102ND GENERAL ASSEMBLY
State of Illinois
2021 and 2022
HB5863

 

Introduced 1/4/2023, by Rep. Lakesia Collins

 

SYNOPSIS AS INTRODUCED:
 
See Index

    Amends the Specialized Mental Health Rehabilitation Act of 2013. Excludes from definition of "consumer" under the Act an individual who has been found unfit to stand trial, or not guilty by reason of insanity, and is currently subject to a court order requiring placement in secure, inpatient care in the custody of the Department of Human Services pursuant to the Code of Criminal Procedure of 1963 or the Unified Code of Corrections, as applicable. Amends the Code of Criminal Procedure of 1963 concerning defendants unfit to stand trial. Provides that a defendant whose disability is mental and the most serious offense charged against the defendant is a misdemeanor, the court shall order outpatient treatment, unless the court finds good cause on the record to order inpatient treatment. Provides that the Department shall admit the defendant to a secure facility within 60 days of the transmittal of the court's placement order, unless the Department can demonstrate good faith efforts at placement and a lack of bed and placement availability. Provides that if placement cannot be made within 60 days of the transmittal of the court's placement order and the Department has demonstrated good faith efforts at placement and a lack of bed and placement availability, the Department shall provide an update to the ordering court every 30 days until the defendant is placed. Deletes language providing that if, within 20 days of the transmittal by the clerk of the circuit court of the placement court order, the Department fails to notify the sheriff of the identity of the facility to which the defendant shall be transported, the sheriff shall notify the Department of its intent to transfer the defendant to the nearest secure mental health facility operated by the Department and inquire as to the status of the placement evaluation and availability for admission to such facility operated by the Department by contacting a designated person within the Department. Provides that, upon a determination that there is not a substantial probability that the defendant will attain fitness within the period specified in the Code from the original finding of unfitness, the court shall hold a discharge hearing within 60 days, unless good cause is shown for the delay. Makes other changes.


LRB102 30106 RLC 42329 b

 

 

A BILL FOR

 

HB5863LRB102 30106 RLC 42329 b

1    AN ACT concerning criminal law.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Specialized Mental Health Rehabilitation
5Act of 2013 is amended by changing Section 1-102 as follows:
 
6    (210 ILCS 49/1-102)
7    Sec. 1-102. Definitions. For the purposes of this Act,
8unless the context otherwise requires:
9    "Abuse" means any physical or mental injury or sexual
10assault inflicted on a consumer other than by accidental means
11in a facility.
12    "Accreditation" means any of the following:
13        (1) the Joint Commission;
14        (2) the Commission on Accreditation of Rehabilitation
15    Facilities;
16        (3) the Healthcare Facilities Accreditation Program;
17    or
18        (4) any other national standards of care as approved
19    by the Department.
20    "APRN" means an Advanced Practice Registered Nurse,
21nationally certified as a mental health or psychiatric nurse
22practitioner and licensed under the Nurse Practice Act.
23    "Applicant" means any person making application for a

 

 

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1license or a provisional license under this Act.
2    "Consumer" means a person, 18 years of age or older,
3admitted to a mental health rehabilitation facility for
4evaluation, observation, diagnosis, treatment, stabilization,
5recovery, and rehabilitation.
6    "Consumer" does not mean any of the following:
7        (i) an individual requiring a locked setting;
8        (ii) an individual requiring psychiatric
9    hospitalization because of an acute psychiatric crisis;
10        (iii) an individual under 18 years of age;
11        (iv) an individual who is actively suicidal or violent
12    toward others;
13        (v) an individual who has been found unfit to stand
14    trial and is currently subject to a court order requiring
15    placement in secure, inpatient care in the custody of the
16    Department of Human Services pursuant to Section 104-17 of
17    the Code of Criminal Procedure of 1963;
18        (vi) an individual who has been found not guilty by
19    reason of insanity and is currently subject to a court
20    order requiring placement in secure, inpatient care in the
21    custody of the Department of Human Services pursuant to
22    Section 5-2-4 of the Unified Code of Corrections based on
23    committing a violent act, such as sexual assault, assault
24    with a deadly weapon, arson, or murder;
25        (vii) an individual subject to temporary detention and
26    examination under Section 3-607 of the Mental Health and

