Rep. Bob Morgan

Filed: 4/14/2026

 

 


 

 


 
10400HB0862ham002LRB104 04759 SPS 36757 a

1
AMENDMENT TO HOUSE BILL 862

2    AMENDMENT NO. ______. Amend House Bill 862 by replacing
3everything after the enacting clause with the following:
 
4    "Section 1. Findings. The General Assembly finds that:
5    (1) Illinois law recognizes that individuals with
6disabilities should have self-determination and retain the
7right to make decisions about their own lives and care to the
8maximum extent possible.
9    (2) Illinois has established, as a bedrock principle of
10public policy, that support and protection of persons with
11disabilities should be unbiased and free from conflicts of
12interest.
13    (3) Fifty years ago, the Governor's Commission for
14Revision of the Mental Health Code of Illinois released its
15report recommending revisions to the civil and criminal laws
16that advance the rights and interests of persons with
17disabilities. The report reflected the work of 36 Commission

 

 

10400HB0862ham002- 2 -LRB104 04759 SPS 36757 a

1members, 47 advisory members, consultants, and staff, engaged
2in a process that presented a democratic forum that welded
3together the input of many dedicated people into a cohesive
4whole.
5    (4) In 1979, the General Assembly used the recommendations
6to address the far-reaching and comprehensive need for
7statutory reform that would reflect the historical and
8continued progress in the capacity of our people to rise above
9prejudice, superstition, and irrational fears, enabling
10persons with disabilities to participate more fully in the
11total life of our society.
12    (5) Part of the reform was the establishment of the
13Guardianship and Advocacy Commission, which since then has
14served as a national leader in protecting the rights and
15advancing the rights and interests of persons with
16disabilities.
17    (6) Today, the Guardianship and Advocacy Commission
18provides critical services to some of the most vulnerable
19residents of this State in accordance with statutory mandates
20that are unmatched by any other single agency in the United
21States, including:
22        (A) serving as court-appointed guardian for nearly
23    5,000 adults with disabilities when no other suitable
24    person is available;
25        (B) providing constitutionally mandated, direct legal
26    representation in more than 7,000 involuntary mental

 

 

10400HB0862ham002- 3 -LRB104 04759 SPS 36757 a

1    health and developmental disability proceedings annually;
2    and
3        (C) investigating allegations of disability rights
4    violations by public and private disability service
5    providers.
6    (7) Continued demographic pressures, including the aging
7population of this State and the deepening understanding that
8persons with disabilities are entitled to full human rights
9and equal participation in society, require modernization of
10the Guardianship and Advocacy Commission to respond to the
11increasing need for its services and the evolving recognition
12and affirmation of the inherent dignity, right, and societal
13value of persons with disabilities.
 
14    Section 3. Purpose. It is the purpose of this Act to
15support the modernization of the Guardianship and Advocacy
16Commission by establishing the Department of Disability
17Advocacy and Guardianship as the successor agency to the
18Guardianship and Advocacy Commission. The Department of
19Disability Advocacy and Guardianship will maintain and
20strengthen this State's commitment to protecting and advancing
21the rights of persons with disabilities by retaining the core
22statutory duties, authorities, and functions assigned to the
23Guardianship and Advocacy Commission while adopting a
24governance structure that balances direct accountability with
25the independence necessary for effective advocacy.
 

 

 

10400HB0862ham002- 4 -LRB104 04759 SPS 36757 a

1    Section 5. The State Budget Law of the Civil
2Administrative Code of Illinois is amended by changing Section
350-28 as follows:
 
4    (15 ILCS 20/50-28)
5    Sec. 50-28. Youth Budget Commission.
6    (a) As used in this Section:
7    "Adolescent" or "youth" means a person between the ages of
88 and 25 years.
9    "Commission" means the Youth Budget Commission established
10under this Section.
11    "Service models" include the following tiers of service
12delivered to adolescents and their families:
13        (1) Prevention: support for at-risk youth (deterrence,
14    prevention of harm, extra supports).
15        (2) Treatment/intervention: respond to significant
16    challenges in need of direct intervention to change,
17    resolve or reverse behaviors, conditions, or both.
18        (3) Corrective/rehabilitation: correct or
19    rehabilitate acute behaviors or conditions that pose a
20    physical or psychological danger or threat to adolescents.
21        (4) Positive Youth Development: build individual
22    assets and increase competencies.
23    "Youth developmental goals" are defined as the outcomes of
24stable, safe, healthy, educated, employable, and connected,

 

 

10400HB0862ham002- 5 -LRB104 04759 SPS 36757 a

1which align with the following Budgeting for Results goals:
2        (1) Stable: meeting the needs of the most vulnerable;
3    increasing individual and family stability and
4    self-sufficiency.
5        (2) Safe: creating safer communities.
6        (3) Healthy: improving the overall health of
7    Illinoisans.
8        (4) Educated: improving school readiness and student
9    success for all.
10        (5) Employable: increasing employment and attracting,
11    retaining and growing businesses.
12        (6) Connected: strengthening cultural and
13    environmental vitality.
14    (b) Subject to appropriation, the Governor shall establish
15the Youth Budget Commission with the goal of producing an
16annual fiscal scan. The fiscal scan, under the direction of
17the Commission, shall be used to advise the Governor and
18General Assembly, as well as State agencies, on ways to
19improve and expand existing policies, services, programs, and
20opportunities for adolescents. The Governor's Office of
21Management and Budget shall post a link to the fiscal scan on
22its website. For fiscal year 2019 and each fiscal year
23thereafter, the Commission established under this Section,
24shall complete an analysis of enacted State budget items which
25directly impact adolescents. This analysis will categorize
26budget items by the 6 identified youth developmental goals and

 

 

10400HB0862ham002- 6 -LRB104 04759 SPS 36757 a

14 service models. The analysis will include State agency
2expenditures associated with these categories. General State
3Aid and federal funds such as Medicaid will be excluded from
4the analysis.
5    The Commission shall also be responsible for: (1)
6monitoring and commenting on existing and proposed legislation
7and programs designed to address the needs of adolescents; (2)
8assisting State agencies in developing programs, services,
9public policies, and research strategies that will expand and
10enhance the well-being of adolescents; (3) facilitating the
11participation of and representation of adolescents in the
12development, implementation, and planning of policies,
13programs, and community-based services; and (4) promoting
14research efforts to document the impact of policies and
15programs on adolescents.
16    (c) The Commission shall collaborate with State agencies,
17including the Illinois State Board of Education, the
18Department of Human Services, the Department of Children and
19Family Services, the Department of Commerce and Economic
20Opportunity, the Illinois Student Assistance Commission, the
21Department of Healthcare and Family Services, the Department
22of Public Health, the Illinois Community College Board, the
23Department of Juvenile Justice, the Illinois Criminal Justice
24Information Authority, the Department of Military Affairs, the
25Illinois Arts Council, the Department of Corrections, the
26Board of Higher Education, Department of Disability Advocacy

 

 

10400HB0862ham002- 7 -LRB104 04759 SPS 36757 a

1and Illinois Guardianship and Advocacy Commission, Department
2on Aging, and others.
3    (d) The Commission shall be comprised of 15 members
4appointed by the Governor. Each member shall have a working
5knowledge of youth development, human services, and economic
6public policy in Illinois. One chairperson shall be a
7representative of a statewide nonprofit children and family
8services organization who has previously completed a similar
9analysis of the Illinois State budget. The other chairperson
10shall be a member of the General Assembly. Of the remaining
11members:
12        (1) at least one member representing an organization
13    that has expertise in the needs of low-income youth;
14        (2) at least one member representing an organization
15    that has expertise in the needs of youth of color;
16        (3) at least one member representing an organization
17    that has expertise in the needs of youth who are
18    immigrants or are children of immigrants;
19        (4) at least one member representing an organization
20    that has expertise in the needs of youth who identify as
21    LGBTQ, gender non-conforming, or both;
22        (5) at least one member representing an organization
23    that has expertise in the needs of youth who are
24    disconnected from traditional educational systems;
25        (6) at least one member representing an organization
26    that has expertise in the needs of youth who are

 

 

10400HB0862ham002- 8 -LRB104 04759 SPS 36757 a

1    experiencing homelessness; and
2        (7) at least one member representing an organization
3    that has expertise in the needs of youth and young adults
4    involved with the justice system.
5    Commission members shall reflect regional representation
6to ensure that the needs of adolescents throughout the State
7of Illinois are met. Members will serve without compensation,
8but shall be reimbursed for Commission-related expenses. Of
9the initial members appointed under this Section: 5 members
10shall serve for a 3-year term; 5 members shall serve for a
114-year term; and 5 members shall serve for a 5-year term. Their
12successors shall serve for 5-year terms.
13    (e) The Governor's Office of Management and Budget shall
14provide administrative support to the Commission.
15(Source: P.A. 100-818, eff. 8-13-18.)
 
16    Section 10. The Youth Homelessness Prevention Subcommittee
17Act is amended by changing Section 20 as follows:
 
18    (15 ILCS 60/20)
19    Sec. 20. Membership. The Youth Homelessness Prevention
20Subcommittee shall include the following members:
21        (1) One representative from the Governor's office.
22        (2) The Director of the Department of Children and
23    Family Services.
24        (3) The Director of the Department of Healthcare and

 

 

10400HB0862ham002- 9 -LRB104 04759 SPS 36757 a

1    Family Services.
2        (4) The Secretary of the Department of Human Services.
3        (5) The Director of the Department of Juvenile
4    Justice.
5        (6) The Director of the Department of Corrections.
6        (7) The Director of the Department of Public Health.
7        (8) The Director of the Department of Disability
8    Advocacy and Guardianship and Advocacy Commission.
9        (9) Four representatives from agencies serving
10    homeless youth.
11        (10) One representative from a homeless advocacy
12    organization.
13        (11) One representative from a juvenile justice
14    advocacy organization.
15        (12) Four youth who have a lived experience with
16    homelessness.
17(Source: P.A. 101-98, eff. 1-1-20.)
 
18    Section 15. The Civil Administrative Code of Illinois is
19amended by changing Sections 5-15 and 5-20 and by adding
20Sections 5-218, 5-348, and 5-543 as follows:
 
21    (20 ILCS 5/5-15)  (was 20 ILCS 5/3)
22    Sec. 5-15. Departments of State government. The
23Departments of State government are created as follows:
24        The Department on Aging.

 

 

10400HB0862ham002- 10 -LRB104 04759 SPS 36757 a

1        The Department of Agriculture.
2        The Department of Central Management Services.
3        The Department of Children and Family Services.
4        The Department of Commerce and Economic Opportunity.
5        The Department of Corrections.
6        The Department of Disability Advocacy and
7    Guardianship.
8        The Department of Early Childhood.
9        The Department of Employment Security.
10        The Illinois Emergency Management Agency.
11        The Department of Financial and Professional
12    Regulation.
13        The Department of Healthcare and Family Services.
14        The Department of Human Rights.
15        The Department of Human Services.
16        The Department of Innovation and Technology.
17        The Department of Insurance.
18        The Department of Juvenile Justice.
19        The Department of Labor.
20        The Department of the Lottery.
21        The Department of Natural Resources.
22        The Department of Public Health.
23        The Department of Revenue.
24        The Illinois State Police.
25        The Department of Transportation.
26        The Department of Veterans Affairs.

 

 

10400HB0862ham002- 11 -LRB104 04759 SPS 36757 a

1(Source: P.A. 103-594, eff. 6-25-24; 104-234, eff. 8-15-25.)
 
2    (20 ILCS 5/5-20)  (was 20 ILCS 5/4)
3    Sec. 5-20. Heads of departments. Each department shall
4have an officer as its head who shall be known as director or
5secretary and who shall, subject to the provisions of the
6Civil Administrative Code of Illinois, execute the powers and
7discharge the duties vested by law in his or her respective
8department.
9    The following officers are hereby created:
10        Director of Aging, for the Department on Aging.
11        Director of Agriculture, for the Department of
12    Agriculture.
13        Director of Central Management Services, for the
14    Department of Central Management Services.
15        Director of Children and Family Services, for the
16    Department of Children and Family Services.
17        Director of Commerce and Economic Opportunity, for the
18    Department of Commerce and Economic Opportunity.
19        Director of Corrections, for the Department of
20    Corrections.
21        Director of Disability Advocacy and Guardianship, for
22    the Department of Disability Advocacy and Guardianship.
23        Director of the Illinois Emergency Management Agency,
24    for the Illinois Emergency Management Agency.
25        Secretary of Early Childhood, for the Department of

 

 

10400HB0862ham002- 12 -LRB104 04759 SPS 36757 a

1    Early Childhood.
2        Director of Employment Security, for the Department of
3    Employment Security.
4        Secretary of Financial and Professional Regulation,
5    for the Department of Financial and Professional
6    Regulation.
7        Director of Healthcare and Family Services, for the
8    Department of Healthcare and Family Services.
9        Director of Human Rights, for the Department of Human
10    Rights.
11        Secretary of Human Services, for the Department of
12    Human Services.
13        Secretary of Innovation and Technology, for the
14    Department of Innovation and Technology.
15        Director of Insurance, for the Department of
16    Insurance.
17        Director of Juvenile Justice, for the Department of
18    Juvenile Justice.
19        Director of Labor, for the Department of Labor.
20        Director of the Lottery, for the Department of the
21    Lottery.
22        Director of Natural Resources, for the Department of
23    Natural Resources.
24        Director of Public Health, for the Department of
25    Public Health.
26        Director of Revenue, for the Department of Revenue.

 

 

10400HB0862ham002- 13 -LRB104 04759 SPS 36757 a

1        Director of the Illinois State Police, for the
2    Illinois State Police.
3        Secretary of Transportation, for the Department of
4    Transportation.
5        Director of Veterans Affairs, for the Department of
6    Veterans Affairs.
7(Source: P.A. 103-594, eff. 6-25-24; 104-234, eff. 8-15-25.)
 
8    (20 ILCS 5/5-218 new)
9    Sec. 5-218. Director of Disability Advocacy and
10Guardianship. The Director of Disability Advocacy and
11Guardianship shall be a person thoroughly conversant with the
12purposes of the Guardianship and Advocacy Act, actively
13interested in the development of programs to advocate for
14individuals with disabilities, and not affiliated with any
15entity that provides services to individuals with
16disabilities.
 
17    (20 ILCS 5/5-348 new)
18    Sec. 5-348. In the Department of Disability Advocacy and
19Guardianship. For terms beginning on or after July 1, 2027,
20the Director of Disability Advocacy and Guardianship shall
21receive an annual salary of $197,000 or as set by the Governor,
22whichever is higher. On each July 1 thereafter, the Director
23shall receive an increase in salary based on a cost-of-living
24adjustment as authorized by Senate Joint Resolution 192 of the

 

 

10400HB0862ham002- 14 -LRB104 04759 SPS 36757 a

186th General Assembly.
 
2    (20 ILCS 5/5-543 new)
3    Sec. 5-543. In the Department of Disability Advocacy and
4Guardianship. A Disability Advocacy and Guardianship Advisory
5Council composed and appointed as provided in the Guardianship
6and Advocacy Act.
 
7    Section 20. The Department of Innovation and Technology
8Act is amended by changing Section 1-5 as follows:
 
9    (20 ILCS 1370/1-5)
10    Sec. 1-5. Definitions. In this Act:
11    "Dedicated unit" means the dedicated bureau, division,
12office, or other unit within a transferred agency that is
13responsible for the information technology functions of the
14transferred agency.
15    "Department" means the Department of Innovation and
16Technology.
17    "Information technology" means technology,
18infrastructure, equipment, systems, software, networks, and
19processes used to create, send, receive, and store electronic
20or digital information, including, without limitation,
21computer systems and telecommunication services and systems.
22"Information technology" shall be construed broadly to
23incorporate future technologies that change or supplant those

 

 

10400HB0862ham002- 15 -LRB104 04759 SPS 36757 a

1in effect as of the effective date of this Act.
2    "Information technology functions" means the development,
3procurement, installation, retention, maintenance, operation,
4possession, storage, and related functions of all information
5technology.
6    "Secretary" means the Secretary of Innovation and
7Technology.
8    "State agency" means each State agency, department, board,
9and commission under the jurisdiction of the Governor to which
10the Department provides services.
11    "Transferred agency" means the Department on Aging; the
12Departments of Agriculture, Central Management Services,
13Children and Family Services, Commerce and Economic
14Opportunity, Corrections, Employment Security, Financial and
15Professional Regulation, Healthcare and Family Services, Human
16Rights, Human Services, Insurance, Juvenile Justice, Labor,
17Lottery, Military Affairs, Natural Resources, Public Health,
18Revenue, Transportation, and Veterans' Affairs; the Illinois
19State Police; the Capital Development Board; the Deaf and Hard
20of Hearing Commission; the Environmental Protection Agency;
21the Governor's Office of Management and Budget; the Department
22of Disability Advocacy and Guardianship and Advocacy
23Commission; the Abraham Lincoln Presidential Library and
24Museum; the Illinois Arts Council; the Illinois Council on
25Developmental Disabilities; the Illinois Emergency Management
26Agency; the Illinois Gaming Board; the Illinois Liquor Control

 

 

10400HB0862ham002- 16 -LRB104 04759 SPS 36757 a

1Commission; the Office of the State Fire Marshal; the Prisoner
2Review Board; and the Department of Early Childhood.
3(Source: P.A. 103-588, eff. 6-5-24; 104-195, eff. 1-1-26.)
 
4    Section 25. The Mental Health and Developmental
5Disabilities Administrative Act is amended by changing
6Sections 4.3 and 14 as follows:
 
7    (20 ILCS 1705/4.3)  (from Ch. 91 1/2, par. 100-4.3)
8    Sec. 4.3. Site visits and inspections.
9    (a) (Blank).
10    (b) The Department shall establish a system of regular and
11ongoing on-site inspections that shall occur at least annually
12of each facility under its jurisdiction. The inspections shall
13be conducted by the Department's central office to:
14        (1) Determine facility compliance with Department
15    policies and procedures;
16        (2) Determine facility compliance with audit
17    recommendations;
18        (3) Evaluate facility compliance with applicable
19    federal standards;
20        (4) Review and follow up on complaints made by
21    community mental health agencies and advocates, and on
22    findings of the Division of Disability Human Rights and
23    Protections Authority division of the Department of
24    Disability Advocacy and Guardianship and Advocacy

 

 

10400HB0862ham002- 17 -LRB104 04759 SPS 36757 a

1    Commission;
2        (5) Review administrative and management problems
3    identified by other sources; and
4        (6) Identify and prevent abuse and neglect.
5(Source: P.A. 95-427, eff. 1-1-08.)
 
6    (20 ILCS 1705/14)  (from Ch. 91 1/2, par. 100-14)
7    Sec. 14. Chester Mental Health Center. To maintain and
8operate a facility for the care, custody, and treatment of
9persons with mental illness or habilitation of persons with
10developmental disabilities hereinafter designated, to be known
11as the Chester Mental Health Center.
12    Within the Chester Mental Health Center there shall be
13confined the following classes of persons, whose history, in
14the opinion of the Department, discloses dangerous or violent
15tendencies and who, upon examination under the direction of
16the Department, have been found a fit subject for confinement
17in that facility:
18        (a) Any male person who is charged with the commission
19    of a crime but has been acquitted by reason of insanity as
20    provided in Section 5-2-4 of the Unified Code of
21    Corrections.
22        (b) Any male person who is charged with the commission
23    of a crime but has been found unfit under Article 104 of
24    the Code of Criminal Procedure of 1963.
25        (c) Any male person with mental illness or

 

 

10400HB0862ham002- 18 -LRB104 04759 SPS 36757 a

1    developmental disabilities or person in need of mental
2    treatment now confined under the supervision of the
3    Department or hereafter admitted to any facility thereof
4    or committed thereto by any court of competent
5    jurisdiction.
6    If and when it shall appear to the facility director of the
7Chester Mental Health Center that it is necessary to confine
8persons in order to maintain security or provide for the
9protection and safety of recipients and staff, the Chester
10Mental Health Center may confine all persons on a unit to their
11rooms. This period of confinement shall not exceed 10 hours in
12a 24-hour 24 hour period, including the recipient's scheduled
13hours of sleep, unless approved by the Secretary of the
14Department. During the period of confinement, the persons
15confined shall be observed at least every 15 minutes. A record
16shall be kept of the observations. This confinement shall not
17be considered seclusion as defined in the Mental Health and
18Developmental Disabilities Code.
19    The facility director of the Chester Mental Health Center
20may authorize the temporary use of handcuffs on a recipient
21for a period not to exceed 10 minutes when necessary in the
22course of transport of the recipient within the facility to
23maintain custody or security. Use of handcuffs is subject to
24the provisions of Section 2-108 of the Mental Health and
25Developmental Disabilities Code. The facility shall keep a
26monthly record listing each instance in which handcuffs are

 

 

10400HB0862ham002- 19 -LRB104 04759 SPS 36757 a

1used, circumstances indicating the need for use of handcuffs,
2and time of application of handcuffs and time of release
3therefrom. The facility director shall allow the Department of
4Disability Advocacy and Illinois Guardianship and Advocacy
5Commission, the agency designated by the Governor under
6Section 1 of the Protection and Advocacy for Persons with
7Developmental Disabilities Act, and the Department to examine
8and copy such record upon request.
9    The facility director of the Chester Mental Health Center
10may authorize the temporary use of transport devices on a
11civil recipient when necessary in the course of transport of
12the civil recipient outside the facility to maintain custody
13or security. The decision whether to use any transport devices
14shall be reviewed and approved on an individualized basis by a
15physician, an advanced practice registered nurse, or a
16physician assistant based upon a determination of the civil
17recipient's: (1) history of violence, (2) history of violence
18during transports, (3) history of escapes and escape attempts,
19(4) history of trauma, (5) history of incidents of restraint
20or seclusion and use of involuntary medication, (6) current
21functioning level and medical status, and (7) prior experience
22during similar transports, and the length, duration, and
23purpose of the transport. The least restrictive transport
24device consistent with the individual's need shall be used.
25Staff transporting the individual shall be trained in the use
26of the transport devices, recognizing and responding to a

 

 

10400HB0862ham002- 20 -LRB104 04759 SPS 36757 a

1person in distress, and shall observe and monitor the
2individual while being transported. The facility shall keep a
3monthly record listing all transports, including those
4transports for which use of transport devices was not sought,
5those for which use of transport devices was sought but
6denied, and each instance in which transport devices are used,
7circumstances indicating the need for use of transport
8devices, time of application of transport devices, time of
9release from those devices, and any adverse events. The
10facility director shall allow the Department of Disability
11Advocacy and Illinois Guardianship and Advocacy Commission,
12the agency designated by the Governor under Section 1 of the
13Protection and Advocacy for Persons with Developmental
14Disabilities Act, and the Department to examine and copy the
15record upon request. This use of transport devices shall not
16be considered restraint as defined in the Mental Health and
17Developmental Disabilities Code. For the purpose of this
18Section "transport device" means ankle cuffs, handcuffs, waist
19chains or wrist-waist devices designed to restrict an
20individual's range of motion while being transported. These
21devices must be approved by the Division of Mental Health,
22used in accordance with the manufacturer's instructions, and
23used only by qualified staff members who have completed all
24training required to be eligible to transport patients and all
25other required training relating to the safe use and
26application of transport devices, including recognizing and

 

 

10400HB0862ham002- 21 -LRB104 04759 SPS 36757 a

1responding to signs of distress in an individual whose
2movement is being restricted by a transport device.
3    If and when it shall appear to the satisfaction of the
4Department that any person confined in the Chester Mental
5Health Center is not or has ceased to be such a source of
6danger to the public as to require his subjection to the
7regimen of the center, the Department is hereby authorized to
8transfer such person to any State facility for treatment of
9persons with mental illness or habilitation of persons with
10developmental disabilities, as the nature of the individual
11case may require.
12    Subject to the provisions of this Section, the Department,
13except where otherwise provided by law, shall, with respect to
14the management, conduct and control of the Chester Mental
15Health Center and the discipline, custody and treatment of the
16persons confined therein, have and exercise the same rights
17and powers as are vested by law in the Department with respect
18to any and all of the State facilities for treatment of persons
19with mental illness or habilitation of persons with
20developmental disabilities, and the recipients thereof, and
21shall be subject to the same duties as are imposed by law upon
22the Department with respect to such facilities and the
23recipients thereof.
24    The Department may elect to place persons who have been
25ordered by the court to be detained under the Sexually Violent
26Persons Commitment Act in a distinct portion of the Chester

 

 

10400HB0862ham002- 22 -LRB104 04759 SPS 36757 a

1Mental Health Center. The persons so placed shall be separated
2and shall not comingle with the recipients of the Chester
3Mental Health Center. The portion of Chester Mental Health
4Center that is used for the persons detained under the
5Sexually Violent Persons Commitment Act shall not be a part of
6the mental health facility for the enforcement and
7implementation of the Mental Health and Developmental
8Disabilities Code nor shall their care and treatment be
9subject to the provisions of the Mental Health and
10Developmental Disabilities Code. The changes added to this
11Section by this amendatory Act of the 98th General Assembly
12are inoperative on and after June 30, 2015.
13(Source: P.A. 99-143, eff. 7-27-15; 99-581, eff. 1-1-17;
14100-513, eff. 1-1-18.)
 
15    Section 30. The Guardianship and Advocacy Act is amended
16by changing the title of the Act and Sections 2, 3, 4, 5, 6, 7,
178, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24,
1825, 26, 27, 28, 30, 31, 32, 33.5, 34, and 36 as follows:
 
19    (20 ILCS 3955/Act title)
20    An Act concerning the Department of Disability Advocacy
21and Guardianship, created to safeguard the rights of and
22advocate for persons with disabilities to create the
23Guardianship and Advocacy Commission, to safeguard the rights
24and to provide legal counsel and representation for eligible

 

 

10400HB0862ham002- 23 -LRB104 04759 SPS 36757 a

1persons and to create the Office of State Guardian for persons
2with disabilities.
 
3    (20 ILCS 3955/2)  (from Ch. 91 1/2, par. 702)
4    Sec. 2. As used in this Act, unless the context requires
5otherwise:
6    "Advisory Council" means the Disability Advocacy and
7Guardianship Advisory Council created by Section 5-543 of the
8Civil Administrative Code of Illinois.
9    (a) "Authority" means a Human Rights Authority.
10    (b) "Department Commission" means the Department of
11Disability Advocacy and Guardianship and Advocacy Commission.
12    (c) "Director" means the Director of the Department
13Guardianship and Advocacy Commission.
14    (d) "Guardian" means a court-appointed court appointed
15guardian for an adult or conservator.
16    (e) "Services" includes but is not limited to examination,
17diagnosis, evaluation, treatment, care, training,
18psychotherapy, pharmaceuticals, after-care, habilitation, and
19rehabilitation provided for an eligible person.
20    (f) "Person" means an individual, corporation,
21partnership, association, unincorporated organization, or a
22government or any subdivision, agency, or instrumentality
23thereof.
24    (g) "Eligible persons" means individuals who have
25received, are receiving, have requested, or may be in need of

 

 

10400HB0862ham002- 24 -LRB104 04759 SPS 36757 a

1mental health services, or are "persons with a "developmental
2disability" as defined in the federal Developmental
3Disabilities Assistance and Bill of Rights Act of 2000 (42
4U.S.C. 15002(8)) Services and Facilities Construction Act
5(Public Law 94-103, Title II), as now or hereafter amended, or
6"persons "with one or more disabilities" as defined in the
7Rehabilitation of Persons with Disabilities Act.
8    "Regional board" means a regional board of the Division of
9Disability Rights and Protections.
10    (h) "Rights" includes but is not limited to all rights,
11benefits, and privileges guaranteed by law, the Constitution
12of the State of Illinois, and the Constitution of the United
13States.
14    (i) "Legal Advocacy Service attorney" means an attorney
15employed by or under contract with the Division of Legal
16Advocacy Service.
17    (j) "Service provider" means any public or private
18facility, center, hospital, clinic, program, or any other
19person devoted in whole or in part to providing services to
20eligible persons.
21    (k) "State Guardian" means the Division Office of State
22Guardian.
23    (l) "Ward" means a ward as defined by the Probate Act of
241975, as now or hereafter amended, who is at least 18 years of
25age.
26(Source: P.A. 99-143, eff. 7-27-15.)
 

 

 

10400HB0862ham002- 25 -LRB104 04759 SPS 36757 a

1    (20 ILCS 3955/3)  (from Ch. 91 1/2, par. 703)
2    Sec. 3. The Department of Disability Advocacy and
3Guardianship and Advocacy Commission is hereby created as an
4executive agency of state government. The Division of Legal
5Advocacy Service, the Division of Disability Rights and
6Protections, Human Rights Authority and the Division Office of
7State Guardian shall be established as divisions of the
8Department Commission.
9(Source: P.A. 80-1487.)
 
