Sen. William R. Haine

Filed: 5/9/2014

 

 


 

 


 
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1
AMENDMENT TO HOUSE BILL 4327

2    AMENDMENT NO. ______. Amend House Bill 4327 by replacing
3everything after the enacting clause with the following:
 
4    "Section 5. The Open Meetings Act is amended by changing
5Section 2 as follows:
 
6    (5 ILCS 120/2)  (from Ch. 102, par. 42)
7    Sec. 2. Open meetings.
8    (a) Openness required. All meetings of public bodies shall
9be open to the public unless excepted in subsection (c) and
10closed in accordance with Section 2a.
11    (b) Construction of exceptions. The exceptions contained
12in subsection (c) are in derogation of the requirement that
13public bodies meet in the open, and therefore, the exceptions
14are to be strictly construed, extending only to subjects
15clearly within their scope. The exceptions authorize but do not
16require the holding of a closed meeting to discuss a subject

 

 

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1included within an enumerated exception.
2    (c) Exceptions. A public body may hold closed meetings to
3consider the following subjects:
4        (1) The appointment, employment, compensation,
5    discipline, performance, or dismissal of specific
6    employees of the public body or legal counsel for the
7    public body, including hearing testimony on a complaint
8    lodged against an employee of the public body or against
9    legal counsel for the public body to determine its
10    validity.
11        (2) Collective negotiating matters between the public
12    body and its employees or their representatives, or
13    deliberations concerning salary schedules for one or more
14    classes of employees.
15        (3) The selection of a person to fill a public office,
16    as defined in this Act, including a vacancy in a public
17    office, when the public body is given power to appoint
18    under law or ordinance, or the discipline, performance or
19    removal of the occupant of a public office, when the public
20    body is given power to remove the occupant under law or
21    ordinance.
22        (4) Evidence or testimony presented in open hearing, or
23    in closed hearing where specifically authorized by law, to
24    a quasi-adjudicative body, as defined in this Act, provided
25    that the body prepares and makes available for public
26    inspection a written decision setting forth its

 

 

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1    determinative reasoning.
2        (5) The purchase or lease of real property for the use
3    of the public body, including meetings held for the purpose
4    of discussing whether a particular parcel should be
5    acquired.
6        (6) The setting of a price for sale or lease of
7    property owned by the public body.
8        (7) The sale or purchase of securities, investments, or
9    investment contracts. This exception shall not apply to the
10    investment of assets or income of funds deposited into the
11    Illinois Prepaid Tuition Trust Fund.
12        (8) Security procedures and the use of personnel and
13    equipment to respond to an actual, a threatened, or a
14    reasonably potential danger to the safety of employees,
15    students, staff, the public, or public property.
16        (9) Student disciplinary cases.
17        (10) The placement of individual students in special
18    education programs and other matters relating to
19    individual students.
20        (11) Litigation, when an action against, affecting or
21    on behalf of the particular public body has been filed and
22    is pending before a court or administrative tribunal, or
23    when the public body finds that an action is probable or
24    imminent, in which case the basis for the finding shall be
25    recorded and entered into the minutes of the closed
26    meeting.

 

 

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1        (12) The establishment of reserves or settlement of
2    claims as provided in the Local Governmental and
3    Governmental Employees Tort Immunity Act, if otherwise the
4    disposition of a claim or potential claim might be
5    prejudiced, or the review or discussion of claims, loss or
6    risk management information, records, data, advice or
7    communications from or with respect to any insurer of the
8    public body or any intergovernmental risk management
9    association or self insurance pool of which the public body
10    is a member.
11        (13) Conciliation of complaints of discrimination in
12    the sale or rental of housing, when closed meetings are
13    authorized by the law or ordinance prescribing fair housing
14    practices and creating a commission or administrative
15    agency for their enforcement.
16        (14) Informant sources, the hiring or assignment of
17    undercover personnel or equipment, or ongoing, prior or
18    future criminal investigations, when discussed by a public
19    body with criminal investigatory responsibilities.
20        (15) Professional ethics or performance when
21    considered by an advisory body appointed to advise a
22    licensing or regulatory agency on matters germane to the
23    advisory body's field of competence.
24        (16) Self evaluation, practices and procedures or
25    professional ethics, when meeting with a representative of
26    a statewide association of which the public body is a

 

 

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1    member.
2        (17) The recruitment, credentialing, discipline or
3    formal peer review of physicians or other health care
4    professionals for a hospital, or other institution
5    providing medical care, that is operated by the public
6    body.
7        (18) Deliberations for decisions of the Prisoner
8    Review Board.
9        (19) Review or discussion of applications received
10    under the Experimental Organ Transplantation Procedures
11    Act.
12        (20) The classification and discussion of matters
13    classified as confidential or continued confidential by
14    the State Government Suggestion Award Board.
15        (21) Discussion of minutes of meetings lawfully closed
16    under this Act, whether for purposes of approval by the
17    body of the minutes or semi-annual review of the minutes as
18    mandated by Section 2.06.
19        (22) Deliberations for decisions of the State
20    Emergency Medical Services Disciplinary Review Board.
21        (23) The operation by a municipality of a municipal
22    utility or the operation of a municipal power agency or
23    municipal natural gas agency when the discussion involves
24    (i) contracts relating to the purchase, sale, or delivery
25    of electricity or natural gas or (ii) the results or
26    conclusions of load forecast studies.

 

 

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1        (24) Meetings of a residential health care facility
2    resident sexual assault and death review team or the
3    Executive Council under the Abuse Prevention Review Team
4    Act.
5        (25) Meetings of an independent team of experts under
6    Brian's Law.
7        (26) Meetings of a mortality review team appointed
8    under the Department of Juvenile Justice Mortality Review
9    Team Act.
10        (27) (Blank).
11        (28) Correspondence and records (i) that may not be
12    disclosed under Section 11-9 of the Public Aid Code or (ii)
13    that pertain to appeals under Section 11-8 of the Public
14    Aid Code.
15        (29) Meetings between internal or external auditors
16    and governmental audit committees, finance committees, and
17    their equivalents, when the discussion involves internal
18    control weaknesses, identification of potential fraud risk
19    areas, known or suspected frauds, and fraud interviews
20    conducted in accordance with generally accepted auditing
21    standards of the United States of America.
22        (30) Those meetings or portions of meetings of a an
23    at-risk adult fatality review team or the Illinois At-Risk
24    Adult Fatality Review Team Advisory Council during which a
25    review of the death of an eligible adult in which abuse or
26    neglect is suspected, alleged, or substantiated is

 

 

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1    conducted pursuant to Section 15 of the Adult Protective
2    Services Act.
3        (31) (30) Meetings and deliberations for decisions of
4    the Concealed Carry Licensing Review Board under the
5    Firearm Concealed Carry Act.
6    (d) Definitions. For purposes of this Section:
7    "Employee" means a person employed by a public body whose
8relationship with the public body constitutes an
9employer-employee relationship under the usual common law
10rules, and who is not an independent contractor.
11    "Public office" means a position created by or under the
12Constitution or laws of this State, the occupant of which is
13charged with the exercise of some portion of the sovereign
14power of this State. The term "public office" shall include
15members of the public body, but it shall not include
16organizational positions filled by members thereof, whether
17established by law or by a public body itself, that exist to
18assist the body in the conduct of its business.
19    "Quasi-adjudicative body" means an administrative body
20charged by law or ordinance with the responsibility to conduct
21hearings, receive evidence or testimony and make
22determinations based thereon, but does not include local
23electoral boards when such bodies are considering petition
24challenges.
25    (e) Final action. No final action may be taken at a closed
26meeting. Final action shall be preceded by a public recital of

 

 

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1the nature of the matter being considered and other information
2that will inform the public of the business being conducted.
3(Source: P.A. 97-318, eff. 1-1-12; 97-333, eff. 8-12-11;
497-452, eff. 8-19-11; 97-813, eff. 7-13-12; 97-876, eff.
58-1-12; 98-49, eff. 7-1-13; 98-63, eff. 7-9-13; revised
67-23-13.)
 
