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[ Introduced ] | [ Enrolled ] | [ House Amendment 001 ] |
90_HB1446eng 210 ILCS 30/6.2 from Ch. 111 1/2, par. 4166.2 Amends the Abused and Neglected Long Term Care Facility Residents Reporting Act. Provides that agencies and facilities licensed or operated by the Department of Mental Health and Developmental Disabilities or its successor, the Department of Human Services, or that are funded by either of those Departments that are not licensed or certified by another State agency shall be required to report incidents of suspected abuse or neglect to the Office of Inspector General within 24 hours. Requires the Office of Inspector General to establish a 24-hour telephone line for receiving reports of suspected abuse or neglect. Provides that failure to comply with reporting requirements is a Class A misdemeanor. Provides that the Office of Inspector General shall provide a preliminary report concerning cases of suspected abuse or neglect to the facility or agency in which the abuse or neglect is alleged to have happened. Effective immediately. LRB9000069LDdvC HB1446 Engrossed LRB9000069LDdvC 1 AN ACT to amend the Abused and Neglected Long Term Care 2 Facility Residents Reporting Act by changing Section 6.2. 3 Be it enacted by the People of the State of Illinois, 4 represented in the General Assembly: 5 Section 5. The Abused and Neglected Long Term Care 6 Facility Residents Reporting Act is amended by changing 7 Section 6.2 as follows: 8 (210 ILCS 30/6.2) (from Ch. 111 1/2, par. 4166.2) 9 (Section scheduled to be repealed on January 1, 2000) 10 (Text of Section in effect until July 1, 1997) 11 Sec. 6.2. Inspector General. 12 (a) The Governor shall appoint, and the Senate shall 13 confirm, an Inspector General who shall function within the 14 Department of Mental Health and Developmental Disabilities 15 and report to the Director. The Inspector General shall 16 investigate reports of suspected abuse or neglect (as those 17 terms are defined in Section 3 of this Act) of patients or 18 residents in any facility operated by the Department of 19 Mental Health and Developmental Disabilities and shall have 20 authority to investigate and take immediate action on reports 21 of abuse or neglect of recipients, whether patients or 22 residents, in any facility or program that is licensed or 23 certified by the Department of Mental Health and 24 Developmental Disabilities or that is funded by the 25 Department of Mental Health and Developmental Disabilities 26 and is not licensed or certified by any agency of the State. 27 At the specific, written request of an agency of the State 28 other than the Department of Mental Health and Developmental 29 Disabilities, the Inspector General may cooperate in 30 investigating reports of abuse and neglect of persons with 31 mental illness or persons with developmental disabilities. HB1446 Engrossed -2- LRB9000069LDdvC 1 The Inspector General shall have no supervision over or 2 involvement in routine, programmatic, licensure, or 3 certification operations of the Department of Mental Health 4 and Developmental Disabilities or any of its funded agencies. 5 The Inspector General shall promulgate rules establishing 6 minimum requirements for reporting allegations of abuse and 7 neglect and initiating, conducting, and completing 8 investigations. The promulgated rules shall clearly set 9 forth that in instances where 2 or more State agencies could 10 investigate an allegation of abuse or neglect, the Inspector 11 General shall not conduct an investigation that is redundant 12 to an investigation conducted by another State agency. The 13 rules shall establish criteria for determining, based upon 14 the nature of the allegation, the appropriate method of 15 investigation, which may include, but need not be limited to, 16 site visits, telephone contacts, or requests for written 17 responses from agencies. The rules shall also clarify how 18 the Office of the Inspector General shall interact with the 19 licensing unit of the Department of Mental Health and 20 Developmental Disabilities in investigations of allegations 21 of abuse or neglect. Any allegations or investigations of 22 reports made pursuant to this Act shall remain confidential 23 until a final report is completed. The resident or patient 24 who allegedly was abused or neglected and his or her legal 25 guardian shall be informed by the facility or agency of the 26 report of alleged abuse or neglect. Final reports regarding 27 unsubstantiated or unfounded allegations shall remain 28 confidential, except that final reports may be disclosed 29 pursuant to Section 6 of this Act. 30 The Inspector General shall be appointed for a term of 4 31 years. 32 (b) The Inspector General shall within 24 hours after 33 receiving a report of suspected abuse or neglect determine 34 whether the evidence indicates that any possible criminal act HB1446 Engrossed -3- LRB9000069LDdvC 1 has been committed. If he determines that a possible criminal 2 act has been committed, or that special expertise is required 3 in the investigation, he shall immediately notify the 4 Department of State Police. The Department of State Police 5 shall investigate any report indicating a possible murder, 6 rape, or other felony. All investigations conducted by the 7 Inspector General shall be conducted in a manner designed to 8 ensure the preservation of evidence for possible use in a 9 criminal prosecution. 10 (b-5) The Inspector General shall make a determination 11 to accept or reject a preliminary report of the investigation 12 of alleged abuse or neglect based on established 13 investigative procedures. The facility or agency may 14 request clarification or reconsideration based on additional 15 information. For cases where the allegation of abuse or 16 neglect is substantiated, the Inspector General shall require 17 the facility or agency to submit a written response. The 18 written response from a facility or agency shall address in a 19 concise and reasoned manner the actions that the agency or 20 facility will take or has taken to protect the resident or 21 patient from abuse or neglect, prevent reoccurrences, and 22 eliminate problems identified and shall include 23 implementation and completion dates for all such action. 