10    (20 ILCS 3955/4)  (from Ch. 91 1/2, par. 704)
11    Sec. 4. (a) The Advisory Council Commission shall consist
12of 11 members, one of whom shall be a senior citizen age 60 or
13over, who shall be appointed by the Governor, with the advice
14and consent of the Senate, taking into account the
15requirements of State and federal statutes. At least one
16member of the Advisory Council shall be a senior citizen age 60
17or older. At least one member shall be a person with one or
18more disabilities or members of their families who receive
19services and support as required under Section 15 of the
20Persons with Disabilities on State Agency Boards Act. All
21appointments shall be filed with the Secretary of State by the
22appointing authority , with the advice and consent of the
23Senate.
24    All appointments shall be filed with the Secretary of

 

 

10400HB0862ham002- 26 -LRB104 04759 SPS 36757 a

1State by the appointing authority.
2    (b) The terms of the original members of the Advisory
3Council shall be the immediate former members of the
4Guardianship and Advocacy Commission serving an unexpired term
5on the Guardianship and Advocacy Commission on the day before
6the effective date of this amendatory Act of the 104th General
7Assembly, who shall continue to serve out their immediate
8terms on the Advisory Council and may serve up to 2 full
9consecutive terms thereafter. Any terms as a member of the
10Guardianship and Advocacy Commission immediately preceding the
11creation of the Department shall be considered in determining
12term limits. The terms shall be 3 years beginning on July 1,
13with each member serving no more than 2 full consecutive
14terms. All terms shall continue until a successor is appointed
153 one year terms, 3 two year terms, and 3 three year terms, all
16terms to continue until a successor is appointed and
17qualified. The length of the terms of the original members
18shall be drawn by lot of the first meeting held by the
19Commission. The members first appointed under this amendatory
20Act of 1984 shall serve for a term of 3 years. Thereafter all
21terms shall be for 3 years, with each member serving no more
22than 2 consecutive terms. Vacancies in the membership are to
23be filled in the same manner as original appointments.
24Appointments to fill vacancies occurring before the expiration
25of a term are for the remainder of the unexpired term. A member
26of the Commission shall serve for a term ending on June 30 and

 

 

10400HB0862ham002- 27 -LRB104 04759 SPS 36757 a

1until his successor is appointed and qualified.
2    (c) The Advisory Council Commission shall annually elect a
3Chair and a Vice-Chair Chairman and any other officers it
4deems necessary. The Advisory Council Commission shall meet at
5least once every 3 times annually. A majority of the members of
6the Advisory Council, excluding vacancies, constitutes a
7quorum months with the times and places of meetings determined
8by the Chairman. Additional meetings may be called by the
9Chairman upon written notice 7 days before the meeting or by
10written petition of 5 members to the Chairman. Six members of
11the Commission constitute a quorum.
12    (d) Members of the Advisory Council Commission are not
13entitled to compensation but shall receive reimbursement for
14actual expenses incurred in the performance of their duties.
15    (e) The Advisory Council shall advise and make
16recommendations to the Department for the development of
17policies and operations that will aid in carrying out the
18purposes of this Act.
19(Source: P.A. 83-1538.)
 
20    (20 ILCS 3955/5)  (from Ch. 91 1/2, par. 705)
21    Sec. 5. (a) The Department Commission shall establish
22throughout the State such regions as it considers appropriate
23to effectuate the purposes of the Division of Disability
24Rights and Protections Authority under this Act, taking into
25account the requirements of State and federal statutes;

 

 

10400HB0862ham002- 28 -LRB104 04759 SPS 36757 a

1population; civic, health and social service boundaries; and
2other pertinent factors.
3    (b) The Department may Commission shall act through its
4divisions as provided in this Act.
5    (c) The Department Commission shall establish general
6policy guidelines for the operation of the Division of Legal
7Advocacy Service, the Division of Disability Human Rights and
8Protections, Authority and the Division of State Guardian in
9furtherance of this Act. The policy guidelines shall ensure
10that each division makes decisions with an appropriate level
11of independence. Any action taken by a regional board
12authority is subject to the review and approval of the
13Director Commission. The Director Commission, acting on a
14request from the Director, may disapprove any action of a
15regional board authority, in which case the regional board
16authority shall cease such action.
17    (d) The Director Commission shall hire a Director and
18staff to carry out the powers and duties of the Department
19Commission and its divisions pursuant to this Act and the
20rules and regulations promulgated by the Department
21Commission. All staff, other than the Director, shall be
22subject to the Personnel Code.
23    (e) (Blank). The Commission shall review and evaluate the
24operations of the divisions.
25    (f) The Department Commission shall operate subject to the
26provisions of the Illinois Procurement Code.

 

 

10400HB0862ham002- 29 -LRB104 04759 SPS 36757 a

1    (g) The Department Commission shall prepare its budget.
2    (h) The Department Commission shall prepare an annual
3report on its operations and submit the report to the Governor
4and the General Assembly.
5    The requirement for reporting to the General Assembly
6shall be satisfied by filing copies of the report as required
7by Section 3.1 of the General Assembly Organization Act, and
8filing such additional copies with the State Government Report
9Distribution Center for the General Assembly as is required
10under paragraph (t) of Section 7 of the State Library Act.
11    (i) The Department Commission shall establish rules and
12regulations for the conduct of the work of its divisions,
13including rules and regulations for the Division of Legal
14Advocacy Service and the Division of State Guardian in
15evaluating an eligible person's or ward's financial resources
16for the purpose of determining whether the eligible person or
17ward has the ability to pay for legal or guardianship services
18received. The determination of the eligible person's financial
19ability to pay for legal services shall be based upon the
20number of dependents in the eligible person's family unit and
21the income, liquid assets and necessary expenses, as
22prescribed by rule of the Department Commission of: (1) the
23eligible person; (2) the eligible person's spouse; and (3) the
24parents of minor eligible persons. The determination of a
25ward's ability to pay for guardianship services shall be based
26upon the ward's estate. An eligible person or ward found to

 

 

10400HB0862ham002- 30 -LRB104 04759 SPS 36757 a

1have sufficient financial resources shall be required to pay
2the Department Commission in accordance with standards
3established by the Department Commission. No fees may be
4charged for legal services given unless the eligible person is
5given notice at the start of such services that such fees might
6be charged. No fees may be charged for guardianship services
7given unless the ward is given notice of the request for fees
8filed with the probate court and the court approves the amount
9of fees to be assessed. All fees collected shall be deposited
10with the State Treasurer and placed in the Guardianship and
11Advocacy Fund. The Department Commission shall establish rules
12and regulations regarding the procedures of appeal for clients
13prior to termination or suspension of legal services. Such
14rules and regulations shall include, but not be limited to,
15client notification procedures prior to the actual
16termination, the scope of issues subject to appeal, and
17procedures specifying when a final administrative decision is
18made.
19    (j) The Department Commission shall take such actions as
20it deems necessary and appropriate to receive private, federal
21and other public funds to help support the divisions and to
22safeguard the rights of eligible persons. Private funds and
23property may be accepted, held, maintained, administered and
24disposed of by the Department Commission, as trustee, for such
25purposes for the benefit of the People of the State of Illinois
26pursuant to the terms of the instrument granting the funds or

 

 

10400HB0862ham002- 31 -LRB104 04759 SPS 36757 a

1property to the Department Commission.
2    (k) The Department Commission may expend funds under the
3State's plan to protect and advocate the rights of persons
4with a developmental disability established under the federal
5Developmental Disabilities Assistance and Bill of Rights Act
6of 2000 Services and Facilities Construction Act (Public Law
794-103, Title II). If the Governor designates the Department
8Commission to be the organization or agency to provide the
9services called for in the State plan, the Department
10Commission shall make these protection and advocacy services
11available to persons with a developmental disability by
12referral or by contracting for these services to the extent
13practicable. If the Department Commission is unable to so make
14available such protection and advocacy services, it shall
15provide them through persons in its own employ.
16    (l) The Department Commission shall, to the extent funds
17are available, monitor issues concerning the rights of
18eligible persons and the care and treatment provided to those
19persons, including but not limited to the incidence of abuse
20or neglect of eligible persons. For purposes of that
21monitoring the Department Commission shall have access to
22reports of suspected abuse or neglect and information
23regarding the disposition of such reports, subject to the
24provisions of the Mental Health and Developmental Disabilities
25Confidentiality Act.
26(Source: P.A. 100-1148, eff. 12-10-18.)
 

 

 

10400HB0862ham002- 32 -LRB104 04759 SPS 36757 a

1    (20 ILCS 3955/6)  (from Ch. 91 1/2, par. 706)
2    Sec. 6. (a) The Department Commission may recommend to any
3State agency or service provider regulations or procedures for
4the purpose of safeguarding the rights of eligible persons.
5The State agency or service provider shall notify the
6Department Commission, within 60 days of the receipt of the
7recommendations, of the action taken thereon and the reason
8therefor. The Department Commission shall not make
9recommendations that which interfere with the proper practice
10of medical or other professions.
11    (b) The Department Commission may recommend to the General
12Assembly legislation for the purpose of safeguarding the
13rights of eligible persons.
14    (c) The Department Commission may take any other action as
15may be reasonable to carry out the purposes of this Act.
16(Source: P.A. 80-1487.)
 
17    (20 ILCS 3955/7)  (from Ch. 91 1/2, par. 707)
18    Sec. 7. The Director shall:
19        (1) carry out the policies and programs of the
20    Department; Commission and
21        (2) coordinate the activities of the its divisions of
22    the Department; and may delegate to the Human Rights
23    Authority Director any duties described in Sections 14,
24    15, and 16 of this Act.

 

 

10400HB0862ham002- 33 -LRB104 04759 SPS 36757 a

1        (3) organize and administer programs to provide legal
2    counsel and representation for eligible persons to ensure
3    that their legal rights are protected;
4        (4) examine and delineate the needs of eligible
5    persons for legal counsel and representation and the
6    resources necessary to meet those needs, subject to the
7    approval of the Department; and
8        (5) institute or cause to be instituted legal
9    proceedings as may be necessary to enforce and give effect
10    to any of the duties or powers of the Department or its
11    divisions.
12(Source: P.A. 96-271, eff. 1-1-10.)
 
13    (20 ILCS 3955/8)  (from Ch. 91 1/2, par. 708)
14    Sec. 8. The Director may delegate to employees of the
15Department any of the duties described in Section 7 of this
16Act. shall:
17    (1) Organize and administer programs to provide legal
18counsel and representation for eligible persons so as to
19ensure that their legal rights are protected;
20    (2) Examine and delineate the needs of eligible persons
21for legal counsel and representation and the resources
22necessary to meet those needs, subject to the approval of the
23Commission; and
24    (3) Institute or cause to be instituted such legal
25proceedings as may be necessary to enforce and give effect to

 

 

10400HB0862ham002- 34 -LRB104 04759 SPS 36757 a

1any of the duties or powers of the Commission or its divisions.
2(Source: P.A. 80-1487.)
 
3    (20 ILCS 3955/10)  (from Ch. 91 1/2, par. 710)
4    Sec. 10. The Division of Legal Advocacy Service shall:
5    (1) Make available legal counsel to eligible persons in
6judicial proceedings arising out of the "Mental Health and
7Developmental Disabilities Code", enacted by the Eightieth
8General Assembly, as now or hereafter amended, including but
9not limited to admission, civil commitment, involuntary
10treatment, legal competency and discharge;
11    (2) Make available or provide legal counsel and
12representation to eligible persons to enforce rights or duties
13arising out of any mental health or related laws, local, State
14or federal.
15(Source: P.A. 80-1487.)
 
16    (20 ILCS 3955/11)  (from Ch. 91 1/2, par. 711)
17    Sec. 11. The Division of Legal Advocacy Service shall make
18available counsel for eligible persons by referral or by
19contracting for legal services to the extent practicable. The
20Division of Legal Advocacy Service shall make a good faith
21effort to assist eligible persons to engage private counsel,
22and to contact private counsel for eligible persons whose
23disabilities limit their capacity to independently contact
24private counsel. If the Division of Legal Advocacy Service is

 

 

10400HB0862ham002- 35 -LRB104 04759 SPS 36757 a

1unable to so make available counsel, it shall provide
2attorneys in its own employ. Taking into consideration the
3availability of private counsel in the eligible person's local
4area, the Department Commission shall establish, by rule, the
5standards and procedures by which it will attempt to assist
6eligible persons to engage private counsel.
7(Source: P.A. 84-1358.)
 
8    (20 ILCS 3955/12)  (from Ch. 91 1/2, par. 712)
9    Sec. 12. A Legal Advocacy Service attorney shall:
10    (1) have ready access to view and copy all mental health
11records pertaining to his client, as provided in the "Mental
12Health and Developmental Disabilities Confidentiality Act",
13enacted by the Eightieth General Assembly, as now or hereafter
14amended, and such other records to which he is permitted
15access; and
16    (2) have the opportunity to consult with his client
17whenever necessary for the performance of his duties. Service
18providers shall provide adequate space and privacy for the
19purpose of attorney-client consultation. No attorney shall
20have the right to visit eligible persons or look at their
21records for the purpose of soliciting cases for
22representation.
23(Source: P.A. 80-1487.)
 
24    (20 ILCS 3955/13)  (from Ch. 91 1/2, par. 713)

 

 

10400HB0862ham002- 36 -LRB104 04759 SPS 36757 a

1    Sec. 13. Nothing in this Act shall be construed to
2prohibit an eligible person from being represented by
3privately retained counsel or from waiving his right to an
4attorney in proceedings under the "Mental Health and
5Developmental Disabilities Code", approved by the Eightieth
6General Assembly, as now or hereafter amended, or as otherwise
7provided by law. If a Legal Advocacy Service attorney has been
8appointed by a court and the eligible person secures his own
9counsel or is permitted to self-represent, the court shall
10discharge the Legal Advocacy Service attorney.
11(Source: P.A. 80-1487.)
 
12    (20 ILCS 3955/14)  (from Ch. 91 1/2, par. 714)
13    Sec. 14. Each regional board authority shall consist of at
14least 7 members and no more than 9 members appointed by the
15Director, in accordance with this Section. Each regional board
16authority shall include insofar as possible one professionally
17knowledgeable and broadly experienced employee or officer of a
18provider of each of the following services: mental health,
19developmental disabilities, and vocational rehabilitation. No
20other employee or officer of a service provider shall be
21appointed to a regional board authority. In making
22appointments, the Director shall strive to ensure
23representation of minority groups and of eligible persons, and
24shall give due consideration to recommendations of persons and
25groups assisting eligible persons. The Director may remove for

 

 

10400HB0862ham002- 37 -LRB104 04759 SPS 36757 a

1incompetence, neglect of duty, or malfeasance in office any
2member of a regional board authority. Each member of a
3regional board shall become a member of a regional board while
4retaining the existing end date of the member's current term.
5All terms shall be for 3 years, with each member serving no
6more than 2 consecutive terms, including terms as a member of a
7regional authority of the Guardianship and Advocacy Commission
8immediately preceding the creation of the Department. No
9member shall serve for more than 2 full consecutive 3-year
10terms. A quorum shall consist of a majority of appointed
11members, excluding vacancies All actions taken by the Director
12to appoint or remove members shall be reported to the
13Commission at the next scheduled Commission meeting.
14    Each regional board authority shall annually elect a Chair
15chairman and any other officers it deems necessary. Members of
16the regional authorities shall serve for a term of 3 years,
17except that the terms of the first appointees shall be as
18follows: 3 members serving for a 1 year term; 3 members serving
19for a 2 year term; and 3 members serving for a 3 year term.
20Assignment of terms of such first appointees shall be by lot.
21No member shall serve for more than 2 consecutive 3 year terms.
22A quorum shall consist of a majority of appointed members.
23    Vacancies in the regional board authorities shall be
24filled by the Director. Appointments to fill vacancies
25occurring before the expiration of a term are for the
26remainder of the unexpired term in the same manner as original

 

 

10400HB0862ham002- 38 -LRB104 04759 SPS 36757 a

1appointments.
2    Members of the regional board authorities shall serve
3without compensation but shall be reimbursed for actual
4expenses incurred in the performance of their duties.
5    Each regional board authority shall meet not less than
6once every 2 months. Meetings may also be held upon call of the
7Regional Chair Chairman or upon written request of a majority
8of the appointed any 5 members of the regional board,
9excluding vacancies authority.
10(Source: P.A. 104-273, eff. 1-1-26.)
 
11    (20 ILCS 3955/15)  (from Ch. 91 1/2, par. 715)
12    Sec. 15. A regional board that authority which receives a
13complaint alleging that the rights of an eligible person have
14been violated in the region in which the regional board
15authority sits, shall conduct an investigation unless it
16determines that the complaint is frivolous or beyond the scope
17of its authority or competence, or unless the Director finds
18that a conflict of interest exists and directs another
19regional board authority to conduct the investigation. The
20regional board authority shall inform the complainant of
21whether it will conduct an investigation, and if not, the
22reason therefor. The regional board authority may advise a
23complainant as to other remedies which may be available.
24Reassignments of investigations for conflicts of interest and
25refusals to investigate shall be reviewed and approved by the

 

 

10400HB0862ham002- 39 -LRB104 04759 SPS 36757 a

1Director and the Director may seek direction from the
2Commission.
3(Source: P.A. 96-271, eff. 1-1-10.)
 
4    (20 ILCS 3955/16)  (from Ch. 91 1/2, par. 716)
5    Sec. 16. A regional board authority may conduct
6investigations upon its own initiative if it has reason to
7believe that the rights of an eligible person have been
8violated in the region in which the regional board authority
9sits, unless the Director finds that a conflict of interest
10exists and directs another regional board authority to conduct
11the investigation.
12(Source: P.A. 96-271, eff. 1-1-10.)
 
13    (20 ILCS 3955/17)  (from Ch. 91 1/2, par. 717)
14    Sec. 17. In the course of an investigation, a regional
15board authority may enter and inspect the premises of a
16service provider or State agency and question privately any
17person therein within reasonable limits and in a reasonable
18manner. Whenever possible, prior notice shall be given the
19parties regarding the nature, location, and persons involved
20in a particular investigation.
21(Source: P.A. 80-1416.)
 
22    (20 ILCS 3955/18)  (from Ch. 91 1/2, par. 718)
23    Sec. 18. In the course of an investigation, a regional

 

 

10400HB0862ham002- 40 -LRB104 04759 SPS 36757 a

1board authority may inspect and copy any materials relevant to
2the investigation in the possession of a service provider or
3state agency. However, a regional board authority may not
4inspect or copy materials containing personally identifiable
5data which cannot can not be removed without imposing an
6unreasonable burden on the service provider or State agency,
7except as provided herein. The regional board authority shall
8give written notice to the person entitled to give consent for
9the identifiable eligible person under Section 5 of the
10"Mental Health and Developmental Disabilities Confidentiality
11Act", enacted by the Eightieth General Assembly, as now or
12hereafter amended, or under any other relevant law, that it is
13conducting an investigation and indicating the nature and
14purpose of the investigation and the need to inspect and copy
15materials containing data that identifies the eligible person.
16If the person notified objects in writing to such inspection
17and copying, the regional board authority may not inspect or
18copy such materials. The service provider or State agency may
19not object on behalf of an eligible person.
20(Source: P.A. 80-1487.)
 
21    (20 ILCS 3955/19)  (from Ch. 91 1/2, par. 719)
22    Sec. 19. No regional board authority may disclose to any
23person any materials which identify an eligible person unless
24the eligible person or legally authorized person consents to
25such disclosure, except if and to the extent that disclosure

 

 

10400HB0862ham002- 41 -LRB104 04759 SPS 36757 a

1may be necessary for the appointment of a guardian for such
2eligible person.
3(Source: P.A. 80-1487.)
 
4    (20 ILCS 3955/20)  (from Ch. 91 1/2, par. 720)
5    Sec. 20. A regional board authority may conduct hearings
6and compel by subpoena the attendance and testimony of such
7witnesses and the production of such materials as are
8necessary or desirable for its investigation.
9(Source: P.A. 80-1487.)
 
10    (20 ILCS 3955/21)  (from Ch. 91 1/2, par. 721)
11    Sec. 21. A regional board authority may, subject to the
12provisions of the Open Meetings Act, conduct closed meetings
13and hearings when necessary to ensure confidentiality or to
14protect the rights of any eligible person or provider of
15services or other person. However, it shall make public a
16summary of business conducted during any such meeting or
17hearing. Such summary shall not contain personally
18identifiable data.
19(Source: P.A. 96-271, eff. 1-1-10.)
 
20    (20 ILCS 3955/22)  (from Ch. 91 1/2, par. 722)
21    Sec. 22. During the course of an investigation, the
22regional board authority shall periodically inform the
23complainant, or provider and any eligible person involved of

 

 

10400HB0862ham002- 42 -LRB104 04759 SPS 36757 a

1the status of the investigation.
2(Source: P.A. 80-1487.)
 
3    (20 ILCS 3955/23)  (from Ch. 91 1/2, par. 723)
4    Sec. 23. If a regional board authority finds that:
5    A. a matter should be further considered;
6    B. an act investigated should be modified or cancelled;
7    C. a statute or regulation should be altered;
8    D. reasons should be given for an act; or
9    E. any other action should be taken;
10it shall report its recommendations to the State agency,
11service provider or other person investigated. Such person
12investigated shall notify the regional board authority, within
1330 days of the receipt of such recommendations, of the action
14taken thereon and the reason therefor.
15(Source: P.A. 80-1416.)
 
16    (20 ILCS 3955/24)  (from Ch. 91 1/2, par. 724)
17    Sec. 24. If a regional board authority determines that
18further action is required, it may refer a matter to the
19Director Commission or another division of the Department
20thereof, and any federal, State, or local agency, or other
21persons, as it may deem appropriate and as approved by the
22Director , as it may deem appropriate and as approved by the
23Director.
24(Source: P.A. 96-271, eff. 1-1-10.)
 

 

 

10400HB0862ham002- 43 -LRB104 04759 SPS 36757 a

1    (20 ILCS 3955/25)  (from Ch. 91 1/2, par. 725)
2    Sec. 25. Within 10 days of the completion of its
3investigation, the regional board authority shall inform the
4complainant and the eligible person involved of the outcome of
5its investigation and of any action taken thereon.
6(Source: P.A. 80-1487.)
 
7    (20 ILCS 3955/26)  (from Ch. 91 1/2, par. 726)
8    Sec. 26. Subject to the provisions of Section 19, a
9regional board authority may make public its findings and
10recommendations. It shall include in any such public statement
11any reply made by the State agency, service provider, or other
12person investigated that has requested that the reply be so
13included. The State agency, service provider, or other person
14investigated provider or person shall have opportunity to
15review and object to any proposed public findings and
16recommendations. If the State agency, service provider, or
17other person investigated requests, the objections shall be
18included with public findings and recommendations issued by
19the regional board authority in the this matter.
20(Source: P.A. 80-1416.)
 
21    (20 ILCS 3955/27)  (from Ch. 91 1/2, par. 727)
22    Sec. 27. A regional board authority may, by acting through
23the Director, propose to the Department Commission legislation

 

 

10400HB0862ham002- 44 -LRB104 04759 SPS 36757 a

1for the purpose of safeguarding the rights of eligible
2persons.
3(Source: P.A. 96-271, eff. 1-1-10.)
 
4    (20 ILCS 3955/28)  (from Ch. 91 1/2, par. 728)
5    Sec. 28. A regional board authority may take such other
6action as may be reasonable and appropriate to carry out the
7purposes of this Act.
8(Source: P.A. 80-1416.)
 
9    (20 ILCS 3955/30)  (from Ch. 91 1/2, par. 730)
10    Sec. 30. When appointed by the court pursuant to the
11"Probate Act of 1975", approved August 7, 1975, as now or
12hereafter amended, the Division of State Guardian shall serve
13as guardian, either plenary or limited; temporary guardian;
14testamentary guardian; or successor guardian; of the person or
15the estate, or both, of a ward. If nomination is testamentary
16the Division of State Guardian shall be notified in writing at
17the time of the death of the testator. The Division Office of
18State Guardian may file a petition for its own appointment, or
19for the appointment of any other person, if the Division of
20State Guardian determines that the filing of the petition may
21avoid the need for State guardianship. In addition, the
22Division of State Guardian may assist the court, as the court
23may request, in proceedings for the appointment of a guardian
24and in the supervision of persons and agencies which have been

 

 

10400HB0862ham002- 45 -LRB104 04759 SPS 36757 a

1appointed as guardians.
2(Source: P.A. 89-396, eff. 8-20-95.)
 
3    (20 ILCS 3955/31)  (from Ch. 91 1/2, par. 731)
4    Sec. 31. Appointment; availability of Division of State
5Guardian; available private guardian.
6    (a) The Division of State Guardian shall not be appointed
7if another suitable person is available and willing to accept
8the guardianship appointment. In all cases where a court
9appoints the Division of State Guardian, the court shall
10indicate in the order appointing the guardian as a finding of
11fact that no other suitable and willing person could be found
12to accept the guardianship appointment. On and after the
13effective date of the this amendatory Act of the 97th General
14Assembly, the court shall also indicate in the order, as a
15finding of fact, the reasons that the Division of State
16Guardian appointment, rather than the appointment of another
17interested party, is required. This requirement shall be
18waived where the Division Office of State Guardian petitions
19for its own appointment as guardian.
20    (b) In all cases in which the Division of State Guardian
21has been appointed to prior to or after the effective date of
22this amendatory Act of the 104th General Assembly, the
23Division of State Guardian shall be recognized as a division
24of the Department. Any reference in law, regulation, order, or
25appointment to the State Guardian or Office of State Guardian

 

 

10400HB0862ham002- 46 -LRB104 04759 SPS 36757 a

1as a division of the Guardianship and Advocacy Commission
2shall be deemed to refer to the State Guardian as a division of
3the Department of Disability Advocacy and Guardianship. This
4subsection applies retroactively and prospectively to all
5appointments, actions, and proceedings involving the State
6Guardian or its wards.
7(Source: P.A. 97-1093, eff. 1-1-13.)
 
8    (20 ILCS 3955/32)  (from Ch. 91 1/2, par. 732)
9    Sec. 32. The Division of State Guardian shall have the
10same powers and duties as a private guardian as provided in
11Article XIa of the Probate Act of 1975, approved August 7,
121975. The State Guardian shall not provide direct residential
13services to its wards. The State Guardian shall visit and
14consult with its wards at least four times a year for as long
15as the guardianship continues.
16(Source: P.A. 80-1416.)
 
17    (20 ILCS 3955/33.5)
18    Sec. 33.5. Guardianship training program. The State
19Guardian shall provide a training program that outlines the
20duties and responsibilities of guardians appointed under
21Article XIa of the Probate Act of 1975. The training program
22shall be offered to courts at no cost, and shall outline the
23duties responsibilities of a guardian and the rights of a
24person under guardianship. The training program shall have 2

 

 

10400HB0862ham002- 47 -LRB104 04759 SPS 36757 a

1components: one for guardians of the person and another for
2guardians of the estate. The State Guardian shall determine
3the content of the training. The component for guardians of
4the person shall include content regarding Alzheimer's disease
5and dementia, including, but not limited to, the following
6topics: effective communication strategies; best practices for
7interacting with people living with Alzheimer's disease or
8related forms of dementia; and strategies for supporting
9people living with Alzheimer's disease or related forms of
10dementia in exercising their rights. In developing the
11training program content, the State Guardian shall consult
12with the courts, State and national guardianship
13organizations, public guardians, advocacy organizations, and
14persons and family members with direct experience with adult
15guardianship. In the preparation and dissemination of training
16materials, the State Guardian shall give due consideration to
17making the training materials accessible to persons with
18disabilities.
19(Source: P.A. 103-64, eff. 1-1-24; 104-237, eff. 1-1-26.)
 
20    (20 ILCS 3955/34)  (from Ch. 91 1/2, par. 734)
21    Sec. 34. A person, including a private citizen or employee
22of a service provider, who, in good faith, files a complaint
23with or provides information to the Department or any of its
24divisions Commission or any division thereof, including
25private citizens and employees of service providers, shall not

 

 

10400HB0862ham002- 48 -LRB104 04759 SPS 36757 a

1be subject to any penalties, sanctions, or restrictions as a
2consequence of filing the complaint or providing the
3information.
4(Source: P.A. 80-1416.)
 
5    (20 ILCS 3955/36)  (from Ch. 91 1/2, par. 736)
6    Sec. 36. Rules and regulations adopted by the Department
7Commission pursuant to authority granted under this Act shall
8be subject to the provisions of the Illinois Administrative
9Procedure Act.
10(Source: P.A. 84-1358.)
 
11    (20 ILCS 3955/35 rep.)
12    Section 33. The Guardianship and Advocacy Act is amended
13by repealing Section 35.
 
14    Section 35. The Persons with Disabilities on State Agency
15Boards Act is amended by changing Section 10 as follows:
 
16    (20 ILCS 4007/10)
17    Sec. 10. Definitions. As used in this Act, unless the
18context requires otherwise:
19    "Disability" means a physical or mental characteristic
20resulting from disease, injury, congenital condition of birth,
21or functional disorder, the history of such a characteristic,
22or the perception of such a characteristic, when the

 

 

10400HB0862ham002- 49 -LRB104 04759 SPS 36757 a

1characteristic results in substantial functional limitations
2in 3 or more of the following areas of major life activity:
3self care, fine motor skills, mobility, vision, respiration,
4learning, work, receptive and expressive language (hearing and
5speaking), self direction, capacity for independent living,
6and economic sufficiency.
7    "State human services agency" means the following:
8        (1) The Citizens Council on Mental Health and
9    Developmental Disabilities created under Article 11A of
10    the Legislative Commission Reorganization Act of 1984.
11        (2) Advisory councils created by the Department of
12    Human Rights under Section 7-107 of the Illinois Human
13    Rights Act.
14        (3) The Department of Disability Advocacy and
15    Guardianship and Advocacy Commission created under the
16    Guardianship and Advocacy Act.
17        (4) (Blank).
18(Source: P.A. 100-866, eff. 8-14-18.)
 
19    Section 45. The State Finance Act is amended by changing
20Section 6z-22 as follows:
 
21    (30 ILCS 105/6z-22)  (from Ch. 127, par. 142z-22)
22    Sec. 6z-22. All fees or other monies received by the
23Department of Disability Advocacy and Guardianship and
24Advocacy Commission incident to the provision of legal or

 

 

10400HB0862ham002- 50 -LRB104 04759 SPS 36757 a

1guardianship services to eligible persons or wards pursuant to
2subsection (i) of Section 5 of the Guardianship and Advocacy
3Act shall be paid into the Guardianship and Advocacy Fund.
4    Appropriations for the improvement, development, addition
5or expansion of legal and guardianship services for eligible
6persons or wards pursuant to Section 5 of the Guardianship and
7Advocacy Act or for the financing of any program designed to
8provide such improvement, development, addition or expansion
9of services or for expenses incurred in administering the
10Division of Human Rights Authority, Legal Advocacy, the
11Division of Disability Rights and Protections, and the
12Division Service and Office of State Guardian are payable from
13the Guardianship and Advocacy Fund.
14(Source: P.A. 86-448; 86-1028.)
 