7    Section 10. The Freedom of Information Act is amended by
8changing Section 7.5 as follows:
 
9    (5 ILCS 140/7.5)
10    Sec. 7.5. Statutory Exemptions. To the extent provided for
11by the statutes referenced below, the following shall be exempt
12from inspection and copying:
13    (a) All information determined to be confidential under
14Section 4002 of the Technology Advancement and Development Act.
15    (b) Library circulation and order records identifying
16library users with specific materials under the Library Records
17Confidentiality Act.
18    (c) Applications, related documents, and medical records
19received by the Experimental Organ Transplantation Procedures
20Board and any and all documents or other records prepared by
21the Experimental Organ Transplantation Procedures Board or its
22staff relating to applications it has received.
23    (d) Information and records held by the Department of
24Public Health and its authorized representatives relating to

 

 

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1known or suspected cases of sexually transmissible disease or
2any information the disclosure of which is restricted under the
3Illinois Sexually Transmissible Disease Control Act.
4    (e) Information the disclosure of which is exempted under
5Section 30 of the Radon Industry Licensing Act.
6    (f) Firm performance evaluations under Section 55 of the
7Architectural, Engineering, and Land Surveying Qualifications
8Based Selection Act.
9    (g) Information the disclosure of which is restricted and
10exempted under Section 50 of the Illinois Prepaid Tuition Act.
11    (h) Information the disclosure of which is exempted under
12the State Officials and Employees Ethics Act, and records of
13any lawfully created State or local inspector general's office
14that would be exempt if created or obtained by an Executive
15Inspector General's office under that Act.
16    (i) Information contained in a local emergency energy plan
17submitted to a municipality in accordance with a local
18emergency energy plan ordinance that is adopted under Section
1911-21.5-5 of the Illinois Municipal Code.
20    (j) Information and data concerning the distribution of
21surcharge moneys collected and remitted by wireless carriers
22under the Wireless Emergency Telephone Safety Act.
23    (k) Law enforcement officer identification information or
24driver identification information compiled by a law
25enforcement agency or the Department of Transportation under
26Section 11-212 of the Illinois Vehicle Code.

 

 

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1    (l) Records and information provided to a residential
2health care facility resident sexual assault and death review
3team or the Executive Council under the Abuse Prevention Review
4Team Act.
5    (m) Information provided to the predatory lending database
6created pursuant to Article 3 of the Residential Real Property
7Disclosure Act, except to the extent authorized under that
8Article.
9    (n) Defense budgets and petitions for certification of
10compensation and expenses for court appointed trial counsel as
11provided under Sections 10 and 15 of the Capital Crimes
12Litigation Act. This subsection (n) shall apply until the
13conclusion of the trial of the case, even if the prosecution
14chooses not to pursue the death penalty prior to trial or
15sentencing.
16    (o) Information that is prohibited from being disclosed
17under Section 4 of the Illinois Health and Hazardous Substances
18Registry Act.
19    (p) Security portions of system safety program plans,
20investigation reports, surveys, schedules, lists, data, or
21information compiled, collected, or prepared by or for the
22Regional Transportation Authority under Section 2.11 of the
23Regional Transportation Authority Act or the St. Clair County
24Transit District under the Bi-State Transit Safety Act.
25    (q) Information prohibited from being disclosed by the
26Personnel Records Review Act.

 

 

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1    (r) Information prohibited from being disclosed by the
2Illinois School Student Records Act.
3    (s) Information the disclosure of which is restricted under
4Section 5-108 of the Public Utilities Act.
5    (t) All identified or deidentified health information in
6the form of health data or medical records contained in, stored
7in, submitted to, transferred by, or released from the Illinois
8Health Information Exchange, and identified or deidentified
9health information in the form of health data and medical
10records of the Illinois Health Information Exchange in the
11possession of the Illinois Health Information Exchange
12Authority due to its administration of the Illinois Health
13Information Exchange. The terms "identified" and
14"deidentified" shall be given the same meaning as in the Health
15Insurance Accountability and Portability Act of 1996, Public
16Law 104-191, or any subsequent amendments thereto, and any
17regulations promulgated thereunder.
18    (u) Records and information provided to an independent team
19of experts under Brian's Law.
20    (v) Names and information of people who have applied for or
21received Firearm Owner's Identification Cards under the
22Firearm Owners Identification Card Act or applied for or
23received a concealed carry license under the Firearm Concealed
24Carry Act, unless otherwise authorized by the Firearm Concealed
25Carry Act; and databases under the Firearm Concealed Carry Act,
26records of the Concealed Carry Licensing Review Board under the

 

 

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1Firearm Concealed Carry Act, and law enforcement agency
2objections under the Firearm Concealed Carry Act.
3    (w) Personally identifiable information which is exempted
4from disclosure under subsection (g) of Section 19.1 of the
5Toll Highway Act.
6    (x) Information which is exempted from disclosure under
7Section 5-1014.3 of the Counties Code or Section 8-11-21 of the
8Illinois Municipal Code.
9    (y) Confidential information under the Adult Protective
10Services Act and its predecessor enabling statute, the Elder
11Abuse and Neglect Act, including information about the identity
12and administrative finding against any caregiver of a verified
13and substantiated decision of significant abuse, neglect, or
14financial exploitation of an eligible adult maintained in the
15Department of Public Health's Health Care Worker Registry
16established under Section 7.5.
17    (z) Records and information provided to a an at-risk adult
18fatality review team or the Illinois At-Risk Adult Fatality
19Review Team Advisory Council under Section 15 of the Adult
20Protective Services Act.
21(Source: P.A. 97-80, eff. 7-5-11; 97-333, eff. 8-12-11; 97-342,
22eff. 8-12-11; 97-813, eff. 7-13-12; 97-976, eff. 1-1-13; 98-49,
23eff. 7-1-13; 98-63, eff. 7-9-13; revised 7-23-13.)
 
