Bill Status of SB 1497   103rd General Assembly

Short Description:  NURSING HOMES-RESIDENT CONSENT

Senate Sponsors
Sen. Karina Villa

House Sponsors
(Rep. Maura Hirschauer-Suzanne M. Ness, Laura Faver Dias, Sharon Chung, Joyce Mason, Anne Stava-Murray, Janet Yang Rohr and Matt Hanson)


Last Action  View All Actions

DateChamber Action
  8/4/2023SenatePublic Act . . . . . . . . . 103-0489

Statutes Amended In Order of Appearance
210 ILCS 45/1-112from Ch. 111 1/2, par. 4151-112
210 ILCS 45/2-106from Ch. 111 1/2, par. 4152-106
210 ILCS 45/2-106.1
210 ILCS 45/3-615 new

Synopsis As Introduced
Amends the Nursing Home Care Act. Provides that "emergency" means a situation, physical condition, or one or more practices, methods, or operations that present imminent danger of death or serious physical or mental harm to residents of a facility and that are clinically documented in the resident's medical record (rather than only a situation, physical condition or one or more practices, methods or operations that present imminent danger of death or serious physical or mental harm to residents of a facility). Requires the need for positioning devices to be demonstrated and documented in the resident's care plan. Requires that assessment to be revisited in every comprehensive assessment of the resident. Provides that psychotropic medication shall be administered to a resident only if clinical documentation in the resident's medical record supports the benefit of the psychotropic medication over contraindications related to other prescribed medications and supports the diagnosis of the resident. Provides that, notwithstanding any other provision of law, if a resident is in a state of emergency, the emergency shall be clinically documented in the resident's medical record.

Senate Committee Amendment No. 1
Deletes reference to:
210 ILCS 45/3-615

Replaces everything after the enacting clause. Reinserts the provisions of the introduced bill with the following changes. Provides that devices used for positioning, including, but not limited to, bed rails, gait belts, and cushions, shall not be considered to be physical restraints for purposes of the Act unless the device is used to restrain or otherwise limit the patient's freedom to move. Provides that the need for a device used for positioning must be physically demonstrated by the resident and documented in the resident's care plan. Specifies that the physically demonstrated need of the resident for a device used for positioning must be revisited in every comprehensive assessment of the resident. Provides that psychotropic medication shall only be given in both emergency and nonemergency situations if the diagnosis of the resident supports the benefit of the medication and clinical documentation in the resident's medical record supports the benefit of the medication over the contraindications related to other prescribed medications. Removes a provision requiring a resident's medical emergencies to be documented.

Senate Floor Amendment No. 2
Deletes reference to:
210 ILCS 45/3-615

Replaces everything after the enacting clause. Reinserts the provisions of the introduced bill with the following changes. Provides that devices used for positioning, including, but not limited to, bed rails and gait belts, shall not be considered to be physical restraints for purposes of the Act unless the device is used to restrain or otherwise limit the patient's freedom to move. Provides that a device used for positioning must be requested by the resident, the resident's guardian, or the resident's authorized representative, or the need for that device must be physically demonstrated by the resident and documented in the resident's care plan. Specifies that the physically demonstrated need of the resident for a device used for positioning must be revisited in every comprehensive assessment of the resident. Provides that psychotropic medication shall only be given in both emergency and nonemergency situations if the diagnosis of the resident supports the benefit of the medication and clinical documentation in the resident's medical record supports the benefit of the medication over the contraindications related to other prescribed medications. Removes a provision requiring a resident's medical emergencies to be documented.

House Committee Amendment No. 1
Specifies that a device used for positioning may be requested by the resident's guardian or authorized representative only if the resident is unable to consent to the use of the device.