15    Section 50. The Public Interest Attorney Assistance Act is
16amended by changing Section 15 as follows:
 
17    (110 ILCS 916/15)
18    Sec. 15. Definitions. For the purposes of this Act:
19    "Assistant State's Attorney" means a full-time employee of
20a State's Attorney in Illinois or the State's Attorneys
21Appellate Prosecutor who is continually licensed to practice
22law and prosecutes or defends cases on behalf of the State or a
23county.
24    "Assistant Attorney General" means a full-time employee of

 

 

10400HB0862ham002- 51 -LRB104 04759 SPS 36757 a

1the Illinois Attorney General who is continually licensed to
2practice law and prosecutes or defends cases on behalf of the
3State.
4    "Assistant Public Defender" means a full-time employee of
5a Public Defender in Illinois or the State Appellate Defender
6who is continually licensed to practice law and provides legal
7representation to indigent persons, as provided by statute.
8    "Assistant public guardian" means a full-time employee of
9a public guardian in Illinois who is continually licensed to
10practice law and provides legal representation pursuant to
11court appointment.
12    "Civil legal aid" means free or reduced-cost legal
13representation or advice to low-income clients in non-criminal
14matters.
15    "Civil legal aid attorney" means an attorney who is
16continually licensed to practice law and is employed full time
17as an attorney at a civil legal aid organization in Illinois.
18    "Civil legal aid organization" means a not-for-profit
19corporation in Illinois that (i) is exempt from the payment of
20federal income tax pursuant to Section 501(c)(3) of the
21Internal Revenue Code, (ii) is established for the purpose of
22providing legal services that include civil legal aid, (iii)
23employs 2 or more full-time attorneys who are licensed to
24practice law in this State and who directly provide civil
25legal aid, and (iv) is in compliance with registration and
26filing requirements that are applicable under the Charitable

 

 

10400HB0862ham002- 52 -LRB104 04759 SPS 36757 a

1Trust Act and the Solicitation for Charity Act.
2    "Commission" means the Illinois Student Assistance
3Commission.
4    "Committee" means the advisory committee created under
5Section 20 of this Act.
6    "Eligible debt" means outstanding principal, interest, and
7related fees from loans obtained for undergraduate, graduate,
8or law school educational expenses made by government or
9commercial lending institutions or educational institutions.
10"Eligible debt" excludes loans made by a private individual or
11family member.
12    "Department of Disability Advocacy and Guardianship IGAC
13attorney" means a full-time employee of the Department of
14Disability Illinois Guardianship and Advocacy and Guardianship
15Commission, including the Division Office of State Guardian,
16the Division of Legal Advocacy Service, and the Division of
17Disability Human Rights and Protections Authority, who is
18continually licensed to practice law and provides legal
19representation to carry out the responsibilities of the
20Department of Disability Advocacy and Illinois Guardianship
21and Advocacy Commission.
22    "Legislative attorney" means a full-time employee of the
23Illinois Senate, the Illinois House of Representatives, or the
24Illinois Legislative Reference Bureau who is continually
25licensed to practice law and provides legal advice to members
26of the General Assembly.

 

 

10400HB0862ham002- 53 -LRB104 04759 SPS 36757 a

1    "Program" means the Public Interest Attorney Loan
2Repayment Assistance Program.
3    "Public interest attorney" means an attorney practicing in
4Illinois who is an assistant State's Attorney, assistant
5Public Defender, civil legal aid attorney, assistant Attorney
6General, assistant public guardian, Department of Disability
7Advocacy and Guardianship IGAC attorney, or legislative
8attorney.
9    "Qualifying employer" means (i) an Illinois State's
10Attorney or the State's Attorneys Appellate Prosecutor, (ii)
11an Illinois Public Defender or the State Appellate Defender,
12(iii) an Illinois civil legal aid organization, (iv) the
13Illinois Attorney General, (v) an Illinois public guardian,
14(vi) the Department of Disability Advocacy and Illinois
15Guardianship and Advocacy Commission, (vii) the Illinois
16Senate, (viii) the Illinois House of Representatives, or (ix)
17the Illinois Legislative Reference Bureau.
18(Source: P.A. 96-615, eff. 1-1-10; 96-768, eff. 1-1-10.)
 
19    Section 55. The Abused and Neglected Long Term Care
20Facility Residents Reporting Act is amended by changing
21Sections 4 and 6 as follows:
 
22    (210 ILCS 30/4)  (from Ch. 111 1/2, par. 4164)
23    Sec. 4. Any long term care facility administrator, agent
24or employee or any physician, hospital, surgeon, dentist,

 

 

10400HB0862ham002- 54 -LRB104 04759 SPS 36757 a

1osteopath, chiropractor, podiatric physician, accredited
2religious practitioner who provides treatment by spiritual
3means alone through prayer in accordance with the tenets and
4practices of the accrediting church, coroner, social worker,
5social services administrator, registered nurse, law
6enforcement officer, field personnel of the Department of
7Healthcare and Family Services, field personnel of the
8Illinois Department of Public Health and County or Municipal
9Health Departments, personnel of the Department of Human
10Services (acting as the successor to the Department of Mental
11Health and Developmental Disabilities or the Department of
12Public Aid), personnel of the Department of Disability
13Advocacy and Guardianship (acting as the successor to the
14Guardianship and Advocacy Commission), personnel of the State
15Fire Marshal, local fire department inspectors or other
16personnel, or personnel of the Illinois Department on Aging,
17or its subsidiary Agencies on Aging, or employee of a facility
18licensed under the Assisted Living and Shared Housing Act,
19having reasonable cause to believe any resident with whom they
20have direct contact has been subjected to abuse or neglect
21shall immediately report or cause a report to be made to the
22Department. Persons required to make reports or cause reports
23to be made under this Section include all employees of the
24State of Illinois who are involved in providing services to
25residents, including professionals providing medical or
26rehabilitation services and all other persons having direct

 

 

10400HB0862ham002- 55 -LRB104 04759 SPS 36757 a

1contact with residents; and further include all employees of
2community service agencies who provide services to a resident
3of a public or private long term care facility outside of that
4facility. Any long term care surveyor of the Illinois
5Department of Public Health who has reasonable cause to
6believe in the course of a survey that a resident has been
7abused or neglected and initiates an investigation while on
8site at the facility shall be exempt from making a report under
9this Section but the results of any such investigation shall
10be forwarded to the central register in a manner and form
11described by the Department.
12    The requirement of this Act shall not relieve any
13long-term long term care facility administrator, agent or
14employee of responsibility to report the abuse or neglect of a
15resident under Section 3-610 of the Nursing Home Care Act or
16under Section 3-610 of the ID/DD Community Care Act or under
17Section 3-610 of the MC/DD Act or under Section 2-107 of the
18Specialized Mental Health Rehabilitation Act of 2013.
19    In addition to the above persons required to report
20suspected resident abuse and neglect, any other person may
21make a report to the Department, or to any law enforcement
22officer, if such person has reasonable cause to suspect a
23resident has been abused or neglected.
24    This Section also applies to residents whose death occurs
25from suspected abuse or neglect before being found or brought
26to a hospital.

 

 

10400HB0862ham002- 56 -LRB104 04759 SPS 36757 a

1    A person required to make reports or cause reports to be
2made under this Section who fails to comply with the
3requirements of this Section is guilty of a Class A
4misdemeanor.
5(Source: P.A. 98-104, eff. 7-22-13; 98-214, eff. 8-9-13;
698-756, eff. 7-16-14; 99-180, eff. 7-29-15.)
 
7    (210 ILCS 30/6)  (from Ch. 111 1/2, par. 4166)
8    Sec. 6. All reports of suspected abuse or neglect made
9under this Act shall be made immediately by telephone to the
10Department's central register established under Section 14 on
11the single, State-wide, toll-free telephone number established
12under Section 13, or in person or by telephone through the
13nearest Department office. No long-term long term care
14facility administrator, agent or employee, or any other
15person, shall screen reports or otherwise withhold any reports
16from the Department, and no long-term long term care facility,
17department of State government, or other agency shall
18establish any rules, criteria, standards or guidelines to the
19contrary. Every long-term long term care facility, department
20of State government and other agency whose employees are
21required to make or cause to be made reports under Section 4
22shall notify its employees of the provisions of that Section
23and of this Section, and provide to the Department
24documentation that such notification has been given. The
25Department of Human Services shall train all of its mental

 

 

10400HB0862ham002- 57 -LRB104 04759 SPS 36757 a

1health and developmental disabilities employees in the
2detection and reporting of suspected abuse and neglect of
3residents. Reports made to the central register through the
4State-wide, toll-free telephone number shall be transmitted to
5appropriate Department offices and municipal health
6departments that have responsibility for licensing long term
7care facilities under the Nursing Home Care Act, the
8Specialized Mental Health Rehabilitation Act of 2013, the
9ID/DD Community Care Act, or the MC/DD Act. All reports
10received through offices of the Department shall be forwarded
11to the central register, in a manner and form described by the
12Department. The Department shall be capable of receiving
13reports of suspected abuse and neglect 24 hours a day, 7 days a
14week. Reports shall also be made in writing deposited in the
15U.S. mail, postage prepaid, within 24 hours after having
16reasonable cause to believe that the condition of the resident
17resulted from abuse or neglect. Such reports may in addition
18be made to the local law enforcement agency in the same manner.
19However, in the event a report is made to the local law
20enforcement agency, the reporter also shall immediately so
21inform the Department. The Department shall initiate an
22investigation of each report of resident abuse and neglect
23under this Act, whether oral or written, as provided for in
24Section 3-702 of the Nursing Home Care Act, Section 2-208 of
25the Specialized Mental Health Rehabilitation Act of 2013,
26Section 3-702 of the ID/DD Community Care Act, or Section

 

 

10400HB0862ham002- 58 -LRB104 04759 SPS 36757 a

13-702 of the MC/DD Act, except that reports of abuse which
2indicate that a resident's life or safety is in imminent
3danger shall be investigated within 24 hours of such report.
4The Department may delegate to law enforcement officials or
5other public agencies the duty to perform such investigation.
6    With respect to investigations of reports of suspected
7abuse or neglect of residents of mental health and
8developmental disabilities institutions under the jurisdiction
9of the Department of Human Services, the Department shall
10transmit copies of such reports to the Illinois State Police,
11the Department of Human Services, and the Inspector General
12appointed under Section 1-17 of the Department of Human
13Services Act. If the Department receives a report of suspected
14abuse or neglect of a recipient of services as defined in
15Section 1-123 of the Mental Health and Developmental
16Disabilities Code, the Department shall transmit copies of
17such report to the Inspector General and the Director
18Directors of the Disability Advocacy and Guardianship and
19Advocacy Commission and the agency designated by the Governor
20pursuant to the Protection and Advocacy for Persons with
21Developmental Disabilities Act. When requested by the Director
22of the Disability Advocacy and Guardianship and Advocacy
23Commission, the agency designated by the Governor pursuant to
24the Protection and Advocacy for Persons with Developmental
25Disabilities Act, or the Department of Financial and
26Professional Regulation, the Department, the Department of

 

 

10400HB0862ham002- 59 -LRB104 04759 SPS 36757 a

1Human Services and the Illinois State Police shall make
2available a copy of the final investigative report regarding
3investigations conducted by their respective agencies on
4incidents of suspected abuse or neglect of residents of mental
5health and developmental disabilities institutions or
6individuals receiving services at community agencies under the
7jurisdiction of the Department of Human Services. Such final
8investigative report shall not contain witness statements,
9investigation notes, draft summaries, results of lie detector
10tests, investigative files or other raw data which was used to
11compile the final investigative report. Specifically, the
12final investigative report of the Illinois State Police shall
13mean the Director's final transmittal letter. The Department
14of Human Services shall also make available a copy of the
15results of disciplinary proceedings of employees involved in
16incidents of abuse or neglect to the Directors. All
17identifiable information in reports provided shall not be
18further disclosed except as provided by the Mental Health and
19Developmental Disabilities Confidentiality Act. Nothing in
20this Section is intended to limit or construe the power or
21authority granted to the agency designated by the Governor
22pursuant to the Protection and Advocacy for Persons with
23Developmental Disabilities Act, pursuant to any other State or
24federal statute.
25    With respect to investigations of reported resident abuse
26or neglect, the Department shall effect with appropriate law

 

 

10400HB0862ham002- 60 -LRB104 04759 SPS 36757 a

1enforcement agencies formal agreements concerning methods and
2procedures for the conduct of investigations into the criminal
3histories of any administrator, staff assistant or employee of
4the nursing home or other person responsible for the residents
5care, as well as for other residents in the nursing home who
6may be in a position to abuse, neglect or exploit the patient.
7Pursuant to the formal agreements entered into with
8appropriate law enforcement agencies, the Department may
9request information with respect to whether the person or
10persons set forth in this paragraph have ever been charged
11with a crime and if so, the disposition of those charges.
12Unless the criminal histories of the subjects involved crimes
13of violence or resident abuse or neglect, the Department shall
14be entitled only to information limited in scope to charges
15and their dispositions. In cases where prior crimes of
16violence or resident abuse or neglect are involved, a more
17detailed report can be made available to authorized
18representatives of the Department, pursuant to the agreements
19entered into with appropriate law enforcement agencies. Any
20criminal charges and their disposition information obtained by
21the Department shall be confidential and may not be
22transmitted outside the Department, except as required herein,
23to authorized representatives or delegates of the Department,
24and may not be transmitted to anyone within the Department who
25is not duly authorized to handle resident abuse or neglect
26investigations.

 

 

10400HB0862ham002- 61 -LRB104 04759 SPS 36757 a

1    The Department shall effect formal agreements with
2appropriate law enforcement agencies in the various counties
3and communities to encourage cooperation and coordination in
4the handling of resident abuse or neglect cases pursuant to
5this Act. The Department shall adopt and implement methods and
6procedures to promote statewide uniformity in the handling of
7reports of abuse and neglect under this Act, and those methods
8and procedures shall be adhered to by personnel of the
9Department involved in such investigations and reporting. The
10Department shall also make information required by this Act
11available to authorized personnel within the Department, as
12well as its authorized representatives.
13    The Department shall keep a continuing record of all
14reports made pursuant to this Act, including indications of
15the final determination of any investigation and the final
16disposition of all reports.
17    The Department shall report annually to the General
18Assembly on the incidence of abuse and neglect of long term
19care facility residents, with special attention to residents
20who are persons with mental disabilities. The report shall
21include but not be limited to data on the number and source of
22reports of suspected abuse or neglect filed under this Act,
23the nature of any injuries to residents, the final
24determination of investigations, the type and number of cases
25where abuse or neglect is determined to exist, and the final
26disposition of cases.

 

 

10400HB0862ham002- 62 -LRB104 04759 SPS 36757 a

1(Source: P.A. 102-538, eff. 8-20-21.)
 
2    Section 60. The Community Living Facilities Licensing Act
3is amended by changing Section 5 as follows:
 
4    (210 ILCS 35/5)  (from Ch. 111 1/2, par. 4185)
5    Sec. 5. Licensing standards. The Department shall
6promulgate rules and regulations establishing minimum
7standards for licensing of Community Living Facilities. These
8rules shall regulate:
9    (1) The location of Community Living Facilities. These
10provisions shall insure that the Community Living Facilities
11are in appropriate neighborhoods and shall prohibit
12concentration of these housing programs in communities.
13    (2) The operation and conduct of Community Living
14Facilities.
15    (3) The general financial ability, competence, character
16and qualifications of the applicant to provide appropriate
17care and comply with this Act.
18    (4) The appropriateness, safety, cleanliness and general
19adequacy of the premises, including maintenance of adequate
20fire protection and health standards, conforming to State laws
21and municipal codes, to provide for the physical comfort,
22well-being, care and protection of the residents.
23    (5) The number, character, training and qualifications of
24personnel directly responsible for the residents.

 

 

10400HB0862ham002- 63 -LRB104 04759 SPS 36757 a

1    (6) Provisions for food, clothing, educational
2opportunities, social activities, home furnishings and
3personal property to insure the healthy physical, emotional
4and mental development of residents.
5    (7) Implementation of habilitation plans for each
6resident.
7    (8) Provisions for residents to receive appropriate
8programming and support services commensurate with their
9individual needs, and to participate in decisions regarding
10their use of programs and support services.
11    Such services should include educational opportunities,
12vocational training and other day activities aimed at
13promoting independence and improving basic living skills.
14    (9) Provisions and criteria for admission, discharge and
15transfers at Community Living Facilities.
16    (10) Provisions specifying the role and responsibilities
17of residents for upkeep of their rooms and the overall
18maintenance and care of the Community Living Facilities. These
19provisions shall allow the residents to participate in normal,
20daily activities associated with community living.
21    (11) Provisions to insure that residents are notified of
22their legal rights, as defined in the rules promulgated
23pursuant to subsection (12) of this Section and to assist them
24in exercising these rights. Upon admission to a Community
25Living Facility, residents shall be provided a copy of their
26rights and related rules, regulations and policies, and the

 

 

10400HB0862ham002- 64 -LRB104 04759 SPS 36757 a

1name, address, and telephone number of the Department of
2Disability Advocacy and Guardianship and Advocacy Commission.
3    (12) Resident rights, which shall include, but need not be
4limited to, those guaranteed by the "Mental Health and
5Developmental Disabilities Code", as amended.
6    (13) Maintenance of records pertaining to the admission,
7habilitation, and discharge of residents, and to the general
8operation of Community Living Facilities.
9(Source: P.A. 82-567.)
 
10    Section 65. The Nursing Home Care Act is amended by
11changing Sections 2-106 and 2-201 as follows:
 
12    (210 ILCS 45/2-106)  (from Ch. 111 1/2, par. 4152-106)
13    Sec. 2-106. Restraints.
14    (a) For purposes of this Act, a physical restraint is any
15manual method or physical or mechanical device, material, or
16equipment attached or adjacent to a resident's body that the
17resident cannot remove easily and restricts freedom of
18movement or normal access to one's body, and a chemical
19restraint is any drug used for discipline or convenience and
20not required to treat medical symptoms.
21    Devices used for positioning, including, but not limited
22to, bed rails and gait belts, shall not be considered to be
23physical restraints for purposes of this Act unless the device
24is used to restrain or otherwise limit the patient's freedom

 

 

10400HB0862ham002- 65 -LRB104 04759 SPS 36757 a

1to move. A device used for positioning must be requested by the
2resident or, if the resident is unable to consent, the
3resident's guardian or authorized representative, or the need
4for that device must be physically demonstrated by the
5resident and documented in the resident's care plan. The
6physically demonstrated need of the resident for a device used
7for positioning must be revisited in every comprehensive
8assessment of the resident.
9    The Department shall by rule, designate certain devices as
10restraints, including at least all those devices which have
11been determined to be restraints by the United States
12Department of Health and Human Services in interpretive
13guidelines issued for the purposes of administering Titles
14XVIII and XIX of the Social Security Act.
15    (b) Neither restraints nor confinements shall be employed
16for the purpose of punishment or for the convenience of any
17facility personnel. No restraints or confinements shall be
18employed except as ordered by a physician who documents the
19need for such restraints or confinements in the resident's
20clinical record.
21    (c) A restraint may be used only with the informed consent
22of the resident, the resident's guardian, or other authorized
23representative. A restraint may be used only for specific
24periods, if it is the least restrictive means necessary to
25attain and maintain the resident's highest practicable
26physical, mental or psychosocial well-being, including brief

 

 

10400HB0862ham002- 66 -LRB104 04759 SPS 36757 a

1periods of time to provide necessary life-saving treatment. A
2restraint may be used only after consultation with appropriate
3health professionals, such as occupational or physical
4therapists, and a trial of less restrictive measures has led
5to the determination that the use of less restrictive measures
6would not attain or maintain the resident's highest
7practicable physical, mental or psychosocial well-being.
8However, if the resident needs emergency care, restraints may
9be used for brief periods to permit medical treatment to
10proceed unless the facility has notice that the resident has
11previously made a valid refusal of the treatment in question.
12    (d) A restraint may be applied only by a person trained in
13the application of the particular type of restraint.
14    (e) Whenever a period of use of a restraint is initiated,
15the resident shall be advised of his or her right to have a
16person or organization of his or her choosing, including the
17Department of Disability Advocacy and Guardianship and
18Advocacy Commission, notified of the use of the restraint. A
19recipient who is under guardianship may request that a person
20or organization of his or her choosing be notified of the
21restraint, whether or not the guardian approves the notice. If
22the resident so chooses, the facility shall make the
23notification within 24 hours, including any information about
24the period of time that the restraint is to be used. Whenever
25the Department of Disability Advocacy and Guardianship and
26Advocacy Commission is notified that a resident has been

 

 

10400HB0862ham002- 67 -LRB104 04759 SPS 36757 a

1restrained, it shall contact the resident to determine the
2circumstances of the restraint and whether further action is
3warranted.
4    (f) Whenever a restraint is used on a resident whose
5primary mode of communication is sign language, the resident
6shall be permitted to have his or her hands free from restraint
7for brief periods each hour, except when this freedom may
8result in physical harm to the resident or others.
9    (g) The requirements of this Section are intended to
10control in any conflict with the requirements of Sections
111-126 and 2-108 of the Mental Health and Developmental
12Disabilities Code.
13(Source: P.A. 103-489, eff. 1-1-24.)
 
14    (210 ILCS 45/2-201)  (from Ch. 111 1/2, par. 4152-201)
15    Sec. 2-201. To protect the residents' funds, the facility:
16    (1) Shall at the time of admission provide, in order of
17priority, each resident, or the resident's guardian, if any,
18or the resident's representative, if any, or the resident's
19immediate family member, if any, with a written statement
20explaining to the resident and to the resident's spouse (a)
21their spousal impoverishment rights, as defined at Section 5-4
22of the Illinois Public Aid Code, and at Section 303 of Title
23III of the Medicare Catastrophic Coverage Act of 1988 (P.L.
24100-360), (b) their obligation to comply with the asset and
25income disclosure requirements of Title XIX of the federal

 

 

10400HB0862ham002- 68 -LRB104 04759 SPS 36757 a

1Social Security Act and the regulations duly promulgated
2thereunder, except that this item (b) does not apply to
3facilities operated by the Illinois Department of Veterans
4Affairs that do not participate in Medicaid, and (c) the
5resident's rights regarding personal funds and listing the
6services for which the resident will be charged. The facility
7shall obtain a signed acknowledgment from each resident or the
8resident's guardian, if any, or the resident's representative,
9if any, or the resident's immediate family member, if any,
10that such person has received the statement and understands
11that failure to comply with asset and income disclosure
12requirements may result in the denial of Medicaid eligibility.
13    (2) May accept funds from a resident for safekeeping and
14managing, if it receives written authorization from, in order
15of priority, the resident or the resident's guardian, if any,
16or the resident's representative, if any, or the resident's
17immediate family member, if any; such authorization shall be
18attested to by a witness who has no pecuniary interest in the
19facility or its operations, and who is not connected in any way
20to facility personnel or the administrator in any manner
21whatsoever.
22    (3) Shall maintain and allow, in order of priority, each
23resident or the resident's guardian, if any, or the resident's
24representative, if any, or the resident's immediate family
25member, if any, access to a written record of all financial
26arrangements and transactions involving the individual

 

 

10400HB0862ham002- 69 -LRB104 04759 SPS 36757 a

1resident's funds.
2    (4) Shall provide, in order of priority, each resident, or
3the resident's guardian, if any, or the resident's
4representative, if any, or the resident's immediate family
5member, if any, with a written itemized statement at least
6quarterly, of all financial transactions involving the
7resident's funds.
8    (5) Shall purchase a surety bond, or otherwise provide
9assurance satisfactory to the Departments of Public Health and
10Insurance that all residents' personal funds deposited with
11the facility are secure against loss, theft, and insolvency.
12    (6) Shall keep any funds received from a resident for
13safekeeping in an account separate from the facility's funds,
14and shall at no time withdraw any part or all of such funds for
15any purpose other than to return the funds to the resident upon
16the request of the resident or any other person entitled to
17make such request, to pay the resident his allowance, or to
18make any other payment authorized by the resident or any other
19person entitled to make such authorization.
20    (7) Shall deposit any funds received from a resident in
21excess of $100 in an interest bearing account insured by
22agencies of, or corporations chartered by, the State or
23federal government. The account shall be in a form which
24clearly indicates that the facility has only a fiduciary
25interest in the funds and any interest from the account shall
26accrue to the resident. The facility may keep up to $100 of a

 

 

10400HB0862ham002- 70 -LRB104 04759 SPS 36757 a

1resident's money in a non-interest bearing account or petty
2cash fund, to be readily available for the resident's current
3expenditures.
4    (8) Shall return to the resident, or the person who
5executed the written authorization required in subsection (2)
6of this Section, upon written request, all or any part of the
7resident's funds given the facility for safekeeping, including
8the interest accrued from deposits.
9    (9) Shall (a) place any monthly allowance to which a
10resident is entitled in that resident's personal account, or
11give it to the resident, unless the facility has written
12authorization from the resident or the resident's guardian or
13if the resident is a minor, his parent, to handle it
14differently, (b) take all steps necessary to ensure that a
15personal needs allowance that is placed in a resident's
16personal account is used exclusively by the resident or for
17the benefit of the resident, and (c) where such funds are
18withdrawn from the resident's personal account by any person
19other than the resident, require such person to whom funds
20constituting any part of a resident's personal needs allowance
21are released, to execute an affidavit that such funds shall be
22used exclusively for the benefit of the resident.
23    (10) Unless otherwise provided by State law, upon the
24death of a resident, shall provide the executor or
25administrator of the resident's estate with a complete
26accounting of all the resident's personal property, including

 

 

10400HB0862ham002- 71 -LRB104 04759 SPS 36757 a

1any funds of the resident being held by the facility.
2    (11) If an adult resident is incapable of managing his
3funds and does not have a resident's representative, guardian,
4or an immediate family member, shall notify the Division
5Office of the State Guardian of the Department of Disability
6Advocacy and Guardianship and Advocacy Commission.
7    (12) If the facility is sold, shall provide the buyer with
8a written verification by a public accountant of all
9residents' monies and properties being transferred, and obtain
10a signed receipt from the new owner.
11(Source: P.A. 104-234, eff. 8-15-25.)
 
12    Section 67. The Community-Integrated Living Arrangements
13Licensure and Certification Act is amended by changing Section
149.1 as follows:
 
15    (210 ILCS 135/9.1)
16    Sec. 9.1. Recipient's funds; protection.
17    (a) To protect a recipient's funds, a service provider:
18        (1) May accept funds from a recipient for safekeeping
19    and management if the service provider receives written
20    authorization from the recipient or the recipient's
21    guardian.
22        (2) Shall maintain a written record of all financial
23    arrangements and transactions involving each individual
24    recipient's funds and shall allow each recipient, or the

 

 

10400HB0862ham002- 72 -LRB104 04759 SPS 36757 a

1    recipient's guardian, access to that written record.
2        (3) Shall provide, in order of priority, each
3    recipient, or the recipient's guardian, if any, or the
4    recipient's immediate family member, if any, with a
5    written itemized statement of all financial transactions
6    involving the recipient's funds or a copy of the
7    recipient's checking or savings account register for the
8    period. This information shall be provided at least
9    quarterly.
10        (4) Shall purchase and maintain a surety bond or other
11    commercial policy with crime coverage in an amount equal
12    to or greater than all of the recipient's personal funds
13    deposited with the service provider to which employees of
14    the service provider have access to secure against loss,
15    theft, and insolvency. The insurance company that provides
16    the surety bond or commercial policy with crime coverage
17    shall inform the Division of Developmental Disabilities of
18    the Department of Human Services of any reduction or
19    cancellation of the surety bond or commercial policy with
20    crime coverage.
21        (5) Shall keep any funds received from a recipient in
22    an account separate from the service provider's funds for
23    safekeeping, and shall not withdraw all or any part of the
24    recipient's funds unless the service provider is (i)
25    returning the funds to the recipient upon the request of
26    the recipient or any other person entitled to make the

 

 

10400HB0862ham002- 73 -LRB104 04759 SPS 36757 a

1    request, (ii) paying the recipient his or her allowance,
2    or (iii) making any other payment authorized by the
3    recipient or any other person entitled to make that
4    authorization.
5        (6) Shall deposit any funds received from a recipient
6    in excess of $100 in an interest-bearing account insured
7    by agencies of, or corporations chartered by, the State or
8    the federal government. The account shall be in a form
9    that clearly indicates that the service provider has only
10    a fiduciary interest in the funds and that any interest
11    earned on funds in the account shall accrue to the
12    recipient. The service provider may keep up to $100 of a
13    recipient's funds in a non-interest-bearing account or
14    petty cash fund, to be readily available for the
15    recipient's current expenditures.
16        (7) Shall, upon written request of a recipient or the
17    recipient's guardian, return to the recipient or the
18    recipient's guardian of the estate all or any part of the
19    recipient's funds given to the service provider for
20    safekeeping, including the accrued interest earned on the
21    deposits of the recipient's funds.
22        (8) Shall (i) place any monthly allowance that a
23    recipient is entitled to in the recipient's personal
24    account or give the monthly allowance directly to the
25    recipient, unless the service provider has written
26    authorization from the recipient, the recipient's

 

 

10400HB0862ham002- 74 -LRB104 04759 SPS 36757 a

1    guardian, or the recipient's parent if the recipient is a
2    minor, to handle the monthly allowance differently, (ii)
3    take all steps necessary to ensure that a monthly
4    allowance that is placed in a recipient's personal account
5    is used exclusively by the recipient or for the
6    recipient's benefit, and (iii) require any person other
7    than the recipient who withdraws funds from the
8    recipient's personal account that constitute any portion
9    of the recipient's monthly allowance to execute an
10    affidavit that the funds will be used exclusively for the
11    benefit of the recipient.
12        (9) If an adult recipient is incapable of managing his
13    or her funds and does not have a guardian or immediate
14    family member, the service provider shall notify the
15    Division Office of the State Guardian of the Guardianship
16    and Advocacy Commission.
17    (b) Upon the death of a recipient, unless otherwise
18provided by State law, the service provider shall provide the
19executor or administrator of the recipient's estate with a
20complete accounting of all the recipient's personal property,
21including any funds of the recipient being held by the service
22provider.
23    (c) If a recipient changes service providers, the former
24service provider shall provide the new service provider with a
25written verification by a public accountant of all the
26recipient's money and property being transferred and shall

 

 

10400HB0862ham002- 75 -LRB104 04759 SPS 36757 a

1obtain a signed receipt for the money and property from the new
2service provider upon transfer of the recipient's money and
3property.
4    (d) If a service provider is sold, the service provider
5shall provide the new owner with a written verification by a
6public accountant of all the recipient's money and property
7being transferred and shall obtain a signed receipt for the
8money and property from the new owner upon transfer of the
9recipient's money and property.
10(Source: P.A. 98-1073, eff. 8-26-14.)
 
