|
| | 100TH GENERAL ASSEMBLY
State of Illinois
2017 and 2018 HB5157 Introduced 2/16/2018, by Rep. Sara Feigenholtz SYNOPSIS AS INTRODUCED: |
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705 ILCS 405/2-10 | from Ch. 37, par. 802-10 |
755 ILCS 40/25 | from Ch. 110 1/2, par. 851-25 |
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Amends the Juvenile Court Act of 1987. Provides that after the court has placed a minor in the care of a temporary custodian, any party may apply to the court to grant the temporary custodian the authority to serve as a surrogate decision maker for the minor under the Health Care Surrogate Act for purposes of making the decision whether to forgo life-sustaining treatment, if the court determines by clear and convincing evidence that it is in the best interests of the minor to grant the temporary custodian such authority. Provides that in making its determination, the court shall consider specified factors, the efforts made to engage the respondents in decision making on behalf of the child, evidence of the impact of a delay in decision making on the child, and any other factors the court deems relevant to a determination of the best interests of the minor. Provides that if the Department of Children and Family Services is the temporary custodian of the minor, in addition to specified requirements, the Department shall follow its rules and procedures in exercising authority granted under the new provisions. Amends the Health Care Surrogate Act. To the list of surrogate decision makers, adds the patient's temporary custodian appointed under the Juvenile Court Act of 1987 if the court has entered an order granting such authority.
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| | A BILL FOR |
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1 | | AN ACT concerning civil law.
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2 | | Be it enacted by the People of the State of Illinois,
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3 | | represented in the General Assembly:
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4 | | Section 5. The Juvenile Court Act of 1987 is amended by |
5 | | changing Section 2-10 as follows:
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6 | | (705 ILCS 405/2-10) (from Ch. 37, par. 802-10)
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7 | | Sec. 2-10. Temporary custody hearing. At the appearance of |
8 | | the
minor before the court at the temporary custody hearing, |
9 | | all
witnesses present shall be examined before the court in |
10 | | relation to any
matter connected with the allegations made in |
11 | | the petition.
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12 | | (1) If the court finds that there is not probable cause to |
13 | | believe
that the minor is abused, neglected or dependent it |
14 | | shall release
the minor and dismiss the petition.
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15 | | (2) If the court finds that there is probable cause to |
16 | | believe that
the minor is abused, neglected or dependent, the |
17 | | court shall state in writing
the factual basis supporting its |
18 | | finding and the minor, his or her parent,
guardian, custodian |
19 | | and other persons able to give relevant testimony
shall be |
20 | | examined before the court. The Department of Children and
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21 | | Family Services shall give testimony concerning indicated |
22 | | reports of abuse
and neglect, of which they are aware of |
23 | | through the central registry,
involving the minor's parent, |
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1 | | guardian or custodian. After such
testimony, the court may, |
2 | | consistent with
the health,
safety and best interests of the |
3 | | minor,
enter an order that the minor shall be released
upon the |
4 | | request of parent, guardian or custodian if the parent, |
5 | | guardian
or custodian appears to take custody. If it is |
6 | | determined that a parent's, guardian's, or custodian's |
7 | | compliance with critical services mitigates the necessity for |
8 | | removal of the minor from his or her home, the court may enter |
9 | | an Order of Protection setting forth reasonable conditions of |
10 | | behavior that a parent, guardian, or custodian must observe for |
11 | | a specified period of time, not to exceed 12 months, without a |
12 | | violation; provided, however, that the 12-month period shall |
13 | | begin anew after any violation. "Custodian" includes the |
14 | | Department of Children and Family Services, if it has been |
15 | | given custody of the child, or any other agency of the State |