 

 

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1    Developmental Disabilities Code;
2        (viii) an individual deemed clinically appropriate for
3    inpatient admission in a State psychiatric hospital; and
4        (ix) an individual transferred by the Department of
5    Corrections pursuant to Section 3-8-5 of the Unified Code
6    of Corrections.
7    "Consumer record" means a record that organizes all
8information on the care, treatment, and rehabilitation
9services rendered to a consumer in a specialized mental health
10rehabilitation facility.
11    "Controlled drugs" means those drugs covered under the
12federal Comprehensive Drug Abuse Prevention Control Act of
131970, as amended, or the Illinois Controlled Substances Act.
14    "Department" means the Department of Public Health.
15    "Discharge" means the full release of any consumer from a
16facility.
17    "Drug administration" means the act in which a single dose
18of a prescribed drug or biological is given to a consumer. The
19complete act of administration entails removing an individual
20dose from a container, verifying the dose with the
21prescriber's orders, giving the individual dose to the
22consumer, and promptly recording the time and dose given.
23    "Drug dispensing" means the act entailing the following of
24a prescription order for a drug or biological and proper
25selection, measuring, packaging, labeling, and issuance of the
26drug or biological to a consumer.

 

 

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1    "Emergency" means a situation, physical condition, or one
2or more practices, methods, or operations which present
3imminent danger of death or serious physical or mental harm to
4consumers of a facility.
5    "Facility" means a specialized mental health
6rehabilitation facility that provides at least one of the
7following services: (1) triage center; (2) crisis
8stabilization; (3) recovery and rehabilitation supports; or
9(4) transitional living units for 3 or more persons. The
10facility shall provide a 24-hour program that provides
11intensive support and recovery services designed to assist
12persons, 18 years or older, with mental disorders to develop
13the skills to become self-sufficient and capable of increasing
14levels of independent functioning. It includes facilities that
15meet the following criteria:
16        (1) 100% of the consumer population of the facility
17    has a diagnosis of serious mental illness;
18        (2) no more than 15% of the consumer population of the
19    facility is 65 years of age or older;
20        (3) none of the consumers are non-ambulatory;
21        (4) none of the consumers have a primary diagnosis of
22    moderate, severe, or profound intellectual disability; and
23        (5) the facility must have been licensed under the
24    Specialized Mental Health Rehabilitation Act or the
25    Nursing Home Care Act immediately preceding July 22, 2013
26    (the effective date of this Act) and qualifies as an

 

 

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1    institute for mental disease under the federal definition
2    of the term.
3    "Facility" does not include the following:
4        (1) a home, institution, or place operated by the
5    federal government or agency thereof, or by the State of
6    Illinois;
7        (2) a hospital, sanitarium, or other institution whose
8    principal activity or business is the diagnosis, care, and
9    treatment of human illness through the maintenance and
10    operation as organized facilities therefor which is
11    required to be licensed under the Hospital Licensing Act;
12        (3) a facility for child care as defined in the Child
13    Care Act of 1969;
14        (4) a community living facility as defined in the
15    Community Living Facilities Licensing Act;
16        (5) a nursing home or sanitarium sanatorium operated
17    solely by and for persons who rely exclusively upon
18    treatment by spiritual means through prayer, in accordance
19    with the creed or tenets of any well-recognized church or
20    religious denomination; however, such nursing home or
21    sanitarium sanatorium shall comply with all local laws and
22    rules relating to sanitation and safety;
23        (6) a facility licensed by the Department of Human
24    Services as a community-integrated living arrangement as
25    defined in the Community-Integrated Living Arrangements
26    Licensure and Certification Act;

 

 

