101ST GENERAL ASSEMBLY
State of Illinois
2019 and 2020
SB2971

 

Introduced 2/4/2020, by Sen. Jennifer Bertino-Tarrant

 

SYNOPSIS AS INTRODUCED:
 
210 ILCS 9/90
210 ILCS 9/93 new
210 ILCS 45/2-201  from Ch. 111 1/2, par. 4152-201

    Amends the Assisted Living and Shared Housing Act and the Nursing Home Care Act. Directs assisted living establishments and facilities licensed under the Nursing Home Care Act to institute written policies and procedures regarding the acceptance of personal gifts from a resident or the family member of a resident. Requires assisted living establishments and facilities to include in all employment contracts a provision that prohibits acceptance of a monetary gift from a resident or the family member of a resident, which shall also notify the employee of the need to enter into a repayment agreement to recoup the value of any gift accepted by staff from a resident or the family member of a resident that is not returned promptly. Provides that if the employee agrees to and signs the repayment agreement, the assisted living establishment or facility shall be permitted to withhold up to 15% of the employee's wages per paycheck, or a higher amount from the employee's final compensation, until the employee has paid back the full value of the monetary gift.


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A BILL FOR

 

SB2971LRB101 18474 CPF 67922 b

1    AN ACT concerning regulation.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Assisted Living and Shared Housing Act is
5amended by changing Section 90 and by adding Section 93 as
6follows:
 
7    (210 ILCS 9/90)
8    Sec. 90. Contents of service delivery contract. A contract
9between an establishment and a resident must be entitled
10"assisted living establishment contract" or "shared housing
11establishment contract" as applicable, shall be printed in no
12less than 12 point type, and shall include at least the
13following elements in the body or through supporting documents
14or attachments:
15        (1) the name, street address, and mailing address of
16    the establishment;
17        (2) the name and mailing address of the owner or owners
18    of the establishment and, if the owner or owners are not
19    natural persons, the type of business entity of the owner
20    or owners;
21        (3) the name and mailing address of the managing agent
22    of the establishment, whether hired under a management
23    agreement or lease agreement, if the managing agent is

 

 

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1    different from the owner or owners;
2        (4) the name and address of at least one natural person
3    who is authorized to accept service on behalf of the owners
4    and managing agent;
5        (5) a statement describing the license status of the
6    establishment and the license status of all providers of
7    health-related or supportive services to a resident under
8    arrangement with the establishment;
9        (6) the duration of the contract;
10        (7) the base rate to be paid by the resident and a
11    description of the services to be provided as part of this
12    rate;
13        (8) a description of any additional services to be
14    provided for an additional fee by the establishment
15    directly or by a third party provider under arrangement
16    with the establishment;
17        (9) the fee schedules outlining the cost of any
18    additional services;
19        (10) a description of the process through which the
20    contract may be modified, amended, or terminated;
21        (11) a description of the establishment's complaint
22    resolution process available to residents and notice of the
23    availability of the Department on Aging's Senior Helpline
24    for complaints;
25        (12) the name of the resident's designated
26    representative, if any;

 

 

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1        (13) the resident's obligations in order to maintain
2    residency and receive services including compliance with
3    all assessments required under Section 15;
4        (14) the billing and payment procedures and
5    requirements;
6        (15) a statement affirming the resident's freedom to
7    receive services from service providers with whom the
8    establishment does not have a contractual arrangement,
9    which may also disclaim liability on the part of the
10    establishment for those services;
11        (16) a statement that medical assistance under Article
12    V or Article VI of the Illinois Public Aid Code is not
13    available for payment for services provided in an
14    establishment, excluding contracts executed with residents
15    residing in licensed establishments participating in the
16    Department on Aging's Comprehensive Care in Residential
17    Settings Demonstration Project;
18        (17) a statement detailing the admission, risk
19    management, and residency termination criteria and
20    procedures;
21        (18) a statement listing the rights specified in
22    Section 95 and acknowledging that, by contracting with the
23    assisted living or shared housing establishment, the
24    resident does not forfeit those rights;
25        (19) a statement detailing the Department's annual
26    on-site review process including what documents contained