16 | | which has been given custody or wardship of the child. If it is
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17 | | consistent with the health, safety and best interests of the
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18 | | minor, the
court may also prescribe shelter care and
order that |
19 | | the minor be kept in a suitable place designated by the court |
20 | | or in
a shelter care facility designated by the Department of |
21 | | Children and Family
Services or a licensed child welfare
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22 | | agency; however, on and after January 1, 2015 (the effective |
23 | | date of Public Act 98-803) and before January 1, 2017, a minor |
24 | | charged with a
criminal offense under the Criminal Code of 1961 |
25 | | or the Criminal Code of 2012 or adjudicated delinquent
shall |
26 | | not be placed in the custody of or committed to the Department |
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1 | | of
Children and Family Services by any court, except a minor |
2 | | less than 16
years of age and committed to the Department of |
3 | | Children and Family Services
under Section 5-710 of this Act or |
4 | | a minor for whom an independent
basis of
abuse, neglect, or |
5 | | dependency exists; and on and after January 1, 2017, a minor |
6 | | charged with a
criminal offense under the Criminal Code of 1961 |
7 | | or the Criminal Code of 2012 or adjudicated delinquent
shall |
8 | | not be placed in the custody of or committed to the Department |
9 | | of
Children and Family Services by any court, except a minor |
10 | | less than 15 years of age and committed to the Department of |
11 | | Children and Family Services
under Section 5-710 of this Act or |
12 | | a minor for whom an independent
basis of
abuse, neglect, or |
13 | | dependency exists.
An independent basis exists when the |
14 | | allegations or adjudication of abuse, neglect, or dependency do |
15 | | not arise from the same facts, incident, or circumstances which |
16 | | give rise to a charge or adjudication of delinquency.
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17 | | In placing the minor, the Department or other
agency shall, |
18 | | to the extent
compatible with the court's order, comply with |
19 | | Section 7 of the Children and
Family Services Act.
In |
20 | | determining
the health, safety and best interests of the minor |
21 | | to prescribe shelter
care, the court must
find that it is a |
22 | | matter of immediate and urgent necessity for the safety
and |
23 | | protection
of the minor or of the person or property of another |
24 | | that the minor be placed
in a shelter care facility or that he |
25 | | or she is likely to flee the jurisdiction
of the court, and |
26 | | must further find that reasonable efforts have been made or
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1 | | that, consistent with the health, safety and best interests of
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2 | | the minor, no efforts reasonably can be made to
prevent or |
3 | | eliminate the necessity of removal of the minor from his or her
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4 | | home. The court shall require documentation from the Department |
5 | | of Children and
Family Services as to the reasonable efforts |
6 | | that were made to prevent or
eliminate the necessity of removal |
7 | | of the minor from his or her home or the
reasons why no efforts |
8 | | reasonably could be made to prevent or eliminate the
necessity |
9 | | of removal. When a minor is placed in the home of a relative, |
10 | | the
Department of Children and Family Services shall complete a |
11 | | preliminary
background review of the members of the minor's |
12 | | custodian's household in
accordance with Section 4.3 of the |
13 | | Child Care Act of 1969 within 90 days of
that placement. If the |
14 | | minor is ordered placed in a shelter care facility of
the |
15 | | Department of Children and
Family Services or a licensed child |
16 | | welfare agency, the court shall, upon
request of the |
17 | | appropriate Department or other agency, appoint the
Department |
18 | | of Children and Family Services Guardianship Administrator or
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19 | | other appropriate agency executive temporary custodian of the |
20 | | minor and the
court may enter such other orders related to the |
21 | | temporary custody as it
deems fit and proper, including the |
22 | | provision of services to the minor or
his family to ameliorate |
23 | | the causes contributing to the finding of probable
