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1 | AN ACT concerning aging.
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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 Elder Abuse and Neglect Act is amended by | ||||||
5 | changing Sections 2 and 3 as follows:
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6 | (320 ILCS 20/2) (from Ch. 23, par. 6602)
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7 | Sec. 2. Definitions. As used in this Act, unless the | ||||||
8 | context
requires otherwise:
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9 | (a) "Abuse" means causing any physical, mental or sexual | ||||||
10 | injury to an
eligible adult, including exploitation of such | ||||||
11 | adult's financial resources.
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12 | Nothing in this Act shall be construed to mean that an | ||||||
13 | eligible adult is a
victim of abuse, neglect, or self-neglect | ||||||
14 | for the sole reason that he or she is being
furnished with or | ||||||
15 | relies upon treatment by spiritual means through prayer
alone, | ||||||
16 | in accordance with the tenets and practices of a recognized | ||||||
17 | church
or religious denomination.
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18 | Nothing in this Act shall be construed to mean that an | ||||||
19 | eligible adult is a
victim of abuse because of health care | ||||||
20 | services provided or not provided by
licensed health care | ||||||
21 | professionals.
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22 | (a-5) "Abuser" means a person who abuses, neglects, or | ||||||
23 | financially
exploits an eligible adult.
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1 | (a-7) "Caregiver" means a person who either as a result of | ||||||
2 | a family
relationship, voluntarily, or in exchange for | ||||||
3 | compensation has assumed
responsibility for all or a portion of | ||||||
4 | the care of an eligible adult who needs
assistance with | ||||||
5 | activities of daily
living.
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6 | (b) "Department" means the Department on Aging of the State | ||||||
7 | of Illinois.
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8 | (c) "Director" means the Director of the Department.
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9 | (d) "Domestic living situation" means a residence where the | ||||||
10 | eligible
adult lives alone or with his or her family or a | ||||||
11 | caregiver, or others,
or a board and care home or other | ||||||
12 | community-based unlicensed facility, but
is not:
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13 | (1) A licensed facility as defined in Section 1-113 of | ||||||
14 | the Nursing Home
Care Act;
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15 | (2) A "life care facility" as defined in the Life Care | ||||||
16 | Facilities Act;
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17 | (3) A home, institution, or other place operated by the | ||||||
18 | federal
government or agency thereof or by the State of | ||||||
19 | Illinois;
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20 | (4) A hospital, sanitarium, or other institution, the | ||||||
21 | principal activity
or business of which is the diagnosis, | ||||||
22 | care, and treatment of human illness
through the | ||||||
23 | maintenance and operation of organized facilities | ||||||
24 | therefor,
which is required to be licensed under the | ||||||
25 | Hospital Licensing Act;
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26 | (5) A "community living facility" as defined in the |
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1 | Community Living
Facilities Licensing Act;
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2 | (6) A "community residential alternative" as defined | ||||||
3 | in the Community
Residential Alternatives Licensing Act;
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4 | (7) A "community-integrated living arrangement" as | ||||||
5 | defined in
the Community-Integrated Living Arrangements | ||||||
6 | Licensure and Certification Act;
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7 | (8) An assisted living or shared housing establishment | ||||||
8 | as defined in the Assisted Living and Shared Housing Act; | ||||||
9 | or
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10 | (9) A supportive living facility as described in | ||||||
11 | Section 5-5.01a of the Illinois Public Aid Code.
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12 | (e) "Eligible adult" means a person 60 years of age or | ||||||
13 | older who
resides in a domestic living situation and is, or is | ||||||
14 | alleged
to be, abused, neglected, or financially exploited by | ||||||
15 | another individual or who neglects himself or herself.
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16 | (f) "Emergency" means a situation in which an eligible | ||||||
17 | adult is living
in conditions presenting a risk of death or | ||||||
18 | physical, mental or sexual
injury and the provider agency has | ||||||
19 | reason to believe the eligible adult is
unable to
consent to | ||||||
20 | services which would alleviate that risk.
