093_HB0088ham001

 










                                     LRB093 02345 AMC 10957 a

 1                     AMENDMENT TO HOUSE BILL 88

 2        AMENDMENT NO.     .  Amend House Bill 88, on page 3, line
 3    29, by replacing "every facility" with  "each  State-operated
 4    facility  for the mentally ill and developmentally disabled";
 5    and

 6    on page 4, line 5, by replacing "every facility"  with  "each
 7    State-operated    facility   for   the   mentally   ill   and
 8    developmentally disabled"; and

 9    on page 4, line 33, by deleting "suitable"; and

10    on page 5, by deleting lines 3 through 5; and

11    on page 5, line  22,  after  "clientele",  by  inserting  "or
12    services to existing clientele"; and

13    on page 5, line 25, by replacing "fully" with "fully"; and

14    on page 5, line 26, by replacing "increased" with "reasonable
15    increased; and

16    on page 9, by replacing lines 7 and 8 with the following:
17    "determined to have staff who have been appropriately trained
18    by the Department and"; and

19    on page 9, by replacing lines 27 and 28 with the following:
20    "first year, the Department shall determine at what point the
 
                            -2-      LRB093 02345 AMC 10957 a
 1    appropriate  licensing  entity for the facility or designated
 2    community  living  situation  or  program  will  assume   the
 3    responsibility  of  ensuring  that  appropriate  services are
 4    being provided to the resident.  Once that responsibility  is
 5    assumed,  the  Department  may discontinue such visits.  If a
 6    long term care"; and

 7    on page 9, line 30, after "conferences", by inserting  ",  if
 8    such  participation  is  approved  by  the  resident  or  the
 9    resident's guardian"; and

10    on  page  10, line 14, after "Department", by inserting ", to
11    the licensing agency,"; and

12    on page 10,  by  replacing  lines  15  through  21  with  the
13    following:
14    "subsequent  to  each  visitation.   The report shall contain
15    recommendations to improve the  care  and  treatment  of  the
16    resident,  as  necessary,  which  shall  be  reviewed  by the
17    facility's interdisciplinary team and  the  resident  or  the
18    resident's legal guardian."; and

19    on  page  23,  line  31,  by  replacing  "body;"  with "body.
20    Devices  used  for  safety   precautions   and   positioning,
21    including  but  not  limited  to  bed  rails, lap belts, gait
22    belts, and cushions, shall not be considered to be restraints
23    for purposes of this Section;"; and

24    on page 24,  by  replacing  lines  14  through  20  with  the
25    following:
26    "resident's  clinical  record.   Each facility licensed under
27    this Act must have a written policy to  address  the  use  of
28    restraints  and seclusion.  The Department shall establish by
29    rule the provisions that the policy must include,  which,  to
30    the   extent  practicable,  should  be  consistent  with  the
31    requirements  for  participation  in  the  federal   Medicare
32    program.   Each  policy  shall include periodic review of the
 
                            -3-      LRB093 02345 AMC 10957 a
 1    use of restraints."; and

 2    on page 26, by deleting lines 27 through 32; and

 3    by deleting pages 27 through 30; and

 4    on page 31, by deleting lines 1 through 3; and

 5    on page 31, lines 4 and 5, by replacing "Sections 10 and  25"
 6    with "Section 10".