Actions 
DateChamber Action
  2/7/2023SenateFiled with Secretary by Sen. Karina Villa
  2/7/2023SenateFirst Reading
  2/7/2023SenateReferred to Assignments
  2/28/2023SenateAssigned to Health and Human Services
  3/3/2023SenateSenate Committee Amendment No. 1 Filed with Secretary by Sen. Karina Villa
  3/3/2023SenateSenate Committee Amendment No. 1 Referred to Assignments
  3/7/2023SenateSenate Committee Amendment No. 1 Assignments Refers to Health and Human Services
  3/7/2023SenateSenate Committee Amendment No. 1 Adopted; Health and Human Services
  3/8/2023SenateDo Pass as Amended Health and Human Services; 009-002-000
  3/8/2023SenatePlaced on Calendar Order of 2nd Reading March 9, 2023
  3/10/2023SenateSenate Floor Amendment No. 2 Filed with Secretary by Sen. Karina Villa
  3/10/2023SenateSenate Floor Amendment No. 2 Referred to Assignments
  3/21/2023SenateSenate Floor Amendment No. 2 Assignments Refers to Health and Human Services
  3/22/2023SenateSenate Floor Amendment No. 2 Recommend Do Adopt Health and Human Services; 012-000-000
  3/22/2023SenateSecond Reading
  3/22/2023SenateSenate Floor Amendment No. 2 Adopted; Villa
  3/22/2023SenatePlaced on Calendar Order of 3rd Reading March 23, 2023
  3/30/2023SenateThird Reading - Passed; 056-000-000
  3/31/2023HouseArrived in House
  3/31/2023HouseChief House Sponsor Rep. Maura Hirschauer
  4/11/2023HouseFirst Reading
  4/11/2023HouseReferred to Rules Committee
  4/18/2023HouseAssigned to Human Services Committee
  4/21/2023HouseHouse Committee Amendment No. 1 Filed with Clerk by Rep. Maura Hirschauer
  4/21/2023HouseHouse Committee Amendment No. 1 Referred to Rules Committee
  4/25/2023HouseAdded Alternate Chief Co-Sponsor Rep. Suzanne M. Ness
  4/25/2023HouseHouse Committee Amendment No. 1 Rules Refers to Human Services Committee
  4/26/2023HouseHouse Committee Amendment No. 1 Adopted in Human Services Committee; by Voice Vote
  4/26/2023HouseDo Pass as Amended / Short Debate Human Services Committee; 009-000-000
  4/26/2023HousePlaced on Calendar 2nd Reading - Short Debate
  5/3/2023HouseSecond Reading - Short Debate
  5/3/2023HousePlaced on Calendar Order of 3rd Reading - Short Debate
  5/4/2023HouseAdded Alternate Co-Sponsor Rep. Laura Faver Dias
  5/8/2023HouseThird Reading - Short Debate - Passed 102-000-000
  5/8/2023HouseAdded Alternate Co-Sponsor Rep. Joyce Mason
  5/8/2023HouseAdded Alternate Co-Sponsor Rep. Joyce Mason
  5/8/2023HouseAdded Alternate Co-Sponsor Rep. Anne Stava-Murray
  5/8/2023HouseAdded Alternate Co-Sponsor Rep. Janet Yang Rohr
  5/8/2023HouseAdded Alternate Co-Sponsor Rep. Matt Hanson
  5/9/2023SenateSecretary's Desk - Concurrence House Amendment(s) 1
  5/9/2023SenatePlaced on Calendar Order of Concurrence House Amendment(s) 1 - May 10, 2023
  5/16/2023SenateHouse Committee Amendment No. 1 Motion to Concur Filed with Secretary Sen. Karina Villa
  5/16/2023SenateHouse Committee Amendment No. 1 Motion to Concur Referred to Assignments
  5/16/2023SenateHouse Committee Amendment No. 1 Motion to Concur Assignments Referred to Health and Human Services
  5/16/2023SenateHouse Committee Amendment No. 1 Motion To Concur Recommended Do Adopt Health and Human Services; 009-000-000
  5/19/2023SenateHouse Committee Amendment No. 1 Senate Concurs 057-000-000
  5/19/2023SenateSenate Concurs
  5/19/2023SenatePassed Both Houses
  6/16/2023SenateSent to the Governor
  8/4/2023SenateGovernor Approved
  8/4/2023SenateEffective Date January 1, 2024
  8/4/2023SenatePublic Act . . . . . . . . . 103-0489

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