cause or to |
24 | | the finding of the existence of immediate and urgent necessity. |
25 | | Where the Department of Children and Family Services |
26 | | Guardianship Administrator is appointed as the executive |
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1 | | temporary custodian, the Department of Children and Family |
2 | | Services shall file with the court and serve on the parties a |
3 | | parent-child visiting plan, within 10 days, excluding weekends |
4 | | and holidays, after the appointment. The parent-child visiting |
5 | | plan shall set out the time and place of visits, the frequency |
6 | | of visits, the length of visits, who shall be present at the |
7 | | visits, and where appropriate, the minor's opportunities to |
8 | | have telephone and mail communication with the parents. |
9 | | Where the Department of Children and Family Services |
10 | | Guardianship Administrator is
appointed as the executive |
11 | | temporary custodian, and when the child has siblings in care,
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12 | | the Department of Children and Family Services shall file with |
13 | | the court and serve on the
parties a sibling placement and |
14 | | contact plan within 10 days, excluding weekends and
holidays, |
15 | | after the appointment. The sibling placement and contact plan |
16 | | shall set forth
whether the siblings are placed together, and |
17 | | if they are not placed together, what, if any,
efforts are |
18 | | being made to place them together. If the Department has |
19 | | determined that it is
not in a child's best interest to be |
20 | | placed with a sibling, the Department shall document in
the |
21 | | sibling placement and contact plan the basis for its |
22 | | determination. For siblings placed
separately, the sibling |
23 | | placement and contact plan shall set the time and place for |
24 | | visits,
the frequency of the visits, the length of visits, who |
25 | | shall be present for the visits, and
where appropriate, the |
26 | | child's opportunities to have contact with their siblings in |
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1 | | addition to
in person contact. If the Department determines it |
2 | | is not in the best interest of a sibling to
have contact with a |
3 | | sibling, the Department shall document in the sibling placement |
4 | | and
contact plan the basis for its determination. The sibling |
5 | | placement and contact plan shall
specify a date for development |
6 | | of the Sibling Contact Support Plan, under subsection (f) of |
7 | | Section 7.4 of the Children and Family Services Act, and shall |
8 | | remain in effect until the Sibling Contact Support Plan is |
9 | | developed. |
10 | | For good cause, the court may waive the requirement to file |
11 | | the parent-child visiting plan or the sibling placement and |
12 | | contact plan, or extend the time for filing either plan. Any |
13 | | party may, by motion, request the court to review the |
14 | | parent-child visiting plan to determine whether it is |
15 | | reasonably calculated to expeditiously facilitate the |
16 | | achievement of the permanency goal. A party may, by motion, |
17 | | request the court to review the parent-child visiting plan or |
18 | | the sibling placement and contact plan to determine whether it |
19 | | is consistent with the minor's best interest. The court may |
20 | | refer the parties to mediation where available. The frequency, |
21 | | duration, and locations of visitation shall be measured by the |
22 | | needs of the child and family, and not by the convenience of |
23 | | Department personnel. Child development principles shall be |
24 | | considered by the court in its analysis of how frequent |
25 | | visitation should be, how long it should last, where it should |
26 | | take place, and who should be present. If upon motion of the |
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1 | | party to review either plan and after receiving evidence, the |
2 | | court determines that the parent-child visiting plan is not |
3 | | reasonably calculated to expeditiously facilitate the |
4 | | achievement of the permanency goal or that the restrictions |
5 | | placed on parent-child contact or sibling placement or contact |
6 | | are contrary to the child's best interests, the court shall put |
7 | | in writing the factual basis supporting the determination and |
8 | | enter specific findings based on the evidence. The court shall |
9 | | enter an order for the Department to implement changes to the |
10 | | parent-child visiting plan or sibling placement or contact |
11 | | plan, consistent with the court's findings. At any stage of |
