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1 | AN ACT concerning regulation.
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2 | Be it enacted by the People of the State of Illinois,
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3 | represented in the General Assembly:
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4 | Section 5. The Nursing Home Care Act is amended by changing | ||||||||||||||||||||||||||
5 | Section 2-104.2 as follows:
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6 | (210 ILCS 45/2-104.2) (from Ch. 111 1/2, par. 4152-104.2)
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7 | Sec. 2-104.2. Do-Not-Resuscitate Orders. | ||||||||||||||||||||||||||
8 | (a) Every facility licensed under
this Act shall establish | ||||||||||||||||||||||||||
9 | a policy for the implementation of physician
orders limiting | ||||||||||||||||||||||||||
10 | resuscitation such as those commonly referred to as
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11 | "Do-Not-Resuscitate" orders. This policy may only prescribe | ||||||||||||||||||||||||||
12 | the format,
method of documentation and duration of any | ||||||||||||||||||||||||||
13 | physician orders limiting
resuscitation. Any orders under this | ||||||||||||||||||||||||||
14 | policy shall be honored by the facility.
The Department of | ||||||||||||||||||||||||||
15 | Public Health Uniform DNR Advance Directive or a copy of that | ||||||||||||||||||||||||||
16 | Advance Directive
shall be
honored by the facility.
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17 | (b) Within 30 days after admission in the case of a new | ||||||||||||||||||||||||||
18 | resident, and within one year after the effective date of this | ||||||||||||||||||||||||||
19 | amendatory Act of the 96th General Assembly for all residents | ||||||||||||||||||||||||||
20 | who were admitted before that date, residents, agents, and | ||||||||||||||||||||||||||
21 | surrogates shall be given written information describing the | ||||||||||||||||||||||||||
22 | facility's policies required by this Section and shall be given | ||||||||||||||||||||||||||
23 | the opportunity to: |
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1 | (1) Execute a Living Will or Power of Attorney for | ||||||
2 | Health Care in accordance with State law, if they have not | ||||||
3 | already done so. | ||||||
4 | (2) Decline consent to any or all of the | ||||||
5 | life-sustaining treatment available at the facility. | ||||||
6 | (3) Provide the facility with the name or names of one | ||||||
7 | or more preferred surrogates should the resident become | ||||||
8 | incapacitated. The name or names are for informational | ||||||
9 | purposes only and do not constitute an advance directive on | ||||||
10 | the part of the resident. | ||||||
11 | (c) Any decision made by a resident, an agent, or a | ||||||
12 | surrogate pursuant to subsection (b) of this Section must be | ||||||
13 | recorded in the resident's medical record. Any subsequent | ||||||
14 | changes or modifications must also be recorded in the medical | ||||||
15 | record. | ||||||
16 | (Source: P.A. 94-865, eff. 6-16-06.)
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17 | Section 10. The Health Care Surrogate Act is amended by | ||||||
18 | changing Section 15 as follows:
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19 | (755 ILCS 40/15) (from Ch. 110 1/2, par. 851-15)
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20 | Sec. 15. Applicability. This Act applies to patients who | ||||||
21 | lack
decisional capacity
or who have a qualifying condition. | ||||||
22 | This Act does not
apply to instances in which the patient has | ||||||
23 | an operative and unrevoked
living will under the Illinois | ||||||
24 | Living Will Act, an operative and unrevoked
declaration for |
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1 | mental health treatment under the Mental Health Treatment
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2 | Preferences Declaration Act, or an authorized agent under
a | ||||||
3 | power of attorney for health care under the Illinois Power of | ||||||
4 | Attorney
Act and the patient's condition falls within the | ||||||
5 | coverage of the living
will, the declaration for mental health | ||||||
6 | treatment, or the power of attorney
for health care. In those | ||||||
7 | instances, the
living will, declaration for mental health | ||||||
8 | treatment, or power of
attorney for health care, as the case | ||||||
9 | may be, shall
be given effect according to its terms. This Act | ||||||
10 | does apply in
circumstances in which a patient has a qualifying | ||||||
11 | condition but the
patient's condition does not fall within the | ||||||
12 | coverage of the living will, the
declaration for mental health | ||||||
13 | treatment, or
the power of attorney for health care.
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14 | Each health care facility shall maintain any advance
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15 | directives proffered by the patient or other authorized person,
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16 | including a do not resuscitate order, a living will, a | ||||||
17 | declaration for mental
health treatment, a designation of a | ||||||
18 | preferred surrogate should the person become incapacitated or | ||||||
19 | impaired, or a
power of attorney for health care, in the | ||||||
20 | patient's medical records for the
duration of the patient's | ||||||
21 | stay. This Act does apply to patients without
a qualifying | ||||||
22 | condition. If a patient is an adult with
decisional
capacity, | ||||||
23 | then the right to refuse medical treatment
or life-sustaining
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24 | treatment does
not require the presence of a qualifying | ||||||
25 | condition.
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26 | (Source: P.A. 90-246, eff. 1-1-98.)
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1 | Section 99. Effective date. This Act takes effect January | ||||||
2 | 1, 2010.
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