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Sen. Laura M. Murphy
Filed: 4/20/2018
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1 | | AMENDMENT TO SENATE BILL 3179
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2 | | AMENDMENT NO. ______. Amend Senate Bill 3179, AS AMENDED, |
3 | | by replacing everything after the enacting clause with the |
4 | | following:
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5 | | "Section 5. The Department of Human Services Act is amended |
6 | | by changing Section 1-17 as follows:
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7 | | (20 ILCS 1305/1-17)
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8 | | Sec. 1-17. Inspector General. |
9 | | (a) Nature and purpose. It is the express intent of the |
10 | | General Assembly to ensure the health, safety, and financial |
11 | | condition of individuals receiving services in this State due |
12 | | to mental illness, developmental disability, or both by |
13 | | protecting those persons from acts of abuse, neglect, or both |
14 | | by service providers. To that end, the Office of the Inspector |
15 | | General for the Department of Human Services is created to |
16 | | investigate and report upon allegations of the abuse, neglect, |
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1 | | or financial exploitation of individuals receiving services |
2 | | within mental health facilities, developmental disabilities |
3 | | facilities, and community agencies operated, licensed, funded |
4 | | or certified by the Department of Human Services, but not |
5 | | licensed or certified by any other State agency. |
6 | | (b) Definitions. The following definitions apply to this |
7 | | Section: |
8 | | "Adult student with a disability" means an adult student, |
9 | | age 18 through 21, inclusive, with an Individual Education |
10 | | Program, other than a resident of a facility licensed by the |
11 | | Department of Children and Family Services in accordance with |
12 | | the Child Care Act of 1969. For purposes of this definition, |
13 | | "through age 21, inclusive", means through the day before the |
14 | | student's 22nd birthday. |
15 | | "Agency" or "community agency" means (i) a community agency |
16 | | licensed, funded, or certified by the Department, but not |
17 | | licensed or certified by any other human services agency of the |
18 | | State, to provide mental health service or developmental |
19 | | disabilities service, or (ii) a program licensed, funded, or |
20 | | certified by the Department, but not licensed or certified by |
21 | | any other human services agency of the State, to provide mental |
22 | | health service or developmental disabilities service. |
23 | | "Aggravating circumstance" means a factor that is |
24 | | attendant to a finding and that tends to compound or increase |
25 | | the culpability of the accused. |
26 | | "Allegation" means an assertion, complaint, suspicion, or |
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1 | | incident involving any of the following conduct by an employee, |
2 | | facility, or agency against an individual or individuals: |
3 | | mental abuse, physical abuse, sexual abuse, neglect, or |
4 | | financial exploitation. |
5 | | "Day" means working day, unless otherwise specified. |
6 | | "Deflection" means a situation in which an individual is |
7 | | presented for admission to a facility or agency, and the |
8 | | facility staff or agency staff do not admit the individual. |
9 | | "Deflection" includes triage, redirection, and denial of |
10 | | admission. |
11 | | "Department" means the Department of Human Services. |
12 | | "Developmental disability" means "developmental |
13 | | disability" as defined in the Mental Health and Developmental |
14 | | Disabilities Code. |
15 | | "Egregious neglect" means a finding of neglect as |
16 | | determined by the Inspector General that (i) represents a gross |
17 | | failure to adequately provide for, or a callused indifference |
18 | | to, the health, safety, or medical needs of an individual and |
19 | | (ii) results in an individual's death or other serious |
20 | | deterioration of an individual's physical condition or mental |
21 | | condition. |
22 | | "Employee" means any person who provides services at the |
23 | | facility or agency on-site or off-site. The service |
24 | | relationship can be with the individual or with the facility or |
25 | | agency. Also, "employee" includes any employee or contractual |
26 | | agent of the Department of Human Services or the community |
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1 | | agency involved in providing or monitoring or administering |
2 | | mental health or developmental disability services. This |
3 | | includes but is not limited to: owners, operators, payroll |
4 | | personnel, contractors, subcontractors, and volunteers. |
5 | | "Facility" or "State-operated facility" means a mental |
6 | | health facility or developmental disabilities facility |
7 | | operated by the Department. |
8 | | "Financial exploitation" means taking unjust advantage of |