12 | | proceeding, any party may by motion request the court to enter |
13 | | any orders necessary to implement the parent-child visiting |
14 | | plan, sibling placement or contact plan or subsequently |
15 | | developed Sibling Contact Support Plan. Nothing under this |
16 | | subsection (2) shall restrict the court from granting |
17 | | discretionary authority to the Department to increase |
18 | | opportunities for additional parent-child contacts or sibling |
19 | | contacts, without further court orders. Nothing in this |
20 | | subsection (2) shall restrict the Department from immediately |
21 | | restricting or terminating parent-child contact or sibling |
22 | | contacts, without either amending the parent-child visiting |
23 | | plan or the sibling contact plan or obtaining a court order, |
24 | | where the Department or its assigns reasonably believe that |
25 | | continuation of the contact, as set out in the plan, would be |
26 | | contrary to the child's health, safety, and welfare. The |
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1 | | Department shall file with the court and serve on the parties |
2 | | any amendments to the plan within 10 days, excluding weekends |
3 | | and holidays, of the change of the visitation. |
4 | | Acceptance of services shall not be considered an admission |
5 | | of any
allegation in a petition made pursuant to this Act, nor |
6 | | may a referral of
services be considered as evidence in any |
7 | | proceeding pursuant to this Act,
except where the issue is |
8 | | whether the Department has made reasonable
efforts to reunite |
9 | | the family. In making its findings that it is
consistent with |
10 | | the health, safety and best
interests of the minor to prescribe |
11 | | shelter care, the court shall state in
writing (i) the factual |
12 | | basis supporting its findings concerning the
immediate and |
13 | | urgent necessity for the protection of the minor or of the |
14 | | person
or property of another and (ii) the factual basis |
15 | | supporting its findings that
reasonable efforts were made to |
16 | | prevent or eliminate the removal of the minor
from his or her |
17 | | home or that no efforts reasonably could be made to prevent or
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18 | | eliminate the removal of the minor from his or her home. The
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19 | | parents, guardian, custodian, temporary custodian and minor |
20 | | shall each be
furnished a copy of such written findings. The |
21 | | temporary custodian shall
maintain a copy of the court order |
22 | | and written findings in the case record
for the child. The |
23 | | order together with the court's findings of fact in
support |
24 | | thereof shall be entered of record in the court.
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25 | | Once the court finds that it is a matter of immediate and |
26 | | urgent necessity
for the protection of the minor that the minor |
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1 | | be placed in a shelter care
facility, the minor shall not be |
2 | | returned to the parent, custodian or guardian
until the court |
3 | | finds that such placement is no longer necessary for the
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4 | | protection of the minor.
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5 | | If the child is placed in the temporary custody of the |
6 | | Department of
Children
and Family
Services for his or her |
7 | | protection, the court shall admonish the parents,
guardian,
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8 | | custodian or responsible relative that the parents must |
9 | | cooperate with the
Department of Children and Family Services, |
10 | | comply
with the terms of the service plans, and correct the |
11 | | conditions which require
the child to be in care, or risk |
12 | | termination of their parental
rights. The court shall ensure, |
13 | | by inquiring in open court of each parent, guardian, custodian |
14 | | or responsible relative, that the parent, guardian, custodian |
15 | | or responsible relative has had the opportunity to provide the |
16 | | Department with all known names, addresses, and telephone |
17 | | numbers of each of the minor's living maternal and paternal |
18 | | adult relatives, including, but not limited to, grandparents, |
19 | | aunts, uncles, and siblings. The court shall advise the |
20 | | parents, guardian, custodian or responsible relative to inform |
21 | | the Department if additional information regarding the minor's |
22 | | adult relatives becomes available.
