Full Text of SB2958 98th General Assembly
SB2958enr 98TH GENERAL ASSEMBLY |
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| 1 | | AN ACT concerning regulation.
| 2 | | Be it enacted by the People of the State of Illinois, | 3 | | represented in the General Assembly:
| 4 | | Section 1. Legislative findings. The General Assembly | 5 | | finds that: | 6 | | (1) Many states have had successful medication | 7 | | aide-certified (MA-C) programs for many years. | 8 | | (2) A medication aide-certified assists with | 9 | | medication administration while under the supervision of a | 10 | | registered professional nurse (RN) in a long-term care | 11 | | facility. | 12 | | Section 5. The Nursing Home Care Act is amended by adding | 13 | | Section 3-305.5 as follows: | 14 | | (210 ILCS 45/3-305.5 new) | 15 | | Sec. 3-305.5. Violation of the Nurse Practice Act. A | 16 | | facility that fails to submit any required report under Section | 17 | | 80-10 of the Nurse Practice Act is subject to discipline under | 18 | | this Article. | 19 | | Section 10. The Nurse Practice Act is amended by adding | 20 | | Article 80 as follows: |
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| 1 | | (225 ILCS 65/Art. 80 heading new) | 2 | | ARTICLE 80. MEDICATION AIDE PILOT PROGRAM | 3 | | (225 ILCS 65/80-5 new) | 4 | | Sec. 80-5. Definitions. For the purposes of this Article | 5 | | only: | 6 | | "Direct-care assignment" means an assignment as defined | 7 | | for staffing requirements as
direct care staff under 77 CFR | 8 | | 300.1230. | 9 | | "Medication aide" means a person who has met the | 10 | | qualifications for licensure under
this Article who assists | 11 | | with medication administration while under the supervision of a
| 12 | | registered professional nurse (RN) in a long-term care | 13 | | facility. | 14 | | "Qualified employer" means a long-term care facility | 15 | | licensed by the Department of Public
Health that meets the | 16 | | qualifications set forth in Section 80-1o. | 17 | | (225 ILCS 65/80-10 new) | 18 | | Sec. 80-10. Pilot program. | 19 | | (a) The Department shall administer and enforce a Licensed | 20 | | Medication Aide Pilot Program. The
program shall last for a | 21 | | period of 3 years, as determined by rule.
During the 3-year | 22 | | pilot program, the Department shall license and regulate | 23 | | licensed
medication aides. As part of the pilot program, no | 24 | | more than 10 skilled nursing homes, which
shall be |
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| 1 | | geographically located throughout the State, shall be | 2 | | authorized to
employ licensed medication aides, as approved by | 3 | | the Department. The Department may consult
with the Department | 4 | | of Public Health as necessary to properly administer and | 5 | | enforce this Article. | 6 | | (b) To be approved as a qualified facility for the duration | 7 | | of the pilot program, a facility must: | 8 | | (1) be licensed in good standing as a skilled nursing | 9 | | facility by the
Department of Public Health; | 10 | | (2) have an overall Five Star
Quality Rating of 3, 4, | 11 | | or 5 from the most recent data available on the Centers for
| 12 | | Medicare and Medicaid Services' website; | 13 | | (3) certify that the employment of a licensed | 14 | | medication aide will not
replace or diminish the employment | 15 | | of a registered nurse or licensed practical nurse at
the | 16 | | facility; | 17 | | (4) certify that a registered nurse will be on-duty and | 18 | | present in the facility to
delegate and supervise the | 19 | | medication administration by a licensed medication aide at
| 20 | | all times; | 21 | | (5) certify that, with the exception of licensed health | 22 | | care professionals,
only licensed medication aides will be | 23 | | employed in the capacity of administering
medication; and | 24 | | (6) provide information regarding patient safety,
| 25 | | efficiency, and errors as determined by the Department; | 26 | | failure to submit any
required report may be grounds for |
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| 1 | | discipline or sanctions under this Act, the
Nursing Home | 2 | | Administrators Licensing and Disciplinary Act, or the | 3 | | Nursing Home
Care Act. | 4 | | The Department shall submit a report regarding patient | 5 | | safety, efficiency, and errors, as
determined by rule, to the | 6 | | General Assembly no later than 6 months after termination of | 7 | | the pilot
program. | 8 | | (225 ILCS 65/80-15 new) | 9 | | Sec. 80-15. Licensure requirement; exempt activities. | 10 | | (a) On and after January 1, 2015, no person shall
