101ST GENERAL ASSEMBLY
State of Illinois
2019 and 2020
SB3345

 

Introduced 2/14/2020, by Sen. Rachelle Crowe

 

SYNOPSIS AS INTRODUCED:
 
320 ILCS 20/2  from Ch. 23, par. 6602
320 ILCS 20/3  from Ch. 23, par. 6603
320 ILCS 20/3.5
320 ILCS 20/4  from Ch. 23, par. 6604
320 ILCS 20/4.1
320 ILCS 20/4.2
320 ILCS 20/5  from Ch. 23, par. 6605
320 ILCS 20/7.1
320 ILCS 20/7.5
320 ILCS 20/8  from Ch. 23, par. 6608
320 ILCS 20/9  from Ch. 23, par. 6609
320 ILCS 20/13
320 ILCS 20/15

    Amends the Adult Protective Services Act. Expands the scope of the Act to include reports of abandonment. Defines "abandonment" to mean the desertion or willful forsaking of an eligible adult by anyone having care or custody of that eligible adult under circumstances in which a reasonable person would continue to provide care and custody.


LRB101 20310 KTG 69853 b

FISCAL NOTE ACT MAY APPLY

 

 

A BILL FOR

 

SB3345LRB101 20310 KTG 69853 b

1    AN ACT concerning aging.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Adult Protective Services Act is amended by
5changing Sections 2, 3, 3.5, 4, 4.1, 4.2, 5, 7.1, 7.5, 8, 9,
613, and 15 as follows:
 
7    (320 ILCS 20/2)  (from Ch. 23, par. 6602)
8    Sec. 2. Definitions. As used in this Act, unless the
9context requires otherwise:
10    (a) "Abandonment" means the desertion or willful forsaking
11of an eligible adult by anyone having care or custody of that
12eligible adult under circumstances in which a reasonable person
13would continue to provide care and custody.
14    (a-1) (a) "Abuse" means causing any physical, mental or
15sexual injury to an eligible adult, including exploitation of
16such adult's financial resources, and abandonment.
17    Nothing in this Act shall be construed to mean that an
18eligible adult is a victim of abuse, abandonment, neglect, or
19self-neglect for the sole reason that he or she is being
20furnished with or relies upon treatment by spiritual means
21through prayer alone, in accordance with the tenets and
22practices of a recognized church or religious denomination.
23    Nothing in this Act shall be construed to mean that an

 

 

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1eligible adult is a victim of abuse because of health care
2services provided or not provided by licensed health care
3professionals.
4    (a-5) "Abuser" means a person who abuses, abandons,
5neglects, or financially exploits an eligible adult.
6    (a-6) "Adult with disabilities" means a person aged 18
7through 59 who resides in a domestic living situation and whose
8disability as defined in subsection (c-5) impairs his or her
9ability to seek or obtain protection from abuse, abandonment,
10neglect, or exploitation.
11    (a-7) "Caregiver" means a person who either as a result of
12a family relationship, voluntarily, or in exchange for
13compensation has assumed responsibility for all or a portion of
14the care of an eligible adult who needs assistance with
15activities of daily living or instrumental activities of daily
16living.
17    (b) "Department" means the Department on Aging of the State
18of Illinois.
19    (c) "Director" means the Director of the Department.
20    (c-5) "Disability" means a physical or mental disability,
21including, but not limited to, a developmental disability, an
22intellectual disability, a mental illness as defined under the
23Mental Health and Developmental Disabilities Code, or dementia
24as defined under the Alzheimer's Disease Assistance Act.
25    (d) "Domestic living situation" means a residence where the
26eligible adult at the time of the report lives alone or with

 

 

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1his or her family or a caregiver, or others, or other
2community-based unlicensed facility, but is not:
3        (1) A licensed facility as defined in Section 1-113 of
4    the Nursing Home Care Act;
5        (1.5) A facility licensed under the ID/DD Community
6    Care Act;
7        (1.6) A facility licensed under the MC/DD Act;
8        (1.7) A facility licensed under the Specialized Mental
9    Health Rehabilitation Act of 2013;
10        (2) A "life care facility" as defined in the Life Care
11    Facilities Act;
12        (3) A home, institution, or other place operated by the
13    federal government or agency thereof or by the State of
14    Illinois;
15        (4) A hospital, sanitarium, or other institution, the
16    principal activity or business of which is the diagnosis,
17    care, and treatment of human illness through the
18    maintenance and operation of organized facilities
19    therefor, which is required to be licensed under the
20    Hospital Licensing Act;
21        (5) A "community living facility" as defined in the
22    Community Living Facilities Licensing Act;
23        (6) (Blank);
24        (7) A "community-integrated living arrangement" as
25    defined in the Community-Integrated Living Arrangements
26    Licensure and Certification Act or a "community

 

 

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1    residential alternative" as licensed under that Act;
2        (8) An assisted living or shared housing establishment
3    as defined in the Assisted Living and Shared Housing Act;
4    or
5        (9) A supportive living facility as described in
6    Section 5-5.01a of the Illinois Public Aid Code.
7    (e) "Eligible adult" means either an adult with
8disabilities aged 18 through 59 or a person aged 60 or older
9who resides in a domestic living situation and is, or is
10alleged to be, abused, abandoned, neglected, or financially
11exploited by another individual or who neglects himself or
12herself. "Eligible adult" also includes an adult who resides in
13any of the facilities that are excluded from the definition of
14"domestic living situation" under paragraphs (1) through (9) of
15subsection (d), if either: (i) the alleged abuse, abandonment,
16or neglect occurs outside of the facility and not under
17facility supervision and the alleged abuser is a family member,
18caregiver, or another person who has a continuing relationship
19with the adult; or (ii) the alleged financial exploitation is
20perpetrated by a family member, caregiver, or another person
21who has a continuing relationship with the adult, but who is
22not an employee of the facility where the adult resides.
23    (f) "Emergency" means a situation in which an eligible
24adult is living in conditions presenting a risk of death or
25physical, mental or sexual injury and the provider agency has
26reason to believe the eligible adult is unable to consent to

 

 

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1services which would alleviate that risk.
2    (f-1) "Financial exploitation" means the use of an eligible
3adult's resources by another to the disadvantage of that adult
4or the profit or advantage of a person other than that adult.
5    (f-5) "Mandated reporter" means any of the following
6persons while engaged in carrying out their professional
7duties:
8        (1) a professional or professional's delegate while
9    engaged in: (i) social services, (ii) law enforcement,
10    (iii) education, (iv) the care of an eligible adult or
11    eligible adults, or (v) any of the occupations required to
12    be licensed under the Clinical Psychologist Licensing Act,
13    the Clinical Social Work and Social Work Practice Act, the
14    Illinois Dental Practice Act, the Dietitian Nutritionist
15    Practice Act, the Marriage and Family Therapy Licensing
16    Act, the Medical Practice Act of 1987, the Naprapathic
17    Practice Act, the Nurse Practice Act, the Nursing Home
18    Administrators Licensing and Disciplinary Act, the
19    Illinois Occupational Therapy Practice Act, the Illinois
20    Optometric Practice Act of 1987, the Pharmacy Practice Act,
21    the Illinois Physical Therapy Act, the Physician Assistant
22    Practice Act of 1987, the Podiatric Medical Practice Act of
23    1987, the Respiratory Care Practice Act, the Professional
24    Counselor and Clinical Professional Counselor Licensing
25    and Practice Act, the Illinois Speech-Language Pathology
26    and Audiology Practice Act, the Veterinary Medicine and

 

 