 

 

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1    in a resident's personal file shall be reviewed by the
2    on-site reviewer as defined by rule; and
3        (20) a statement outlining whether the establishment
4    charges a community fee and, if so, the amount of the fee
5    and whether it is refundable; if the fee is refundable, the
6    contract must describe the conditions under which it is
7    refundable and how the amount of the refund is determined;
8    and .
9        (21) a statement outlining the policies and procedures
10    of the establishment regarding the acceptance of personal
11    gifts from a resident or the family member of a resident,
12    consistent with Section 93.
13(Source: P.A. 93-775, eff. 1-1-05; 94-256, eff. 7-19-05.)
 
14    (210 ILCS 9/93 new)
15    Sec. 93. Personal gifts. An assisted living establishment
16shall institute written policies and procedures regarding the
17acceptance of personal gifts from a resident or the family
18member of a resident. The assisted living establishment shall
19also prohibit the receipt of a monetary gift, including, but
20not limited to, cash, a cash equivalent, a gift card, or
21merchandise from a resident or the family member of a resident.
22The assisted living establishment shall require that all
23employment contracts include a provision prohibiting staff
24from receiving monetary gifts from a resident or the family
25member of a resident. The provision shall also provide for a

 

 

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1repayment agreement to recoup the value of any monetary gift
2received by staff from a resident that was not returned to the
3resident. The repayment agreement shall allow the assisted
4living establishment to withhold up to 15% of an employee's
5wages per paycheck, or a higher amount from the employee's
6final compensation, to repay the resident the full value of the
7monetary gift. If there is an event that triggers the need for
8a repayment agreement, and the employer and employee agree to a
9repayment agreement, the employee must sign that agreement
10before the employer begins to withhold wages.
 
11    Section 10. The Nursing Home Care Act is amended by
12changing Section 2-201 as follows:
 
13    (210 ILCS 45/2-201)  (from Ch. 111 1/2, par. 4152-201)
14    Sec. 2-201. To protect the residents' funds, the facility:
15    (1) Shall at the time of admission provide, in order of
16priority, each resident, or the resident's guardian, if any, or
17the resident's representative, if any, or the resident's
18immediate family member, if any, with a written statement
19explaining to the resident and to the resident's spouse (a)
20their spousal impoverishment rights, as defined at Section 5-4
21of the Illinois Public Aid Code, and at Section 303 of Title
22III of the Medicare Catastrophic Coverage Act of 1988 (P.L.
23100-360), (b) their obligation to comply with the asset and
24income disclosure requirements of Title XIX of the federal

 

 

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1Social Security Act and the regulations duly promulgated
2thereunder, except that this item (b) does not apply to
3facilities operated by the Illinois Department of Veterans'
4Affairs that do not participate in Medicaid, and (c) the
5resident's rights regarding personal funds and listing the
6services for which the resident will be charged. The facility
7shall obtain a signed acknowledgment from each resident or the
8resident's guardian, if any, or the resident's representative,
9if any, or the resident's immediate family member, if any, that
10such person has received the statement and understands that
11failure to comply with asset and income disclosure requirements
12may result in the denial of Medicaid eligibility.
13    (2) May accept funds from a resident for safekeeping and
14managing, if it receives written authorization from, in order
15of priority, the resident or the resident's guardian, if any,
16or the resident's representative, if any, or the resident's
17immediate family member, if any; such authorization shall be
18attested to by a witness who has no pecuniary interest in the
19facility or its operations, and who is not connected in any way
20to facility personnel or the administrator in any manner
21whatsoever.
22    (3) Shall maintain and allow, in order of priority, each
23resident or the resident's guardian, if any, or the resident's
24representative, if any, or the resident's immediate family
25member, if any, access to a written record of all financial
26arrangements and transactions involving the individual

