093_HB1207 LRB093 04248 MKM 04294 b 1 AN ACT in relation to aging. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 5. The Attorney General Act is amended by adding 5 Section 6.6 as follows: 6 (15 ILCS 205/6.6 new) 7 Sec. 6.6. Long Term Care Ombudsman Program. 8 (a) Long Term Care Ombudsman Program. The Attorney 9 General shall establish a Long Term Care Ombudsman Program, 10 through the Office of State Long Term Care Ombudsman ("the 11 Office"), in accordance with the provisions of the Older 12 Americans Act of 1965, as now or hereafter amended. 13 (b) Definitions. As used in this Section, unless the 14 context requires otherwise: 15 (1) "Access" has the same meaning as in Section 16 1-104 of the Nursing Home Care Act, including the right 17 to: 18 (i) enter any long term care facility or 19 assisted living or shared housing establishment; 20 (ii) communicate privately and without 21 restriction with any resident who consents to the 22 communication; 23 (iii) seek consent to communicate privately 24 and without restriction with any resident; 25 (iv) inspect the clinical and other records of 26 a resident with the express written consent of the 27 resident; and 28 (v) observe all areas of the long term care 29 facility or assisted living or shared housing 30 establishment except the living area of any resident 31 who protests the observation. -2- LRB093 04248 MKM 04294 b 1 (2) "Long Term Care Facility" means (i) any 2 facility as defined by Section 1-113 of the Nursing Home 3 Care Act; and (ii) any skilled nursing facility or a 4 nursing facility that meets the requirements of Section 5 1819(a), (b), (c), and (d) or Section 1919(a), (b), (c), 6 and (d) of the Social Security Act, as now or hereafter 7 amended (42 U.S.C. 1395i-3(a), (b), (c), and (d) and 42 8 U.S.C. 1396r(a), (b), (c), and (d)). 9 (3) "Assisted living establishment" and "shared 10 housing establishment" have the meanings given those 11 terms in Section 10 of the Assisted Living and Shared 12 Housing Act. 13 (4) "Ombudsman" means any person employed by the 14 Attorney General to fulfill the requirements of the 15 Office of State Long Term Care Ombudsman, or any 16 representative of a sub-State long term care ombudsman 17 program; provided that the representative, whether he or 18 she is paid for or volunteers ombudsman services, shall 19 be qualified and authorized by the Attorney General to 20 perform the duties of an ombudsman as specified by the 21 Attorney General. 22 (c) Ombudsman; rules. The Office of State Long Term Care 23 Ombudsman shall be composed of at least one full-time 24 ombudsman and shall include a system of designated sub-State 25 long term care ombudsman programs. Each sub-State program 26 shall be designated by the Attorney General as a subdivision 27 of the Office, and any representative of a sub-State program 28 shall be treated as a representative of the Office. 29 The Attorney General shall establish the responsibilities 30 of the Office of State Long Term Care Ombudsman. This shall 31 include the responsibility of the Office to investigate and 32 resolve complaints made by or on behalf of residents of long 33 term care facilities and assisted living and shared housing 34 establishments relating to actions, inaction, or decisions of -3- LRB093 04248 MKM 04294 b 1 providers, or their representatives, of long term care 2 facilities, of assisted living and shared housing 3 establishments, of public agencies, or of social services 4 agencies, that may adversely affect the health, safety, 5 welfare, or rights of the residents. When necessary and 6 appropriate, representatives of the Office shall refer 7 complaints to the appropriate regulatory State agency. The 8 Attorney General shall cooperate with the Department of Human 9 Services in providing information and training to designated 10 sub-State long term care ombudsman programs about the 11 appropriate assessment and treatment (including information 12 about appropriate supportive services, treatment options, and 13 assessment of rehabilitation potential) of persons with 14 mental illness (other than Alzheimer's disease and related 15 disorders). 16 (d) Access and visitation rights. 17 (1) In accordance with subparagraphs (A) and (E) of 18 paragraph (3) of subsection (c) of Section 1819 and 19 subparagraphs (A) and (E) of paragraph (3) of subsection 20 (c) of Section 1919 of the Social Security Act, as now or 21 hereafter amended (42 U.S.C. 1395i-3 (c)(3)(A) and (E) 22 and 42 U.S.C. 1396r (c)(3)(A) and (E)), and Section 712 23 of the Older Americans Act of 1965, as now or hereafter 24 amended (42 U.S.C. 3058f), a long term care facility, 25 assisted living establishment, and shared housing 26 establishment must: 27 (i) permit immediate access to any resident by 28 an ombudsman; and 29 (ii) permit representatives of the Office, 30 with the permission of the resident or the 31 resident's legal representative or legal guardian, 32 to examine the resident's clinical and other records 33 and, if the resident is unable to consent to an 34 examination and has no legal guardian, permit -4- LRB093 04248 MKM 04294 b 1 representatives of the Office appropriate access, as 2 defined by the Attorney General, to the resident's 3 records. 4 (2) Each long term care facility, assisted living 5 establishment, and shared housing establishment shall 6 display, in multiple, conspicuous public places within 7 the facility accessible to both visitors and patients and 8 in an easily readable format, the address and phone 9 number of the Office, in a manner prescribed by the 10 Office. 11 (e) Immunity. An ombudsman or any other representative 12 of the Attorney General participating in the good faith 13 performance of his or her official duties shall have immunity 14 from any liability (civil, criminal, or otherwise) in any 15 proceedings (civil, criminal, or otherwise) brought as a 16 consequence of the performance of his or her official duties. 17 (f) Business offenses. 18 (1) No person shall: 19 (i) intentionally prevent, interfere with, or 20 attempt to impede in any way any representative of 21 the Office in the performance of his or her official 22 duties under this Act and the Older Americans Act of 23 1965; or 24 (ii) intentionally retaliate, discriminate 25 against, or effect reprisals against any long term 26 care facility resident or employee for contacting or 27 providing information to any representative of the 28 Office. 29 (2) A violation of this Section is a business 30 offense, punishable by a fine not to exceed $501. 31 (g) Confidentiality of records and identities. No files 32 or records maintained by the Office of State Long Term Care 33 Ombudsman shall be disclosed unless the State Ombudsman or 34 the ombudsman having the authority over the disposition of -5- LRB093 04248 MKM 04294 b 1 the files authorizes the disclosure in writing. The ombudsman 2 shall not disclose the identity of any complainant, resident, 3 witness, or employee of a long term care provider involved in 4 a complaint or report unless that person or that person's 5 guardian or legal representative consents in writing to the 6 disclosure, or the disclosure is required by court order. 7 (h) Treatment by prayer and spiritual means. Nothing in 8 this Section shall be construed to authorize or require the 9 medical supervision, regulation, or control of remedial care 10 or treatment of any resident in a long term care facility 11 operated exclusively by and for members or adherents of any 12 church or religious denomination the tenets and practices of 13 which include reliance solely upon spiritual means through 14 prayer for healing. 15 (i) The Department on Aging shall immediately transfer 16 to the Attorney General all relevant records and all pending 17 matters formerly under the purview of the Department's Long 18 Term Care Ombudsman Program. The immunity and 19 confidentiality provisions of this Section apply to the 20 ombudsmen and representatives of the Department's former Long 21 Term Care Ombudsman Program. 22 (20 ILCS 105/4.04 rep.) 23 Section 10. The Illinois Act on the Aging is amended by 24 repealing Section 4.04.