SB2900 EngrossedLRB099 20672 SMS 45286 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 State Employees Group Insurance Act of 1971
5is amended by changing Section 6.11A as follows:
 
6    (5 ILCS 375/6.11A)
7    Sec. 6.11A. Physical therapy and occupational therapy.
8    (a) The program of health benefits provided under this Act
9shall provide coverage for medically necessary physical
10therapy and occupational therapy when that therapy is ordered
11for the treatment of autoimmune diseases or referred for the
12same purpose by (i) a physician licensed under the Medical
13Practice Act of 1987, (ii) a physician physician's assistant
14licensed under the Physician Physician's Assistant Practice
15Act of 1987, or (iii) an advanced practice nurse licensed under
16the Nurse Practice Act.
17    (b) For the purpose of this Section, "medically necessary"
18means any care, treatment, intervention, service, or item that
19will or is reasonably expected to:
20        (i) prevent the onset of an illness, condition, injury,
21    disease, or disability;
22        (ii) reduce or ameliorate the physical, mental, or
23    developmental effects of an illness, condition, injury,

 

 

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1    disease, or disability; or
2        (iii) assist the achievement or maintenance of maximum
3    functional activity in performing daily activities.
4    (c) The coverage required under this Section shall be
5subject to the same deductible, coinsurance, waiting period,
6cost sharing limitation, treatment limitation, calendar year
7maximum, or other limitations as provided for other physical or
8rehabilitative or occupational therapy benefits covered by the
9policy.
10    (d) Upon request of the reimbursing insurer, the provider
11of the physical therapy or occupational therapy shall furnish
12medical records, clinical notes, or other necessary data that
13substantiate that initial or continued treatment is medically
14necessary. When treatment is anticipated to require continued
15services to achieve demonstrable progress, the insurer may
16request a treatment plan consisting of the diagnosis, proposed
17treatment by type, proposed frequency of treatment,
18anticipated duration of treatment, anticipated outcomes stated
19as goals, and proposed frequency of updating the treatment
20plan.
21    (e) When making a determination of medical necessity for
22treatment, an insurer must make the determination in a manner
23consistent with the manner in which that determination is made
24with respect to other diseases or illnesses covered under the
25policy, including an appeals process. During the appeals
26process, any challenge to medical necessity may be viewed as

 

 

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1reasonable only if the review includes a licensed health care
2professional with the same category of license as the
3professional who ordered or referred the service in question
4and with expertise in the most current and effective treatment.
5(Source: P.A. 96-1227, eff. 1-1-11; 97-604, eff. 8-26-11.)
 
6    Section 10. The Election Code is amended by changing
7Sections 19-12.1 and 19-13 as follows:
 
8    (10 ILCS 5/19-12.1)  (from Ch. 46, par. 19-12.1)
9    Sec. 19-12.1. Any qualified elector who has secured an
10Illinois Person with a Disability Identification Card in
11accordance with the Illinois Identification Card Act,
12indicating that the person named thereon has a Class 1A or
13Class 2 disability or any qualified voter who has a permanent
14physical incapacity of such a nature as to make it improbable
15that he will be able to be present at the polls at any future
16election, or any voter who is a resident of (i) a federally
17operated veterans' home, hospital, or facility located in
18Illinois or (ii) a facility licensed or certified pursuant to
19the Nursing Home Care Act, the Specialized Mental Health
20Rehabilitation Act of 2013, the ID/DD Community Care Act, or
21the MC/DD Act and has a condition or disability of such a
22nature as to make it improbable that he will be able to be
23present at the polls at any future election, may secure a
24voter's identification card for persons with disabilities or a

 

 

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1nursing home resident's identification card, which will enable
2him to vote under this Article as a physically incapacitated or
3nursing home voter. For the purposes of this Section,
4"federally operated veterans' home, hospital, or facility"
5means the long-term care facilities at the Jesse Brown VA
6Medical Center, Illiana Health Care System, Edward Hines, Jr.
7VA Hospital, Marion VA Medical Center, and Captain James A.
8Lovell Federal Health Care Center.
9    Application for a voter's identification card for persons
10with disabilities or a nursing home resident's identification
11card shall be made either: (a) in writing, with voter's sworn
12affidavit, to the county clerk or board of election
13commissioners, as the case may be, and shall be accompanied by
14the affidavit of the attending physician, advanced practice
15nurse, or a physician assistant specifically describing the
16nature of the physical incapacity or the fact that the voter is
17a nursing home resident and is physically unable to be present
18at the polls on election days; or (b) by presenting, in writing
19or otherwise, to the county clerk or board of election
20commissioners, as the case may be, proof that the applicant has
21secured an Illinois Person with a Disability Identification
22Card indicating that the person named thereon has a Class 1A or
23Class 2 disability. Upon the receipt of either the sworn-to
24application and the physician's, advanced practice nurse's, or
25a physician assistant's affidavit or proof that the applicant
26has secured an Illinois Person with a Disability Identification

 

 

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1Card indicating that the person named thereon has a Class 1A or
2Class 2 disability, the county clerk or board of election
3commissioners shall issue a voter's identification card for
4persons with disabilities or a nursing home resident's
5identification card. Such identification cards shall be issued
6for a period of 5 years, upon the expiration of which time the
7voter may secure a new card by making application in the same
8manner as is prescribed for the issuance of an original card,
9accompanied by a new affidavit of the attending physician,
10advanced practice nurse, or a physician assistant. The date of
11expiration of such five-year period shall be made known to any
12interested person by the election authority upon the request of
13such person. Applications for the renewal of the identification
14cards shall be mailed to the voters holding such cards not less
15than 3 months prior to the date of expiration of the cards.
16    Each voter's identification card for persons with
17disabilities or nursing home resident's identification card
18shall bear an identification number, which shall be clearly
19noted on the voter's original and duplicate registration record
20cards. In the event the holder becomes physically capable of
21resuming normal voting, he must surrender his voter's
22identification card for persons with disabilities or nursing
23home resident's identification card to the county clerk or
24board of election commissioners before the next election.
25    The holder of a voter's identification card for persons
26with disabilities or a nursing home resident's identification

 

 

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1card may make application by mail for an official ballot within
2the time prescribed by Section 19-2. Such application shall
3contain the same information as is included in the form of
4application for ballot by a physically incapacitated elector
5prescribed in Section 19-3 except that it shall also include
6the applicant's voter's identification card for persons with
7disabilities card number and except that it need not be sworn
8to. If an examination of the records discloses that the
9applicant is lawfully entitled to vote, he shall be mailed a
10ballot as provided in Section 19-4. The ballot envelope shall
11be the same as that prescribed in Section 19-5 for voters with
12physical disabilities, and the manner of voting and returning
13the ballot shall be the same as that provided in this Article
14for other vote by mail ballots, except that a statement to be
15subscribed to by the voter but which need not be sworn to shall
16be placed on the ballot envelope in lieu of the affidavit
17prescribed by Section 19-5.
18    Any person who knowingly subscribes to a false statement in
19connection with voting under this Section shall be guilty of a
20Class A misdemeanor.
21    For the purposes of this Section, "nursing home resident"
22includes a resident of (i) a federally operated veterans' home,
23hospital, or facility located in Illinois or (ii) a facility
24licensed under the ID/DD Community Care Act, the MC/DD Act, or
25the Specialized Mental Health Rehabilitation Act of 2013. For
26the purposes of this Section, "federally operated veterans'

 

 

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1home, hospital, or facility" means the long-term care
2facilities at the Jesse Brown VA Medical Center, Illiana Health
3Care System, Edward Hines, Jr. VA Hospital, Marion VA Medical
4Center, and Captain James A. Lovell Federal Health Care Center.
5(Source: P.A. 98-104, eff. 7-22-13; 98-1171, eff. 6-1-15;
699-143, eff. 7-27-15; 99-180, eff. 7-29-15; revised 10-14-15.)
 
7    (10 ILCS 5/19-13)  (from Ch. 46, par. 19-13)
8    Sec. 19-13. Any qualified voter who has been admitted to a
9hospital, nursing home, or rehabilitation center due to an
10illness or physical injury not more than 14 days before an
11election shall be entitled to personal delivery of a vote by
12mail ballot in the hospital, nursing home, or rehabilitation
13center subject to the following conditions:
14    (1) The voter completes the Application for Physically
15Incapacitated Elector as provided in Section 19-3, stating as
16reasons therein that he is a patient in ............... (name
17of hospital/home/center), ............... located at,
18............... (address of hospital/home/center),
19............... (county, city/village), was admitted for
20............... (nature of illness or physical injury), on
21............... (date of admission), and does not expect to be
22released from the hospital/home/center on or before the day of
23election or, if released, is expected to be homebound on the
24day of the election and unable to travel to the polling place.
25    (2) The voter's physician, advanced practice nurse, or

 

 

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1physician assistant completes a Certificate of Attending
2Health Care Professional Physician in a form substantially as
3follows:
4
CERTIFICATE OF ATTENDING HEALTH CARE PROFESSIONAL PHYSICIAN
5    I state that I am a physician, advanced practice nurse, or
6physician assistant, duly licensed to practice in the State of
7.........; that .......... is a patient in .......... (name of
8hospital/home/center), located at ............. (address of
9hospital/home/center), ................. (county,
10city/village); that such individual was admitted for
11............. (nature of illness or physical injury), on
12............ (date of admission); and that I have examined such
13individual in the State in which I am licensed to practice
14medicine and do not expect such individual to be released from
15the hospital/home/center on or before the day of election or,
16if released, to be able to travel to the polling place on
17election day.
18    Under penalties as provided by law pursuant to Section
1929-10 of The Election Code, the undersigned certifies that the
20statements set forth in this certification are true and
21correct.
22
(Signature) ...............
23
(Date licensed) ............
24    (3) Any person who is registered to vote in the same
25precinct as the admitted voter or any legal relative of the
26admitted voter may present such voter's vote by mail ballot

 

 

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1application, completed as prescribed in paragraph 1,
2accompanied by the physician's, advanced practice nurse's, or a
3physician assistant's certificate, completed as prescribed in
4paragraph 2, to the election authority. Such precinct voter or
5relative shall execute and sign an affidavit furnished by the
6election authority attesting that he is a registered voter in
7the same precinct as the admitted voter or that he is a legal
8relative of the admitted voter and stating the nature of the
9relationship. Such precinct voter or relative shall further
10attest that he has been authorized by the admitted voter to
11obtain his or her vote by mail ballot from the election
12authority and deliver such ballot to him in the hospital, home,
13or center.
14    Upon receipt of the admitted voter's application,
15physician's, advanced practice nurse's, or a physician
16assistant's certificate, and the affidavit of the precinct
17voter or the relative, the election authority shall examine the
18registration records to determine if the applicant is qualified
19to vote and, if found to be qualified, shall provide the
20precinct voter or the relative the vote by mail ballot for
21delivery to the applicant.
22    Upon receipt of the vote by mail ballot, the admitted voter
23shall mark the ballot in secret and subscribe to the
24certifications on the vote by mail ballot return envelope.
25After depositing the ballot in the return envelope and securely
26sealing the envelope, such voter shall give the envelope to the

 

 

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1precinct voter or the relative who shall deliver it to the
2election authority in sufficient time for the ballot to be
3delivered by the election authority to the election authority's
4central ballot counting location before 7 p.m. on election day.
5    Upon receipt of the admitted voter's vote by mail ballot,
6the ballot shall be counted in the manner prescribed in this
7Article.
8(Source: P.A. 98-1171, eff. 6-1-15.)
 
9    Section 15. The Alcoholism and Other Drug Abuse and
10Dependency Act is amended by changing Section 5-23 as follows:
 
11    (20 ILCS 301/5-23)
12    Sec. 5-23. Drug Overdose Prevention Program.
13    (a) Reports of drug overdose.
14        (1) The Director of the Division of Alcoholism and
15    Substance Abuse shall publish annually a report on drug
16    overdose trends statewide that reviews State death rates
17    from available data to ascertain changes in the causes or
18    rates of fatal and nonfatal drug overdose. The report shall
19    also provide information on interventions that would be
20    effective in reducing the rate of fatal or nonfatal drug
21    overdose and shall include an analysis of drug overdose
22    information reported to the Department of Public Health
23    pursuant to subsection (e) of Section 3-3013 of the
24    Counties Code, Section 6.14g of the Hospital Licensing Act,

 

 

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1    and subsection (j) of Section 22-30 of the School Code.
2        (2) The report may include:
3            (A) Trends in drug overdose death rates.
4            (B) Trends in emergency room utilization related
5        to drug overdose and the cost impact of emergency room
6        utilization.
7            (C) Trends in utilization of pre-hospital and
8        emergency services and the cost impact of emergency
9        services utilization.
10            (D) Suggested improvements in data collection.
11            (E) A description of other interventions effective
12        in reducing the rate of fatal or nonfatal drug
13        overdose.
14            (F) A description of efforts undertaken to educate
15        the public about unused medication and about how to
16        properly dispose of unused medication, including the
17        number of registered collection receptacles in this
18        State, mail-back programs, and drug take-back events.
19    (b) Programs; drug overdose prevention.
20        (1) The Director may establish a program to provide for
21    the production and publication, in electronic and other
22    formats, of drug overdose prevention, recognition, and
23    response literature. The Director may develop and
24    disseminate curricula for use by professionals,
25    organizations, individuals, or committees interested in
26    the prevention of fatal and nonfatal drug overdose,

 

 

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1    including, but not limited to, drug users, jail and prison
2    personnel, jail and prison inmates, drug treatment
3    professionals, emergency medical personnel, hospital
4    staff, families and associates of drug users, peace
5    officers, firefighters, public safety officers, needle
6    exchange program staff, and other persons. In addition to
7    information regarding drug overdose prevention,
8    recognition, and response, literature produced by the
9    Department shall stress that drug use remains illegal and
10    highly dangerous and that complete abstinence from illegal
11    drug use is the healthiest choice. The literature shall
12    provide information and resources for substance abuse
13    treatment.
14        The Director may establish or authorize programs for
15    prescribing, dispensing, or distributing opioid
16    antagonists for the treatment of drug overdose. Such
17    programs may include the prescribing of opioid antagonists
18    for the treatment of drug overdose to a person who is not
19    at risk of opioid overdose but who, in the judgment of the
20    health care professional, may be in a position to assist
21    another individual during an opioid-related drug overdose
22    and who has received basic instruction on how to administer
23    an opioid antagonist.
24        (2) The Director may provide advice to State and local
25    officials on the growing drug overdose crisis, including
26    the prevalence of drug overdose incidents, programs

 

 

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1    promoting the disposal of unused prescription drugs,
2    trends in drug overdose incidents, and solutions to the
3    drug overdose crisis.
4    (c) Grants.
5        (1) The Director may award grants, in accordance with
6    this subsection, to create or support local drug overdose
7    prevention, recognition, and response projects. Local
8    health departments, correctional institutions, hospitals,
9    universities, community-based organizations, and
10    faith-based organizations may apply to the Department for a
11    grant under this subsection at the time and in the manner
12    the Director prescribes.
13        (2) In awarding grants, the Director shall consider the
14    necessity for overdose prevention projects in various
15    settings and shall encourage all grant applicants to
16    develop interventions that will be effective and viable in
17    their local areas.
18        (3) The Director shall give preference for grants to
19    proposals that, in addition to providing life-saving
20    interventions and responses, provide information to drug
21    users on how to access drug treatment or other strategies
22    for abstaining from illegal drugs. The Director shall give
23    preference to proposals that include one or more of the
24    following elements:
25            (A) Policies and projects to encourage persons,
26        including drug users, to call 911 when they witness a

 

 

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1        potentially fatal drug overdose.
2            (B) Drug overdose prevention, recognition, and
3        response education projects in drug treatment centers,
4        outreach programs, and other organizations that work
5        with, or have access to, drug users and their families
6        and communities.
7            (C) Drug overdose recognition and response
8        training, including rescue breathing, in drug
9        treatment centers and for other organizations that
10        work with, or have access to, drug users and their
11        families and communities.
12            (D) The production and distribution of targeted or
13        mass media materials on drug overdose prevention and
14        response, the potential dangers of keeping unused
15        prescription drugs in the home, and methods to properly
16        dispose of unused prescription drugs.
17            (E) Prescription and distribution of opioid
18        antagonists.
19            (F) The institution of education and training
20        projects on drug overdose response and treatment for
21        emergency services and law enforcement personnel.
22            (G) A system of parent, family, and survivor
23        education and mutual support groups.
24        (4) In addition to moneys appropriated by the General
25    Assembly, the Director may seek grants from private
26    foundations, the federal government, and other sources to

 

 

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1    fund the grants under this Section and to fund an
2    evaluation of the programs supported by the grants.
3    (d) Health care professional prescription of opioid
4antagonists.
5        (1) A health care professional who, acting in good
6    faith, directly or by standing order, prescribes or
7    dispenses an opioid antagonist to: (a) a patient who, in
8    the judgment of the health care professional, is capable of
9    administering the drug in an emergency, or (b) a person who
10    is not at risk of opioid overdose but who, in the judgment
11    of the health care professional, may be in a position to
12    assist another individual during an opioid-related drug
13    overdose and who has received basic instruction on how to
14    administer an opioid antagonist shall not, as a result of
15    his or her acts or omissions, be subject to: (i) any
16    disciplinary or other adverse action under the Medical
17    Practice Act of 1987, the Physician Assistant Practice Act
18    of 1987, the Nurse Practice Act, the Pharmacy Practice Act,
19    or any other professional licensing statute or (ii) any
20    criminal liability, except for willful and wanton
21    misconduct.
22        (2) A person who is not otherwise licensed to
23    administer an opioid antagonist may in an emergency
24    administer without fee an opioid antagonist if the person
25    has received the patient information specified in
26    paragraph (4) of this subsection and believes in good faith

 

 