24 (c) The Inspector General shall, within 10 calendar days 25 after the transmittal date of a completed investigation where 26 abuse or neglect is substantiated or administrative action is 27 recommended, provide a complete report on the case to the 28 Director of Mental Health and Developmental Disabilities and 29 to the agency in which the abuse or neglect is alleged to 30 have happened. The complete report shall include a written 31 response from the agency or facility operated by the State to 32 the Inspector General that addresses in a concise and 33 reasoned manner the actions that the agency or facility will 34 take or has taken to protect the resident or patient from HB1446 Engrossed -4- LRB9000069LDdvC 1 abuse or neglect, prevent reoccurrences, and eliminate 2 problems identified and shall include implementation and 3 completion dates for all such action. The Director of Mental 4 Health and Developmental Disabilities shall accept or reject 5 the response and establish how the Department will determine 6 whether the facility or program followed the approved 7 response. The Director may require Department personnel to 8 visit the facility or agency for training, technical 9 assistance, programmatic, licensure, or certification 10 purposes. Administrative action, including sanctions, may be 11 applied should the Director reject the response or should the 12 facility or agency fail to follow the approved response. The 13 facility or agency shall inform the resident or patient and 14 the legal guardian whether the reported allegation was 15 substantiated, unsubstantiated, or unfounded. There shall be 16 an appeals process for any person or agency that is subject 17 to any action based on a recommendation or recommendations. 18 (d) The Inspector General may recommend to the 19 Departments of Public Health and Mental Health and 20 Developmental Disabilities sanctions to be imposed against 21 facilities under the jurisdiction of the Department of Mental 22 Health and Developmental Disabilities for the protection of 23 residents, including appointment of on-site monitors or 24 receivers, transfer or relocation of residents, and closure 25 of units. The Inspector General may seek the assistance of 26 the Attorney General or any of the several State's attorneys 27 in imposing such sanctions. 28 (e) The Inspector General shall establish and conduct 29 periodic training programs for Department employees 30 concerning the prevention and reporting of neglect and abuse. 31 (f) The Inspector General shall at all times be granted 32 access to any facility operated by the Department, shall 33 establish and conduct unannounced site visits to those 34 facilities at least once annually, and shall be granted HB1446 Engrossed -5- LRB9000069LDdvC 1 access, for the purpose of investigating a report of abuse or 2 neglect, to any facility or program funded by the Department 3 that is subject under the provisions of this Section to 4 investigation by the Inspector General for a report of abuse 5 or neglect. 6 (g) Nothing in this Section shall limit investigations 7 by the Department of Mental Health and Developmental 8 Disabilities that may otherwise be required by law or that 9 may be necessary in that Department's capacity as the central 10 administrative authority responsible for the operation of 11 State mental health and developmental disability facilities. 12 (h) This Section is repealed on January 1, 2000. 13 (Source: P.A. 89-427, eff. 12-7-95.) 14 (Text of Section taking effect July 1, 1997) 15 Sec. 6.2. Inspector General. 16 (a) The Governor shall appoint, and the Senate shall 17 confirm, an Inspector General who shall function within the 18 Department of Human Services and report to the Secretary of 19 Human Services. The Inspector General shall investigate 20 reports of suspected abuse or neglect (as those terms are 21 defined in Section 3 of this Act) of patients or residents in 22 any mental health or developmental disabilities facility 23 operated by the Department of Human Services and shall have 24 authority to investigate and take immediate action on reports 25 of abuse or neglect of recipients, whether patients or 26 residents, in any mental health or developmental disabilities 27 facility or program that is licensed or certified by the 28 Department of Human Services (as successor to the Department 29 of Mental Health and Developmental Disabilities) or that is 30 funded by the Department of Human Services (as successor to 31 the Department of Mental Health and Developmental 32 Disabilities) and is not licensed or certified by any agency 33 of the State. At the specific, written request of an agency 34 of the State other than the Department of Human Services (as HB1446 Engrossed -6- LRB9000069LDdvC 1 successor to the Department of Mental Health and 2 Developmental Disabilities), the Inspector General may 3 cooperate in investigating reports of abuse and neglect of 4 persons with mental illness or persons with developmental 5 disabilities. The Inspector General shall have no 6 supervision over or involvement in routine, programmatic, 7 licensure, or certification operations of the Department of 8 Human Services or any of its funded agencies. 