9 | | an individual's assets, property, or financial resources |
10 | | through deception, intimidation, or conversion for the |
11 | | employee's, facility's, or agency's own advantage or benefit. |
12 | | "Finding" means the Office of Inspector General's |
13 | | determination regarding whether an allegation is |
14 | | substantiated, unsubstantiated, or unfounded. |
15 | | "Health Care Worker Registry" or "Registry" means the |
16 | | Health Care Worker Registry under the Health Care Worker |
17 | | Background Check Act. |
18 | | "Individual" means any person receiving mental health |
19 | | service, developmental disabilities service, or both from a |
20 | | facility or agency, while either on-site or off-site. |
21 | | "Mental abuse" means the use of demeaning, intimidating, or |
22 | | threatening words, signs, gestures, or other actions by an |
23 | | employee about an individual and in the presence of an |
24 | | individual or individuals that results in emotional distress or |
25 | | maladaptive behavior, or could have resulted in emotional |
26 | | distress or maladaptive behavior, for any individual present. |
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1 | | "Mental illness" means "mental illness" as defined in the |
2 | | Mental Health and Developmental Disabilities Code. |
3 | | "Mentally ill" means having a mental illness. |
4 | | "Mitigating circumstance" means a condition that (i) is |
5 | | attendant to a finding, (ii) does not excuse or justify the |
6 | | conduct in question, but (iii) may be considered in evaluating |
7 | | the severity of the conduct, the culpability of the accused, or |
8 | | both the severity of the conduct and the culpability of the |
9 | | accused. |
10 | | "Neglect" means an employee's, agency's, or facility's |
11 | | failure to provide adequate medical care, personal care, or |
12 | | maintenance and that, as a consequence, (i) causes an |
13 | | individual pain, injury, or emotional distress, (ii) results in |
14 | | either an individual's maladaptive behavior or the |
15 | | deterioration of an individual's physical condition or mental |
16 | | condition, or (iii) places the individual's health or safety at |
17 | | substantial risk. |
18 | | "Person with a developmental disability" means a person |
19 | | having a developmental disability. |
20 | | "Physical abuse" means an employee's non-accidental and |
21 | | inappropriate contact with an individual that causes bodily |
22 | | harm. "Physical abuse" includes actions that cause bodily harm |
23 | | as a result of an employee directing an individual or person to |
24 | | physically abuse another individual. |
25 | | "Recommendation" means an admonition, separate from a |
26 | | finding, that requires action by the facility, agency, or |
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1 | | Department to correct a systemic issue, problem, or deficiency |
2 | | identified during an investigation. |
3 | | "Required reporter" means any employee who suspects, |
4 | | witnesses, or is informed of an allegation of any one or more |
5 | | of the following: mental abuse, physical abuse, sexual abuse, |
6 | | neglect, or financial exploitation. |
7 | | "Secretary" means the Chief Administrative Officer of the |
8 | | Department. |
9 | | "Sexual abuse" means any sexual contact or intimate |
10 | | physical contact between an employee and an individual, |
11 | | including an employee's coercion or encouragement of an |
12 | | individual to engage in sexual behavior that results in sexual |
13 | | contact, intimate physical contact, sexual behavior, or |
14 | | intimate physical behavior. Sexual abuse also includes (i) an |
15 | | employee's actions that result in the sending or showing of |
16 | | sexually explicit images to an individual via computer, |
17 | | cellular phone, electronic mail, portable electronic device, |
18 | | or other media with or without contact with the individual or |
19 | | (ii) an employee's posting of sexually explicit images of an |
20 | | individual online or elsewhere whether or not there is contact |
21 | | with the individual. |
22 | | "Sexually explicit images" includes, but is not limited to, |
23 | | any material which depicts nudity, sexual conduct, or |
24 | | sado-masochistic abuse, or which contains explicit and |
25 | | detailed verbal descriptions or narrative accounts of sexual |
26 | | excitement, sexual conduct, or sado-masochistic abuse. |
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1 | | "Substantiated" means there is a preponderance of the |
2 | | evidence to support the allegation. |
3 | | "Unfounded" means there is no credible evidence to support |
4 | | the allegation. |
5 | | "Unsubstantiated" means there is credible evidence, but |
6 | | less than a preponderance of evidence to support the |
7 | | allegation. |
8 | | (c) Appointment. The Governor shall appoint, and the Senate |
9 | | shall confirm, an Inspector General. The Inspector General |
10 | | shall be appointed for a term of 4 years and shall function |
11 | | within the Department of Human Services and report to the |
12 | | Secretary and the Governor. |