11    Section 70. The MC/DD Act is amended by changing Sections
122-106 and 2-201 as follows:
 
13    (210 ILCS 46/2-106)
14    Sec. 2-106. Restraints and confinements.
15    (a) For purposes of this Act:
16        (i) A physical restraint is any manual method or
17    physical or mechanical device, material, or equipment
18    attached or adjacent to a resident's body that the
19    resident cannot remove easily and restricts freedom of
20    movement or normal access to one's body. Devices used for
21    positioning, including but not limited to bed rails, gait
22    belts, and cushions, shall not be considered to be
23    restraints for purposes of this Section.
24        (ii) A chemical restraint is any drug used for

 

 

10400HB0862ham002- 76 -LRB104 04759 SPS 36757 a

1    discipline or convenience and not required to treat
2    medical symptoms. The Department shall by rule, designate
3    certain devices as restraints, including at least all
4    those devices which have been determined to be restraints
5    by the United States Department of Health and Human
6    Services in interpretive guidelines issued for the
7    purposes of administering Titles XVIII and XIX of the
8    Social Security Act.
9    (b) Neither restraints nor confinements shall be employed
10for the purpose of punishment or for the convenience of any
11facility personnel. No restraints or confinements shall be
12employed except as ordered by a physician who documents the
13need for such restraints or confinements in the resident's
14clinical record. Each facility licensed under this Act must
15have a written policy to address the use of restraints and
16seclusion. The Department shall establish by rule the
17provisions that the policy must include, which, to the extent
18practicable, should be consistent with the requirements for
19participation in the federal Medicare program. Each policy
20shall include periodic review of the use of restraints.
21    (c) A restraint may be used only with the informed consent
22of the resident, the resident's guardian, or other authorized
23representative. A restraint may be used only for specific
24periods, if it is the least restrictive means necessary to
25attain and maintain the resident's highest practicable
26physical, mental or psychosocial well-being well being,

 

 

10400HB0862ham002- 77 -LRB104 04759 SPS 36757 a

1including brief periods of time to provide necessary
2lifesaving life saving treatment. A restraint may be used only
3after consultation with appropriate health professionals, such
4as occupational or physical therapists, and a trial of less
5restrictive measures has led to the determination that the use
6of less restrictive measures would not attain or maintain the
7resident's highest practicable physical, mental or
8psychosocial well-being well being. However, if the resident
9needs emergency care, restraints may be used for brief periods
10to permit medical treatment to proceed unless the facility has
11notice that the resident has previously made a valid refusal
12of the treatment in question.
13    (d) A restraint may be applied only by a person trained in
14the application of the particular type of restraint.
15    (e) Whenever a period of use of a restraint is initiated,
16the resident shall be advised of his or her right to have a
17person or organization of his or her choosing, including the
18Department of Disability Advocacy and Guardianship and
19Advocacy Commission, notified of the use of the restraint. A
20recipient who is under guardianship may request that a person
21or organization of his or her choosing be notified of the
22restraint, whether or not the guardian approves the notice. If
23the resident so chooses, the facility shall make the
24notification within 24 hours, including any information about
25the period of time that the restraint is to be used. Whenever
26the Department of Disability Advocacy and Guardianship and

 

 

10400HB0862ham002- 78 -LRB104 04759 SPS 36757 a

1Advocacy Commission is notified that a resident has been
2restrained, it shall contact the resident to determine the
3circumstances of the restraint and whether further action is
4warranted.
5    (f) Whenever a restraint is used on a resident whose
6primary mode of communication is sign language, the resident
7shall be permitted to have his or her hands free from restraint
8for brief periods each hour, except when this freedom may
9result in physical harm to the resident or others.
10    (g) The requirements of this Section are intended to
11control in any conflict with the requirements of Sections
121-126 and 2-108 of the Mental Health and Developmental
13Disabilities Code.
14(Source: P.A. 99-180, eff. 7-29-15.)
 
15    (210 ILCS 46/2-201)
16    Sec. 2-201. Residents' funds. To protect the residents'
17funds, the facility:
18    (1) Shall at the time of admission provide, in order of
19priority, each resident, or the resident's guardian, if any,
20or the resident's representative, if any, or the resident's
21immediate family member, if any, with a written statement
22explaining to the resident and to the resident's spouse (a)
23their spousal impoverishment rights, as defined at Section 5-4
24of the Illinois Public Aid Code, and at Section 303 of Title
25III of the Medicare Catastrophic Coverage Act of 1988 (P.L.

 

 

10400HB0862ham002- 79 -LRB104 04759 SPS 36757 a

1100-360), and (b) the resident's rights regarding personal
2funds and listing the services for which the resident will be
3charged. The facility shall obtain a signed acknowledgment
4from each resident or the resident's guardian, if any, or the
5resident's representative, if any, or the resident's immediate
6family member, if any, that such person has received the
7statement.
8    (2) May accept funds from a resident for safekeeping and
9managing, if it receives written authorization from, in order
10of priority, the resident or the resident's guardian, if any,
11or the resident's representative, if any, or the resident's
12immediate family member, if any; such authorization shall be
13attested to by a witness who has no pecuniary interest in the
14facility or its operations, and who is not connected in any way
15to facility personnel or the administrator in any manner
16whatsoever.
17    (3) Shall maintain and allow, in order of priority, each
18resident or the resident's guardian, if any, or the resident's
19representative, if any, or the resident's immediate family
20member, if any, access to a written record of all financial
21arrangements and transactions involving the individual
22resident's funds.
23    (4) Shall provide, in order of priority, each resident, or
24the resident's guardian, if any, or the resident's
25representative, if any, or the resident's immediate family
26member, if any, with a written itemized statement at least

 

 

10400HB0862ham002- 80 -LRB104 04759 SPS 36757 a

1quarterly, of all financial transactions involving the
2resident's funds.
3    (5) Shall purchase a surety bond, or otherwise provide
4assurance satisfactory to the Departments of Public Health and
5Financial and Professional Regulation that all residents'
6personal funds deposited with the facility are secure against
7loss, theft, and insolvency.
8    (6) Shall keep any funds received from a resident for
9safekeeping in an account separate from the facility's funds,
10and shall at no time withdraw any part or all of such funds for
11any purpose other than to return the funds to the resident upon
12the request of the resident or any other person entitled to
13make such request, to pay the resident his or her allowance, or
14to make any other payment authorized by the resident or any
15other person entitled to make such authorization.
16    (7) Shall deposit any funds received from a resident in
17excess of $100 in an interest-bearing interest bearing account
18insured by agencies of, or corporations chartered by, the
19State or federal government. The account shall be in a form
20which clearly indicates that the facility has only a fiduciary
21interest in the funds and any interest from the account shall
22accrue to the resident. The facility may keep up to $100 of a
23resident's money in a non-interest-bearing account or petty
24cash fund, to be readily available for the resident's current
25expenditures.
26    (8) Shall return to the resident, or the person who

 

 

10400HB0862ham002- 81 -LRB104 04759 SPS 36757 a

1executed the written authorization required in subsection (2)
2of this Section, upon written request, all or any part of the
3resident's funds given the facility for safekeeping, including
4the interest accrued from deposits.
5    (9) Shall (a) place any monthly allowance to which a
6resident is entitled in that resident's personal account, or
7give it to the resident, unless the facility has written
8authorization from the resident or the resident's guardian or
9if the resident is a minor, his parent, to handle it
10differently, (b) take all steps necessary to ensure that a
11personal needs allowance that is placed in a resident's
12personal account is used exclusively by the resident or for
13the benefit of the resident, and (c) where such funds are
14withdrawn from the resident's personal account by any person
15other than the resident, require such person to whom funds
16constituting any part of a resident's personal needs allowance
17are released, to execute an affidavit that such funds shall be
18used exclusively for the benefit of the resident.
19    (10) Unless otherwise provided by State law, upon the
20death of a resident, shall provide the executor or
21administrator of the resident's estate with a complete
22accounting of all the resident's personal property, including
23any funds of the resident being held by the facility.
24    (11) If an adult resident is incapable of managing his or
25her funds and does not have a resident's representative,
26guardian, or an immediate family member, shall notify the

 

 

10400HB0862ham002- 82 -LRB104 04759 SPS 36757 a

1Division Office of the State Guardian of the Department of
2Disability Advocacy and Guardianship and Advocacy Commission.
3    (12) If the facility is sold, shall provide the buyer with
4a written verification by a public accountant of all
5residents' monies and properties being transferred, and obtain
6a signed receipt from the new owner.
7(Source: P.A. 99-180, eff. 7-29-15.)
 
8    Section 75. The ID/DD Community Care Act is amended by
9changing Sections 2-106 and 2-201 as follows:
 
10    (210 ILCS 47/2-106)
11    Sec. 2-106. Restraints and confinements.
12    (a) For purposes of this Act:
13        (i) A physical restraint is any manual method or
14    physical or mechanical device, material, or equipment
15    attached or adjacent to a resident's body that the
16    resident cannot remove easily and restricts freedom of
17    movement or normal access to one's body. Devices used for
18    positioning, including but not limited to bed rails, gait
19    belts, and cushions, shall not be considered to be
20    restraints for purposes of this Section.
21        (ii) A chemical restraint is any drug used for
22    discipline or convenience and not required to treat
23    medical symptoms. The Department shall by rule, designate
24    certain devices as restraints, including at least all

 

 

10400HB0862ham002- 83 -LRB104 04759 SPS 36757 a

1    those devices which have been determined to be restraints
2    by the United States Department of Health and Human
3    Services in interpretive guidelines issued for the
4    purposes of administering Titles XVIII and XIX of the
5    Social Security Act.
6    (b) Neither restraints nor confinements shall be employed
7for the purpose of punishment or for the convenience of any
8facility personnel. No restraints or confinements shall be
9employed except as ordered by a physician who documents the
10need for such restraints or confinements in the resident's
11clinical record. Each facility licensed under this Act must
12have a written policy to address the use of restraints and
13seclusion. The Department shall establish by rule the
14provisions that the policy must include, which, to the extent
15practicable, should be consistent with the requirements for
16participation in the federal Medicare program. Each policy
17shall include periodic review of the use of restraints.
18    (c) A restraint may be used only with the informed consent
19of the resident, the resident's guardian, or other authorized
20representative. A restraint may be used only for specific
21periods, if it is the least restrictive means necessary to
22attain and maintain the resident's highest practicable
23physical, mental or psychosocial well-being well being,
24including brief periods of time to provide necessary
25lifesaving life saving treatment. A restraint may be used only
26after consultation with appropriate health professionals, such

 

 

10400HB0862ham002- 84 -LRB104 04759 SPS 36757 a

1as occupational or physical therapists, and a trial of less
2restrictive measures has led to the determination that the use
3of less restrictive measures would not attain or maintain the
4resident's highest practicable physical, mental or
5psychosocial well-being well being. However, if the resident
6needs emergency care, restraints may be used for brief periods
7to permit medical treatment to proceed unless the facility has
8notice that the resident has previously made a valid refusal
9of the treatment in question.
10    (d) A restraint may be applied only by a person trained in
11the application of the particular type of restraint.
12    (e) Whenever a period of use of a restraint is initiated,
13the resident shall be advised of his or her right to have a
14person or organization of his or her choosing, including the
15Department of Disability Advocacy and Guardianship and
16Advocacy Commission, notified of the use of the restraint. A
17recipient who is under guardianship may request that a person
18or organization of his or her choosing be notified of the
19restraint, whether or not the guardian approves the notice. If
20the resident so chooses, the facility shall make the
21notification within 24 hours, including any information about
22the period of time that the restraint is to be used. Whenever
23the Department of Disability Advocacy and Guardianship and
24Advocacy Commission is notified that a resident has been
25restrained, it shall contact the resident to determine the
26circumstances of the restraint and whether further action is

 

 

10400HB0862ham002- 85 -LRB104 04759 SPS 36757 a

1warranted.
2    (f) Whenever a restraint is used on a resident whose
3primary mode of communication is sign language, the resident
4shall be permitted to have his or her hands free from restraint
5for brief periods each hour, except when this freedom may
6result in physical harm to the resident or others.
7    (g) The requirements of this Section are intended to
8control in any conflict with the requirements of Sections
91-126 and 2-108 of the Mental Health and Developmental
10Disabilities Code.
11(Source: P.A. 96-339, eff. 7-1-10.)
 
12    (210 ILCS 47/2-201)
13    Sec. 2-201. Residents' funds. To protect the residents'
14funds, the facility:
15    (1) Shall at the time of admission provide, in order of
16priority, each resident, or the resident's guardian, if any,
17or the resident's representative, if any, or the resident's
18immediate family member, if any, with a written statement
19explaining to the resident and to the resident's spouse (a)
20their spousal impoverishment rights, as defined at Section 5-4
21of the Illinois Public Aid Code, and at Section 303 of Title
22III of the Medicare Catastrophic Coverage Act of 1988 (P.L.
23100-360), and (b) the resident's rights regarding personal
24funds and listing the services for which the resident will be
25charged. The facility shall obtain a signed acknowledgment

 

 

10400HB0862ham002- 86 -LRB104 04759 SPS 36757 a

1from each resident or the resident's guardian, if any, or the
2resident's representative, if any, or the resident's immediate
3family member, if any, that such person has received the
4statement.
5    (2) May accept funds from a resident for safekeeping and
6managing, if it receives written authorization from, in order
7of priority, the resident or the resident's guardian, if any,
8or the resident's representative, if any, or the resident's
9immediate family member, if any; such authorization shall be
10attested to by a witness who has no pecuniary interest in the
11facility or its operations, and who is not connected in any way
12to facility personnel or the administrator in any manner
13whatsoever.
14    (3) Shall maintain and allow, in order of priority, each
15resident or the resident's guardian, if any, or the resident's
16representative, if any, or the resident's immediate family
17member, if any, access to a written record of all financial
18arrangements and transactions involving the individual
19resident's funds.
20    (4) Shall provide, in order of priority, each resident, or
21the resident's guardian, if any, or the resident's
22representative, if any, or the resident's immediate family
23member, if any, with a written itemized statement at least
24quarterly, of all financial transactions involving the
25resident's funds.
26    (5) Shall purchase a surety bond, or otherwise provide

 

 

10400HB0862ham002- 87 -LRB104 04759 SPS 36757 a

1assurance satisfactory to the Departments of Public Health and
2Financial and Professional Regulation that all residents'
3personal funds deposited with the facility are secure against
4loss, theft, and insolvency.
5    (6) Shall keep any funds received from a resident for
6safekeeping in an account separate from the facility's funds,
7and shall at no time withdraw any part or all of such funds for
8any purpose other than to return the funds to the resident upon
9the request of the resident or any other person entitled to
10make such request, to pay the resident his or her allowance, or
11to make any other payment authorized by the resident or any
12other person entitled to make such authorization.
13    (7) Shall deposit any funds received from a resident in
14excess of $100 in an interest-bearing interest bearing account
15insured by agencies of, or corporations chartered by, the
16State or federal government. The account shall be in a form
17which clearly indicates that the facility has only a fiduciary
18interest in the funds and any interest from the account shall
19accrue to the resident. The facility may keep up to $100 of a
20resident's money in a non-interest-bearing account or petty
21cash fund, to be readily available for the resident's current
22expenditures.
23    (8) Shall return to the resident, or the person who
24executed the written authorization required in subsection (2)
25of this Section, upon written request, all or any part of the
26resident's funds given the facility for safekeeping, including

 

 

10400HB0862ham002- 88 -LRB104 04759 SPS 36757 a

1the interest accrued from deposits.
2    (9) Shall (a) place any monthly allowance to which a
3resident is entitled in that resident's personal account, or
4give it to the resident, unless the facility has written
5authorization from the resident or the resident's guardian or
6if the resident is a minor, his parent, to handle it
7differently, (b) take all steps necessary to ensure that a
8personal needs allowance that is placed in a resident's
9personal account is used exclusively by the resident or for
10the benefit of the resident, and (c) where such funds are
11withdrawn from the resident's personal account by any person
12other than the resident, require such person to whom funds
13constituting any part of a resident's personal needs allowance
14are released, to execute an affidavit that such funds shall be
15used exclusively for the benefit of the resident.
16    (10) Unless otherwise provided by State law, upon the
17death of a resident, shall provide the executor or
18administrator of the resident's estate with a complete
19accounting of all the resident's personal property, including
20any funds of the resident being held by the facility.
21    (11) If an adult resident is incapable of managing his or
22her funds and does not have a resident's representative,
23guardian, or an immediate family member, shall notify the
24Division Office of the State Guardian of the Department of
25Disability Advocacy and Guardianship and Advocacy Commission.
26    (12) If the facility is sold, shall provide the buyer with

 

 

10400HB0862ham002- 89 -LRB104 04759 SPS 36757 a

1a written verification by a public accountant of all
2residents' monies and properties being transferred, and obtain
3a signed receipt from the new owner.
4(Source: P.A. 96-339, eff. 7-1-10; 96-1000, eff. 7-2-10.)
 
5    Section 80. The Hospital Licensing Act is amended by
6changing Section 9.6 as follows:
 
7    (210 ILCS 85/9.6)
8    Sec. 9.6. Patient protection from abuse.
9    (a) No administrator, agent, or employee of a hospital or
10a hospital affiliate, or a member of a hospital's medical
11staff, may abuse a patient in the hospital or in a facility
12operated by a hospital affiliate.
13    (b) Any hospital administrator, agent, employee, or
14medical staff member, or an administrator, employee, or
15physician employed by a hospital affiliate, who has reasonable
16cause to believe that any patient with whom he or she has
17direct contact has been subjected to abuse in the hospital or
18hospital affiliate shall promptly report or cause a report to
19be made to a designated hospital administrator responsible for
20providing such reports to the Department as required by this
21Section.
22    (c) Retaliation against a person who lawfully and in good
23faith makes a report under this Section is prohibited.
24    (d) Upon receiving a report under subsection (b) of this

 

 

10400HB0862ham002- 90 -LRB104 04759 SPS 36757 a

1Section, the hospital or hospital affiliate shall submit the
2report to the Department within 24 hours of obtaining such
3report. In the event that the hospital receives multiple
4reports involving a single alleged instance of abuse, the
5hospital shall submit one report to the Department.
6    (e) Upon receiving a report under this Section, the
7hospital or hospital affiliate shall promptly conduct an
8internal review to ensure the alleged victim's safety.
9Measures to protect the alleged victim shall be taken as
10deemed necessary by the hospital's administrator and may
11include, but are not limited to, removing suspected violators
12from further patient contact during the hospital's or hospital
13affiliate's internal review. If the alleged victim lacks
14decision-making capacity under the Health Care Surrogate Act
15and no health care surrogate is available, the hospital or
16hospital affiliate may contact the Department of Disability
17Advocacy and Illinois Guardianship and Advocacy Commission to
18determine the need for a temporary guardian of that person.
19    (f) All internal hospital and hospital affiliate reviews
20shall be conducted by a designated employee or agent who is
21qualified to detect abuse and is not involved in the alleged
22victim's treatment. All internal review findings must be
23documented and filed according to hospital or hospital
24affiliate procedures and shall be made available to the
25Department upon request.
26    (g) Any other person may make a report of patient abuse to

 

 

10400HB0862ham002- 91 -LRB104 04759 SPS 36757 a

1the Department if that person has reasonable cause to believe
2that a patient has been abused in the hospital or hospital
3affiliate.
4    (h) The report required under this Section shall include:
5the name of the patient; the name and address of the hospital
6or hospital affiliate treating the patient; the age of the
7patient; the nature of the patient's condition, including any
8evidence of previous injuries or disabilities; and any other
9information that the reporter believes might be helpful in
10establishing the cause of the reported abuse and the identity
11of the person believed to have caused the abuse.
12    (i) Except for willful or wanton misconduct, any
13individual, person, institution, or agency participating in
14good faith in the making of a report under this Section, or in
15the investigation of such a report or in making a disclosure of
16information concerning reports of abuse under this Section,
17shall have immunity from any liability, whether civil,
18professional, or criminal, that otherwise might result by
19reason of such actions. For the purpose of any proceedings,
20whether civil, professional, or criminal, the good faith of
21any persons required to report cases of suspected abuse under
22this Section or who disclose information concerning reports of
23abuse in compliance with this Section, shall be presumed.
24    (j) No administrator, agent, or employee of a hospital or
25hospital affiliate shall adopt or employ practices or
26procedures designed to discourage good faith reporting of

 

 

10400HB0862ham002- 92 -LRB104 04759 SPS 36757 a

1patient abuse under this Section.
2    (k) Every hospital and hospital affiliate shall ensure
3that all new and existing employees are trained in the
4detection and reporting of abuse of patients and retrained at
5least every 2 years thereafter.
6    (l) The Department shall investigate each report of
7patient abuse made under this Section according to the
8procedures of the Department, except that a report of abuse
9which indicates that a patient's life or safety is in imminent
10danger shall be investigated within 24 hours of such report.
11Under no circumstances may a hospital's or hospital
12affiliate's internal review of an allegation of abuse replace
13an investigation of the allegation by the Department.
14    (m) The Department shall keep a continuing record of all
15reports made pursuant to this Section, including indications
16of the final determination of any investigation and the final
17disposition of all reports. The Department shall inform the
18investigated hospital or hospital affiliate and any other
19person making a report under subsection (g) of its final
20determination or disposition in writing.
21    (n) The Department shall not disclose to the public any
22information regarding any reports and investigations under
23this Section unless and until the report of abuse is
24substantiated following a full and proper investigation.
25    (o) All patient identifiable information in any report or
26investigation under this Section shall be confidential and

 

 

10400HB0862ham002- 93 -LRB104 04759 SPS 36757 a

1shall not be disclosed except as authorized by this Act or
2other applicable law.
3    (p) Nothing in this Section relieves a hospital or
4hospital affiliate administrator, employee, agent, or medical
5staff member from contacting appropriate law enforcement
6authorities as required by law.
7    (q) Nothing in this Section shall be construed to mean
8that a patient is a victim of abuse because of health care
9services provided or not provided by health care
10professionals.
11    (r) Nothing in this Section shall require a hospital or
12hospital affiliate, including its employees, agents, and
13medical staff members, to provide any services to a patient in
14contravention of his or her stated or implied objection
15thereto upon grounds that such services conflict with his or
16her religious beliefs or practices, nor shall such a patient
17be considered abused under this Section for the exercise of
18such beliefs or practices.
19    (s) The Department's implementation of this Section is
20subject to appropriations to the Department for that purpose.
21    (t) As used in this Section, the following terms have the
22following meanings:
23    "Abuse" means any physical or mental injury or sexual
24abuse intentionally inflicted by a hospital or hospital
25affiliate employee, agent, or medical staff member on a
26patient of the hospital or hospital affiliate and does not

 

 

10400HB0862ham002- 94 -LRB104 04759 SPS 36757 a

1include any hospital or hospital affiliate, medical, health
2care, or other personal care services done in good faith in the
3interest of the patient according to established medical and
4clinical standards of care.
5    "Hospital affiliate" has the meaning given to that term in
6Section 10.8.
7    "Mental injury" means intentionally caused emotional
8distress in a patient from words or gestures that would be
9considered by a reasonable person to be humiliating,
10harassing, or threatening and which causes observable and
11substantial impairment.
12    "Sexual abuse" means any intentional act of sexual contact
13or sexual penetration of a patient in the hospital.
14    "Substantiated", with respect to a report of abuse, means
15that a preponderance of the evidence indicates that abuse
16occurred.
17(Source: P.A. 103-803, eff. 1-1-25.)
 
18    Section 85. The Illinois Public Aid Code is amended by
19changing Section 3-1.2 as follows:
 
20    (305 ILCS 5/3-1.2)  (from Ch. 23, par. 3-1.2)
21    Sec. 3-1.2. Need.
22    (a) Income available to the person, when added to
23contributions in money, substance, or services from other
24sources, including contributions from legally responsible

 

 

10400HB0862ham002- 95 -LRB104 04759 SPS 36757 a

1relatives, must be insufficient to equal the grant amount
2established by Department regulation for such person. In
3determining earned income to be taken into account,
4consideration shall be given to any expenses reasonably
5attributable to the earning of such income. If federal law or
6regulations permit or require exemption of earned or other
7income and resources, the Illinois Department shall provide by
8rule and regulation that the amount of income to be
9disregarded be increased (1) to the maximum extent so required
10and (2) to the maximum extent permitted by federal law or
11regulation in effect as of the date this amendatory Act
12becomes law. The Illinois Department may also provide by rule
13and regulation that the amount of resources to be disregarded
14be increased to the maximum extent so permitted or required.
15    (b) Subject to federal approval, resources (for example,
16land, buildings, equipment, supplies, or tools), including
17farmland property and personal property used in the
18income-producing operations related to the farmland (for
19example, equipment and supplies, motor vehicles, or tools),
20necessary for self-support, up to $6,000 of the person's
21equity in the income-producing property, provided that the
22property produces a net annual income of at least 6% of the
23excluded equity value of the property, are exempt. Equity
24value in excess of $6,000 shall not be excluded. If the
25activity produces income that is less than 6% of the exempt
26equity due to reasons beyond the person's control (for

 

 

10400HB0862ham002- 96 -LRB104 04759 SPS 36757 a

1example, the person's illness or crop failure) and there is a
2reasonable expectation that the property will again produce
3income equal to or greater than 6% of the equity value (for
4example, a medical prognosis that the person is expected to
5respond to treatment or that drought-resistant corn will be
6planted), the equity value in the property up to $6,000 is
7exempt. If the person owns more than one piece of property and
8each produces income, each piece of property shall be looked
9at to determine whether the 6% rule is met, and then the
10amounts of the person's equity in all of those properties
11shall be totaled to determine whether the total equity is
12$6,000 or less. The total equity value of all properties that
13is exempt shall be limited to $6,000.
14    (c) In determining the resources of an individual or any
15dependents, the Department shall exclude from consideration
16the value of funeral and burial spaces, funeral and burial
17insurance the proceeds of which can only be used to pay the
18funeral and burial expenses of the insured and funds
19specifically set aside for the funeral and burial arrangements
20of the individual or his or her dependents, including prepaid
21funeral and burial plans, to the same extent that such items
22are excluded from consideration under the federal Supplemental
23Security Income program (SSI). At any time prior to or after
24submitting an application for medical assistance and before a
25final determination of eligibility has been made by the
26Department, an applicant may use available resources to

 

 

10400HB0862ham002- 97 -LRB104 04759 SPS 36757 a

1purchase one of the prepaid funeral or burial contracts
2exempted under this Section.
3    Prepaid funeral or burial contracts are exempt to the
4following extent:
5        (1) Funds in a revocable prepaid funeral or burial
6    contract are exempt up to $1,500, except that any portion
7    of a contract that clearly represents the purchase of
8    burial space, as that term is defined for purposes of the
9    Supplemental Security Income program, is exempt regardless
10    of value.
11        (2) Funds in an irrevocable prepaid funeral or burial
12    contract are exempt up to $7,248, except that any portion
13    of a contract that clearly represents the purchase of
14    burial space, as that term is defined for purposes of the
15    Supplemental Security Income program, is exempt regardless
16    of value. This amount shall be adjusted annually for any
17    increase in the Consumer Price Index. The amount exempted
18    shall be limited to the price of the funeral goods and
19    services to be provided upon death. The contract must
20    provide a complete description of the funeral goods and
21    services to be provided and the price thereof. Any amount
22    in the contract not so specified shall be treated as a
23    transfer of assets for less than fair market value.
24        (3) A prepaid, guaranteed-price funeral or burial
25    contract, funded by an irrevocable assignment of a
26    person's life insurance policy to a trust or a funeral

 

 

10400HB0862ham002- 98 -LRB104 04759 SPS 36757 a

1    home, is exempt. The amount exempted shall be limited to
2    the amount of the insurance benefit designated for the
3    cost of the funeral goods and services to be provided upon
4    the person's death. The contract must provide a complete
5    description of the funeral goods and services to be
6    provided and the price thereof. Any amount in the contract
7    not so specified shall be treated as a transfer of assets
8    for less than fair market value. The trust must include a
9    statement that, upon the death of the person, the State
10    will receive all amounts remaining in the trust, including
11    any remaining payable proceeds under the insurance policy
12    up to an amount equal to the total medical assistance paid
13    on behalf of the person. The trust is responsible for
14    ensuring that the provider of funeral services under the
15    contract receives the proceeds of the policy when it
16    provides the funeral goods and services specified under
17    the contract. The irrevocable assignment of ownership of
18    the insurance policy must be acknowledged by the insurance
19    company.
20        (4) Existing life insurance policies are exempt if
21    there has been an irrevocable assignment in compliance
22    with Section 2b of the Illinois Funeral or Burial Funds
23    Act. A person shall sign a contract with a funeral home,
24    which is licensed under the Illinois Funeral or Burial
25    Funds Act, that describes the cost of the funeral goods
26    and services to be provided upon the person's death, up to

 

 

10400HB0862ham002- 99 -LRB104 04759 SPS 36757 a

1    $7,248, except that any portion of a contract that clearly
2    represents the purchase of burial space, as that term is
3    defined for purposes of the Supplemental Security Income
4    program, is exempt regardless of value. This amount shall
5    be adjusted annually for any increase in the Consumer
6    Price Index. The contract must provide a complete
7    description of the goods and services and any cash
8    advances to be provided and the price thereof. The person
9    shall sign an irrevocable designation of beneficiary form
10    declaring that any amounts payable from the policies not
11    used for goods and services and any cash advances as set
12    forth in the contract shall be received by the State, up to
13    an amount equal to the total medical assistance paid on
14    behalf of the person; any funds remaining after payment to
15    the State shall be paid to a secondary beneficiary (if
16    any) listed on the policy, or to the estate of the
17    purchaser if no secondary beneficiary is named on the
18    policy in the event the proceeds exceed the prearranged
19    costs of merchandise and services and any cash advances
20    and the total medical assistance paid on behalf of the
21    insured. More than one policy may be subject to this
22    subsection if the total face value of the policies is
23    necessary to pay the amount described in the contract with
24    the funeral home; policies that are not necessary to pay
25    the amount described in the contract are not exempt. The
26    licensed funeral home to which the life insurance policy

 

 

10400HB0862ham002- 100 -LRB104 04759 SPS 36757 a

1    benefits have been irrevocably assigned shall retain
2    copies for inspection by the Comptroller and shall report
3    annually to the Comptroller the following: the name of the
4    insured, the name of the insurance company and policy
5    number, an itemized account of the amount of the contract
6    for goods and services and any cash advances provided, and
7    the current value of the policy of benefits designated
8    with a record of all amounts paid back to the State or
9    other beneficiary. The Department of Healthcare and Family
10    Services shall adopt rules and forms to implement this
11    Section.
12    (d) Notwithstanding any other provision of this Code to
13the contrary, an irrevocable trust containing the resources of
14a person who is determined to have a disability shall be
15considered exempt from consideration. A pooled trust must be
16established and managed by a non-profit association that pools
17funds but maintains a separate account for each beneficiary.
18The trust may be established by the person, a parent,
19grandparent, legal guardian, or court. It must be established
20for the sole benefit of the person and language contained in
21the trust shall stipulate that any amount remaining in the
22trust (up to the amount expended by the Department on medical
23assistance) that is not retained by the trust for reasonable
24administrative costs related to wrapping up the affairs of the
25subaccount shall be paid to the Department upon the death of
26the person. After a person reaches age 65, any funding by or on

 

 

10400HB0862ham002- 101 -LRB104 04759 SPS 36757 a

1behalf of the person to the trust shall be treated as a
2transfer of assets for less than fair market value unless the
3person is a ward of a county public guardian or the Division of
4State Guardian pursuant to Section 13-5 of the Probate Act of
51975 or Section 30 of the Guardianship and Advocacy Act and
6lives in the community, or the person is a ward of a county
7public guardian or the Division of State Guardian pursuant to
8Section 13-5 of the Probate Act of 1975 or Section 30 of the
9Guardianship and Advocacy Act and a court has found that any
10expenditures from the trust will maintain or enhance the
11person's quality of life. If the trust contains proceeds from
12a personal injury settlement, any Department charge must be
13satisfied in order for the transfer to the trust to be treated
14as a transfer for fair market value.
15    (e) The homestead shall be exempt from consideration
16except to the extent that it meets the income and shelter needs
17of the person. "Homestead" means the dwelling house and
18contiguous real estate owned and occupied by the person,
19regardless of its value. Subject to federal approval, a person
20shall not be eligible for long-term care services, however, if
21the person's equity interest in his or her homestead exceeds
22the minimum home equity as allowed and increased annually
23under federal law. Subject to federal approval, on and after
24the effective date of this amendatory Act of the 97th General
25Assembly, homestead property transferred to a trust shall no
26longer be considered homestead property.