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1    that another person is experiencing a drug overdose. The
2    person shall not, as a result of his or her acts or
3    omissions, be (i) liable for any violation of the Medical
4    Practice Act of 1987, the Physician Assistant Practice Act
5    of 1987, the Nurse Practice Act, the Pharmacy Practice Act,
6    or any other professional licensing statute, or (ii)
7    subject to any criminal prosecution or civil liability,
8    except for willful and wanton misconduct.
9        (3) A health care professional prescribing an opioid
10    antagonist to a patient shall ensure that the patient
11    receives the patient information specified in paragraph
12    (4) of this subsection. Patient information may be provided
13    by the health care professional or a community-based
14    organization, substance abuse program, or other
15    organization with which the health care professional
16    establishes a written agreement that includes a
17    description of how the organization will provide patient
18    information, how employees or volunteers providing
19    information will be trained, and standards for documenting
20    the provision of patient information to patients.
21    Provision of patient information shall be documented in the
22    patient's medical record or through similar means as
23    determined by agreement between the health care
24    professional and the organization. The Director of the
25    Division of Alcoholism and Substance Abuse, in
26    consultation with statewide organizations representing

 

 

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1    physicians, pharmacists, advanced practice nurses,
2    physician assistants, substance abuse programs, and other
3    interested groups, shall develop and disseminate to health
4    care professionals, community-based organizations,
5    substance abuse programs, and other organizations training
6    materials in video, electronic, or other formats to
7    facilitate the provision of such patient information.
8        (4) For the purposes of this subsection:
9        "Opioid antagonist" means a drug that binds to opioid
10    receptors and blocks or inhibits the effect of opioids
11    acting on those receptors, including, but not limited to,
12    naloxone hydrochloride or any other similarly acting drug
13    approved by the U.S. Food and Drug Administration.
14        "Health care professional" means a physician licensed
15    to practice medicine in all its branches, a licensed
16    physician assistant with prescriptive authority, a
17    licensed advanced practice nurse with prescriptive
18    authority, or an advanced practice nurse or physician
19    assistant who practices in a hospital, hospital affiliate,
20    or ambulatory surgical treatment center and possesses
21    appropriate clinical privileges in accordance with the
22    Nurse Practice Act, or a pharmacist licensed to practice
23    pharmacy under the Pharmacy Practice Act.
24        "Patient" includes a person who is not at risk of
25    opioid overdose but who, in the judgment of the physician,
26    advanced practice nurse, or physician assistant, may be in

 

 

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1    a position to assist another individual during an overdose
2    and who has received patient information as required in
3    paragraph (2) of this subsection on the indications for and
4    administration of an opioid antagonist.
5        "Patient information" includes information provided to
6    the patient on drug overdose prevention and recognition;
7    how to perform rescue breathing and resuscitation; opioid
8    antagonist dosage and administration; the importance of
9    calling 911; care for the overdose victim after
10    administration of the overdose antagonist; and other
11    issues as necessary.
12    (e) Drug overdose response policy.
13        (1) Every State and local government agency that
14    employs a law enforcement officer or fireman as those terms
15    are defined in the Line of Duty Compensation Act must
16    possess opioid antagonists and must establish a policy to
17    control the acquisition, storage, transportation, and
18    administration of such opioid antagonists and to provide
19    training in the administration of opioid antagonists. A
20    State or local government agency that employs a fireman as
21    defined in the Line of Duty Compensation Act but does not
22    respond to emergency medical calls or provide medical
23    services shall be exempt from this subsection.
24        (2) Every publicly or privately owned ambulance,
25    special emergency medical services vehicle, non-transport
26    vehicle, or ambulance assist vehicle, as described in the

 

 

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1    Emergency Medical Services (EMS) Systems Act, which
2    responds to requests for emergency services or transports
3    patients between hospitals in emergency situations must
4    possess opioid antagonists.
5        (3) Entities that are required under paragraphs (1) and
6    (2) to possess opioid antagonists may also apply to the
7    Department for a grant to fund the acquisition of opioid
8    antagonists and training programs on the administration of
9    opioid antagonists.
10(Source: P.A. 99-173, eff. 7-29-15; 99-480, eff. 9-9-15;
11revised 10-19-15.)
 
12    Section 20. The Department of Central Management Services
13Law of the Civil Administrative Code of Illinois is amended by
14changing Section 405-105 as follows:
 
15    (20 ILCS 405/405-105)  (was 20 ILCS 405/64.1)
16    Sec. 405-105. Fidelity, surety, property, and casualty
17insurance. The Department shall establish and implement a
18program to coordinate the handling of all fidelity, surety,
19property, and casualty insurance exposures of the State and the
20departments, divisions, agencies, branches, and universities
21of the State. In performing this responsibility, the Department
22shall have the power and duty to do the following:
23        (1) Develop and maintain loss and exposure data on all
24    State property.

 

 

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1        (2) Study the feasibility of establishing a
2    self-insurance plan for State property and prepare
3    estimates of the costs of reinsurance for risks beyond the
4    realistic limits of the self-insurance.
5        (3) Prepare a plan for centralizing the purchase of
6    property and casualty insurance on State property under a
7    master policy or policies and purchase the insurance
8    contracted for as provided in the Illinois Purchasing Act.
9        (4) Evaluate existing provisions for fidelity bonds
10    required of State employees and recommend changes that are
11    appropriate commensurate with risk experience and the
12    determinations respecting self-insurance or reinsurance so
13    as to permit reduction of costs without loss of coverage.
14        (5) Investigate procedures for inclusion of school
15    districts, public community college districts, and other
16    units of local government in programs for the centralized
17    purchase of insurance.
18        (6) Implement recommendations of the State Property
19    Insurance Study Commission that the Department finds
20    necessary or desirable in the performance of its powers and
21    duties under this Section to achieve efficient and
22    comprehensive risk management.
23        (7) Prepare and, in the discretion of the Director,
24    implement a plan providing for the purchase of public
25    liability insurance or for self-insurance for public
26    liability or for a combination of purchased insurance and

 

 

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1    self-insurance for public liability (i) covering the State
2    and drivers of motor vehicles owned, leased, or controlled
3    by the State of Illinois pursuant to the provisions and
4    limitations contained in the Illinois Vehicle Code, (ii)
5    covering other public liability exposures of the State and
6    its employees within the scope of their employment, and
7    (iii) covering drivers of motor vehicles not owned, leased,
8    or controlled by the State but used by a State employee on
9    State business, in excess of liability covered by an
10    insurance policy obtained by the owner of the motor vehicle
11    or in excess of the dollar amounts that the Department
12    shall determine to be reasonable. Any contract of insurance
13    let under this Law shall be by bid in accordance with the
14    procedure set forth in the Illinois Purchasing Act. Any
15    provisions for self-insurance shall conform to subdivision
16    (11).
17        The term "employee" as used in this subdivision (7) and
18    in subdivision (11) means a person while in the employ of
19    the State who is a member of the staff or personnel of a
20    State agency, bureau, board, commission, committee,
21    department, university, or college or who is a State
22    officer, elected official, commissioner, member of or ex
23    officio member of a State agency, bureau, board,
24    commission, committee, department, university, or college,
25    or a member of the National Guard while on active duty
26    pursuant to orders of the Governor of the State of

 

 

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1    Illinois, or any other person while using a licensed motor
2    vehicle owned, leased, or controlled by the State of
3    Illinois with the authorization of the State of Illinois,
4    provided the actual use of the motor vehicle is within the
5    scope of that authorization and within the course of State
6    service.
7        Subsequent to payment of a claim on behalf of an
8    employee pursuant to this Section and after reasonable
9    advance written notice to the employee, the Director may
10    exclude the employee from future coverage or limit the
11    coverage under the plan if (i) the Director determines that
12    the claim resulted from an incident in which the employee
13    was grossly negligent or had engaged in willful and wanton
14    misconduct or (ii) the Director determines that the
15    employee is no longer an acceptable risk based on a review
16    of prior accidents in which the employee was at fault and
17    for which payments were made pursuant to this Section.
18        The Director is authorized to promulgate
19    administrative rules that may be necessary to establish and
20    administer the plan.
21        Appropriations from the Road Fund shall be used to pay
22    auto liability claims and related expenses involving
23    employees of the Department of Transportation, the
24    Illinois State Police, and the Secretary of State.
25        (8) Charge, collect, and receive from all other
26    agencies of the State government fees or monies equivalent

 

 

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1    to the cost of purchasing the insurance.
2        (9) Establish, through the Director, charges for risk
3    management services rendered to State agencies by the
4    Department. The State agencies so charged shall reimburse
5    the Department by vouchers drawn against their respective
6    appropriations. The reimbursement shall be determined by
7    the Director as amounts sufficient to reimburse the
8    Department for expenditures incurred in rendering the
9    service.
10        The Department shall charge the employing State agency
11    or university for workers' compensation payments for
12    temporary total disability paid to any employee after the
13    employee has received temporary total disability payments
14    for 120 days if the employee's treating physician, advanced
15    practice nurse, or physician assistant has issued a release
16    to return to work with restrictions and the employee is
17    able to perform modified duty work but the employing State
18    agency or university does not return the employee to work
19    at modified duty. Modified duty shall be duties assigned
20    that may or may not be delineated as part of the duties
21    regularly performed by the employee. Modified duties shall
22    be assigned within the prescribed restrictions established
23    by the treating physician and the physician who performed
24    the independent medical examination. The amount of all
25    reimbursements shall be deposited into the Workers'
26    Compensation Revolving Fund which is hereby created as a

 

 

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1    revolving fund in the State treasury. In addition to any
2    other purpose authorized by law, moneys in the Fund shall
3    be used, subject to appropriation, to pay these or other
4    temporary total disability claims of employees of State
5    agencies and universities.
6        Beginning with fiscal year 1996, all amounts recovered
7    by the Department through subrogation in workers'
8    compensation and workers' occupational disease cases shall
9    be deposited into the Workers' Compensation Revolving Fund
10    created under this subdivision (9).
11        (10) Establish rules, procedures, and forms to be used
12    by State agencies in the administration and payment of
13    workers' compensation claims. For claims filed prior to
14    July 1, 2013, the Department shall initially evaluate and
15    determine the compensability of any injury that is the
16    subject of a workers' compensation claim and provide for
17    the administration and payment of such a claim for all
18    State agencies. For claims filed on or after July 1, 2013,
19    the Department shall retain responsibility for certain
20    administrative payments including, but not limited to,
21    payments to the private vendor contracted to perform
22    services under subdivision (10b) of this Section, payments
23    related to travel expenses for employees of the Office of
24    the Attorney General, and payments to internal Department
25    staff responsible for the oversight and management of any
26    contract awarded pursuant to subdivision (10b) of this

 

 

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1    Section. Through December 31, 2012, the Director may
2    delegate to any agency with the agreement of the agency
3    head the responsibility for evaluation, administration,
4    and payment of that agency's claims. Neither the Department
5    nor the private vendor contracted to perform services under
6    subdivision (10b) of this Section shall be responsible for
7    providing workers' compensation services to the Illinois
8    State Toll Highway Authority or to State universities that
9    maintain self-funded workers' compensation liability
10    programs.
11        (10a) By April 1 of each year prior to calendar year
12    2013, the Director must report and provide information to
13    the State Workers' Compensation Program Advisory Board
14    concerning the status of the State workers' compensation
15    program for the next fiscal year. Information that the
16    Director must provide to the State Workers' Compensation
17    Program Advisory Board includes, but is not limited to,
18    documents, reports of negotiations, bid invitations,
19    requests for proposals, specifications, copies of proposed
20    and final contracts or agreements, and any other materials
21    concerning contracts or agreements for the program. By the
22    first of each month prior to calendar year 2013, the
23    Director must provide updated, and any new, information to
24    the State Workers' Compensation Program Advisory Board
25    until the State workers' compensation program for the next
26    fiscal year is determined.

 

 

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1        (10b) No later than January 1, 2013, the chief
2    procurement officer appointed under paragraph (4) of
3    subsection (a) of Section 10-20 of the Illinois Procurement
4    Code (hereinafter "chief procurement officer"), in
5    consultation with the Department of Central Management
6    Services, shall procure one or more private vendors to
7    administer the program providing payments for workers'
8    compensation liability with respect to the employees of all
9    State agencies. The chief procurement officer may procure a
10    single contract applicable to all State agencies or
11    multiple contracts applicable to one or more State
12    agencies. If the chief procurement officer procures a
13    single contract applicable to all State agencies, then the
14    Department of Central Management Services shall be
15    designated as the agency that enters into the contract and
16    shall be responsible for the contract. If the chief
17    procurement officer procures multiple contracts applicable
18    to one or more State agencies, each agency to which the
19    contract applies shall be designated as the agency that
20    shall enter into the contract and shall be responsible for
21    the contract. If the chief procurement officer procures
22    contracts applicable to an individual State agency, the
23    agency subject to the contract shall be designated as the
24    agency responsible for the contract.
25        (10c) The procurement of private vendors for the
26    administration of the workers' compensation program for

 

 

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1    State employees is subject to the provisions of the
2    Illinois Procurement Code and administration by the chief
3    procurement officer.
4        (10d) Contracts for the procurement of private vendors
5    for the administration of the workers' compensation
6    program for State employees shall be based upon, but
7    limited to, the following criteria: (i) administrative
8    cost, (ii) service capabilities of the vendor, and (iii)
9    the compensation (including premiums, fees, or other
10    charges). A vendor for the administration of the workers'
11    compensation program for State employees shall provide
12    services, including, but not limited to:
13            (A) providing a web-based case management system
14        and provide access to the Office of the Attorney
15        General;
16            (B) ensuring claims adjusters are available to
17        provide testimony or information as requested by the
18        Office of the Attorney General;
19            (C) establishing a preferred provider program for
20        all State agencies and facilities; and
21            (D) authorizing the payment of medical bills at the
22        preferred provider discount rate.
23        (10e) By September 15, 2012, the Department of Central
24    Management Services shall prepare a plan to effectuate the
25    transfer of responsibility and administration of the
26    workers' compensation program for State employees to the

 

 

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1    selected private vendors. The Department shall submit a
2    copy of the plan to the General Assembly.
3        (11) Any plan for public liability self-insurance
4    implemented under this Section shall provide that (i) the
5    Department shall attempt to settle and may settle any
6    public liability claim filed against the State of Illinois
7    or any public liability claim filed against a State
8    employee on the basis of an occurrence in the course of the
9    employee's State employment; (ii) any settlement of such a
10    claim is not subject to fiscal year limitations and must be
11    approved by the Director and, in cases of settlements
12    exceeding $100,000, by the Governor; and (iii) a settlement
13    of any public liability claim against the State or a State
14    employee shall require an unqualified release of any right
15    of action against the State and the employee for acts
16    within the scope of the employee's employment giving rise
17    to the claim.
18        Whenever and to the extent that a State employee
19    operates a motor vehicle or engages in other activity
20    covered by self-insurance under this Section, the State of
21    Illinois shall defend, indemnify, and hold harmless the
22    employee against any claim in tort filed against the
23    employee for acts or omissions within the scope of the
24    employee's employment in any proper judicial forum and not
25    settled pursuant to this subdivision (11), provided that
26    this obligation of the State of Illinois shall not exceed a

 

 

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1    maximum liability of $2,000,000 for any single occurrence
2    in connection with the operation of a motor vehicle or
3    $100,000 per person per occurrence for any other single
4    occurrence, or $500,000 for any single occurrence in
5    connection with the provision of medical care by a licensed
6    physician, advanced practice nurse, or physician assistant
7    employee.
8        Any claims against the State of Illinois under a
9    self-insurance plan that are not settled pursuant to this
10    subdivision (11) shall be heard and determined by the Court
11    of Claims and may not be filed or adjudicated in any other
12    forum. The Attorney General of the State of Illinois or the
13    Attorney General's designee shall be the attorney with
14    respect to all public liability self-insurance claims that
15    are not settled pursuant to this subdivision (11) and
16    therefore result in litigation. The payment of any award of
17    the Court of Claims entered against the State relating to
18    any public liability self-insurance claim shall act as a
19    release against any State employee involved in the
20    occurrence.
21        (12) Administer a plan the purpose of which is to make
22    payments on final settlements or final judgments in
23    accordance with the State Employee Indemnification Act.
24    The plan shall be funded through appropriations from the
25    General Revenue Fund specifically designated for that
26    purpose, except that indemnification expenses for

 

 

SB2900 Engrossed- 30 -LRB099 20672 SMS 45286 b

1    employees of the Department of Transportation, the
2    Illinois State Police, and the Secretary of State shall be
3    paid from the Road Fund. The term "employee" as used in
4    this subdivision (12) has the same meaning as under
5    subsection (b) of Section 1 of the State Employee
6    Indemnification Act. Subject to sufficient appropriation,
7    the Director shall approve payment of any claim, without
8    regard to fiscal year limitations, presented to the
9    Director that is supported by a final settlement or final
10    judgment when the Attorney General and the chief officer of
11    the public body against whose employee the claim or cause
12    of action is asserted certify to the Director that the
13    claim is in accordance with the State Employee
14    Indemnification Act and that they approve of the payment.
15    In no event shall an amount in excess of $150,000 be paid
16    from this plan to or for the benefit of any claimant.
17        (13) Administer a plan the purpose of which is to make
18    payments on final settlements or final judgments for
19    employee wage claims in situations where there was an
20    appropriation relevant to the wage claim, the fiscal year
21    and lapse period have expired, and sufficient funds were
22    available to pay the claim. The plan shall be funded
23    through appropriations from the General Revenue Fund
24    specifically designated for that purpose.
25        Subject to sufficient appropriation, the Director is
26    authorized to pay any wage claim presented to the Director

 

 

SB2900 Engrossed- 31 -LRB099 20672 SMS 45286 b

1    that is supported by a final settlement or final judgment
2    when the chief officer of the State agency employing the
3    claimant certifies to the Director that the claim is a
4    valid wage claim and that the fiscal year and lapse period
5    have expired. Payment for claims that are properly
6    submitted and certified as valid by the Director shall
7    include interest accrued at the rate of 7% per annum from
8    the forty-fifth day after the claims are received by the
9    Department or 45 days from the date on which the amount of
10    payment is agreed upon, whichever is later, until the date
11    the claims are submitted to the Comptroller for payment.
12    When the Attorney General has filed an appearance in any
13    proceeding concerning a wage claim settlement or judgment,
14    the Attorney General shall certify to the Director that the
15    wage claim is valid before any payment is made. In no event
16    shall an amount in excess of $150,000 be paid from this
17    plan to or for the benefit of any claimant.
18        Nothing in Public Act 84-961 shall be construed to
19    affect in any manner the jurisdiction of the Court of
20    Claims concerning wage claims made against the State of
21    Illinois.
22        (14) Prepare and, in the discretion of the Director,
23    implement a program for self-insurance for official
24    fidelity and surety bonds for officers and employees as
25    authorized by the Official Bond Act.
26(Source: P.A. 96-928, eff. 6-15-10; 97-18, eff. 6-28-11;

 

 

SB2900 Engrossed- 32 -LRB099 20672 SMS 45286 b

197-895, eff. 8-3-12; 97-1143, eff. 12-28-12.)
 