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1    Surgery Practice Act of 2004, and the Illinois Public
2    Accounting Act;
3        (1.5) an employee of an entity providing developmental
4    disabilities services or service coordination funded by
5    the Department of Human Services;
6        (2) an employee of a vocational rehabilitation
7    facility prescribed or supervised by the Department of
8    Human Services;
9        (3) an administrator, employee, or person providing
10    services in or through an unlicensed community based
11    facility;
12        (4) any religious practitioner who provides treatment
13    by prayer or spiritual means alone in accordance with the
14    tenets and practices of a recognized church or religious
15    denomination, except as to information received in any
16    confession or sacred communication enjoined by the
17    discipline of the religious denomination to be held
18    confidential;
19        (5) field personnel of the Department of Healthcare and
20    Family Services, Department of Public Health, and
21    Department of Human Services, and any county or municipal
22    health department;
23        (6) personnel of the Department of Human Services, the
24    Guardianship and Advocacy Commission, the State Fire
25    Marshal, local fire departments, the Department on Aging
26    and its subsidiary Area Agencies on Aging and provider

 

 

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1    agencies, and the Office of State Long Term Care Ombudsman;
2        (7) any employee of the State of Illinois not otherwise
3    specified herein who is involved in providing services to
4    eligible adults, including professionals providing medical
5    or rehabilitation services and all other persons having
6    direct contact with eligible adults;
7        (8) a person who performs the duties of a coroner or
8    medical examiner; or
9        (9) a person who performs the duties of a paramedic or
10    an emergency medical technician.
11    (g) "Neglect" means another individual's failure to
12provide an eligible adult with or willful withholding from an
13eligible adult the necessities of life including, but not
14limited to, food, clothing, shelter or health care. This
15subsection does not create any new affirmative duty to provide
16support to eligible adults. Nothing in this Act shall be
17construed to mean that an eligible adult is a victim of neglect
18because of health care services provided or not provided by
19licensed health care professionals.
20    (h) "Provider agency" means any public or nonprofit agency
21in a planning and service area that is selected by the
22Department or appointed by the regional administrative agency
23with prior approval by the Department on Aging to receive and
24assess reports of alleged or suspected abuse, abandonment,
25neglect, or financial exploitation. A provider agency is also
26referenced as a "designated agency" in this Act.

 

 

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1    (i) "Regional administrative agency" means any public or
2nonprofit agency in a planning and service area that provides
3regional oversight and performs functions as set forth in
4subsection (b) of Section 3 of this Act. The Department shall
5designate an Area Agency on Aging as the regional
6administrative agency or, in the event the Area Agency on Aging
7in that planning and service area is deemed by the Department
8to be unwilling or unable to provide those functions, the
9Department may serve as the regional administrative agency or
10designate another qualified entity to serve as the regional
11administrative agency; any such designation shall be subject to
12terms set forth by the Department.
13    (i-5) "Self-neglect" means a condition that is the result
14of an eligible adult's inability, due to physical or mental
15impairments, or both, or a diminished capacity, to perform
16essential self-care tasks that substantially threaten his or
17her own health, including: providing essential food, clothing,
18shelter, and health care; and obtaining goods and services
19necessary to maintain physical health, mental health,
20emotional well-being, and general safety. The term includes
21compulsive hoarding, which is characterized by the acquisition
22and retention of large quantities of items and materials that
23produce an extensively cluttered living space, which
24significantly impairs the performance of essential self-care
25tasks or otherwise substantially threatens life or safety.
26    (j) "Substantiated case" means a reported case of alleged

 

 

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1or suspected abuse, abandonment, neglect, financial
2exploitation, or self-neglect in which a provider agency, after
3assessment, determines that there is reason to believe abuse,
4neglect, or financial exploitation has occurred.
5    (k) "Verified" means a determination that there is "clear
6and convincing evidence" that the specific injury or harm
7alleged was the result of abuse, abandonment, neglect, or
8financial exploitation.
9(Source: P.A. 99-180, eff. 7-29-15; 100-641, eff. 1-1-19.)
 
10    (320 ILCS 20/3)  (from Ch. 23, par. 6603)
11    Sec. 3. Responsibilities.
12    (a) The Department shall establish, design, and manage a
13protective services program for eligible adults who have been,
14or are alleged to be, victims of abuse, abandonment, neglect,
15financial exploitation, or self-neglect. The Department shall
16contract with or fund, or contract with and fund, regional
17administrative agencies, provider agencies, or both, for the
18provision of those functions, and, contingent on adequate
19funding, with attorneys or legal services provider agencies for
20the provision of legal assistance pursuant to this Act. For
21self-neglect, the program shall include the following services
22for eligible adults who have been removed from their residences
23for the purpose of cleanup or repairs: temporary housing;
24counseling; and caseworker services to try to ensure that the
25conditions necessitating the removal do not reoccur.

 

 

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1    (a-1) The Department shall by rule develop standards for
2minimum staffing levels and staff qualifications. The
3Department shall by rule establish mandatory standards for the
4investigation of abuse, abandonment, neglect, financial
5exploitation, or self-neglect of eligible adults and mandatory
6procedures for linking eligible adults to appropriate services
7and supports.
8    (a-5) A provider agency shall, in accordance with rules
9promulgated by the Department, establish a multi-disciplinary
10team to act in an advisory role for the purpose of providing
11professional knowledge and expertise in the handling of complex
12abuse cases involving eligible adults. Each multi-disciplinary
13team shall consist of one volunteer representative from the
14following professions: banking or finance; disability care;
15health care; law; law enforcement; mental health care; and
16clergy. A provider agency may also choose to add
17representatives from the fields of substance abuse, domestic
18violence, sexual assault, or other related fields. To support
19multi-disciplinary teams in this role, law enforcement
20agencies and coroners or medical examiners shall supply records
21as may be requested in particular cases.
22    (b) Each regional administrative agency shall designate
23provider agencies within its planning and service area with
24prior approval by the Department on Aging, monitor the use of
25services, provide technical assistance to the provider
26agencies and be involved in program development activities.

 

 

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1    (c) Provider agencies shall assist, to the extent possible,
2eligible adults who need agency services to allow them to
3continue to function independently. Such assistance shall
4include, but not be limited to, receiving reports of alleged or
5suspected abuse, abandonment, neglect, financial exploitation,
6or self-neglect, conducting face-to-face assessments of such
7reported cases, determination of substantiated cases, referral
8of substantiated cases for necessary support services,
9referral of criminal conduct to law enforcement in accordance
10with Department guidelines, and provision of case work and
11follow-up services on substantiated cases. In the case of a
12report of alleged or suspected abuse, abandonment, or neglect
13that places an eligible adult at risk of injury or death, a
14provider agency shall respond to the report on an emergency
15basis in accordance with guidelines established by the
16Department by administrative rule and shall ensure that it is
17capable of responding to such a report 24 hours per day, 7 days
18per week. A provider agency may use an on-call system to
19respond to reports of alleged or suspected abuse, abandonment,
20or neglect after hours and on weekends.
21    (c-5) Where a provider agency has reason to believe that
22the death of an eligible adult may be the result of abuse,
23abandonment, or neglect, including any reports made after
24death, the agency shall immediately report the matter to both
25the appropriate law enforcement agency and the coroner or
26medical examiner. Between 30 and 45 days after making such a

 

 

