Rep. Sue Scherer

Filed: 4/9/2019

 

 


 

 


 
10100HB0425ham001LRB101 03354 AMC 59508 a

1
AMENDMENT TO HOUSE BILL 425

2    AMENDMENT NO. ______. Amend House Bill 425 by replacing
3everything after the enacting clause with the following:
 
4    "Section 5. The Nursing Home Care Act is amended by
5changing Section 3-206 as follows:
 
6    (210 ILCS 45/3-206)  (from Ch. 111 1/2, par. 4153-206)
7    Sec. 3-206. The Department shall prescribe a curriculum for
8training nursing assistants, habilitation aides, and child
9care aides.
10    (a) No person, except a volunteer who receives no
11compensation from a facility and is not included for the
12purpose of meeting any staffing requirements set forth by the
13Department, shall act as a nursing assistant, habilitation
14aide, or child care aide in a facility, nor shall any person,
15under any other title, not licensed, certified, or registered
16to render medical care by the Department of Financial and

 

 

10100HB0425ham001- 2 -LRB101 03354 AMC 59508 a

1Professional Regulation, assist with the personal, medical, or
2nursing care of residents in a facility, unless such person
3meets the following requirements:
4        (1) Be at least 16 years of age, of temperate habits
5    and good moral character, honest, reliable and
6    trustworthy.
7        (2) Be able to speak and understand the English
8    language or a language understood by a substantial
9    percentage of the facility's residents.
10        (3) Provide evidence of employment or occupation, if
11    any, and residence for 2 years prior to his present
12    employment.
13        (4) Have completed at least 8 years of grade school or
14    provide proof of equivalent knowledge.
15        (5) Begin a current course of training for nursing
16    assistants, habilitation aides, or child care aides,
17    approved by the Department, within 45 days of initial
18    employment in the capacity of a nursing assistant,
19    habilitation aide, or child care aide at any facility. Such
20    courses of training shall be successfully completed within
21    120 days of initial employment in the capacity of nursing
22    assistant, habilitation aide, or child care aide at a
23    facility. Nursing assistants, habilitation aides, and
24    child care aides who are enrolled in approved courses in
25    community colleges or other educational institutions on a
26    term, semester or trimester basis, shall be exempt from the

 

 

10100HB0425ham001- 3 -LRB101 03354 AMC 59508 a

1    120-day completion time limit. The Department shall adopt
2    rules for such courses of training. These rules shall
3    include procedures for facilities to carry on an approved
4    course of training within the facility. The rules shall
5    allow a registered nurse with a bachelor's degree and at
6    least 5 years' experience as a registered nurse to teach
7    seminars and training classes for nursing assistants. The
8    Department shall allow an individual to satisfy the
9    supervised clinical experience requirement for placement
10    on the Health Care Worker Registry under 77 Ill. Adm. Code
11    300.663 through supervised clinical experience at an
12    assisted living establishment licensed under the Assisted
13    Living and Shared Housing Act. The Department shall adopt
14    rules requiring that the Health Care Worker Registry
15    include information identifying where an individual on the
16    Health Care Worker Registry received his or her clinical
17    training.
18        The Department may accept comparable training in lieu
19    of the 120-hour course for student nurses, foreign nurses,
20    military personnel, or employees of the Department of Human
21    Services.
22        The facility shall develop and implement procedures,
23    which shall be approved by the Department, for an ongoing
24    review process, which shall take place within the facility,
25    for nursing assistants, habilitation aides, and child care
26    aides.

 

 

10100HB0425ham001- 4 -LRB101 03354 AMC 59508 a

1        At the time of each regularly scheduled licensure
2    survey, or at the time of a complaint investigation, the
3    Department may require any nursing assistant, habilitation
4    aide, or child care aide to demonstrate, either through
5    written examination or action, or both, sufficient
6    knowledge in all areas of required training. If such
7    knowledge is inadequate the Department shall require the
8    nursing assistant, habilitation aide, or child care aide to
9    complete inservice training and review in the facility
10    until the nursing assistant, habilitation aide, or child
11    care aide demonstrates to the Department, either through
12    written examination or action, or both, sufficient
13    knowledge in all areas of required training.
14        (6) Be familiar with and have general skills related to
15    resident care.
16    (a-0.5) An educational entity, other than a secondary
17school, conducting a nursing assistant, habilitation aide, or
18child care aide training program shall initiate a criminal
19history record check in accordance with the Health Care Worker
20Background Check Act prior to entry of an individual into the
21training program. A secondary school may initiate a criminal
22history record check in accordance with the Health Care Worker
23Background Check Act at any time during or after a training
24program.
25    (a-1) Nursing assistants, habilitation aides, or child
26care aides seeking to be included on the Health Care Worker

