State of Illinois
92nd General Assembly
Legislation

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92_SB0624eng

 
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 1        AN ACT concerning long term care facility residents.

 2        Be it  enacted  by  the  People  of  the  State  of  Illinois,
 3    represented in the General Assembly:

 4        Section 5.  The  Abused  and  Neglected  Long  Term  Care
 5    Facility  Residents  Reporting  Act  is  amended  by changing
 6    Sections 6.2, 6.3, 6.4, 6.5, 6.6, 6.7, and 6.8 as follows:

 7        (210 ILCS 30/6.2) (from Ch. 111 1/2, par. 4166.2)
 8        (Section scheduled to be repealed on January 1, 2002)
 9        Sec. 6.2.  Inspector General.
10        (a)  The Governor shall appoint,  and  the  Senate  shall
11    confirm,  an  Inspector General who shall function within the
12    Department of Human Services and report to the  Secretary  of
13    Human Services and the Governor.  The Inspector General shall
14    investigate  reports  of suspected abuse or neglect (as those
15    terms are defined in Section 3 of this Act)  of  patients  or
16    residents  in any mental health or developmental disabilities
17    facility operated by the Department  of  Human  Services  and
18    shall have authority to investigate and take immediate action
19    on  reports  of  abuse  or  neglect  of  recipients,  whether
20    patients  or residents, in any mental health or developmental
21    disabilities  facility  or  program  that  is   licensed   or
22    certified  by  the Department of Human Services (as successor
23    to  the  Department  of  Mental  Health   and   Developmental
24    Disabilities)  or  that  is funded by the Department of Human
25    Services (as successor to the Department of Mental Health and
26    Developmental Disabilities) and is not licensed or  certified
27    by any agency of the State.  At the specific, written request
28    of  an agency of the State other than the Department of Human
29    Services (as successor to the Department of Mental Health and
30    Developmental  Disabilities),  the  Inspector   General   may
31    cooperate  in  investigating  reports of abuse and neglect of
 
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 1    persons with mental illness  or  persons  with  developmental
 2    disabilities.    The   Inspector   General   shall   have  no
 3    supervision over or  involvement  in  routine,  programmatic,
 4    licensure,  or  certification operations of the Department of
 5    Human Services or any of its funded agencies.
 6        The Inspector General shall promulgate rules establishing
 7    minimum requirements for reporting allegations of  abuse  and
 8    neglect    and   initiating,   conducting,   and   completing
 9    investigations.  The  promulgated  rules  shall  clearly  set
10    forth  that in instances where 2 or more State agencies could
11    investigate an allegation of abuse or neglect, the  Inspector
12    General  shall not conduct an investigation that is redundant
13    to an investigation conducted by another State agency.    The
14    rules  shall  establish  criteria for determining, based upon
15    the nature of  the  allegation,  the  appropriate  method  of
16    investigation, which may include, but need not be limited to,
17    site  visits,  telephone  contacts,  or  requests for written
18    responses from agencies.  The rules shall  also  clarify  how
19    the  Office  of the Inspector General shall interact with the
20    licensing  unit  of  the  Department  of  Human  Services  in
21    investigations of  allegations  of  abuse  or  neglect.   Any
22    allegations  or  investigations  of  reports made pursuant to
23    this Act shall remain confidential until a  final  report  is
24    completed.  The  resident or patient who allegedly was abused
25    or neglected and his or her legal guardian shall be  informed
26    by  the  facility or agency of the report of alleged abuse or
27    neglect. Final reports regarding unsubstantiated or unfounded
28    allegations shall  remain  confidential,  except  that  final
29    reports may be disclosed 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
 
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 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 request
14    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    Secretary of Human Services and to the agency  in  which  the
29    abuse  or  neglect  is alleged to have happened. The complete
30    report shall include a written response from  the  agency  or
31    facility  operated by the State to the Inspector General that
32    addresses in a concise and reasoned manner the  actions  that
33    the  agency or facility will take or has taken to protect the
34    resident  or  patient  from   abuse   or   neglect,   prevent
 