13 | | (d) Operation and appropriation. The Inspector General |
14 | | shall function independently within the Department with |
15 | | respect to the operations of the Office, including the |
16 | | performance of investigations and issuance of findings and |
17 | | recommendations. The appropriation for the Office of Inspector |
18 | | General shall be separate from the overall appropriation for |
19 | | the Department. |
20 | | (e) Powers and duties. The Inspector General shall |
21 | | investigate reports of suspected mental abuse, physical abuse, |
22 | | sexual abuse, neglect, or financial exploitation of |
23 | | individuals in any mental health or developmental disabilities |
24 | | facility or agency and shall have authority to take immediate |
25 | | action to prevent any one or more of the following from |
26 | | happening to individuals under its jurisdiction: mental abuse, |
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1 | | physical abuse, sexual abuse, neglect, or financial |
2 | | exploitation. Upon written request of an agency of this State, |
3 | | the Inspector General may assist another agency of the State in |
4 | | investigating reports of the abuse, neglect, or abuse and |
5 | | neglect of persons with mental illness, persons with |
6 | | developmental disabilities, or persons with both. To comply |
7 | | with the requirements of subsection (k) of this Section, the |
8 | | Inspector General shall also review all reportable deaths for |
9 | | which there is no allegation of abuse or neglect. Nothing in |
10 | | this Section shall preempt any duties of the Medical Review |
11 | | Board set forth in the Mental Health and Developmental |
12 | | Disabilities Code. The Inspector General shall have no |
13 | | authority to investigate alleged violations of the State |
14 | | Officials and Employees Ethics Act. Allegations of misconduct |
15 | | under the State Officials and Employees Ethics Act shall be |
16 | | referred to the Office of the Governor's Executive Inspector |
17 | | General for investigation. |
18 | | (f) Limitations. The Inspector General shall not conduct an |
19 | | investigation within an agency or facility if that |
20 | | investigation would be redundant to or interfere with an |
21 | | investigation conducted by another State agency. The Inspector |
22 | | General shall have no supervision over, or involvement in, the |
23 | | routine programmatic, licensing, funding, or certification |
24 | | operations of the Department. Nothing in this subsection limits |
25 | | investigations by the Department that may otherwise be required |
26 | | by law or that may be necessary in the Department's capacity as |
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1 | | central administrative authority responsible for the operation |
2 | | of the State's mental health and developmental disabilities |
3 | | facilities. |
4 | | (g) Rulemaking authority. The Inspector General shall |
5 | | promulgate rules establishing minimum requirements for |
6 | | reporting allegations as well as for initiating, conducting, |
7 | | and completing investigations based upon the nature of the |
8 | | allegation or allegations. The rules shall clearly establish |
9 | | that if 2 or more State agencies could investigate an |
10 | | allegation, the Inspector General shall not conduct an |
11 | | investigation that would be redundant to, or interfere with, an |
12 | | investigation conducted by another State agency. The rules |
13 | | shall further clarify the method and circumstances under which |
14 | | the Office of Inspector General may interact with the |
15 | | licensing, funding, or certification units of the Department in |
16 | | preventing further occurrences of mental abuse, physical |
17 | | abuse, sexual abuse, neglect, egregious neglect, and financial |
18 | | exploitation. |
19 | | (h) Training programs. The Inspector General shall (i) |
20 | | establish a comprehensive program to ensure that every person |
21 | | authorized to conduct investigations receives ongoing training |
22 | | relative to investigation techniques, communication skills, |
23 | | and the appropriate means of interacting with persons receiving |
24 | | treatment for mental illness, developmental disability, or |
25 | | both mental illness and developmental disability, and (ii) |
26 | | establish and conduct periodic training programs for facility |
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1 | | and agency employees concerning the prevention and reporting of |
2 | | any one or more of the following: mental abuse, physical abuse, |
3 | | sexual abuse, neglect, egregious neglect, or financial |
4 | | exploitation. The Inspector General shall further ensure (i) |
5 | | every person authorized to conduct investigations at community |
6 | | agencies receives ongoing training in Title 59, Parts 115, 116, |
7 | | and 119, and (ii) every person authorized to conduct |
8 | | investigations shall receive ongoing training in Title 59, Part |
9 | | 50. Nothing in this Section shall be deemed to prevent the |
10 | | Office of Inspector General from conducting any other training |