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23 | | (3) If prior to the shelter care hearing for a minor |
24 | | described in Sections
2-3, 2-4, 3-3 and 4-3 the moving party is |
25 | | unable to serve notice on the
party respondent, the shelter |
26 | | care hearing may proceed ex parte. A shelter
care order from an |
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1 | | ex parte hearing shall be endorsed with the date and
hour of |
2 | | issuance and shall be filed with the clerk's office and entered |
3 | | of
record. The order shall expire after 10 days from the time |
4 | | it is issued
unless before its expiration it is renewed, at a |
5 | | hearing upon appearance
of the party respondent, or upon an |
6 | | affidavit of the moving party as to all
diligent efforts to |
7 | | notify the party respondent by notice as herein
prescribed. The |
8 | | notice prescribed shall be in writing and shall be
personally |
9 | | delivered to the minor or the minor's attorney and to the last
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10 | | known address of the other person or persons entitled to |
11 | | notice. The
notice shall also state the nature of the |
12 | | allegations, the nature of the
order sought by the State, |
13 | | including whether temporary custody is sought,
and the |
14 | | consequences of failure to appear and shall contain a notice
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15 | | that the parties will not be entitled to further written |
16 | | notices or publication
notices of proceedings in this case, |
17 | | including the filing of an amended
petition or a motion to |
18 | | terminate parental rights, except as required by
Supreme Court |
19 | | Rule 11; and shall explain the
right of
the parties and the |
20 | | procedures to vacate or modify a shelter care order as
provided |
21 | | in this Section. The notice for a shelter care hearing shall be
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22 | | substantially as follows:
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23 | | NOTICE TO PARENTS AND CHILDREN
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24 | | OF SHELTER CARE HEARING
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25 | | On ................ at ........., before the Honorable |
26 | | ................,
(address:) ................., the State |
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1 | | of Illinois will present evidence
(1) that (name of child |
2 | | or children) ....................... are abused,
neglected |
3 | | or dependent for the following reasons:
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4 | | ..............................................
and (2) |
5 | | whether there is "immediate and urgent necessity" to remove |
6 | | the child
or children from the responsible relative.
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7 | | YOUR FAILURE TO APPEAR AT THE HEARING MAY RESULT IN |
8 | | PLACEMENT of the
child or children in foster care until a |
9 | | trial can be held. A trial may
not be held for up to 90 |
10 | | days. You will not be entitled to further notices
of |
11 | | proceedings in this case, including the filing of an |
12 | | amended petition or a
motion to terminate parental rights.
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13 | | At the shelter care hearing, parents have the following |
14 | | rights:
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15 | | 1. To ask the court to appoint a lawyer if they |
16 | | cannot afford one.
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17 | | 2. To ask the court to continue the hearing to |
18 | | allow them time to
prepare.
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19 | | 3. To present evidence concerning:
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20 | | a. Whether or not the child or children were |
21 | | abused, neglected
or dependent.
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22 | | b. Whether or not there is "immediate and |
23 | | urgent necessity" to remove
the child from home |
24 | | (including: their ability to care for the child,
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25 | | conditions in the home, alternative means of |
26 | | protecting the child other
than removal).
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1 | | c. The best interests of the child.
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2 | | 4. To cross examine the State's witnesses.
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3 | | The Notice for rehearings shall be substantially as |
4 | | follows:
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5 | | NOTICE OF PARENT'S AND CHILDREN'S RIGHTS
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6 | | TO REHEARING ON TEMPORARY CUSTODY
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7 | | If you were not present at and did not have adequate |
8 | | notice of the
Shelter Care Hearing at which temporary |
9 | | custody of ............... was
awarded to |
10 | | ................, you have the right to request a full |
11 | | rehearing
on whether the State should have temporary |
12 | | custody of ................. To
request this rehearing, |
13 | | you must file with the Clerk of the Juvenile Court
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14 | | (address): ........................, in person or by |
15 | | mailing a statement
(affidavit) setting forth the |
16 | | following:
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17 | | 1. That you were not present at the shelter care |
18 | | hearing.
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19 | | 2. That you did not get adequate notice (explaining |
20 | | how the notice
was inadequate).
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21 | | 3. Your signature.
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22 | | 4. Signature must be notarized.
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23 | | The rehearing should be scheduled within 48 hours of |
24 | | your filing this
affidavit.
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25 | | At the rehearing, your rights are the same as at the |
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1 | | initial shelter care
hearing. The enclosed notice explains |
2 | | those rights.
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3 | | At the Shelter Care Hearing, children have the |
4 | | following rights:
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5 | | 1. To have a guardian ad litem appointed.
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6 | | 2. To be declared competent as a witness and to |
7 | | present testimony
concerning:
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8 | | a. Whether they are abused, neglected or |
9 | | dependent.