2    Section 25. The Foster Parent Law is amended by changing
3Section 1-15 as follows:
 
4    (20 ILCS 520/1-15)
5    Sec. 1-15. Foster parent rights. A foster parent's rights
6include, but are not limited to, the following:
7        (1) The right to be treated with dignity, respect, and
8    consideration as a professional member of the child welfare
9    team.
10        (2) The right to be given standardized pre-service
11    training and appropriate ongoing training to meet mutually
12    assessed needs and improve the foster parent's skills.
13        (3) The right to be informed as to how to contact the
14    appropriate child placement agency in order to receive
15    information and assistance to access supportive services
16    for children in the foster parent's care.
17        (4) The right to receive timely financial
18    reimbursement commensurate with the care needs of the child
19    as specified in the service plan.
20        (5) The right to be provided a clear, written
21    understanding of a placement agency's plan concerning the
22    placement of a child in the foster parent's home. Inherent
23    in this right is the foster parent's responsibility to
24    support activities that will promote the child's right to

 

 

SB2900 Engrossed- 33 -LRB099 20672 SMS 45286 b

1    relationships with his or her own family and cultural
2    heritage.
3        (6) The right to be provided a fair, timely, and
4    impartial investigation of complaints concerning the
5    foster parent's licensure, to be provided the opportunity
6    to have a person of the foster parent's choosing present
7    during the investigation, and to be provided due process
8    during the investigation; the right to be provided the
9    opportunity to request and receive mediation or an
10    administrative review of decisions that affect licensing
11    parameters, or both mediation and an administrative
12    review; and the right to have decisions concerning a
13    licensing corrective action plan specifically explained
14    and tied to the licensing standards violated.
15        (7) The right, at any time during which a child is
16    placed with the foster parent, to receive additional or
17    necessary information that is relevant to the care of the
18    child.
19        (7.5) The right to be given information concerning a
20    child (i) from the Department as required under subsection
21    (u) of Section 5 of the Children and Family Services Act
22    and (ii) from a child welfare agency as required under
23    subsection (c-5) of Section 7.4 of the Child Care Act of
24    1969.
25        (8) The right to be notified of scheduled meetings and
26    staffings concerning the foster child in order to actively

 

 

SB2900 Engrossed- 34 -LRB099 20672 SMS 45286 b

1    participate in the case planning and decision-making
2    process regarding the child, including individual service
3    planning meetings, administrative case reviews,
4    interdisciplinary staffings, and individual educational
5    planning meetings; the right to be informed of decisions
6    made by the courts or the child welfare agency concerning
7    the child; the right to provide input concerning the plan
8    of services for the child and to have that input given full
9    consideration in the same manner as information presented
10    by any other professional on the team; and the right to
11    communicate with other professionals who work with the
12    foster child within the context of the team, including
13    therapists, physicians, attending health care
14    professionals, and teachers.
15        (9) The right to be given, in a timely and consistent
16    manner, any information a case worker has regarding the
17    child and the child's family which is pertinent to the care
18    and needs of the child and to the making of a permanency
19    plan for the child. Disclosure of information concerning
20    the child's family shall be limited to that information
21    that is essential for understanding the needs of and
22    providing care to the child in order to protect the rights
23    of the child's family. When a positive relationship exists
24    between the foster parent and the child's family, the
25    child's family may consent to disclosure of additional
26    information.

 

 

SB2900 Engrossed- 35 -LRB099 20672 SMS 45286 b

1        (10) The right to be given reasonable written notice of
2    (i) any change in a child's case plan, (ii) plans to
3    terminate the placement of the child with the foster
4    parent, and (iii) the reasons for the change or termination
5    in placement. The notice shall be waived only in cases of a
6    court order or when the child is determined to be at
7    imminent risk of harm.
8        (11) The right to be notified in a timely and complete
9    manner of all court hearings, including notice of the date
10    and time of the court hearing, the name of the judge or
11    hearing officer hearing the case, the location of the
12    hearing, and the court docket number of the case; and the
13    right to intervene in court proceedings or to seek mandamus
14    under the Juvenile Court Act of 1987.
15        (12) The right to be considered as a placement option
16    when a foster child who was formerly placed with the foster
17    parent is to be re-entered into foster care, if that
18    placement is consistent with the best interest of the child
19    and other children in the foster parent's home.
20        (13) The right to have timely access to the child
21    placement agency's existing appeals process and the right
22    to be free from acts of harassment and retaliation by any
23    other party when exercising the right to appeal.
24        (14) The right to be informed of the Foster Parent
25    Hotline established under Section 35.6 of the Children and
26    Family Services Act and all of the rights accorded to

 

 

SB2900 Engrossed- 36 -LRB099 20672 SMS 45286 b

1    foster parents concerning reports of misconduct by
2    Department employees, service providers, or contractors,
3    confidential handling of those reports, and investigation
4    by the Inspector General appointed under Section 35.5 of
5    the Children and Family Services Act.
6(Source: P.A. 94-1010, eff. 10-1-06.)
 
7    Section 30. The Regional Integrated Behavioral Health
8Networks Act is amended by changing Section 20 as follows:
 
9    (20 ILCS 1340/20)
10    Sec. 20. Steering Committee and Networks.
11    (a) To achieve these goals, the Department of Human
12Services shall convene a Regional Integrated Behavioral Health
13Networks Steering Committee (hereinafter "Steering Committee")
14comprised of State agencies involved in the provision,
15regulation, or financing of health, mental health, substance
16abuse, rehabilitation, and other services. These include, but
17shall not be limited to, the following agencies:
18        (1) The Department of Healthcare and Family Services.
19        (2) The Department of Human Services and its Divisions
20    of Mental Illness and Alcoholism and Substance Abuse
21    Services.
22        (3) The Department of Public Health, including its
23    Center for Rural Health.
24    The Steering Committee shall include a representative from

 

 

SB2900 Engrossed- 37 -LRB099 20672 SMS 45286 b

1each Network. The agencies of the Steering Committee are
2directed to work collaboratively to provide consultation,
3advice, and leadership to the Networks in facilitating
4communication within and across multiple agencies and in
5removing regulatory barriers that may prevent Networks from
6accomplishing the goals. The Steering Committee collectively
7or through one of its member Agencies shall also provide
8technical assistance to the Networks.
9    (b) There also shall be convened Networks in each of the
10Department of Human Services' regions comprised of
11representatives of community stakeholders represented in the
12Network, including when available, but not limited to, relevant
13trade and professional associations representing hospitals,
14community providers, public health care, hospice care, long
15term care, law enforcement, emergency medical service,
16physicians, advanced practice nurses, and physician assistants
17trained in psychiatry; an organization that advocates on behalf
18of federally qualified health centers, an organization that
19advocates on behalf of persons suffering with mental illness
20and substance abuse disorders, an organization that advocates
21on behalf of persons with disabilities, an organization that
22advocates on behalf of persons who live in rural areas, an
23organization that advocates on behalf of persons who live in
24medically underserved areas; and others designated by the
25Steering Committee or the Networks. A member from each Network
26may choose a representative who may serve on the Steering

 

 

SB2900 Engrossed- 38 -LRB099 20672 SMS 45286 b

1Committee.
2(Source: P.A. 97-381, eff. 1-1-12.)
 
3    Section 35. The Mental Health and Developmental
4Disabilities Administrative Act is amended by changing
5Sections 5.1, 14, and 15.4 as follows:
 
6    (20 ILCS 1705/5.1)  (from Ch. 91 1/2, par. 100-5.1)
7    Sec. 5.1. The Department shall develop, by rule, the
8procedures and standards by which it shall approve medications
9for clinical use in its facilities. A list of those drugs
10approved pursuant to these procedures shall be distributed to
11all Department facilities.
12    Drugs not listed by the Department may not be administered
13in facilities under the jurisdiction of the Department,
14provided that an unlisted drug may be administered as part of
15research with the prior written consent of the Secretary
16specifying the nature of the permitted use and the physicians
17authorized to prescribe the drug. Drugs, as used in this
18Section, mean psychotropic and narcotic drugs.
19    No physician, advanced practice nurse, or physician
20assistant in the Department shall sign a prescription in blank,
21nor permit blank prescription forms to circulate out of his
22possession or control.
23(Source: P.A. 89-507, eff. 7-1-97.)
 

 

 

SB2900 Engrossed- 39 -LRB099 20672 SMS 45286 b

1    (20 ILCS 1705/14)  (from Ch. 91 1/2, par. 100-14)
2    Sec. 14. Chester Mental Health Center. To maintain and
3operate a facility for the care, custody, and treatment of
4persons with mental illness or habilitation of persons with
5developmental disabilities hereinafter designated, to be known
6as the Chester Mental Health Center.
7    Within the Chester Mental Health Center there shall be
8confined the following classes of persons, whose history, in
9the opinion of the Department, discloses dangerous or violent
10tendencies and who, upon examination under the direction of the
11Department, have been found a fit subject for confinement in
12that facility:
13        (a) Any male person who is charged with the commission
14    of a crime but has been acquitted by reason of insanity as
15    provided in Section 5-2-4 of the Unified Code of
16    Corrections.
17        (b) Any male person who is charged with the commission
18    of a crime but has been found unfit under Article 104 of
19    the Code of Criminal Procedure of 1963.
20        (c) Any male person with mental illness or
21    developmental disabilities or person in need of mental
22    treatment now confined under the supervision of the
23    Department or hereafter admitted to any facility thereof or
24    committed thereto by any court of competent jurisdiction.
25    If and when it shall appear to the facility director of the
26Chester Mental Health Center that it is necessary to confine

 

 

SB2900 Engrossed- 40 -LRB099 20672 SMS 45286 b

1persons in order to maintain security or provide for the
2protection and safety of recipients and staff, the Chester
3Mental Health Center may confine all persons on a unit to their
4rooms. This period of confinement shall not exceed 10 hours in
5a 24 hour period, including the recipient's scheduled hours of
6sleep, unless approved by the Secretary of the Department.
7During the period of confinement, the persons confined shall be
8observed at least every 15 minutes. A record shall be kept of
9the observations. This confinement shall not be considered
10seclusion as defined in the Mental Health and Developmental
11Disabilities Code.
12    The facility director of the Chester Mental Health Center
13may authorize the temporary use of handcuffs on a recipient for
14a period not to exceed 10 minutes when necessary in the course
15of transport of the recipient within the facility to maintain
16custody or security. Use of handcuffs is subject to the
17provisions of Section 2-108 of the Mental Health and
18Developmental Disabilities Code. The facility shall keep a
19monthly record listing each instance in which handcuffs are
20used, circumstances indicating the need for use of handcuffs,
21and time of application of handcuffs and time of release
22therefrom. The facility director shall allow the Illinois
23Guardianship and Advocacy Commission, the agency designated by
24the Governor under Section 1 of the Protection and Advocacy for
25Persons with Developmental Disabilities Act, and the
26Department to examine and copy such record upon request.

 

 

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1    The facility director of the Chester Mental Health Center
2may authorize the temporary use of transport devices on a civil
3recipient when necessary in the course of transport of the
4civil recipient outside the facility to maintain custody or
5security. The decision whether to use any transport devices
6shall be reviewed and approved on an individualized basis by a
7physician, an advanced practice nurse, or a physician assistant
8based upon a determination of the civil recipient's: (1)
9history of violence, (2) history of violence during transports,
10(3) history of escapes and escape attempts, (4) history of
11trauma, (5) history of incidents of restraint or seclusion and
12use of involuntary medication, (6) current functioning level
13and medical status, and (7) prior experience during similar
14transports, and the length, duration, and purpose of the
15transport. The least restrictive transport device consistent
16with the individual's need shall be used. Staff transporting
17the individual shall be trained in the use of the transport
18devices, recognizing and responding to a person in distress,
19and shall observe and monitor the individual while being
20transported. The facility shall keep a monthly record listing
21all transports, including those transports for which use of
22transport devices was not sought, those for which use of
23transport devices was sought but denied, and each instance in
24which transport devices are used, circumstances indicating the
25need for use of transport devices, time of application of
26transport devices, time of release from those devices, and any

 

 

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1adverse events. The facility director shall allow the Illinois
2Guardianship and Advocacy Commission, the agency designated by
3the Governor under Section 1 of the Protection and Advocacy for
4Persons with Developmental Disabilities Act, and the
5Department to examine and copy the record upon request. This
6use of transport devices shall not be considered restraint as
7defined in the Mental Health and Developmental Disabilities
8Code. For the purpose of this Section "transport device" means
9ankle cuffs, handcuffs, waist chains or wrist-waist devices
10designed to restrict an individual's range of motion while
11being transported. These devices must be approved by the
12Division of Mental Health, used in accordance with the
13manufacturer's instructions, and used only by qualified staff
14members who have completed all training required to be eligible
15to transport patients and all other required training relating
16to the safe use and application of transport devices, including
17recognizing and responding to signs of distress in an
18individual whose movement is being restricted by a transport
19device.
20    If and when it shall appear to the satisfaction of the
21Department that any person confined in the Chester Mental
22Health Center is not or has ceased to be such a source of
23danger to the public as to require his subjection to the
24regimen of the center, the Department is hereby authorized to
25transfer such person to any State facility for treatment of
26persons with mental illness or habilitation of persons with

 

 

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1developmental disabilities, as the nature of the individual
2case may require.
3    Subject to the provisions of this Section, the Department,
4except where otherwise provided by law, shall, with respect to
5the management, conduct and control of the Chester Mental
6Health Center and the discipline, custody and treatment of the
7persons confined therein, have and exercise the same rights and
8powers as are vested by law in the Department with respect to
9any and all of the State facilities for treatment of persons
10with mental illness or habilitation of persons with
11developmental disabilities, and the recipients thereof, and
12shall be subject to the same duties as are imposed by law upon
13the Department with respect to such facilities and the
14recipients thereof.
15    The Department may elect to place persons who have been
16ordered by the court to be detained under the Sexually Violent
17Persons Commitment Act in a distinct portion of the Chester
18Mental Health Center. The persons so placed shall be separated
19and shall not comingle with the recipients of the Chester
20Mental Health Center. The portion of Chester Mental Health
21Center that is used for the persons detained under the Sexually
22Violent Persons Commitment Act shall not be a part of the
23mental health facility for the enforcement and implementation
24of the Mental Health and Developmental Disabilities Code nor
25shall their care and treatment be subject to the provisions of
26the Mental Health and Developmental Disabilities Code. The

 

 

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1changes added to this Section by this amendatory Act of the
298th General Assembly are inoperative on and after June 30,
32015.
4(Source: P.A. 98-79, eff. 7-15-13; 98-356, eff. 8-16-13;
598-756, eff. 7-16-14; 99-143, eff. 7-27-15.)
 
