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90_SB0240eng 20 ILCS 505/35.5 20 ILCS 505/35.6 20 ILCS 515/20 20 ILCS 520/1-15 210 ILCS 30/6 from Ch. 111 1/2, par. 4166 210 ILCS 30/6.2 from Ch. 111 1/2, par. 4166.2 210 ILCS 30/6.3 rep. 210 ILCS 30/6.4 rep. 305 ILCS 5/8A-12 305 ILCS 5/12-13.1 405 ILCS 5/5-100A from Ch. 91 1/2, par. 5-100A 405 ILCS 5/5-100A from Ch. 91 1/2, par. 5-100A Creates the Inspector General Act. Creates the Office of the Inspector General to replace the inspectors general who currently function in the Department of Children and Family Services, the Department of Mental Health and Developmental Disabilities or its successor, the Department of Human Services, and the Department of Public Aid. Provides for an Inspector General and up to 3 Deputy Inspectors General appointed by the Governor and confirmed by the Senate for 2-year terms who may be removed by the Governor without cause. Provides for transfer of powers, property, and personnel to the new Office of the Inspector General. Amends the Children and Family Services Act, the Child Death Review Team Act, the Foster Parent Law, the Abused and Neglected Long Term Care Facility Residents Reporting Act, the Public Aid Code, and the Mental Health and Developmental Disabilities Code to make conforming changes. Effective July 1, 1997. LRB9001118LDdvA SB240 Engrossed LRB9001118LDdvA 1 AN ACT in relation to inspectors general, amending named 2 Acts. 3 Be it enacted by the People of the State of Illinois, 4 represented in the General Assembly: 5 Section 5. The Children and Family Services Act is 6 amended by changing Section 35.5 as follows: 7 (20 ILCS 505/35.5) 8 Sec. 35.5. Inspector General. 9 (a) The Governor shall appoint, and the Senate shall 10 confirm, an Inspector General who shall have the authority to 11 conduct investigations into allegations of or incidents of 12 possible misconduct, misfeasance, malfeasance, or violations 13 of rules, procedures, or laws by any employee, foster parent, 14 service provider, or contractor of the Department of Children 15 and Family Services. The Inspector General shall make 16 recommendations to the Director of Children and Family 17 Services concerning sanctions or disciplinary actions against 18 Department employees or providers of service under contract 19 to the Department. Any investigation conducted by the 20 Inspector General shall be independent and separate from the 21 investigation mandated by the Abused and Neglected Child 22 Reporting Act. The Inspector General shall be appointed for 23 a term of 4 years. The Inspector General shall be 24 independent of the operations of the Department and shall 25 report to the Director of Children and Family Services and 26 the Governor and perform other duties the Director may 27 designate. 28 (b) The Inspector General shall have access to all 29 information and personnel necessary to perform the duties of 30 the office. To minimize duplication of efforts, and to 31 assure consistency and conformance with the requirements and SB240 Engrossed -2- LRB9001118LDdvA 1 procedures established in the B.H. v. Suter consent decree 2 and to share resources when appropriate, the Inspector 3 General shall coordinate his or her activities with the 4 Bureau of Quality Assurance within the Department. 5 (c) The Inspector General shall be the primary liaison 6 between the Department and the Department of State Police 7 with regard to investigations conducted under the Inspector 8 General's auspices. If the Inspector General determines that 9 a possible criminal act has been committed, or that special 10 expertise is required in the investigation, he or she shall 11 immediately notify the Department of State Police. All 12 investigations conducted by the Inspector General shall be 13 conducted in a manner designed to ensure the preservation of 14 evidence for possible use in a criminal prosecution. 15 (d) The Inspector General may recommend to the 16 Department of Children and Family Services, the Department of 17 Public Health, or any other appropriate agency, sanctions to 18 be imposed against service providers under the jurisdiction 19 of or under contract with the Department for the protection 20 of children in the custody or under the guardianship of the 21 Department who received services from those providers. The 22 Inspector General may seek the assistance of the Attorney 23 General or any of the several State's Attorneys in imposing 24 sanctions. 25 (e) The Inspector General shall at all times be granted 26 access to any foster home, facility, or program operated for 27 or licensed or funded by the Department. 28 (f) Nothing in this Section shall limit investigations 29 by the Department of Children and Family Services that may 30 otherwise be required by law or that may be necessary in that 31 Department's capacity as the central administrative authority 32 for child welfare. 33 (g) The Inspector General shall have the power to 34 subpoena witnesses and compel the production of books and SB240 Engrossed -3- LRB9001118LDdvA 1 papers pertinent to an investigation authorized by this Act. 2 The power to subpoena or to compel the production of books 3 and papers, however, shall not extend to the person or 4 documents of a labor organization or its representatives 5 insofar as the person or documents of a labor organization 6 relate to the function of representing an employee subject to 7 investigation under this Act. Any person who fails to appear 8 in response to a subpoena or to answer any question or 9 produce any books or papers pertinent to an investigation 10 under this Act, except as otherwise provided in this Section, 11 or who knowingly gives false testimony in relation to an 12 investigation under this Act is guilty of a Class A 13 misdemeanor. 