 

 

10400HB0862ham002- 102 -LRB104 04759 SPS 36757 a

1    (f) Occasional or irregular gifts in cash, goods or
2services from persons who are not legally responsible
3relatives which are of nominal value or which do not have
4significant effect in meeting essential requirements shall be
5disregarded.
6    (g) The eligibility of any applicant for or recipient of
7public aid under this Article is not affected by the payment of
8any grant under the "Senior Citizens and Disabled Persons
9Property Tax Relief Act" or any distributions or items of
10income described under subparagraph (X) of paragraph (2) of
11subsection (a) of Section 203 of the Illinois Income Tax Act.
12    (h) The Illinois Department may, after appropriate
13investigation, establish and implement a consolidated standard
14to determine need and eligibility for and amount of benefits
15under this Article or a uniform cash supplement to the federal
16Supplemental Security Income program for all or any part of
17the then current recipients under this Article; provided,
18however, that the establishment or implementation of such a
19standard or supplement shall not result in reductions in
20benefits under this Article for the then current recipients of
21such benefits.
22    (i) The provisions under paragraph (4) of subsection (c)
23are subject to federal approval. The Department of Healthcare
24and Family Services shall apply for any necessary federal
25waivers or approvals to implement by January 1, 2023 the
26changes made to this Section by this amendatory Act of the

 

 

10400HB0862ham002- 103 -LRB104 04759 SPS 36757 a

1102nd General Assembly.
2(Source: P.A. 102-959, eff. 5-27-22.)
 
3    Section 90. The Adult Protective Services Act is amended
4by changing Sections 2 and 3.5 as follows:
 
5    (320 ILCS 20/2)  (from Ch. 23, par. 6602)
6    Sec. 2. Definitions. As used in this Act, unless the
7context requires otherwise:
8    (a) "Abandonment" means the desertion or willful forsaking
9of an eligible adult by an individual responsible for the care
10and custody of that eligible adult under circumstances in
11which a reasonable person would continue to provide care and
12custody. Nothing in this Act shall be construed to mean that an
13eligible adult is a victim of abandonment because of health
14care services provided or not provided by licensed health care
15professionals.
16    (a-1) "Abuse" means causing any physical, mental or sexual
17injury to an eligible adult, including exploitation of such
18adult's financial resources, and abandonment or subjecting an
19eligible adult to an environment which creates a likelihood of
20harm to the eligible adult's health, physical and emotional
21well-being, or welfare.
22    Nothing in this Act shall be construed to mean that an
23eligible adult is a victim of abuse, abandonment, neglect, or
24self-neglect for the sole reason that he or she is being

 

 

10400HB0862ham002- 104 -LRB104 04759 SPS 36757 a

1furnished with or relies upon treatment by spiritual means
2through prayer alone, in accordance with the tenets and
3practices of a recognized church or religious denomination.
4    Nothing in this Act shall be construed to mean that an
5eligible adult is a victim of abuse because of health care
6services provided or not provided by licensed health care
7professionals.
8    Nothing in this Act shall be construed to mean that an
9eligible adult is a victim of abuse in cases of criminal
10activity by strangers, telemarketing scams, consumer fraud,
11internet fraud, home repair disputes, complaints against a
12homeowners' association, or complaints between landlords and
13tenants.
14    (a-5) "Abuser" means a person who is a family member,
15caregiver, or another person who has a continuing relationship
16with the eligible adult and abuses, abandons, neglects, or
17financially exploits an eligible adult.
18    (a-6) "Adult with disabilities" means a person aged 18
19through 59 who resides in a domestic living situation and
20whose disability as defined in subsection (c-5) impairs his or
21her ability to seek or obtain protection from abuse,
22abandonment, neglect, or exploitation.
23    (a-7) "Caregiver" means a person who either as a result of
24a family relationship, voluntarily, or in exchange for
25compensation has assumed responsibility for all or a portion
26of the care of an eligible adult who needs assistance with

 

 

10400HB0862ham002- 105 -LRB104 04759 SPS 36757 a

1activities of daily living or instrumental activities of daily
2living.
3    (b) "Department" means the Department on Aging of the
4State of Illinois.
5    (c) "Director" means the Director of the Department.
6    (c-5) "Disability" means a physical or mental disability,
7including, but not limited to, a developmental disability, an
8intellectual disability, a mental illness as defined under the
9Mental Health and Developmental Disabilities Code, or dementia
10as defined under the Alzheimer's Disease Assistance Act.
11    (d) "Domestic living situation" means a residence where
12the eligible adult at the time of the report lives alone or
13with his or her family or a caregiver, or others, or other
14community-based unlicensed facility, but is not:
15        (1) A licensed facility as defined in Section 1-113 of
16    the Nursing Home Care Act;
17        (1.5) A facility licensed under the ID/DD Community
18    Care Act;
19        (1.6) A facility licensed under the MC/DD Act;
20        (1.7) A facility licensed under the Specialized Mental
21    Health Rehabilitation Act of 2013;
22        (2) A "life care facility" as defined in the Life Care
23    Facilities Act;
24        (3) A home, institution, or other place operated by
25    the federal government or agency thereof or by the State
26    of Illinois;

 

 

10400HB0862ham002- 106 -LRB104 04759 SPS 36757 a

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

 

 

10400HB0862ham002- 107 -LRB104 04759 SPS 36757 a

1(9) of subsection (d), if either: (i) the alleged abuse,
2abandonment, or neglect occurs outside of the facility and not
3under facility supervision and the alleged abuser is a family
4member, caregiver, or another person who has a continuing
5relationship with the adult; or (ii) the alleged financial
6exploitation is perpetrated by a family member, caregiver, or
7another person who has a continuing relationship with the
8adult, but who is not an employee of the facility where the
9adult resides.
10    (f) "Emergency" means a situation in which an eligible
11adult is living in conditions presenting a risk of death or
12physical, mental or sexual injury and the provider agency has
13reason to believe the eligible adult is unable to consent to
14services which would alleviate that risk.
15    (f-1) "Financial exploitation" means the use of an
16eligible adult's resources by another to the disadvantage of
17that adult or the profit or advantage of a person other than
18that adult.
19    (f-3) "Investment advisor" means any person required to
20register as an investment adviser or investment adviser
21representative under Section 8 of the Illinois Securities Law
22of 1953, which for purposes of this Act excludes any bank,
23trust company, savings bank, or credit union, or their
24respective employees.
25    (f-5) "Mandated reporter" means any of the following
26persons while engaged in carrying out their professional

 

 

10400HB0862ham002- 108 -LRB104 04759 SPS 36757 a

1duties:
2        (1) a professional or professional's delegate while
3    engaged in: (i) social services, (ii) law enforcement,
4    (iii) education, (iv) the care of an eligible adult or
5    eligible adults, or (v) any of the occupations required to
6    be licensed under the Behavior Analyst Licensing Act, the
7    Clinical Psychologist Licensing Act, the Clinical Social
8    Work and Social Work Practice Act, the Illinois Dental
9    Practice Act, the Dietitian Nutritionist Practice Act, the
10    Marriage and Family Therapy Licensing Act, the Medical
11    Practice Act of 1987, the Naprapathic Practice Act, the
12    Nurse Practice Act, the Nursing Home Administrators
13    Licensing and Disciplinary Act, the Illinois Occupational
14    Therapy Practice Act, the Illinois Optometric Practice Act
15    of 1987, the Pharmacy Practice Act, the Illinois Physical
16    Therapy Act, the Physician Assistant Practice Act of 1987,
17    the Podiatric Medical Practice Act of 1987, the
18    Respiratory Care Practice Act, the Professional Counselor
19    and Clinical Professional Counselor Licensing and Practice
20    Act, the Illinois Speech-Language Pathology and Audiology
21    Practice Act, the Veterinary Medicine and Surgery Practice
22    Act of 2004, and the Illinois Public Accounting Act;
23        (1.5) an employee of an entity providing developmental
24    disabilities services or service coordination funded by
25    the Department of Human Services;
26        (2) an employee of a vocational rehabilitation

 

 

10400HB0862ham002- 109 -LRB104 04759 SPS 36757 a

1    facility prescribed or supervised by the Department of
2    Human Services;
3        (3) an administrator, employee, or person providing
4    services in or through an unlicensed community based
5    facility;
6        (4) any religious practitioner who provides treatment
7    by prayer or spiritual means alone in accordance with the
8    tenets and practices of a recognized church or religious
9    denomination, except as to information received in any
10    confession or sacred communication enjoined by the
11    discipline of the religious denomination to be held
12    confidential;
13        (5) field personnel of the Department of Healthcare
14    and Family Services, Department of Public Health, and
15    Department of Human Services, and any county or municipal
16    health department;
17        (6) personnel of the Department of Human Services, the
18    Department of Disability Advocacy and Guardianship and
19    Advocacy Commission, the State Fire Marshal, local fire
20    departments, the Department on Aging and its subsidiary
21    Area Agencies on Aging and provider agencies, except the
22    State Long Term Care Ombudsman and any of his or her
23    representatives or volunteers where prohibited from making
24    such a report pursuant to 45 CFR 1324.11(e)(3)(iv);
25        (7) any employee of the State of Illinois not
26    otherwise specified herein who is involved in providing

 

 

10400HB0862ham002- 110 -LRB104 04759 SPS 36757 a

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

 

 

10400HB0862ham002- 111 -LRB104 04759 SPS 36757 a

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

 

 

10400HB0862ham002- 112 -LRB104 04759 SPS 36757 a

1or suspected abuse, abandonment, neglect, financial
2exploitation, or self-neglect in which a provider agency,
3after assessment, determines that there is reason to believe
4abuse, abandonment, neglect, or financial exploitation has
5occurred.
6    (k) "Verified" means a determination that there is "clear
7and convincing evidence" that the specific injury or harm
8alleged was the result of abuse, abandonment, neglect, or
9financial exploitation.
10(Source: P.A. 102-244, eff. 1-1-22; 102-953, eff. 5-27-22;
11103-329, eff. 1-1-24; 103-626, eff. 1-1-25.)
 
12    (320 ILCS 20/3.5)
13    Sec. 3.5. Other responsibilities. The Department shall
14also be responsible for the following activities, contingent
15upon adequate funding; implementation shall be expanded to
16adults with disabilities upon the effective date of this
17amendatory Act of the 98th General Assembly, except those
18responsibilities under subsection (a), which shall be
19undertaken as soon as practicable:
20        (a) promotion of a wide range of endeavors for the
21    purpose of preventing abuse, abandonment, neglect,
22    financial exploitation, and self-neglect, including, but
23    not limited to, promotion of public and professional
24    education to increase awareness of abuse, abandonment,
25    neglect, financial exploitation, and self-neglect; to

 

 

10400HB0862ham002- 113 -LRB104 04759 SPS 36757 a

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

 

 

10400HB0862ham002- 114 -LRB104 04759 SPS 36757 a

1    include but not be limited to the Office of the Attorney
2    General, the Illinois State Police, the Illinois Law
3    Enforcement Training Standards Board, the State Triad, the
4    Illinois Criminal Justice Information Authority, the State
5    Departments of Public Health, Healthcare and Family
6    Services, and Human Services, the Family Violence
7    Coordinating Council, the Illinois Violence Prevention
8    Authority, the agency designated by the Governor under
9    Section 1 of the Protection and Advocacy for Persons with
10    Developmental Disabilities Act, and other entities that
11    may impact awareness of and response to abuse,
12    abandonment, neglect, financial exploitation, and
13    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; and
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

 

 

10400HB0862ham002- 115 -LRB104 04759 SPS 36757 a

1    financial institutions for their current and new employees
2    with direct customer contact; the Department of Financial
3    and Professional Regulation shall retain sole visitation
4    and 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).
9(Source: P.A. 102-244, eff. 1-1-22; 102-538, eff. 8-20-21;
10102-813, eff. 5-13-22; 103-626, eff. 1-1-25.)
 
11    Section 95. The Mental Health and Developmental
12Disabilities Code is amended by changing Sections 2-103,
132-108, 2-109, 2-114, 2-200, 2-201, 3-206, 3-405, 3-805, 3-910,
144-201.1, 4-203, 4-605, and 5-100 as follows:
 
15    (405 ILCS 5/2-103)  (from Ch. 91 1/2, par. 2-103)
16    Sec. 2-103. Except as provided in this Section, a
17recipient who resides in a mental health or developmental
18disabilities facility shall be permitted unimpeded, private,
19and uncensored communication with persons of his choice by
20mail, telephone and visitation.
21    (a) The facility director shall ensure that correspondence
22can be conveniently received and mailed, that telephones are
23reasonably accessible, and that space for visits is available.
24Writing materials, postage and telephone usage funds shall be

 

 

10400HB0862ham002- 116 -LRB104 04759 SPS 36757 a

1provided in reasonable amounts to recipients who reside in
2Department facilities and who are unable to procure such
3items.
4    (b) Reasonable times and places for the use of telephones
5and for visits may be established in writing by the facility
6director.
7    (c) Unimpeded, private and uncensored communication by
8mail, telephone, and visitation may be reasonably restricted
9by the facility director only in order to protect the
10recipient or others from harm, harassment or intimidation,
11provided that notice of such restriction shall be given to all
12recipients upon admission. When communications are restricted,
13the facility shall advise the recipient that he has the right
14to require the facility to notify the affected parties of the
15restriction, and to notify such affected party when the
16restrictions are no longer in effect. However, all letters
17addressed by a recipient to the Governor, members of the
18General Assembly, Attorney General, judges, state's attorneys,
19the Department of Disability Advocacy and Guardianship and
20Advocacy Commission, or the Agency designated pursuant to "An
21Act in relation to the protection and advocacy of the rights of
22persons with developmental disabilities, and amending Acts
23therein named", approved September 20, 1985, officers of the
24Department, or licensed attorneys at law must be forwarded at
25once to the persons to whom they are addressed without
26examination by the facility authorities. Letters in reply from

 

 

10400HB0862ham002- 117 -LRB104 04759 SPS 36757 a

1the officials and attorneys mentioned above must be delivered
2to the recipient without examination by the facility
3authorities.
4    (d) No facility shall prevent any attorney who represents
5a recipient or who has been requested to do so by any relative
6or family member of the recipient, from visiting a recipient
7during normal business hours, unless that recipient refuses to
8meet with the attorney.
9    (e) Whenever, as the result of the closing or the
10reduction in the number of units or available beds of any
11mental health facility operated by the Department of Human
12Services, the State determines to enter into a contract with
13any mental health facility to provide hospitalization to
14persons who would otherwise be served by the State-operated
15mental health facility, the resident shall be entitled to the
16same rights under this Section.
17(Source: P.A. 97-1007, eff. 8-17-12.)
 
18    (405 ILCS 5/2-108)  (from Ch. 91 1/2, par. 2-108)
19    Sec. 2-108. Use of restraint. Restraint may be used only
20as a therapeutic measure to prevent a recipient from causing
21physical harm to himself or physical abuse to others.
22Restraint may only be applied by a person who has been trained
23in the application of the particular type of restraint to be
24utilized. In no event shall restraint be utilized to punish or
25discipline a recipient, nor is restraint to be used as a

 

 

10400HB0862ham002- 118 -LRB104 04759 SPS 36757 a

1convenience for the staff.
2    (a) Except as provided in this Section, restraint shall be
3employed only upon the written order of a physician, clinical
4psychologist, clinical social worker, clinical professional
5counselor, advanced practice psychiatric nurse, or registered
6nurse with supervisory responsibilities. No restraint shall be
7ordered unless the physician, clinical psychologist, clinical
8social worker, clinical professional counselor, advanced
9practice psychiatric nurse, or registered nurse with
10supervisory responsibilities, after personally observing and
11examining the recipient, is clinically satisfied that the use
12of restraint is justified to prevent the recipient from
13causing physical harm to himself or others. In no event may
14restraint continue for longer than 2 hours unless within that
15time period a nurse with supervisory responsibilities,
16advanced practice psychiatric nurse, or a physician confirms,
17in writing, following a personal examination of the recipient,
18that the restraint does not pose an undue risk to the
19recipient's health in light of the recipient's physical or
20medical condition. The order shall state the events leading up
21to the need for restraint and the purposes for which restraint
22is employed. The order shall also state the length of time
23restraint is to be employed and the clinical justification for
24that length of time. No order for restraint shall be valid for
25more than 16 hours. If further restraint is required, a new
26order must be issued pursuant to the requirements provided in

 

 

10400HB0862ham002- 119 -LRB104 04759 SPS 36757 a

1this Section.
2    (b) In the event there is an emergency requiring the
3immediate use of restraint, it may be ordered temporarily by a
4qualified person only where a physician, clinical
5psychologist, clinical social worker, clinical professional
6counselor, advanced practice psychiatric nurse, or registered
7nurse with supervisory responsibilities is not immediately
8available. In that event, an order by a nurse, clinical
9psychologist, clinical social worker, clinical professional
10counselor, advanced practice psychiatric nurse, or physician
11shall be obtained pursuant to the requirements of this Section
12as quickly as possible, and the recipient shall be examined by
13a physician or supervisory nurse within 2 hours after the
14initial employment of the emergency restraint. Whoever orders
15restraint in emergency situations shall document its necessity
16and place that documentation in the recipient's record.
17    (c) The person who orders restraint shall inform the
18facility director or his designee in writing of the use of
19restraint within 24 hours.
20    (d) The facility director shall review all restraint
21orders daily and shall inquire into the reasons for the orders
22for restraint by any person who routinely orders them.
23    (e) Restraint may be employed during all or part of one
2424-hour 24 hour period, the period commencing with the initial
25application of the restraint. However, once restraint has been
26employed during one 24-hour 24 hour period, it shall not be

 

 

10400HB0862ham002- 120 -LRB104 04759 SPS 36757 a

1used again on the same recipient during the next 48 hours
2without the prior written authorization of the facility
3director.
4    (f) Restraint shall be employed in a humane and
5therapeutic manner and the person being restrained shall be
6observed by a qualified person as often as is clinically
7appropriate but in no event less than once every 15 minutes.
8The qualified person shall maintain a record of the
9observations. Specifically, unless there is an immediate
10danger that the recipient will physically harm himself or
11others, restraint shall be loosely applied to permit freedom
12of movement. Further, the recipient shall be permitted to have
13regular meals and toilet privileges free from the restraint,
14except when freedom of action may result in physical harm to
15the recipient or others.
16    (g) Every facility that employs restraint shall provide
17training in the safe and humane application of each type of
18restraint employed. The facility shall not authorize the use
19of any type of restraint by an employee who has not received
20training in the safe and humane application of that type of
21restraint. Each facility in which restraint is used shall
22maintain records detailing which employees have been trained
23and are authorized to apply restraint, the date of the
24training and the type of restraint that the employee was
25trained to use.
26    (h) Whenever restraint is imposed upon any recipient whose

 

 

10400HB0862ham002- 121 -LRB104 04759 SPS 36757 a

1primary mode of communication is sign language, the recipient
2shall be permitted to have his hands free from restraint for
3brief periods each hour, except when freedom may result in
4physical harm to the recipient or others.
5    (i) A recipient who is restrained may only be secluded at
6the same time pursuant to an explicit written authorization as
7provided in Section 2-109 of this Code. Whenever a recipient
8is restrained, a member of the facility staff shall remain
9with the recipient at all times unless the recipient has been
10secluded. A recipient who is restrained and secluded shall be
11observed by a qualified person as often as is clinically
12appropriate but in no event less than every 15 minutes.
13    (j) Whenever restraint is used, the recipient shall be
14advised of his right, pursuant to Sections 2-200 and 2-201 of
15this Code, to have any person of his choosing, including the
16Department of Disability Advocacy and Guardianship and
17Advocacy Commission or the agency designated pursuant to the
18Protection and Advocacy for Persons with Developmental
19Disabilities Act notified of the restraint. A recipient who is
20under guardianship may request that any person of his choosing
21be notified of the restraint whether or not the guardian
22approves of the notice. Whenever the Department of Disability
23Advocacy and Guardianship and Advocacy Commission is notified
24that a recipient has been restrained, it shall contact that
25recipient to determine the circumstances of the restraint and
26whether further action is warranted.

 

 

10400HB0862ham002- 122 -LRB104 04759 SPS 36757 a

1(Source: P.A. 101-587, eff. 1-1-20.)
 
2    (405 ILCS 5/2-109)  (from Ch. 91 1/2, par. 2-109)
3    Sec. 2-109. Seclusion. Seclusion may be used only as a
4therapeutic measure to prevent a recipient from causing
5physical harm to himself or physical abuse to others. In no
6event shall seclusion be utilized to punish or discipline a
7recipient, nor is seclusion to be used as a convenience for the
8staff.
9    (a) Seclusion shall be employed only upon the written
10order of a physician, clinical psychologist, clinical social
11worker, clinical professional counselor, advanced practice
12psychiatric nurse, or registered nurse with supervisory
13responsibilities. No seclusion shall be ordered unless the
14physician, clinical psychologist, clinical social worker,
15clinical professional counselor, advanced practice psychiatric
16nurse, or registered nurse with supervisory responsibilities,
17after personally observing and examining the recipient, is
18clinically satisfied that the use of seclusion is justified to
19prevent the recipient from causing physical harm to himself or
20others. In no event may seclusion continue for longer than 2
21hours unless within that time period a nurse with supervisory
22responsibilities, advanced practice psychiatric nurse, or a
23physician confirms in writing, following a personal
24examination of the recipient, that the seclusion does not pose
25an undue risk to the recipient's health in light of the

 

 

10400HB0862ham002- 123 -LRB104 04759 SPS 36757 a

1recipient's physical or medical condition. The order shall
2state the events leading up to the need for seclusion and the
3purposes for which seclusion is employed. The order shall also
4state the length of time seclusion is to be employed and the
5clinical justification for the length of time. No order for
6seclusion shall be valid for more than 16 hours. If further
7seclusion is required, a new order must be issued pursuant to
8the requirements provided in this Section.
9    (b) The person who orders seclusion shall inform the
10facility director or his designee in writing of the use of
11seclusion within 24 hours.
12    (c) The facility director shall review all seclusion
13orders daily and shall inquire into the reasons for the orders
14for seclusion by any person who routinely orders them.
15    (d) Seclusion may be employed during all or part of one
1616-hour 16 hour period, that period commencing with the
17initial application of the seclusion. However, once seclusion
18has been employed during one 16-hour 16 hour period, it shall
19not be used again on the same recipient during the next 48
20hours without the prior written authorization of the facility
21director.
22    (e) The person who ordered the seclusion shall assign a
23qualified person to observe the recipient at all times. A
24recipient who is restrained and secluded shall be observed by
25a qualified person as often as is clinically appropriate but
26in no event less than once every 15 minutes.

 

 

10400HB0862ham002- 124 -LRB104 04759 SPS 36757 a

1    (f) Safety precautions shall be followed to prevent
2injuries to the recipient in the seclusion room. Seclusion
3rooms shall be adequately lighted, heated, and furnished. If a
4door is locked, someone with a key shall be in constant
5attendance nearby.
6    (g) Whenever seclusion is used, the recipient shall be
7advised of his right, pursuant to Sections 2-200 and 2-201 of
8this Code, to have any person of his choosing, including the
9Department of Disability Advocacy and Guardianship and
10Advocacy Commission notified of the seclusion. A person who is
11under guardianship may request that any person of his choosing
12be notified of the seclusion whether or not the guardian
13approves of the notice. Whenever the Department of Disability
14Advocacy and Guardianship and Advocacy Commission is notified
15that a recipient has been secluded, it shall contact that
16recipient to determine the circumstances of the seclusion and
17whether further action is warranted.
18(Source: P.A. 101-587, eff. 1-1-20.)
 
19    (405 ILCS 5/2-114)  (from Ch. 91 1/2, par. 2-114)
20    Sec. 2-114. (a) Whenever an attorney or other advocate
21from the Department of Disability Advocacy and Guardianship
22and Advocacy Commission or the agency designated by the
23Governor under Section 1 of the Protection and Advocacy for
24Persons with Developmental Disabilities Act or any other
25attorney advises a facility in which a recipient is receiving

 

 

10400HB0862ham002- 125 -LRB104 04759 SPS 36757 a

1inpatient mental health services that he is presently
2representing the recipient, or has been appointed by any court
3or administrative agency to do so or has been requested to
4represent the recipient by a member of the recipient's family,
5the facility shall, subject to the provisions of Section 2-113
6of this Code, disclose to the attorney or advocate whether the
7recipient is presently residing in the facility and, if so,
8how the attorney or advocate may communicate with the
9recipient.
10    (b) The facility may take reasonable precautions to
11identify the attorney or advocate. No further information
12shall be disclosed to the attorney or advocate except in
13conformity with the authorization procedures contained in the
14Mental Health and Developmental Disabilities Confidentiality
15Act.
16    (c) Whenever the location of the recipient has been
17disclosed to an attorney or advocate, the facility director
18shall inform the recipient of that fact and shall note this
19disclosure in the recipient's records.
20    (d) An attorney or advocate who receives any information
21under this Section may not disclose this information to anyone
22else without the written consent of the recipient obtained
23pursuant to Section 5 of the Mental Health and Developmental
24Disabilities Confidentiality Act.
25(Source: P.A. 99-143, eff. 7-27-15.)
 

 

 

10400HB0862ham002- 126 -LRB104 04759 SPS 36757 a

1    (405 ILCS 5/2-200)  (from Ch. 91 1/2, par. 2-200)
2    Sec. 2-200. (a) Upon commencement of services, or as soon
3thereafter as the condition of the recipient permits, every
4adult recipient, as well as the recipient's guardian or
5substitute decision maker, and every recipient who is 12 years
6of age or older and the parent or guardian of a minor or person
7under guardianship shall be informed orally and in writing of
8the rights guaranteed by this Chapter which are relevant to
9the nature of the recipient's services program. The notice
10shall include, if applicable, the recipient's right to request
11a transfer to a different Department facility under Section
123-908. Every facility shall also post conspicuously in public
13areas a summary of the rights which are relevant to the
14services delivered by that facility as well as contact
15information for the Department of Disability Advocacy and
16Guardianship and Advocacy Commission and the agency designated
17by the Governor under Section 1 of the Protection and Advocacy
18for Persons with Developmental Disabilities Act.
19    (b) A recipient who is 12 years of age or older and the
20parent or guardian of a minor or person under guardianship at
21any time may designate, and upon commencement of services
22shall be informed of the right to designate, a person or agency
23to receive notice under Section 2-201 or to direct that no
24information about the recipient be disclosed to any person or
25agency.
26    (c) Upon commencement of services, or as soon thereafter

 

 

10400HB0862ham002- 127 -LRB104 04759 SPS 36757 a

1as the condition of the recipient permits, the facility shall
2ask the adult recipient or minor recipient admitted pursuant
3to Section 3-502 whether the recipient wants the facility to
4contact the recipient's spouse, parents, guardian, close
5relatives, friends, attorney, advocate from the Department of
6Disability Advocacy and Guardianship and Advocacy Commission
7or the agency designated by the Governor under Section 1 of the
8Protection and Advocacy for Persons with Developmental
9Disabilities Act, or others and inform them of the recipient's
10presence at the facility. The facility shall by phone or by
11mail contact at least two of those people designated by the
12recipient and shall inform them of the recipient's location.
13If the recipient so requests, the facility shall also inform
14them of how to contact the recipient.
15    (d) Upon commencement of services, or as soon thereafter
16as the condition of the recipient permits, the facility shall
17advise the recipient as to the circumstances under which the
18law permits the use of emergency forced medication or
19electroconvulsive therapy under subsection (a) of Section
202-107, restraint under Section 2-108, or seclusion under
21Section 2-109. At the same time, the facility shall inquire of
22the recipient which form of intervention the recipient would
23prefer if any of these circumstances should arise. The
24recipient's preference shall be noted in the recipient's
25record and communicated by the facility to the recipient's
26guardian or substitute decision maker, if any, and any other

 

 

10400HB0862ham002- 128 -LRB104 04759 SPS 36757 a

1individual designated by the recipient. If any such
2circumstances subsequently do arise, the facility shall give
3due consideration to the preferences of the recipient
4regarding which form of intervention to use as communicated to
5the facility by the recipient or as stated in the recipient's
6advance directive.
7(Source: P.A. 102-593, eff. 8-27-21.)
 