6    (20 ILCS 1705/15.4)
7    Sec. 15.4. Authorization for nursing delegation to permit
8direct care staff to administer medications.
9    (a) This Section applies to (i) all programs for persons
10with a developmental disability in settings of 16 persons or
11fewer that are funded or licensed by the Department of Human
12Services and that distribute or administer medications and (ii)
13all intermediate care facilities for persons with
14developmental disabilities with 16 beds or fewer that are
15licensed by the Department of Public Health. The Department of
16Human Services shall develop a training program for authorized
17direct care staff to administer medications under the
18supervision and monitoring of a registered professional nurse.
19This training program shall be developed in consultation with
20professional associations representing (i) physicians licensed
21to practice medicine in all its branches, (ii) registered
22professional nurses, and (iii) pharmacists.
23    (b) For the purposes of this Section:
24    "Authorized direct care staff" means non-licensed persons
25who have successfully completed a medication administration

 

 

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1training program approved by the Department of Human Services
2and conducted by a nurse-trainer. This authorization is
3specific to an individual receiving service in a specific
4agency and does not transfer to another agency.
5    "Medications" means oral and topical medications, insulin
6in an injectable form, oxygen, epinephrine auto-injectors, and
7vaginal and rectal creams and suppositories. "Oral" includes
8inhalants and medications administered through enteral tubes,
9utilizing aseptic technique. "Topical" includes eye, ear, and
10nasal medications. Any controlled substances must be packaged
11specifically for an identified individual.
12    "Insulin in an injectable form" means a subcutaneous
13injection via an insulin pen pre-filled by the manufacturer.
14Authorized direct care staff may administer insulin, as ordered
15by a physician, advanced practice nurse, or physician
16assistant, if: (i) the staff has successfully completed a
17Department-approved advanced training program specific to
18insulin administration developed in consultation with
19professional associations listed in subsection (a) of this
20Section, and (ii) the staff consults with the registered nurse,
21prior to administration, of any insulin dose that is determined
22based on a blood glucose test result. The authorized direct
23care staff shall not: (i) calculate the insulin dosage needed
24when the dose is dependent upon a blood glucose test result, or
25(ii) administer insulin to individuals who require blood
26glucose monitoring greater than 3 times daily, unless directed

 

 

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1to do so by the registered nurse.
2    "Nurse-trainer training program" means a standardized,
3competency-based medication administration train-the-trainer
4program provided by the Department of Human Services and
5conducted by a Department of Human Services master
6nurse-trainer for the purpose of training nurse-trainers to
7train persons employed or under contract to provide direct care
8or treatment to individuals receiving services to administer
9medications and provide self-administration of medication
10training to individuals under the supervision and monitoring of
11the nurse-trainer. The program incorporates adult learning
12styles, teaching strategies, classroom management, and a
13curriculum overview, including the ethical and legal aspects of
14supervising those administering medications.
15    "Self-administration of medications" means an individual
16administers his or her own medications. To be considered
17capable to self-administer their own medication, individuals
18must, at a minimum, be able to identify their medication by
19size, shape, or color, know when they should take the
20medication, and know the amount of medication to be taken each
21time.
22    "Training program" means a standardized medication
23administration training program approved by the Department of
24Human Services and conducted by a registered professional nurse
25for the purpose of training persons employed or under contract
26to provide direct care or treatment to individuals receiving

 

 

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1services to administer medications and provide
2self-administration of medication training to individuals
3under the delegation and supervision of a nurse-trainer. The
4program incorporates adult learning styles, teaching
5strategies, classroom management, curriculum overview,
6including ethical-legal aspects, and standardized
7competency-based evaluations on administration of medications
8and self-administration of medication training programs.
9    (c) Training and authorization of non-licensed direct care
10staff by nurse-trainers must meet the requirements of this
11subsection.
12        (1) Prior to training non-licensed direct care staff to
13    administer medication, the nurse-trainer shall perform the
14    following for each individual to whom medication will be
15    administered by non-licensed direct care staff:
16            (A) An assessment of the individual's health
17        history and physical and mental status.
18            (B) An evaluation of the medications prescribed.
19        (2) Non-licensed authorized direct care staff shall
20    meet the following criteria:
21            (A) Be 18 years of age or older.
22            (B) Have completed high school or have a high
23        school equivalency certificate.
24            (C) Have demonstrated functional literacy.
25            (D) Have satisfactorily completed the Health and
26        Safety component of a Department of Human Services

 

 

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1        authorized direct care staff training program.
2            (E) Have successfully completed the training
3        program, pass the written portion of the comprehensive
4        exam, and score 100% on the competency-based
5        assessment specific to the individual and his or her
6        medications.
7            (F) Have received additional competency-based
8        assessment by the nurse-trainer as deemed necessary by
9        the nurse-trainer whenever a change of medication
10        occurs or a new individual that requires medication
11        administration enters the program.
12        (3) Authorized direct care staff shall be re-evaluated
13    by a nurse-trainer at least annually or more frequently at
14    the discretion of the registered professional nurse. Any
15    necessary retraining shall be to the extent that is
16    necessary to ensure competency of the authorized direct
17    care staff to administer medication.
18        (4) Authorization of direct care staff to administer
19    medication shall be revoked if, in the opinion of the
20    registered professional nurse, the authorized direct care
21    staff is no longer competent to administer medication.
22        (5) The registered professional nurse shall assess an
23    individual's health status at least annually or more
24    frequently at the discretion of the registered
25    professional nurse.
26    (d) Medication self-administration shall meet the

 

 

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1following requirements:
2        (1) As part of the normalization process, in order for
3    each individual to attain the highest possible level of
4    independent functioning, all individuals shall be
5    permitted to participate in their total health care
6    program. This program shall include, but not be limited to,
7    individual training in preventive health and
8    self-medication procedures.
9            (A) Every program shall adopt written policies and
10        procedures for assisting individuals in obtaining
11        preventative health and self-medication skills in
12        consultation with a registered professional nurse,
13        advanced practice nurse, physician assistant, or
14        physician licensed to practice medicine in all its
15        branches.
16            (B) Individuals shall be evaluated to determine
17        their ability to self-medicate by the nurse-trainer
18        through the use of the Department's required,
19        standardized screening and assessment instruments.
20            (C) When the results of the screening and
21        assessment indicate an individual not to be capable to
22        self-administer his or her own medications, programs
23        shall be developed in consultation with the Community
24        Support Team or Interdisciplinary Team to provide
25        individuals with self-medication administration.
26        (2) Each individual shall be presumed to be competent

 

 

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1    to self-administer medications if:
2            (A) authorized by an order of a physician licensed
3        to practice medicine in all its branches, an advanced
4        practice nurse, or a physician assistant; and
5            (B) approved to self-administer medication by the
6        individual's Community Support Team or
7        Interdisciplinary Team, which includes a registered
8        professional nurse or an advanced practice nurse.
9    (e) Quality Assurance.
10        (1) A registered professional nurse, advanced practice
11    nurse, licensed practical nurse, physician licensed to
12    practice medicine in all its branches, physician
13    assistant, or pharmacist shall review the following for all
14    individuals:
15            (A) Medication orders.
16            (B) Medication labels, including medications
17        listed on the medication administration record for
18        persons who are not self-medicating to ensure the
19        labels match the orders issued by the physician
20        licensed to practice medicine in all its branches,
21        advanced practice nurse, or physician assistant.
22            (C) Medication administration records for persons
23        who are not self-medicating to ensure that the records
24        are completed appropriately for:
25                (i) medication administered as prescribed;
26                (ii) refusal by the individual; and

 

 

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1                (iii) full signatures provided for all
2            initials used.
3        (2) Reviews shall occur at least quarterly, but may be
4    done more frequently at the discretion of the registered
5    professional nurse or advanced practice nurse.
6        (3) A quality assurance review of medication errors and
7    data collection for the purpose of monitoring and
8    recommending corrective action shall be conducted within 7
9    days and included in the required annual review.
10    (f) Programs using authorized direct care staff to
11administer medications are responsible for documenting and
12maintaining records on the training that is completed.
13    (g) The absence of this training program constitutes a
14threat to the public interest, safety, and welfare and
15necessitates emergency rulemaking by the Departments of Human
16Services and Public Health under Section 5-45 of the Illinois
17Administrative Procedure Act.
18    (h) Direct care staff who fail to qualify for delegated
19authority to administer medications pursuant to the provisions
20of this Section shall be given additional education and testing
21to meet criteria for delegation authority to administer
22medications. Any direct care staff person who fails to qualify
23as an authorized direct care staff after initial training and
24testing must within 3 months be given another opportunity for
25retraining and retesting. A direct care staff person who fails
26to meet criteria for delegated authority to administer

 

 

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1medication, including, but not limited to, failure of the
2written test on 2 occasions shall be given consideration for
3shift transfer or reassignment, if possible. No employee shall
4be terminated for failure to qualify during the 3-month time
5period following initial testing. Refusal to complete training
6and testing required by this Section may be grounds for
7immediate dismissal.
8    (i) No authorized direct care staff person delegated to
9administer medication shall be subject to suspension or
10discharge for errors resulting from the staff person's acts or
11omissions when performing the functions unless the staff
12person's actions or omissions constitute willful and wanton
13conduct. Nothing in this subsection is intended to supersede
14paragraph (4) of subsection (c).
15    (j) A registered professional nurse, advanced practice
16nurse, physician licensed to practice medicine in all its
17branches, or physician assistant shall be on duty or on call at
18all times in any program covered by this Section.
19    (k) The employer shall be responsible for maintaining
20liability insurance for any program covered by this Section.
21    (l) Any direct care staff person who qualifies as
22authorized direct care staff pursuant to this Section shall be
23granted consideration for a one-time additional salary
24differential. The Department shall determine and provide the
25necessary funding for the differential in the base. This
26subsection (l) is inoperative on and after June 30, 2000.

 

 

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1(Source: P.A. 98-718, eff. 1-1-15; 98-901, eff. 8-15-14; 99-78,
2eff. 7-20-15; 99-143, eff. 7-27-15.)
 
3    Section 40. The Department of Professional Regulation Law
4of the Civil Administrative Code of Illinois is amended by
5changing Section 2105-360 as follows:
 
6    (20 ILCS 2105/2105-360)
7    Sec. 2105-360. Licensing exemptions for athletic team
8health care professionals.
9    (a) Definitions. For purposes of this Section:
10    "Athletic team" means any professional or amateur level
11group from outside the State of Illinois organized for the
12purpose of engaging in athletic events that employs the
13services of a health care professional.
14    "Health care professional" means a physician, physician
15assistant, physical therapist, athletic trainer, or
16acupuncturist.
17    (b) Notwithstanding any other provision of law, a health
18care professional who is licensed to practice in another state
19or country shall be exempt from licensure requirements under
20the applicable Illinois professional Act while practicing his
21or her profession in this State if all of the following
22conditions are met:
23        (1) The health care professional has an oral or written
24    agreement with an athletic team to provide health care

 

 

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1    services to the athletic team members, coaching staff, and
2    families traveling with the athletic team for a specific
3    sporting event to take place in this State.
4        (2) The health care professional may not provide care
5    or consultation to any person residing in this State other
6    than a person described in paragraph (1) of this subsection
7    (b) unless the care is covered under the Good Samaritan
8    Act.
9    (c) The exemption from licensure shall remain in force
10while the health care professional is traveling with the
11athletic team, but shall be no longer than 10 days per
12individual sporting event.
13    (d) The Secretary, upon prior written request by the health
14care professional, may grant the health care professional
15additional time of up to 20 additional days per sporting event.
16The total number of days the health care professional may be
17exempt, including additional time granted upon request, may not
18exceed 30 days per sporting event.
19    (e) A health care professional who is exempt from licensure
20requirements under this Section is not authorized to practice
21at a health care clinic or facility, including an acute care
22facility.
23(Source: P.A. 99-206, eff. 9-1-15.)
 
24    Section 45. The Department of Public Health Act is amended
25by changing Sections 7 and 8.2 as follows:
 

 

 

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1    (20 ILCS 2305/7)  (from Ch. 111 1/2, par. 22.05)
2    Sec. 7. The Illinois Department of Public Health shall
3adopt rules requiring that upon death of a person who had or is
4suspected of having an infectious or communicable disease that
5could be transmitted through contact with the person's body or
6bodily fluids, the body shall be labeled "Infection Hazard", or
7with an equivalent term to inform persons having subsequent
8contact with the body, including any funeral director or
9embalmer, to take suitable precautions. Such rules shall
10require that the label shall be prominently displayed on and
11affixed to the outer wrapping or covering of the body if the
12body is wrapped or covered in any manner. Responsibility for
13such labeling shall lie with the attending physician, advanced
14practice nurse, or physician assistant who certifies death, or
15if the death occurs in a health care facility, with such staff
16member as may be designated by the administrator of the
17facility. The Department may adopt rules providing for the safe
18disposal of human remains. To the extent feasible without
19endangering the public's health, the Department shall respect
20and accommodate the religious beliefs of individuals in
21implementing this Section.
22(Source: P.A. 93-829, eff. 7-28-04.)
 
23    (20 ILCS 2305/8.2)
24    Sec. 8.2. Osteoporosis Prevention and Education Program.

 

 

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1    (a) The Department of Public Health, utilizing available
2federal funds, State funds appropriated for that purpose, or
3other available funding as provided for in this Section, shall
4establish, promote, and maintain an Osteoporosis Prevention
5and Education Program to promote public awareness of the causes
6of osteoporosis, options for prevention, the value of early
7detection, and possible treatments (including the benefits and
8risks of those treatments). The Department may accept, for that
9purpose, any special grant of money, services, or property from
10the federal government or any of its agencies or from any
11foundation, organization, or medical school.
12    (b) The program shall include the following:
13        (1) Development of a public education and outreach
14    campaign to promote osteoporosis prevention and education,
15    including, but not limited to, the following subjects:
16            (A) The cause and nature of the disease.
17            (B) Risk factors.
18            (C) The role of hysterectomy.
19            (D) Prevention of osteoporosis, including
20        nutrition, diet, and physical exercise.
21            (E) Diagnostic procedures and appropriate
22        indications for their use.
23            (F) Hormone replacement, including benefits and
24        risks.
25            (G) Environmental safety and injury prevention.
26            (H) Availability of osteoporosis diagnostic

 

 

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1        treatment services in the community.
2        (2) Development of educational materials to be made
3    available for consumers, particularly targeted to
4    high-risk groups, through local health departments, local
5    physicians, advanced practice nurses, or physician
6    assistants, other providers (including, but not limited
7    to, health maintenance organizations, hospitals, and
8    clinics), and women's organizations.
9        (3) Development of professional education programs for
10    health care providers to assist them in understanding
11    research findings and the subjects set forth in paragraph
12    (1).
13        (4) Development and maintenance of a list of current
14    providers of specialized services for the prevention and
15    treatment of osteoporosis. Dissemination of the list shall
16    be accompanied by a description of diagnostic procedures,
17    appropriate indications for their use, and a cautionary
18    statement about the current status of osteoporosis
19    research, prevention, and treatment. The statement shall
20    also indicate that the Department does not license,
21    certify, or in any other way approve osteoporosis programs
22    or centers in this State.
23    (c) The State Board of Health shall serve as an advisory
24board to the Department with specific respect to the prevention
25and education activities related to osteoporosis described in
26this Section. The State Board of Health shall assist the

 

 

SB2900 Engrossed- 58 -LRB099 20672 SMS 45286 b

1Department in implementing this Section.
2(Source: P.A. 88-622, eff. 1-1-95.)
 
3    Section 50. The Department of Public Health Powers and
4Duties Law of the Civil Administrative Code of Illinois is
5amended by changing Sections 2310-345, 2310-397, 2310-410,
62310-425, and 2310-600 and by renumbering and changing Section
72310-685 (as added by Public Act 99-424) as follows:
 
8    (20 ILCS 2310/2310-345)  (was 20 ILCS 2310/55.49)
9    Sec. 2310-345. Breast cancer; written summary regarding
10early detection and treatment.
11    (a) From funds made available for this purpose, the
12Department shall publish, in layman's language, a standardized
13written summary outlining methods for the early detection and
14diagnosis of breast cancer. The summary shall include
15recommended guidelines for screening and detection of breast
16cancer through the use of techniques that shall include but not
17be limited to self-examination, clinical breast exams, and
18diagnostic radiology.
19    (b) The summary shall also suggest that women seek
20mammography services from facilities that are certified to
21perform mammography as required by the federal Mammography
22Quality Standards Act of 1992.
23    (c) The summary shall also include the medically viable
24alternative methods for the treatment of breast cancer,

 

 

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1including, but not limited to, hormonal, radiological,
2chemotherapeutic, or surgical treatments or combinations
3thereof. The summary shall contain information on breast
4reconstructive surgery, including, but not limited to, the use
5of breast implants and their side effects. The summary shall
6inform the patient of the advantages, disadvantages, risks, and
7dangers of the various procedures. The summary shall include
8(i) a statement that mammography is the most accurate method
9for making an early detection of breast cancer, however, no
10diagnostic tool is 100% effective, (ii) the benefits of
11clinical breast exams, and (iii) instructions for performing
12breast self-examination and a statement that it is important to
13perform a breast self-examination monthly.
14    (c-5) The summary shall specifically address the benefits
15of early detection and review the clinical standard
16recommendations by the Centers for Disease Control and
17Prevention and the American Cancer Society for mammography,
18clinical breast exams, and breast self-exams.
19    (c-10) The summary shall also inform individuals that
20public and private insurance providers shall pay for clinical
21breast exams as part of an exam, as indicated by guidelines of
22practice.
23    (c-15) The summary shall also inform individuals, in
24layman's terms, of the meaning and consequences of "dense
25breast tissue" under the guidelines of the Breast Imaging
26Reporting and Data System of the American College of Radiology

 

 

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1and potential recommended follow-up tests or studies.
2    (d) In developing the summary, the Department shall consult
3with the Advisory Board of Cancer Control, the Illinois State
4Medical Society and consumer groups. The summary shall be
5updated by the Department every 2 years.
6    (e) The summaries shall additionally be translated into
7Spanish, and the Department shall conduct a public information
8campaign to distribute the summaries to the Hispanic women of
9this State in order to inform them of the importance of early
10detection and mammograms.
11    (f) The Department shall distribute the summary to
12hospitals, public health centers, and physicians, and other
13health care professionals who are likely to perform or order
14diagnostic tests for breast disease or treat breast cancer by
15surgical or other medical methods. Those hospitals, public
16health centers, and physicians, and other health care
17professionals shall make the summaries available to the public.
18The Department shall also distribute the summaries to any
19person, organization, or other interested parties upon
20request. The summaries may be duplicated by any person,
21provided the copies are identical to the current summary
22prepared by the Department.
23    (g) The summary shall display, on the inside of its cover,
24printed in capital letters, in bold face type, the following
25paragraph:
26    "The information contained in this brochure regarding

 

 

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1recommendations for early detection and diagnosis of breast
2disease and alternative breast disease treatments is only for
3the purpose of assisting you, the patient, in understanding the
4medical information and advice offered by your physician. This
5brochure cannot serve as a substitute for the sound
6professional advice of your physician. The availability of this
7brochure or the information contained within is not intended to
8alter, in any way, the existing physician-patient
9relationship, nor the existing professional obligations of
10your physician in the delivery of medical services to you, the
11patient."
12    (h) The summary shall be updated when necessary.
13(Source: P.A. 98-502, eff. 1-1-14; 98-886, eff. 1-1-15.)
 
14    (20 ILCS 2310/2310-397)  (was 20 ILCS 2310/55.90)
15    Sec. 2310-397. Prostate and testicular cancer program.
16    (a) The Department, subject to appropriation or other
17available funding, shall conduct a program to promote awareness
18and early detection of prostate and testicular cancer. The
19program may include, but need not be limited to:
20        (1) Dissemination of information regarding the
21    incidence of prostate and testicular cancer, the risk
22    factors associated with prostate and testicular cancer,
23    and the benefits of early detection and treatment.
24        (2) Promotion of information and counseling about
25    treatment options.