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1        (7) a supportive residence licensed under the
2    Supportive Residences Licensing Act;
3        (8) a supportive living facility in good standing with
4    the program established under Section 5-5.01a of the
5    Illinois Public Aid Code, except only for purposes of the
6    employment of persons in accordance with Section 3-206.01
7    of the Nursing Home Care Act;
8        (9) an assisted living or shared housing establishment
9    licensed under the Assisted Living and Shared Housing Act,
10    except only for purposes of the employment of persons in
11    accordance with Section 3-206.01 of the Nursing Home Care
12    Act;
13        (10) an Alzheimer's disease management center
14    alternative health care model licensed under the
15    Alternative Health Care Delivery Act;
16        (11) a home, institution, or other place operated by
17    or under the authority of the Illinois Department of
18    Veterans' Affairs;
19        (12) a facility licensed under the ID/DD Community
20    Care Act;
21        (13) a facility licensed under the Nursing Home Care
22    Act after July 22, 2013 (the effective date of this Act);
23    or
24        (14) a facility licensed under the MC/DD Act.
25    "Executive director" means a person who is charged with
26the general administration and supervision of a facility

 

 

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1licensed under this Act and who is a licensed nursing home
2administrator, licensed practitioner of the healing arts, or
3qualified mental health professional.
4    "Guardian" means a person appointed as a guardian of the
5person or guardian of the estate, or both, of a consumer under
6the Probate Act of 1975.
7    "Identified offender" means a person who meets any of the
8following criteria:
9        (1) Has been convicted of, found guilty of,
10    adjudicated delinquent for, found not guilty by reason of
11    insanity for, or found unfit to stand trial for, any
12    felony offense listed in Section 25 of the Health Care
13    Worker Background Check Act, except for the following:
14            (i) a felony offense described in Section 10-5 of
15        the Nurse Practice Act;
16            (ii) a felony offense described in Section 4, 5,
17        6, 8, or 17.02 of the Illinois Credit Card and Debit
18        Card Act;
19            (iii) a felony offense described in Section 5,
20        5.1, 5.2, 7, or 9 of the Cannabis Control Act;
21            (iv) a felony offense described in Section 401,
22        401.1, 404, 405, 405.1, 407, or 407.1 of the Illinois
23        Controlled Substances Act; and
24            (v) a felony offense described in the
25        Methamphetamine Control and Community Protection Act.
26        (2) Has been convicted of, adjudicated delinquent for,

 

 

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1    found not guilty by reason of insanity for, or found unfit
2    to stand trial for, any sex offense as defined in
3    subsection (c) of Section 10 of the Sex Offender
4    Management Board Act.
5    "Transitional living units" are residential units within a
6facility that have the purpose of assisting the consumer in
7developing and reinforcing the necessary skills to live
8independently outside of the facility. The duration of stay in
9such a setting shall not exceed 120 days for each consumer.
10Nothing in this definition shall be construed to be a
11prerequisite for transitioning out of a facility.
12    "Licensee" means the person, persons, firm, partnership,
13association, organization, company, corporation, or business
14trust to which a license has been issued.
15    "Misappropriation of a consumer's property" means the
16deliberate misplacement, exploitation, or wrongful temporary
17or permanent use of a consumer's belongings or money without
18the consent of a consumer or his or her guardian.
19    "Neglect" means a facility's failure to provide, or
20willful withholding of, adequate medical care, mental health
21treatment, psychiatric rehabilitation, personal care, or
22assistance that is necessary to avoid physical harm and mental
23anguish of a consumer.
24    "Personal care" means assistance with meals, dressing,
25movement, bathing, or other personal needs, maintenance, or
26general supervision and oversight of the physical and mental

 

 