24    Section 15. The Adult Protective Services Act is amended by
25changing Sections 2, 3, 3.5, 4, 5, 7.5, 8, 9, 13, and 15 as

 

 

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1follows:
 
2    (320 ILCS 20/2)  (from Ch. 23, par. 6602)
3    Sec. 2. Definitions. As used in this Act, unless the
4context requires otherwise:
5    (a) "Abuse" means causing any physical, mental or sexual
6injury to an eligible adult, including exploitation of such
7adult's financial resources.
8    Nothing in this Act shall be construed to mean that an
9eligible adult is a victim of abuse, neglect, or self-neglect
10for the sole reason that he or she is being furnished with or
11relies upon treatment by spiritual means through prayer alone,
12in accordance with the tenets and practices of a recognized
13church or religious denomination.
14    Nothing in this Act shall be construed to mean that an
15eligible adult is a victim of abuse because of health care
16services provided or not provided by licensed health care
17professionals.
18    (a-5) "Abuser" means a person who abuses, neglects, or
19financially exploits an eligible adult.
20    (a-6) "Adult with disabilities" means a person aged 18
21through 59 who resides in a domestic living situation and whose
22disability as defined in subsection (c-5) impairs his or her
23ability to seek or obtain protection from abuse, neglect, or
24exploitation.
25    (a-7) "Caregiver" means a person who either as a result of

 

 

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1a family relationship, voluntarily, or in exchange for
2compensation has assumed responsibility for all or a portion of
3the care of an eligible adult who needs assistance with
4activities of daily living or instrumental activities of daily
5living.
6    (b) "Department" means the Department on Aging of the State
7of Illinois.
8    (c) "Director" means the Director of the Department.
9    (c-5) "Disability" means a physical or mental disability,
10including, but not limited to, a developmental disability, an
11intellectual disability, a mental illness as defined under the
12Mental Health and Developmental Disabilities Code, or dementia
13as defined under the Alzheimer's Disease Assistance Act.
14    (d) "Domestic living situation" means a residence where the
15eligible adult at the time of the report lives alone or with
16his or her family or a caregiver, or others, or other
17community-based unlicensed facility, but is not:
18        (1) A licensed facility as defined in Section 1-113 of
19    the Nursing Home Care Act;
20        (1.5) A facility licensed under the ID/DD Community
21    Care Act;
22        (1.7) A facility licensed under the Specialized Mental
23    Health Rehabilitation Act of 2013;
24        (2) A "life care facility" as defined in the Life Care
25    Facilities Act;
26        (3) A home, institution, or other place operated by the

 

 

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1    federal government or agency thereof or by the State of
2    Illinois;
3        (4) A hospital, sanitarium, or other institution, the
4    principal activity or business of which is the diagnosis,
5    care, and treatment of human illness through the
6    maintenance and operation of organized facilities
7    therefor, which is required to be licensed under the
8    Hospital Licensing Act;
9        (5) A "community living facility" as defined in the
10    Community Living Facilities Licensing Act;
11        (6) (Blank);
12        (7) A "community-integrated living arrangement" as
13    defined in the Community-Integrated Living Arrangements
14    Licensure and Certification Act or a "community
15    residential alternative" as licensed under that Act;
16        (8) An assisted living or shared housing establishment
17    as defined in the Assisted Living and Shared Housing Act;
18    or
19        (9) A supportive living facility as described in
20    Section 5-5.01a of the Illinois Public Aid Code.
21    (e) "Eligible adult" means either an adult with
22disabilities aged 18 through 59 or a person aged 60 or older
23who resides in a domestic living situation and is, or is
24alleged to be, abused, neglected, or financially exploited by
25another individual or who neglects himself or herself.
26    (f) "Emergency" means a situation in which an eligible

 

 

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

 

 

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

 

 

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

 

 

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1assess reports of alleged or suspected abuse, neglect, or
2financial exploitation. A provider agency is also referenced as
3a "designated agency" in this Act.
4    (i) "Regional administrative agency" means any public or
5nonprofit agency in a planning and service area that provides
6regional oversight and performs functions as set forth in
7subsection (b) of Section 3 of this Act. The Department shall
8designate an Area Agency on Aging as the regional
9administrative agency or, in the event the Area Agency on Aging
10in that planning and service area is deemed by the Department
11to be unwilling or unable to provide those functions, the
12Department may serve as the regional administrative agency or
13designate another qualified entity to serve as the regional
14administrative agency; any such designation shall be subject to
15terms set forth by the Department. so designated by the
16Department, provided that the designated Area Agency on Aging
17shall be designated the regional administrative agency if it so
18requests. The Department shall assume the functions of the
19regional administrative agency for any planning and service
20area where another agency is not so designated.
21    (i-5) "Self-neglect" means a condition that is the result
22of an eligible adult's inability, due to physical or mental
23impairments, or both, or a diminished capacity, to perform
24essential self-care tasks that substantially threaten his or
25her own health, including: providing essential food, clothing,
26shelter, and health care; and obtaining goods and services

 

 

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1necessary to maintain physical health, mental health,
2emotional well-being, and general safety. The term includes
3compulsive hoarding, which is characterized by the acquisition
4and retention of large quantities of items and materials that
5produce an extensively cluttered living space, which
6significantly impairs the performance of essential self-care
7tasks or otherwise substantially threatens life or safety.
8    (j) "Substantiated case" means a reported case of alleged
9or suspected abuse, neglect, financial exploitation, or
10self-neglect in which a provider agency, after assessment,
11determines that there is reason to believe abuse, neglect, or
12financial exploitation has occurred.
13    (k) "Verified" means a determination that there is "clear
14and convincing evidence" that the specific injury or harm
15alleged was the result of abuse, neglect, or financial
16exploitation.
17(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-300,
18eff. 8-11-11; 97-706, eff. 6-25-12; 97-813, eff. 7-13-12;
1997-1141, eff. 12-28-12; 98-49, eff. 7-1-13; 98-104, eff.
207-22-13; revised 9-19-13.)
 
21    (320 ILCS 20/3)  (from Ch. 23, par. 6603)
22    Sec. 3. Responsibilities.
23    (a) The Department shall establish, design, and manage a
24protective services program for eligible adults who have been,
25or are alleged to be, victims of abuse, neglect, financial

 

 

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1exploitation, or self-neglect. The Department shall contract
2with or fund, or contract with and fund, regional
3administrative agencies, provider agencies, or both, for the
4provision of those functions, and, contingent on adequate
5funding, with attorneys or legal services provider agencies for
6the provision of legal assistance pursuant to this Act. For
7self-neglect, the program shall include the following services
8for eligible adults who have been removed from their residences
9for the purpose of cleanup or repairs: temporary housing;
10counseling; and caseworker services to try to ensure that the
11conditions necessitating the removal do not reoccur.
12    (a-1) The Department shall by rule develop standards for
13minimum staffing levels and staff qualifications. The
14Department shall by rule establish mandatory standards for the
15investigation of abuse, neglect, financial exploitation, or
16self-neglect of eligible adults and mandatory procedures for
17linking eligible adults to appropriate services and supports.
18    (a-5) A provider agency shall, in accordance with rules
19promulgated by the Department, establish a multi-disciplinary
20team to act in an advisory role for the purpose of providing
21professional knowledge and expertise in the handling of complex
22abuse cases involving eligible adults. Each multi-disciplinary
23team shall consist of one volunteer representative from the
24following professions: banking or finance; disability care;
25health care; law; law enforcement; mental health care; and
26clergy. A provider agency may also choose to add

 

 

