State of Illinois
90th General Assembly
Legislation

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[ Introduced ][ Engrossed ][ House Amendment 001 ]

90_HB1446enr

      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 Enrolled                               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 9        (Section scheduled to be repealed on January 1, 2000)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 Enrolled             -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 Enrolled             -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 Enrolled             -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 Enrolled             -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 Enrolled             -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 Enrolled             -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 Enrolled             -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 Enrolled             -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.

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