11 | | as determined by the Inspector General to be necessary or |
12 | | helpful. |
13 | | (i) Duty to cooperate. |
14 | | (1) The Inspector General shall at all times be granted |
15 | | access to any facility or agency for the purpose of |
16 | | investigating any allegation, conducting unannounced site |
17 | | visits, monitoring compliance with a written response, or |
18 | | completing any other statutorily assigned duty. The |
19 | | Inspector General shall conduct unannounced site visits to |
20 | | each facility at least annually for the purpose of |
21 | | reviewing and making recommendations on systemic issues |
22 | | relative to preventing, reporting, investigating, and |
23 | | responding to all of the following: mental abuse, physical |
24 | | abuse, sexual abuse, neglect, egregious neglect, or |
25 | | financial exploitation. |
26 | | (2) Any employee who fails to cooperate with an Office |
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1 | | of the Inspector General investigation is in violation of |
2 | | this Act. Failure to cooperate with an investigation |
3 | | includes, but is not limited to, any one or more of the |
4 | | following: (i) creating and transmitting a false report to |
5 | | the Office of the Inspector General hotline, (ii) providing |
6 | | false information to an Office of the Inspector General |
7 | | Investigator during an investigation, (iii) colluding with |
8 | | other employees to cover up evidence, (iv) colluding with |
9 | | other employees to provide false information to an Office |
10 | | of the Inspector General investigator, (v) destroying |
11 | | evidence, (vi) withholding evidence, or (vii) otherwise |
12 | | obstructing an Office of the Inspector General |
13 | | investigation. Additionally, any employee who, during an |
14 | | unannounced site visit or written response compliance |
15 | | check, fails to cooperate with requests from the Office of |
16 | | the Inspector General is in violation of this Act. |
17 | | (j) Subpoena powers. The Inspector General shall have the |
18 | | power to subpoena witnesses and compel the production of all |
19 | | documents and physical evidence relating to his or her |
20 | | investigations and any hearings authorized by this Act. This |
21 | | subpoena power shall not extend to persons or documents of a |
22 | | labor organization or its representatives insofar as the |
23 | | persons are acting in a representative capacity to an employee |
24 | | whose conduct is the subject of an investigation or the |
25 | | documents relate to that representation. Any person who |
26 | | otherwise fails to respond to a subpoena or who knowingly |
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1 | | provides false information to the Office of the Inspector |
2 | | General by subpoena during an investigation is guilty of a |
3 | | Class A misdemeanor. |
4 | | (k) Reporting allegations and deaths. |
5 | | (1) Allegations. If an employee witnesses, is told of, |
6 | | or has reason to believe an incident of mental abuse, |
7 | | physical abuse, sexual abuse, neglect, or financial |
8 | | exploitation has occurred, the employee, agency, or |
9 | | facility shall report the allegation by phone to the Office |
10 | | of the Inspector General hotline according to the agency's |
11 | | or facility's procedures, but in no event later than 4 |
12 | | hours after the initial discovery of the incident, |
13 | | allegation, or suspicion of any one or more of the |
14 | | following: mental abuse, physical abuse, sexual abuse, |
15 | | neglect, or financial exploitation. A required reporter as |
16 | | defined in subsection (b) of this Section who knowingly or |
17 | | intentionally fails to comply with these reporting |
18 | | requirements is guilty of a Class A misdemeanor. |
19 | | (2) Deaths. Absent an allegation, a required reporter |
20 | | shall, within 24 hours after initial discovery, report by |
21 | | phone to the Office of the Inspector General hotline each |
22 | | of the following: |
23 | | (i) Any death of an individual occurring within 14 |
24 | | calendar days after discharge or transfer of the |
25 | | individual from a residential program or facility. |
26 | | (ii) Any death of an individual occurring within 24 |
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1 | | hours after deflection from a residential program or |
2 | | facility. |
3 | | (iii) Any other death of an individual occurring at |
4 | | an agency or facility or at any Department-funded site. |
5 | | (3) Retaliation. It is a violation of this Act for any |
6 | | employee or administrator of an agency or facility to take |
7 | | retaliatory action against an employee who acts in good |
8 | | faith in conformance with his or her duties as a required |
9 | | reporter. |
10 | | (l) Reporting to law enforcement. |
11 | | (1) Reporting criminal acts. Within 24 hours after |
12 | | determining that there is credible evidence indicating |
13 | | that a criminal act may have been committed or that special |
14 | | expertise may be required in an investigation, the |