 

 

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1        (3) Establishment and promotion of referral services
2    and screening programs.
3    Beginning July 1, 2004, the program must include the
4development and dissemination, through print and broadcast
5media, of public service announcements that publicize the
6importance of prostate cancer screening for men over age 40.
7    (b) Subject to appropriation or other available funding, a
8Prostate Cancer Screening Program shall be established in the
9Department of Public Health.
10        (1) The Program shall apply to the following persons
11    and entities:
12            (A) uninsured and underinsured men 50 years of age
13        and older;
14            (B) uninsured and underinsured men between 40 and
15        50 years of age who are at high risk for prostate
16        cancer, upon the advice of a physician, advanced
17        practice nurse, or physician assistant or upon the
18        request of the patient; and
19            (C) non-profit organizations providing assistance
20        to persons described in subparagraphs (A) and (B).
21        (2) Any entity funded by the Program shall coordinate
22    with other local providers of prostate cancer screening,
23    diagnostic, follow-up, education, and advocacy services to
24    avoid duplication of effort. Any entity funded by the
25    Program shall comply with any applicable State and federal
26    standards regarding prostate cancer screening.

 

 

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1        (3) Administrative costs of the Department shall not
2    exceed 10% of the funds allocated to the Program. Indirect
3    costs of the entities funded by this Program shall not
4    exceed 12%. The Department shall define "indirect costs" in
5    accordance with applicable State and federal law.
6        (4) Any entity funded by the Program shall collect data
7    and maintain records that are determined by the Department
8    to be necessary to facilitate the Department's ability to
9    monitor and evaluate the effectiveness of the entities and
10    the Program. Commencing with the Program's second year of
11    operation, the Department shall submit an Annual Report to
12    the General Assembly and the Governor. The report shall
13    describe the activities and effectiveness of the Program
14    and shall include, but not be limited to, the following
15    types of information regarding those served by the Program:
16            (A) the number; and
17            (B) the ethnic, geographic, and age breakdown.
18        (5) The Department or any entity funded by the Program
19    shall collect personal and medical information necessary
20    to administer the Program from any individual applying for
21    services under the Program. The information shall be
22    confidential and shall not be disclosed other than for
23    purposes directly connected with the administration of the
24    Program or except as otherwise provided by law or pursuant
25    to prior written consent of the subject of the information.
26        (6) The Department or any entity funded by the program

 

 

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1    may disclose the confidential information to medical
2    personnel and fiscal intermediaries of the State to the
3    extent necessary to administer the Program, and to other
4    State public health agencies or medical researchers if the
5    confidential information is necessary to carry out the
6    duties of those agencies or researchers in the
7    investigation, control, or surveillance of prostate
8    cancer.
9    (c) The Department shall adopt rules to implement the
10Prostate Cancer Screening Program in accordance with the
11Illinois Administrative Procedure Act.
12(Source: P.A. 98-87, eff. 1-1-14.)
 
13    (20 ILCS 2310/2310-410)  (was 20 ILCS 2310/55.42)
14    Sec. 2310-410. Sickle cell disease. To conduct a public
15information campaign for physicians, advanced practice nurses,
16physician assistants, hospitals, health facilities, public
17health departments, and the general public on sickle cell
18disease, methods of care, and treatment modalities available;
19to identify and catalogue sickle cell resources in this State
20for distribution and referral purposes; and to coordinate
21services with the established programs, including State,
22federal, and voluntary groups.
23(Source: P.A. 91-239, eff. 1-1-00.)
 
24    (20 ILCS 2310/2310-425)  (was 20 ILCS 2310/55.66)

 

 

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1    Sec. 2310-425. Health care summary for women.
2    (a) From funds made available from the General Assembly for
3this purpose, the Department shall publish in plain language,
4in both an English and a Spanish version, a pamphlet providing
5information regarding health care for women which shall include
6the following:
7        (1) A summary of the various medical conditions,
8    including cancer, sexually transmitted diseases,
9    endometriosis, or other similar diseases or conditions
10    widely affecting women's reproductive health, that may
11    require a hysterectomy or other treatment.
12        (2) A summary of the recommended schedule and
13    indications for physical examinations, including "pap
14    smears" or other tests designed to detect medical
15    conditions of the uterus and other reproductive organs.
16        (3) A summary of the widely accepted medical
17    treatments, including viable alternatives, that may be
18    prescribed for the medical conditions specified in
19    paragraph (1).
20    (b) In developing the summary the Department shall consult
21with the Illinois State Medical Society, Illinois Society of
22Advanced Practice Nurses, the Illinois Academy of Physician
23Assistants, and consumer groups. The summary shall be updated
24by the Department every 2 years.
25    (c) The Department shall distribute the summary to
26hospitals, public health centers, and health care

 

 

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1professionals physicians who are likely to treat medical
2conditions described in paragraph (1) of subsection (a). Those
3hospitals, public health centers, and physicians shall make the
4summaries available to the public. The Department shall also
5distribute the summaries to any person, organization, or other
6interested parties upon request. The summary may be duplicated
7by any person provided the copies are identical to the current
8summary prepared by the Department.
9    (d) The summary shall display on the inside of its cover,
10printed in capital letters and bold face type, the following
11paragraph:
12    "The information contained in this brochure is only for the
13purpose of assisting you, the patient, in understanding the
14medical information and advice offered by your health care
15professional physician. This brochure cannot serve as a
16substitute for the sound professional advice of your health
17care professional physician. The availability of this brochure
18or the information contained within is not intended to alter,
19in any way, the existing health care professional-patient
20physician-patient relationship, nor the existing professional
21obligations of your health care professional physician in the
22delivery of medical services to you, the patient."
23(Source: P.A. 91-239, eff. 1-1-00.)
 
24    (20 ILCS 2310/2310-600)
25    Sec. 2310-600. Advance directive information.

 

 

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1    (a) The Department of Public Health shall prepare and
2publish the summary of advance directives law, as required by
3the federal Patient Self-Determination Act, and related forms.
4Publication may be limited to the World Wide Web. The summary
5required under this subsection (a) must include the Department
6of Public Health Uniform POLST form.
7    (b) The Department of Public Health shall publish Spanish
8language versions of the following:
9        (1) The statutory Living Will Declaration form.
10        (2) The Illinois Statutory Short Form Power of Attorney
11    for Health Care.
12        (3) The statutory Declaration of Mental Health
13    Treatment Form.
14        (4) The summary of advance directives law in Illinois.
15        (5) The Department of Public Health Uniform POLST form.
16    Publication may be limited to the World Wide Web.
17    (b-5) In consultation with a statewide professional
18organization representing physicians licensed to practice
19medicine in all its branches, statewide organizations
20representing physician assistants, advanced practice nurses,
21nursing homes, registered professional nurses, and emergency
22medical systems, and a statewide organization representing
23hospitals, the Department of Public Health shall develop and
24publish a uniform form for practitioner cardiopulmonary
25resuscitation (CPR) or life-sustaining treatment orders that
26may be utilized in all settings. The form shall meet the

 

 

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1published minimum requirements to nationally be considered a
2practitioner orders for life-sustaining treatment form, or
3POLST, and may be referred to as the Department of Public
4Health Uniform POLST form. This form does not replace a
5physician's or other practitioner's authority to make a
6do-not-resuscitate (DNR) order.
7    (c) (Blank).
8    (d) The Department of Public Health shall publish the
9Department of Public Health Uniform POLST form reflecting the
10changes made by this amendatory Act of the 98th General
11Assembly no later than January 1, 2015.
12(Source: P.A. 98-1110, eff. 8-26-14; 99-319, eff. 1-1-16.)
 
13    (20 ILCS 2310/2310-690)
14    Sec. 2310-690 2310-685. Cytomegalovirus public education.
15    (a) In this Section:
16        "CMV" means cytomegalovirus.
17        "Health care professional and provider" means any
18    physician, advanced practice nurse, physician assistant,
19    hospital facility, or other person that is licensed or
20    otherwise authorized to deliver health care services.
21    (b) The Department shall develop or approve and publish
22informational materials for women who may become pregnant,
23expectant parents, and parents of infants regarding:
24        (1) the incidence of CMV;
25        (2) the transmission of CMV to pregnant women and women

 

 

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1    who may become pregnant;
2        (3) birth defects caused by congenital CMV;
3        (4) methods of diagnosing congenital CMV; and
4        (5) available preventive measures to avoid the
5    infection of women who are pregnant or may become pregnant.
6    (c) The Department shall publish the information required
7under subsection (b) on its Internet website.
8    (d) The Department shall publish information to:
9        (1) educate women who may become pregnant, expectant
10    parents, and parents of infants about CMV; and
11        (2) raise awareness of CMV among health care
12    professionals and providers who provide care to expectant
13    mothers or infants.
14    (e) The Department may solicit and accept the assistance of
15any relevant health care professional medical associations or
16community resources, including faith-based resources, to
17promote education about CMV under this Section.
18    (f) If a newborn infant fails the 2 initial hearing
19screenings in the hospital, then the hospital performing that
20screening shall provide to the parents of the newborn infant
21information regarding: (i) birth defects caused by congenital
22CMV; (ii) testing opportunities and options for CMV, including
23the opportunity to test for CMV before leaving the hospital;
24and (iii) early intervention services. Health care
25professionals and providers may, but are not required to, use
26the materials developed by the Department for distribution to

 

 

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1parents of newborn infants.
2(Source: P.A. 99-424, eff. 1-1-16; revised 9-28-15.)
 
3    Section 55. The Comprehensive Healthcare Workforce
4Planning Act is amended by changing Section 15 as follows:
 
5    (20 ILCS 2325/15)
6    Sec. 15. Members.
7    (a) The following 10 persons or their designees shall be
8members of the Council: the Director of the Department; a
9representative of the Governor's Office; the Secretary of Human
10Services; the Directors of the Departments of Commerce and
11Economic Opportunity, Employment Security, Financial and
12Professional Regulation, and Healthcare and Family Services;
13and the Executive Director of the Board of Higher Education,
14the Executive Director of the Illinois Community College Board,
15and the State Superintendent of Education.
16    (b) The Governor shall appoint 9 8 additional members, who
17shall be healthcare workforce experts, including
18representatives of practicing physicians, nurses, pharmacists,
19and dentists, physician assistants, State and local health
20professions organizations, schools of medicine and osteopathy,
21nursing, dental, physician assistants, allied health, and
22public health; public and private teaching hospitals; health
23insurers, business; and labor. The Speaker of the Illinois
24House of Representatives, the President of the Illinois Senate,

 

 

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1the Minority Leader of the Illinois House of Representatives,
2and the Minority Leader of the Illinois Senate may each appoint
32 representatives to the Council. Members appointed under this
4subsection (b) shall serve 4-year terms and may be reappointed.
5    (c) The Director of the Department shall serve as Chair of
6the Council. The Governor shall appoint a healthcare workforce
7expert from the non-governmental sector to serve as Vice-Chair.
8(Source: P.A. 97-424, eff. 7-1-12; 98-719, eff. 1-1-15.)
 
9    Section 60. The Community Health Worker Advisory Board Act
10is amended by changing Section 10 as follows:
 
11    (20 ILCS 2335/10)
12    Sec. 10. Advisory Board.
13    (a) There is created the Advisory Board on Community Health
14Workers. The Board shall consist of 16 15 members appointed by
15the Director of Public Health. The Director shall make the
16appointments to the Board within 90 days after the effective
17date of this Act. The members of the Board shall represent
18different racial and ethnic backgrounds and have the
19qualifications as follows:
20        (1) four members who currently serve as community
21    health workers in Cook County, one of whom shall have
22    served as a health insurance marketplace navigator;
23        (2) two members who currently serve as community health
24    workers in DuPage, Kane, Lake, or Will County;

 

 

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1        (3) one member who currently serves as a community
2    health worker in Bond, Calhoun, Clinton, Jersey, Macoupin,
3    Madison, Monroe, Montgomery, Randolph, St. Clair, or
4    Washington County;
5        (4) one member who currently serves as a community
6    health worker in any other county in the State;
7        (5) one member who is a physician licensed to practice
8    medicine in Illinois;
9        (6) one member who is a physician assistant;
10        (7) (6) one member who is a licensed nurse or advanced
11    practice nurse;
12        (8) (7) one member who is a licensed social worker,
13    counselor, or psychologist;
14        (9) (8) one member who currently employs community
15    health workers;
16        (10) (9) one member who is a health policy advisor with
17    experience in health workforce policy;
18        (11) (10) one member who is a public health
19    professional with experience with community health policy;
20    and
21        (12) (11) one representative of a community college,
22    university, or educational institution that provides
23    training to community health workers.
24    (b) In addition, the following persons or their designees
25shall serve as ex officio, non-voting members of the Board: the
26Executive Director of the Illinois Community College Board, the

 

 

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1Director of Children and Family Services, the Director of
2Aging, the Director of Public Health, the Director of
3Employment Security, the Director of Commerce and Economic
4Opportunity, the Secretary of Financial and Professional
5Regulation, the Director of Healthcare and Family Services, and
6the Secretary of Human Services.
7    (c) The voting members of the Board shall select a
8chairperson from the voting members of the Board. The Board
9shall consult with additional experts as needed. Members of the
10Board shall serve without compensation. The Department shall
11provide administrative and staff support to the Board. The
12meetings of the Board are subject to the provisions of the Open
13Meetings Act.
14    (d) The Board shall consider the core competencies of a
15community health worker, including skills and areas of
16knowledge that are essential to bringing about expanded health
17and wellness in diverse communities and reducing health
18disparities. As relating to members of communities and health
19teams, the core competencies for effective community health
20workers may include, but are not limited to:
21        (1) outreach methods and strategies;
22        (2) client and community assessment;
23        (3) effective community-based and participatory
24    methods, including research;
25        (4) culturally competent communication and care;
26        (5) health education for behavior change;

 

 

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1        (6) support, advocacy, and health system navigation
2    for clients;
3        (7) application of public health concepts and
4    approaches;
5        (8) individual and community capacity building and
6    mobilization; and
7        (9) writing, oral, technical, and communication
8    skills.
9(Source: P.A. 98-796, eff. 7-31-14.)
 
10    Section 65. The Illinois Housing Development Act is amended
11by changing Section 7.30 as follows:
 
12    (20 ILCS 3805/7.30)
13    Sec. 7.30. Foreclosure Prevention Program.
14    (a) The Authority shall establish and administer a
15Foreclosure Prevention Program. The Authority shall use moneys
16in the Foreclosure Prevention Program Fund, and any other funds
17appropriated for this purpose, to make grants to (i) approved
18counseling agencies for approved housing counseling and (ii)
19approved community-based organizations for approved
20foreclosure prevention outreach programs. The Authority shall
21promulgate rules to implement this Program and may adopt
22emergency rules as soon as practicable to begin implementation
23of the Program.
24    (b) Subject to appropriation and the annual receipt of

 

 

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1funds, the Authority shall make grants from the Foreclosure
2Prevention Program Fund derived from fees paid as specified in
3subsection (a) of Section 15-1504.1 of the Code of Civil
4Procedure as follows:
5        (1) 25% of the moneys in the Fund shall be used to make
6    grants to approved counseling agencies that provide
7    services in Illinois outside of the City of Chicago. Grants
8    shall be based upon the number of foreclosures filed in an
9    approved counseling agency's service area, the capacity of
10    the agency to provide foreclosure counseling services, and
11    any other factors that the Authority deems appropriate.
12        (2) 25% of the moneys in the Fund shall be distributed
13    to the City of Chicago to make grants to approved
14    counseling agencies located within the City of Chicago for
15    approved housing counseling or to support foreclosure
16    prevention counseling programs administered by the City of
17    Chicago.
18        (3) 25% of the moneys in the Fund shall be used to make
19    grants to approved community-based organizations located
20    outside of the City of Chicago for approved foreclosure
21    prevention outreach programs.
22        (4) 25% of the moneys in the Fund shall be used to make
23    grants to approved community-based organizations located
24    within the City of Chicago for approved foreclosure
25    prevention outreach programs, with priority given to
26    programs that provide door-to-door outreach.

 

 

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1    (b-1) Subject to appropriation and the annual receipt of
2funds, the Authority shall make grants from the Foreclosure
3Prevention Program Graduated Fund derived from fees paid as
4specified in paragraph (1) of subsection (a-5) of Section
515-1504.1 of the Code of Civil Procedure, as follows:
6        (1) 30% shall be used to make grants for approved
7    housing counseling in Cook County outside of the City of
8    Chicago;
9        (2) 25% shall be used to make grants for approved
10    housing counseling in the City of Chicago;
11        (3) 30% shall be used to make grants for approved
12    housing counseling in DuPage, Kane, Lake, McHenry, and Will
13    Counties; and
14        (4) 15% shall be used to make grants for approved
15    housing counseling in Illinois in counties other than Cook,
16    DuPage, Kane, Lake, McHenry, and Will Counties provided
17    that grants to provide approved housing counseling to
18    borrowers residing within these counties shall be based, to
19    the extent practicable, (i) proportionately on the amount
20    of fees paid to the respective clerks of the courts within
21    these counties and (ii) on any other factors that the
22    Authority deems appropriate.
23    The percentages set forth in this subsection (b-1) shall be
24calculated after deduction of reimbursable administrative
25expenses incurred by the Authority, but shall not be greater
26than 4% of the annual appropriated amount.

 

 

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1    (b-5) As used in this Section:
2    "Approved community-based organization" means a
3not-for-profit entity that provides educational and financial
4information to residents of a community through in-person
5contact. "Approved community-based organization" does not
6include a not-for-profit corporation or other entity or person
7that provides legal representation or advice in a civil
8proceeding or court-sponsored mediation services, or a
9governmental agency.
10    "Approved foreclosure prevention outreach program" means a
11program developed by an approved community-based organization
12that includes in-person contact with residents to provide (i)
13pre-purchase and post-purchase home ownership counseling, (ii)
14education about the foreclosure process and the options of a
15mortgagor in a foreclosure proceeding, and (iii) programs
16developed by an approved community-based organization in
17conjunction with a State or federally chartered financial
18institution.
19    "Approved counseling agency" means a housing counseling
20agency approved by the U.S. Department of Housing and Urban
21Development.
22    "Approved housing counseling" means in-person counseling
23provided by a counselor employed by an approved counseling
24agency to all borrowers, or documented telephone counseling
25where a hardship would be imposed on one or more borrowers. A
26hardship shall exist in instances in which the borrower is

 

 

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1confined to his or her home due to a medical condition, as
2verified in writing by a physician, advanced practice nurse, or
3physician assistant, or the borrower resides 50 miles or more
4from the nearest approved counseling agency. In instances of
5telephone counseling, the borrower must supply all necessary
6documents to the counselor at least 72 hours prior to the
7scheduled telephone counseling session.
8    (c) (Blank).
9    (c-5) Where the jurisdiction of an approved counseling
10agency is included within more than one of the geographic areas
11set forth in this Section, the Authority may elect to fully
12fund the applicant from one of the relevant geographic areas.
13(Source: P.A. 97-1164, eff. 6-1-13; 98-20, eff. 6-11-13.)
 