8    (405 ILCS 5/2-201)  (from Ch. 91 1/2, par. 2-201)
9    Sec. 2-201. (a) Whenever any rights of a recipient of
10services that are specified in this Chapter are restricted,
11the professional responsible for overseeing the implementation
12of the recipient's services plan shall be responsible for
13promptly giving notice of the restriction or use of restraint
14or seclusion and the reason therefor to:
15        (1) the recipient and, if such recipient is a minor or
16    under guardianship, his parent or guardian;
17        (2) a person designated under subsection (b) of
18    Section 2-200 upon commencement of services or at any
19    later time to receive such notice;
20        (3) the facility director;
21        (4) the Department of Disability Advocacy and
22    Guardianship and Advocacy Commission, or the agency
23    designated under "An Act in relation to the protection and
24    advocacy of the rights of persons with developmental
25    disabilities, and amending Acts therein named", approved

 

 

10400HB0862ham002- 129 -LRB104 04759 SPS 36757 a

1    September 20, 1985, if either is so designated; and
2        (5) the recipient's substitute decision maker, if any.
3    The professional shall also be responsible for promptly
4recording such restriction or use of restraint or seclusion
5and the reason therefor in the recipient's record.
6    (b) The facility director shall maintain a file of all
7notices of restrictions of rights, or the use of restraint or
8seclusion for the past 3 years. The facility director shall
9allow the Department of Disability Advocacy and Guardianship
10and Advocacy Commission, the agency designated by the Governor
11under Section 1 of "An Act in relation to the protection and
12advocacy of the rights of persons with developmental
13disabilities, and amending Acts therein named," approved
14September 20, 1985, and the Department to examine and copy
15such records upon request. Records obtained under this Section
16shall not be further disclosed except pursuant to written
17authorization of the recipient under Section 5 of the Mental
18Health and Developmental Disabilities Confidentiality Act.
19(Source: P.A. 91-726, eff. 6-2-00.)
 
20    (405 ILCS 5/3-206)  (from Ch. 91 1/2, par. 3-206)
21    Sec. 3-206. Whenever a person is admitted or objects to
22admission, and whenever a recipient is notified that his legal
23status is to be changed, the facility director of the mental
24health facility shall provide the person, if he is 12 or older,
25with the address and phone number of the Department of

 

 

10400HB0862ham002- 130 -LRB104 04759 SPS 36757 a

1Disability Advocacy and Guardianship and Advocacy Commission.
2If the person requests, the facility director shall assist him
3in contacting the Department of Disability Advocacy and
4Guardianship Commission.
5(Source: P.A. 88-380.)
 
6    (405 ILCS 5/3-405)  (from Ch. 91 1/2, par. 3-405)
7    Sec. 3-405. (a) If the facility director of a Department
8mental health facility declines to admit a person seeking
9admission under Articles III or IV of this Chapter, a review of
10the denial may be requested by the person seeking admission
11or, with his consent, by an interested person on his behalf.
12Such a request may be made on behalf of a minor presented for
13admission under Section 3-502, 3-503 or 3-504 by the minor's
14attorney, by the parent, guardian or person in loco parentis
15who executed the application for his admission, or by the
16minor himself if he is 16 years of age or older. Whenever
17admission to a Department facility is denied, the person
18seeking admission shall immediately be given written notice of
19the right to request review of the denial under this Section
20and shall be provided, if he is 12 or older, with the address
21and phone number of the Department of Disability Advocacy and
22Guardianship and Advocacy Commission. If the person requests,
23the facility director shall assist him in contacting the
24Department of Disability Advocacy and Guardianship Commission.
25A written request for review shall be submitted to the

 

 

10400HB0862ham002- 131 -LRB104 04759 SPS 36757 a

1director of the facility that denied admission within 14 days
2of the denial. Upon receipt of the request, the facility
3director shall promptly schedule a hearing to be held at the
4denying facility within 7 days pursuant to Section 3-207.
5    (b) At the hearing the Department shall have the burden of
6proving that the person denied admission does not meet the
7standard set forth in the Section under which admission is
8sought or that an appropriate alternative community treatment
9program was available to meet the person's needs and was
10offered. If the utilization review committee finds that the
11decision denying admission is based upon substantial evidence,
12it shall recommend that the denial of admission be upheld.
13However, if it finds that the facility to which admission is
14sought can provide adequate and appropriate treatment for the
15person and no appropriate community alternative treatment is
16available, it shall recommend that the person denied admission
17be admitted. If it determines that another facility can
18provide treatment appropriate to the clinical condition and
19needs of the person denied admission, it may recommend that
20the Department or other agency assist the person in obtaining
21such treatment.
22(Source: P.A. 91-726, eff. 6-2-00.)
 
23    (405 ILCS 5/3-805)  (from Ch. 91 1/2, par. 3-805)
24    Sec. 3-805. Every respondent alleged to be subject to
25involuntary admission on an inpatient or outpatient basis

 

 

10400HB0862ham002- 132 -LRB104 04759 SPS 36757 a

1shall be represented by counsel. If the respondent is indigent
2or an appearance has not been entered on his behalf at the time
3the matter is set for hearing, the court shall appoint counsel
4for him. A hearing shall not proceed when a respondent is not
5represented by counsel unless, after conferring with counsel,
6the respondent requests to represent himself and the court is
7satisfied that the respondent has the capacity to make an
8informed waiver of his right to counsel. Counsel shall be
9allowed time for adequate preparation and shall not be
10prevented from conferring with the respondent at reasonable
11times nor from making an investigation of the matters in issue
12and presenting such relevant evidence as he believes is
13necessary.
14    1. If the court determines that the respondent is unable
15to obtain counsel, the court shall appoint as counsel an
16attorney employed by or under contract with the Department of
17Disability Advocacy and Guardianship and Mental Health
18Advocacy Commission, if available.
19    2. If an attorney from the Department of Disability
20Advocacy and Guardianship and Mental Health Advocacy
21Commission is not available, the court shall appoint as
22counsel the public defender or, only if no public defender is
23available, an attorney licensed to practice law in this State.
24    3. Upon filing with the court of a verified statement of
25legal services rendered by the private attorney appointed
26pursuant to paragraph (2) of this Section, the court shall

 

 

10400HB0862ham002- 133 -LRB104 04759 SPS 36757 a

1determine a reasonable fee for such services. If the
2respondent is unable to pay the fee, the court shall enter an
3order upon the county to pay the entire fee or such amount as
4the respondent is unable to pay.
5(Source: P.A. 96-1399, eff. 7-29-10; 96-1453, eff. 8-20-10.)
 
6    (405 ILCS 5/3-910)  (from Ch. 91 1/2, par. 3-910)
7    Sec. 3-910. (a) Whenever a recipient who has been in a
8Department facility for more than 7 days is to be transferred
9to another facility under Section 3-908, the facility director
10of the facility shall give written notice at least 14 days
11before the transfer to the recipient, his attorney, guardian,
12if any, and responsible relative. In the case of a minor,
13notice shall be given to his attorney, to the parent,
14guardian, or person in loco parentis who executed the
15application for his admission, and to the minor himself if he
16is 12 years of age or older. The notice shall include the
17reasons for transfer, a statement of the right to object and
18the address and phone number of the Department of Disability
19Advocacy and Guardianship and Advocacy Commission. If the
20recipient requests, the facility director shall assist him in
21contacting the Department of Disability Advocacy and
22Guardianship Commission.
23    (b) In an emergency, when the health of the recipient or
24the physical safety of the recipient or others is imminently
25imperiled and appropriate care is not available where the

 

 

10400HB0862ham002- 134 -LRB104 04759 SPS 36757 a

1recipient is located, a recipient may be immediately
2transferred to another facility provided that notice of the
3transfer is given as soon as possible but not more than 48
4hours after transfer. The reason for the emergency shall be
5noted in the recipient's record and specified in the notice.
6    (c) A recipient may object to his transfer or his
7attorney, guardian, or responsible relative may object on his
8behalf. In the case of a minor, his attorney, the person who
9executed the application for admission, or the minor himself
10if he is 12 years of age or older, may object to the transfer.
11Prior to transfer or within 14 days after an emergency
12transfer, a written objection shall be submitted to the
13facility director of the facility where the recipient is
14located. Upon receipt of an objection, the facility director
15shall promptly schedule a hearing to be held within 7 days
16pursuant to Section 3-207. The hearing shall be held at the
17transferring facility except that when an emergency transfer
18has taken place the hearing may be held at the receiving
19facility. Except in an emergency, no transfer shall proceed
20pending hearing on an objection.
21    (d) At the hearing the Department shall have the burden of
22proving that the standard for transfer under Section 3-908 is
23met. If the transfer is to a facility which is substantially
24more physically restrictive than the transferring facility,
25the Department shall also prove that the transfer is
26reasonably required for the safety of the recipient or others.

 

 

10400HB0862ham002- 135 -LRB104 04759 SPS 36757 a

1If the utilization review committee finds that the Department
2has sustained its burden and the decision to transfer is based
3upon substantial evidence, it shall recommend that the
4transfer proceed. If it does not so find, it shall recommend
5that the recipient not be transferred.
6(Source: P.A. 88-380.)
 
7    (405 ILCS 5/4-201.1)  (from Ch. 91 1/2, par. 4-201.1)
8    Sec. 4-201.1. (a) A person residing in a Department mental
9health facility who is evaluated as having a mild or moderate
10intellectual disability, an attorney or advocate representing
11the person, or a guardian of such person may object to the
12Department facility director's certification required in
13Section 4-201, the treatment and habilitation plan, or
14appropriateness of setting, and obtain an administrative
15decision requiring revision of a treatment or habilitation
16plan or change of setting, by utilization review as provided
17in Sections 3-207 and 4-209 of this Code. As part of this
18utilization review, the Committee shall include as one of its
19members a qualified intellectual disabilities professional.
20    (b) The mental health facility director shall give written
21notice to each person evaluated as having a mild or moderate
22intellectual disability, the person's attorney and guardian,
23if any, or in the case of a minor, to his or her attorney, to
24the parent, guardian or person in loco parentis and to the
25minor if 12 years of age or older, of the person's right to

 

 

10400HB0862ham002- 136 -LRB104 04759 SPS 36757 a

1request a review of the facility director's initial or
2subsequent determination that such person is appropriately
3placed or is receiving appropriate services. The notice shall
4also provide the address and phone number of the Division of
5Legal Advocacy Service of the Department of Disability
6Advocacy and Guardianship and Advocacy Commission, which the
7person or guardian can contact for legal assistance. If
8requested, the facility director shall assist the person or
9guardian in contacting the Division of Legal Advocacy Service.
10This notice shall be given within 24 hours of Department's
11evaluation by the Department of Human Services that the person
12has a mild or moderate intellectual disability.
13    (c) Any recipient of services who successfully challenges
14a final decision of the Secretary of the Department (or his or
15her designee) reviewing an objection to the certification
16required under Section 4-201, the treatment and habilitation
17plan, or the appropriateness of the setting shall be entitled
18to recover reasonable attorney's fees incurred in that
19challenge, unless the Department's position was substantially
20justified.
21(Source: P.A. 99-143, eff. 7-27-15.)
 
22    (405 ILCS 5/4-203)  (from Ch. 91 1/2, par. 4-203)
23    Sec. 4-203. (a) Every developmental disabilities facility
24shall maintain adequate records which shall include the
25Section of this Act under which the client was admitted, any

 

 

10400HB0862ham002- 137 -LRB104 04759 SPS 36757 a

1subsequent change in the client's status, and requisite
2documentation for such admission and status.
3    (b) The Department shall ensure that a monthly report is
4maintained for each Department mental health facility, and
5each unit of a Department developmental disability facility
6for dually diagnosed persons, which lists (1) initials of
7persons admitted to, residing at, or discharged from a
8Department mental health facility or unit for dually diagnosed
9persons of Department developmental disability facility during
10that month with a primary or secondary diagnosis of
11intellectual disability, (2) the date and facility and unit of
12admission or continuing, care, (3) the legal admission status,
13(4) the recipient's diagnosis, (5) the date and facility and
14unit of transfer or discharge, (6) whether or not there is a
15public or private guardian, (7) whether the facility director
16has certified that appropriate treatment and habilitation are
17available for and being provided to such person pursuant to
18Section 4-203 of this Chapter, and (8) whether the person or a
19guardian has requested review as provided in Section 4-209 of
20this Chapter and, if so, the outcome of the review. The
21Secretary of the Department shall furnish a copy of each
22monthly report upon request to the Department of Disability
23Advocacy and Guardianship and Advocacy Commission and the
24agency designated by the Governor under Section 1 of "An Act in
25relation to the protection and advocacy of the rights of
26persons with developmental disabilities, and amending certain

 

 

10400HB0862ham002- 138 -LRB104 04759 SPS 36757 a

1Acts therein named", approved September 20, 1985, and under
2Section 1 of "An Act for the protection and advocacy of
3mentally ill persons", approved September 20, 1987.
4    (c) Nothing contained in this Chapter shall be construed
5to limit or otherwise affect the power of any developmental
6disabilities facility to determine the qualifications of
7persons permitted to admit clients to such facility. This
8subsection shall not affect or limit the powers of any court to
9order admission to a developmental disabilities facility as
10set forth in this Chapter.
11(Source: P.A. 97-227, eff. 1-1-12.)
 
12    (405 ILCS 5/4-605)  (from Ch. 91 1/2, par. 4-605)
13    Sec. 4-605. Every respondent alleged to meet the standard
14for judicial admission shall be represented by counsel. If the
15respondent is indigent or an appearance has not been entered
16on his behalf at the time the matter is set for hearing, the
17court shall appoint counsel for him. A hearing shall not
18proceed when a respondent is not represented by counsel
19unless, after conferring with counsel, the respondent requests
20to represent himself and the court is satisfied that the
21respondent has the capacity to make an informed waiver of his
22right to counsel. Counsel shall be allowed time for adequate
23preparation and shall not be prevented from conferring with
24the respondent at reasonable times nor from making an
25investigation of the matters in issue and presenting such

 

 

10400HB0862ham002- 139 -LRB104 04759 SPS 36757 a

1relevant evidence as he believes is necessary.
2    1. If the court determines that the respondent is unable
3to obtain counsel, the court shall appoint as counsel an
4attorney employed by or under contract with the Department of
5Disability Advocacy and Guardianship and Advocacy Commission,
6if available.
7    2. If an attorney from the Department of Disability
8Advocacy and Guardianship and Advocacy Commission is not
9available, the court shall appoint as counsel the public
10defender or, only if no public defender is available, an
11attorney licensed to practice law in this State.
12    3. Upon filing with the court of a verified statement of
13legal services rendered by the private attorney appointed
14pursuant to paragraph (2) of this Section, the court shall
15determine a reasonable fee for such services. If the
16respondent is unable to pay the fee, the court shall enter an
17order upon the county to pay the entire fee or such amount as
18the respondent is unable to pay.
19(Source: P.A. 85-1247.)
 
20    (405 ILCS 5/5-100)  (from Ch. 91 1/2, par. 5-100)
21    Sec. 5-100. Written notice of the death of a recipient of
22services which occurs at a mental health or developmental
23disabilities facility, or the death of a recipient of services
24who has not been discharged from a mental health or
25developmental disabilities facility but whose death occurs

 

 

10400HB0862ham002- 140 -LRB104 04759 SPS 36757 a

1elsewhere, shall within 10 days of the death of a recipient be
2mailed to the Department of Public Health which, for the
3primary purpose of monitoring patterns of abuse and neglect of
4recipients of services, shall make such notices available to
5the Department of Disability Advocacy and Guardianship and
6Advocacy Commission and to the agency designated by the
7Governor under Section 1 of "An Act in relation to the
8protection and advocacy of the rights of persons with
9developmental disabilities, and amending Acts therein named",
10approved September 20, 1985. Such notice shall include the
11name of the recipient, the name and address of the facility at
12which the death occurred, the recipient's age, the nature of
13the recipient's condition, including any evidence of the
14previous injuries or disabilities, or relevant medical
15conditions or any other information which might be helpful in
16establishing the cause of death.
17    Written notice of the death of a recipient of services who
18was admitted by court order, and the cause thereof shall, in
19all cases, be mailed by the facility director to the court
20entering the original admission order, and if possible, to the
21same judge, and the time, place and alleged cause of such death
22shall be entered upon the docket. Such notice must be mailed
23within 10 days following the death of the recipient.
24    In the event of a sudden or mysterious death of any
25recipient of services at any public or private facility, a
26coroner's inquest shall be held as provided by law in other

 

 

10400HB0862ham002- 141 -LRB104 04759 SPS 36757 a

1cases.
2    In cases where the deceased person was a recipient or
3client of any state facility, and the fees for holding an
4inquest cannot be collected out of his estate, such fees shall
5be paid by the Department.
6(Source: P.A. 88-380.)
 
7    Section 100. The Alzheimer's Disease Assistance Act is
8amended by changing Section 6 as follows:
 
9    (410 ILCS 405/6)  (from Ch. 111 1/2, par. 6956)
10    Sec. 6. Alzheimer's Disease Advisory Committee.
11    (a) There is created the Alzheimer's Disease Advisory
12Committee consisting of 17 voting members appointed by the
13Director of the Department, as well as 5 nonvoting members as
14hereinafter provided in this Section. The Director or his
15designee shall serve as one of the 17 voting members and as the
16Chairman of the Committee. Those appointed as voting members
17shall include persons who are experienced in research and the
18delivery of services to individuals with Alzheimer's disease
19or a related disorder and their families. Such members shall
20include:
21        (1) one individual from a statewide association
22    dedicated to Alzheimer's care, support, and research;
23        (2) one individual from a non-governmental statewide
24    organization that advocates for seniors;

 

 

10400HB0862ham002- 142 -LRB104 04759 SPS 36757 a

1        (3) the Dementia Coordinator of the Illinois
2    Department of Public Health, or the Dementia Coordinator's
3    designee;
4        (4) one individual representing the Community Care
5    Program's Home and Community Services Division;
6        (5) one individual representing the Adult Protective
7    Services Unit;
8        (6) 3 individuals from Alzheimer's Disease Assistance
9    Centers;
10        (7) one individual from a statewide association
11    representing an adult day service organization;
12        (8) one individual from a statewide association
13    representing home care providers;
14        (9) one individual from a statewide trade organization
15    representing the interests of physicians licensed to
16    practice medicine in all of its branches in Illinois;
17        (10) one individual representing long-term care
18    facilities licensed under the Nursing Home Care Act, an
19    assisted living establishment licensed under the Assisted
20    Living and Shared Housing Act, or supportive living
21    facilities;
22        (11) one individual from a statewide association
23    representing the interests of social workers;
24        (12) one individual representing Area Agencies on
25    Aging;
26        (13) the Medicaid Director of the Department of

 

 

10400HB0862ham002- 143 -LRB104 04759 SPS 36757 a

1    Healthcare and Family Services, or the Medicaid Director's
2    designee;
3        (14) one individual from a statewide association
4    representing health education and promotion and public
5    health advocacy; and
6        (15) one individual with medical or academic
7    experience with early onset Alzheimer's disease or related
8    disorders.
9    (b) In addition to the 17 voting members, the Directors of
10the following State agencies or their designees who are
11qualified to represent each Department's programs and services
12for those with Alzheimer's disease or related disorders shall
13serve as nonvoting members: Department on Aging, Department of
14Healthcare and Family Services, Department of Public Health,
15Department of Human Services, and Department of Disability
16Advocacy and Guardianship and Advocacy Commission.
17    Each voting member appointed by the Director of Public
18Health shall serve for a term of 2 years, and until his
19successor is appointed and qualified. Members of the Committee
20shall not be compensated but shall be reimbursed for expenses
21actually incurred in the performance of their duties.
22Vacancies shall be filled in the same manner as original
23appointments.
24    The Committee shall review all State programs and services
25provided by State agencies that are directed toward persons
26with Alzheimer's disease and related dementias, and by

 

 

10400HB0862ham002- 144 -LRB104 04759 SPS 36757 a

1consensus recommend changes to improve the State's response to
2this serious health problem. Such recommendations shall be
3included in the State plan described in this Act.
4(Source: P.A. 101-588, eff. 1-1-20.)
 
5    Section 103. The Vital Records Act is amended by changing
6Section 25.2 as follows:
 
7    (410 ILCS 535/25.2)
8    Sec. 25.2. Division Office of State Guardian birth record
9request.
10    (a) For purposes of this Section, an individual's status
11as a person under guardianship of with the Division Office of
12State Guardian may be verified with a copy of the court order
13placing the individual under the guardianship of the Division
14Office of State Guardian.
15    (b) The applicable fees under Section 17 for a new
16certificate of birth and under Section 25 for a search for a
17birth record or certified copy of a birth record shall be
18waived for requests made by the Division Office of State
19Guardian to the Office of the State Registrar of Vital Records
20in Springfield for an individual under guardianship of the
21Division Office of State Guardian, whose status is verified
22under subsection (a) of this Section.
23    (c) The State Registrar of Vital Records shall establish
24standards and procedures consistent with this Section for

 

 

10400HB0862ham002- 145 -LRB104 04759 SPS 36757 a

1waiver of the applicable fees.
2    (d) An individual under guardianship shall be provided no
3more than 4 birth records annually under this Section.
4(Source: P.A. 103-682, eff. 7-1-25.)
 
5    Section 105. The Clerks of Courts Act is amended by
6changing Section 27.3f as follows:
 
7    (705 ILCS 105/27.3f)
8    Sec. 27.3f. Guardianship and advocacy operations fee.
9    (a) As used in this Section, "guardianship and advocacy"
10means the guardianship and advocacy services provided by the
11Department of Disability Advocacy and Guardianship and
12Advocacy Commission and defined in the Guardianship and
13Advocacy Act. Viable public guardianship and advocacy
14programs, including the public guardianship programs created
15and supervised in probate proceedings in the Illinois courts,
16are essential to the administration of justice and ensure that
17incapacitated persons and their estates are protected. To
18defray the expense of maintaining and operating the divisions
19and programs of the Department of Disability Advocacy and
20Guardianship and Advocacy Commission and to support viable
21guardianship and advocacy programs throughout Illinois, each
22circuit court clerk shall charge and collect a fee on all
23matters filed in probate cases in accordance with this
24Section, but no fees shall be assessed against the Division of

 

 

10400HB0862ham002- 146 -LRB104 04759 SPS 36757 a

1State Guardian, any State agency under the jurisdiction of the
2Governor, any public guardian, or any State's Attorney.
3    (b) No fee specified in this Section shall be imposed in
4any minor guardianship established under Article XI of the
5Probate Act of 1975, or against an indigent person. An
6indigent person shall include any person who meets one or more
7of the following criteria:
8        (1) He or she is receiving assistance under one or
9    more of the following public benefits programs:
10    Supplemental Security Income (SSI), Aid to the Aged,
11    Blind, and Disabled (AABD), Temporary Assistance for Needy
12    Families (TANF), Supplemental Nutrition Assistance Program
13    (SNAP) (formerly Food Stamps), General Assistance, State
14    Transitional Assistance, or State Children and Family
15    Assistance.
16        (2) His or her available income is 125% or less of the
17    current poverty level as established by the United States
18    Department of Health and Human Services, unless the
19    applicant's assets that are not exempt under Part 9 or 10
20    of Article XII of the Code of Civil Procedure are of a
21    nature and value that the court determines that the
22    applicant is able to pay the fees, costs, and charges.
23        (3) He or she is, in the discretion of the court,
24    unable to proceed in an action without payment of fees,
25    costs, and charges and whose payment of those fees, costs,
26    and charges would result in substantial hardship to the

 

 

10400HB0862ham002- 147 -LRB104 04759 SPS 36757 a

1    person or his or her family.
2        (4) He or she is an indigent person pursuant to
3    Section 5-105.5 of the Code of Civil Procedure, providing
4    that an "indigent person" means a person whose income is
5    125% or less of the current official federal poverty
6    guidelines or who is otherwise eligible to receive civil
7    legal services under the Legal Services Corporation Act of
8    1974.
9    (c) The clerk is entitled to receive the fee specified in
10this Section, which shall be paid in advance, and managed by
11the clerk as set out in paragraph (2), except that, for good
12cause shown, the court may suspend, reduce, or release the
13costs payable under this Section:
14        (1) For administration of the estate of a decedent
15    (whether testate or intestate) or of a missing person, a
16    fee of $100.
17        (2) The guardianship and advocacy operations fee, as
18    outlined in this Section, shall be in addition to all
19    other fees and charges and assessable as costs. Five
20    percent of the fee shall be retained by the clerk for
21    deposit into the Circuit Court Clerk Operation and
22    Administrative Fund to defray costs of collection and 95%
23    of the fee shall be disbursed within 60 days after receipt
24    by the circuit clerk to the State Treasurer for deposit by
25    the State Treasurer into the Guardianship and Advocacy
26    Fund.

 

 

10400HB0862ham002- 148 -LRB104 04759 SPS 36757 a

1(Source: P.A. 97-1093, eff. 1-1-13.)
 
2    Section 110. The Criminal Code of 2012 is amended by
3changing Section 12-9 as follows:
 
4    (720 ILCS 5/12-9)  (from Ch. 38, par. 12-9)
5    Sec. 12-9. Threatening public officials; human service
6providers.
7    (a) A person commits threatening a public official or
8human service provider when:
9        (1) that person knowingly delivers or conveys,
10    directly or indirectly, to a public official or human
11    service provider by any means a communication:
12            (i) containing a threat that would place the
13        public official or human service provider or a member
14        of his or her immediate family in reasonable
15        apprehension of immediate or future bodily harm,
16        sexual assault, confinement, or restraint; or
17            (ii) containing a threat that would place the
18        public official or human service provider or a member
19        of his or her immediate family in reasonable
20        apprehension that damage will occur to property in the
21        custody, care, or control of the public official or
22        his or her immediate family; and
23        (2) the threat was conveyed because of the performance
24    or nonperformance of some public duty or duty as a human

 

 

10400HB0862ham002- 149 -LRB104 04759 SPS 36757 a

1    service provider, because of hostility of the person
2    making the threat toward the status or position of the
3    public official or the human service provider, or because
4    of any other factor related to the official's public
5    existence.
6    (a-5) For purposes of a threat to a sworn law enforcement
7officer, the threat must contain specific facts indicative of
8a unique threat to the person, family or property of the
9officer and not a generalized threat of harm.
10    (a-6) For purposes of a threat to a social worker,
11caseworker, investigator, or human service provider, the
12threat must contain specific facts indicative of a unique
13threat to the person, family or property of the individual and
14not a generalized threat of harm.
15    (b) For purposes of this Section:
16        (1) "Public official" means a person who is elected to
17    office in accordance with a statute or who is appointed to
18    an office which is established, and the qualifications and
19    duties of which are prescribed, by statute, to discharge a
20    public duty for the State or any of its political
21    subdivisions or in the case of an elective office any
22    person who has filed the required documents for nomination
23    or election to such office. "Public official" includes a
24    duly appointed assistant State's Attorney, assistant
25    Attorney General, or Appellate Prosecutor; a sworn law
26    enforcement or peace officer; a social worker, caseworker,

 

 

10400HB0862ham002- 150 -LRB104 04759 SPS 36757 a

1    attorney, or investigator employed by the Department of
2    Healthcare and Family Services, the Department of Human
3    Services, the Department of Children and Family Services,
4    or the Department of Disability Advocacy and Guardianship
5    and Advocacy Commission; or an assistant public guardian,
6    attorney, social worker, case manager, or investigator
7    employed by a duly appointed public guardian.
8        (1.5) "Human service provider" means a social worker,
9    case worker, or investigator employed by an agency or
10    organization providing social work, case work, or
11    investigative services under a contract with or a grant
12    from the Department of Human Services, the Department of
13    Children and Family Services, the Department of Healthcare
14    and Family Services, or the Department on Aging.
15        (2) "Immediate family" means a public official's
16    spouse or child or children.
17    (c) Threatening a public official or human service
18provider is a Class 3 felony for a first offense and a Class 2
19felony for a second or subsequent offense.
20(Source: P.A. 100-1, eff. 1-1-18.)
 
