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1 | AN ACT concerning the Department on Aging.
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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 Illinois Act on the Aging is amended by | ||||||||||||||||||||||||||
5 | changing Section 4.04 as follows:
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6 | (20 ILCS 105/4.04) (from Ch. 23, par. 6104.04)
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7 | Sec. 4.04. Long Term Care Ombudsman Program.
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8 | (a) Long Term Care Ombudsman Program. The Department shall
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9 | establish a Long Term Care Ombudsman Program, through the | ||||||||||||||||||||||||||
10 | Office of State
Long Term Care Ombudsman ("the Office"), in | ||||||||||||||||||||||||||
11 | accordance with the provisions of
the Older Americans Act of | ||||||||||||||||||||||||||
12 | 1965, as now or hereafter amended.
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13 | (b) Definitions. As used in this Section, unless the | ||||||||||||||||||||||||||
14 | context requires
otherwise:
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15 | (1) "Access" has the same meaning as in Section 1-104 | ||||||||||||||||||||||||||
16 | of the Nursing
Home Care Act, as now or hereafter amended; | ||||||||||||||||||||||||||
17 | that is, it means the right to:
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18 | (i) Enter any long term care facility or assisted | ||||||||||||||||||||||||||
19 | living or shared
housing establishment or supportive | ||||||||||||||||||||||||||
20 | living facility;
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21 | (ii) Communicate privately and without restriction | ||||||||||||||||||||||||||
22 | with any resident
who consents to the communication;
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23 | (iii) Seek consent to communicate privately and | ||||||||||||||||||||||||||
24 | without restriction
with any resident;
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25 | (iv) Inspect the clinical and other records of a | ||||||||||||||||||||||||||
26 | resident with the
express written consent of the | ||||||||||||||||||||||||||
27 | resident;
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28 | (v) Observe all areas of the long term care | ||||||||||||||||||||||||||
29 | facility or supportive
living facilities, assisted | ||||||||||||||||||||||||||
30 | living or shared housing establishment except the
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31 | living area of any resident who protests the | ||||||||||||||||||||||||||
32 | observation.
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1 | (2) "Long Term Care Facility" means (i) any facility as | ||||||
2 | defined by Section
1-113 of the Nursing Home Care Act, as | ||||||
3 | now or hereafter amended; and (ii) any
skilled nursing | ||||||
4 | facility or a nursing facility which meets the
requirements | ||||||
5 | of Section 1819(a), (b), (c), and (d) or Section 1919(a), | ||||||
6 | (b),
(c), and (d) of the Social Security Act, as now or | ||||||
7 | hereafter amended (42
U.S.C. 1395i-3(a), (b), (c), and (d) | ||||||
8 | and 42 U.S.C. 1396r(a), (b), (c), and
(d)).
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9 | (2.5) "Assisted living establishment" and "shared | ||||||
10 | housing establishment"
have the meanings given those terms | ||||||
11 | in Section 10 of the Assisted Living and
Shared Housing | ||||||
12 | Act.
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13 | (2.7) "Supportive living facility" means a facility | ||||||
14 | established under
Section 5-5.01a of the Illinois Public | ||||||
15 | Aid Code.
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16 | (3) "State Long Term Care Ombudsman" means any person | ||||||
17 | employed by the
Department to fulfill
the requirements of | ||||||
18 | the Office of State Long Term Care Ombudsman as
required | ||||||
19 | under the Older Americans Act of 1965, as now or hereafter | ||||||
20 | amended,
and Departmental policy.
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21 | (3.1) "Ombudsman" means any designated representative | ||||||
22 | of a regional long
term care ombudsman program; provided | ||||||
23 | that the representative, whether he is
paid for or | ||||||
24 | volunteers his ombudsman services, shall be qualified and
| ||||||
25 | designated by the Office to perform the duties of an | ||||||
26 | ombudsman as specified by
the Department in rules and in | ||||||
27 | accordance with the provisions of
the Older Americans Act | ||||||
28 | of 1965, as now or hereafter amended.
| ||||||
29 | (c) Ombudsman; rules. The Office of State Long Term Care | ||||||
30 | Ombudsman shall
be composed of at least one full-time ombudsman | ||||||
31 | and shall include a system of
designated regional long term | ||||||
32 | care ombudsman programs. Each regional program
shall be | ||||||
33 | designated by the State Long Term Care Ombudsman as a | ||||||
34 | subdivision of
the Office and any representative of a regional | ||||||
35 | program shall be treated as a
representative of the Office.