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1report, the provider agency again shall contact the law
2enforcement agency and coroner or medical examiner to determine
3whether any further action was taken. Upon request by a
4provider agency, a law enforcement agency and coroner or
5medical examiner shall supply a summary of its action in
6response to a reported death of an eligible adult. A copy of
7the report shall be maintained and all subsequent follow-up
8with the law enforcement agency and coroner or medical examiner
9shall be documented in the case record of the eligible adult.
10If the law enforcement agency, coroner, or medical examiner
11determines the reported death was caused by abuse, abandonment,
12or neglect by a caregiver, the law enforcement agency, coroner,
13or medical examiner shall inform the Department, and the
14Department shall report the caregiver's identity on the
15Registry as described in Section 7.5 of this Act.
16    (d) Upon sufficient appropriations to implement a
17statewide program, the Department shall implement a program,
18based on the recommendations of the Self-Neglect Steering
19Committee, for (i) responding to reports of possible
20self-neglect, (ii) protecting the autonomy, rights, privacy,
21and privileges of adults during investigations of possible
22self-neglect and consequential judicial proceedings regarding
23competency, (iii) collecting and sharing relevant information
24and data among the Department, provider agencies, regional
25administrative agencies, and relevant seniors, (iv) developing
26working agreements between provider agencies and law

 

 

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1enforcement, where practicable, and (v) developing procedures
2for collecting data regarding incidents of self-neglect.
3(Source: P.A. 98-49, eff. 7-1-13; 98-1039, eff. 8-25-14.)
 
4    (320 ILCS 20/3.5)
5    Sec. 3.5. Other responsibilities. The Department shall
6also be responsible for the following activities, contingent
7upon adequate funding; implementation shall be expanded to
8adults with disabilities upon the effective date of this
9amendatory Act of the 98th General Assembly, except those
10responsibilities under subsection (a), which shall be
11undertaken as soon as practicable:
12        (a) promotion of a wide range of endeavors for the
13    purpose of preventing abuse, abandonment, neglect,
14    financial exploitation, and self-neglect, including, but
15    not limited to, promotion of public and professional
16    education to increase awareness of abuse, abandonment,
17    neglect, financial exploitation, and self-neglect; to
18    increase reports; to establish access to and use of the
19    Registry established under Section 7.5; and to improve
20    response by various legal, financial, social, and health
21    systems;
22        (b) coordination of efforts with other agencies,
23    councils, and like entities, to include but not be limited
24    to, the Administrative Office of the Illinois Courts, the
25    Office of the Attorney General, the State Police, the

 

 

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1    Illinois Law Enforcement Training Standards Board, the
2    State Triad, the Illinois Criminal Justice Information
3    Authority, the Departments of Public Health, Healthcare
4    and Family Services, and Human Services, the Illinois
5    Guardianship and Advocacy Commission, the Family Violence
6    Coordinating Council, the Illinois Violence Prevention
7    Authority, and other entities which may impact awareness
8    of, and response to, abuse, abandonment, neglect,
9    financial exploitation, and self-neglect;
10        (c) collection and analysis of data;
11        (d) monitoring of the performance of regional
12    administrative agencies and adult protective services
13    agencies;
14        (e) promotion of prevention activities;
15        (f) establishing and coordinating an aggressive
16    training program on the unique nature of adult abuse cases
17    with other agencies, councils, and like entities, to
18    include but not be limited to the Office of the Attorney
19    General, the State Police, the Illinois Law Enforcement
20    Training Standards Board, the State Triad, the Illinois
21    Criminal Justice Information Authority, the State
22    Departments of Public Health, Healthcare and Family
23    Services, and Human Services, the Family Violence
24    Coordinating Council, the Illinois Violence Prevention
25    Authority, the agency designated by the Governor under
26    Section 1 of the Protection and Advocacy for Persons with

 

 

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1    Developmental Disabilities Act, and other entities that
2    may impact awareness of and response to abuse, abandonment,
3    neglect, financial exploitation, and self-neglect;
4        (g) solicitation of financial institutions for the
5    purpose of making information available to the general
6    public warning of financial exploitation of adults and
7    related financial fraud or abuse, including such
8    information and warnings available through signage or
9    other written materials provided by the Department on the
10    premises of such financial institutions, provided that the
11    manner of displaying or distributing such information is
12    subject to the sole discretion of each financial
13    institution;
14        (g-1) developing by joint rulemaking with the
15    Department of Financial and Professional Regulation
16    minimum training standards which shall be used by financial
17    institutions for their current and new employees with
18    direct customer contact; the Department of Financial and
19    Professional Regulation shall retain sole visitation and
20    enforcement authority under this subsection (g-1); the
21    Department of Financial and Professional Regulation shall
22    provide bi-annual reports to the Department setting forth
23    aggregate statistics on the training programs required
24    under this subsection (g-1); and
25        (h) coordinating efforts with utility and electric
26    companies to send notices in utility bills to explain to

 

 

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1    persons 60 years of age or older their rights regarding
2    telemarketing and home repair fraud.
3(Source: P.A. 98-49, eff. 7-1-13; 98-1039, eff. 8-25-14;
499-143, eff. 7-27-15.)
 
5    (320 ILCS 20/4)  (from Ch. 23, par. 6604)
6    Sec. 4. Reports of abuse, abandonment, or neglect.
7    (a) Any person who suspects the abuse, abandonment,
8neglect, financial exploitation, or self-neglect of an
9eligible adult may report this suspicion to an agency
10designated to receive such reports under this Act or to the
11Department.
12    (a-5) If any mandated reporter has reason to believe that
13an eligible adult, who because of a disability or other
14condition or impairment is unable to seek assistance for
15himself or herself, has, within the previous 12 months, been
16subjected to abuse, abandonment, neglect, or financial
17exploitation, the mandated reporter shall, within 24 hours
18after developing such belief, report this suspicion to an
19agency designated to receive such reports under this Act or to
20the Department. The agency designated to receive such reports
21under this Act or the Department may establish a manner in
22which a mandated reporter can make the required report through
23an Internet reporting tool. Information sent and received
24through the Internet reporting tool is subject to the same
25rules in this Act as other types of confidential reporting

 

 

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1established by the designated agency or the Department.
2Whenever a mandated reporter is required to report under this
3Act in his or her capacity as a member of the staff of a medical
4or other public or private institution, facility, or agency, he
5or she shall make a report to an agency designated to receive
6such reports under this Act or to the Department in accordance
7with the provisions of this Act and may also notify the person
8in charge of the institution, facility, or agency or his or her
9designated agent that the report has been made. Under no
10circumstances shall any person in charge of such institution,
11facility, or agency, or his or her designated agent to whom the
12notification has been made, exercise any control, restraint,
13modification, or other change in the report or the forwarding
14of the report to an agency designated to receive such reports
15under this Act or to the Department. The privileged quality of
16communication between any professional person required to
17report and his or her patient or client shall not apply to
18situations involving abused, abandoned, neglected, or
19financially exploited eligible adults and shall not constitute
20grounds for failure to report as required by this Act.
21    (a-7) A person making a report under this Act in the belief
22that it is in the alleged victim's best interest shall be
23immune from criminal or civil liability or professional
24disciplinary action on account of making the report,
25notwithstanding any requirements concerning the
26confidentiality of information with respect to such eligible

 

 