 

 

10100HB0425ham001- 5 -LRB101 03354 AMC 59508 a

1Registry under the Health Care Worker Background Check Act on
2or after January 1, 1996 must authorize the Department of
3Public Health or its designee to request a criminal history
4record check in accordance with the Health Care Worker
5Background Check Act and submit all necessary information. An
6individual may not newly be included on the Health Care Worker
7Registry unless a criminal history record check has been
8conducted with respect to the individual.
9    (b) Persons subject to this Section shall perform their
10duties under the supervision of a licensed nurse.
11    (c) It is unlawful for any facility to employ any person in
12the capacity of nursing assistant, habilitation aide, or child
13care aide, or under any other title, not licensed by the State
14of Illinois to assist in the personal, medical, or nursing care
15of residents in such facility unless such person has complied
16with this Section.
17    (d) Proof of compliance by each employee with the
18requirements set out in this Section shall be maintained for
19each such employee by each facility in the individual personnel
20folder of the employee. Proof of training shall be obtained
21only from the Health Care Worker Registry.
22    (e) Each facility shall obtain access to the Health Care
23Worker Registry's web application, maintain the employment and
24demographic information relating to each employee, and verify
25by the category and type of employment that each employee
26subject to this Section meets all the requirements of this

 

 

10100HB0425ham001- 6 -LRB101 03354 AMC 59508 a

1Section.
2    (f) Any facility that is operated under Section 3-803 shall
3be exempt from the requirements of this Section.
4    (g) Each skilled nursing and intermediate care facility
5that admits persons who are diagnosed as having Alzheimer's
6disease or related dementias shall require all nursing
7assistants, habilitation aides, or child care aides, who did
8not receive 12 hours of training in the care and treatment of
9such residents during the training required under paragraph (5)
10of subsection (a), to obtain 12 hours of in-house training in
11the care and treatment of such residents. If the facility does
12not provide the training in-house, the training shall be
13obtained from other facilities, community colleges or other
14educational institutions that have a recognized course for such
15training. The Department shall, by rule, establish a recognized
16course for such training. The Department's rules shall provide
17that such training may be conducted in-house at each facility
18subject to the requirements of this subsection, in which case
19such training shall be monitored by the Department.
20    The Department's rules shall also provide for
21circumstances and procedures whereby any person who has
22received training that meets the requirements of this
23subsection shall not be required to undergo additional training
24if he or she is transferred to or obtains employment at a
25different facility or a facility other than a long-term care
26facility but remains continuously employed for pay as a nursing

 

 

10100HB0425ham001- 7 -LRB101 03354 AMC 59508 a

1assistant, habilitation aide, or child care aide. Individuals
2who have performed no nursing or nursing-related services for a
3period of 24 consecutive months shall be listed as "inactive"
4and as such do not meet the requirements of this Section.
5Licensed sheltered care facilities shall be exempt from the
6requirements of this Section.
7(Source: P.A. 100-297, eff. 8-24-17; 100-432, eff. 8-25-17;
8100-863, eff. 8-14-18.)
 
9    Section 10. The MC/DD Act is amended by changing Section
103-206 as follows:
 
11    (210 ILCS 46/3-206)
12    Sec. 3-206. Curriculum for training nursing assistants and
13aides. The Department shall prescribe a curriculum for training
14nursing assistants, habilitation aides, and child care aides.
15    (a) No person, except a volunteer who receives no
16compensation from a facility and is not included for the
17purpose of meeting any staffing requirements set forth by the
18Department, shall act as a nursing assistant, habilitation
19aide, or child care aide in a facility, nor shall any person,
20under any other title, not licensed, certified, or registered
21to render medical care by the Department of Financial and
22Professional Regulation, assist with the personal, medical, or
23nursing care of residents in a facility, unless such person
24meets the following requirements:

 

 