21    Section 115. The Mental Health and Developmental
22Disabilities Confidentiality Act is amended by changing
23Sections 4, 8, and 8.1 as follows:
 
24    (740 ILCS 110/4)  (from Ch. 91 1/2, par. 804)

 

 

10400HB0862ham002- 151 -LRB104 04759 SPS 36757 a

1    Sec. 4. (a) The following persons shall be entitled, upon
2request, to inspect and copy a recipient's record or any part
3thereof:
4        (1) the parent or guardian of a recipient who is under
5    12 years of age;
6        (2) the recipient if he is 12 years of age or older;
7        (3) the parent or guardian of a recipient who is at
8    least 12 but under 18 years, if the recipient is informed
9    and does not object or if the therapist does not find that
10    there are compelling reasons for denying the access. The
11    parent or guardian who is denied access by either the
12    recipient or the therapist may petition a court for access
13    to the record. Nothing in this paragraph is intended to
14    prohibit the parent or guardian of a recipient who is at
15    least 12 but under 18 years from requesting and receiving
16    the following information: current physical and mental
17    condition, diagnosis, treatment needs, services provided,
18    and services needed, including medication, if any;
19        (3.5) the parent or guardian of a minor, regardless of
20    the minor's age, if the minor is involved in special
21    education services under Section 14-1.11 of the School
22    Code, and only for the purpose of inspecting and copying a
23    record of the specific mental health or developmental
24    services that the parent or guardian consented to on the
25    recipient's behalf for special education services; or the
26    designated representative of a student over the age of 18

 

 

10400HB0862ham002- 152 -LRB104 04759 SPS 36757 a

1    involved in special education services under Section
2    14-6.10 of the School Code;
3        (4) the guardian of a recipient who is 18 years or
4    older;
5        (5) an attorney or guardian ad litem who represents a
6    minor 12 years of age or older in any judicial or
7    administrative proceeding, provided that the court or
8    administrative hearing officer has entered an order
9    granting the attorney this right;
10        (6) an agent appointed under a recipient's power of
11    attorney for health care or for property, when the power
12    of attorney authorizes the access;
13        (7) an attorney-in-fact appointed under the Mental
14    Health Treatment Preference Declaration Act; or
15        (8) any person in whose care and custody the recipient
16    has been placed pursuant to Section 3-811 of the Mental
17    Health and Developmental Disabilities Code.
18    (b) Assistance in interpreting the record may be provided
19without charge and shall be provided if the person inspecting
20the record is under 18 years of age. However, access may in no
21way be denied or limited if the person inspecting the record
22refuses the assistance. A reasonable fee may be charged for
23duplication of a record. However, when requested to do so in
24writing by any indigent recipient, the custodian of the
25records shall provide at no charge to the recipient, or to the
26Department of Disability Advocacy and Guardianship and

 

 

10400HB0862ham002- 153 -LRB104 04759 SPS 36757 a

1Advocacy Commission, the agency designated by the Governor
2under Section 1 of the Protection and Advocacy for Persons
3with Developmental Disabilities Act or to any other
4not-for-profit agency whose primary purpose is to provide free
5legal services or advocacy for the indigent and who has
6received written authorization from the recipient under
7Section 5 of this Act to receive his records, one copy of any
8records in its possession whose disclosure is authorized under
9this Act.
10    (c) Any person entitled to access to a record under this
11Section may submit a written statement concerning any disputed
12or new information, which statement shall be entered into the
13record. Whenever any disputed part of a record is disclosed,
14any submitted statement relating thereto shall accompany the
15disclosed part. Additionally, any person entitled to access
16may request modification of any part of the record which he
17believes is incorrect or misleading. If the request is
18refused, the person may seek a court order to compel
19modification.
20    (d) Whenever access or modification is requested, the
21request and any action taken thereon shall be noted in the
22recipient's record.
23    (e) Nothing in this Section shall be construed to affect
24the protection of or access to records under the Illinois
25School Student Records Act or the federal Individuals with
26Disabilities Education Act.

 

 

10400HB0862ham002- 154 -LRB104 04759 SPS 36757 a

1(Source: P.A. 103-474, eff. 1-1-24; 104-263, eff. 1-1-26.)
 
2    (740 ILCS 110/8)  (from Ch. 91 1/2, par. 808)
3    Sec. 8. In the course of an investigation, or in the course
4of monitoring issues concerning the rights of recipients or
5the services provided to recipients as authorized by
6subsection (l) of Section 5 of the Guardianship and Advocacy
7Act, the Division of Disability Rights and Protections a
8regional human rights authority of the Department of
9Disability Advocacy and Guardianship and Advocacy Commission
10created by the Guardianship and Advocacy Act may inspect and
11copy any recipient's records in the possession of a therapist,
12agency, department, Department or facility which provides
13services to a recipient, including reports of suspected abuse
14or neglect of a recipient and information regarding the
15disposition of such reports. However, the Division of
16Disability Rights and Protections a regional authority may not
17inspect or copy records containing personally identifiable
18data which cannot be removed without imposing an unreasonable
19burden on the therapist, agency, department, Department or
20facility which provides services, except as provided herein.
21The Division of Disability Rights and Protections regional
22authority shall give written notice to the person entitled to
23give consent for the identifiable recipient of services under
24Section 4 that it is conducting an investigation or monitoring
25and indicating the nature and purpose of the investigation or

 

 

10400HB0862ham002- 155 -LRB104 04759 SPS 36757 a

1monitoring and the need to inspect and copy the recipient's
2record. If the person notified objects in writing to such
3inspection and copying, the Division of Disability Rights and
4Protections regional authority may not inspect or copy the
5record. The therapist, agency, department, Department or
6facility which provides services may not object on behalf of a
7recipient.
8(Source: P.A. 86-820; 86-1013; 86-1475.)
 
9    (740 ILCS 110/8.1)  (from Ch. 91 1/2, par. 808.1)
10    Sec. 8.1. The agency designated by the Governor under
11Section 1 of "An Act in relation to the protection and advocacy
12of the rights of persons with developmental disabilities, and
13amending Acts therein named", approved September 20, 1985, as
14now or hereafter amended, shall have access, for the purpose
15of inspection and copying, to the records of a person with
16developmental disabilities who resides in a developmental
17disability facility or mental health facility, as defined in
18Sections 1-107 and 1-114, respectively, of the Mental Health
19and Developmental Disabilities Code, as now or hereafter
20amended, if (a) a complaint is received by such agency from or
21on behalf of the person with a developmental disability, and
22(b) such person does not have a guardian of the person or the
23State or the designee of the State is his or her guardian of
24the person. The designated agency shall provide written notice
25of the receipt of a complaint to the custodian of the records

 

 

10400HB0862ham002- 156 -LRB104 04759 SPS 36757 a

1of the person from whom or on whose behalf a complaint is
2received. The designated agency shall provide to the person
3with developmental disabilities and to the Division of his or
4her State Guardian guardian, if appointed, written notice of
5the nature of the complaint based upon which the designated
6agency has gained access to the records. No record or the
7contents of any record shall be redisclosed by the designated
8agency unless the person with developmental disabilities and
9the Division of State Guardian guardian are provided 7 days
10advance written notice, except in emergency situations, of the
11designated agency's intent to redisclose such record, during
12which time the person with developmental disabilities or the
13Division of State Guardian guardian may seek to judicially
14enjoin the designated agency's redisclosure of such record on
15the grounds that such redisclosure is contrary to the
16interests of the person with developmental disabilities. If a
17person with developmental disabilities resides in a
18developmental disability or mental health facility and has a
19guardian other than the State or the designee of the State, the
20facility director shall disclose the guardian's name, address
21and telephone number to the designated agency at the agency's
22request.
23    Upon written request and after the provision of written
24notice to the agency, facility or other body from which
25records and other materials are sought of the designated
26agency's investigation of problems affecting numbers of

 

 

10400HB0862ham002- 157 -LRB104 04759 SPS 36757 a

1persons with developmental disabilities, the designated agency
2shall be entitled to inspect and copy any records or other
3materials which may further the agency's investigation of
4problems affecting numbers of persons with developmental
5disabilities. When required by law any personally identifiable
6information of persons with developmental disabilities shall
7be removed from the records. However, the designated agency
8may not inspect or copy records or other materials when the
9removal of personally identifiable information imposes an
10unreasonable burden on mental health and developmental
11disabilities facilities.
12    For the purposes of this Section, "developmental
13disability" means a severe, chronic disability of a person
14which -
15    (A) is attributable to a mental or physical impairment or
16combination of mental and physical impairments;
17    (B) is manifested before the person attains age 22;
18    (C) is likely to continue indefinitely;
19    (D) results in substantial functional limitations in 3 or
20more of the following areas of major life activity: (i)
21self-care, (ii) receptive and expressive language, (iii)
22learning, (iv) mobility, (v) self-direction, (vi) capacity for
23independent living, and (vii) economic self-sufficiency; and
24    (E) reflects the person's need for a combination and
25sequence of special, interdisciplinary or generic care,
26treatment or other services which are of lifelong or extended

 

 

10400HB0862ham002- 158 -LRB104 04759 SPS 36757 a

1duration and are individually planned and coordinated.
2(Source: P.A. 88-380.)
 
3    Section 120. The Adoption Act is amended by changing
4Section 13 as follows:
 
5    (750 ILCS 50/13)  (from Ch. 40, par. 1516)
6    Sec. 13. Interim order. As soon as practicable after the
7filing of a petition for adoption the court shall hold a
8hearing for the following purposes:
9    A. In other than an adoption of a related child or an
10adoption through an agency, or of an adult:
11        (a) To determine the validity of the consent, provided
12    that the execution of a consent pursuant to this Act shall
13    be prima facie evidence of its validity, and provided that
14    the validity of a consent shall not be affected by the
15    omission therefrom of the names of the petitioners or
16    adopting parents at the time the consent is executed or
17    acknowledged, and further provided that the execution of a
18    consent prior to the filing of a petition for adoption
19    shall not affect its validity.
20        (b) To determine whether there is available suitable
21    temporary custodial care for a child sought to be adopted.
22    B. In all cases except standby adoptions and re-adoptions:
23        (a) The court shall appoint some licensed attorney
24    other than the State's attorney acting in his or her

 

 

10400HB0862ham002- 159 -LRB104 04759 SPS 36757 a

1    official capacity as guardian ad litem to represent a
2    child sought to be adopted. Such guardian ad litem shall
3    have power to consent to the adoption of the child, if such
4    consent is required. In the case of a related adoption
5    where the child sought to be adopted is not a youth in
6    care, the court shall have the discretion to waive the
7    appointment of a guardian ad litem.
8        (b) The court shall appoint a guardian ad litem for
9    all named minors or defendants who are persons under legal
10    disability, if any. In the case of a related adoption
11    where the child sought to be adopted is not a youth in
12    care, the court shall have the discretion to waive the
13    appointment of a guardian ad litem.
14        (c) If the petition alleges a person to be unfit
15    pursuant to the provisions of subparagraph (p) of
16    paragraph D of Section 1 of this Act, such person shall be
17    represented by counsel. If such person is indigent or an
18    appearance has not been entered on his behalf at the time
19    the matter is set for hearing, the court shall appoint as
20    counsel for him either the Department of Disability
21    Advocacy and Guardianship and Advocacy Commission, the
22    public defender, or, only if no attorney from the
23    Department of Disability Advocacy and Guardianship and
24    Advocacy Commission or the public defender is available,
25    an attorney licensed to practice law in this State.
26        (d) If it is proved to the satisfaction of the court,

 

 

10400HB0862ham002- 160 -LRB104 04759 SPS 36757 a

1    after such investigation as the court deems necessary,
2    that termination of parental rights and temporary
3    commitment of the child to an agency or to a person deemed
4    competent by the court, including petitioners, will be for
5    the welfare of the child, the court may order the child to
6    be so committed and may terminate the parental rights of
7    the parents and declare the child a ward of the court or,
8    if it is not so proved, the court may enter such other
9    order as it shall deem necessary and advisable.
10        (e) Before an interim custody order is granted under
11    this Section, service of summons shall be had upon the
12    parent or parents whose rights have not been terminated,
13    except as provided in subsection (f). Reasonable notice
14    and opportunity to be heard shall be given to the parent or
15    parents after service of summons when the address of the
16    parent or parents is available. The party seeking an
17    interim custody order shall make all reasonable efforts to
18    locate the parent or parents of the child or children they
19    are seeking to adopt and to notify the parent or parents of
20    the party's request for an interim custody order pursuant
21    to this Section.
22        (f) An interim custody order may be granted without
23    notice upon presentation to the court of a written
24    petition, accompanied by an affidavit, stating that there
25    is an immediate danger to the child and that irreparable
26    harm will result to the child if notice is given to the

 

 

10400HB0862ham002- 161 -LRB104 04759 SPS 36757 a

1    parent or parents or legal guardian. Upon making a finding
2    that there is an immediate danger to the child if service
3    of process is had upon and notice of hearing is given to
4    the parent or parents or legal guardian prior to the entry
5    of an order granting temporary custody to someone other
6    than a parent or legal guardian, the court may enter an
7    order of temporary custody which shall expire not more
8    than 10 days after its entry. Every ex parte custody order
9    granted without notice shall state the injury which the
10    court sought to avoid by granting the order, the
11    irreparable injury that would have occurred had notice
12    been given, and the reason the order was granted without
13    notice. The matter shall be set down for full hearing
14    before the expiration of the ex parte order and will be
15    heard after service of summons is had upon and notice of
16    hearing is given to the parent or parents or legal
17    guardian. At the hearing the burden of proof shall be upon
18    the party seeking to extend the interim custody order to
19    show that the order was properly granted without notice
20    and that custody should remain with the party seeking to
21    adopt during the pendency of the adoption proceeding. If
22    the interim custody order is extended, the reasons for
23    granting the extension shall be stated in the order.
24    C. In the case of a child born outside the United States or
25a territory thereof, if the petitioners have previously been
26appointed guardians of such child by a court of competent

 

 

10400HB0862ham002- 162 -LRB104 04759 SPS 36757 a

1jurisdiction in a country other than the United States or a
2territory thereof, the court may order that the petitioners
3continue as guardians of such child.
4    D. In standby adoption cases:
5        (a) The court shall appoint a licensed attorney other
6    than the State's Attorney acting in his or her official
7    capacity as guardian ad litem to represent a child sought
8    to be adopted. The guardian ad litem shall have power to
9    consent to the adoption of the child, if consent is
10    required.
11        (b) The court shall appoint a guardian ad litem for
12    all named minors or defendants who are persons under legal
13    disability, if any. In the case of a related adoption
14    where the child sought to be adopted is not a youth in
15    care, the court shall have the discretion to waive the
16    appointment of a guardian ad litem.
17        (c) The court lacks jurisdiction to proceed on the
18    petition for standby adoption if the child has a living
19    parent, adoptive parent, or adjudicated parent whose
20    rights have not been terminated and whose whereabouts are
21    known, unless the parent consents to the standby adoption
22    or, after receiving notice of the hearing on the standby
23    adoption petition, fails to object to the appointment of a
24    standby adoptive parent at the hearing on the petition.
25        (d) The court shall investigate as needed for the
26    welfare of the child and shall determine whether the

 

 

10400HB0862ham002- 163 -LRB104 04759 SPS 36757 a

1    petitioner or petitioners shall be permitted to adopt.
2(Source: P.A. 102-139, eff. 1-1-22.)
 
3    Section 125. The Probate Act of 1975 is amended by
4changing Sections 11a-3.1, 11a-3.2, 11a-5, 11a-5.1, 11a-8.1,
511a-9, 11a-12, 11a-13, 11a-14.1, 11a-17, 12-4, 13-1, and
613-1.2 as follows:
 
7    (755 ILCS 5/11a-3.1)
8    Sec. 11a-3.1. Appointment of standby guardian.
9    (a) The guardian of a person with a disability may
10designate in any writing, including a will, a person qualified
11to act under Section 11a-5 to be appointed as standby guardian
12of the person or estate, or both, of the person with a
13disability. The guardian may designate in any writing,
14including a will, a person qualified to act under Section
1511a-5 to be appointed as successor standby guardian of the
16person or estate of the person with a disability, or both. The
17designation must be witnessed by 2 or more credible witnesses
18at least 18 years of age, neither of whom is the person
19designated as the standby guardian. The designation may be
20proved by any competent evidence. If the designation is
21executed and attested in the same manner as a will, it shall
22have prima facie validity. Prior to designating a proposed
23standby guardian, the guardian shall consult with the person
24with a disability to determine the preference of the person

 

 

10400HB0862ham002- 164 -LRB104 04759 SPS 36757 a

1with a disability as to the person who will serve as standby
2guardian. The guardian shall give due consideration to the
3preference of the person with a disability in selecting a
4standby guardian.
5    (b) Upon the filing of a petition for the appointment of a
6standby guardian, the court may appoint a standby guardian of
7the person or estate, or both, of the person with a disability
8as the court finds to be in the best interests of the person
9with a disability. The court shall apply the same standards
10used in determining the suitability of a plenary or limited
11guardian in determining the suitability of a standby guardian,
12giving due consideration to the preference of the person with
13a disability as to a standby guardian. The court may not
14appoint the Division Office of State Guardian, pursuant to
15Section 30 of the Guardianship and Advocacy Act, or a public
16guardian, pursuant to Section 13-5 of this Act, as a standby
17guardian, without the written consent of the Division of State
18Guardian or public guardian or an authorized representative of
19the Division of State Guardian or public guardian.
20    (c) The standby guardian shall take and file an oath or
21affirmation that the standby guardian will faithfully
22discharge the duties of the office of standby guardian
23according to law, and shall file in and have approved by the
24court a bond binding the standby guardian so to do, but shall
25not be required to file a bond until the standby guardian
26assumes all duties as guardian of the person with a disability

 

 

10400HB0862ham002- 165 -LRB104 04759 SPS 36757 a

1under Section 11a-18.2.
2    (d) The designation of a standby guardian may, but need
3not, be in the following form:
4
DESIGNATION OF STANDBY GUARDIAN
5
[IT IS IMPORTANT TO READ THE FOLLOWING INSTRUCTIONS:
6        A standby guardian is someone who has been appointed
7    by the court as the person who will act as guardian of the
8    person with a disability when the guardian of the person
9    with a disability dies or is no longer willing or able to
10    make and carry out day-to-day care decisions concerning
11    the person with a disability. By properly completing this
12    form, a guardian is naming the person that the guardian
13    wants to be appointed as the standby guardian of the
14    person with a disability. Signing the form does not
15    appoint the standby guardian; to be appointed, a petition
16    must be filed in and approved by the court.]
17        1. Guardian and Ward. I, (insert name of designating
18    guardian), currently residing at (insert address of
19    designating guardian), am the guardian of the following
20    person with a disability: (insert name of ward).
21        2. Standby Guardian. I hereby designate the following
22    person to be appointed as standby guardian for my ward
23    listed above: (insert name and address of person
24    designated).
25        3. Successor Standby Guardian. If the person named in
26    item 2 above cannot or will not act as standby guardian, I

 

 

10400HB0862ham002- 166 -LRB104 04759 SPS 36757 a

1    designate the following person to be appointed as
2    successor standby guardian for my ward: (insert name and
3    address of person designated).
4        4. Date and Signature. This designation is made this
5    (insert day) day of (insert month and year).
6        Signed: (designating guardian)
7        5. Witnesses. I saw the guardian sign this designation
8    or the guardian told me that the guardian signed this
9    designation. Then I signed the designation as a witness in
10    the presence of the guardian. I am not designated in this
11    instrument to act as a standby guardian for the guardian's
12    ward. (insert space for names, addresses, and signatures
13    of 2 witnesses)
14
[END OF FORM]
15(Source: P.A. 102-72, eff. 1-1-22.)
 
16    (755 ILCS 5/11a-3.2)
17    Sec. 11a-3.2. Short-term guardian.
18    (a) The guardian of a person with a disability may appoint
19in writing, without court approval, a short-term guardian of
20the person with a disability to take over the guardian's
21duties, to the extent provided in Section 11a-18.3, each time
22the guardian is unavailable or unable to carry out those
23duties. The guardian shall consult with the person with a
24disability to determine the preference of the person with a
25disability concerning the person to be appointed as short-term

 

 

10400HB0862ham002- 167 -LRB104 04759 SPS 36757 a

1guardian and the guardian shall give due consideration to the
2preference of the person with a disability in choosing a
3short-term guardian. The written instrument appointing a
4short-term guardian shall be dated and shall identify the
5appointing guardian, the person with a disability, the person
6appointed to be the short-term guardian, and the termination
7date of the appointment. The written instrument shall be
8signed by, or at the direction of, the appointing guardian in
9the presence of at least 2 credible witnesses at least 18 years
10of age, neither of whom is the person appointed as the
11short-term guardian. The person appointed as the short-term
12guardian shall also sign the written instrument, but need not
13sign at the same time as the appointing guardian. A guardian
14may not appoint the Division Office of State Guardian or a
15public guardian as a short-term guardian, without the written
16consent of the Division of State Guardian or public guardian
17or an authorized representative of the State Guardian or
18public guardian.
19    (b) The appointment of the short-term guardian is
20effective immediately upon the date the written instrument is
21executed, unless the written instrument provides for the
22appointment to become effective upon a later specified date or
23event. A short-term guardian appointed by the guardian shall
24have authority to act as guardian of the person with a
25disability for a cumulative total of 60 days during any
2612-month period. Only one written instrument appointing a

 

 

10400HB0862ham002- 168 -LRB104 04759 SPS 36757 a

1short-term guardian may be in force at any given time.
2    (c) Every appointment of a short-term guardian may be
3amended or revoked by the appointing guardian at any time and
4in any manner communicated to the short-term guardian or to
5any other person. Any person other than the short-term
6guardian to whom a revocation or amendment is communicated or
7delivered shall make all reasonable efforts to inform the
8short-term guardian of that fact as promptly as possible.
9    (d) The appointment of a short-term guardian or successor
10short-term guardian does not affect the rights in the person
11with a disability of any guardian other than the appointing
12guardian.
13    (e) The written instrument appointing a short-term
14guardian may, but need not, be in the following form:
 
15
APPOINTMENT OF SHORT-TERM GUARDIAN
16
[IT IS IMPORTANT TO READ THE FOLLOWING INSTRUCTIONS:
17        By properly completing this form, a guardian is
18    appointing a short-term guardian of the person with a
19    disability for a cumulative total of up to 60 days during
20    any 12-month period. A separate form shall be completed
21    each time a short-term guardian takes over guardianship
22    duties. The person or persons appointed as the short-term
23    guardian shall sign the form, but need not do so at the
24    same time as the guardian.]
25        1. Guardian and Ward. I, (insert name of appointing

 

 

10400HB0862ham002- 169 -LRB104 04759 SPS 36757 a

1    guardian), currently residing at (insert address of
2    appointing guardian), am the guardian of the following
3    person with a disability: (insert name of ward).
4        2. Short-term Guardian. I hereby appoint the following
5    person as the short-term guardian for my ward: (insert
6    name and address of appointed person).
7        3. Effective date. This appointment becomes effective:
8    (check one if you wish it to be applicable)
9        ( ) On the date that I state in writing that I am no
10    longer either willing or able to make and carry out
11    day-to-day care decisions concerning my ward.
12        ( ) On the date that a physician familiar with my
13    condition certifies in writing that I am no longer willing
14    or able to make and carry out day-to-day care decisions
15    concerning my ward.
16        ( ) On the date that I am admitted as an in-patient to
17    a hospital or other health care institution.
18        ( ) On the following date: (insert date).
19        ( ) Other: (insert other).
20        [NOTE: If this item is not completed, the appointment
21    is effective immediately upon the date the form is signed
22    and dated below.]
23        4. Termination. This appointment shall terminate on:
24    (enter a date corresponding to 60 days from the current
25    date, less the number of days within the past 12 months
26    that any short-term guardian has taken over guardianship

 

 

10400HB0862ham002- 170 -LRB104 04759 SPS 36757 a

1    duties), unless it terminates sooner as determined by the
2    event or date I have indicated below: (check one if you
3    wish it to be applicable)
4        ( ) On the date that I state in writing that I am
5    willing and able to make and carry out day-to-day care
6    decisions concerning my ward.
7        ( ) On the date that a physician familiar with my
8    condition certifies in writing that I am willing and able
9    to make and carry out day-to-day care decisions concerning
10    my ward.
11        ( ) On the date that I am discharged from the hospital
12    or other health care institution where I was admitted as
13    an in-patient, which established the effective date.
14        ( ) On the date which is (state a number of days) days
15    after the effective date.
16        ( ) Other: (insert other).
17        [NOTE: If this item is not completed, the appointment
18    will be effective until the 60th day within the past year
19    during which time any short-term guardian of this ward had
20    taken over guardianship duties from the guardian,
21    beginning on the effective date.]
22        5. Date and signature of appointing guardian. This
23    appointment is made this (insert day) day of (insert month
24    and year).
25        Signed: (appointing guardian)
26        6. Witnesses. I saw the guardian sign this instrument

 

 

10400HB0862ham002- 171 -LRB104 04759 SPS 36757 a

1    or I saw the guardian direct someone to sign this
2    instrument for the guardian. Then I signed this instrument
3    as a witness in the presence of the guardian. I am not
4    appointed in this instrument to act as the short-term
5    guardian for the guardian's ward. (insert space for names,
6    addresses, and signatures of 2 witnesses)
7        7. Acceptance of short-term guardian. I accept this
8    appointment as short-term guardian on this (insert day)
9    day of (insert month and year).
10        Signed: (short-term guardian)
11
[END OF FORM]
12    (f) Each time the guardian appoints a short-term guardian,
13the guardian shall: (i) provide the person with a disability
14with the name, address, and telephone number of the short-term
15guardian; (ii) advise the person with a disability that he has
16the right to object to the appointment of the short-term
17guardian by filing a petition in court; and (iii) notify the
18person with a disability when the short-term guardian will be
19taking over guardianship duties and the length of time that
20the short-term guardian will be acting as guardian.
21(Source: P.A. 102-72, eff. 1-1-22.)
 
22    (755 ILCS 5/11a-5)  (from Ch. 110 1/2, par. 11a-5)
23    Sec. 11a-5. Who may act as guardian.
24    (a) A person is qualified to act as guardian of the person
25and as guardian of the estate of a person with a disability if

 

 

10400HB0862ham002- 172 -LRB104 04759 SPS 36757 a

1the court finds that the proposed guardian is capable of
2providing an active and suitable program of guardianship for
3the person with a disability and that the proposed guardian:
4        (1) has attained the age of 18 years;
5        (2) is a resident of the United States;
6        (3) is not of unsound mind;
7        (4) is not an adjudged person with a disability as
8    defined in this Act; and
9        (5) has not been convicted of a felony, unless the
10    court finds appointment of the person convicted of a
11    felony to be in the best interests of the person with a
12    disability, and as part of the best interests
13    determination, the court has considered the nature of the
14    offense, the date of offense, and the evidence of the
15    proposed guardian's rehabilitation. No person shall be
16    appointed who has been convicted of a felony involving
17    harm or threat to a minor or an elderly person or a person
18    with a disability, including a felony sexual offense.
19    (b) Any public agency, or not-for-profit corporation found
20capable by the court of providing an active and suitable
21program of guardianship for the person with a disability,
22taking into consideration the nature of such person's
23disability and the nature of such organization's services, may
24be appointed guardian of the person or of the estate, or both,
25of the person with a disability. The court shall not appoint as
26guardian an agency or employee of an agency that is directly

 

 

10400HB0862ham002- 173 -LRB104 04759 SPS 36757 a

1providing residential services to the ward. One person or
2agency may be appointed guardian of the person and another
3person or agency appointed guardian of the estate.
4    (b-5)(1) The court may appoint separate individuals or
5entities to act as the guardian of the person and the guardian
6of the estate of a person with a disability if the court finds
7it is in the best interests of the person with a disability
8that separate guardians be appointed. The court shall not
9appoint a separate person or entity to act as guardian of the
10person or guardian of the estate with a public guardian or the
11Division Office of State Guardian unless the public guardian
12or the Division Office of State Guardian agrees to such an
13appointment.
14    (2) The court may appoint co-guardians to act as guardian
15of the person, guardian of the estate, or both the guardian of
16the person and the guardian of the estate if the court finds it
17is in the best interests of the person with a disability. When
18considering appointing co-guardians, the court shall consider
19the proposed co-guardians' history of cooperating and working
20together on behalf of the person with a disability. The court
21shall appoint only co-guardians who agree to serve together.
22The court shall not appoint a public guardian or the Division
23Office of State Guardian as a co-guardian for a person with a
24disability.
25    (c) Any corporation qualified to accept and execute trusts
26in this State may be appointed guardian or limited guardian of

 

 

10400HB0862ham002- 174 -LRB104 04759 SPS 36757 a

1the estate of a person with a disability.
2(Source: P.A. 102-72, eff. 1-1-22.)
 
3    (755 ILCS 5/11a-5.1)
4    Sec. 11a-5.1. Multiple guardianships. The court may not
5appoint an individual the guardian of the person or estate of
6an adult with disabilities before the individual has disclosed
7to the court the number of adults with disabilities over which
8the individual is currently appointed as guardian. If the
9court determines that an individual is appointed guardian over
10more than 5 adults with disabilities, then the court shall
11issue an order directing the circuit court clerk to notify the
12Department of Disability Advocacy and Guardianship and
13Advocacy Commission, in a form and manner prescribed by the
14Department of Disability Advocacy and Guardianship and
15Advocacy Commission. The clerk shall notify the Department of
16Disability Advocacy and Guardianship and Advocacy Commission
17no later than 7 days after the entry of the order. The
18Department of Disability Advocacy and Guardianship and
19Advocacy Commission shall maintain a list of all notifications
20it receives under this Section for reference by other agencies
21or units of government or the public. This Section does not
22apply to the Division Office of the State Guardian or a public
23guardian.
24(Source: P.A. 100-659, eff. 1-1-19.)
 