 

 

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1resident's funds.
2    (4) Shall provide, in order of priority, each resident, or
3the resident's guardian, if any, or the resident's
4representative, if any, or the resident's immediate family
5member, if any, with a written itemized statement at least
6quarterly, of all financial transactions involving the
7resident's funds.
8    (5) Shall purchase a surety bond, or otherwise provide
9assurance satisfactory to the Departments of Public Health and
10Insurance that all residents' personal funds deposited with the
11facility are secure against loss, theft, and insolvency.
12    (6) Shall keep any funds received from a resident for
13safekeeping in an account separate from the facility's funds,
14and shall at no time withdraw any part or all of such funds for
15any purpose other than to return the funds to the resident upon
16the request of the resident or any other person entitled to
17make such request, to pay the resident his allowance, or to
18make any other payment authorized by the resident or any other
19person entitled to make such authorization.
20    (7) Shall deposit any funds received from a resident in
21excess of $100 in an interest bearing account insured by
22agencies of, or corporations chartered by, the State or federal
23government. The account shall be in a form which clearly
24indicates that the facility has only a fiduciary interest in
25the funds and any interest from the account shall accrue to the
26resident. The facility may keep up to $100 of a resident's

 

 

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1money in a non-interest bearing account or petty cash fund, to
2be readily available for the resident's current expenditures.
3    (8) Shall return to the resident, or the person who
4executed the written authorization required in subsection (2)
5of this Section, upon written request, all or any part of the
6resident's funds given the facility for safekeeping, including
7the interest accrued from deposits.
8    (9) Shall (a) place any monthly allowance to which a
9resident is entitled in that resident's personal account, or
10give it to the resident, unless the facility has written
11authorization from the resident or the resident's guardian or
12if the resident is a minor, his parent, to handle it
13differently, (b) take all steps necessary to ensure that a
14personal needs allowance that is placed in a resident's
15personal account is used exclusively by the resident or for the
16benefit of the resident, and (c) where such funds are withdrawn
17from the resident's personal account by any person other than
18the resident, require such person to whom funds constituting
19any part of a resident's personal needs allowance are released,
20to execute an affidavit that such funds shall be used
21exclusively for the benefit of the resident.
22    (10) Unless otherwise provided by State law, upon the death
23of a resident, shall provide the executor or administrator of
24the resident's estate with a complete accounting of all the
25resident's personal property, including any funds of the
26resident being held by the facility.

 

 

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1    (11) If an adult resident is incapable of managing his
2funds and does not have a resident's representative, guardian,
3or an immediate family member, shall notify the Office of the
4State Guardian of the Guardianship and Advocacy Commission.
5    (12) If the facility is sold, shall provide the buyer with
6a written verification by a public accountant of all residents'
7monies and properties being transferred, and obtain a signed
8receipt from the new owner.
9    (13) Shall establish written policies and procedures
10regarding the acceptance of personal gifts from a resident or
11the family member of a resident consistent with this paragraph.
12The facility shall include in all employment contracts a
13provision that prohibits acceptance of a monetary gift,
14including, but not limited to, cash, a cash equivalent, a gift
15card, or merchandise, from a resident or the family member of a
16resident. The provision shall also notify the employee of the
17need to enter into a repayment agreement to recoup the value of
18any gift accepted by an employee from a resident or the family
19member of a resident that is not returned promptly. If the
20employee agrees to and signs the repayment agreement, the
21facility shall be permitted to withhold up to 15% of the
22employee's wages per paycheck, or a higher amount from the
23employee's final compensation, until the employee has paid back
24the full value of the monetary gift. The facility shall forward
25all recovered funds to the resident or the resident's estate as
26soon as is feasible.

 

 

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1(Source: P.A. 98-523, eff. 8-23-13.)