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1adult which might otherwise be applicable.
2    (a-9) Law enforcement officers shall continue to report
3incidents of alleged abuse pursuant to the Illinois Domestic
4Violence Act of 1986, notwithstanding any requirements under
5this Act.
6    (b) Any person, institution or agency participating in the
7making of a report, providing information or records related to
8a report, assessment, or services, or participating in the
9investigation of a report under this Act in good faith, or
10taking photographs or x-rays as a result of an authorized
11assessment, shall have immunity from any civil, criminal or
12other liability in any civil, criminal or other proceeding
13brought in consequence of making such report or assessment or
14on account of submitting or otherwise disclosing such
15photographs or x-rays to any agency designated to receive
16reports of alleged or suspected abuse, abandonment, or neglect.
17Any person, institution or agency authorized by the Department
18to provide assessment, intervention, or administrative
19services under this Act shall, in the good faith performance of
20those services, have immunity from any civil, criminal or other
21liability in any civil, criminal, or other proceeding brought
22as a consequence of the performance of those services. For the
23purposes of any civil, criminal, or other proceeding, the good
24faith of any person required to report, permitted to report, or
25participating in an investigation of a report of alleged or
26suspected abuse, abandonment, neglect, financial exploitation,

 

 

SB3345- 19 -LRB101 20310 KTG 69853 b

1or self-neglect shall be presumed.
2    (c) The identity of a person making a report of alleged or
3suspected abuse, abandonment, neglect, financial exploitation,
4or self-neglect under this Act may be disclosed by the
5Department or other agency provided for in this Act only with
6such person's written consent or by court order, but is
7otherwise confidential.
8    (d) The Department shall by rule establish a system for
9filing and compiling reports made under this Act.
10    (e) Any physician who willfully fails to report as required
11by this Act shall be referred to the Illinois State Medical
12Disciplinary Board for action in accordance with subdivision
13(A)(22) of Section 22 of the Medical Practice Act of 1987. Any
14dentist or dental hygienist who willfully fails to report as
15required by this Act shall be referred to the Department of
16Professional Regulation for action in accordance with
17paragraph 19 of Section 23 of the Illinois Dental Practice Act.
18Any optometrist who willfully fails to report as required by
19this Act shall be referred to the Department of Financial and
20Professional Regulation for action in accordance with
21paragraph (15) of subsection (a) of Section 24 of the Illinois
22Optometric Practice Act of 1987. Any other mandated reporter
23required by this Act to report suspected abuse, abandonment,
24neglect, or financial exploitation who willfully fails to
25report the same is guilty of a Class A misdemeanor.
26(Source: P.A. 97-860, eff. 7-30-12; 98-49, eff. 7-1-13;

 

 

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198-1039, eff. 8-25-14.)
 
2    (320 ILCS 20/4.1)
3    Sec. 4.1. Employer discrimination. No employer shall
4discharge, demote or suspend, or threaten to discharge, demote
5or suspend, or in any manner discriminate against any employee
6who makes any good faith oral or written report of suspected
7abuse, abandonment, neglect, or financial exploitation or who
8is or will be a witness or testify in any investigation or
9proceeding concerning a report of suspected abuse,
10abandonment, neglect, or financial exploitation.
11(Source: P.A. 98-49, eff. 7-1-13.)
 
12    (320 ILCS 20/4.2)
13    Sec. 4.2. Testimony by mandated reporter and investigator.
14Any mandated reporter who makes a report or any person who
15investigates a report under this Act shall testify fully in any
16judicial proceeding resulting from such report, as to any
17evidence of abuse, abandonment, neglect, or financial
18exploitation or the cause thereof. Any mandated reporter who is
19required to report a suspected case of abuse, abandonment,
20neglect, or financial exploitation under Section 4 of this Act
21shall testify fully in any administrative hearing resulting
22from such report, as to any evidence of abuse, abandonment,
23neglect, or financial exploitation or the cause thereof. No
24evidence shall be excluded by reason of any common law or

 

 

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1statutory privilege relating to communications between the
2alleged abuser or the eligible adult subject of the report
3under this Act and the person making or investigating the
4report.
5(Source: P.A. 90-628, eff. 1-1-99.)
 
6    (320 ILCS 20/5)  (from Ch. 23, par. 6605)
7    Sec. 5. Procedure.
8    (a) A provider agency designated to receive reports of
9alleged or suspected abuse, abandonment, neglect, financial
10exploitation, or self-neglect under this Act shall, upon
11receiving such a report, conduct a face-to-face assessment with
12respect to such report, in accord with established law and
13Department protocols, procedures, and policies. Face-to-face
14assessments, casework, and follow-up of reports of
15self-neglect by the provider agencies designated to receive
16reports of self-neglect shall be subject to sufficient
17appropriation for statewide implementation of assessments,
18casework, and follow-up of reports of self-neglect. In the
19absence of sufficient appropriation for statewide
20implementation of assessments, casework, and follow-up of
21reports of self-neglect, the designated adult protective
22services provider agency shall refer all reports of
23self-neglect to the appropriate agency or agencies as
24designated by the Department for any follow-up. The assessment
25shall include, but not be limited to, a visit to the residence

 

 

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1of the eligible adult who is the subject of the report and
2shall include interviews or consultations regarding the
3allegations with service agencies, immediate family members,
4and individuals who may have knowledge of the eligible adult's
5circumstances based on the consent of the eligible adult in all
6instances, except where the provider agency is acting in the
7best interest of an eligible adult who is unable to seek
8assistance for himself or herself and where there are
9allegations against a caregiver who has assumed
10responsibilities in exchange for compensation. If, after the
11assessment, the provider agency determines that the case is
12substantiated it shall develop a service care plan for the
13eligible adult and may report its findings at any time during
14the case to the appropriate law enforcement agency in accord
15with established law and Department protocols, procedures, and
16policies. In developing a case plan, the provider agency may
17consult with any other appropriate provider of services, and
18such providers shall be immune from civil or criminal liability
19on account of such acts. The plan shall include alternative
20suggested or recommended services which are appropriate to the
21needs of the eligible adult and which involve the least
22restriction of the eligible adult's activities commensurate
23with his or her needs. Only those services to which consent is
24provided in accordance with Section 9 of this Act shall be
25provided, contingent upon the availability of such services.
26    (b) A provider agency shall refer evidence of crimes

 

 

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1against an eligible adult to the appropriate law enforcement
2agency according to Department policies. A referral to law
3enforcement may be made at intake or any time during the case.
4Where a provider agency has reason to believe the death of an
5eligible adult may be the result of abuse, abandonment, or
6neglect, the agency shall immediately report the matter to the
7coroner or medical examiner and shall cooperate fully with any
8subsequent investigation.
9    (c) If any person other than the alleged victim refuses to
10allow the provider agency to begin an investigation, interferes
11with the provider agency's ability to conduct an investigation,
12or refuses to give access to an eligible adult, the appropriate
13law enforcement agency must be consulted regarding the
14investigation.
15(Source: P.A. 101-496, eff. 1-1-20.)
 
16    (320 ILCS 20/7.1)
17    Sec. 7.1. Final investigative report. A provider agency
18shall prepare a final investigative report, upon the completion
19or closure of an investigation, in all cases of reported abuse,
20abandonment, neglect, financial exploitation, or self-neglect
21of an eligible adult, whether or not there is a substantiated
22finding.
23(Source: P.A. 98-49, eff. 7-1-13.)
 