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1representatives from the fields of substance abuse, domestic
2violence, sexual assault, or other related fields. To support
3multi-disciplinary teams in this role, law enforcement
4agencies and coroners or medical examiners shall supply records
5as may be requested in particular cases.
6    (b) Each regional administrative agency shall designate
7provider agencies within its planning and service area with
8prior approval by the Department on Aging, monitor the use of
9services, provide technical assistance to the provider
10agencies and be involved in program development activities.
11    (c) Provider agencies shall assist, to the extent possible,
12eligible adults who need agency services to allow them to
13continue to function independently. Such assistance shall
14include, but not be limited to, receiving reports of alleged or
15suspected abuse, neglect, financial exploitation, or
16self-neglect, conducting face-to-face assessments of such
17reported cases, determination of substantiated cases, referral
18of substantiated cases for necessary support services,
19referral of criminal conduct to law enforcement in accordance
20with Department guidelines, and provision of case work and
21follow-up services on substantiated cases. In the case of a
22report of alleged or suspected abuse or neglect that places an
23eligible adult at risk of injury or death, a provider agency
24shall respond to the report on an emergency basis in accordance
25with guidelines established by the Department by
26administrative rule and shall ensure that it is capable of

 

 

09800HB4327sam001- 23 -LRB098 18752 KTG 59356 a

1responding to such a report 24 hours per day, 7 days per week.
2A provider agency may use an on-call system to respond to
3reports of alleged or suspected abuse or neglect after hours
4and on weekends.
5    (c-5) Where a provider agency has reason to believe that
6the death of an eligible adult may be the result of abuse or
7neglect, including any reports made after death, the agency
8shall immediately report the matter to both the appropriate law
9enforcement agency and the coroner or medical examiner. Between
1030 and 45 days after making such a report, the provider agency
11again shall contact the law enforcement agency and coroner or
12medical examiner to determine whether any further action was
13taken. Upon request by a provider agency, a law enforcement
14agency and coroner or medical examiner shall supply a summary
15of its action in response to a reported death of an eligible
16adult. A copy of the report shall be maintained and all
17subsequent follow-up with the law enforcement agency and
18coroner or medical examiner shall be documented in the case
19record of the eligible adult. If the law enforcement agency,
20coroner, or medical examiner determines the reported death was
21caused by abuse or neglect by a caregiver, the law enforcement
22agency, coroner, or medical examiner shall inform the
23Department, and the Department shall report the caregiver's
24identity on the Registry as described in Section 7.5 of this
25Act.
26    (d) Upon sufficient appropriations to implement a

 

 

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1statewide program, the Department shall implement a program,
2based on the recommendations of the Self-Neglect Steering
3Committee, for (i) responding to reports of possible
4self-neglect, (ii) protecting the autonomy, rights, privacy,
5and privileges of adults during investigations of possible
6self-neglect and consequential judicial proceedings regarding
7competency, (iii) collecting and sharing relevant information
8and data among the Department, provider agencies, regional
9administrative agencies, and relevant seniors, (iv) developing
10working agreements between provider agencies and law
11enforcement, where practicable, and (v) developing procedures
12for collecting data regarding incidents of self-neglect.
13(Source: P.A. 98-49, eff. 7-1-13.)
 
14    (320 ILCS 20/3.5)
15    Sec. 3.5. Other Responsibilities. The Department shall
16also be responsible for the following activities, contingent
17upon adequate funding; implementation shall be expanded to
18adults with disabilities upon the effective date of this
19amendatory Act of the 98th General Assembly, except those
20responsibilities under subsection (a), which shall be
21undertaken as soon as practicable:
22        (a) promotion of a wide range of endeavors for the
23    purpose of preventing abuse, neglect, financial
24    exploitation, and self-neglect, including, but not limited
25    to, promotion of public and professional education to

 

 

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1    increase awareness of abuse, neglect, financial
2    exploitation, and self-neglect; to increase reports; to
3    establish access to and use of the Health Care Worker
4    Registry established under Section 7.5; and to improve
5    response by various legal, financial, social, and health
6    systems;
7        (b) coordination of efforts with other agencies,
8    councils, and like entities, to include but not be limited
9    to, the Administrative Office of the Illinois Courts, the
10    Office of the Attorney General, the State Police, the
11    Illinois Law Enforcement Training Standards Board, the
12    State Triad, the Illinois Criminal Justice Information
13    Authority, the Departments of Public Health, Healthcare
14    and Family Services, and Human Services, the Illinois
15    Guardianship and Advocacy Commission, the Family Violence
16    Coordinating Council, the Illinois Violence Prevention
17    Authority, and other entities which may impact awareness
18    of, and response to, abuse, neglect, financial
19    exploitation, and self-neglect;
20        (c) collection and analysis of data;
21        (d) monitoring of the performance of regional
22    administrative agencies and adult protective services
23    agencies;
24        (e) promotion of prevention activities;
25        (f) establishing and coordinating an aggressive
26    training program on the unique nature of adult abuse cases

 

 

09800HB4327sam001- 26 -LRB098 18752 KTG 59356 a

1    with other agencies, councils, and like entities, to
2    include but not be limited to the Office of the Attorney
3    General, the State Police, the Illinois Law Enforcement
4    Training Standards Board, the State Triad, the Illinois
5    Criminal Justice Information Authority, the State
6    Departments of Public Health, Healthcare and Family
7    Services, and Human Services, the Family Violence
8    Coordinating Council, the Illinois Violence Prevention
9    Authority, the agency designated by the Governor under
10    Section 1 of the Protection and Advocacy for
11    Developmentally Disabled Persons Act, and other entities
12    that may impact awareness of and response to abuse,
13    neglect, financial exploitation, and self-neglect;
14        (g) solicitation of financial institutions for the
15    purpose of making information available to the general
16    public warning of financial exploitation of adults and
17    related financial fraud or abuse, including such
18    information and warnings available through signage or
19    other written materials provided by the Department on the
20    premises of such financial institutions, provided that the
21    manner of displaying or distributing such information is
22    subject to the sole discretion of each financial
23    institution;
24        (g-1) developing by joint rulemaking with the
25    Department of Financial and Professional Regulation
26    minimum training standards which shall be used by financial

 

 

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1    institutions for their current and new employees with
2    direct customer contact; the Department of Financial and
3    Professional Regulation shall retain sole visitation and
4    enforcement authority under this subsection (g-1); the
5    Department of Financial and Professional Regulation shall
6    provide bi-annual reports to the Department setting forth
7    aggregate statistics on the training programs required
8    under this subsection (g-1); and
9        (h) coordinating efforts with utility and electric
10    companies to send notices in utility bills to explain to
11    persons 60 years of age or older their rights regarding
12    telemarketing and home repair fraud.
13(Source: P.A. 98-49, eff. 7-1-13.)
 
