 Section 50. Strategic plan updates and oversight. 10 (a) The planning commission shall submit updates to the 11strategic action plan every 4 years, to update the planning 12commission's analysis and recommendations. 13 (1) These updates shall include new economic and 14 demographic data as well as respond to new State and 15 national public and private initiatives and must address a 16 time period for analysis and recommendation that extends 17 15 years after the delivery of the update. 18 (2) The process for creating these updates shall be 19 determined by the planning commission as part of its 20 strategic action plan. 21 (3) New legislative or regulatory recommendations may 22 be offered in order to address new or changing 23 circumstances. 24 (b) The planning commission shall take measures to ensure 25transparency to the public, the General Assembly, and to HB5698- 25 -LRB102 26263 KTG 36149 b 1stakeholders in planning, goal setting, action steps, and 2reporting on successful implementation and outcomes such as by 3adhering to the Open Meetings Act and ensuring documents 4regarding proceedings are posted, organized, and maintained on 5an appropriate State website. 6 (c) After the initial development of the plan, the 7planning commission's plan updates shall list areas in which 8the plan is not being implemented or followed. 9 (d) The initial planning commission shall determine the 10staffing and process for updating the initial strategic action 11plan. The planning commission shall only undertake the plan 12updates if sufficient funding is secured through 13appropriations, gifts, grants, or donations. 14 Section 99. Effective date. This Act takes effect upon 15becoming law.