24    (320 ILCS 20/7.5)

 

 

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1    Sec. 7.5. Registry.
2    (a) To protect individuals receiving in-home and
3community-based services, the Department on Aging shall
4establish an Adult Protective Service Registry that will be
5hosted by the Department of Public Health on its website
6effective January 1, 2015, and, if practicable, shall propose
7rules for the Registry by January 1, 2015.
8    (a-5) The Registry shall identify caregivers against whom a
9verified and substantiated finding was made under this Act of
10abuse, abandonment, neglect, or financial exploitation.
11    The information in the Registry shall be confidential
12except as specifically authorized in this Act and shall not be
13deemed a public record.
14    (a-10) Reporting to the Registry. The Department on Aging
15shall report to the Registry the identity of the caregiver when
16a verified and substantiated finding of abuse, abandonment,
17neglect, or financial exploitation of an eligible adult under
18this Act is made against a caregiver, and all appeals,
19challenges, and reviews, if any, have been completed and a
20finding for placement on the Registry has been sustained or
21upheld.
22    A finding against a caregiver that is placed in the
23Registry shall preclude that caregiver from providing direct
24care, as defined in this Section, in a position with or that is
25regulated by or paid with public funds from the Department on
26Aging, the Department of Healthcare and Family Services, the

 

 

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1Department of Human Services, or the Department of Public
2Health or with an entity or provider licensed, certified, or
3regulated by or paid with public funds from any of these State
4agencies.
5    (b) Definitions. As used in this Section:
6    "Direct care" includes, but is not limited to, direct
7access to a person aged 60 or older or to an adult with
8disabilities aged 18 through 59, his or her living quarters, or
9his or her personal, financial, or medical records for the
10purpose of providing nursing care or assistance with feeding,
11dressing, movement, bathing, toileting, other personal needs
12and activities of daily living or instrumental activities of
13daily living, or assistance with financial transactions.
14    "Participant" means an individual who uses the services of
15an in-home care program funded through the Department on Aging,
16the Department of Healthcare and Family Services, the
17Department of Human Services, or the Department of Public
18Health.
19    (c) Access to and use of the Registry. Access to the
20Registry shall be limited to the Department on Aging, the
21Department of Healthcare and Family Services, the Department of
22Human Services, and the Department of Public Health and
23providers of direct care as described in subsection (a-10) of
24this Section. These State agencies and providers shall not
25hire, compensate either directly or on behalf of a participant,
26or utilize the services of any person seeking to provide direct

 

 

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1care without first conducting an online check of whether the
2person has been placed on the Registry. These State agencies
3and providers shall maintain a copy of the results of the
4online check to demonstrate compliance with this requirement.
5These State agencies and providers are prohibited from
6retaining, hiring, compensating either directly or on behalf of
7a participant, or utilizing the services of a person to provide
8direct care if the online check of the person reveals a
9verified and substantiated finding of abuse, abandonment,
10neglect, or financial exploitation that has been placed on the
11Registry or when the State agencies or providers otherwise gain
12knowledge of such placement on the Registry. Failure to comply
13with this requirement may subject such a provider to corrective
14action by the appropriate regulatory agency or other lawful
15remedies provided under the applicable licensure,
16certification, or regulatory laws and rules.
17    (d) Notice to caregiver. The Department on Aging shall
18establish rules concerning notice to the caregiver in cases of
19a verified and substantiated finding of abuse, abandonment,
20neglect, or financial exploitation against him or her that may
21make him or her eligible for placement on the Registry.
22    (e) Notification to eligible adults, guardians, or agents.
23As part of its investigation, the Department on Aging shall
24notify an eligible adult, or an eligible adult's guardian or
25agent, that his or her caregiver's name may be placed on the
26Registry based on a finding as described in subsection (a-10)

 

 

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1of this Section.
2    (f) Notification to employer. The Department on Aging shall
3notify the appropriate State agency or provider of direct care,
4as described in subsection (a-10), when there is a verified and
5substantiated finding of abuse, abandonment, neglect, or
6financial exploitation in a case under this Act that is
7reported on the Registry and that involves one of its
8caregivers. That State agency or provider is prohibited from
9retaining or compensating that individual in a position that
10involves direct care, and if there is an imminent risk of
11danger to the victim or an imminent risk of misuse of personal,
12medical, or financial information, that caregiver shall
13immediately be barred from providing direct care to the victim
14pending the outcome of any challenge, appeal, criminal
15prosecution, or other type of collateral action.
16    (g) Challenges and appeals. The Department on Aging shall
17establish, by rule, procedures concerning challenges and
18appeals to placement on the Registry pursuant to legislative
19intent. The Department shall not make any report to the
20Registry pending challenges or appeals.
21    (h) Caregiver's rights to collateral action. The
22Department on Aging shall not make any report to the Registry
23if a caregiver notifies the Department in writing that he or
24she is formally challenging an adverse employment action
25resulting from a verified and substantiated finding of abuse,
26abandonment, neglect, or financial exploitation by complaint

 

 

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1filed with the Illinois Civil Service Commission, or by another
2means which seeks to enforce the caregiver's rights pursuant to
3any applicable collective bargaining agreement. If an action
4taken by an employer against a caregiver as a result of such a
5finding is overturned through an action filed with the Illinois
6Civil Service Commission or under any applicable collective
7bargaining agreement after that caregiver's name has already
8been sent to the Registry, the caregiver's name shall be
9removed from the Registry.
10    (i) Removal from Registry. At any time after a report to
11the Registry, but no more than once in each successive 3-year
12period thereafter, for a maximum of 3 such requests, a
13caregiver may request removal of his or her name from the
14Registry in relationship to a single incident. The caregiver
15shall bear the burden of establishing, by a preponderance of
16the evidence, that removal of his or her name from the Registry
17is in the public interest. Upon receiving such a request, the
18Department on Aging shall conduct an investigation and consider
19any evidentiary material provided. The Department shall issue a
20decision either granting or denying removal to the caregiver
21and report it to the Registry. The Department shall, by rule,
22establish standards and a process for requesting the removal of
23a name from the Registry.
24    (j) Referral of Registry reports to health care facilities.
25In the event an eligible adult receiving services from a
26provider agency changes his or her residence from a domestic

 

 

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1living situation to that of a health care or long term care
2facility, the provider agency shall use reasonable efforts to
3promptly inform the facility and the appropriate Regional Long
4Term Care Ombudsman about any Registry reports relating to the
5eligible adult. For purposes of this Section, a health care or
6long term care facility includes, but is not limited to, any
7residential facility licensed, certified, or regulated by the
8Department of Public Health, Healthcare and Family Services, or
9Human Services.
10    (k) The Department on Aging and its employees and agents
11shall have immunity, except for intentional willful and wanton
12misconduct, from any liability, civil, criminal, or otherwise,
13for reporting information to and maintaining the Registry.
14(Source: P.A. 98-49, eff. 1-1-14; 98-756, eff. 7-16-14;
1598-1039, eff. 8-25-14; 99-78, eff. 7-20-15.)
 
16    (320 ILCS 20/8)  (from Ch. 23, par. 6608)
17    Sec. 8. Access to records. All records concerning reports
18of abuse, abandonment, neglect, financial exploitation, or
19self-neglect and all records generated as a result of such
20reports shall be confidential and shall not be disclosed except
21as specifically authorized by this Act or other applicable law.
22In accord with established law and Department protocols,
23procedures, and policies, access to such records, but not
24access to the identity of the person or persons making a report
25of alleged abuse, abandonment, neglect, financial

 

 

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1exploitation, or self-neglect as contained in such records,
2shall be provided, upon request, to the following persons and
3for the following persons:
4        (1) Department staff, provider agency staff, other
5    aging network staff, and regional administrative agency
6    staff, including staff of the Chicago Department on Aging
7    while that agency is designated as a regional
8    administrative agency, in the furtherance of their
9    responsibilities under this Act;
10        (1.5) A representative of the public guardian acting in
11    the course of investigating the appropriateness of
12    guardianship for the eligible adult or while pursuing a
13    petition for guardianship of the eligible adult pursuant to
14    the Probate Act of 1975;
15        (2) A law enforcement agency or State's Attorney's
16    office investigating known or suspected abuse,
17    abandonment, neglect, financial exploitation, or
18    self-neglect. Where a provider agency has reason to believe
19    that the death of an eligible adult may be the result of
20    abuse, abandonment, or neglect, including any reports made
21    after death, the agency shall immediately provide the
22    appropriate law enforcement agency with all records
23    pertaining to the eligible adult;
24        (2.5) A law enforcement agency, fire department
25    agency, or fire protection district having proper
26    jurisdiction pursuant to a written agreement between a