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1well-being of an individual who is incapable of maintaining a
2private, independent residence or who is incapable of managing
3his or her person, whether or not a guardian has been appointed
4for such individual. "Personal care" shall not be construed to
5confine or otherwise constrain a facility's pursuit to develop
6the skills and abilities of a consumer to become
7self-sufficient and capable of increasing levels of
8independent functioning.
9    "Recovery and rehabilitation supports" means a program
10that facilitates a consumer's longer-term symptom management
11and stabilization while preparing the consumer for
12transitional living units by improving living skills and
13community socialization. The duration of stay in such a
14setting shall be established by the Department by rule.
15    "Restraint" means:
16        (i) a physical restraint that is any manual method or
17    physical or mechanical device, material, or equipment
18    attached or adjacent to a consumer's body that the
19    consumer cannot remove easily and restricts freedom of
20    movement or normal access to one's body; devices used for
21    positioning, including, but not limited to, bed rails,
22    gait belts, and cushions, shall not be considered to be
23    restraints for purposes of this Section; or
24        (ii) a chemical restraint that is any drug used for
25    discipline or convenience and not required to treat
26    medical symptoms; the Department shall, by rule, designate

 

 

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1    certain devices as restraints, including at least all
2    those devices that have been determined to be restraints
3    by the United States Department of Health and Human
4    Services in interpretive guidelines issued for the
5    purposes of administering Titles XVIII and XIX of the
6    federal Social Security Act. For the purposes of this Act,
7    restraint shall be administered only after utilizing a
8    coercive free environment and culture.
9    "Self-administration of medication" means consumers shall
10be responsible for the control, management, and use of their
11own medication.
12    "Crisis stabilization" means a secure and separate unit
13that provides short-term behavioral, emotional, or psychiatric
14crisis stabilization as an alternative to hospitalization or
15re-hospitalization for consumers from residential or community
16placement. The duration of stay in such a setting shall not
17exceed 21 days for each consumer.
18    "Therapeutic separation" means the removal of a consumer
19from the milieu to a room or area which is designed to aid in
20the emotional or psychiatric stabilization of that consumer.
21    "Triage center" means a non-residential 23-hour center
22that serves as an alternative to emergency room care,
23hospitalization, or re-hospitalization for consumers in need
24of short-term crisis stabilization. Consumers may access a
25triage center from a number of referral sources, including
26family, emergency rooms, hospitals, community behavioral

 

 

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1health providers, federally qualified health providers, or
2schools, including colleges or universities. A triage center
3may be located in a building separate from the licensed
4location of a facility, but shall not be more than 1,000 feet
5from the licensed location of the facility and must meet all of
6the facility standards applicable to the licensed location. If
7the triage center does operate in a separate building, safety
8personnel shall be provided, on site, 24 hours per day and the
9triage center shall meet all other staffing requirements
10without counting any staff employed in the main facility
11building.
12(Source: P.A. 102-1053, eff. 6-10-22; revised 8-24-22.)
 
13    Section 10. The Code of Criminal Procedure of 1963 is
14amended by changing Sections 104-17 and 104-23 as follows:
 
15    (725 ILCS 5/104-17)  (from Ch. 38, par. 104-17)
16    Sec. 104-17. Commitment for treatment; treatment plan.
17    (a) If the defendant is eligible to be or has been released
18on pretrial release or on his own recognizance, the court
19shall select the least physically restrictive form of
20treatment therapeutically appropriate and consistent with the
21treatment plan. The placement may be ordered either on an
22inpatient or an outpatient basis.
23    (b) If the defendant's disability is mental, the court may
24order him placed for secure treatment in the custody of the

 

 

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1Department of Human Services, or the court may order him
2placed in the custody of any other appropriate public or
3private mental health facility or treatment program which has
4agreed to provide treatment to the defendant. If the most
5serious charge against the defendant is a misdemeanor, the
6court shall order outpatient treatment, unless the court finds
7good cause on the record to order inpatient treatment. If the
8court orders the defendant to inpatient treatment placed in
9the custody of the Department of Human Services, the
10Department shall evaluate the defendant to determine the most
11appropriate to which secure facility to receive the defendant,
12shall be transported and, within 20 days of the transmittal by
13the clerk of the circuit court of the court's placement court
14order, notify the court sheriff of the designated facility to
15receive the defendant. The Department shall admit the
16defendant to a secure facility within 60 days of the
17transmittal of the court's placement order, unless the
18Department can demonstrate good faith efforts at placement and
19a lack of bed and placement availability. If placement cannot
20be made within 60 days of the transmittal of the court's
21placement order and the Department has demonstrated good faith
22efforts at placement and a lack of bed and placement
23availability, the Department shall provide an update to the
24ordering court every 30 days until the defendant is placed.
25Once bed and placement availability are determined, the
26Department shall notify . Upon receipt of that notice, the