15 | | Inspector General shall notify the Department of State |
16 | | Police or other appropriate law enforcement authority, or |
17 | | ensure that such notification is made. The Department of |
18 | | State Police shall investigate any report from a |
19 | | State-operated facility indicating a possible murder, |
20 | | sexual assault, or other felony by an employee. All |
21 | | investigations conducted by the Inspector General shall be |
22 | | conducted in a manner designed to ensure the preservation |
23 | | of evidence for possible use in a criminal prosecution. |
24 | | (2) Reporting allegations of adult students with |
25 | | disabilities. Upon receipt of a reportable allegation |
26 | | regarding an adult student with a disability, the |
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1 | | Department's Office of the Inspector General shall |
2 | | determine whether the allegation meets the criteria for the |
3 | | Domestic Abuse Program under the Abuse of Adults with |
4 | | Disabilities Intervention Act. If the allegation is |
5 | | reportable to that program, the Office of the Inspector |
6 | | General shall initiate an investigation. If the allegation |
7 | | is not reportable to the Domestic Abuse Program, the Office |
8 | | of the Inspector General shall make an expeditious referral |
9 | | to the respective law enforcement entity. If the alleged |
10 | | victim is already receiving services from the Department, |
11 | | the Office of the Inspector General shall also make a |
12 | | referral to the respective Department of Human Services' |
13 | | Division or Bureau. |
14 | | (m) Investigative reports. Upon completion of an |
15 | | investigation, the Office of Inspector General shall issue an |
16 | | investigative report identifying whether the allegations are |
17 | | substantiated, unsubstantiated, or unfounded. Within 10 |
18 | | business days after the transmittal of a completed |
19 | | investigative report substantiating an allegation, finding an |
20 | | allegation is unsubstantiated, or if a recommendation is made, |
21 | | the Inspector General shall provide the investigative report on |
22 | | the case to the Secretary and to the director of the facility |
23 | | or agency where any one or more of the following occurred: |
24 | | mental abuse, physical abuse, sexual abuse, neglect, egregious |
25 | | neglect, or financial exploitation. The director of the |
26 | | facility or agency shall be responsible for maintaining the |
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1 | | confidentiality of the investigative report consistent with |
2 | | State and federal law. In a substantiated case, the |
3 | | investigative report shall include any mitigating or |
4 | | aggravating circumstances that were identified during the |
5 | | investigation. If the case involves substantiated neglect, the |
6 | | investigative report shall also state whether egregious |
7 | | neglect was found. An investigative report may also set forth |
8 | | recommendations. All investigative reports prepared by the |
9 | | Office of the Inspector General shall be considered |
10 | | confidential and shall not be released except as provided by |
11 | | the law of this State or as required under applicable federal |
12 | | law. Unsubstantiated and unfounded reports shall not be |
13 | | disclosed except as allowed under Section 6 of the Abused and |
14 | | Neglected Long Term Care Facility Residents Reporting Act. Raw |
15 | | data used to compile the investigative report shall not be |
16 | | subject to release unless required by law or a court order. |
17 | | "Raw data used to compile the investigative report" includes, |
18 | | but is not limited to, any one or more of the following: the |
19 | | initial complaint, witness statements, photographs, |
20 | | investigator's notes, police reports, or incident reports. If |
21 | | the allegations are substantiated, the accused shall be |
22 | | provided with a redacted copy of the investigative report. |
23 | | Death reports where there was no allegation of abuse or neglect |
24 | | shall only be released pursuant to applicable State or federal |
25 | | law or a valid court order. |
26 | | (n) Written responses and reconsideration requests. |
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1 | | (1) Written responses. Within 30 calendar days from |
2 | | receipt of a substantiated investigative report or an |
3 | | investigative report which contains recommendations, |
4 | | absent a reconsideration request, the facility or agency |
5 | | shall file a written response that addresses, in a concise |
6 | | and reasoned manner, the actions taken to: (i) protect the |
7 | | individual; (ii) prevent recurrences; and (iii) eliminate |
8 | | the problems identified. The response shall include the |
9 | | implementation and completion dates of such actions. If the |
10 | | written response is not filed within the allotted 30 |
11 | | calendar day period, the Secretary shall determine the |
12 | | appropriate corrective action to be taken. |
13 | | (2) Reconsideration requests. The facility, agency, |