practice | 11 | | as a medication aide or hold himself or herself out as a | 12 | | licensed medication aide in this State
unless he or she is | 13 | | licensed under this Article. | 14 | | (b) Nothing in this Article shall be construed as | 15 | | preventing or restricting the practice, services, or
| 16 | | activities of: | 17 | | (1) any person licensed in this State by any other law | 18 | | from engaging in the profession or
occupation for which he | 19 | | or she is licensed; | 20 | | (2) any person employed as a medication aide by the | 21 | | government of the United States, if
such person practices | 22 | | as a medication aide solely under the direction or control | 23 | | of the
organization by which he or she is employed; or | 24 | | (3) any person pursuing a course of study leading to a | 25 | | certificate in medication aide at an
accredited or approved |
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| 1 | | educational program if such activities and services | 2 | | constitute a part of a
supervised course of study and if | 3 | | such person is designated by a title which clearly | 4 | | indicates his
or her status as a student or trainee. | 5 | | (c) Nothing in this Article shall be construed to limit the | 6 | | delegation of tasks or duties by a
physician, dentist, advanced | 7 | | practice nurse, or podiatric physician as authorized by law. | 8 | | (225 ILCS 65/80-20 new) | 9 | | Sec. 80-20. Scope of practice. | 10 | | (a) A licensed medication aide may only practice in a | 11 | | qualified facility. | 12 | | (b) Licensed medication aides must be supervised by and | 13 | | receive delegation by a registered
nurse that is on-duty and | 14 | | present in the facility at all times. | 15 | | (c) Licensed medication aides shall not have a direct-care | 16 | | assignment when scheduled to
work as a licensed medication | 17 | | aide, but may assist residents as needed. | 18 | | (d) Licensed medication aides shall not administer any | 19 | | medication until a physician has conducted an initial | 20 | | assessment of the
resident. | 21 | | (e) Licensed medication aides shall not administer any | 22 | | Schedule II controlled substances as
set forth in the Illinois | 23 | | Controlled Substances Act, and may not administer any
| 24 | | subcutaneous, intramuscular, intradermal, or intravenous | 25 | | medication. |
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| 1 | | (225 ILCS 65/80-25 new) | 2 | | Sec. 80-25. Unlicensed practice; violation; civil penalty. | 3 | | (a) In addition to any other penalty provided by law, any | 4 | | person who practices, offers to
practice, attempts to practice, | 5 | | or holds oneself out to practice as a medication aide without | 6 | | being
licensed under this Act shall, in addition to any other | 7 | | penalty provided by law, pay a civil penalty
to the Department | 8 | | in an amount not to exceed $10,000 for each offense as | 9 | | determined by the
Department. The civil penalty shall be | 10 | | assessed by the Department after a hearing is held in
| 11 | | accordance with the provisions set forth in this Act regarding | 12 | | the provision of a hearing for the
discipline of a licensee. | 13 | | (b) The Department has the authority and power to | 14 | | investigate any and all unlicensed activity. | 15 | | (c) The civil penalty shall be paid within 60 days after | 16 | | the effective date of the order imposing
the civil penalty. The | 17 | | order shall constitute a judgment and may be filed and | 18 | | execution had
thereon in the same manner as any judgment from | 19 | | any court of record. | 20 | | (225 ILCS 65/80-30 new) | 21 | | Sec. 80-30. Applications for original licensure. | 22 | | Applications for original licensure shall be made to
the | 23 | | Department in writing on forms prescribed by the Department and | 24 | | shall be accompanied by
the required fee, which shall not be |
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| 1 | | returnable. The application shall require such
information as, | 2 | | in the judgment of the Department, will enable the Department | 3 | | to pass on the
qualifications of the applicant for licensure. | 4 | | Applicants have 3 years after the date of application
to | 5 | | complete the application process. If the process has not been | 6 | | completed within 3 years, the
application shall be denied, the | 7 | | fee forfeited, and the applicant must reapply and meet the
| 8 | | requirements in effect at the time of reapplication. | 9 | | (225 ILCS 65/80-35 new) | 10 | | Sec. 80-35. Examinations. The Department shall authorize | 11 | | examinations of applicants for a license
under this Article at | 12 | | the times and place as it may designate. The examination shall | 13 | | be of a