 

 

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1sheriff, who shall promptly transport the defendant to the
2designated facility. If the defendant is placed in the custody
3of the Department of Human Services, the defendant shall be
4placed in a secure setting. During the period of time required
5to determine bed and placement availability at the designated
6facility, the appropriate placement the defendant shall remain
7in jail. If during the course of evaluating the defendant for
8placement, the Department of Human Services determines that
9the defendant is currently fit to stand trial, it shall
10immediately notify the court and shall submit a written report
11within 7 days. In that circumstance the placement shall be
12held pending a court hearing on the Department's report.
13Otherwise, upon completion of the placement process, including
14identifying bed and placement availability, the sheriff shall
15be notified and shall transport the defendant to the
16designated facility. If, within 60 20 days of the transmittal
17by the clerk of the circuit court of the court's placement
18court order, the Department fails to provide notify the
19sheriff with notice of bed and placement availability at the
20designated facility of the identity of the facility to which
21the defendant shall be transported, the sheriff shall contact
22a designated person within the Department to inquire about
23when a placement will become available at the designated
24facility as well as and bed and placement availability at
25other secure facilities. If, within 20 days of the transmittal
26by the clerk of the circuit court of the placement court order,

 

 

HB5863- 14 -LRB102 30106 RLC 42329 b

1the Department fails to notify the sheriff of the identity of
2the facility to which the defendant shall be transported, the
3sheriff shall notify the Department of its intent to transfer
4the defendant to the nearest secure mental health facility
5operated by the Department and inquire as to the status of the
6placement evaluation and availability for admission to such
7facility operated by the Department by contacting a designated
8person within the Department. The Department shall respond to
9the sheriff within 2 business days of the notice and inquiry by
10the sheriff, seeking the transfer and the Department shall
11provide the sheriff with the status of the evaluation,
12information on bed and placement availability, and an
13estimated date of admission for the defendant and any changes
14to the designated facility or that estimated date of
15admission. If the Department notifies the sheriff during the 2
16business day period of a facility operated by the Department
17with bed and placement availability, the sheriff shall
18promptly transport the defendant to that facility. The
19placement may be ordered either on an inpatient or an
20outpatient basis.
21    (c) If the defendant's disability is physical, the court
22may order him placed under the supervision of the Department
23of Human Services which shall place and maintain the defendant
24in a suitable treatment facility or program, or the court may
25order him placed in an appropriate public or private facility
26or treatment program which has agreed to provide treatment to

 

 

HB5863- 15 -LRB102 30106 RLC 42329 b

1the defendant. The placement may be ordered either on an
2inpatient or an outpatient basis.
3    (d) The clerk of the circuit court shall within 5 days of
4the entry of the order transmit to the Department, agency or
5institution, if any, to which the defendant is remanded for
6treatment, the following:
7        (1) a certified copy of the order to undergo
8    treatment. Accompanying the certified copy of the order to
9    undergo treatment shall be the complete copy of any report
10    prepared under Section 104-15 of this Code or other report
11    prepared by a forensic examiner for the court;
12        (2) the county and municipality in which the offense
13    was committed;
14        (3) the county and municipality in which the arrest
15    took place;
16        (4) a copy of the arrest report, criminal charges,
17    arrest record; and
18        (5) all additional matters which the Court directs the
19    clerk to transmit.
20    (e) Within 30 days of admission to the designated facility
21entry of an order to undergo treatment, the person supervising
22the defendant's treatment shall file with the court, the
23State, and the defense a report assessing the facility's or
24program's capacity to provide appropriate treatment for the
25defendant and indicating his opinion as to the probability of
26the defendant's attaining fitness within a period of time from

 

 