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21 | (f-5) "Mandated reporter" means any of the following | ||||||
22 | persons
while engaged in carrying out their professional | ||||||
23 | duties:
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24 | (1) a professional or professional's delegate while | ||||||
25 | engaged in: (i) social
services, (ii) law enforcement, | ||||||
26 | (iii) education, (iv) the care of an eligible
adult or |
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1 | eligible adults, or (v) any of the occupations required to | ||||||
2 | be licensed
under
the Clinical Psychologist Licensing Act, | ||||||
3 | the Clinical Social Work and Social
Work Practice Act, the | ||||||
4 | Illinois Dental Practice Act, the Dietetic and Nutrition
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5 | Services Practice Act, the Marriage and Family Therapy | ||||||
6 | Licensing Act, the
Medical Practice Act of 1987, the | ||||||
7 | Naprapathic Practice Act, the
Nurse Practice Act, the | ||||||
8 | Nursing Home
Administrators Licensing and
Disciplinary | ||||||
9 | Act, the Illinois Occupational Therapy Practice Act, the | ||||||
10 | Illinois
Optometric Practice Act of 1987, the Pharmacy | ||||||
11 | Practice Act, the
Illinois Physical Therapy Act, the | ||||||
12 | Physician Assistant Practice Act of 1987,
the Podiatric | ||||||
13 | Medical Practice Act of 1987, the Respiratory Care Practice
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14 | Act,
the Professional Counselor and
Clinical Professional | ||||||
15 | Counselor Licensing Act, the Illinois Speech-Language
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16 | Pathology and Audiology Practice Act, the Veterinary | ||||||
17 | Medicine and Surgery
Practice Act of 2004, and the Illinois | ||||||
18 | Public Accounting Act;
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19 | (2) an employee of a vocational rehabilitation | ||||||
20 | facility prescribed or
supervised by the Department of | ||||||
21 | Human Services;
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22 | (3) an administrator, employee, or person providing | ||||||
23 | services in or through
an unlicensed community based | ||||||
24 | facility;
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25 | (4) any religious practitioner who provides treatment | ||||||
26 | by prayer or spiritual means alone in accordance with the |
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1 | tenets and practices of a recognized church or religious | ||||||
2 | denomination, except as to information received in any | ||||||
3 | confession or sacred communication enjoined by the | ||||||
4 | discipline of the religious denomination to be held | ||||||
5 | confidential;
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6 | (5) field personnel of the Department of Healthcare and | ||||||
7 | Family Services, Department of Public
Health, and | ||||||
8 | Department of Human Services, and any county or
municipal | ||||||
9 | health department;
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10 | (6) personnel of the Department of Human Services, the | ||||||
11 | Guardianship and
Advocacy Commission, the State Fire | ||||||
12 | Marshal, local fire departments, the
Department on Aging | ||||||
13 | and its subsidiary Area Agencies on Aging and provider
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14 | agencies, and the Office of State Long Term Care Ombudsman;
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15 | (7) any employee of the State of Illinois not otherwise | ||||||
16 | specified herein
who is involved in providing services to | ||||||
17 | eligible adults, including
professionals providing medical | ||||||
18 | or rehabilitation services and all
other persons having | ||||||
19 | direct contact with eligible adults;
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20 | (8) a person who performs the duties of a coroner
or | ||||||
21 | medical examiner; or
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22 | (9) a person who performs the duties of a paramedic or | ||||||
23 | an emergency
medical
technician.
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24 | (g) "Neglect" means
another individual's failure to | ||||||
25 | provide an eligible
adult with or willful withholding from an | ||||||
26 | eligible adult the necessities of
life including, but not |
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1 | limited to, food, clothing, shelter or health care.
This | ||||||
2 | subsection does not create any new affirmative duty to provide | ||||||
3 | support to
eligible adults. Nothing in this Act shall be | ||||||
4 | construed to mean that an
eligible adult is a victim of neglect | ||||||
5 | because of health care services provided
or not provided by | ||||||
6 | licensed health care professionals.
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7 | (h) "Provider agency" means any public or nonprofit agency | ||||||
8 | in a planning
and service area appointed by the regional | ||||||
9 | administrative agency with prior
approval by the Department on | ||||||
10 | Aging to receive and assess reports of
alleged or suspected | ||||||
11 | abuse, neglect, or financial exploitation.
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12 | (i) "Regional administrative agency" means any public or | ||||||
13 | nonprofit
agency in a planning and service area so designated | ||||||
14 | by the Department,
provided that the designated Area Agency on | ||||||
15 | Aging shall be designated the
regional administrative agency if | ||||||
16 | it so requests.