character to give a fair test of the qualifications of | 14 | | the applicant to practice as a medication aide. | 15 | | Applicants for examination as a medication aide shall be | 16 | | required to pay, either to the
Department or the designated | 17 | | testing service, a fee covering the cost of providing the
| 18 | | examination. Failure to appear for the examination on the | 19 | | scheduled date, at the time and place
specified, after the | 20 | | applicant's application for examination has been received and | 21 | | acknowledged
by the Department or the designated testing | 22 | | service, shall result in the forfeiture of the
examination fee. | 23 | | If an applicant fails to pass an examination for | 24 | | registration under this Act within 3 years after
filing his or | 25 | | her application, the application shall be denied. The applicant |
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| 1 | | may thereafter make a new
application accompanied by the | 2 | | required fee; however, the applicant shall meet all | 3 | | requirements
in effect at the time of subsequent application | 4 | | before obtaining licensure. The Department may
employ | 5 | | consultants for the purposes of preparing and conducting | 6 | | examinations. | 7 | | (225 ILCS 65/80-40 new) | 8 | | Sec. 80-40. Licensure by examination. An applicant for | 9 | | licensure by examination to practice as a licensed medication | 10 | | aide
must: | 11 | | (1) submit a completed written application on forms | 12 | | provided by the Department and fees
as established by the | 13 | | Department; | 14 | | (2) be age 18 or older; | 15 | | (3) have a high school diploma or a certificate of | 16 | | general education development (GED); | 17 | | (4) demonstrate the able to speak, read, and write the | 18 | | English language, as determined by
rule; | 19 | | (5) demonstrate competency in math, as determined by | 20 | | rule; | 21 | | (6) be currently certified in good standing as a | 22 | | certified nursing assistant and provide
proof of 2,000 | 23 | | hours of practice as a certified nursing assistant within 3 | 24 | | years before
application for licensure; | 25 | | (7) submit to the criminal history records check |
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| 1 | | required under Section 50-35 of this Act; | 2 | | (8) have not engaged in conduct or behavior determined | 3 | | to be grounds for discipline under
this Act; | 4 | | (9) be currently certified to perform cardiopulmonary | 5 | | resuscitation by the American Heart
Association or | 6 | | American Red Cross; | 7 | | (10) have successfully completed a course of study | 8 | | approved by the Department as defined
by rule; to be | 9 | | approved, the program must include a minimum of 60 hours of | 10 | | classroom-based medication aide education, a minimum of 10 | 11 | | hours of simulation laboratory study, and
a minimum of 30 | 12 | | hours of registered nurse-supervised clinical practicum | 13 | | with progressive responsibility
of patient medication | 14 | | assistance; | 15 | | (11) have successfully completed the Medication Aide | 16 | | Certification Examination or other
examination authorized | 17 | | by the Department; and | 18 | | (12) submit proof of employment by a qualifying | 19 | | facility. | 20 | | (225 ILCS 65/80-45 new) | 21 | | Sec. 80-45. Expiration of license. The expiration date for | 22 | | each license to practice as a licensed medication aide shall be | 23 | | set by
the rule. Licenses under this Article may not be renewed | 24 | | or restored. |
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| 1 | | (225 ILCS 65/80-50 new) | 2 | | Sec. 80-50. Administration and enforcement. Licenses | 3 | | issued under this Article are subject to Article 70, including | 4 | | grounds for disciplinary action under Section 70-5. | 5 | | (225 ILCS 65/80-55 new) | 6 | | Sec. 80-55. Title. Any person who is issued a license as a | 7 | | medication aide under the terms of this Act shall
use the words | 8 | | "licensed medication aide" in connection with his or her name | 9 | | to denote his or her
licensure under this Act. | 10 | | (225 ILCS 65/80-60 new) | 11 | | Sec. 80-60. Rules. The Department shall file rules to | 12 | | administer this Article within 90 days of the
effective date of | 13 | | this Act. | 14 | | Section 15. The Nursing Home Administrators Licensing and | 15 | | Disciplinary Act is amended by changing Section 17 as follows: | 16 | | (225 ILCS 70/17) (from Ch. 111, par. 3667) | 17 | | Sec. 17. Grounds for disciplinary action. | 18 | | (a) The Department may impose fines not to exceed $10,000
| 19 | | or may