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10 | | b. Whether there is "immediate and urgent |
11 | | necessity" to be
removed from home.
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12 | | c. Their best interests.
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13 | | 3. To cross examine witnesses for other parties.
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14 | | 4. To obtain an explanation of any proceedings and |
15 | | orders of the
court.
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16 | | (4) If the parent, guardian, legal custodian, responsible |
17 | | relative,
minor age 8 or over, or counsel of the minor did not |
18 | | have actual notice of
or was not present at the shelter care |
19 | | hearing, he or she may file an
affidavit setting forth these |
20 | | facts, and the clerk shall set the matter for
rehearing not |
21 | | later than 48 hours, excluding Sundays and legal holidays,
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22 | | after the filing of the affidavit. At the rehearing, the court |
23 | | shall
proceed in the same manner as upon the original hearing.
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24 | | (5) Only when there is reasonable cause to believe that the |
25 | | minor
taken into custody is a person described in subsection |
26 | | (3) of Section
5-105 may the minor be
kept or detained in a |
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1 | | detention home or county or municipal jail. This
Section shall |
2 | | in no way be construed to limit subsection (6).
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3 | | (6) No minor under 16 years of age may be confined in a |
4 | | jail or place
ordinarily used for the confinement of prisoners |
5 | | in a police station. Minors
under 18 years of age must be kept |
6 | | separate from confined adults and may
not at any time be kept |
7 | | in the same cell, room, or yard with adults confined
pursuant |
8 | | to the criminal law.
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9 | | (7) If the minor is not brought before a judicial officer |
10 | | within the
time period as specified in Section 2-9, the minor |
11 | | must immediately be
released from custody.
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12 | | (8) If neither the parent, guardian or custodian appears |
13 | | within 24
hours to take custody of a minor released upon |
14 | | request pursuant to
subsection (2) of this Section, then the |
15 | | clerk of the court shall set the
matter for rehearing not later |
16 | | than 7 days after the original order and
shall issue a summons |
17 | | directed to the parent, guardian or custodian to
appear. At the |
18 | | same time the probation department shall prepare a report
on |
19 | | the minor. If a parent, guardian or custodian does not appear |
20 | | at such
rehearing, the judge may enter an order prescribing |
21 | | that the minor be kept
in a suitable place designated by the |
22 | | Department of Children and Family
Services or a licensed child |
23 | | welfare agency.
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24 | | (9) Notwithstanding any other provision of this
Section any |
25 | | interested party, including the State, the temporary
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26 | | custodian, an agency providing services to the minor or family |
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1 | | under a
service plan pursuant to Section 8.2 of the Abused and |
2 | | Neglected Child
Reporting Act, foster parent, or any of their |
3 | | representatives, on notice
to all parties entitled to notice, |
4 | | may file a motion that it is in the best
interests of the minor |
5 | | to modify or vacate a
temporary custody order on any of the |
6 | | following grounds:
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7 | | (a) It is no longer a matter of immediate and urgent |
8 | | necessity that the
minor remain in shelter care; or
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9 | | (b) There is a material change in the circumstances of |
10 | | the natural
family from which the minor was removed and the |
11 | | child can be cared for at
home without endangering the |
12 | | child's health or safety; or
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13 | | (c) A person not a party to the alleged abuse, neglect |
14 | | or dependency,
including a parent, relative or legal |
15 | | guardian, is capable of assuming
temporary custody of the |
16 | | minor; or
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17 | | (d) Services provided by the Department of Children and |
18 | | Family Services
or a child welfare agency or other service |
19 | | provider have been successful in
eliminating the need for |
20 | | temporary custody and the child can be cared for at
home |
21 | | without endangering the child's health or safety.
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22 | | In ruling on the motion, the court shall determine whether |
23 | | it is consistent
with the health, safety and best interests of |
24 | | the minor to modify
or vacate a temporary custody order.