 

 

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1    provider agency and the law enforcement agency, fire
2    department agency, or fire protection district under which
3    the provider agency may furnish to the law enforcement
4    agency, fire department agency, or fire protection
5    district a list of all eligible adults who may be at
6    imminent risk of abuse, abandonment, neglect, financial
7    exploitation, or self-neglect;
8        (3) A physician who has before him or her or who is
9    involved in the treatment of an eligible adult whom he or
10    she reasonably suspects may be abused, abandoned,
11    neglected, financially exploited, or self-neglected or who
12    has been referred to the Adult Protective Services Program;
13        (4) An eligible adult reported to be abused, abandoned,
14    neglected, financially exploited, or self-neglected, or
15    such adult's authorized guardian or agent, unless such
16    guardian or agent is the abuser or the alleged abuser;
17        (4.5) An executor or administrator of the estate of an
18    eligible adult who is deceased;
19        (5) In cases regarding abuse, abandonment, neglect, or
20    financial exploitation, a court or a guardian ad litem,
21    upon its or his or her finding that access to such records
22    may be necessary for the determination of an issue before
23    the court. However, such access shall be limited to an in
24    camera inspection of the records, unless the court
25    determines that disclosure of the information contained
26    therein is necessary for the resolution of an issue then

 

 

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1    pending before it;
2        (5.5) In cases regarding self-neglect, a guardian ad
3    litem;
4        (6) A grand jury, upon its determination that access to
5    such records is necessary in the conduct of its official
6    business;
7        (7) Any person authorized by the Director, in writing,
8    for audit or bona fide research purposes;
9        (8) A coroner or medical examiner who has reason to
10    believe that an eligible adult has died as the result of
11    abuse, abandonment, neglect, financial exploitation, or
12    self-neglect. The provider agency shall immediately
13    provide the coroner or medical examiner with all records
14    pertaining to the eligible adult;
15        (8.5) A coroner or medical examiner having proper
16    jurisdiction, pursuant to a written agreement between a
17    provider agency and the coroner or medical examiner, under
18    which the provider agency may furnish to the office of the
19    coroner or medical examiner a list of all eligible adults
20    who may be at imminent risk of death as a result of abuse,
21    abandonment, neglect, financial exploitation, or
22    self-neglect;
23        (9) Department of Financial and Professional
24    Regulation staff and members of the Illinois Medical
25    Disciplinary Board or the Social Work Examining and
26    Disciplinary Board in the course of investigating alleged

 

 

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1    violations of the Clinical Social Work and Social Work
2    Practice Act by provider agency staff or other licensing
3    bodies at the discretion of the Director of the Department
4    on Aging;
5        (9-a) Department of Healthcare and Family Services
6    staff and provider agency staff when that Department is
7    funding services to the eligible adult, including access to
8    the identity of the eligible adult;
9        (9-b) Department of Human Services staff and provider
10    agency staff when that Department is funding services to
11    the eligible adult or is providing reimbursement for
12    services provided by the abuser or alleged abuser,
13    including access to the identity of the eligible adult;
14        (10) Hearing officers in the course of conducting an
15    administrative hearing under this Act; parties to such
16    hearing shall be entitled to discovery as established by
17    rule;
18        (11) A caregiver who challenges placement on the
19    Registry shall be given the statement of allegations in the
20    abuse report and the substantiation decision in the final
21    investigative report; and
22        (12) The Illinois Guardianship and Advocacy Commission
23    and the agency designated by the Governor under Section 1
24    of the Protection and Advocacy for Persons with
25    Developmental Disabilities Act shall have access, through
26    the Department, to records, including the findings,

 

 

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1    pertaining to a completed or closed investigation of a
2    report of suspected abuse, abandonment, neglect, financial
3    exploitation, or self-neglect of an eligible adult.
4(Source: P.A. 98-49, eff. 7-1-13; 98-1039, eff. 8-25-14;
599-143, eff. 7-27-15; 99-287, eff. 1-1-16; 99-547, eff.
67-15-16; 99-642, eff. 7-28-16.)
 
7    (320 ILCS 20/9)  (from Ch. 23, par. 6609)
8    Sec. 9. Authority to consent to services.
9    (a) If an eligible adult consents to an assessment of a
10reported incident of suspected abuse, abandonment, neglect,
11financial exploitation, or self-neglect and, following the
12assessment of such report, consents to services being provided
13according to the case plan, such services shall be arranged to
14meet the adult's needs, based upon the availability of
15resources to provide such services. If an adult withdraws his
16or her consent for an assessment of the reported incident or
17withdraws his or her consent for services and refuses to accept
18such services, the services shall not be provided.
19    (b) If it reasonably appears to the Department or other
20agency designated under this Act that a person is an eligible
21adult and lacks the capacity to consent to an assessment of a
22reported incident of suspected abuse, abandonment, neglect,
23financial exploitation, or self-neglect or to necessary
24services, the Department or other agency shall take appropriate
25action necessary to ameliorate risk to the eligible adult if

 

 

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1there is a threat of ongoing harm or another emergency exists.
2The Department or other agency shall be authorized to seek the
3appointment of a temporary guardian as provided in Article XIa
4of the Probate Act of 1975 for the purpose of consenting to an
5assessment of the reported incident and such services, together
6with an order for an evaluation of the eligible adult's
7physical, psychological, and medical condition and decisional
8capacity.
9    (c) A guardian of the person of an eligible adult may
10consent to an assessment of the reported incident and to
11services being provided according to the case plan. If an
12eligible adult lacks capacity to consent, an agent having
13authority under a power of attorney may consent to an
14assessment of the reported incident and to services. If the
15guardian or agent is the suspected abuser and he or she
16withdraws consent for the assessment of the reported incident,
17or refuses to allow services to be provided to the eligible
18adult, the Department, an agency designated under this Act, or
19the office of the Attorney General may request a court order
20seeking appropriate remedies, and may in addition request
21removal of the guardian and appointment of a successor guardian
22or request removal of the agent and appointment of a guardian.
23    (d) If an emergency exists and the Department or other
24agency designated under this Act reasonably believes that a
25person is an eligible adult and lacks the capacity to consent
26to necessary services, the Department or other agency may

 

 

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1request an ex parte order from the circuit court of the county
2in which the petitioner or respondent resides or in which the
3alleged abuse, abandonment, neglect, financial exploitation,
4or self-neglect occurred, authorizing an assessment of a report
5of alleged or suspected abuse, abandonment, neglect, financial
6exploitation, or self-neglect or the provision of necessary
7services, or both, including relief available under the
8Illinois Domestic Violence Act of 1986 in accord with
9established law and Department protocols, procedures, and
10policies. Petitions filed under this subsection shall be
11treated as expedited proceedings. When an eligible adult is at
12risk of serious injury or death and it reasonably appears that
13the eligible adult lacks capacity to consent to necessary
14services, the Department or other agency designated under this
15Act may take action necessary to ameliorate the risk in
16accordance with administrative rules promulgated by the
17Department.
18    (d-5) For purposes of this Section, an eligible adult
19"lacks the capacity to consent" if qualified staff of an agency
20designated under this Act reasonably determine, in accordance
21with administrative rules promulgated by the Department, that
22he or she appears either (i) unable to receive and evaluate
23information related to the assessment or services or (ii)
24unable to communicate in any manner decisions related to the
25assessment of the reported incident or services.
26    (e) Within 15 days after the entry of the ex parte