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 1    reoccurrences,  and  eliminate  problems identified and shall
 2    include implementation and  completion  dates  for  all  such
 3    action.   The  Secretary  of  Human  Services shall accept or
 4    reject the  response and establish how  the  Department  will
 5    determine  whether  the  facility  or  program  followed  the
 6    approved  response.   The  Secretary  may  require Department
 7    personnel to visit  the  facility  or  agency  for  training,
 8    technical    assistance,    programmatic,    licensure,    or
 9    certification  purposes.   Administrative  action,  including
10    sanctions,  may  be  applied  should the Secretary reject the
11    response or should the facility or agency fail to follow  the
12    approved  response.   The facility or agency shall inform the
13    resident or  patient  and  the  legal  guardian  whether  the
14    reported  allegation  was  substantiated, unsubstantiated, or
15    unfounded.  There shall be an appeals process for any  person
16    or   agency  that  is  subject  to  any  action  based  on  a
17    recommendation or recommendations.
18        (d)  The  Inspector  General   may   recommend   to   the
19    Departments  of Public Health and Human Services sanctions to
20    be  imposed   against   mental   health   and   developmental
21    disabilities   facilities   under  the  jurisdiction  of  the
22    Department of Human Services for the protection of residents,
23    including  appointment  of  on-site  monitors  or  receivers,
24    transfer or relocation of residents, and  closure  of  units.
25    The Inspector General may seek the assistance of the Attorney
26    General  or  any of the several State's attorneys in imposing
27    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 mental  health  or  developmental  disabilities
33    facility  operated  by  the  Department,  shall establish and
34    conduct unannounced site visits to those facilities at  least
 
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 1    once  annually,  and shall be granted access, for the purpose
 2    of investigating  a  report  of  abuse  or  neglect,  to  any
 3    facility  or program funded by the Department that is subject
 4    under the provisions of this Section to investigation by  the
 5    Inspector General for a report of abuse or neglect.
 6        (g)  Nothing  in  this Section shall limit investigations
 7    by the Department of Human Services  that  may  otherwise  be
 8    required by law or that may be necessary in that Department's
 9    capacity  as the central administrative authority responsible
10    for the operation of State mental  health  and  developmental
11    disability facilities.
12        (h)  This Section is repealed on January 1, 2004 2002.
13    (Source: P.A.  90-252,  eff.  7-29-97;  90-512, eff. 8-22-97;
14    90-655, eff. 7-30-98; 91-169, eff. 7-16-99.)

15        (210 ILCS 30/6.3) (from Ch. 111 1/2, par. 4166.3)
16        (Section scheduled to be repealed on January 1, 2002)
17        Sec. 6.3.  Quality Care Board.  There is created,  within
18    the  Department  of  Human  Services' Office of the Inspector
19    General, a Quality Care Board to be  composed  of  7  members
20    appointed  by the Governor with the advice and consent of the
21    Senate.  One of the members shall be designated  as  chairman
22    by  the  Governor.   Of  the initial appointments made by the
23    Governor, 4 Board members shall each be appointed for a  term
24    of  4  years and 3 members shall each be appointed for a term
25    of 2 years.  Upon the expiration of  each  member's  term,  a
26    successor  shall  be appointed for a term of 4 years.  In the
27    case of a vacancy in the office of any member,  the  Governor
28    shall  appoint a successor for the remainder of the unexpired
29    term.
30        Members appointed by the Governor shall be  qualified  by
31    professional  knowledge  or  experience  in  the area of law,
32    investigatory techniques, or in  the  area  of  care  of  the
33    mentally   ill  or  developmentally  disabled.   Two  members
 
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 1    appointed by the Governor shall be persons with a  disability
 2    or  a  parent  of  a person with a disability.  Members shall
 3    serve without  compensation,  but  shall  be  reimbursed  for
 4    expenses incurred in connection with the performance of their
 5    duties as members.
 6        The  Board  shall  meet  quarterly,  and  may  hold other
 7    meetings on the call of the  chairman.   Four  members  shall
 8    constitute   a   quorum.   The  Board  may  adopt  rules  and
 9    regulations it deems necessary to govern its own procedures.
10        This Section is repealed on January 1, 2004 2002.
11    (Source: P.A. 91-169, eff. 7-16-99.)

12        (210 ILCS 30/6.4) (from Ch. 111 1/2, par. 4166.4)
13        (Section scheduled to be repealed on January 1, 2002)
14        Sec. 6.4.  Scope and function of the Quality Care  Board.
15    The Board shall monitor and oversee the operations, policies,
16    and  procedures of the Inspector General to assure the prompt
17    and thorough investigation  of  allegations  of  neglect  and
18    abuse.   In  fulfilling these responsibilities, the Board may
19    do the following:
20             (1)  Provide independent, expert consultation to the
21        Inspector  General  on   policies   and   protocols   for
22        investigations of alleged neglect and abuse.
23             (2)  Review  existing  regulations  relating  to the
24        operation  of  facilities  under  the  control   of   the
25        Department.
26             (3)  Advise  the Inspector General as to the content
27        of training activities authorized under Section 6.2.
28             (4)  Recommend  policies  concerning   methods   for
29        improving the intergovernmental relationships between the
30        office  of  the  Inspector  General  and  other  State or
31        federal agencies.
32        This Section is repealed on January 1, 2004 2002.
33    (Source: P.A. 91-169, eff. 7-16-99.)
 