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25 | | The clerk shall set the matter for hearing not later than |
26 | | 14 days after
such motion is filed. In the event that the court |
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1 | | modifies or vacates a
temporary custody order but does not |
2 | | vacate its finding of probable cause,
the court may order that |
3 | | appropriate services be continued or initiated in
behalf of the |
4 | | minor and his or her family.
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5 | | (10) When the court finds or has found that there is |
6 | | probable cause to
believe a minor is an abused minor as |
7 | | described in subsection (2) of Section
2-3
and that there is an |
8 | | immediate and urgent necessity for the abused minor to be
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9 | | placed in shelter care, immediate and urgent necessity shall be |
10 | | presumed for
any other minor residing in the same household as |
11 | | the abused minor provided:
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12 | | (a) Such other minor is the subject of an abuse or |
13 | | neglect petition
pending before the court; and
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14 | | (b) A party to the petition is seeking shelter care for |
15 | | such other minor.
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16 | | Once the presumption of immediate and urgent necessity has |
17 | | been raised, the
burden of demonstrating the lack of immediate |
18 | | and urgent necessity shall be on
any party that is opposing |
19 | | shelter care for the other minor.
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20 | | (11) The changes made to this Section by Public Act 98-61 |
21 | | apply to a minor who has been
arrested or taken into custody on |
22 | | or after January 1, 2014 (the effective date
of Public Act |
23 | | 98-61). |
24 | | (12) After the court has placed a minor in the care of a |
25 | | temporary custodian pursuant to this Section, any party may |
26 | | apply to the court to grant the temporary custodian the |
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1 | | authority to serve as a surrogate decision maker for the minor |
2 | | under the Health Care Surrogate Act for purposes of making |
3 | | decisions pursuant to paragraph (1) of subsection (b) of |
4 | | Section 20 of the Health Care Surrogate Act, if the court |
5 | | determines by clear and convincing evidence that it is in the |
6 | | best interests of the minor to grant the temporary custodian |
7 | | such authority. In making its determination, the court shall |
8 | | consider the factors listed in subsection (4.05) of Section 1-3 |
9 | | of this Act, the efforts made to engage the respondents in |
10 | | decision making on behalf of the child, evidence of the impact |
11 | | of a delay in decision making on the child, and any other |
12 | | factors the court deems relevant to a determination of the best |
13 | | interests of the minor. If the Department of Children and |
14 | | Family Services is the temporary custodian of the minor, in |
15 | | addition to the requirements of paragraph (1) of subsection (b) |
16 | | of Section 20 of the Health Care Surrogate Act, the Department |
17 | | shall follow its rules and procedures in exercising authority |
18 | | granted under this subsection. |
19 | | (Source: P.A. 99-625, eff. 1-1-17; 99-642, eff. 7-28-16; |
20 | | 100-159, eff. 8-18-17; revised 10-5-17.) |
21 | | Section 10. The Health Care Surrogate Act is amended by |
22 | | changing Section 25 as follows:
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23 | | (755 ILCS 40/25) (from Ch. 110 1/2, par. 851-25)
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24 | | Sec. 25. Surrogate decision making.
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1 | | (a) When a patient lacks
decisional capacity, the health |
2 | | care provider must make a reasonable
inquiry as to the |
3 | | availability and authority of a health care agent under
the |
4 | | Powers of Attorney for Health Care Law. When no health care |
5 | | agent is
authorized and available, the health care provider |
6 | | must make a reasonable
inquiry as to the availability of |
7 | | possible surrogates listed in items (1)
through (4) of this
|
8 | | subsection. For purposes of this Section, a reasonable inquiry |
9 | | includes,
but is not
limited to, identifying a member of the |
10 | | patient's family or other health care
agent by
examining the |
11 | | patient's personal effects or medical records. If a family
|
12 | | member or other
health care agent is identified, an attempt to |
13 | | contact that person by telephone
must be
made within 24 hours |
14 | | after a determination by the provider that the patient
lacks
|
15 | | decisional capacity.