14    Section 70. The Illinois Health Information Exchange and
15Technology Act is amended by changing Section 15 as follows:
 
16    (20 ILCS 3860/15)
17    (Section scheduled to be repealed on January 1, 2021)
18    Sec. 15. Governance of the Illinois Health Information
19Exchange Authority.
20    (a) The Authority shall consist of and be governed by one
21Executive Director and 8 directors who are hereby authorized to
22carry out the provisions of this Act and to exercise the powers
23conferred under this Act.
24    (b) The Executive Director and 8 directors shall be

 

 

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1appointed to 3-year staggered terms by the Governor with the
2advice and consent of the Senate. Of the members first
3appointed after the effective date of this Act, 3 shall be
4appointed for a term of one year, 3 shall be appointed for a
5term of 2 years, and 3 shall be appointed for a term of 3 years.
6The Executive Director and directors may serve successive terms
7and, in the event the term of the Executive Director or a
8director expires, he or she shall serve in the expired term
9until a new Executive Director or director is appointed and
10qualified. Vacancies shall be filled for the unexpired term in
11the same manner as original appointments. The Governor may
12remove a director or the Executive Director for incompetency,
13dereliction of duty, malfeasance, misfeasance, or nonfeasance
14in office or any other good cause. The Executive Director shall
15be compensated at an annual salary of 75% of the salary of the
16Governor.
17    (c) The Executive Director and directors shall be chosen
18with due regard to broad geographic representation and shall be
19representative of a broad spectrum of health care providers and
20stakeholders, including representatives from any of the
21following fields or groups: health care consumers, consumer
22advocates, physicians, physician assistants, nurses,
23hospitals, federally qualified health centers as defined in
24Section 1905(l)(2)(B) of the Social Security Act and any
25subsequent amendments thereto, health plans or third-party
26payors, employers, long-term care providers, pharmacists,

 

 

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1State and local public health entities, outpatient diagnostic
2service providers, behavioral health providers, home health
3agency organizations, health professional schools in Illinois,
4health information technology, or health information research.
5    (d) The directors of the Illinois Department of Healthcare
6and Family Services, the Illinois Department of Public Health,
7and the Illinois Department of Insurance and the Secretary of
8the Illinois Department of Human Services, or their designees,
9and a designee of the Office of the Governor, shall serve as
10ex-officio members of the Authority.
11    (e) The Authority is authorized to conduct its business by
12a majority of the appointed members. The Authority may adopt
13bylaws in order to conduct meetings. The bylaws may permit the
14Authority to meet by telecommunication or electronic
15communication.
16    (f) The Authority shall appoint an Illinois Health
17Information Exchange Authority Advisory Committee ("Advisory
18Committee") with representation from any of the fields or
19groups listed in subsection (c) of this Section. The purpose of
20the Advisory Committee shall be to advise and provide
21recommendations to the Authority regarding the ILHIE. The
22Advisory Committee members shall serve 2-year terms. The
23Authority may establish other advisory committees and
24subcommittees to conduct the business of the Authority.
25    (g) Directors of the Authority, members of the Advisory
26Committee, and any other advisory committee and subcommittee

 

 

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1members may be reimbursed for ordinary and contingent travel
2and meeting expenses for their service at the rate approved for
3State employee travel.
4(Source: P.A. 96-1331, eff. 7-27-10.)
 
5    Section 75. The Property Tax Code is amended by changing
6Sections 15-168 and 15-172 as follows:
 
7    (35 ILCS 200/15-168)
8    Sec. 15-168. Homestead exemption for persons with
9disabilities.
10    (a) Beginning with taxable year 2007, an annual homestead
11exemption is granted to persons with disabilities in the amount
12of $2,000, except as provided in subsection (c), to be deducted
13from the property's value as equalized or assessed by the
14Department of Revenue. The person with a disability shall
15receive the homestead exemption upon meeting the following
16requirements:
17        (1) The property must be occupied as the primary
18    residence by the person with a disability.
19        (2) The person with a disability must be liable for
20    paying the real estate taxes on the property.
21        (3) The person with a disability must be an owner of
22    record of the property or have a legal or equitable
23    interest in the property as evidenced by a written
24    instrument. In the case of a leasehold interest in

 

 

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1    property, the lease must be for a single family residence.
2    A person who has a disability during the taxable year is
3eligible to apply for this homestead exemption during that
4taxable year. Application must be made during the application
5period in effect for the county of residence. If a homestead
6exemption has been granted under this Section and the person
7awarded the exemption subsequently becomes a resident of a
8facility licensed under the Nursing Home Care Act, the
9Specialized Mental Health Rehabilitation Act of 2013, the ID/DD
10Community Care Act, or the MC/DD Act, then the exemption shall
11continue (i) so long as the residence continues to be occupied
12by the qualifying person's spouse or (ii) if the residence
13remains unoccupied but is still owned by the person qualified
14for the homestead exemption.
15    (b) For the purposes of this Section, "person with a
16disability" means a person unable to engage in any substantial
17gainful activity by reason of a medically determinable physical
18or mental impairment which can be expected to result in death
19or has lasted or can be expected to last for a continuous
20period of not less than 12 months. Persons with disabilities
21filing claims under this Act shall submit proof of disability
22in such form and manner as the Department shall by rule and
23regulation prescribe. Proof that a claimant is eligible to
24receive disability benefits under the Federal Social Security
25Act shall constitute proof of disability for purposes of this
26Act. Issuance of an Illinois Person with a Disability

 

 

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1Identification Card stating that the claimant is under a Class
22 disability, as defined in Section 4A of the Illinois
3Identification Card Act, shall constitute proof that the person
4named thereon is a person with a disability for purposes of
5this Act. A person with a disability not covered under the
6Federal Social Security Act and not presenting an Illinois
7Person with a Disability Identification Card stating that the
8claimant is under a Class 2 disability shall be examined by a
9physician, advanced practice nurse, or physician assistant
10designated by the Department, and his status as a person with a
11disability determined using the same standards as used by the
12Social Security Administration. The costs of any required
13examination shall be borne by the claimant.
14    (c) For land improved with (i) an apartment building owned
15and operated as a cooperative or (ii) a life care facility as
16defined under Section 2 of the Life Care Facilities Act that is
17considered to be a cooperative, the maximum reduction from the
18value of the property, as equalized or assessed by the
19Department, shall be multiplied by the number of apartments or
20units occupied by a person with a disability. The person with a
21disability shall receive the homestead exemption upon meeting
22the following requirements:
23        (1) The property must be occupied as the primary
24    residence by the person with a disability.
25        (2) The person with a disability must be liable by
26    contract with the owner or owners of record for paying the

 

 

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1    apportioned property taxes on the property of the
2    cooperative or life care facility. In the case of a life
3    care facility, the person with a disability must be liable
4    for paying the apportioned property taxes under a life care
5    contract as defined in Section 2 of the Life Care
6    Facilities Act.
7        (3) The person with a disability must be an owner of
8    record of a legal or equitable interest in the cooperative
9    apartment building. A leasehold interest does not meet this
10    requirement.
11If a homestead exemption is granted under this subsection, the
12cooperative association or management firm shall credit the
13savings resulting from the exemption to the apportioned tax
14liability of the qualifying person with a disability. The chief
15county assessment officer may request reasonable proof that the
16association or firm has properly credited the exemption. A
17person who willfully refuses to credit an exemption to the
18qualified person with a disability is guilty of a Class B
19misdemeanor.
20    (d) The chief county assessment officer shall determine the
21eligibility of property to receive the homestead exemption
22according to guidelines established by the Department. After a
23person has received an exemption under this Section, an annual
24verification of eligibility for the exemption shall be mailed
25to the taxpayer.
26    In counties with fewer than 3,000,000 inhabitants, the

 

 

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1chief county assessment officer shall provide to each person
2granted a homestead exemption under this Section a form to
3designate any other person to receive a duplicate of any notice
4of delinquency in the payment of taxes assessed and levied
5under this Code on the person's qualifying property. The
6duplicate notice shall be in addition to the notice required to
7be provided to the person receiving the exemption and shall be
8given in the manner required by this Code. The person filing
9the request for the duplicate notice shall pay an
10administrative fee of $5 to the chief county assessment
11officer. The assessment officer shall then file the executed
12designation with the county collector, who shall issue the
13duplicate notices as indicated by the designation. A
14designation may be rescinded by the person with a disability in
15the manner required by the chief county assessment officer.
16    (e) A taxpayer who claims an exemption under Section 15-165
17or 15-169 may not claim an exemption under this Section.
18(Source: P.A. 98-104, eff. 7-22-13; 99-143, eff. 7-27-15;
1999-180, eff. 7-29-15; revised 10-20-15.)
 
20    (35 ILCS 200/15-172)
21    Sec. 15-172. Senior Citizens Assessment Freeze Homestead
22Exemption.
23    (a) This Section may be cited as the Senior Citizens
24Assessment Freeze Homestead Exemption.
25    (b) As used in this Section:

 

 

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1    "Applicant" means an individual who has filed an
2application under this Section.
3    "Base amount" means the base year equalized assessed value
4of the residence plus the first year's equalized assessed value
5of any added improvements which increased the assessed value of
6the residence after the base year.
7    "Base year" means the taxable year prior to the taxable
8year for which the applicant first qualifies and applies for
9the exemption provided that in the prior taxable year the
10property was improved with a permanent structure that was
11occupied as a residence by the applicant who was liable for
12paying real property taxes on the property and who was either
13(i) an owner of record of the property or had legal or
14equitable interest in the property as evidenced by a written
15instrument or (ii) had a legal or equitable interest as a
16lessee in the parcel of property that was single family
17residence. If in any subsequent taxable year for which the
18applicant applies and qualifies for the exemption the equalized
19assessed value of the residence is less than the equalized
20assessed value in the existing base year (provided that such
21equalized assessed value is not based on an assessed value that
22results from a temporary irregularity in the property that
23reduces the assessed value for one or more taxable years), then
24that subsequent taxable year shall become the base year until a
25new base year is established under the terms of this paragraph.
26For taxable year 1999 only, the Chief County Assessment Officer

 

 

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1shall review (i) all taxable years for which the applicant
2applied and qualified for the exemption and (ii) the existing
3base year. The assessment officer shall select as the new base
4year the year with the lowest equalized assessed value. An
5equalized assessed value that is based on an assessed value
6that results from a temporary irregularity in the property that
7reduces the assessed value for one or more taxable years shall
8not be considered the lowest equalized assessed value. The
9selected year shall be the base year for taxable year 1999 and
10thereafter until a new base year is established under the terms
11of this paragraph.
12    "Chief County Assessment Officer" means the County
13Assessor or Supervisor of Assessments of the county in which
14the property is located.
15    "Equalized assessed value" means the assessed value as
16equalized by the Illinois Department of Revenue.
17    "Household" means the applicant, the spouse of the
18applicant, and all persons using the residence of the applicant
19as their principal place of residence.
20    "Household income" means the combined income of the members
21of a household for the calendar year preceding the taxable
22year.
23    "Income" has the same meaning as provided in Section 3.07
24of the Senior Citizens and Persons with Disabilities Property
25Tax Relief Act, except that, beginning in assessment year 2001,
26"income" does not include veteran's benefits.

 

 

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1    "Internal Revenue Code of 1986" means the United States
2Internal Revenue Code of 1986 or any successor law or laws
3relating to federal income taxes in effect for the year
4preceding the taxable year.
5    "Life care facility that qualifies as a cooperative" means
6a facility as defined in Section 2 of the Life Care Facilities
7Act.
8    "Maximum income limitation" means:
9        (1) $35,000 prior to taxable year 1999;
10        (2) $40,000 in taxable years 1999 through 2003;
11        (3) $45,000 in taxable years 2004 through 2005;
12        (4) $50,000 in taxable years 2006 and 2007; and
13        (5) $55,000 in taxable year 2008 and thereafter.
14    "Residence" means the principal dwelling place and
15appurtenant structures used for residential purposes in this
16State occupied on January 1 of the taxable year by a household
17and so much of the surrounding land, constituting the parcel
18upon which the dwelling place is situated, as is used for
19residential purposes. If the Chief County Assessment Officer
20has established a specific legal description for a portion of
21property constituting the residence, then that portion of
22property shall be deemed the residence for the purposes of this
23Section.
24    "Taxable year" means the calendar year during which ad
25valorem property taxes payable in the next succeeding year are
26levied.

 

 

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1    (c) Beginning in taxable year 1994, a senior citizens
2assessment freeze homestead exemption is granted for real
3property that is improved with a permanent structure that is
4occupied as a residence by an applicant who (i) is 65 years of
5age or older during the taxable year, (ii) has a household
6income that does not exceed the maximum income limitation,
7(iii) is liable for paying real property taxes on the property,
8and (iv) is an owner of record of the property or has a legal or
9equitable interest in the property as evidenced by a written
10instrument. This homestead exemption shall also apply to a
11leasehold interest in a parcel of property improved with a
12permanent structure that is a single family residence that is
13occupied as a residence by a person who (i) is 65 years of age
14or older during the taxable year, (ii) has a household income
15that does not exceed the maximum income limitation, (iii) has a
16legal or equitable ownership interest in the property as
17lessee, and (iv) is liable for the payment of real property
18taxes on that property.
19    In counties of 3,000,000 or more inhabitants, the amount of
20the exemption for all taxable years is the equalized assessed
21value of the residence in the taxable year for which
22application is made minus the base amount. In all other
23counties, the amount of the exemption is as follows: (i)
24through taxable year 2005 and for taxable year 2007 and
25thereafter, the amount of this exemption shall be the equalized
26assessed value of the residence in the taxable year for which

 

 

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1application is made minus the base amount; and (ii) for taxable
2year 2006, the amount of the exemption is as follows:
3        (1) For an applicant who has a household income of
4    $45,000 or less, the amount of the exemption is the
5    equalized assessed value of the residence in the taxable
6    year for which application is made minus the base amount.
7        (2) For an applicant who has a household income
8    exceeding $45,000 but not exceeding $46,250, the amount of
9    the exemption is (i) the equalized assessed value of the
10    residence in the taxable year for which application is made
11    minus the base amount (ii) multiplied by 0.8.
12        (3) For an applicant who has a household income
13    exceeding $46,250 but not exceeding $47,500, the amount of
14    the exemption is (i) the equalized assessed value of the
15    residence in the taxable year for which application is made
16    minus the base amount (ii) multiplied by 0.6.
17        (4) For an applicant who has a household income
18    exceeding $47,500 but not exceeding $48,750, the amount of
19    the exemption is (i) the equalized assessed value of the
20    residence in the taxable year for which application is made
21    minus the base amount (ii) multiplied by 0.4.
22        (5) For an applicant who has a household income
23    exceeding $48,750 but not exceeding $50,000, the amount of
24    the exemption is (i) the equalized assessed value of the
25    residence in the taxable year for which application is made
26    minus the base amount (ii) multiplied by 0.2.

 

 

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1    When the applicant is a surviving spouse of an applicant
2for a prior year for the same residence for which an exemption
3under this Section has been granted, the base year and base
4amount for that residence are the same as for the applicant for
5the prior year.
6    Each year at the time the assessment books are certified to
7the County Clerk, the Board of Review or Board of Appeals shall
8give to the County Clerk a list of the assessed values of
9improvements on each parcel qualifying for this exemption that
10were added after the base year for this parcel and that
11increased the assessed value of the property.
12    In the case of land improved with an apartment building
13owned and operated as a cooperative or a building that is a
14life care facility that qualifies as a cooperative, the maximum
15reduction from the equalized assessed value of the property is
16limited to the sum of the reductions calculated for each unit
17occupied as a residence by a person or persons (i) 65 years of
18age or older, (ii) with a household income that does not exceed
19the maximum income limitation, (iii) who is liable, by contract
20with the owner or owners of record, for paying real property
21taxes on the property, and (iv) who is an owner of record of a
22legal or equitable interest in the cooperative apartment
23building, other than a leasehold interest. In the instance of a
24cooperative where a homestead exemption has been granted under
25this Section, the cooperative association or its management
26firm shall credit the savings resulting from that exemption

 

 

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1only to the apportioned tax liability of the owner who
2qualified for the exemption. Any person who willfully refuses
3to credit that savings to an owner who qualifies for the
4exemption is guilty of a Class B misdemeanor.
5    When a homestead exemption has been granted under this
6Section and an applicant then becomes a resident of a facility
7licensed under the Assisted Living and Shared Housing Act, the
8Nursing Home Care Act, the Specialized Mental Health
9Rehabilitation Act of 2013, the ID/DD Community Care Act, or
10the MC/DD Act, the exemption shall be granted in subsequent
11years so long as the residence (i) continues to be occupied by
12the qualified applicant's spouse or (ii) if remaining
13unoccupied, is still owned by the qualified applicant for the
14homestead exemption.
15    Beginning January 1, 1997, when an individual dies who
16would have qualified for an exemption under this Section, and
17the surviving spouse does not independently qualify for this
18exemption because of age, the exemption under this Section
19shall be granted to the surviving spouse for the taxable year
20preceding and the taxable year of the death, provided that,
21except for age, the surviving spouse meets all other
22qualifications for the granting of this exemption for those
23years.
24    When married persons maintain separate residences, the
25exemption provided for in this Section may be claimed by only
26one of such persons and for only one residence.