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36 | The Department, in consultation with the Office, shall |
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1 | promulgate
administrative rules in accordance with the | ||||||
2 | provisions of the Older Americans
Act of 1965, as now or | ||||||
3 | hereafter amended, to establish the responsibilities of
the | ||||||
4 | Department and the Office of State Long Term Care Ombudsman and | ||||||
5 | the
designated regional Ombudsman programs. The administrative | ||||||
6 | rules shall include
the responsibility of the Office and | ||||||
7 | designated regional programs to
investigate and resolve | ||||||
8 | complaints made by or on behalf of residents of long
term care | ||||||
9 | facilities, supportive living facilities, and assisted living | ||||||
10 | and
shared housing establishments relating to actions, | ||||||
11 | inaction, or
decisions of providers, or their representatives, | ||||||
12 | of long term care
facilities, of supported living facilities, | ||||||
13 | of assisted living and shared
housing establishments, of public | ||||||
14 | agencies, or of social services agencies,
which may adversely | ||||||
15 | affect the health, safety, welfare, or rights of such
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16 | residents.
When necessary and appropriate, representatives of | ||||||
17 | the Office shall refer
complaints to the appropriate regulatory | ||||||
18 | State agency.
The Department, in consultation with the Office, | ||||||
19 | shall cooperate with the
Department of Human Services in | ||||||
20 | providing information and training to
designated regional long | ||||||
21 | term care ombudsman programs about the appropriate
assessment | ||||||
22 | and treatment (including information about appropriate | ||||||
23 | supportive
services, treatment options, and assessment of | ||||||
24 | rehabilitation potential) of
persons with mental illness | ||||||
25 | (other than Alzheimer's disease and related
disorders). | ||||||
26 | Regional long term care ombudsman programs may use trained | ||||||
27 | volunteers to make routine visits to facilities licensed or | ||||||
28 | certified under the Nursing Home Care Act, the Assisted Living | ||||||
29 | and Shared Housing Act, and the Social Security Act or to any | ||||||
30 | other facility for which long term care ombudsman are obligated | ||||||
31 | to visit either by federal or State law. Volunteers may not be | ||||||
32 | used to investigate or resolve complaints where a violation of | ||||||
33 | federal or State law is at issue. All volunteers must submit to | ||||||
34 | background checks under the Health Care Worker Background Check | ||||||
35 | Act and receive training, as prescribed by the Illinois | ||||||
36 | Department on Aging, before visiting facilities. The training |
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1 | must include information specific to assisted living | ||||||
2 | establishments, supportive living facilities, and shared | ||||||
3 | housing establishments and to the rights of residents | ||||||
4 | guaranteed under the corresponding Acts and administrative | ||||||
5 | rules.
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6 | (d) Access and visitation rights.
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7 | (1) In accordance with subparagraphs (A) and (E) of | ||||||
8 | paragraph (3) of
subsection (c) of Section 1819
and | ||||||
9 | subparagraphs (A) and (E) of paragraph (3) of subsection | ||||||
10 | (c) of Section
1919 of the Social Security Act, as now or | ||||||
11 | hereafter amended (42 U.S.C.
1395i-3 (c)(3)(A) and (E) and | ||||||
12 | 42 U.S.C. 1396r (c)(3)(A) and (E)), and
Section
712 of the | ||||||
13 | Older Americans Act of 1965, as now or hereafter
amended | ||||||
14 | (42 U.S.C. 3058f), a long term care facility, supportive | ||||||
15 | living
facility, assisted living
establishment, and shared | ||||||
16 | housing establishment must:
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17 | (i) permit immediate access to any resident by a | ||||||
18 | designated
ombudsman; and
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19 | (ii) permit representatives of the Office, with | ||||||
20 | the permission of the
resident's legal representative | ||||||
21 | or legal guardian, to examine a resident's
clinical and | ||||||
22 | other records, and if a resident is unable to consent | ||||||
23 | to such
review, and has no legal guardian, permit | ||||||
24 | representatives of the Office
appropriate access, as | ||||||
25 | defined by the Department, in consultation with the
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26 | Office, in administrative rules, to the resident's | ||||||
27 | records.