No person shall be liable for civil |
16 | | damages or subject to
professional discipline based on a claim |
17 | | of violating a patient's
right to confidentiality as a result |
18 | | of making a reasonable
inquiry as to the availability of a |
19 | | patient's family member
or health care agent, except for |
20 | | willful or wanton misconduct.
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21 | | The surrogate decision makers, as
identified by the |
22 | | attending physician, are then authorized to make decisions
as |
23 | | follows: (i) for patients who lack decisional capacity and do |
24 | | not have a
qualifying condition, medical treatment decisions |
25 | | may be made in
accordance with subsection (b-5) of Section 20; |
26 | | and (ii) for patients who
lack decisional capacity and have a |
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1 | | qualifying condition, medical treatment
decisions including
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2 | | whether to forgo life-sustaining treatment on behalf of the
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3 | | patient may be made without court order or judicial involvement |
4 | | in the
following order of
priority:
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5 | | (1) the patient's guardian of the person;
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6 | | (2) the patient's spouse;
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7 | | (3) any adult son or daughter of the patient;
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8 | | (4) either parent of the patient;
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9 | | (5) any adult brother or sister of the patient;
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10 | | (6) any adult grandchild of the patient;
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11 | | (7) a close friend of the patient;
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12 | | (8) the patient's guardian of the estate ; . |
13 | | (9) the patient's temporary custodian appointed under |
14 | | subsection (12) of Section 2-10 of the Juvenile Court Act |
15 | | of 1987 if the court has entered an order granting such |
16 | | authority.
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17 | | The health care provider shall have the right to rely on |
18 | | any of the above
surrogates if the provider believes after |
19 | | reasonable inquiry that neither a
health care agent under the |
20 | | Powers of Attorney for Health Care Law nor a
surrogate of |
21 | | higher priority is available.
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22 | | Where there are multiple surrogate decision makers at the |
23 | | same
priority level in the hierarchy, it shall be the |
24 | | responsibility of
those surrogates to make reasonable efforts |
25 | | to reach a consensus as
to their decision on behalf of the |
26 | | patient regarding the forgoing
of life-sustaining treatment. |
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1 | | If 2 or more surrogates who are in
the same category and have |
2 | | equal priority indicate to the attending
physician that they |
3 | | disagree about the health care matter at issue,
a majority of |
4 | | the available persons in that category (or the parent
with |
5 | | custodial rights) shall control, unless the minority (or the
|
6 | | parent without custodial rights) initiates guardianship |
7 | | proceedings in
accordance with the Probate Act of 1975. No |
8 | | health care provider or other
person is required to seek |
9 | | appointment of a guardian.
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10 | | (b) After a surrogate has been identified, the name, |
11 | | address,
telephone number, and relationship of that person to |
12 | | the patient
shall be recorded in the patient's medical record.
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13 | | (c) Any surrogate who becomes unavailable for any reason |
14 | | may be replaced
by applying the provisions of Section 25 in the |
15 | | same manner as for the
initial choice of surrogate.
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16 | | (d) In the event an individual of a higher priority to an |
17 | | identified
surrogate becomes available and willing to be the |
18 | | surrogate, the individual
with higher priority may be |
19 | | identified as the surrogate. In the event
an individual in a |
20 | | higher, a lower, or the same priority level or a health
care |
21 | | provider seeks to challenge the priority of or the |
22 | | life-sustaining
treatment decision of the recognized surrogate |
23 | | decision maker, the
challenging party may initiate |
24 | | guardianship proceedings in accordance with
the Probate Act of |
25 | | 1975.
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26 | | (e) The surrogate decision maker shall have the same right |
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1 | | as
the patient to receive medical information and medical |
2 | | records and to
consent to disclosure.
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3 | | (f) Any surrogate shall have the authority to make |
4 | | decisions for the patient until removed by the patient who no |
5 | | longer lacks decisional capacity, appointment of a guardian of |
6 | | the person, or the patient's death. |
7 | | (Source: P.A. 96-492, eff. 8-14-09.)
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