14    (320 ILCS 20/4)  (from Ch. 23, par. 6604)
15    Sec. 4. Reports of abuse or neglect.
16    (a) Any person who suspects the abuse, neglect, financial
17exploitation, or self-neglect of an eligible adult may report
18this suspicion to an agency designated to receive such reports
19under this Act or to the Department.
20    (a-5) If any mandated reporter has reason to believe that
21an eligible adult, who because of a disability or other
22condition or impairment is unable to seek assistance for
23himself or herself, has, within the previous 12 months, been
24subjected to abuse, neglect, or financial exploitation, the
25mandated reporter shall, within 24 hours after developing such

 

 

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1belief, report this suspicion to an agency designated to
2receive such reports under this Act or to the Department. The
3agency designated to receive such reports under this Act or the
4Department may establish a manner in which a mandated reporter
5can make the required report through an Internet reporting
6tool. Information sent and received through the Internet
7reporting tool is subject to the same rules in this Act as
8other types of confidential reporting established by the
9designated agency or the Department. Whenever a mandated
10reporter is required to report under this Act in his or her
11capacity as a member of the staff of a medical or other public
12or private institution, facility, or agency, he or she shall
13make a report to an agency designated to receive such reports
14under this Act or to the Department in accordance with the
15provisions of this Act and may also notify the person in charge
16of the institution, facility, board and care home, or agency or
17his or her designated agent that the report has been made.
18Under no circumstances shall any person in charge of such
19institution, facility, board and care home, or agency, or his
20or her designated agent to whom the notification has been made,
21exercise any control, restraint, modification, or other change
22in the report or the forwarding of the report to an agency
23designated to receive such reports under this Act or to the
24Department. The privileged quality of communication between
25any professional person required to report and his or her
26patient or client shall not apply to situations involving

 

 

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1abused, neglected, or financially exploited eligible adults
2and shall not constitute grounds for failure to report as
3required by this Act.
4    (a-7) A person making a report under this Act in the belief
5that it is in the alleged victim's best interest shall be
6immune from criminal or civil liability or professional
7disciplinary action on account of making the report,
8notwithstanding any requirements concerning the
9confidentiality of information with respect to such eligible
10adult which might otherwise be applicable.
11    (a-9) Law enforcement officers shall continue to report
12incidents of alleged abuse pursuant to the Illinois Domestic
13Violence Act of 1986, notwithstanding any requirements under
14this Act.
15    (b) Any person, institution or agency participating in the
16making of a report, providing information or records related to
17a report, assessment, or services, or participating in the
18investigation of a report under this Act in good faith, or
19taking photographs or x-rays as a result of an authorized
20assessment, shall have immunity from any civil, criminal or
21other liability in any civil, criminal or other proceeding
22brought in consequence of making such report or assessment or
23on account of submitting or otherwise disclosing such
24photographs or x-rays to any agency designated to receive
25reports of alleged or suspected abuse or neglect. Any person,
26institution or agency authorized by the Department to provide

 

 

09800HB4327sam001- 30 -LRB098 18752 KTG 59356 a

1assessment, intervention, or administrative services under
2this Act shall, in the good faith performance of those
3services, have immunity from any civil, criminal or other
4liability in any civil, criminal, or other proceeding brought
5as a consequence of the performance of those services. For the
6purposes of any civil, criminal, or other proceeding, the good
7faith of any person required to report, permitted to report, or
8participating in an investigation of a report of alleged or
9suspected abuse, neglect, financial exploitation, or
10self-neglect shall be presumed.
11    (c) The identity of a person making a report of alleged or
12suspected abuse, neglect, financial exploitation, or
13self-neglect under this Act may be disclosed by the Department
14or other agency provided for in this Act only with such
15person's written consent or by court order, but is otherwise
16confidential.
17    (d) The Department shall by rule establish a system for
18filing and compiling reports made under this Act.
19    (e) Any physician who willfully fails to report as required
20by this Act shall be referred to the Illinois State Medical
21Disciplinary Board for action in accordance with subdivision
22(A)(22) of Section 22 of the Medical Practice Act of 1987. Any
23dentist or dental hygienist who willfully fails to report as
24required by this Act shall be referred to the Department of
25Professional Regulation for action in accordance with
26paragraph 19 of Section 23 of the Illinois Dental Practice Act.

 

 

09800HB4327sam001- 31 -LRB098 18752 KTG 59356 a

1Any optometrist who willfully fails to report as required by
2this Act shall be referred to the Department of Financial and
3Professional Regulation for action in accordance with
4paragraph (15) of subsection (a) of Section 24 of the Illinois
5Optometric Practice Act of 1987. Any other mandated reporter
6required by this Act to report suspected abuse, neglect, or
7financial exploitation who willfully fails to report the same
8is guilty of a Class A misdemeanor.
9(Source: P.A. 97-860, eff. 7-30-12; 98-49, eff. 7-1-13.)
 
10    (320 ILCS 20/5)  (from Ch. 23, par. 6605)
11    Sec. 5. Procedure.
12    (a) A provider agency designated to receive reports of
13alleged or suspected abuse, neglect, financial exploitation,
14or self-neglect under this Act shall, upon receiving such a
15report, conduct a face-to-face assessment with respect to such
16report, in accord with established law and Department
17protocols, procedures, and policies. Face-to-face assessments,
18casework, and follow-up of reports of self-neglect by the
19provider agencies designated to receive reports of
20self-neglect shall be subject to sufficient appropriation for
21statewide implementation of assessments, casework, and
22follow-up of reports of self-neglect. In the absence of
23sufficient appropriation for statewide implementation of
24assessments, casework, and follow-up of reports of
25self-neglect, the designated adult protective services

 

 

09800HB4327sam001- 32 -LRB098 18752 KTG 59356 a

1provider agency shall refer all reports of self-neglect to the
2appropriate agency or agencies as designated by the Department
3for any follow-up. The assessment shall include, but not be
4limited to, a visit to the residence of the eligible adult who
5is the subject of the report and may include interviews or
6consultations with service agencies or individuals who may have
7knowledge of the eligible adult's circumstances. If, after the
8assessment, the provider agency determines that the case is
9substantiated it shall develop a service care plan for the
10eligible adult and may report its findings at any time during
11the case to the appropriate law enforcement agency in accord
12with established law and Department protocols, procedures, and
13policies. In developing a case plan, the provider agency may
14consult with any other appropriate provider of services, and
15such providers shall be immune from civil or criminal liability
16on account of such acts. The plan shall include alternative
17suggested or recommended services which are appropriate to the
18needs of the eligible adult and which involve the least
19restriction of the eligible adult's activities commensurate
20with his or her needs. Only those services to which consent is
21provided in accordance with Section 9 of this Act shall be
22provided, contingent upon the availability of such services.
23    (b) A provider agency shall refer evidence of crimes
24against an eligible adult to the appropriate law enforcement
25agency according to Department policies. A referral to law
26enforcement may be made at intake or any time during the case.

 

 

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1Where a provider agency has reason to believe the death of an
2eligible adult may be the result of abuse or neglect, the
3agency shall immediately report the matter to the coroner or
4medical examiner and shall cooperate fully with any subsequent
5investigation.
6    (c) If any person other than the alleged victim refuses to
7allow the provider agency to begin an investigation, interferes
8with the provider agency's ability to conduct an investigation,
9or refuses to give access to an eligible adult, the appropriate
10law enforcement agency must be consulted regarding the
11investigation.
12(Source: P.A. 98-49, eff. 7-1-13.)
 