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1the date of the finding of unfitness. For a defendant charged
2with a felony, the period of time shall be one year. For a
3defendant charged with a misdemeanor, the period of time shall
4be no longer than the sentence if convicted of the most serious
5offense. If the report indicates that there is a substantial
6probability that the defendant will attain fitness within the
7time period, the treatment supervisor shall also file a
8treatment plan which shall include:
9        (1) A diagnosis of the defendant's disability;
10        (2) A description of treatment goals with respect to
11    rendering the defendant fit, a specification of the
12    proposed treatment modalities, and an estimated timetable
13    for attainment of the goals;
14        (3) An identification of the person in charge of
15    supervising the defendant's treatment.
16(Source: P.A. 100-27, eff. 1-1-18; 101-652, eff. 1-1-23.)
 
17    (725 ILCS 5/104-23)  (from Ch. 38, par. 104-23)
18    Sec. 104-23. Unfit defendants. Cases involving an unfit
19defendant who demands a discharge hearing or a defendant who
20cannot become fit to stand trial and for whom no special
21provisions or assistance can compensate for his disability and
22render him fit shall proceed in the following manner:
23    (a) Upon a determination that there is not a substantial
24probability that the defendant will attain fitness within the
25time period set in subsection (e) of Section 104-17 of this

 

 

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1Code from the original finding of unfitness, the court shall
2hold a discharge hearing within 60 days, unless good cause is
3shown for the delay a defendant or the attorney for the
4defendant may move for a discharge hearing pursuant to the
5provisions of Section 104-25. The discharge hearing shall be
6held within 120 days of the filing of a motion for a discharge
7hearing, unless the delay is occasioned by the defendant.
8    (b) If at any time the court determines that there is not a
9substantial probability that the defendant will become fit to
10stand trial or to plead within the time period set in
11subsection (e) of Section 104-17 of this Code from the date of
12the original finding of unfitness, or if at the end of the time
13period set in subsection (e) of Section 104-17 of this Code
14from that date the court finds the defendant still unfit and
15for whom no special provisions or assistance can compensate
16for his disabilities and render him fit, the State shall
17request the court:
18        (1) To set the matter for hearing pursuant to Section
19    104-25 unless a hearing has already been held pursuant to
20    paragraph (a) of this Section; or
21        (2) To release the defendant from custody and to
22    dismiss with prejudice the charges against him; or
23        (3) To remand the defendant to the custody of the
24    Department of Human Services and order a hearing to be
25    conducted pursuant to the provisions of the Mental Health
26    and Developmental Disabilities Code, as now or hereafter

 

 

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1    amended. The Department of Human Services shall have 7
2    days from the date it receives the defendant to prepare
3    and file the necessary petition and certificates that are
4    required for commitment under the Mental Health and
5    Developmental Disabilities Code. If the defendant is
6    committed to the Department of Human Services pursuant to
7    such hearing, the court having jurisdiction over the
8    criminal matter shall dismiss the charges against the
9    defendant, with the leave to reinstate. In such cases the
10    Department of Human Services shall notify the court, the
11    State's Attorney attorney and the defense attorney upon
12    the discharge of the defendant. A former defendant so
13    committed shall be treated in the same manner as any other
14    civilly committed patient for all purposes including
15    admission, selection of the place of treatment and the
16    treatment modalities, entitlement to rights and
17    privileges, transfer, and discharge. A defendant who is
18    not committed shall be remanded to the court having
19    jurisdiction of the criminal matter for disposition
20    pursuant to subparagraph (1) or (2) of paragraph (b) of
21    this Section.
22    (c) If the defendant is restored to fitness and the
23original charges against him are reinstated, the speedy trial
24provisions of Section 103-5 shall commence to run.
25(Source: P.A. 98-1025, eff. 8-22-14.)

 

 

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1 INDEX
2 Statutes amended in order of appearance
3    210 ILCS 49/1-102
4    725 ILCS 5/104-17from Ch. 38, par. 104-17
5    725 ILCS 5/104-23from Ch. 38, par. 104-23