14 | | victim or guardian, or the subject employee may request |
15 | | that the Office of Inspector General reconsider or clarify |
16 | | its finding based upon additional information. |
17 | | (o) Disclosure of the finding by the Inspector General. The |
18 | | Inspector General shall disclose the finding of an |
19 | | investigation to the following persons: (i) the Governor, (ii) |
20 | | the Secretary, (iii) the director of the facility or agency, |
21 | | (iv) the alleged victims and their guardians, (v) the |
22 | | complainant, and (vi) the accused. This information shall |
23 | | include whether the allegations were deemed substantiated, |
24 | | unsubstantiated, or unfounded. |
25 | | (p) Secretary review. Upon review of the Inspector |
26 | | General's investigative report and any agency's or facility's |
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1 | | written response, the Secretary shall accept or reject the |
2 | | written response and notify the Inspector General of that |
3 | | determination. The Secretary may further direct that other |
4 | | administrative action be taken, including, but not limited to, |
5 | | any one or more of the following: (i) additional site visits, |
6 | | (ii) training, (iii) provision of technical assistance |
7 | | relative to administrative needs, licensure or certification, |
8 | | or (iv) the imposition of appropriate sanctions. |
9 | | (q) Action by facility or agency. Within 30 days of the |
10 | | date the Secretary approves the written response or directs |
11 | | that further administrative action be taken, the facility or |
12 | | agency shall provide an implementation report to the Inspector |
13 | | General that provides the status of the action taken. The |
14 | | facility or agency shall be allowed an additional 30 days to |
15 | | send notice of completion of the action or to send an updated |
16 | | implementation report. If the action has not been completed |
17 | | within the additional 30-day 30 day period, the facility or |
18 | | agency shall send updated implementation reports every 60 days |
19 | | until completion. The Inspector General shall conduct a review |
20 | | of any implementation plan that takes more than 120 days after |
21 | | approval to complete, and shall monitor compliance through a |
22 | | random review of approved written responses, which may include, |
23 | | but are not limited to: (i) site visits, (ii) telephone |
24 | | contact, and (iii) requests for additional documentation |
25 | | evidencing compliance. |
26 | | (r) Sanctions. Sanctions, if imposed by the Secretary under |
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1 | | Subdivision (p)(iv) of this Section, shall be designed to |
2 | | prevent further acts of mental abuse, physical abuse, sexual |
3 | | abuse, neglect, egregious neglect, or financial exploitation |
4 | | or some combination of one or more of those acts at a facility |
5 | | or agency, and may include any one or more of the following: |
6 | | (1) Appointment of on-site monitors. |
7 | | (2) Transfer or relocation of an individual or |
8 | | individuals. |
9 | | (3) Closure of units. |
10 | | (4) Termination of any one or more of the following: |
11 | | (i) Department licensing, (ii) funding, or (iii) |
12 | | certification. |
13 | | The Inspector General may seek the assistance of the |
14 | | Illinois Attorney General or the office of any State's Attorney |
15 | | in implementing sanctions. |
16 | | (s) Health Care Worker Registry. |
17 | | (1) Reporting to the Registry. The Inspector General |
18 | | shall report to the Department of Public Health's Health |
19 | | Care Worker Registry, a public registry, the identity and |
20 | | finding of each employee of a facility or agency against |
21 | | whom there is a final investigative report containing a |
22 | | substantiated allegation of physical or sexual abuse, |
23 | | financial exploitation, or egregious neglect of an |
24 | | individual. |
25 | | (2) Notice to employee. Prior to reporting the name of |
26 | | an employee, the employee shall be notified of the |
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1 | | Department's obligation to report and shall be granted an |
2 | | opportunity to request an administrative hearing, the sole |
3 | | purpose of which is to determine if the substantiated |
4 | | finding warrants reporting to the Registry. Notice to the |
5 | | employee shall contain a clear and concise statement of the |
6 | | grounds on which the report to the Registry is based, offer |
7 | | the employee an opportunity for a hearing, and identify the |
8 | | process for requesting such a hearing. Notice is sufficient |
9 | | if provided by certified mail to the employee's last known |
10 | | address. If the employee fails to request a hearing within |
11 | | 30 days from the date of the notice, the Inspector General |
12 | | shall report the name of the employee to the Registry. |
13 | | Nothing in this subdivision (s)(2) shall diminish or impair |
14 | | the rights of a person who is a member of a collective |
15 | | bargaining unit under the Illinois Public Labor Relations |