 

 

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1    For taxable year 1994 only, in counties having less than
23,000,000 inhabitants, to receive the exemption, a person shall
3submit an application by February 15, 1995 to the Chief County
4Assessment Officer of the county in which the property is
5located. In counties having 3,000,000 or more inhabitants, for
6taxable year 1994 and all subsequent taxable years, to receive
7the exemption, a person may submit an application to the Chief
8County Assessment Officer of the county in which the property
9is located during such period as may be specified by the Chief
10County Assessment Officer. The Chief County Assessment Officer
11in counties of 3,000,000 or more inhabitants shall annually
12give notice of the application period by mail or by
13publication. In counties having less than 3,000,000
14inhabitants, beginning with taxable year 1995 and thereafter,
15to receive the exemption, a person shall submit an application
16by July 1 of each taxable year to the Chief County Assessment
17Officer of the county in which the property is located. A
18county may, by ordinance, establish a date for submission of
19applications that is different than July 1. The applicant shall
20submit with the application an affidavit of the applicant's
21total household income, age, marital status (and if married the
22name and address of the applicant's spouse, if known), and
23principal dwelling place of members of the household on January
241 of the taxable year. The Department shall establish, by rule,
25a method for verifying the accuracy of affidavits filed by
26applicants under this Section, and the Chief County Assessment

 

 

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1Officer may conduct audits of any taxpayer claiming an
2exemption under this Section to verify that the taxpayer is
3eligible to receive the exemption. Each application shall
4contain or be verified by a written declaration that it is made
5under the penalties of perjury. A taxpayer's signing a
6fraudulent application under this Act is perjury, as defined in
7Section 32-2 of the Criminal Code of 2012. The applications
8shall be clearly marked as applications for the Senior Citizens
9Assessment Freeze Homestead Exemption and must contain a notice
10that any taxpayer who receives the exemption is subject to an
11audit by the Chief County Assessment Officer.
12    Notwithstanding any other provision to the contrary, in
13counties having fewer than 3,000,000 inhabitants, if an
14applicant fails to file the application required by this
15Section in a timely manner and this failure to file is due to a
16mental or physical condition sufficiently severe so as to
17render the applicant incapable of filing the application in a
18timely manner, the Chief County Assessment Officer may extend
19the filing deadline for a period of 30 days after the applicant
20regains the capability to file the application, but in no case
21may the filing deadline be extended beyond 3 months of the
22original filing deadline. In order to receive the extension
23provided in this paragraph, the applicant shall provide the
24Chief County Assessment Officer with a signed statement from
25the applicant's physician, advanced practice nurse, or
26physician assistant stating the nature and extent of the

 

 

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1condition, that, in the physician's, advanced practice
2nurse's, or physician assistant's opinion, the condition was so
3severe that it rendered the applicant incapable of filing the
4application in a timely manner, and the date on which the
5applicant regained the capability to file the application.
6    Beginning January 1, 1998, notwithstanding any other
7provision to the contrary, in counties having fewer than
83,000,000 inhabitants, if an applicant fails to file the
9application required by this Section in a timely manner and
10this failure to file is due to a mental or physical condition
11sufficiently severe so as to render the applicant incapable of
12filing the application in a timely manner, the Chief County
13Assessment Officer may extend the filing deadline for a period
14of 3 months. In order to receive the extension provided in this
15paragraph, the applicant shall provide the Chief County
16Assessment Officer with a signed statement from the applicant's
17physician, advanced practice nurse, or physician assistant
18stating the nature and extent of the condition, and that, in
19the physician's, advanced practice nurse's, or physician
20assistant's opinion, the condition was so severe that it
21rendered the applicant incapable of filing the application in a
22timely manner.
23    In counties having less than 3,000,000 inhabitants, if an
24applicant was denied an exemption in taxable year 1994 and the
25denial occurred due to an error on the part of an assessment
26official, or his or her agent or employee, then beginning in

 

 

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1taxable year 1997 the applicant's base year, for purposes of
2determining the amount of the exemption, shall be 1993 rather
3than 1994. In addition, in taxable year 1997, the applicant's
4exemption shall also include an amount equal to (i) the amount
5of any exemption denied to the applicant in taxable year 1995
6as a result of using 1994, rather than 1993, as the base year,
7(ii) the amount of any exemption denied to the applicant in
8taxable year 1996 as a result of using 1994, rather than 1993,
9as the base year, and (iii) the amount of the exemption
10erroneously denied for taxable year 1994.
11    For purposes of this Section, a person who will be 65 years
12of age during the current taxable year shall be eligible to
13apply for the homestead exemption during that taxable year.
14Application shall be made during the application period in
15effect for the county of his or her residence.
16    The Chief County Assessment Officer may determine the
17eligibility of a life care facility that qualifies as a
18cooperative to receive the benefits provided by this Section by
19use of an affidavit, application, visual inspection,
20questionnaire, or other reasonable method in order to insure
21that the tax savings resulting from the exemption are credited
22by the management firm to the apportioned tax liability of each
23qualifying resident. The Chief County Assessment Officer may
24request reasonable proof that the management firm has so
25credited that exemption.
26    Except as provided in this Section, all information

 

 

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1received by the chief county assessment officer or the
2Department from applications filed under this Section, or from
3any investigation conducted under the provisions of this
4Section, shall be confidential, except for official purposes or
5pursuant to official procedures for collection of any State or
6local tax or enforcement of any civil or criminal penalty or
7sanction imposed by this Act or by any statute or ordinance
8imposing a State or local tax. Any person who divulges any such
9information in any manner, except in accordance with a proper
10judicial order, is guilty of a Class A misdemeanor.
11    Nothing contained in this Section shall prevent the
12Director or chief county assessment officer from publishing or
13making available reasonable statistics concerning the
14operation of the exemption contained in this Section in which
15the contents of claims are grouped into aggregates in such a
16way that information contained in any individual claim shall
17not be disclosed.
18    (d) Each Chief County Assessment Officer shall annually
19publish a notice of availability of the exemption provided
20under this Section. The notice shall be published at least 60
21days but no more than 75 days prior to the date on which the
22application must be submitted to the Chief County Assessment
23Officer of the county in which the property is located. The
24notice shall appear in a newspaper of general circulation in
25the county.
26    Notwithstanding Sections 6 and 8 of the State Mandates Act,

 

 

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1no reimbursement by the State is required for the
2implementation of any mandate created by this Section.
3(Source: P.A. 98-104, eff. 7-22-13; 99-143, eff. 7-27-15;
499-180, eff. 7-29-15; revised 10-21-15.)
 
5    Section 80. The Missing Persons Identification Act is
6amended by changing Section 5 as follows:
 
7    (50 ILCS 722/5)
8    Sec. 5. Missing person reports.
9    (a) Report acceptance. All law enforcement agencies shall
10accept without delay any report of a missing person. Acceptance
11of a missing person report filed in person may not be refused
12on any ground. No law enforcement agency may refuse to accept a
13missing person report:
14        (1) on the basis that the missing person is an adult;
15        (2) on the basis that the circumstances do not indicate
16    foul play;
17        (3) on the basis that the person has been missing for a
18    short period of time;
19        (4) on the basis that the person has been missing a
20    long period of time;
21        (5) on the basis that there is no indication that the
22    missing person was in the jurisdiction served by the law
23    enforcement agency at the time of the disappearance;
24        (6) on the basis that the circumstances suggest that

 

 

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1    the disappearance may be voluntary;
2        (7) on the basis that the reporting individual does not
3    have personal knowledge of the facts;
4        (8) on the basis that the reporting individual cannot
5    provide all of the information requested by the law
6    enforcement agency;
7        (9) on the basis that the reporting individual lacks a
8    familial or other relationship with the missing person;
9        (9-5) on the basis of the missing person's mental state
10    or medical condition; or
11        (10) for any other reason.
12    (b) Manner of reporting. All law enforcement agencies shall
13accept missing person reports in person. Law enforcement
14agencies are encouraged to accept reports by phone or by
15electronic or other media to the extent that such reporting is
16consistent with law enforcement policies or practices.
17    (c) Contents of report. In accepting a report of a missing
18person, the law enforcement agency shall attempt to gather
19relevant information relating to the disappearance. The law
20enforcement agency shall attempt to gather at the time of the
21report information that shall include, but shall not be limited
22to, the following:
23        (1) the name of the missing person, including
24    alternative names used;
25        (2) the missing person's date of birth;
26        (3) the missing person's identifying marks, such as

 

 

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1    birthmarks, moles, tattoos, and scars;
2        (4) the missing person's height and weight;
3        (5) the missing person's gender;
4        (6) the missing person's race;
5        (7) the missing person's current hair color and true or
6    natural hair color;
7        (8) the missing person's eye color;
8        (9) the missing person's prosthetics, surgical
9    implants, or cosmetic implants;
10        (10) the missing person's physical anomalies;
11        (11) the missing person's blood type, if known;
12        (12) the missing person's driver's license number, if
13    known;
14        (13) the missing person's social security number, if
15    known;
16        (14) a photograph of the missing person; recent
17    photographs are preferable and the agency is encouraged to
18    attempt to ascertain the approximate date the photograph
19    was taken;
20        (15) a description of the clothing the missing person
21    was believed to be wearing;
22        (16) a description of items that might be with the
23    missing person, such as jewelry, accessories, and shoes or
24    boots;
25        (17) information on the missing person's electronic
26    communications devices, such as cellular telephone numbers

 

 

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1    and e-mail addresses;
2        (18) the reasons why the reporting individual believes
3    that the person is missing;
4        (19) the name and location of the missing person's
5    school or employer, if known;
6        (20) the name and location of the missing person's
7    dentist or primary care physician or provider, or both, if
8    known;
9        (21) any circumstances that may indicate that the
10    disappearance was not voluntary;
11        (22) any circumstances that may indicate that the
12    missing person may be at risk of injury or death;
13        (23) a description of the possible means of
14    transportation of the missing person, including make,
15    model, color, license number, and Vehicle Identification
16    Number of a vehicle;
17        (24) any identifying information about a known or
18    possible abductor or person last seen with the missing
19    person, or both, including:
20            (A) name;
21            (B) a physical description;
22            (C) date of birth;
23            (D) identifying marks;
24            (E) the description of possible means of
25        transportation, including make, model, color, license
26        number, and Vehicle Identification Number of a

 

 

SB2900 Engrossed- 102 -LRB099 20672 SMS 45286 b

1        vehicle;
2            (F) known associates;
3        (25) any other information that may aid in locating the
4    missing person; and
5        (26) the date of last contact.
6    (d) Notification and follow up action.
7        (1) Notification. The law enforcement agency shall
8    notify the person making the report, a family member, or
9    other person in a position to assist the law enforcement
10    agency in its efforts to locate the missing person of the
11    following:
12            (A) general information about the handling of the
13        missing person case or about intended efforts in the
14        case to the extent that the law enforcement agency
15        determines that disclosure would not adversely affect
16        its ability to locate or protect the missing person or
17        to apprehend or prosecute any person criminally
18        involved in the disappearance;
19            (B) that the person should promptly contact the law
20        enforcement agency if the missing person remains
21        missing in order to provide additional information and
22        materials that will aid in locating the missing person
23        such as the missing person's credit cards, debit cards,
24        banking information, and cellular telephone records;
25        and
26            (C) that any DNA samples provided for the missing

 

 

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1        person case are provided on a voluntary basis and will
2        be used solely to help locate or identify the missing
3        person and will not be used for any other purpose.
4        The law enforcement agency, upon acceptance of a
5    missing person report, shall inform the reporting citizen
6    of one of 2 resources, based upon the age of the missing
7    person. If the missing person is under 18 years of age,
8    contact information for the National Center for Missing and
9    Exploited Children shall be given. If the missing person is
10    age 18 or older, contact information for the National
11    Center for Missing Adults shall be given.
12        Agencies handling the remains of a missing person who
13    is deceased must notify the agency handling the missing
14    person's case. Documented efforts must be made to locate
15    family members of the deceased person to inform them of the
16    death and location of the remains of their family member.
17        The law enforcement agency is encouraged to make
18    available informational materials, through publications or
19    electronic or other media, that advise the public about how
20    the information or materials identified in this subsection
21    are used to help locate or identify missing persons.
22        (2) Follow up action. If the person identified in the
23    missing person report remains missing after 30 days, and
24    the additional information and materials specified below
25    have not been received, the law enforcement agency shall
26    attempt to obtain:

 

 

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1            (A) DNA samples from family members or from the
2        missing person along with any needed documentation, or
3        both, including any consent forms, required for the use
4        of State or federal DNA databases, including, but not
5        limited to, the Local DNA Index System (LDIS), State
6        DNA Index System (SDIS), and National DNA Index System
7        (NDIS);
8            (B) an authorization to release dental or skeletal
9        x-rays of the missing person;
10            (C) any additional photographs of the missing
11        person that may aid the investigation or an
12        identification; the law enforcement agency is not
13        required to obtain written authorization before it
14        releases publicly any photograph that would aid in the
15        investigation or identification of the missing person;
16            (D) dental information and x-rays; and
17            (E) fingerprints.
18        (3) All DNA samples obtained in missing person cases
19    shall be immediately forwarded to the Department of State
20    Police for analysis. The Department of State Police shall
21    establish procedures for determining how to prioritize
22    analysis of the samples relating to missing person cases.
23        (4) This subsection shall not be interpreted to
24    preclude a law enforcement agency from attempting to obtain
25    the materials identified in this subsection before the
26    expiration of the 30-day period.

 

 

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1(Source: P.A. 99-244, eff. 1-1-16.)
 
2    Section 85. The Counties Code is amended by changing
3Sections 3-14049, 3-15003.6, 5-1069, and 5-21001 as follows:
 
4    (55 ILCS 5/3-14049)  (from Ch. 34, par. 3-14049)
5    Sec. 3-14049. Appointment of physicians and nurses for the
6poor and mentally ill persons. The appointment, employment and
7removal by the Board of Commissioners of Cook County, of all
8physicians and surgeons, advanced practice nurses, physician
9assistants, and nurses for the care and treatment of the sick,
10poor, mentally ill or persons in need of mental treatment of
11said county shall be made only in conformity with rules
12prescribed by the County Civil Service Commission to accomplish
13the purposes of this Section.
14    The Board of Commissioners of Cook County may provide that
15all such physicians and surgeons who serve without compensation
16shall be appointed for a term to be fixed by the Board, and
17that the physicians and surgeons usually designated and known
18as interns shall be appointed for a term to be fixed by the
19Board: Provided, that there may also, at the discretion of the
20board, be a consulting staff of physicians and surgeons, which
21staff may be appointed by the president, subject to the
22approval of the board, and provided further, that the Board may
23contract with any recognized training school or any program for
24health professionals for health care services the nursing of

 

 

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1any or all of such sick or mentally ill or persons in need of
2mental treatment.
3(Source: P.A. 86-962.)
 
4    (55 ILCS 5/3-15003.6)
5    Sec. 3-15003.6. Pregnant female prisoners.
6    (a) Definitions. For the purpose of this Section:
7        (1) "Restraints" means any physical restraint or
8    mechanical device used to control the movement of a
9    prisoner's body or limbs, or both, including, but not
10    limited to, flex cuffs, soft restraints, hard metal
11    handcuffs, a black box, Chubb cuffs, leg irons, belly
12    chains, a security (tether) chain, or a convex shield, or
13    shackles of any kind.
14        (2) "Labor" means the period of time before a birth and
15    shall include any medical condition in which a woman is
16    sent or brought to the hospital for the purpose of
17    delivering her baby. These situations include: induction
18    of labor, prodromal labor, pre-term labor, prelabor
19    rupture of membranes, the 3 stages of active labor, uterine
20    hemorrhage during the third trimester of pregnancy, and
21    caesarian delivery including pre-operative preparation.
22        (3) "Post-partum" means, as determined by her
23    physician, advanced practice nurse, or physician
24    assistant, the period immediately following delivery,
25    including the entire period a woman is in the hospital or

 

 

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1    infirmary after birth.
2        (4) "Correctional institution" means any entity under
3    the authority of a county law enforcement division of a
4    county of more than 3,000,000 inhabitants that has the
5    power to detain or restrain, or both, a person under the
6    laws of the State.
7        (5) "Corrections official" means the official that is
8    responsible for oversight of a correctional institution,
9    or his or her designee.
10        (6) "Prisoner" means any person incarcerated or
11    detained in any facility who is accused of, convicted of,
12    sentenced for, or adjudicated delinquent for, violations
13    of criminal law or the terms and conditions of parole,
14    probation, pretrial release, or diversionary program, and
15    any person detained under the immigration laws of the
16    United States at any correctional facility.
17        (7) "Extraordinary circumstance" means an
18    extraordinary medical or security circumstance, including
19    a substantial flight risk, that dictates restraints be used
20    to ensure the safety and security of the prisoner, the
21    staff of the correctional institution or medical facility,
22    other prisoners, or the public.
23    (b) A county department of corrections shall not apply
24security restraints to a prisoner that has been determined by a
25qualified medical professional to be pregnant and is known by
26the county department of corrections to be pregnant or in

 

 

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1postpartum recovery, which is the entire period a woman is in
2the medical facility after birth, unless the corrections
3official makes an individualized determination that the
4prisoner presents a substantial flight risk or some other
5extraordinary circumstance that dictates security restraints
6be used to ensure the safety and security of the prisoner, her
7child or unborn child, the staff of the county department of
8corrections or medical facility, other prisoners, or the
9public. The protections set out in clauses (b)(3) and (b)(4) of
10this Section shall apply to security restraints used pursuant
11to this subsection. The corrections official shall immediately
12remove all restraints upon the written or oral request of
13medical personnel. Oral requests made by medical personnel
14shall be verified in writing as promptly as reasonably
15possible.
16        (1) Qualified authorized health staff shall have the
17    authority to order therapeutic restraints for a pregnant or
18    postpartum prisoner who is a danger to herself, her child,
19    unborn child, or other persons due to a psychiatric or
20    medical disorder. Therapeutic restraints may only be
21    initiated, monitored and discontinued by qualified and
22    authorized health staff and used to safely limit a
23    prisoner's mobility for psychiatric or medical reasons. No
24    order for therapeutic restraints shall be written unless
25    medical or mental health personnel, after personally
26    observing and examining the prisoner, are clinically