14 (h) The Inspector General shall provide to the General 15 Assembly and the Governor, no later than January 1 of each 16 year, a summary of reports and investigations made under this 17 Section for the prior fiscal year. The summaries shall detail 18 the imposition of sanctions and the final disposition of 19 those recommendations. The summaries shall not contain any 20 confidential or identifying information concerning the 21 subjects of the reports and investigations. The summaries 22 also shall include detailed recommended administrative 23 actions and matters for consideration by the General 24 Assembly. 25 (Source: P.A. 88-7.) 26 Section 10. The Abused and Neglected Long Term Care 27 Facility Residents Reporting Act is amended by changing 28 Section 6.2 as follows: 29 (210 ILCS 30/6.2) (from Ch. 111 1/2, par. 4166.2) 30 (Section scheduled to be repealed on January 1, 2000) 31 (Text of Section before amendment by P.A. 89-507) 32 Sec. 6.2. Inspector General. SB240 Engrossed -4- LRB9001118LDdvA 1 (a) The Governor shall appoint, and the Senate shall 2 confirm, an Inspector General who shall function within the 3 Department of Mental Health and Developmental Disabilities 4 and report to the Director and the Governor. The Inspector 5 General shall investigate reports of suspected abuse or 6 neglect (as those terms are defined in Section 3 of this Act) 7 of patients or residents in any facility operated by the 8 Department of Mental Health and Developmental Disabilities 9 and shall have authority to investigate and take immediate 10 action on reports of abuse or neglect of recipients, whether 11 patients or residents, in any facility or program that is 12 licensed or certified by the Department of Mental Health and 13 Developmental Disabilities or that is funded by the 14 Department of Mental Health and Developmental Disabilities 15 and is not licensed or certified by any agency of the State. 16 At the specific, written request of an agency of the State 17 other than the Department of Mental Health and Developmental 18 Disabilities, the Inspector General may cooperate in 19 investigating reports of abuse and neglect of persons with 20 mental illness or persons with developmental disabilities. 21 The Inspector General shall have no supervision over or 22 involvement in routine, programmatic, licensure, or 23 certification operations of the Department of Mental Health 24 and Developmental Disabilities or any of its funded agencies. 25 The Inspector General shall promulgate rules establishing 26 minimum requirements for initiating, conducting, and 27 completing investigations. The promulgated rules shall 28 clearly set forth that in instances where 2 or more State 29 agencies could investigate an allegation of abuse or neglect, 30 the Inspector General shall not conduct an investigation that 31 is redundant to an investigation conducted by another State 32 agency. The rules shall establish criteria for determining, 33 based upon the nature of the allegation, the appropriate 34 method of investigation, which may include, but need not be SB240 Engrossed -5- LRB9001118LDdvA 1 limited to, site visits, telephone contacts, or requests for 2 written responses from agencies. The rules shall also 3 clarify how the Office of the Inspector General shall 4 interact with the licensing unit of the Department of Mental 5 Health and Developmental Disabilities in investigations of 6 allegations of abuse or neglect. Any allegations or 7 investigations of reports made pursuant to this Act shall 8 remain confidential until a final report is completed. Final 9 reports regarding unsubstantiated or unfounded allegations 10 shall remain confidential, except that final reports may be 11 disclosed pursuant to Section 6 of this Act. 12 The Inspector General shall be appointed for a term of 4 13 years. 14 (b) The Inspector General shall within 24 hours after 15 receiving a report of suspected abuse or neglect determine 16 whether the evidence indicates that any possible criminal act 17 has been committed. If he determines that a possible criminal 18 act has been committed, or that special expertise is required 19 in the investigation, he shall immediately notify the 20 Department of State Police. The Department of State Police 21 shall investigate any report indicating a possible murder, 22 rape, or other felony. All investigations conducted by the 23 Inspector General shall be conducted in a manner designed to 24 ensure the preservation of evidence for possible use in a 25 criminal prosecution. 