9 The Inspector General shall promulgate rules establishing 10 minimum requirements for reporting allegations of abuse and 11 neglect and initiating, conducting, and completing 12 investigations. The promulgated rules shall clearly set 13 forth that in instances where 2 or more State agencies could 14 investigate an allegation of abuse or neglect, the Inspector 15 General shall not conduct an investigation that is redundant 16 to an investigation conducted by another State agency. The 17 rules shall establish criteria for determining, based upon 18 the nature of the allegation, the appropriate method of 19 investigation, which may include, but need not be limited to, 20 site visits, telephone contacts, or requests for written 21 responses from agencies. The rules shall also clarify how 22 the Office of the Inspector General shall interact with the 23 licensing unit of the Department of Human Services in 24 investigations of allegations of abuse or neglect. Any 25 allegations or investigations of reports made pursuant to 26 this Act shall remain confidential until a final report is 27 completed. The resident or patient who allegedly was abused 28 or neglected and his or her legal guardian shall be informed 29 by the facility or agency of the report of alleged abuse or 30 neglect. Final reports regarding unsubstantiated or unfounded 31 allegations shall remain confidential, except that final 32 reports may be disclosed pursuant to Section 6 of this Act. 33 The Inspector General shall be appointed for a term of 4 34 years. HB1446 Engrossed -7- LRB9000069LDdvC 1 (b) The Inspector General shall within 24 hours after 2 receiving a report of suspected abuse or neglect determine 3 whether the evidence indicates that any possible criminal act 4 has been committed. If he determines that a possible criminal 5 act has been committed, or that special expertise is required 6 in the investigation, he shall immediately notify the 7 Department of State Police. The Department of State Police 8 shall investigate any report indicating a possible murder, 9 rape, or other felony. All investigations conducted by the 10 Inspector General shall be conducted in a manner designed to 11 ensure the preservation of evidence for possible use in a 12 criminal prosecution. 13 (b-5) The Inspector General shall make a determination 14 to accept or reject a preliminary report of the investigation 15 of alleged abuse or neglect based on established 16 investigative procedures. The facility or agency may request 17 clarification or reconsideration based on additional 18 information. For cases where the allegation of abuse or 19 neglect is substantiated, the Inspector General shall require 20 the facility or agency to submit a written response. The 21 written response from a facility or agency shall address in a 22 concise and reasoned manner the actions that the agency or 23 facility will take or has taken to protect the resident or 24 patient from abuse or neglect, prevent reoccurrences, and 25 eliminate problems identified and shall include 26 implementation and completion dates for all such action. 27 (c) The Inspector General shall, within 10 calendar days 28 after the transmittal date of a completed investigation where 29 abuse or neglect is substantiated or administrative action is 30 recommended, provide a complete report on the case to the 31 Secretary of Human Services and to the agency in which the 32 abuse or neglect is alleged to have happened. The complete 33 report shall include a written response from the agency or 34 facility operated by the State to the Inspector General that HB1446 Engrossed -8- LRB9000069LDdvC 1 addresses in a concise and reasoned manner the actions that 2 the agency or facility will take or has taken to protect the 3 resident or patient from abuse or neglect, prevent 4 reoccurrences, and eliminate problems identified and shall 5 include implementation and completion dates for all such 6 action. The Secretary of Human Services shall accept or 7 reject the response and establish how the Department will 8 determine whether the facility or program followed the 9 approved response. The Secretary may require Department 10 personnel to visit the facility or agency for training, 11 technical assistance, programmatic, licensure, or 12 certification purposes. Administrative action, including 13 sanctions, may be applied should the Secretary reject the 14 response or should the facility or agency fail to follow the 15 approved response. The facility or agency shall inform the 16 resident or patient and the legal guardian whether the 17 reported allegation was substantiated, unsubstantiated, or 18 unfounded. There shall be an appeals process for any person 19 or agency that is subject to any action based on a 20 recommendation or recommendations. 21 (d) The Inspector General may recommend to the 22 Departments of Public Health and Human Services sanctions to 23 be imposed against mental health and developmental 24 disabilities facilities under the jurisdiction of the 25 Department of Human Services for the protection of residents, 26 including appointment of on-site monitors or receivers, 27 transfer or relocation of residents, and closure of units. 28 The Inspector General may seek the assistance of the Attorney 29 General or any of the several State's attorneys in imposing 30 such sanctions. 31 (e) The Inspector General shall establish and conduct 32 periodic training programs for Department employees 33 concerning the prevention and reporting of neglect and abuse. 34 (f) The Inspector General shall at all times be granted HB1446 Engrossed -9- LRB9000069LDdvC 1 access to any mental health or developmental disabilities 2 facility operated by the Department, shall establish and 3 conduct unannounced site visits to those facilities at least 4 once annually, and shall be granted access, for the purpose 5 of investigating a report of abuse or neglect, to any 6 facility or program funded by the Department that is subject 7 under the provisions of this Section to investigation by the 8 Inspector General for a report of abuse or neglect. 9 (g) Nothing in this Section shall limit investigations 10 by the Department of Human Services that may otherwise be 11 required by law or that may be necessary in that Department's 12 capacity as the central administrative authority responsible 13 for the operation of State mental health and developmental 14 disability facilities. 15 (h) This Section is repealed on January 1, 2000. 16 (Source: P.A. 89-427, eff. 12-7-95; 89-507, eff. 7-1-97.) 17 Section 99. Effective date. This Act takes effect upon 18 becoming law.