State of Illinois
91st General Assembly
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Public Act 91-0174

SB1113 Enrolled                                LRB9102894DHmg

    AN ACT to amend the Illinois Act on the Aging by changing
Section 4.04.

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

    Section  5.   The Illinois Act on the Aging is amended by
changing Section 4.04 as follows:

    (20 ILCS 105/4.04) (from Ch. 23, par. 6104.04)
    Sec. 4.04. Long Term Care Ombudsman Program.
    (a) Long Term  Care  Ombudsman  Program.  The  Department
shall  establish  a Long Term Care Ombudsman Program, through
the Office of State Long Term Care Ombudsman ("the  Office"),
in  accordance with the provisions of the Older Americans Act
of 1965, as now or hereafter amended.
    (b)  Definitions. As used in  this  Section,  unless  the
context requires otherwise:
         (1)  "Access"  has  the  same  meaning as in Section
    1-104 of the Nursing Home Care Act, as now  or  hereafter
    amended; that is, it means the right to:
              (i)  Enter any long term care facility;
              (ii)  Communicate    privately    and   without
         restriction with any resident who  consents  to  the
         communication;
              (iii)  Seek  consent  to  communicate privately
         and without restriction with any resident;
              (iv)  Inspect the clinical and other records of
         a resident with the express written consent  of  the
         resident;
              (v)  Observe  all  areas  of the long term care
         facility except the living area of any resident  who
         protests the observation.
         (2)  "Long   Term   Care  Facility"  means  (i)  any
    facility as defined by Section 1-113 of the Nursing  Home
    Care  Act,  as  now  or  hereafter  amended; and (ii) any
    skilled nursing facility  or  a  nursing  facility  which
    meets  the requirements of Section 1819(a), (b), (c), and
    (d) or Section 1919(a), (b), (c), and (d) of  the  Social
    Security  Act,  as  now  or  hereafter amended (42 U.S.C.
    1395i-3(a), (b), (c), and (d)  and  42  U.S.C.  1396r(a),
    (b), (c), and (d)).
         (3)  "Ombudsman"  means  any  person employed by the
    Department to fulfill the requirements of the Office,  or
    any   representative   of  a  sub-State  long  term  care
    ombudsman  program;  provided  that  the  representative,
    whether he  is  paid  for  or  volunteers  his  ombudsman
    services,  shall  be  qualified  and  authorized  by  the
    Department  to  perform  the  duties  of  an ombudsman as
    specified by the Department in rules.
    (c)  Ombudsman; rules. The Office of State Long Term Care
Ombudsman  shall  be  composed  of  at  least  one  full-time
ombudsman within the Department and shall include a system of
designated sub-State long term care ombudsman programs.  Each
sub-State  program shall be designated by the Department as a
subdivision  of  the  Office  and  any  representative  of  a
sub-State program shall be treated as a representative of the
Office.
    The Department shall promulgate administrative  rules  to
establish  the  responsibilities  of  the  Department and the
Office of State Long Term Care Ombudsman. The  administrative
rules  shall  include  the  responsibility  of  the Office to
investigate and resolve complaints made by or  on  behalf  of
residents  of  long term care facilities relating to actions,
inaction,   or   decisions    of    providers,    or    their
representatives,  of  long  term  care  facilities, of public
agencies, or of social services agencies, which may adversely
affect  the  health,  safety,  welfare,  or  rights  of  such
residents. When necessary and appropriate, representatives of
the  Office  shall  refer  complaints  to   the   appropriate
regulatory State agency.
    (d)  Access and visitation rights.
         (1)  In accordance with subparagraphs (A) and (E) of
    paragraph (3) of  subsection  (c)  of  Section  1819  and
    subparagraphs  (A) and (E) of paragraph (3) of subsection
    (c) of Section 1919 of the Social Security Act, as now or
    hereafter amended (42 U.S.C. 1395i-3  (c)(3)(A)  and  (E)
    and 42 U.S.C. 1396r-3 (c)(3)(A) and (E)), and Section 712
    307(a)(12)  of the Older Americans Act of 1965, as now or
    hereafter amended (42 U.S.C. 3058f),  a  long  term  care
    facility must:
              (i)  permit immediate access to any resident by
         an ombudsman; and
              (ii)  permit  representatives  of  the  Office,
         with   the   permission   of  the  resident's  legal
         representative  or  legal  guardian,  to  examine  a
         resident's clinical and  other  records,  and  if  a
         resident  is  unable  to consent to such review, and
         has no legal guardian, permit representatives of the
         Office  appropriate  access,  as  defined   by   the
         Department   in   administrative   rules,   to   the
         resident's records.
         (2)  Each  long term care facility shall display, in
    multiple, conspicuous public places within  the  facility
    accessible to both visitors and patients and in an easily
    readable  format,  the  address  and  phone number of the
    Office, in a manner prescribed by the Office.
    (e)  Immunity. An ombudsman or any  other  representative
of  the Office participating in the good faith performance of
his or her official  duties  shall  have  immunity  from  any
liability  (civil,  criminal or otherwise) in any proceedings
(civil, criminal or otherwise) brought as  a  consequence  of
the performance of his official duties.
    (f)  Business offenses.
         (1) No person shall:
              (i)  Intentionally  prevent, interfere with, or
         attempt to impede in any way any  representative  of
         the Office in the performance of his official duties
         under  this Act and the Older Americans Act of 1965;
         or
              (ii)  Intentionally   retaliate,   discriminate
         against, or effect reprisals against any  long  term
         care facility resident or employee for contacting or
         providing  information  to any representative of the
         Office.
         (2)  A violation  of  this  Section  is  a  business
    offense, punishable by a fine not to exceed $501.
         (3)  The  Director of Aging shall notify the State's
    Attorney of the  county  in  which  the  long  term  care
    facility  is  located,  or  the  Attorney General, of any
    violations of this Section.
    (g)  Confidentiality of records and identities. No  files
or  records  maintained by the Office of State Long Term Care
Ombudsman shall be disclosed unless the  State  Ombudsman  or
the  ombudsman  having  the authority over the disposition of
such  files  authorizes  the  disclosure  in   writing.   The
ombudsman shall not disclose the identity of any complainant,
resident,  witness  or  employee of a long term care provider
involved in a  complaint or report unless such person or such
person's guardian or legal representative consents in writing
to the disclosure, or the disclosure  is  required  by  court
order.
    (h)  Legal  representation.  The  Attorney  General shall
provide legal representation to  any  representative  of  the
Office  against whom suit or other legal action is brought in
connection  with  the  performance  of  the  representative's
official duties, in accordance with "An Act  to  provide  for
representation  and  indemnification  in  certain  civil  law
suits",  approved  December  3,  1977,  as  now  or hereafter
amended.
    (i)  Treatment by prayer and spiritual means. Nothing  in
this  Act  shall  be  construed  to  authorize or require the
medical supervision, regulation or control of  remedial  care
or  treatment  of  any  resident in a long term care facility
operated exclusively by and for members or adherents  of  any
church  or religious denomination the tenets and practices of
which include reliance solely upon  spiritual  means  through
prayer for healing.
(Source: P.A. 90-639, eff. 1-1-99.)

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

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