refuse to issue or to renew, or may revoke, suspend, | 20 | | place on probation,
censure, reprimand or take other | 21 | | disciplinary or non-disciplinary action with regard to the
| 22 | | license of any person, for any one or combination
of the |
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| 1 | | following causes: | 2 | | (1) Intentional material misstatement in furnishing | 3 | | information
to
the Department. | 4 | | (2) Conviction of or entry of a plea of guilty or nolo | 5 | | contendere to any crime that is a felony under the laws of | 6 | | the United States
or any
state or territory thereof or
a | 7 | | misdemeanor of which an
essential element is dishonesty or | 8 | | that is directly
related to the practice of the profession | 9 | | of nursing home administration. | 10 | | (3) Making any misrepresentation for the purpose of | 11 | | obtaining
a license,
or violating any provision of this | 12 | | Act. | 13 | | (4) Immoral conduct in the commission of any act, such | 14 | | as
sexual abuse or
sexual misconduct, related to the | 15 | | licensee's practice. | 16 | | (5) Failing to respond within 30
days, to a
written | 17 | | request made by the Department for information. | 18 | | (6) Engaging in dishonorable, unethical or | 19 | | unprofessional
conduct of a
character likely to deceive, | 20 | | defraud or harm the public. | 21 | | (7) Habitual use or addiction to alcohol, narcotics,
| 22 | | stimulants, or any
other chemical agent or drug which | 23 | | results in the inability to practice
with reasonable | 24 | | judgment, skill or safety. | 25 | | (8) Discipline by another U.S. jurisdiction if at
least | 26 | | one of the grounds for the discipline is the same or |
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| 1 | | substantially
equivalent to those set forth herein. | 2 | | (9) A finding by the Department that the licensee, | 3 | | after having
his or her license
placed on probationary | 4 | | status has violated the terms of probation. | 5 | | (10) Willfully making or filing false records or | 6 | | reports in
his or her
practice,
including but not limited | 7 | | to false records filed with State agencies or
departments. | 8 | | (11) Physical illness, mental illness, or other | 9 | | impairment or disability, including, but not limited to,
| 10 | | deterioration
through the aging process, or loss of motor | 11 | | skill that results in
the
inability to practice the | 12 | | profession with reasonable judgment, skill or safety. | 13 | | (12) Disregard or violation of this Act or of any rule
| 14 | | issued pursuant to this Act. | 15 | | (13) Aiding or abetting another in the violation of | 16 | | this Act
or any rule
or regulation issued pursuant to this | 17 | | Act. | 18 | | (14) Allowing one's license to be used by an unlicensed
| 19 | | person. | 20 | | (15) (Blank).
| 21 | | (16) Professional incompetence in the practice of | 22 | | nursing
home administration. | 23 | | (17) Conviction of a violation of Section 12-19 or | 24 | | subsection (a) of Section 12-4.4a of the
Criminal Code of
| 25 | | 1961 or the Criminal Code of 2012 for the abuse and | 26 | | criminal neglect of a long term care facility resident. |
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| 1 | | (18) Violation of the Nursing Home Care Act, the | 2 | | Specialized Mental Health Rehabilitation Act of 2013, or | 3 | | the ID/DD Community Care Act or of any rule
issued under | 4 | | the Nursing Home Care Act, the Specialized Mental Health | 5 | | Rehabilitation Act of 2013, or the ID/DD Community Care | 6 | | Act. A final adjudication of a Type "AA" violation of the | 7 | | Nursing Home Care Act made by the Illinois Department of | 8 | | Public Health, as identified by rule, relating to the | 9 | | hiring, training, planning, organizing, directing, or | 10 | | supervising the operation of a nursing home and a | 11 | | licensee's failure to comply with this Act or the rules | 12 | | adopted under this Act, shall create a rebuttable | 13 | | presumption of a violation of this subsection. | 14 | | (19) Failure to report to the Department any adverse | 15 | | final action taken against the licensee by a licensing | 16 | | authority of another state, territory of the United States, | 17 | | or foreign country; or by any governmental or law | 18 | | enforcement agency; or by any court for acts or conduct | 19 | | similar to acts or conduct that would constitute grounds | 20 | | for disciplinary action under this Section. | 21 | | (20) Failure to report to the Department the surrender | 22 | | of a license or authorization to practice as a nursing home | 23 | | administrator in another state or jurisdiction for acts or | 24 | | conduct similar to acts or conduct that would constitute | 25 | | grounds for disciplinary action under this Section. | 26 | | (21) Failure to report to the Department any adverse |