16 | | Act or under any other federal labor statute. |
17 | | (3) Registry hearings. If the employee requests an |
18 | | administrative hearing, the employee shall be granted an |
19 | | opportunity to appear before an administrative law judge to |
20 | | present reasons why the employee's name should not be |
21 | | reported to the Registry. The Department shall bear the |
22 | | burden of presenting evidence that establishes, by a |
23 | | preponderance of the evidence, that the substantiated |
24 | | finding warrants reporting to the Registry. After |
25 | | considering all the evidence presented, the administrative |
26 | | law judge shall make a recommendation to the Secretary as |
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1 | | to whether the substantiated finding warrants reporting |
2 | | the name of the employee to the Registry. The Secretary |
3 | | shall render the final decision. The Department and the |
4 | | employee shall have the right to request that the |
5 | | administrative law judge consider a stipulated disposition |
6 | | of these proceedings. |
7 | | (4) Testimony at Registry hearings. A person who makes |
8 | | a report or who investigates a report under this Act shall |
9 | | testify fully in any judicial proceeding resulting from |
10 | | such a report, as to any evidence of abuse or neglect, or |
11 | | the cause thereof. No evidence shall be excluded by reason |
12 | | of any common law or statutory privilege relating to |
13 | | communications between the alleged perpetrator of abuse or |
14 | | neglect, or the individual alleged as the victim in the |
15 | | report, and the person making or investigating the report. |
16 | | Testimony at hearings is exempt from the confidentiality |
17 | | requirements of subsection (f) of Section 10 of the Mental |
18 | | Health and Developmental Disabilities Confidentiality Act. |
19 | | (5) Employee's rights to collateral action. No |
20 | | reporting to the Registry shall occur and no hearing shall |
21 | | be set or proceed if an employee notifies the Inspector |
22 | | General in writing, including any supporting |
23 | | documentation, that he or she is formally contesting an |
24 | | adverse employment action resulting from a substantiated |
25 | | finding by complaint filed with the Illinois Civil Service |
26 | | Commission, or which otherwise seeks to enforce the |
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1 | | employee's rights pursuant to any applicable collective |
2 | | bargaining agreement. If an action taken by an employer |
3 | | against an employee as a result of a finding of physical |
4 | | abuse, sexual abuse, or egregious neglect is overturned |
5 | | through an action filed with the Illinois Civil Service |
6 | | Commission or under any applicable collective bargaining |
7 | | agreement and if that employee's name has already been sent |
8 | | to the Registry, the employee's name shall be removed from |
9 | | the Registry. |
10 | | (6) Removal from Registry. At any time after the report |
11 | | to the Registry, but no more than once in any 12-month |
12 | | period, an employee may petition the Department in writing |
13 | | to remove his or her name from the Registry. Upon receiving |
14 | | notice of such request, the Inspector General shall conduct |
15 | | an investigation into the petition. Upon receipt of such |
16 | | request, an administrative hearing will be set by the |
17 | | Department. At the hearing, the employee shall bear the |
18 | | burden of presenting evidence that establishes, by a |
19 | | preponderance of the evidence, that removal of the name |
20 | | from the Registry is in the public interest. The parties |
21 | | may jointly request that the administrative law judge |
22 | | consider a stipulated disposition of these proceedings. |
23 | | (t) Review of Administrative Decisions. The Department |
24 | | shall preserve a record of all proceedings at any formal |
25 | | hearing conducted by the Department involving Health Care |
26 | | Worker Registry hearings. Final administrative decisions of |
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1 | | the Department are subject to judicial review pursuant to |
2 | | provisions of the Administrative Review Law. |
3 | | (u) Quality Care Board. There is created, within the Office |
4 | | of the Inspector General, a Quality Care Board to be composed |
5 | | of 7 members appointed by the Governor with the advice and |
6 | | consent of the Senate. One of the members shall be designated |
7 | | as chairman by the Governor. Of the initial appointments made |
8 | | by the Governor, 4 Board members shall each be appointed for a |
9 | | term of 4 years and 3 members shall each be appointed for a |
10 | | term of 2 years. Upon the expiration of each member's term, a |
11 | | successor shall be appointed for a term of 4 years. In the case |
12 | | of a vacancy in the office of any member, the Governor shall |
13 | | appoint a successor for the remainder of the unexpired term. |
14 | | Members appointed by the Governor shall be qualified by |