13    (320 ILCS 20/7.5)
14    Sec. 7.5. Health Care Worker Registry.
15    (a) To protect individuals receiving in-home and
16community-based services, the Department on Aging shall
17establish an Adult Protective Service Registry that will be
18hosted by the Department of Public Health on its website
19effective January 1, 2015, and, if practicable, shall propose
20rules for the Registry by January 1, 2015.
21    (a-5) The Registry shall identify caregivers against whom a
22verified and substantiated finding was made under this Act of
23abuse, neglect, or financial exploitation.
24    The information in the Registry shall be confidential
25except as specifically authorized in this Act and shall not be

 

 

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1deemed a public record.
2    (a-10) (a) Reporting to the Registry. The Department on
3Aging shall report to the to the Department of Public Health's
4Health Care Worker Registry the identity of the caregiver when
5a and administrative finding of a verified and substantiated
6finding decision of abuse, neglect, or financial exploitation
7of an eligible adult under this Act that is made against a
8caregiver, and all appeals, challenges, and reviews, if any,
9have been completed and a finding for placement on the Registry
10has been sustained or upheld. any caregiver , including
11consultants and volunteers, employed by a provider licensed,
12certified, or regulated by, or paid with public funds from, the
13Department of Public Health, Healthcare and Family Services, or
14Human Services, or the Department on Aging. For uncompensated
15or privately paid caregivers, the Department on Aging shall
16report only a verified and substantiated decision of
17significant abuse, neglect, or financial exploitation of an
18eligible adult under this Act.
19    A An administrative finding against a caregiver that is
20placed in the Registry shall preclude that any caregiver from
21providing direct care, as defined in this Section access or
22other services, including consulting and volunteering, in a
23position with or that is regulated by or paid with public funds
24from the Department on Aging, the Department of Healthcare and
25Family Services, the Department of Human Services, or the
26Department of Public Health or with an entity or provider

 

 

09800HB4327sam001- 35 -LRB098 18752 KTG 59356 a

1licensed, certified, or regulated by or paid with public funds
2from any of these State agencies a provider that is licensed,
3certified, or regulated by, or paid with public funds from or
4on behalf of, the State of Illinois or any Department thereof,
5that permits the caregiver direct access to an adult aged 60 or
6older or an adult, over 18, with a disability or to that
7individual's living quarters or personal, financial, or
8medical records.
9    (b) Definitions. As used in this Section:
10    "Direct care" includes, but is not limited to, direct
11access to a person aged 60 or older or to an adult with
12disabilities aged 18 through 59 to an individual, his or her
13living quarters, or his or her personal, financial, or medical
14records for the purpose of providing nursing care or assistance
15with feeding, dressing, movement, bathing, toileting, other
16personal needs and activities of daily living or instrumental
17activities of daily living, or assistance with financial
18transactions.
19    "Participant" means an individual who uses the services of
20an in-home care program funded through the Department on Aging,
21the Department of Healthcare and Family Services, the
22Department of Human Services, or the Department of Public
23Health.
24    "Privately paid caregiver" means any caregiver who has been
25paid with resources other than public funds, regardless of
26licensure, certification, or regulation by the State of

 

 

09800HB4327sam001- 36 -LRB098 18752 KTG 59356 a

1Illinois and any Department thereof. A privately paid caregiver
2does not include any caregiver that has been licensed,
3certified, or regulated by a State agency, or paid with public
4funds.
5    "Significant" means a finding of abuse, neglect, or
6financial exploitation as determined by the Department that (i)
7represents a meaningful failure to adequately provide for, or a
8material indifference to, the financial, health, safety, or
9medical needs of an eligible adult or (ii) results in an
10eligible adult's death or other serious deterioration of an
11eligible adult's financial resources, physical condition, or
12mental condition.
13    "Uncompensated caregiver" means a caregiver who, in an
14informal capacity, assists an eligible adult with activities of
15daily living, financial transactions, or chore housekeeping
16type duties. "Uncompensated caregiver" does not refer to an
17individual serving in a formal capacity as a volunteer with a
18provider licensed, certified, or regulated by a State agency.
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 licensed,
25certified, or regulated providers by the Department of Public
26Health, Healthcare and Family Service, or Human Services, or

 

 

09800HB4327sam001- 37 -LRB098 18752 KTG 59356 a

1the Department on Aging. The State of Illinois, any Department
2thereof, or a provider licensed, certified, or regulated, or
3paid with public funds by, from, or on behalf of the Department
4of Public Health, Healthcare and Family Services, or Human
5Services, or the Department on Aging, shall not hire, or
6compensate either directly or on behalf of a participant, or
7utilize the services of any person seeking employment, retain
8any contractors, or accept any volunteers to provide direct
9care without first conducting an online check of whether the
10person has been placed on the Registry the person through the
11Department of Public Health's Health Care Worker Registry.
12These State agencies and providers The provider shall maintain
13a copy of the results of the online check to demonstrate
14compliance with this requirement. These State agencies and
15providers are The provider is prohibited from retaining,
16hiring, compensating either directly or on behalf of a
17participant, or utilizing the services of accepting a person to
18provide direct care if , including as a consultant or volunteer,
19for whom the online check of the person reveals a verified and
20substantiated finding claim of abuse, neglect, or financial
21exploitation that has been placed on the Registry or when the
22State agencies or providers otherwise gain knowledge of such
23placement on the Registry , to provide direct access to any
24adult aged 60 or older or any adult, over 18, with a
25disability. Additionally, a provider is prohibited from
26retaining a person for whom they gain knowledge of a verified

 

 

09800HB4327sam001- 38 -LRB098 18752 KTG 59356 a

1and substantiated claim of abuse, neglect, or financial
2exploitation in a position that permits the caregiver direct
3access to provide direct care to any adult aged 60 or older or
4any adult, over 18, with a disability or direct access to that
5individual's living quarters or personal, financial, or
6medical records. Failure to comply with this requirement may
7subject such a provider to corrective action by the appropriate
8regulatory agency or other lawful remedies provided under the
9applicable licensure, certification, or regulatory laws and
10rules.
11    (d) Notice to caregiver. The Department on Aging shall
12establish rules concerning notice to the caregiver in cases of
13a verified and substantiated finding of abuse, neglect, or
14financial exploitation against him or her that may make him or
15her eligible for placement on the Registry.
16    (e) Notification to eligible adults, guardians, or agents.
17As part of its investigation, the Department on Aging shall
18notify an eligible adult, or an eligible adult's guardian or
19agent, that his or her a caregiver's name may be placed on the
20Registry based on a finding as described in subsection (a-10)
21(a-1) of this Section.
22    (f) Notification to employer. The Department on Aging shall
23notify the appropriate State agency or provider of direct care,
24as described in subsection (a-10), when there is A provider
25licensed, certified, or regulated by the Department of Public
26Health, Healthcare and Family Services, or Human Services, or

 

 