 

 

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1    satisfied that the use of therapeutic restraints is
2    justified and permitted in accordance with hospital
3    policies and applicable State law. Metal handcuffs or
4    shackles are not considered therapeutic restraints.
5        (2) Whenever therapeutic restraints are used by
6    medical personnel, Section 2-108 of the Mental Health and
7    Developmental Disabilities Code shall apply.
8        (3) Leg irons, shackles or waist shackles shall not be
9    used on any pregnant or postpartum prisoner regardless of
10    security classification. Except for therapeutic restraints
11    under clause (b)(2), no restraints of any kind may be
12    applied to prisoners during labor.
13        (4) When a pregnant or postpartum prisoner must be
14    restrained, restraints used shall be the least restrictive
15    restraints possible to ensure the safety and security of
16    the prisoner, her child, unborn child, the staff of the
17    county department of corrections or medical facility,
18    other prisoners, or the public, and in no case shall
19    include leg irons, shackles or waist shackles.
20        (5) Upon the pregnant prisoner's entry into a hospital
21    room, and completion of initial room inspection, a
22    corrections official shall be posted immediately outside
23    the hospital room, unless requested to be in the room by
24    medical personnel attending to the prisoner's medical
25    needs.
26        (6) The county department of corrections shall provide

 

 

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1    adequate corrections personnel to monitor the pregnant
2    prisoner during her transport to and from the hospital and
3    during her stay at the hospital.
4        (7) Where the county department of corrections
5    requires prisoner safety assessments, a corrections
6    official may enter the hospital room to conduct periodic
7    prisoner safety assessments, except during a medical
8    examination or the delivery process.
9        (8) Upon discharge from a medical facility, postpartum
10    prisoners shall be restrained only with handcuffs in front
11    of the body during transport to the county department of
12    corrections. A corrections official shall immediately
13    remove all security restraints upon written or oral request
14    by medical personnel. Oral requests made by medical
15    personnel shall be verified in writing as promptly as
16    reasonably possible.
17    (c) Enforcement. No later than 30 days before the end of
18each fiscal year, the county sheriff or corrections official of
19the correctional institution where a pregnant prisoner has been
20restrained during that previous fiscal year, shall submit a
21written report to the Illinois General Assembly and the Office
22of the Governor that includes an account of every instance of
23prisoner restraint pursuant to this Section. The written report
24shall state the date, time, location and rationale for each
25instance in which restraints are used. The written report shall
26not contain any individually identifying information of any

 

 

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1prisoner. Such reports shall be made available for public
2inspection.
3(Source: P.A. 97-660, eff. 6-1-12.)
 
4    (55 ILCS 5/5-1069)  (from Ch. 34, par. 5-1069)
5    Sec. 5-1069. Group life, health, accident, hospital, and
6medical insurance.
7    (a) The county board of any county may arrange to provide,
8for the benefit of employees of the county, group life, health,
9accident, hospital, and medical insurance, or any one or any
10combination of those types of insurance, or the county board
11may self-insure, for the benefit of its employees, all or a
12portion of the employees' group life, health, accident,
13hospital, and medical insurance, or any one or any combination
14of those types of insurance, including a combination of
15self-insurance and other types of insurance authorized by this
16Section, provided that the county board complies with all other
17requirements of this Section. The insurance may include
18provision for employees who rely on treatment by prayer or
19spiritual means alone for healing in accordance with the tenets
20and practice of a well recognized religious denomination. The
21county board may provide for payment by the county of a portion
22or all of the premium or charge for the insurance with the
23employee paying the balance of the premium or charge, if any.
24If the county board undertakes a plan under which the county
25pays only a portion of the premium or charge, the county board

 

 

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1shall provide for withholding and deducting from the
2compensation of those employees who consent to join the plan
3the balance of the premium or charge for the insurance.
4    (b) If the county board does not provide for self-insurance
5or for a plan under which the county pays a portion or all of
6the premium or charge for a group insurance plan, the county
7board may provide for withholding and deducting from the
8compensation of those employees who consent thereto the total
9premium or charge for any group life, health, accident,
10hospital, and medical insurance.
11    (c) The county board may exercise the powers granted in
12this Section only if it provides for self-insurance or, where
13it makes arrangements to provide group insurance through an
14insurance carrier, if the kinds of group insurance are obtained
15from an insurance company authorized to do business in the
16State of Illinois. The county board may enact an ordinance
17prescribing the method of operation of the insurance program.
18    (d) If a county, including a home rule county, is a
19self-insurer for purposes of providing health insurance
20coverage for its employees, the insurance coverage shall
21include screening by low-dose mammography for all women 35
22years of age or older for the presence of occult breast cancer
23unless the county elects to provide mammograms itself under
24Section 5-1069.1. The coverage shall be as follows:
25         (1) A baseline mammogram for women 35 to 39 years of
26    age.

 

 

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1         (2) An annual mammogram for women 40 years of age or
2    older.
3         (3) A mammogram at the age and intervals considered
4    medically necessary by the woman's health care provider for
5    women under 40 years of age and having a family history of
6    breast cancer, prior personal history of breast cancer,
7    positive genetic testing, or other risk factors.
8        (4) A comprehensive ultrasound screening of an entire
9    breast or breasts if a mammogram demonstrates
10    heterogeneous or dense breast tissue, when medically
11    necessary as determined by a physician licensed to practice
12    medicine in all of its branches, advanced practice nurse,
13    or physician assistant.
14    For purposes of this subsection, "low-dose mammography"
15means the x-ray examination of the breast using equipment
16dedicated specifically for mammography, including the x-ray
17tube, filter, compression device, and image receptor, with an
18average radiation exposure delivery of less than one rad per
19breast for 2 views of an average size breast. The term also
20includes digital mammography.
21    (d-5) Coverage as described by subsection (d) shall be
22provided at no cost to the insured and shall not be applied to
23an annual or lifetime maximum benefit.
24    (d-10) When health care services are available through
25contracted providers and a person does not comply with plan
26provisions specific to the use of contracted providers, the

 

 

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1requirements of subsection (d-5) are not applicable. When a
2person does not comply with plan provisions specific to the use
3of contracted providers, plan provisions specific to the use of
4non-contracted providers must be applied without distinction
5for coverage required by this Section and shall be at least as
6favorable as for other radiological examinations covered by the
7policy or contract.
8    (d-15) If a county, including a home rule county, is a
9self-insurer for purposes of providing health insurance
10coverage for its employees, the insurance coverage shall
11include mastectomy coverage, which includes coverage for
12prosthetic devices or reconstructive surgery incident to the
13mastectomy. Coverage for breast reconstruction in connection
14with a mastectomy shall include:
15        (1) reconstruction of the breast upon which the
16    mastectomy has been performed;
17        (2) surgery and reconstruction of the other breast to
18    produce a symmetrical appearance; and
19        (3) prostheses and treatment for physical
20    complications at all stages of mastectomy, including
21    lymphedemas.
22Care shall be determined in consultation with the attending
23physician and the patient. The offered coverage for prosthetic
24devices and reconstructive surgery shall be subject to the
25deductible and coinsurance conditions applied to the
26mastectomy, and all other terms and conditions applicable to

 

 

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1other benefits. When a mastectomy is performed and there is no
2evidence of malignancy then the offered coverage may be limited
3to the provision of prosthetic devices and reconstructive
4surgery to within 2 years after the date of the mastectomy. As
5used in this Section, "mastectomy" means the removal of all or
6part of the breast for medically necessary reasons, as
7determined by a licensed physician.
8    A county, including a home rule county, that is a
9self-insurer for purposes of providing health insurance
10coverage for its employees, may not penalize or reduce or limit
11the reimbursement of an attending provider or provide
12incentives (monetary or otherwise) to an attending provider to
13induce the provider to provide care to an insured in a manner
14inconsistent with this Section.
15    (d-20) The requirement that mammograms be included in
16health insurance coverage as provided in subsections (d)
17through (d-15) is an exclusive power and function of the State
18and is a denial and limitation under Article VII, Section 6,
19subsection (h) of the Illinois Constitution of home rule county
20powers. A home rule county to which subsections (d) through
21(d-15) apply must comply with every provision of those
22subsections.
23    (e) The term "employees" as used in this Section includes
24elected or appointed officials but does not include temporary
25employees.
26    (f) The county board may, by ordinance, arrange to provide

 

 

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1group life, health, accident, hospital, and medical insurance,
2or any one or a combination of those types of insurance, under
3this Section to retired former employees and retired former
4elected or appointed officials of the county.
5    (g) Rulemaking authority to implement this amendatory Act
6of the 95th General Assembly, if any, is conditioned on the
7rules being adopted in accordance with all provisions of the
8Illinois Administrative Procedure Act and all rules and
9procedures of the Joint Committee on Administrative Rules; any
10purported rule not so adopted, for whatever reason, is
11unauthorized.
12(Source: P.A. 95-1045, eff. 3-27-09.)
 
13    (55 ILCS 5/5-21001)  (from Ch. 34, par. 5-21001)
14    Sec. 5-21001. Establishment and maintenance of county
15home. In any county which establishes and maintains a county
16sheltered care home or a county nursing home for the care of
17infirm or chronically ill persons, as provided in Section
185-1005, the County Board shall have power:
19    1. To acquire in the name of the county by purchase, grant,
20gift, or legacy, a suitable tract or tracts of land upon which
21to erect and maintain the home, and in connection therewith a
22farm or acreage for the purpose of providing supplies for the
23home and employment for such patients as are able to work and
24benefit thereby.
25    The board shall expend not more than $20,000 for the

 

 

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1purchase of any such land or the erection of buildings without
2a 2/3 vote of all its members in counties of 300,000 or more
3population, or a favorable vote of at least a majority of all
4its members in counties under 300,000 population.
5    2. To receive in the name of the county, gifts and legacies
6to aid in the erection or maintenance of the home.
7    3. To appoint a superintendent and all necessary employees
8for the management and control of the home and to prescribe
9their compensation and duties.
10    4. To arrange for physicians' or other health care
11professionals' services and other medical care for the patients
12in the home and prescribe the compensation and duties of
13physicians so designated.
14    5. To control the admission and discharge of patients in
15the home.
16    6. To fix the rate per day, week, or month which it will
17charge for care and maintenance of the patients. Rates so
18established may vary according to the amount of care required,
19but the rates shall be uniform for all persons or agencies
20purchasing care in the home except rates for persons who are
21able to purchase their own care may approximate actual cost.
22    7. To make all rules and regulations for the management of
23the home and of the patients therein.
24    8. To make appropriations from the county treasury for the
25purchase of land and the erection of buildings for the home,
26and to defray the expenses necessary for the care and

 

 

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1maintenance of the home and for providing maintenance, personal
2care and nursing services to the patients therein, and to cause
3an amount sufficient for those purposes to be levied upon the
4taxable property of the counties and collected as other taxes
5and further providing that in counties with a population of not
6more than 1,000,000 to levy and collect annually a tax of not
7to exceed .1% of the value, as equalized or assessed by the
8Department of Revenue, of all the taxable property in the
9county for these purposes. The tax shall be in addition to all
10other taxes which the county is authorized to levy on the
11aggregate valuation of the property within the county and shall
12not be included in any limitation of the tax rate upon which
13taxes are required to be extended, but shall be excluded
14therefrom and in addition thereto. The tax shall be levied and
15collected in like manner as the general taxes of the county,
16and when collected, shall be paid into a special fund in the
17county treasury and used only as herein authorized. No such tax
18shall be levied or increased from a rate lower than the maximum
19rate in any such county until the question of levying such tax
20has first been submitted to the voters of such county at an
21election held in such county, and has been approved by a
22majority of such voters voting thereon. The corporate
23authorities shall certify the question of levying such tax to
24the proper election officials, who shall submit the question to
25the voters at an election held in accordance with the general
26election law.

 

 

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1    The proposition shall be in substantially the following
2form:
3-------------------------------------------------------------
4    Shall ........ County be authorized
5to levy and collect a tax at a rate not            YES
6to exceed .1% for the purpose of          -------------------
7   ........ (purchasing, maintaining) a            NO
8 county nursing home?
9-------------------------------------------------------------
10    If a majority of votes cast on the question are in favor,
11the county shall be authorized to levy the tax.
12    If the county has levied such tax at a rate lower than the
13maximum rate set forth in this Section, the county board may
14increase the rate of the tax, but not to exceed such maximum
15rate, by certifying the proposition of such increase to the
16proper election officials for submission to the voters of the
17county at a regular election in accordance with the general
18election law. The proposition shall be in substantially the
19following form:
20-------------------------------------------------------------
21    Shall the maximum rate
22of the tax levied by........            YES
23County for the purpose of.......
24(purchasing, maintaining) a      ----------------------------
25county nursing home be
26increased from........ to               NO

 

 

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1........ (not to exceed .1%)
2-------------------------------------------------------------
3    If a majority of all the votes cast upon the proposition
4are in favor thereof, the county board may levy the tax at a
5rate not to exceed the rate set forth in this Section.
6    9. Upon the vote of a 2/3 majority of all the members of
7the board, to sell, dispose of or lease for any term, any part
8of the home properties in such manner and upon such terms as it
9deems best for the interest of the county, and to make and
10execute all necessary conveyances thereof in the same manner as
11other conveyances of real estate may be made by a county.
12However, if the home was erected after referendum approval by
13the voters of the county, it shall not be sold or disposed of
14except after referendum approval thereof by a majority of the
15voters of the county voting thereon.
16    If the home was erected after referendum approval by the
17voters of the county, the county nursing home may be leased
18upon the vote of a 3/5 majority of all the members of the
19board.
20    10. To operate a sheltered care home as a part of a county
21nursing home provided that a license to do so is obtained
22pursuant to the Nursing Home Care Act, as amended.
23(Source: P.A. 89-185, eff. 1-1-96.)
 
24    Section 90. The Illinois Municipal Code is amended by
25changing Sections 10-1-38.1 and 10-2.1-18 as follows:
 

 

 

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1    (65 ILCS 5/10-1-38.1)  (from Ch. 24, par. 10-1-38.1)
2    Sec. 10-1-38.1. When the force of the Fire Department or of
3the Police Department is reduced, and positions displaced or
4abolished, seniority shall prevail, and the officers and
5members so reduced in rank, or removed from the service of the
6Fire Department or of the Police Department shall be considered
7furloughed without pay from the positions from which they were
8reduced or removed.
9    Such reductions and removals shall be in strict compliance
10with seniority and in no event shall any officer or member be
11reduced more than one rank in a reduction of force. Officers
12and members with the least seniority in the position to be
13reduced shall be reduced to the next lower rated position. For
14purposes of determining which officers and members will be
15reduced in rank, seniority shall be determined by adding the
16time spent at the rank or position from which the officer or
17member is to be reduced and the time spent at any higher rank
18or position in the Department. For purposes of determining
19which officers or members in the lowest rank or position shall
20be removed from the Department in the event of a layoff, length
21of service in the Department shall be the basis for determining
22seniority, with the least senior such officer or member being
23the first so removed and laid off. Such officers or members
24laid off shall have their names placed on an appropriate
25reemployment list in the reverse order of dates of layoff.

 

 

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1    If any positions which have been vacated because of
2reduction in forces or displacement and abolition of positions,
3are reinstated, such members and officers of the Fire
4Department or of the Police Department as are furloughed from
5the said positions shall be notified by registered mail of such
6reinstatement of positions and shall have prior right to such
7positions if otherwise qualified, and in all cases seniority
8shall prevail. Written application for such reinstated
9position must be made by the furloughed person within 30 days
10after notification as above provided and such person may be
11required to submit to examination by physicians, advanced
12practice nurses, or physician assistants of both the commission
13and the appropriate pension board to determine his physical
14fitness.
15(Source: P.A. 84-747.)
 
16    (65 ILCS 5/10-2.1-18)  (from Ch. 24, par. 10-2.1-18)
17    Sec. 10-2.1-18. Fire or police departments - Reduction of
18force - Reinstatement. When the force of the fire department or
19of the police department is reduced, and positions displaced or
20abolished, seniority shall prevail and the officers and members
21so reduced in rank, or removed from the service of the fire
22department or of the police department shall be considered
23furloughed without pay from the positions from which they were
24reduced or removed.
25    Such reductions and removals shall be in strict compliance

 

 

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1with seniority and in no event shall any officer or member be
2reduced more than one rank in a reduction of force. Officers
3and members with the least seniority in the position to be
4reduced shall be reduced to the next lower rated position. For
5purposes of determining which officers and members will be
6reduced in rank, seniority shall be determined by adding the
7time spent at the rank or position from which the officer or
8member is to be reduced and the time spent at any higher rank
9or position in the Department. For purposes of determining
10which officers or members in the lowest rank or position shall
11be removed from the Department in the event of a layoff, length
12of service in the Department shall be the basis for determining
13seniority, with the least senior such officer or member being
14the first so removed and laid off. Such officers or members
15laid off shall have their names placed on an appropriate
16reemployment list in the reverse order of dates of layoff.
17    If any positions which have been vacated because of
18reduction in forces or displacement and abolition of positions,
19are reinstated, such members and officers of the fire
20department or of the police department as are furloughed from
21the said positions shall be notified by the board by registered
22mail of such reinstatement of positions and shall have prior
23right to such positions if otherwise qualified, and in all
24cases seniority shall prevail. Written application for such
25reinstated position must be made by the furloughed person
26within 30 days after notification as above provided and such

 

 

SB2900 Engrossed- 124 -LRB099 20672 SMS 45286 b

1person may be required to submit to examination by physicians,
2advanced practice nurses, or physician assistants of both the
3board of fire and police commissioners and the appropriate
4pension board to determine his physical fitness.
5(Source: P.A. 84-747.)