 

 

10400HB0862ham002- 175 -LRB104 04759 SPS 36757 a

1    (755 ILCS 5/11a-8.1)
2    Sec. 11a-8.1. Petition for standby guardian of the person
3with a disability. The petition for appointment of a standby
4guardian of the person or the estate, or both, of a person with
5a disability must state, if known: (a) the name, date of birth,
6and residence of the person with a disability; (b) the names
7and post office addresses of the nearest relatives of the
8person with a disability in the following order: (1) the
9spouse and adult children, parents and adult brothers and
10sisters, if any; if none, (2) nearest adult kindred known to
11the petitioner; (c) the name and post office address of the
12person having guardianship of the person with a disability,
13and of any person or persons acting as agents of the person
14with a disability under the Illinois Power of Attorney Act;
15(d) the name, post office address, and, in case of any
16individual, the age and occupation of the proposed standby
17guardian; (e) the preference of the person with a disability
18as to the choice of standby guardian; (f) the facts concerning
19the consent of the guardian of the person with a disability to
20the appointment of the standby guardian, or the willingness
21and ability of the guardian of the person with a disability to
22make and carry out day-to-day care decisions concerning the
23person with a disability; (g) the facts concerning the
24execution or admission to probate of the written designation
25of the standby guardian, if any, a copy of which shall be
26attached to or filed with the petition; (h) the facts

 

 

10400HB0862ham002- 176 -LRB104 04759 SPS 36757 a

1concerning any guardianship court actions pending concerning
2the person with a disability; and (i) the facts concerning the
3willingness of the proposed standby guardian to serve, and in
4the case of the Division Office of State Guardian and any
5public guardian, evidence of a written acceptance to serve
6signed by the Division of State Guardian or public guardian or
7an authorized representative of the Division of State Guardian
8or public guardian, consistent with subsection (b) of Section
911a-3.1.
10(Source: P.A. 99-143, eff. 7-27-15.)
 
11    (755 ILCS 5/11a-9)  (from Ch. 110 1/2, par. 11a-9)
12    Sec. 11a-9. Report.
13    (a) The petition for adjudication of disability and for
14appointment of a guardian should be accompanied by a report
15which contains (1) a description of the nature and type of the
16respondent's disability and an assessment of how the
17disability impacts on the ability of the respondent to make
18decisions or to function independently; (2) an analysis and
19results of evaluations of the respondent's mental and physical
20condition and, where appropriate, educational condition,
21adaptive behavior and social skills, which have been performed
22within 3 months of the date of the filing of the petition, or,
23in the case of an intellectual disability, a psychological
24evaluation of the respondent that has been performed by a
25clinical psychologist licensed under the Clinical Psychologist

 

 

10400HB0862ham002- 177 -LRB104 04759 SPS 36757 a

1Licensing Act, within one year of the date of the filing of the
2petition; (3) an opinion as to whether guardianship is needed,
3the type and scope of the guardianship needed, and the reasons
4therefor; (4) a recommendation as to the most suitable living
5arrangement and, where appropriate, treatment or habilitation
6plan for the respondent and the reasons therefor; (5) the
7name, business address, business telephone number, and
8signatures of all persons who performed the evaluations upon
9which the report is based, one of whom shall be a licensed
10physician, or may, in the case of an intellectual disability,
11be a clinical psychologist licensed under the Clinical
12Psychologist Licensing Act, and a statement of the
13certification, license, or other credentials that qualify the
14evaluators who prepared the report.
15    (b) If for any reason no report accompanies the petition,
16the court shall order appropriate evaluations to be performed
17by a qualified person or persons and a report prepared and
18filed with the court at least 10 days prior to the hearing.
19    (b-5) Upon oral or written motion by the respondent or the
20guardian ad litem or upon the court's own motion, the court
21shall appoint one or more independent experts to examine the
22respondent. Upon the filing with the court of a verified
23statement of services rendered by the expert or experts, the
24court shall determine a reasonable fee for the services
25performed. If the respondent is unable to pay the fee, the
26court may enter an order upon the petitioner to pay the entire

 

 

10400HB0862ham002- 178 -LRB104 04759 SPS 36757 a

1fee or such amount as the respondent is unable to pay. However,
2in cases where the Division Office of State Guardian is the
3petitioner, consistent with Section 30 of the Guardianship and
4Advocacy Act, no expert services fees shall be assessed
5against the Division Office of the State Guardian.
6    (c) Unless the court otherwise directs, any report
7prepared pursuant to this Section shall not be made part of the
8public record of the proceedings but shall be available to the
9court or an appellate court in which the proceedings are
10subject to review, to the respondent, the petitioner, the
11guardian, and their attorneys, to the respondent's guardian ad
12litem, and to such other persons as the court may direct.
13    Accessibility to a report prepared pursuant to this
14Section shall be in accordance with Section 5 of the Court
15Record and Document Accessibility Act.
16(Source: P.A. 102-109, eff. 1-1-22; 103-166, eff. 1-1-24.)
 
17    (755 ILCS 5/11a-12)  (from Ch. 110 1/2, par. 11a-12)
18    Sec. 11a-12. Order of appointment.
19    (a) If basis for the appointment of a guardian as
20specified in Section 11a-3 is not found, the court shall
21dismiss the petition.
22    (b) If the respondent is adjudged to be a person with a
23disability and to lack some but not all of the capacity as
24specified in Section 11a-3, and if the court finds that
25guardianship is necessary for the protection of the person

 

 

10400HB0862ham002- 179 -LRB104 04759 SPS 36757 a

1with a disability, his or her estate, or both, the court shall
2appoint a limited guardian for the respondent's person or
3estate or both. The court shall enter a written order stating
4the factual basis for its findings and specifying the duties
5and powers of the guardian and the legal disabilities to which
6the respondent is subject.
7    (c) If the respondent is adjudged to be a person with a
8disability and to be totally without capacity as specified in
9Section 11a-3, and if the court finds that limited
10guardianship will not provide sufficient protection for the
11person with a disability, his or her estate, or both, the court
12shall appoint a plenary guardian for the respondent's person
13or estate or both. The court shall enter a written order
14stating the factual basis for its findings.
15    (d) The selection of the guardian shall be in the
16discretion of the court, which shall give due consideration to
17the preference of the person with a disability as to a
18guardian, as well as the qualifications of the proposed
19guardian, in making its appointment. However, the paramount
20concern in the selection of the guardian is the best interests
21and well-being of the person with a disability.
22    One person or agency may be appointed a limited or plenary
23guardian of the person and another person or corporate trustee
24appointed as a limited or plenary guardian of the estate. If
25different persons are appointed, the court shall consider the
26factors set forth in subsection (b-5) of Section 11a-5. The

 

 

10400HB0862ham002- 180 -LRB104 04759 SPS 36757 a

1court shall enter a written order stating the factual basis
2for its findings.
3    (e) The order of appointment of a guardian shall include
4the requirement that the guardian complete the training
5program as provided in Section 33.5 of the Guardianship and
6Advocacy Act that outlines the responsibilities of the
7guardian of the person and the rights of the person under
8guardianship and file with the court a certificate of
9completion within one year from the date of issuance of the
10letters of guardianship, except that: (1) the chief judge of
11any circuit may order implementation of another training
12program by a suitable provider containing substantially
13similar content; (2) employees of the Division Office of the
14State Guardian, public guardians, attorneys currently
15authorized to practice law, corporate fiduciaries, and persons
16certified by the Center for Guardianship Certification are
17exempt from this training requirement; and (3) the court may,
18for good cause shown, exempt from this requirement an
19individual not otherwise listed in item (2). For the purposes
20of this subsection (e), good cause may be proven by affidavit.
21If the court finds good cause to exempt an individual from the
22training requirement, the order of appointment shall so state.
23(Source: P.A. 104-237, eff. 1-1-26.)
 
24    (755 ILCS 5/11a-13)  (from Ch. 110 1/2, par. 11a-13)
25    Sec. 11a-13. Costs in certain cases.)

 

 

10400HB0862ham002- 181 -LRB104 04759 SPS 36757 a

1    (a) No costs may be taxed or charged by any public officer
2in any proceeding for the appointment of a guardian or for any
3subsequent proceeding or report made in pursuance of the
4appointment when the primary purpose of the appointment is as
5set forth in Section 11-11 or is the management of the estate
6of a person with a mental disability who resides in a state
7mental health or developmental disabilities facility when the
8value of the personal estate does not exceed $1,000.
9    (b) No costs shall be taxed or charged against the
10Division Office of the State Guardian by any public officer in
11any proceeding for the appointment of a guardian or for any
12subsequent proceeding or report made in pursuance of the
13appointment.
14(Source: P.A. 99-143, eff. 7-27-15.)
 
15    (755 ILCS 5/11a-14.1)  (from Ch. 110 1/2, par. 11a-14.1)
16    Sec. 11a-14.1. Residential placement.) No guardian
17appointed under this Article, except for duly appointed Public
18Guardians and the Division Office of State Guardian, shall
19have the power, unless specified by court order, to place his
20ward in a residential facility. The guardianship order may
21specify the conditions on which the guardian may admit the
22ward to a residential facility without further court order. In
23making residential placement decisions, the guardian shall
24make decisions in conformity with the preferences of the ward
25unless the guardian is reasonably certain that the decisions

 

 

10400HB0862ham002- 182 -LRB104 04759 SPS 36757 a

1will result in substantial harm to the ward or to the ward's
2estate. When the preferences of the ward cannot be ascertained
3or where they will result in substantial harm to the ward or to
4the ward's estate, the guardian shall make decisions with
5respect to the ward's placement which are in the best
6interests of the ward. The guardian shall not remove the ward
7from his or her home or separate the ward from family and
8friends unless such removal is necessary to prevent
9substantial harm to the ward or to the ward's estate. The
10guardian shall have a duty to investigate the availability of
11reasonable residential alternatives. The guardian shall
12monitor the placement of the ward on an on-going basis to
13ensure its continued appropriateness, and shall pursue
14appropriate alternatives as needed.
15(Source: P.A. 90-250, eff. 7-29-97.)
 
16    (755 ILCS 5/11a-17)  (from Ch. 110 1/2, par. 11a-17)
17    Sec. 11a-17. Duties of personal guardian.
18    (a) To the extent ordered by the court and under the
19direction of the court, the guardian of the person shall have
20custody of the ward and the ward's minor and adult dependent
21children and shall procure for them and shall make provision
22for their support, care, comfort, health, education and
23maintenance, and professional services as are appropriate, but
24the ward's spouse may not be deprived of the custody and
25education of the ward's minor and adult dependent children,

 

 

10400HB0862ham002- 183 -LRB104 04759 SPS 36757 a

1without the consent of the spouse, unless the court finds that
2the spouse is not a fit and competent person to have that
3custody and education. The guardian shall assist the ward in
4the development of maximum self-reliance and independence. The
5guardian of the person may petition the court for an order
6directing the guardian of the estate to pay an amount
7periodically for the provision of the services specified by
8the court order. If the ward's estate is insufficient to
9provide for education and the guardian of the ward's person
10fails to provide education, the court may award the custody of
11the ward to some other person for the purpose of providing
12education. If a person makes a settlement upon or provision
13for the support or education of a ward, the court may make an
14order for the visitation of the ward by the person making the
15settlement or provision as the court deems proper. A guardian
16of the person may not admit a ward to a mental health facility
17except at the ward's request as provided in Article IV of the
18Mental Health and Developmental Disabilities Code and unless
19the ward has the capacity to consent to such admission as
20provided in Article IV of the Mental Health and Developmental
21Disabilities Code.
22    (a-3) If a guardian of an estate has not been appointed,
23the guardian of the person may, without an order of court,
24open, maintain, and transfer funds to an ABLE account on
25behalf of the ward and the ward's minor and adult dependent
26children as specified under Section 16.6 of the State

 

 

10400HB0862ham002- 184 -LRB104 04759 SPS 36757 a

1Treasurer Act.
2    (a-5) If the ward filed a petition for dissolution of
3marriage under the Illinois Marriage and Dissolution of
4Marriage Act before the ward was adjudicated a person with a
5disability under this Article, the guardian of the ward's
6person and estate may maintain that action for dissolution of
7marriage on behalf of the ward. Upon petition by the guardian
8of the ward's person or estate, the court may authorize and
9direct a guardian of the ward's person or estate to file a
10petition for dissolution of marriage or to file a petition for
11legal separation or declaration of invalidity of marriage
12under the Illinois Marriage and Dissolution of Marriage Act on
13behalf of the ward if the court finds by clear and convincing
14evidence that the relief sought is in the ward's best
15interests. In making its determination, the court shall
16consider the standards set forth in subsection (e) of this
17Section.
18    (a-10) Upon petition by the guardian of the ward's person
19or estate, the court may authorize and direct a guardian of the
20ward's person or estate to consent, on behalf of the ward, to
21the ward's marriage pursuant to Part II of the Illinois
22Marriage and Dissolution of Marriage Act if the court finds by
23clear and convincing evidence that the marriage is in the
24ward's best interests. In making its determination, the court
25shall consider the standards set forth in subsection (e) of
26this Section. Upon presentation of a court order authorizing

 

 

10400HB0862ham002- 185 -LRB104 04759 SPS 36757 a

1and directing a guardian of the ward's person and estate to
2consent to the ward's marriage, the county clerk shall accept
3the guardian's application, appearance, and signature on
4behalf of the ward for purposes of issuing a license to marry
5under Section 203 of the Illinois Marriage and Dissolution of
6Marriage Act.
7    (b) If the court directs, the guardian of the person shall
8file with the court at intervals indicated by the court, a
9report that shall state briefly: (1) the current mental,
10physical, and social condition of the ward and the ward's
11minor and adult dependent children; (2) their present living
12arrangement, and a description and the address of every
13residence where they lived during the reporting period and the
14length of stay at each place; (3) a summary of the medical,
15educational, vocational, and other professional services given
16to them; (4) a resume of the guardian's visits with and
17activities on behalf of the ward and the ward's minor and adult
18dependent children; (5) a recommendation as to the need for
19continued guardianship; (6) any other information requested by
20the court or useful in the opinion of the guardian. The
21Division Office of the State Guardian shall assist the
22guardian in filing the report when requested by the guardian.
23The court may take such action as it deems appropriate
24pursuant to the report.
25    (c) Absent court order pursuant to the Illinois Power of
26Attorney Act directing a guardian to exercise powers of the

 

 

10400HB0862ham002- 186 -LRB104 04759 SPS 36757 a

1principal under an agency that survives disability, the
2guardian has no power, duty, or liability with respect to any
3personal or health care matters covered by the agency. This
4subsection (c) applies to all agencies, whenever and wherever
5executed.
6    (d) A guardian acting as a surrogate decision maker under
7the Health Care Surrogate Act shall have all the rights of a
8surrogate under that Act without court order including the
9right to make medical treatment decisions such as decisions to
10forgo or withdraw life-sustaining treatment. Any decisions by
11the guardian to forgo or withdraw life-sustaining treatment
12that are not authorized under the Health Care Surrogate Act
13shall require a court order. Nothing in this Section shall
14prevent an agent acting under a power of attorney for health
15care from exercising his or her authority under the Illinois
16Power of Attorney Act without further court order, unless a
17court has acted under Section 2-10 of the Illinois Power of
18Attorney Act. If a guardian is also a health care agent for the
19ward under a valid power of attorney for health care, the
20guardian acting as agent may execute his or her authority
21under that act without further court order.
22    (e) Decisions made by a guardian on behalf of a ward shall
23be made in accordance with the following standards for
24decision making. The guardian shall consider the ward's
25current preferences to the extent the ward has the ability to
26participate in decision making when those preferences are

 

 

10400HB0862ham002- 187 -LRB104 04759 SPS 36757 a

1known or reasonably ascertainable by the guardian. Decisions
2by the guardian shall conform to the ward's current
3preferences: (1) unless the guardian reasonably believes that
4doing so would result in substantial harm to the ward's
5welfare or personal or financial interests; and (2) so long as
6such decisions give substantial weight to what the ward, if
7competent, would have done or intended under the
8circumstances, taking into account evidence that includes, but
9is not limited to, the ward's personal, philosophical,
10religious and moral beliefs, and ethical values relative to
11the decision to be made by the guardian. Where possible, the
12guardian shall determine how the ward would have made a
13decision based on the ward's previously expressed preferences,
14and make decisions in accordance with the preferences of the
15ward. If the ward's wishes are unknown and remain unknown
16after reasonable efforts to discern them, or if the guardian
17reasonably believes that a decision made in conformity with
18the ward's preferences would result in substantial harm to the
19ward's welfare or personal or financial interests, the
20decision shall be made on the basis of the ward's best
21interests as determined by the guardian. In determining the
22ward's best interests, the guardian shall weigh the reason for
23and nature of the proposed action, the benefit or necessity of
24the action, the possible risks and other consequences of the
25proposed action, and any available alternatives and their
26risks, consequences and benefits, and shall take into account

 

 

10400HB0862ham002- 188 -LRB104 04759 SPS 36757 a

1any other information, including the views of family and
2friends, that the guardian believes the ward would have
3considered if able to act for herself or himself.
4    (f) Upon petition by any interested person (including the
5standby or short-term guardian), with such notice to
6interested persons as the court directs and a finding by the
7court that it is in the best interests of the person with a
8disability, the court may terminate or limit the authority of
9a standby or short-term guardian or may enter such other
10orders as the court deems necessary to provide for the best
11interests of the person with a disability. The petition for
12termination or limitation of the authority of a standby or
13short-term guardian may, but need not, be combined with a
14petition to have another guardian appointed for the person
15with a disability.
16    (g)(1) Unless there is a court order to the contrary, the
17guardian, consistent with the standards set forth in
18subsection (e) of this Section, shall use reasonable efforts
19to notify the ward's known adult children, who have requested
20notification and provided contact information, of the ward's
21admission to a hospital, hospice, or palliative care program,
22the ward's death, and the arrangements for the disposition of
23the ward's remains.
24    (2) If a guardian unreasonably prevents an adult child,
25spouse, adult grandchild, parent, or adult sibling of the ward
26from visiting the ward, the court, upon a verified petition,

 

 

10400HB0862ham002- 189 -LRB104 04759 SPS 36757 a

1may order the guardian to permit visitation between the ward
2and the adult child, spouse, adult grandchild, parent, or
3adult sibling. In making its determination, the court shall
4consider the standards set forth in subsection (e) of this
5Section. The court shall not allow visitation if the court
6finds that the ward has capacity to evaluate and communicate
7decisions regarding visitation and expresses a desire not to
8have visitation with the petitioner. This subsection (g) does
9not apply to duly appointed public guardians or the Division
10Office of State Guardian.
11(Source: P.A. 101-329, eff. 8-9-19; 102-72, eff. 1-1-22;
12102-258, eff. 8-6-21; 102-813, eff. 5-13-22.)
 
13    (755 ILCS 5/12-4)  (from Ch. 110 1/2, par. 12-4)
14    Sec. 12-4. When security excused or specified.)
15    (a) Except as provided in paragraph (c) of Section 6-13
16with respect to a nonresident executor, no security is
17required of a person who is excused by the will from giving
18bond or security and no greater security than is specified by
19the will is required, unless in either case the court, from its
20own knowledge or the suggestion of any interested person, has
21cause to suspect the representative of fraud or incompetence
22or believes that the estate of the decedent will not be
23sufficient to discharge all the claims against the estate, or
24in the case of a testamentary guardian of the estate, that the
25rights of the ward will be prejudiced by failure to give

 

 

10400HB0862ham002- 190 -LRB104 04759 SPS 36757 a

1security.
2    (b) If a person designates a guardian of his person or
3estate or both to be appointed in the event he is adjudged a
4person with a disability as provided in Section 11a-6 and
5excuses the guardian from giving bond or security, or if the
6guardian is the Division Office of State Guardian, the
7guardian's bond in the amount from time to time required under
8this Article shall be in full force and effect without
9writing, unless the court requires the filing of a written
10bond.
11    (c) The Division Office of State Guardian shall not be
12required to have sureties or surety companies as security on
13its bonds. The oath and bond of the representative without
14surety shall be sufficient.
15(Source: P.A. 99-143, eff. 7-27-15.)
 
16    (755 ILCS 5/13-1)  (from Ch. 110 1/2, par. 13-1)
17    Sec. 13-1. Appointment and term of public administrator
18and public guardian.
19    (a) Except as provided in Section 13-1.1, before the first
20Monday of December, 1977 and every 4 years thereafter, and as
21often as vacancies occur, the Governor, by and with the advice
22and consent of the Senate, shall appoint in each county a
23suitable person to serve as public administrator and a
24suitable person to serve as public guardian of the county. The
25Governor may designate, without the advice and consent of the

 

 

10400HB0862ham002- 191 -LRB104 04759 SPS 36757 a

1Senate, the Division Office of State Guardian as an interim
2public guardian to fill a vacancy in one or more counties
3having a population of 500,000 or less if the designation:
4        (1) is specifically designated as an interim
5    appointment for a term of the lesser of one year or until
6    the Governor appoints, with the advice and consent of the
7    Senate, a county public guardian to fill the vacancy;
8        (2) requires the Division Office of State Guardian to
9    affirm its availability to act in the county; and
10        (3) expires in a pending case of a person with a
11    disability in the county at such a time as the court
12    appoints a qualified successor guardian of the estate and
13    person for the person with a disability.
14    When appointed as an interim public guardian, the Division
15of State Guardian will perform the powers and duties assigned
16to it under the Guardianship and Advocacy Act.
17    The Governor may appoint the same person to serve as
18public guardian and public administrator in one or more
19counties. In considering the number of counties of service for
20any prospective public guardian or public administrator the
21Governor may consider the population of the county and the
22ability of the prospective public guardian or public
23administrator to travel to multiple counties and manage
24estates in multiple counties. Each person so appointed holds
25his office for 4 years from the first Monday of December, 1977
26and every 4 years thereafter or until his successor is

 

 

10400HB0862ham002- 192 -LRB104 04759 SPS 36757 a

1appointed and qualified.
2    (b) Within 14 days of notification to the current public
3guardian of the appointment by the Governor of a new public
4guardian pursuant to this Section, the outgoing public
5guardian shall provide the incoming successor public guardian
6with a list of current guardianships. Within 60 days of
7receipt of the list of guardianships, the incoming public
8guardian may petition the court for a transfer of a
9guardianship to the incoming public guardian. The transfer of
10a guardianship of the person, estate, or both shall be made if
11it is in the best interests of the ward as determined by the
12court on a case-by-case basis.
13    Factors for the court to consider include, but are not
14limited to, the following:
15        (1) the ward's preference as to the transfer of the
16    guardianship;
17        (2) the recommendation of the guardian ad litem, the
18    ward's family members, and other interested parties;
19        (3) the length of time in which the outgoing public
20    guardian has served as guardian for the ward;
21        (4) the ward's relationship with the outgoing public
22    guardian's office;
23        (5) the nature and extent of the ward's disabilities;
24        (6) the ward's current residential placement, his or
25    her current support network, and ongoing needs;
26        (7) the costs involved in the transfer of the ward's

 

 

10400HB0862ham002- 193 -LRB104 04759 SPS 36757 a

1    estate;
2        (8) the status of pending legal matters or other
3    matters germane to the ward's care or the management of
4    the ward's estate;
5        (9) the obligation to post bond and the cost thereof;
6        (10) the guardians' status with regard to
7    certification by the Center for Guardianship
8    Certification; and
9        (11) other good causes.
10    If the court approves a transfer to the incoming public
11guardian, the outgoing public guardian shall file a final
12account of his or her activities on behalf of the ward within
1330 days or within such other time that the court may allow. The
14outgoing public guardian may file a petition for final fees
15pursuant to subsection (b) of Section 13-3.1.
16(Source: P.A. 102-72, eff. 1-1-22.)
 
17    (755 ILCS 5/13-1.2)
18    Sec. 13-1.2. Certification requirement. Each person
19appointed as a public guardian by the Governor shall be
20certified as a National Certified Guardian by the Center for
21Guardianship Certification within 6 months after his or her
22appointment. The Department of Disability Advocacy and
23Guardianship and Advocacy Commission shall provide public
24guardians with information about certification requirements
25and procedures for testing and certification offered by the

 

 

10400HB0862ham002- 194 -LRB104 04759 SPS 36757 a

1Center for Guardianship Certification. The cost of
2certification shall be considered an expense connected with
3the operation of the public guardian's office within the
4meaning of subsection (b) of Section 13-3.1 of this Article.
5    A public guardian shall additionally complete a one-hour
6course regarding Alzheimer's disease and dementia within 6
7months of appointment and annually thereafter. The training
8program shall include, but not be limited to, the following
9topics: effective communication strategies; best practices for
10interacting with people with Alzheimer's disease and related
11forms of dementia; and strategies for supporting people living
12with Alzheimer's disease or related forms of dementia in
13exercising their rights.
14(Source: P.A. 103-64, eff. 1-1-24.)
 
15    Section 130. The Supported Decision-Making Agreement Act
16is amended by changing Section 30 as follows:
 
17    (755 ILCS 9/30)
18    Sec. 30. Supporter duties.
19    (a) Except as otherwise provided by a supported
20decision-making agreement, a supporter may:
21        (1) Assist the principal in understanding information,
22    options, responsibilities, and consequences of the life
23    decisions of the principal, including those decisions
24    related to the affairs or support services of the

 

 

10400HB0862ham002- 195 -LRB104 04759 SPS 36757 a

1    principal.
2        (2) Help the principal access, obtain, and understand
3    any information that is relevant to any given life
4    decision, including a medical, psychological, financial,
5    or educational decision, or any treatment records or
6    records necessary to manage the affairs or support
7    services of the principal.
8        (3) Assist the principal in finding, obtaining, making
9    appointments for, and implementing the support services or
10    plans for support services of the principal.
11        (4) Help the principal monitor information about the
12    affairs or support services of the principal, including
13    keeping track of future necessary or recommended services.
14        (5) Ascertain the wishes and decisions of the
15    principal in order to advocate that the wishes and
16    decisions of an individual with disabilities are
17    implemented.
18    (b) A supporter shall act with the care, competence, and
19diligence ordinarily exercised by an individual in a similar
20circumstance, with due regard to the possession of, or lack
21of, special skills or expertise.
22    (c) A supporter shall seek training and education
23regarding the responsibilities and limitations of the
24supporter role. The Department of Disability Advocacy and
25Guardianship and Advocacy Commission shall provide public
26information about this Act and the supporter role,

 

 

10400HB0862ham002- 196 -LRB104 04759 SPS 36757 a

1responsibilities, and limitations.
2    The Department of Disability Advocacy and Guardianship and
3Advocacy Commission shall develop training and education
4materials for both principals and supporters, including, but
5not limited to, sample agreements that will be posted on the
6website of the Department Commission along with public
7awareness materials.
8(Source: P.A. 102-614, eff. 2-27-22.)
 
9    Section 135. The Illinois Power of Attorney Act is amended
10by changing Section 2-7 as follows:
 
11    (755 ILCS 45/2-7)  (from Ch. 110 1/2, par. 802-7)
12    Sec. 2-7. Duty - standard of care - record-keeping -
13exoneration.
14    (a) The agent shall be under no duty to exercise the powers
15granted by the agency or to assume control of or
16responsibility for any of the principal's property, care or
17affairs, regardless of the principal's physical or mental
18condition. Whenever a power is exercised, the agent shall act
19in good faith for the benefit of the principal using due care,
20competence, and diligence in accordance with the terms of the
21agency and shall be liable for negligent exercise. An agent
22who acts with due care for the benefit of the principal shall
23not be liable or limited merely because the agent also
24benefits from the act, has individual or conflicting interests

 

 

10400HB0862ham002- 197 -LRB104 04759 SPS 36757 a

1in relation to the property, care or affairs of the principal
2or acts in a different manner with respect to the agency and
3the agent's individual interests. The agent shall not be
4affected by any amendment or termination of the agency until
5the agent has actual knowledge thereof. The agent shall not be
6liable for any loss due to error of judgment nor for the act or
7default of any other person.
8    (b) An agent that has accepted appointment must act in
9accordance with the principal's expectations to the extent
10actually known to the agent and otherwise in the principal's
11best interests.
12    (c) An agent shall keep a record of all receipts,
13disbursements, and significant actions taken under the
14authority of the agency and shall provide a copy of this record
15when requested to do so by:
16        (1) the principal, a guardian, another fiduciary
17    acting on behalf of the principal, and, after the death of
18    the principal, the personal representative or successors
19    in interest of the principal's estate;
20        (2) a representative of a provider agency, as defined
21    in Section 2 of the Adult Protective Services Act, acting
22    in the course of an assessment of a complaint of elder
23    abuse or neglect under that Act;
24        (3) a representative of the Office of the State Long
25    Term Care Ombudsman, acting in the course of an
26    investigation of a complaint of financial exploitation of

 

 

10400HB0862ham002- 198 -LRB104 04759 SPS 36757 a

1    a nursing home resident under Section 4.04 of the Illinois
2    Act on the Aging;
3        (4) a representative of the Office of Inspector
4    General for the Department of Human Services, acting in
5    the course of an assessment of a complaint of financial
6    exploitation of an adult with disabilities pursuant to
7    Section 35 of the Abuse of Adults with Disabilities
8    Intervention Act;
9        (5) a court under Section 2-10 of this Act; or
10        (6) a representative of the Division Office of State
11    Guardian or public guardian for the county in which the
12    principal resides acting in the course of investigating
13    whether to file a petition for guardianship of the
14    principal under Section 11a-4 or 11a-8 of the Probate Act
15    of 1975.
16    (d) If the agent fails to provide his or her record of all
17receipts, disbursements, and significant actions within 21
18days after a request under subsection (c), the adult abuse
19provider agency, the Division of State Guardian, the public
20guardian, or a representative of the Office of the State Long
21Term Care Ombudsman may petition the court for an order
22requiring the agent to produce his or her record of receipts,
23disbursements, and significant actions. If the court finds
24that the agent's failure to provide his or her record in a
25timely manner to the adult abuse provider agency, the Division
26of State Guardian, the public guardian, or a representative of

 

 

10400HB0862ham002- 199 -LRB104 04759 SPS 36757 a

1the Office of the State Long Term Care Ombudsman was without
2good cause, the court may assess reasonable costs and
3attorney's fees against the agent, and order such other relief
4as is appropriate.
5    (e) An agent is not required to disclose receipts,
6disbursements, or other significant actions conducted on
7behalf of the principal except as otherwise provided in the
8power of attorney or as required under subsection (c).
9    (f) An agent that violates this Act is liable to the
10principal or the principal's successors in interest for the
11amount required (i) to restore the value of the principal's
12property to what it would have been had the violation not
13occurred, and (ii) to reimburse the principal or the
14principal's successors in interest for the attorney's fees and
15costs paid on the agent's behalf. This subsection does not
16limit any other applicable legal or equitable remedies.
17(Source: P.A. 100-952, eff. 1-1-19.)
 
18    Section 999. Effective date. This Act takes effect July 1,
192027.".