09800HB4327sam001- 39 -LRB098 18752 KTG 59356 a

1the Department on Aging shall be notified of an administrative
2finding against any caregiver who is an employee, consultant,
3or volunteer of a verified and substantiated finding decision
4of abuse, neglect, or financial exploitation in a case of an
5eligible adult under this Act that is reported on the Registry
6and that involves one of its caregivers. That State agency or
7provider is prohibited from retaining or compensating that
8individual in a position that involves direct care, and if . If
9there is an imminent risk of danger to the victim eligible
10adult or an imminent risk of misuse of personal, medical, or
11financial information, that the caregiver shall immediately be
12barred from providing direct care access to the victim eligible
13adult, his or her living quarters, or his or her personal,
14financial, or medical records, pending the outcome of any
15challenge, appeal, criminal prosecution, or other type of
16collateral action.
17    (g) Challenges and appeals Caregiver challenges. The
18Department on Aging shall establish, by rule, procedures
19concerning caregiver challenges and appeals to placement on the
20Registry pursuant to legislative intent. The Department shall
21not make any report to the Registry pending challenges or
22appeals.
23    (h) Caregiver's rights to collateral action. The
24Department on Aging shall not make any report to the Registry
25if a caregiver notifies the Department in writing, including
26any supporting documentation, that he or she is formally

 

 

09800HB4327sam001- 40 -LRB098 18752 KTG 59356 a

1challenging an adverse employment action resulting from a
2verified and substantiated finding of abuse, neglect, or
3financial exploitation by complaint filed with the Illinois
4Civil Service Commission, or by another means which seeks to
5enforce the caregiver's rights pursuant to any applicable
6collective bargaining agreement. If an action taken by an
7employer against a caregiver as a result of a such a finding of
8abuse, neglect, or financial exploitation is overturned
9through an action filed with the Illinois Civil Service
10Commission or under any applicable collective bargaining
11agreement after that caregiver's name has already been sent to
12the Registry, the caregiver's name shall be removed from the
13Registry.
14    (i) Removal from Registry. At any time after a report to
15the Registry, but no more than once in each successive 3-year
16period thereafter, for a maximum of 3 such requests, a
17caregiver may write to the Director of the Department on Aging
18to request removal of his or her name from the Registry in
19relationship to a single incident. The caregiver shall bear the
20burden of establishing showing cause that establishes, by a
21preponderance of the evidence, that removal of his or her name
22from the Registry is in the public interest. Upon receiving
23such a request, the Department on Aging shall conduct an
24investigation and consider any evidentiary material provided.
25The Department shall issue a decision either granting or
26denying removal within 60 calendar days, and shall issue such

 

 

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1decision to the caregiver and report it to the Registry. The
2waiver process at the Department of Public Health does not
3apply to Registry reports from the Department on Aging. The
4Department on Aging shall, by rule, establish standards and a
5process for requesting the removal of a name from the Registry
6by rule.
7    (j) Referral of Registry reports to health care facilities.
8In the event an eligible adult receiving services from a
9provider agency changes his or her residence from a domestic
10living situation to that of a health care or long term care
11facility, the provider agency shall use reasonable efforts to
12promptly inform the health care facility and the appropriate
13Regional Long Term Care Ombudsman about any Registry reports
14relating to the eligible adult. For purposes of this Section, a
15health care or long term care facility includes, but is not
16limited to, any residential facility licensed, certified, or
17regulated by the Department of Public Health, Healthcare and
18Family Services, or Human Services.
19    (k) The Department on Aging and its employees and agents
20shall have immunity, except for intentional willful and wanton
21misconduct, from any liability, civil, criminal, or otherwise,
22for reporting information to and maintaining the Registry.
23(Source: P.A. 98-49, eff. 1-1-14; revised 11-12-13.)
 
24    (320 ILCS 20/8)  (from Ch. 23, par. 6608)
25    Sec. 8. Access to records. All records concerning reports

 

 

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1of abuse, neglect, financial exploitation, or self-neglect and
2all records generated as a result of such reports shall be
3confidential and shall not be disclosed except as specifically
4authorized by this Act or other applicable law. In accord with
5established law and Department protocols, procedures, and
6policies, access to such records, but not access to the
7identity of the person or persons making a report of alleged
8abuse, neglect, financial exploitation, or self-neglect as
9contained in such records, shall be provided, upon request, to
10the following persons and for the following persons:
11        (1) Department staff, provider agency staff, other
12    aging network staff, and regional administrative agency
13    staff, including staff of the Chicago Department on Aging
14    while that agency is designated as a regional
15    administrative agency, in the furtherance of their
16    responsibilities under this Act;
17        (2) A law enforcement agency investigating known or
18    suspected abuse, neglect, financial exploitation, or
19    self-neglect. Where a provider agency has reason to believe
20    that the death of an eligible adult may be the result of
21    abuse or neglect, including any reports made after death,
22    the agency shall immediately provide the appropriate law
23    enforcement agency with all records pertaining to the
24    eligible adult;
25        (2.5) A law enforcement agency, fire department
26    agency, or fire protection district having proper

 

 

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

 

 

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1    therein is necessary for the resolution of an issue then
2    pending before it;
3        (5.5) In cases regarding self-neglect, a guardian ad
4    litem;
5        (6) A grand jury, upon its determination that access to
6    such records is necessary in the conduct of its official
7    business;
8        (7) Any person authorized by the Director, in writing,
9    for audit or bona fide research purposes;
10        (8) A coroner or medical examiner who has reason to
11    believe that an eligible adult has died as the result of
12    abuse, neglect, financial exploitation, or self-neglect.
13    The provider agency shall immediately provide the coroner
14    or medical examiner with all records pertaining to the
15    eligible adult;
16        (8.5) A coroner or medical examiner having proper
17    jurisdiction, pursuant to a written agreement between a
18    provider agency and the coroner or medical examiner, under
19    which the provider agency may furnish to the office of the
20    coroner or medical examiner a list of all eligible adults
21    who may be at imminent risk of death as a result of abuse,
22    neglect, financial exploitation, or 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 when that Department is funding services to the
7    eligible adult, including access to the identity of the
8    eligible adult;
9        (9-b) Department of Human Services staff when that
10    Department is funding services to the eligible adult or is
11    providing reimbursement for services provided by the
12    abuser or alleged abuser, including access to the identity
13    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; to determine whether a verified and substantiated
18    finding of significant abuse, neglect, or financial
19    exploitation of an eligible adult by a caregiver warrants
20    reporting to the Health Care Worker Registry; and
21        (11) A caregiver who challenges placement on the
22    Registry shall be given the statement of allegations in the
23    abuse report and the substantiation decision in the final
24    investigative report; and
25        (12) (11) The Illinois Guardianship and Advocacy
26    Commission and the agency designated by the Governor under

 

 

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1    Section 1 of the Protection and Advocacy for
2    Developmentally Disabled Persons Act shall have access,
3    through the Department, to records, including the
4    findings, pertaining to a completed or closed
5    investigation of a report of suspected abuse, neglect,
6    financial exploitation, or self-neglect of an eligible
7    adult.
8(Source: P.A. 97-864, eff. 1-1-13; 98-49, eff. 7-1-13.)
 