 

 

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1emergency order, the order shall expire, or, if the need for
2assessment of the reported incident or services continues, the
3provider agency shall petition for the appointment of a
4guardian as provided in Article XIa of the Probate Act of 1975
5for the purpose of consenting to such assessment or services or
6to protect the eligible adult from further harm.
7    (f) If the court enters an ex parte order under subsection
8(d) for an assessment of a reported incident of alleged or
9suspected abuse, abandonment, neglect, financial exploitation,
10or self-neglect, or for the provision of necessary services in
11connection with alleged or suspected self-neglect, or for both,
12the court, as soon as is practicable thereafter, shall appoint
13a guardian ad litem for the eligible adult who is the subject
14of the order, for the purpose of reviewing the reasonableness
15of the order. The guardian ad litem shall review the order and,
16if the guardian ad litem reasonably believes that the order is
17unreasonable, the guardian ad litem shall file a petition with
18the court stating the guardian ad litem's belief and requesting
19that the order be vacated.
20    (g) In all cases in which there is a substantiated finding
21of abuse, abandonment, neglect, or financial exploitation by a
22guardian, the Department shall, within 30 days after the
23finding, notify the Probate Court with jurisdiction over the
24guardianship.
25(Source: P.A. 98-49, eff. 7-1-13; 98-1039, eff. 8-25-14.)
 

 

 

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1    (320 ILCS 20/13)
2    Sec. 13. Access.
3    (a) In accord with established law and Department
4protocols, procedures, and policies, the designated provider
5agencies shall have access to eligible adults who have been
6reported or found to be victims of abuse, abandonment, neglect,
7financial exploitation, or self-neglect in order to assess the
8validity of the report, assess other needs of the eligible
9adult, and provide services in accordance with this Act.
10    (a-5) A representative of the Department or a designated
11provider agency that is actively involved in an abuse,
12abandonment, neglect, financial exploitation, or self-neglect
13investigation under this Act shall be allowed access to the
14financial records, mental and physical health records, and
15other relevant evaluative records of the eligible adult which
16are in the possession of any individual, financial institution,
17health care provider, mental health provider, educational
18facility, or other facility if necessary to complete the
19investigation mandated by this Act. The provider or facility
20shall provide such records to the representative upon receipt
21of a written request and certification from the Department or
22designated provider agency that an investigation is being
23conducted under this Act and the records are pertinent to the
24investigation.
25    Any records received by such representative, the
26confidentiality of which is protected by another law or rule,

 

 

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1shall be maintained as confidential, except for such use as may
2be necessary for any administrative or other legal proceeding.
3    (b) Where access to an eligible adult is denied, including
4the refusal to provide requested records, the Office of the
5Attorney General, the Department, or the provider agency may
6petition the court for an order to require appropriate access
7where:
8        (1) a caregiver or third party has interfered with the
9    assessment or service plan, or
10        (2) the agency has reason to believe that the eligible
11    adult is denying access because of coercion, extortion, or
12    justifiable fear of future abuse, abandonment, neglect, or
13    financial exploitation.
14    (c) The petition for an order requiring appropriate access
15shall be afforded an expedited hearing in the circuit court.
16    (d) If the provider agency has substantiated financial
17exploitation against an eligible adult, and has documented a
18reasonable belief that the eligible adult will be irreparably
19harmed as a result of the financial exploitation, the Office of
20the Attorney General, the Department, or the provider agency
21may petition for an order freezing the assets of the eligible
22adult. The petition shall be filed in the county or counties in
23which the assets are located. The court's order shall prohibit
24the sale, gifting, transfer, or wasting of the assets of the
25eligible adult, both real and personal, owned by, or vested in,
26the eligible adult, without the express permission of the

 

 

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1court. The petition to freeze the assets of the eligible adult
2shall be afforded an expedited hearing in the circuit court.
3(Source: P.A. 98-1039, eff. 8-25-14.)
 
4    (320 ILCS 20/15)
5    Sec. 15. Fatality review teams.
6    (a) State policy.
7        (1) Both the State and the community maintain a
8    commitment to preventing the abuse, abandonment, neglect,
9    and financial exploitation of at-risk adults. This
10    includes a charge to bring perpetrators of crimes against
11    at-risk adults to justice and prevent untimely deaths in
12    the community.
13        (2) When an at-risk adult dies, the response to the
14    death by the community, law enforcement, and the State must
15    include an accurate and complete determination of the cause
16    of death, and the development and implementation of
17    measures to prevent future deaths from similar causes.
18        (3) Multidisciplinary and multi-agency reviews of
19    deaths can assist the State and counties in developing a
20    greater understanding of the incidence and causes of
21    premature deaths and the methods for preventing those
22    deaths, improving methods for investigating deaths, and
23    identifying gaps in services to at-risk adults.
24        (4) Access to information regarding the deceased
25    person and his or her family by multidisciplinary and

 

 

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1    multi-agency fatality review teams is necessary in order to
2    fulfill their purposes and duties.
3    (a-5) Definitions. As used in this Section:
4        "Advisory Council" means the Illinois Fatality Review
5    Team Advisory Council.
6        "Review Team" means a regional interagency fatality
7    review team.
8    (b) The Director, in consultation with the Advisory
9Council, law enforcement, and other professionals who work in
10the fields of investigating, treating, or preventing abuse,
11abandonment, or neglect of at-risk adults, shall appoint
12members to a minimum of one review team in each of the
13Department's planning and service areas. Each member of a
14review team shall be appointed for a 2-year term and shall be
15eligible for reappointment upon the expiration of the term. A
16review team's purpose in conducting review of at-risk adult
17deaths is: (i) to assist local agencies in identifying and
18reviewing suspicious deaths of adult victims of alleged,
19suspected, or substantiated abuse, abandonment, or neglect in
20domestic living situations; (ii) to facilitate communications
21between officials responsible for autopsies and inquests and
22persons involved in reporting or investigating alleged or
23suspected cases of abuse, abandonment, neglect, or financial
24exploitation of at-risk adults and persons involved in
25providing services to at-risk adults; (iii) to evaluate means
26by which the death might have been prevented; and (iv) to

 

 

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1report its findings to the appropriate agencies and the
2Advisory Council and make recommendations that may help to
3reduce the number of at-risk adult deaths caused by abuse,
4abandonment, and neglect and that may help to improve the
5investigations of deaths of at-risk adults and increase
6prosecutions, if appropriate.
7    (b-5) Each such team shall be composed of representatives
8of entities and individuals including, but not limited to:
9        (1) the Department on Aging;
10        (2) coroners or medical examiners (or both);
11        (3) State's Attorneys;
12        (4) local police departments;
13        (5) forensic units;
14        (6) local health departments;
15        (7) a social service or health care agency that
16    provides services to persons with mental illness, in a
17    program whose accreditation to provide such services is
18    recognized by the Division of Mental Health within the
19    Department of Human Services;
20        (8) a social service or health care agency that
21    provides services to persons with developmental
22    disabilities, in a program whose accreditation to provide
23    such services is recognized by the Division of
24    Developmental Disabilities within the Department of Human
25    Services;
26        (9) a local hospital, trauma center, or provider of

 

 