10100HB0425ham001- 8 -LRB101 03354 AMC 59508 a

1        (1) Be at least 16 years of age, of temperate habits
2    and good moral character, honest, reliable and
3    trustworthy.
4        (2) Be able to speak and understand the English
5    language or a language understood by a substantial
6    percentage of the facility's residents.
7        (3) Provide evidence of employment or occupation, if
8    any, and residence for 2 years prior to his or her present
9    employment.
10        (4) Have completed at least 8 years of grade school or
11    provide proof of equivalent knowledge.
12        (5) Begin a current course of training for nursing
13    assistants, habilitation aides, or child care aides,
14    approved by the Department, within 45 days of initial
15    employment in the capacity of a nursing assistant,
16    habilitation aide, or child care aide at any facility. Such
17    courses of training shall be successfully completed within
18    120 days of initial employment in the capacity of nursing
19    assistant, habilitation aide, or child care aide at a
20    facility. Nursing assistants, habilitation aides, and
21    child care aides who are enrolled in approved courses in
22    community colleges or other educational institutions on a
23    term, semester or trimester basis, shall be exempt from the
24    120-day completion time limit. The Department shall adopt
25    rules for such courses of training. These rules shall
26    include procedures for facilities to carry on an approved

 

 

10100HB0425ham001- 9 -LRB101 03354 AMC 59508 a

1    course of training within the facility. The rules shall
2    allow a registered nurse with a bachelor's degree and at
3    least 5 years' experience as a registered nurse to teach
4    seminars and training classes for nursing assistants.
5        The Department may accept comparable training in lieu
6    of the 120-hour course for student nurses, foreign nurses,
7    military personnel, or employees of the Department of Human
8    Services.
9        The facility shall develop and implement procedures,
10    which shall be approved by the Department, for an ongoing
11    review process, which shall take place within the facility,
12    for nursing assistants, habilitation aides, and child care
13    aides.
14        At the time of each regularly scheduled licensure
15    survey, or at the time of a complaint investigation, the
16    Department may require any nursing assistant, habilitation
17    aide, or child care aide to demonstrate, either through
18    written examination or action, or both, sufficient
19    knowledge in all areas of required training. If such
20    knowledge is inadequate the Department shall require the
21    nursing assistant, habilitation aide, or child care aide to
22    complete inservice training and review in the facility
23    until the nursing assistant, habilitation aide, or child
24    care aide demonstrates to the Department, either through
25    written examination or action, or both, sufficient
26    knowledge in all areas of required training; and

 

 

10100HB0425ham001- 10 -LRB101 03354 AMC 59508 a

1        (6) Be familiar with and have general skills related to
2    resident care.
3    (a-0.5) An educational entity, other than a secondary
4school, conducting a nursing assistant, habilitation aide, or
5child care aide training program shall initiate a criminal
6history record check in accordance with the Health Care Worker
7Background Check Act prior to entry of an individual into the
8training program. A secondary school may initiate a criminal
9history record check in accordance with the Health Care Worker
10Background Check Act at any time during or after a training
11program.
12    (a-1) Nursing assistants, habilitation aides, or child
13care aides seeking to be included on the Health Care Worker
14Registry under the Health Care Worker Background Check Act must
15authorize the Department of Public Health or its designee to
16request a criminal history record check in accordance with the
17Health Care Worker Background Check Act and submit all
18necessary information. An individual may not newly be included
19on the Health Care Worker Registry unless a criminal history
20record check has been conducted with respect to the individual.
21    (b) Persons subject to this Section shall perform their
22duties under the supervision of a licensed nurse or other
23appropriately trained, licensed, or certified personnel.
24    (c) It is unlawful for any facility to employ any person in
25the capacity of nursing assistant, habilitation aide, or child
26care aide, or under any other title, not licensed by the State

 

 

10100HB0425ham001- 11 -LRB101 03354 AMC 59508 a

1of Illinois to assist in the personal, medical, or nursing care
2of residents in such facility unless such person has complied
3with this Section.
4    (d) Proof of compliance by each employee with the
5requirements set out in this Section shall be maintained for
6each such employee by each facility in the individual personnel
7folder of the employee. Proof of training shall be obtained
8only from the Health Care Worker Registry.
9    (e) Each facility shall obtain access to the Health Care
10Worker Registry's web application, maintain the employment and
11demographic information relating to each employee, and verify
12by the category and type of employment that each employee
13subject to this Section meets all the requirements of this
14Section.
15    (f) Any facility that is operated under Section 3-803 shall
16be exempt from the requirements of this Section.
17    (g) Each skilled nursing and intermediate care facility
18that admits persons who are diagnosed as having Alzheimer's
19disease or related dementias shall require all nursing
20assistants, habilitation aides, or child care aides, who did
21not receive 12 hours of training in the care and treatment of
22such residents during the training required under paragraph (5)
23of subsection (a), to obtain 12 hours of in house training in
24the care and treatment of such residents. If the facility does
25not provide the training in house, the training shall be
26obtained from other facilities, community colleges or other