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| 1 | | judgment, settlement, or award arising from a liability | 2 | | claim related to acts or conduct similar to acts or conduct | 3 | | that would constitute grounds for disciplinary action | 4 | | under this Section. | 5 | | (22) Failure to submit any required report under | 6 | | Section 80-10 of the Nurse Practice Act. | 7 | | All proceedings to suspend, revoke, place on
probationary | 8 | | status, or take any other disciplinary action
as the Department | 9 | | may deem proper, with regard to a license
on any of the | 10 | | foregoing grounds, must be commenced within
5
years next after | 11 | | receipt by the Department of (i) a
complaint
alleging the | 12 | | commission of or notice of the conviction order
for any of the | 13 | | acts described herein or (ii) a referral for investigation
| 14 | | under
Section 3-108 of the Nursing Home Care Act. | 15 | | The entry of an order or judgment by any circuit court | 16 | | establishing that
any person holding a license under this Act | 17 | | is a person in need of mental
treatment operates as a | 18 | | suspension of that license. That person may resume
their | 19 | | practice only upon the entry of a Department order based upon a
| 20 | | finding by the Board that they have been determined to
be | 21 | | recovered from mental illness by the court and upon the
Board's | 22 | | recommendation that they be permitted to resume their practice. | 23 | | The Department, upon the recommendation of the
Board, may
| 24 | | adopt rules which set forth
standards to be used in determining | 25 | | what constitutes: | 26 | | (i)
when a person will be deemed sufficiently
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| 1 | | rehabilitated to warrant the public trust; | 2 | | (ii)
dishonorable, unethical or
unprofessional conduct | 3 | | of a character likely to deceive,
defraud, or harm the | 4 | | public; | 5 | | (iii)
immoral conduct in the commission
of any act | 6 | | related to the licensee's practice; and | 7 | | (iv)
professional incompetence in the practice
of | 8 | | nursing home administration. | 9 | | However, no such rule shall be admissible into evidence
in | 10 | | any civil action except for review of a licensing or
other | 11 | | disciplinary action under this Act. | 12 | | In enforcing this Section, the Department or Board, upon a | 13 | | showing of a
possible
violation,
may compel any individual | 14 | | licensed to practice under this
Act, or who has applied for | 15 | | licensure
pursuant to this Act, to submit to a mental or | 16 | | physical
examination, or both, as required by and at the | 17 | | expense of
the Department. The examining physician or | 18 | | physicians shall
be those specifically designated by the | 19 | | Department or Board.
The Department or Board may order the | 20 | | examining physician to present
testimony
concerning this | 21 | | mental or physical examination of the licensee or applicant. No
| 22 | | information shall be excluded by reason of any common law or | 23 | | statutory
privilege relating to communications between the | 24 | | licensee or applicant and the
examining physician.
The | 25 | | individual to be examined may have, at his or her own
expense, | 26 | | another physician of his or her choice present
during all |
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| 1 | | aspects of the examination. Failure of any
individual to submit | 2 | | to mental or physical examination, when
directed, shall be | 3 | | grounds for suspension of his or her
license until such time as | 4 | | the individual submits to the
examination if the Department | 5 | | finds, after notice
and hearing, that the refusal to submit to | 6 | | the examination
was without reasonable cause. | 7 | | If the Department or Board
finds an individual unable to | 8 | | practice
because of the reasons
set forth in this Section, the | 9 | | Department or Board shall
require such individual to submit to | 10 | | care, counseling, or
treatment by physicians approved or | 11 | | designated by the
Department or Board, as a condition, term, or | 12 | | restriction for
continued,
reinstated, or renewed licensure to | 13 | | practice; or in lieu of care, counseling,
or
treatment, the | 14 | | Department may file, or the Board may recommend to the
| 15 | | Department to
file, a complaint to
immediately suspend, revoke, | 16 | | or otherwise discipline the license of the
individual.