26 (c) The Inspector General shall, within 10 calendar days 27 after the transmittal date of a completed investigation where 28 abuse or neglect is substantiated or administrative action is 29 recommended, provide a complete report on the case to the 30 Director of Mental Health and Developmental Disabilities and 31 to the agency in which the abuse or neglect is alleged to 32 have happened. There shall be an appeals process for any 33 person or agency that is subject to any action based on a 34 recommendation or recommendations. SB240 Engrossed -6- LRB9001118LDdvA 1 (d) The Inspector General may recommend to the 2 Departments of Public Health and Mental Health and 3 Developmental Disabilities sanctions to be imposed against 4 facilities under the jurisdiction of the Department of Mental 5 Health and Developmental Disabilities for the protection of 6 residents, including appointment of on-site monitors or 7 receivers, transfer or relocation of residents, and closure 8 of units. The Inspector General may seek the assistance of 9 the Attorney General or any of the several State's attorneys 10 in imposing such sanctions. 11 (e) The Inspector General shall establish and conduct 12 periodic training programs for Department employees 13 concerning the prevention and reporting of neglect and abuse. 14 (f) The Inspector General shall at all times be granted 15 access to any facility operated by the Department, shall 16 establish and conduct unannounced site visits to those 17 facilities at least once annually, and shall be granted 18 access, for the purpose of investigating a report of abuse or 19 neglect, to any facility or program funded by the Department 20 that is subject under the provisions of this Section to 21 investigation by the Inspector General for a report of abuse 22 or neglect. 23 (g) Nothing in this Section shall limit investigations 24 by the Department of Mental Health and Developmental 25 Disabilities that may otherwise be required by law or that 26 may be necessary in that Department's capacity as the central 27 administrative authority responsible for the operation of 28 State mental health and developmental disability facilities. 29 (h) This Section is repealed on January 1, 2000. 30 (Source: P.A. 89-427, eff. 12-7-95.) 31 (Text of Section after amendment by P.A. 89-507) 32 Sec. 6.2. Inspector General. 33 (a) The Governor shall appoint, and the Senate shall 34 confirm, an Inspector General who shall function within the SB240 Engrossed -7- LRB9001118LDdvA 1 Department of Human Services and report to the Secretary of 2 Human Services and the Governor. The Inspector General shall 3 investigate reports of suspected abuse or neglect (as those 4 terms are defined in Section 3 of this Act) of patients or 5 residents in any mental health or developmental disabilities 6 facility operated by the Department of Human Services and 7 shall have authority to investigate and take immediate action 8 on reports of abuse or neglect of recipients, whether 9 patients or residents, in any mental health or developmental 10 disabilities facility or program that is licensed or 11 certified by the Department of Human Services (as successor 12 to the Department of Mental Health and Developmental 13 Disabilities) or that is funded by the Department of Human 14 Services (as successor to the Department of Mental Health and 15 Developmental Disabilities) and is not licensed or certified 16 by any agency of the State. At the specific, written request 17 of an agency of the State other than the Department of Human 18 Services (as successor to the Department of Mental Health and 19 Developmental Disabilities), the Inspector General may 20 cooperate in investigating reports of abuse and neglect of 21 persons with mental illness or persons with developmental 22 disabilities. The Inspector General shall have no 23 supervision over or involvement in routine, programmatic, 24 licensure, or certification operations of the Department of 25 Human Services or any of its funded agencies. 26 The Inspector General shall promulgate rules establishing 27 minimum requirements for initiating, conducting, and 28 completing investigations. The promulgated rules shall 29 clearly set forth that in instances where 2 or more State 30 agencies could investigate an allegation of abuse or neglect, 31 the Inspector General shall not conduct an investigation that 32 is redundant to an investigation conducted by another State 33 agency. The rules shall establish criteria for determining, 34 based upon the nature of the allegation, the appropriate SB240 Engrossed -8- LRB9001118LDdvA 1 method of investigation, which may include, but need not be 2 limited to, site visits, telephone contacts, or requests for 3 written responses from agencies. The rules shall also 4 clarify how the Office of the Inspector General shall 5 interact with the licensing unit of the Department of Human 6 Services in investigations of allegations of abuse or 7 neglect. Any allegations or investigations of reports made 8 pursuant to this Act shall remain confidential until a final 9 report is completed. Final reports regarding unsubstantiated 10 or unfounded allegations shall remain confidential, except 11 that final reports may be disclosed pursuant to Section 6 of 12 this Act. 13 The Inspector General shall be appointed for a term of 4 14 years. 15 (b) The Inspector General shall within 24 hours after 16 receiving a report of suspected abuse or neglect determine 17 whether the evidence indicates that any possible criminal act 18 has been committed. If he determines that a possible criminal 19 act has been committed, or that special expertise is required 20 in the investigation, he shall immediately notify the 21 Department of State Police. The Department of State Police 22 shall investigate any report indicating a possible murder, 23 rape, or other felony. All investigations conducted by the 24 Inspector General shall be conducted in a manner designed to 25 ensure the preservation of evidence for possible use in a 26 criminal prosecution. 