 

 

10100HB0425ham001- 12 -LRB101 03354 AMC 59508 a

1educational institutions that have a recognized course for such
2training. The Department shall, by rule, establish a recognized
3course for such training.
4    The Department's rules shall provide that such training may
5be conducted in house at each facility subject to the
6requirements of this subsection, in which case such training
7shall be monitored by the Department. The Department's rules
8shall also provide for circumstances and procedures whereby any
9person who has received training that meets the requirements of
10this subsection shall not be required to undergo additional
11training if he or she is transferred to or obtains employment
12at a different facility or a facility other than those licensed
13under this Act but remains continuously employed as a nursing
14assistant, habilitation aide, or child care aide. Individuals
15who have performed no nursing, nursing-related services, or
16habilitation services for a period of 24 consecutive months
17shall be listed as inactive and as such do not meet the
18requirements of this Section. Licensed sheltered care
19facilities shall be exempt from the requirements of this
20Section.
21(Source: P.A. 99-180, eff. 7-29-15; 100-432, eff. 8-25-17.)
 
22    Section 15. The ID/DD Community Care Act is amended by
23changing Section 3-206 as follows:
 
24    (210 ILCS 47/3-206)

 

 

10100HB0425ham001- 13 -LRB101 03354 AMC 59508 a

1    Sec. 3-206. Curriculum for training nursing assistants and
2aides. The Department shall prescribe a curriculum for training
3nursing assistants, habilitation aides, and child care aides.
4    (a) No person, except a volunteer who receives no
5compensation from a facility and is not included for the
6purpose of meeting any staffing requirements set forth by the
7Department, shall act as a nursing assistant, habilitation
8aide, or child care aide in a facility, nor shall any person,
9under any other title, not licensed, certified, or registered
10to render medical care by the Department of Financial and
11Professional Regulation, assist with the personal, medical, or
12nursing care of residents in a facility, unless such person
13meets the following requirements:
14        (1) Be at least 16 years of age, of temperate habits
15    and good moral character, honest, reliable and
16    trustworthy.
17        (2) Be able to speak and understand the English
18    language or a language understood by a substantial
19    percentage of the facility's residents.
20        (3) Provide evidence of employment or occupation, if
21    any, and residence for 2 years prior to his or her present
22    employment.
23        (4) Have completed at least 8 years of grade school or
24    provide proof of equivalent knowledge.
25        (5) Begin a current course of training for nursing
26    assistants, habilitation aides, or child care aides,

 

 

10100HB0425ham001- 14 -LRB101 03354 AMC 59508 a

1    approved by the Department, within 45 days of initial
2    employment in the capacity of a nursing assistant,
3    habilitation aide, or child care aide at any facility. Such
4    courses of training shall be successfully completed within
5    120 days of initial employment in the capacity of nursing
6    assistant, habilitation aide, or child care aide at a
7    facility. Nursing assistants, habilitation aides, and
8    child care aides who are enrolled in approved courses in
9    community colleges or other educational institutions on a
10    term, semester or trimester basis, shall be exempt from the
11    120-day completion time limit. The Department shall adopt
12    rules for such courses of training. These rules shall
13    include procedures for facilities to carry on an approved
14    course of training within the facility. The rules shall
15    allow a registered nurse with a bachelor's degree and at
16    least 5 years' experience as a registered nurse to teach
17    seminars and training classes for nursing assistants.
18        The Department may accept comparable training in lieu
19    of the 120-hour course for student nurses, foreign nurses,
20    military personnel, or employees of the Department of Human
21    Services.
22        The facility shall develop and implement procedures,
23    which shall be approved by the Department, for an ongoing
24    review process, which shall take place within the facility,
25    for nursing assistants, habilitation aides, and child care
26    aides.