Any | 17 | | individual whose license was granted pursuant to
this Act or | 18 | | continued, reinstated, renewed,
disciplined or supervised, | 19 | | subject to such terms, conditions
or restrictions who shall | 20 | | fail to comply with such terms,
conditions or restrictions
| 21 | | shall be referred to the Secretary
for a
determination as to | 22 | | whether the licensee shall have his or her
license suspended | 23 | | immediately, pending a hearing by the
Department. In instances | 24 | | in which the Secretary
immediately suspends a license under | 25 | | this Section, a hearing
upon such person's license must be | 26 | | convened by the
Board within 30
days after such suspension and
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| 1 | | completed without appreciable delay. The Department and Board
| 2 | | shall have the authority to review the subject administrator's
| 3 | | record of treatment and counseling regarding the impairment,
to | 4 | | the extent permitted by applicable federal statutes and
| 5 | | regulations safeguarding the confidentiality of medical | 6 | | records. | 7 | | An individual licensed under this Act, affected under
this | 8 | | Section, shall be afforded an opportunity to
demonstrate to the | 9 | | Department or Board that he or she can
resume
practice in | 10 | | compliance with acceptable and prevailing
standards under the | 11 | | provisions of his or her license. | 12 | | (b) Any individual or
organization acting in good faith, | 13 | | and not in a wilful and
wanton manner, in complying with this | 14 | | Act by providing any
report or other information to the | 15 | | Department, or
assisting in the investigation or preparation of | 16 | | such
information, or by participating in proceedings of the
| 17 | | Department, or by serving as a member of the
Board, shall not, | 18 | | as a result of such actions,
be subject to criminal prosecution | 19 | | or civil damages. | 20 | | (c) Members of the Board, and persons
retained under | 21 | | contract to assist and advise in an investigation,
shall be | 22 | | indemnified by the State for any actions
occurring within the | 23 | | scope of services on or for the Board, done in good
faith
and | 24 | | not wilful and wanton in
nature. The Attorney General shall | 25 | | defend all such actions
unless he or she determines either that | 26 | | there would be a
conflict of interest in such representation or |
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| 1 | | that the
actions complained of were not in good faith or were | 2 | | wilful and wanton. | 3 | | Should the Attorney General decline representation,
a | 4 | | person entitled to indemnification under this Section shall | 5 | | have the
right to employ counsel of his or her
choice, whose | 6 | | fees shall be provided by the State, after
approval by the | 7 | | Attorney General, unless there is a
determination by a court | 8 | | that the member's actions were not
in good faith or were wilful | 9 | | and wanton. | 10 | | A person entitled to indemnification under this
Section | 11 | | must notify the Attorney General within 7
days of receipt of | 12 | | notice of the initiation of any action
involving services of | 13 | | the Board. Failure to so
notify the Attorney General shall | 14 | | constitute an absolute
waiver of the right to a defense and | 15 | | indemnification. | 16 | | The Attorney General shall determine within 7 days
after | 17 | | receiving such notice, whether he or she will undertake to | 18 | | represent
a
person entitled to indemnification under this | 19 | | Section. | 20 | | (d) The determination by a circuit court that a licensee is | 21 | | subject to
involuntary admission or judicial admission as | 22 | | provided in the Mental
Health and Developmental Disabilities | 23 | | Code, as amended, operates as an
automatic suspension. Such | 24 | | suspension will end only upon a finding by a
court that the | 25 | | patient is no longer subject to involuntary admission or
| 26 | | judicial admission and issues an order so finding and |
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| 1 | | discharging the
patient; and upon the recommendation of the | 2 | | Board to the Secretary
that
the licensee be allowed to resume | 3 | | his or her practice. | 4 | | (e) The Department may refuse to issue or may suspend the | 5 | | license of
any person who fails to file a return, or to pay the | 6 | | tax, penalty or
interest shown in a filed return, or to pay any | 7 | | final assessment of tax,
penalty or interest, as required by | 8 | | any tax Act administered by the Department of Revenue, until | 9 | | such time as the requirements of any
such tax Act are | 10 | | satisfied. | 11 | | (f) The Department of Public Health shall transmit to the
| 12 | | Department a list of those facilities which receive an "A" | 13 | | violation as
defined in Section 1-129 of the Nursing Home Care | 14 | | Act. | 15 | | (Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; | 16 | | 97-1109, eff. 1-1-13; 97-1150, eff. 1-25-13; 98-104, eff. | 17 | | 7-22-13.) | 18 | | Section 99. Effective date. This Act takes effect upon | 19 | | becoming law. |
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