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. There shall be 33 an appeals process for any person or agency that is subject 34 to any action based on a recommendation or recommendations. SB240 Engrossed -9- LRB9001118LDdvA 1 (d) The Inspector General may recommend to the 2 Departments of Public Health and Human Services sanctions to 3 be imposed against mental health and developmental 4 disabilities facilities under the jurisdiction of the 5 Department of Human Services for the protection of residents, 6 including appointment of on-site monitors or receivers, 7 transfer or relocation of residents, and closure of units. 8 The Inspector General may seek the assistance of the Attorney 9 General or any of the several State's attorneys in imposing 10 such sanctions. 11 (e) The Inspector General shall establish and conduct 12 periodic training programs for Department employees 13 concerning the prevention and reporting of neglect and abuse. 14 (f) The Inspector General shall at all times be granted 15 access to any mental health or developmental disabilities 16 facility operated by the Department, shall establish and 17 conduct unannounced site visits to those facilities at least 18 once annually, and shall be granted access, for the purpose 19 of investigating a report of abuse or neglect, to any 20 facility or program funded by the Department that is subject 21 under the provisions of this Section to investigation by the 22 Inspector General for a report of abuse or neglect. 23 (g) Nothing in this Section shall limit investigations 24 by the Department of Human Services that may otherwise be 25 required by law or that may be necessary in that Department's 26 capacity as the central administrative authority responsible 27 for the operation of State mental health and developmental 28 disability facilities. 29 (h) This Section is repealed on January 1, 2000. 30 (Source: P.A. 89-427, eff. 12-7-95; 89-507, eff. 7-1-97.) 31 Section 15. The Mental Health and Developmental 32 Disabilities Confidentiality Act is amended by changing 33 Section 9 as follows: SB240 Engrossed -10- LRB9001118LDdvA 1 (740 ILCS 110/9) (from Ch. 91 1/2, par. 809) 2 Sec. 9. Therapist's disclosure without consent. In the 3 course of providing services and after the conclusion of the 4 provision of services, a therapist may disclose a record or 5 communications without consent to: 6 (1) the therapist's supervisor, a consulting 7 therapist, members of a staff team participating in the 8 provision of services, a record custodian, or a person 9 acting under the supervision and control of the 10 therapist; 11 (2) persons conducting a peer review of the 12 services being provided; 13 (3) the Institute for Juvenile Research and the 14 Institute for the Study of Developmental Disabilities; 15and16 (4) an attorney or advocate consulted by a 17 therapist or agency which provides services concerning 18 the therapist's or agency's legal rights or duties in 19 relation to the recipient and the services being 20 provided; and 21 (5) the Inspector General of the Department of Children 22 and Family Services for the sole purpose of conducting 23 investigations authorized under Section 3.5 of the Children 24 and Family Services Act. 25 In the course of providing services, a therapist may 26 disclose a record or communications without consent to any 27 department, agency, institution or facility which has custody 28 of the recipient pursuant to State statute or any court order 29 of commitment. 30 Information may be disclosed under this Section only to 31 the extent that knowledge of the record or communications is 32 essential to the purpose for which disclosure is made and 33 only after the recipient is informed that such disclosure may 34 be made. A person to whom disclosure is made under this SB240 Engrossed -11- LRB9001118LDdvA 1 Section shall not redisclose any information except as 2 provided in this Act. 3 Notwithstanding any other provision of this Section, a 4 therapist has the right to communicate at any time and in any 5 fashion with his or her counsel or professional liability 6 insurance carrier, or both, concerning any care or treatment 7 he or she provided, or assisted in providing, to any 8 recipient. A therapist has the right to communicate at any 9 time and in any fashion with his or her present or former 10 employer, principal, partner, professional corporation, or 11 professional liability insurance carrier, or counsel for any 12 of those entities, concerning any care or treatment he or she 13 provided, or assisted in providing, to the recipient within 14 the scope of his or her employment, affiliation, or other 15 agency with the employer, principal, partner, or professional 16 corporation. 17 This amendatory Act of 1995 applies to causes of action 18 filed on or after its effective date. 19 (Source: P.A. 89-7, eff. 3-9-95.) 20 Section 95. No acceleration or delay. Where this Act 21 makes changes in a statute that is represented in this Act by 22 text that is not yet or no longer in effect (for example, a 23 Section represented by multiple versions), the use of that 24 text does not accelerate or delay the taking effect of (i) 25 the changes made by this Act or (ii) provisions derived from 26 any other Public Act.