9    (320 ILCS 20/9)  (from Ch. 23, par. 6609)
10    Sec. 9. Authority to consent to services.
11    (a) If an eligible adult consents to an assessment of a
12reported incident of suspected abuse, neglect, financial
13exploitation, or self-neglect and, following the assessment of
14such report, consents to services being provided according to
15the case plan, such services shall be arranged to meet the
16adult's needs, based upon the availability of resources to
17provide such services. If an adult withdraws his or her consent
18for an assessment of the reported incident or withdraws his or
19her consent for services and refuses to accept such services,
20the services shall not be provided.
21    (b) If it reasonably appears to the Department or other
22agency designated under this Act that a person is an eligible
23adult and lacks the capacity to consent to an assessment of a
24reported incident of suspected abuse, neglect, financial
25exploitation, or self-neglect or to necessary services, the

 

 

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

 

 

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

 

 

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1unable to communicate in any manner decisions related to the
2assessment of the reported incident or services.
3    (e) Within 15 days after the entry of the ex parte
4emergency order, the order shall expire, or, if the need for
5assessment of the reported incident or services continues, the
6provider agency shall petition for the appointment of a
7guardian as provided in Article XIa of the Probate Act of 1975
8for the purpose of consenting to such assessment or services or
9to protect the eligible adult from further harm.
10    (f) If the court enters an ex parte order under subsection
11(d) for an assessment of a reported incident of alleged or
12suspected abuse, neglect, financial exploitation, or
13self-neglect, or for the provision of necessary services in
14connection with alleged or suspected self-neglect, or for both,
15the court, as soon as is practicable thereafter, shall appoint
16a guardian ad litem for the eligible adult who is the subject
17of the order, for the purpose of reviewing the reasonableness
18of the order. The guardian ad litem shall review the order and,
19if the guardian ad litem reasonably believes that the order is
20unreasonable, the guardian ad litem shall file a petition with
21the court stating the guardian ad litem's belief and requesting
22that the order be vacated.
23    (g) In all cases in which there is a substantiated finding
24of abuse, neglect, or financial exploitation by a guardian, the
25Department shall, within 30 days after the finding, notify the
26Probate Court with jurisdiction over the guardianship.

 

 

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1(Source: P.A. 98-49, eff. 7-1-13.)
 
2    (320 ILCS 20/13)
3    Sec. 13. Access.
4    (a) In accord with established law and Department
5protocols, procedures, and policies, the designated provider
6agencies shall have access to eligible adults who have been
7reported or found to be victims of abuse, neglect, financial
8exploitation, or self-neglect in order to assess the validity
9of the report, assess other needs of the eligible adult, and
10provide services in accordance with this Act.
11    (a-5) A representative of the Department or a designated
12provider agency that is actively involved in an abuse, neglect,
13financial exploitation, or self-neglect investigation under
14this Act shall be allowed access to the financial records,
15mental and physical health records, and other relevant
16evaluative records of the eligible adult which are in the
17possession of any individual, financial institution, health
18care provider, mental health provider, educational facility,
19or other facility if necessary to complete the investigation
20mandated by this Act. The provider or facility shall provide
21such records to the representative upon receipt of a written
22request and certification from the Department or designated
23provider agency that an investigation is being conducted under
24this Act and the records are pertinent to the investigation.
25    Any records received by such representative, the

 

 

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1confidentiality of which is protected by another law or rule,
2shall be maintained as confidential, except for such use as may
3be necessary for any administrative or other legal proceeding.
4    (b) Where access to an eligible adult is denied, including
5the refusal to provide requested records, the Office of the
6Attorney General, the Department, or the provider agency may
7petition the court for an order to require appropriate access
8where:
9        (1) a caregiver or third party has interfered with the
10    assessment or service plan, or
11        (2) the agency has reason to believe that the eligible
12    adult is denying access because of coercion, extortion, or
13    justifiable fear of future abuse, neglect, or financial
14    exploitation.
15    (c) The petition for an order requiring appropriate access
16shall be afforded an expedited hearing in the circuit court.
17    (d) If the provider agency has substantiated financial
18exploitation against an eligible adult, and has documented a
19reasonable belief that the eligible adult will be irreparably
20harmed as a result of the financial exploitation, the Office of
21the Attorney General, the Department, or the provider agency
22may petition for an order freezing the assets of the eligible
23adult. The petition shall be filed in the county or counties in
24which the assets are located. The court's order shall prohibit
25the sale, gifting, transfer, or wasting of the assets of the
26eligible adult, both real and personal, owned by, or vested in,

 

 

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1the eligible adult, without the express permission of the
2court. The petition to freeze the assets of the eligible adult
3shall be afforded an expedited hearing in the circuit court.
4(Source: P.A. 96-526, eff. 1-1-10.)
 
5    (320 ILCS 20/15)
6    Sec. 15. Abuse Fatality Review Teams.
7    (a) State policy.
8        (1) Both the State and the community maintain a
9    commitment to preventing the abuse, neglect, and financial
10    exploitation of at-risk adults. This includes a charge to
11    bring perpetrators of crimes against at-risk adults to
12    justice and prevent untimely deaths in 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 at-risk adult fatality review teams is
2    necessary in order to fulfill their purposes and duties.
3    (a-5) Definitions. As used in this Section:
4        "Advisory Council" means the Illinois At-Risk Adult
5    Fatality Review Team Advisory Council.
6        "Review Team" means a regional interagency at-risk
7    adult fatality 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 or
11neglect of at-risk adults, shall appoint members to a minimum
12of one review team in each of the Department's planning and
13service areas. Each member of a review team shall be appointed
14for a 2-year term and shall be eligible for reappointment upon
15the expiration of the term. A review team's purpose in
16conducting review of at-risk adult deaths is: (i) to assist
17local agencies in identifying and reviewing suspicious deaths
18of adult victims of alleged, suspected, or substantiated abuse
19or neglect in domestic living situations; (ii) to facilitate
20communications between officials responsible for autopsies and
21inquests and persons involved in reporting or investigating
22alleged or suspected cases of abuse, neglect, or financial
23exploitation of at-risk adults and persons involved in
24providing services to at-risk adults; (iii) to evaluate means
25by which the death might have been prevented; and (iv) to
26report its findings to the appropriate agencies and the

 

 

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

 

 

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

 

 

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1criteria to be used in discussing cases of alleged, suspected,
2or substantiated abuse or neglect for review and shall conduct
3its activities in accordance with any applicable policies and
4procedures established by the Department.
5    (c-5) The Illinois At-Risk Adult Fatality Review Team Teams
6Advisory Council, consisting of one member from each review
7team in Illinois, shall be the coordinating and oversight body
8for review teams and activities in Illinois. The Director may
9appoint to the Advisory Council any ex-officio members deemed
10necessary. Persons with expertise needed by the Advisory
11Council may be invited to meetings. The Advisory Council must
12select from its members a chairperson and a vice-chairperson,
13each to serve a 2-year term. The chairperson or
14vice-chairperson may be selected to serve additional,
15subsequent terms. The Advisory Council must meet at least 4
16times during each calendar year.
17    The Department may provide or arrange for the staff support
18necessary for the Advisory Council to carry out its duties. The
19Director, in cooperation and consultation with the Advisory
20Council, shall appoint, reappoint, and remove review team
21members.
22    The Advisory Council has, but is not limited to, the
23following duties:
24        (1) To serve as the voice of review teams in Illinois.
25        (2) To oversee the review teams in order to ensure that
26    the review teams' work is coordinated and in compliance

 

 

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

 

 

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

 

 

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

 

 

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

 

 

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