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 1        (210 ILCS 30/6.5) (from Ch. 111 1/2, par. 4166.5)
 2        (Section scheduled to be repealed on January 1, 2002)
 3        Sec.  6.5.  Investigators.   Within  60  days  after  the
 4    effective date of this amendatory Act of 1992, the  Inspector
 5    General  shall  establish  a  comprehensive program to ensure
 6    that  every  person  employed  or  newly  hired  to   conduct
 7    investigations  shall  receive  training on an on-going basis
 8    concerning investigative  techniques,  communication  skills,
 9    and the appropriate means of contact with persons admitted or
10    committed  to the mental health or developmental disabilities
11    facilities under the jurisdiction of the Department of  Human
12    Services.
13        This Section is repealed on January 1, 2004 2002.
14    (Source: P.A. 91-169, eff. 7-16-99.)

15        (210 ILCS 30/6.6) (from Ch. 111 1/2, par. 4166.6)
16        (Section scheduled to be repealed on January 1, 2002)
17        Sec.  6.6.  Subpoenas; testimony; penalty.  The Inspector
18    General shall have the power to subpoena witnesses and compel
19    the  production  of  books  and  papers   pertinent   to   an
20    investigation authorized by this Act, provided that the power
21    to  subpoena  or to compel the production of books and papers
22    shall not extend to  the  person  or  documents  of  a  labor
23    organization  or its representatives insofar as the person or
24    documents of a labor organization relate to the  function  of
25    representing  an employee subject to investigation under this
26    Act.  Mental health records of patients shall be confidential
27    as  provided  under  the  Mental  Health  and   Developmental
28    Disabilities  Confidentiality  Act.   Any person who fails to
29    appear in response to a subpoena or to answer any question or
30    produce any books or papers  pertinent  to  an  investigation
31    under this Act, except as otherwise provided in this Section,
32    or  who  knowingly  gives  false  testimony in relation to an
33    investigation  under  this  Act  is  guilty  of  a  Class   A
 
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 1    misdemeanor.
 2        This Section is repealed on January 1, 2004 2002.
 3    (Source: P.A. 91-169, eff. 7-16-99.)

 4        (210 ILCS 30/6.7) (from Ch. 111 1/2, par. 4166.7)
 5        (Section scheduled to be repealed on January 1, 2002)
 6        Sec.  6.7.  Annual  report.   The Inspector General shall
 7    provide to the General Assembly and the  Governor,  no  later
 8    than  January  1  of  each  year,  a  summary  of reports and
 9    investigations made under this Act for the prior fiscal  year
10    with   respect   to   residents  of  institutions  under  the
11    jurisdiction of the Department.  The report shall detail  the
12    imposition  of  sanctions  and the final disposition of those
13    recommendations.   The  summaries  shall  not   contain   any
14    confidential   or   identifying  information  concerning  the
15    subjects of the reports and investigations.  The report shall
16    also include a trend  analysis  of  the  number  of  reported
17    allegations  and  their  disposition,  for  each facility and
18    Department-wide, for the most recent 3-year time period and a
19    statement, for  each  facility,  of  the  staffing-to-patient
20    ratios.   The  ratios shall include only the number of direct
21    care  staff.   The  report  shall   also   include   detailed
22    recommended    administrative   actions   and   matters   for
23    consideration by the General Assembly.
24        This Section is repealed on January 1, 2004 2002.
25    (Source: P.A. 91-169, eff. 7-16-99.)

26        (210 ILCS 30/6.8) (from Ch. 111 1/2, par. 4166.8)
27        (Section scheduled to be repealed on January 1, 2002)
28        Sec. 6.8.  Program  audit.   The  Auditor  General  shall
29    conduct  a  biennial  program  audit  of  the  office  of the
30    Inspector General in  relation  to  the  Inspector  General's
31    compliance  with  this  Act.   The  audit  shall specifically
32    include   the   Inspector    General's    effectiveness    in
 
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 1    investigating   reports   of  alleged  neglect  or  abuse  of
 2    residents in any facility operated by the Department  and  in
 3    making  recommendations  for  sanctions to the Departments of
 4    Human Services and Public Health.  The Auditor General  shall
 5    conduct  the program audit according to the provisions of the
 6    Illinois State Auditing Act and shall report its findings  to
 7    the  General  Assembly  no  later  than  January  1  of  each
 8    odd-numbered year.
 9        This Section is repealed on January 1, 2004 2002.
10    (Source: P.A. 91-169, eff. 7-16-99.)

11        Section  99.  Effective date.  This Act takes effect upon
12    becoming law.

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