15 | | professional knowledge or experience in the area of law, |
16 | | investigatory techniques, or in the area of care of the |
17 | | mentally ill or care of persons with developmental |
18 | | disabilities. Two members appointed by the Governor shall be |
19 | | persons with a disability or a parent of a person with a |
20 | | disability. Members shall serve without compensation, but |
21 | | shall be reimbursed for expenses incurred in connection with |
22 | | the performance of their duties as members. |
23 | | The Board shall meet quarterly, and may hold other meetings |
24 | | on the call of the chairman. Four members shall constitute a |
25 | | quorum allowing the Board to conduct its business. The Board |
26 | | may adopt rules and regulations it deems necessary to govern |
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1 | | its own procedures. |
2 | | The Board shall monitor and oversee the operations, |
3 | | policies, and procedures of the Inspector General to ensure the |
4 | | prompt and thorough investigation of allegations of neglect and |
5 | | abuse. In fulfilling these responsibilities, the Board may do |
6 | | the following: |
7 | | (1) Provide independent, expert consultation to the |
8 | | Inspector General on policies and protocols for |
9 | | investigations of alleged abuse, neglect, or both abuse and |
10 | | neglect. |
11 | | (2) Review existing regulations relating to the |
12 | | operation of facilities. |
13 | | (3) Advise the Inspector General as to the content of |
14 | | training activities authorized under this Section. |
15 | | (4) Recommend policies concerning methods for |
16 | | improving the intergovernmental relationships between the |
17 | | Office of the Inspector General and other State or federal |
18 | | offices. |
19 | | (v) Annual report. The Inspector General shall provide to |
20 | | the General Assembly and the Governor, no later than January 1 |
21 | | of each year, a summary of reports and investigations made |
22 | | under this Act for the prior fiscal year with respect to |
23 | | individuals receiving mental health or developmental |
24 | | disabilities services. The report shall detail the imposition |
25 | | of sanctions, if any, and the final disposition of any |
26 | | corrective or administrative action directed by the Secretary. |
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1 | | The summaries shall not contain any confidential or identifying |
2 | | information of any individual, but shall include objective data |
3 | | identifying any trends in the number of reported allegations, |
4 | | the timeliness of the Office of the Inspector General's |
5 | | investigations, and their disposition, for each facility and |
6 | | Department-wide, for the most recent 3-year time period. The |
7 | | report shall also identify, by facility, the staff-to-patient |
8 | | ratios taking account of direct care staff only. The report |
9 | | shall also include detailed recommended administrative actions |
10 | | and matters for consideration by the General Assembly. |
11 | | (w) Program audit. The Auditor General shall conduct a |
12 | | program audit of the Office of the Inspector General on an |
13 | | as-needed basis, as determined by the Auditor General. The |
14 | | audit shall specifically include the Inspector General's |
15 | | compliance with the Act and effectiveness in investigating |
16 | | reports of allegations occurring in any facility or agency. The |
17 | | Auditor General shall conduct the program audit according to |
18 | | the provisions of the Illinois State Auditing Act and shall |
19 | | report its findings to the General Assembly no later than |
20 | | January 1 following the audit period.
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21 | | (x) Nothing in this Section shall be construed to mean that |
22 | | an individual is a victim of abuse or neglect because of health |
23 | | care services appropriately provided or not provided by health |
24 | | care professionals. |
25 | | (y) Nothing in this Section shall require a facility, |
26 | | including its employees, agents, medical staff members, and |
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1 | | health care professionals, to provide a service to an |
2 | | individual in contravention of that individual's stated or |
3 | | implied objection to the provision of that service on the |
4 | | ground that that service conflicts with the individual's |
5 | | religious beliefs or practices, nor shall the failure to |
6 | | provide a service to an individual be considered abuse under |
7 | | this Section if the individual has objected to the provision of |
8 | | that service based on his or her religious beliefs or |
9 | | practices.
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10 | | (Source: P.A. 99-143, eff. 7-27-15; 99-323, eff. 8-7-15; |
11 | | 99-642, eff. 7-28-16; 100-313, eff. 8-24-17; 100-432, eff. |
12 | | 8-25-17; revised 9-27-17.)
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13 | | Section 99. Effective date. This Act takes effect upon |
14 | | becoming law.".
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