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28 | (2) Each long term care facility, supportive living | ||||||
29 | facility, assisted
living establishment, and
shared | ||||||
30 | housing establishment shall display, in multiple, | ||||||
31 | conspicuous
public places within the facility accessible | ||||||
32 | to both visitors and residents and
in an easily readable | ||||||
33 | format, the address and phone number of the Office of the
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34 | Long Term Care Ombudsman, in a manner prescribed by the | ||||||
35 | Office.
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36 | (e) Immunity. An ombudsman or any representative of the |
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1 | Office participating
in the good faith performance of his or | ||||||
2 | her official duties
shall have immunity from any liability | ||||||
3 | (civil, criminal or otherwise) in
any proceedings (civil, | ||||||
4 | criminal or otherwise) brought as a consequence of
the | ||||||
5 | performance of his official duties.
| ||||||
6 | (f) Business offenses.
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7 | (1) No person shall:
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8 | (i) Intentionally prevent, interfere with, or | ||||||
9 | attempt to impede in any
way any representative of the | ||||||
10 | Office in the performance of his
official
duties under | ||||||
11 | this Act and the Older Americans Act of 1965; or
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12 | (ii) Intentionally retaliate, discriminate | ||||||
13 | against, or effect reprisals
against any long term care | ||||||
14 | facility resident or employee for contacting or
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15 | providing information to any representative of the | ||||||
16 | Office.
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17 | (2) A violation of this Section is a business offense, | ||||||
18 | punishable by a
fine not to exceed $501.
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19 | (3) The Director of Aging, in consultation with the | ||||||
20 | Office, shall
notify the State's Attorney of the
county in | ||||||
21 | which the long term care facility, supportive living | ||||||
22 | facility, or
assisted living or shared housing | ||||||
23 | establishment is located,
or the Attorney General, of any | ||||||
24 | violations of this Section.
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25 | (g) Confidentiality of records and identities. The | ||||||
26 | Department shall
establish procedures for the disclosure by the | ||||||
27 | State Ombudsman or the regional
ombudsmen
entities of files | ||||||
28 | maintained by the program. The procedures shall provide that
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29 | the files and records may be disclosed only at the discretion | ||||||
30 | of the State Long
Term Care
Ombudsman or the person designated | ||||||
31 | by the State Ombudsman to disclose the files
and records, and | ||||||
32 | the procedures shall prohibit the disclosure of the identity
of | ||||||
33 | any complainant, resident, witness, or employee of a long term | ||||||
34 | care provider
unless:
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35 | (1) the complainant, resident, witness, or employee of | ||||||
36 | a long term care
provider or his or her legal |
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1 | representative consents to the disclosure and the
consent | ||||||
2 | is in writing;
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3 | (2) the complainant, resident, witness, or employee of | ||||||
4 | a long term care
provider gives consent orally; and the | ||||||
5 | consent is documented contemporaneously
in writing in
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6 | accordance with such requirements as the Department shall | ||||||
7 | establish; or
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8 | (3) the disclosure is required by court order.
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9 | (h) Legal representation. The Attorney General shall
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10 | provide legal representation to any representative of the | ||||||
11 | Office
against
whom suit or other legal action is brought in | ||||||
12 | connection with the
performance of the representative's | ||||||
13 | official duties, in accordance with the
State Employee | ||||||
14 | Indemnification Act.
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15 | (i) Treatment by prayer and spiritual means. Nothing in | ||||||
16 | this Act shall
be construed to authorize or require the medical | ||||||
17 | supervision, regulation
or control of remedial care or | ||||||
18 | treatment of any resident in a long term
care facility operated | ||||||
19 | exclusively by and for members or adherents of any
church or | ||||||
20 | religious denomination the tenets and practices of which | ||||||
21 | include
reliance solely upon spiritual means through prayer for | ||||||
22 | healing.
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23 | (Source: P.A. 93-241, eff. 7-22-03.)
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24 | Section 10. The Health Care Worker Background Check Act is | ||||||
25 | amended by changing Section 15 as follows:
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26 | (225 ILCS 46/15)
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27 | Sec. 15. Definitions. For the purposes of this Act, the | ||||||
28 | following
definitions apply:
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29 | "Applicant" means an individual seeking employment with a | ||||||
30 | health care
employer who has received a bona fide conditional | ||||||
31 | offer of employment.