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1    emergency medicine;
2        (10) providers of services for eligible adults in
3    domestic living situations; and
4        (11) a physician, psychiatrist, or other health care
5    provider knowledgeable about abuse, abandonment, and
6    neglect of at-risk adults.
7    (c) A review team shall review cases of deaths of at-risk
8adults occurring in its planning and service area (i) involving
9blunt force trauma or an undetermined manner or suspicious
10cause of death; (ii) if requested by the deceased's attending
11physician or an emergency room physician; (iii) upon referral
12by a health care provider; (iv) upon referral by a coroner or
13medical examiner; (v) constituting an open or closed case from
14an adult protective services agency, law enforcement agency,
15State's Attorney's office, or the Department of Human Services'
16Office of the Inspector General that involves alleged or
17suspected abuse, abandonment, neglect, or financial
18exploitation; or (vi) upon referral by a law enforcement agency
19or State's Attorney's office. If such a death occurs in a
20planning and service area where a review team has not yet been
21established, the Director shall request that the Advisory
22Council or another review team review that death. A team may
23also review deaths of at-risk adults if the alleged abuse,
24abandonment, or neglect occurred while the person was residing
25in a domestic living situation.
26    A review team shall meet not less than 4 times a year to

 

 

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1discuss cases for its possible review. Each review team, with
2the advice and consent of the Department, shall establish
3criteria to be used in discussing cases of alleged, suspected,
4or substantiated abuse, abandonment, or neglect for review and
5shall conduct its activities in accordance with any applicable
6policies and procedures established by the Department.
7    (c-5) The Illinois Fatality Review Team Advisory Council,
8consisting of one member from each review team in Illinois,
9shall be the coordinating and oversight body for review teams
10and activities in Illinois. The Director may appoint to the
11Advisory Council any ex-officio members deemed necessary.
12Persons with expertise needed by the Advisory Council may be
13invited to meetings. The Advisory Council must select from its
14members a chairperson and a vice-chairperson, each to serve a
152-year term. The chairperson or vice-chairperson may be
16selected to serve additional, subsequent terms. The Advisory
17Council must meet at least 4 times during each calendar year.
18    The Department may provide or arrange for the staff support
19necessary for the Advisory Council to carry out its duties. The
20Director, in cooperation and consultation with the Advisory
21Council, shall appoint, reappoint, and remove review team
22members.
23    The Advisory Council has, but is not limited to, the
24following duties:
25        (1) To serve as the voice of review teams in Illinois.
26        (2) To oversee the review teams in order to ensure that

 

 

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1    the review teams' work is coordinated and in compliance
2    with State statutes and the operating protocol.
3        (3) To ensure that the data, results, findings, and
4    recommendations of the review teams are adequately used in
5    a timely manner to make any necessary changes to the
6    policies, procedures, and State statutes in order to
7    protect at-risk adults.
8        (4) To collaborate with the Department in order to
9    develop any legislation needed to prevent unnecessary
10    deaths of at-risk adults.
11        (5) To ensure that the review teams' review processes
12    are standardized in order to convey data, findings, and
13    recommendations in a usable format.
14        (6) To serve as a link with review teams throughout the
15    country and to participate in national review team
16    activities.
17        (7) To provide the review teams with the most current
18    information and practices concerning at-risk adult death
19    review and related topics.
20        (8) To perform any other functions necessary to enhance
21    the capability of the review teams to reduce and prevent
22    at-risk adult fatalities.
23    The Advisory Council may prepare an annual report, in
24consultation with the Department, using aggregate data
25gathered by review teams and using the review teams'
26recommendations to develop education, prevention, prosecution,

 

 

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1or other strategies designed to improve the coordination of
2services for at-risk adults and their families.
3    In any instance where a review team does not operate in
4accordance with established protocol, the Director, in
5consultation and cooperation with the Advisory Council, must
6take any necessary actions to bring the review team into
7compliance with the protocol.
8    (d) Any document or oral or written communication shared
9within or produced by the review team relating to a case
10discussed or reviewed by the review team is confidential and is
11not admissible as evidence in any civil or criminal proceeding,
12except for use by a State's Attorney's office in prosecuting a
13criminal case against a caregiver. Those records and
14information are, however, subject to discovery or subpoena, and
15are admissible as evidence, to the extent they are otherwise
16available to the public.
17    Any document or oral or written communication provided to a
18review team by an individual or entity, and created by that
19individual or entity solely for the use of the review team, is
20confidential, is not subject to disclosure to or discoverable
21by another party, and is not admissible as evidence in any
22civil or criminal proceeding, except for use by a State's
23Attorney's office in prosecuting a criminal case against a
24caregiver. Those records and information are, however, subject
25to discovery or subpoena, and are admissible as evidence, to
26the extent they are otherwise available to the public.

 

 

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1    Each entity or individual represented on the fatality
2review team may share with other members of the team
3information in the entity's or individual's possession
4concerning the decedent who is the subject of the review or
5concerning any person who was in contact with the decedent, as
6well as any other information deemed by the entity or
7individual to be pertinent to the review. Any such information
8shared by an entity or individual with other members of the
9review team is confidential. The intent of this paragraph is to
10permit the disclosure to members of the review team of any
11information deemed confidential or privileged or prohibited
12from disclosure by any other provision of law. Release of
13confidential communication between domestic violence advocates
14and a domestic violence victim shall follow subsection (d) of
15Section 227 of the Illinois Domestic Violence Act of 1986 which
16allows for the waiver of privilege afforded to guardians,
17executors, or administrators of the estate of the domestic
18violence victim. This provision relating to the release of
19confidential communication between domestic violence advocates
20and a domestic violence victim shall exclude adult protective
21service providers.
22    A coroner's or medical examiner's office may share with the
23review team medical records that have been made available to
24the coroner's or medical examiner's office in connection with
25that office's investigation of a death.
26    Members of a review team and the Advisory Council are not

 

 

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1subject to examination, in any civil or criminal proceeding,
2concerning information presented to members of the review team
3or the Advisory Council or opinions formed by members of the
4review team or the Advisory Council based on that information.
5A person may, however, be examined concerning information
6provided to a review team or the Advisory Council.
7    (d-5) Meetings of the review teams and the Advisory Council
8may be closed to the public under the Open Meetings Act.
9Records and information provided to a review team and the
10Advisory Council, and records maintained by a team or the
11Advisory Council, are exempt from release under the Freedom of
12Information Act.
13    (e) A review team's recommendation in relation to a case
14discussed or reviewed by the review team, including, but not
15limited to, a recommendation concerning an investigation or
16prosecution, may be disclosed by the review team upon the
17completion of its review and at the discretion of a majority of
18its members who reviewed the case.
19    (e-5) The State shall indemnify and hold harmless members
20of a review team and the Advisory Council for all their acts,
21omissions, decisions, or other conduct arising out of the scope
22of their service on the review team or Advisory Council, except
23those involving willful or wanton misconduct. The method of
24providing indemnification shall be as provided in the State
25Employee Indemnification Act.
26    (f) The Department, in consultation with coroners, medical

 

 

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1examiners, and law enforcement agencies, shall use aggregate
2data gathered by and recommendations from the Advisory Council
3and the review teams to create an annual report and may use
4those data and recommendations to develop education,
5prevention, prosecution, or other strategies designed to
6improve the coordination of services for at-risk adults and
7their families. The Department or other State or county agency,
8in consultation with coroners, medical examiners, and law
9enforcement agencies, also may use aggregate data gathered by
10the review teams to create a database of at-risk individuals.
11    (g) The Department shall adopt such rules and regulations
12as it deems necessary to implement this Section.
13(Source: P.A. 98-49, eff. 7-1-13; 98-1039, eff. 8-25-14; 99-78,
14eff. 7-20-15; 99-530, eff. 1-1-17.)