 

 

10100HB0425ham001- 15 -LRB101 03354 AMC 59508 a

1        At the time of each regularly scheduled licensure
2    survey, or at the time of a complaint investigation, the
3    Department may require any nursing assistant, habilitation
4    aide, or child care aide to demonstrate, either through
5    written examination or action, or both, sufficient
6    knowledge in all areas of required training. If such
7    knowledge is inadequate the Department shall require the
8    nursing assistant, habilitation aide, or child care aide to
9    complete inservice training and review in the facility
10    until the nursing assistant, habilitation aide, or child
11    care aide demonstrates to the Department, either through
12    written examination or action, or both, sufficient
13    knowledge in all areas of required training; and
14        (6) Be familiar with and have general skills related to
15    resident care.
16    (a-0.5) An educational entity, other than a secondary
17school, conducting a nursing assistant, habilitation aide, or
18child care aide training program shall initiate a criminal
19history record check in accordance with the Health Care Worker
20Background Check Act prior to entry of an individual into the
21training program. A secondary school may initiate a criminal
22history record check in accordance with the Health Care Worker
23Background Check Act at any time during or after a training
24program.
25    (a-1) Nursing assistants, habilitation aides, or child
26care aides seeking to be included on the Health Care Worker

 

 

10100HB0425ham001- 16 -LRB101 03354 AMC 59508 a

1Registry under the Health Care Worker Background Check Act must
2authorize the Department of Public Health or its designee to
3request a criminal history record check in accordance with the
4Health Care Worker Background Check Act and submit all
5necessary information. An individual may not newly be included
6on the Health Care Worker Registry unless a criminal history
7record check has been conducted with respect to the individual.
8    (b) Persons subject to this Section shall perform their
9duties under the supervision of a licensed nurse or other
10appropriately trained, licensed, or certified personnel.
11    (c) It is unlawful for any facility to employ any person in
12the capacity of nursing assistant, habilitation aide, or child
13care aide, or under any other title, not licensed by the State
14of Illinois to assist in the personal, medical, or nursing care
15of residents in such facility unless such person has complied
16with this Section.
17    (d) Proof of compliance by each employee with the
18requirements set out in this Section shall be maintained for
19each such employee by each facility in the individual personnel
20folder of the employee. Proof of training shall be obtained
21only from the Health Care Worker Registry.
22    (e) Each facility shall obtain access to the Health Care
23Worker Registry's web application, maintain the employment and
24demographic information relating to each employee, and verify
25by the category and type of employment that each employee
26subject to this Section meets all the requirements of this

 

 

10100HB0425ham001- 17 -LRB101 03354 AMC 59508 a

1Section.
2    (f) Any facility that is operated under Section 3-803 shall
3be exempt from the requirements of this Section.
4    (g) Each skilled nursing and intermediate care facility
5that admits persons who are diagnosed as having Alzheimer's
6disease or related dementias shall require all nursing
7assistants, habilitation aides, or child care aides, who did
8not receive 12 hours of training in the care and treatment of
9such residents during the training required under paragraph (5)
10of subsection (a), to obtain 12 hours of in house training in
11the care and treatment of such residents. If the facility does
12not provide the training in house, the training shall be
13obtained from other facilities, community colleges or other
14educational institutions that have a recognized course for such
15training. The Department shall, by rule, establish a recognized
16course for such training.
17    The Department's rules shall provide that such training may
18be conducted in house at each facility subject to the
19requirements of this subsection, in which case such training
20shall be monitored by the Department. The Department's rules
21shall also provide for circumstances and procedures whereby any
22person who has received training that meets the requirements of
23this subsection shall not be required to undergo additional
24training if he or she is transferred to or obtains employment
25at a different facility or a facility other than those licensed
26under this Act but remains continuously employed as a nursing

 

 

10100HB0425ham001- 18 -LRB101 03354 AMC 59508 a

1assistant, habilitation aide, or child care aide. Individuals
2who have performed no nursing, nursing-related services, or
3habilitation services for a period of 24 consecutive months
4shall be listed as inactive and as such do not meet the
5requirements of this Section. Licensed sheltered care
6facilities shall be exempt from the requirements of this
7Section.
8(Source: P.A. 100-432, eff. 8-25-17.)
 
9    Section 99. Effective date. This Act takes effect upon
10becoming law.".