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32 | "Conditional offer of employment" means a bona fide offer | ||||||
33 | of employment by a
health care employer to an applicant, which | ||||||
34 | is contingent upon the receipt of a
report from the Department |
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1 | of State Police indicating that the applicant does
not have a | ||||||
2 | record of conviction of any of the criminal offenses enumerated | ||||||
3 | in
Section 25.
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4 | "Direct care" means the provision of nursing care or | ||||||
5 | assistance with feeding,
dressing, movement, bathing, | ||||||
6 | toileting, or other personal needs. The entity
responsible for | ||||||
7 | inspecting and licensing, certifying, or registering the
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8 | health care employer may, by administrative rule, prescribe | ||||||
9 | guidelines for
interpreting this definition with regard to the | ||||||
10 | health care employers that it
licenses.
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11 | "Health care employer" means:
| ||||||
12 | (1) the owner or licensee of any of the
following:
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13 | (i) a community living facility, as defined in the | ||||||
14 | Community Living
Facilities Act;
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15 | (ii) a life care facility, as defined in the Life Care | ||||||
16 | Facilities Act;
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17 | (iii) a long-term care facility, as defined in the | ||||||
18 | Nursing Home Care Act;
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19 | (iv) a home health agency, as defined in the Home | ||||||
20 | Health Agency Licensing
Act;
| ||||||
21 | (v) a full hospice, as defined in the Hospice Program | ||||||
22 | Licensing Act;
| ||||||
23 | (vi) a hospital, as defined in the Hospital Licensing | ||||||
24 | Act;
| ||||||
25 | (vii) a community residential alternative, as defined | ||||||
26 | in the Community
Residential Alternatives Licensing Act;
| ||||||
27 | (viii) a nurse agency, as defined in the Nurse Agency | ||||||
28 | Licensing Act;
| ||||||
29 | (ix) a respite care provider, as defined in the Respite | ||||||
30 | Program Act;
| ||||||
31 | (ix-a) an establishment licensed under the Assisted | ||||||
32 | Living and Shared
Housing Act;
| ||||||
33 | (x) a supportive living program, as defined in the | ||||||
34 | Illinois Public Aid
Code;
| ||||||
35 | (xi) early childhood intervention programs as | ||||||
36 | described in 59 Ill. Adm.
Code 121;
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1 | (xii) the University of Illinois Hospital, Chicago;
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2 | (xiii) programs funded by the Department on Aging | ||||||
3 | through the Community
Care Program;
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4 | (xiv) programs certified to participate in the | ||||||
5 | Supportive Living Program
authorized pursuant to Section | ||||||
6 | 5-5.01a of the Illinois Public Aid Code;
| ||||||
7 | (xv) programs listed by the Emergency Medical Services | ||||||
8 | (EMS) Systems Act
as
Freestanding Emergency Centers;
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9 | (xvi) locations licensed under the Alternative Health | ||||||
10 | Care Delivery
Act;
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11 | (2) a day training program certified by the Department of | ||||||
12 | Human Services;
or
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13 | (3) a community integrated living arrangement operated by a | ||||||
14 | community
mental health and developmental service agency, as | ||||||
15 | defined in the
Community-Integrated Living Arrangements | ||||||
16 | Licensing and Certification Act ; or
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17 | (4) a trained-volunteer program operated by a regional long | ||||||
18 | term care ombudsman program under Section 4.04 of the Illinois | ||||||
19 | Act on the Aging .
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20 | "Initiate" means the obtaining of the authorization for a | ||||||
21 | record check from
a student, applicant, or employee. The | ||||||
22 | educational entity or health care
employer or its designee | ||||||
23 | shall transmit all necessary information and fees
to the | ||||||
24 | Illinois State Police within 10 working days after receipt of | ||||||
25 | the
authorization.
| ||||||
26 | (Source: P.A. 91-598, eff. 1-1-00; 91-656, eff. 1-1-01; 92-16, | ||||||
27 | eff.
6-28-01.)
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28 | Section 99. Effective date. This Act takes effect upon | ||||||
29 | becoming law.
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