The Department shall assume the functions of | ||||||
17 | the regional administrative
agency for any planning and service | ||||||
18 | area where another agency is not so
designated.
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19 | (i-5) "Self-neglect" means a condition that is the result | ||||||
20 | of an eligible adult's inability, due to physical or mental | ||||||
21 | impairments, or both, or a diminished capacity, to perform | ||||||
22 | essential self-care tasks that substantially threaten his or | ||||||
23 | her own health, including: providing essential food, clothing, | ||||||
24 | shelter, and health care; and obtaining goods and services | ||||||
25 | necessary to maintain physical health, mental health, | ||||||
26 | emotional well-being, and general safety. The term includes |
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1 | compulsive hoarding, which is characterized by the acquisition | ||||||
2 | and retention of large quantities of items and materials that | ||||||
3 | produce an extensively cluttered living space, which | ||||||
4 | significantly impairs the performance of essential self-care | ||||||
5 | tasks or otherwise substantially threatens life or safety.
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6 | (j) "Substantiated case" means a reported case of alleged | ||||||
7 | or suspected
abuse, neglect, financial exploitation, or | ||||||
8 | self-neglect in which a provider agency,
after assessment, | ||||||
9 | determines that there is reason to believe abuse,
neglect, or | ||||||
10 | financial exploitation has occurred.
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11 | (Source: P.A. 94-1064, eff. 1-1-07; 95-639, eff. 10-5-07; | ||||||
12 | 95-689, eff. 10-29-07; 95-876, eff. 8-21-08.)
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13 | (320 ILCS 20/3) (from Ch. 23, par. 6603)
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14 | Sec. 3. Responsibilities.
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15 | (a) The Department shall establish,
design and manage a | ||||||
16 | program of response and services for persons 60 years
of age | ||||||
17 | and
older who have been, or are alleged to be, victims of | ||||||
18 | abuse, neglect, financial exploitation, or self-neglect. The | ||||||
19 | Department
shall contract with or fund or, contract with and | ||||||
20 | fund, regional
administrative
agencies, provider
agencies, or | ||||||
21 | both, for the provision of those
functions, and, contingent on | ||||||
22 | adequate funding, with attorneys or legal
services provider | ||||||
23 | agencies for the
provision of legal assistance pursuant to this | ||||||
24 | Act. The program shall include the following services for | ||||||
25 | eligible adults who have been removed from their residences for |
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1 | the purpose of cleanup or repairs: temporary housing; | ||||||
2 | counseling; and caseworker services to try to ensure that the | ||||||
3 | conditions necessitating the removal do not reoccur.
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4 | (b) Each regional administrative agency shall designate | ||||||
5 | provider
agencies within its planning and service area with | ||||||
6 | prior approval by the
Department on Aging, monitor the use of | ||||||
7 | services, provide technical
assistance to the provider | ||||||
8 | agencies and be involved in program development
activities.
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9 | (c) Provider agencies shall assist, to the extent possible, | ||||||
10 | eligible
adults who need agency
services to allow them to | ||||||
11 | continue to function independently. Such
assistance shall | ||||||
12 | include but not be limited to receiving reports of alleged
or | ||||||
13 | suspected abuse, neglect, financial exploitation,
or | ||||||
14 | self-neglect, conducting face-to-face assessments of
such | ||||||
15 | reported cases, determination of substantiated cases, referral | ||||||
16 | of
substantiated cases for necessary support services,
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17 | referral of criminal conduct to law enforcement in accordance | ||||||
18 | with Department
guidelines,
and provision of case
work and | ||||||
19 | follow-up services on substantiated cases. In the case of a | ||||||
20 | report of alleged or suspected abuse or neglect that places an | ||||||
21 | eligible adult at risk of injury or death, a provider agency | ||||||
22 | shall respond to the report on an emergency basis in accordance | ||||||
23 | with guidelines established by the Department by | ||||||
24 | administrative rule and shall ensure that it is capable of | ||||||
25 | responding to such a report 24 hours per day, 7 days per week. | ||||||
26 | A provider agency may use an on-call system to respond to |
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1 | reports of alleged or suspected abuse or neglect after hours | ||||||
2 | and on weekends.
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3 | (d) By January 1, 2008, the Department on Aging, in | ||||||
4 | cooperation with an Elder Self-Neglect Steering Committee, | ||||||
5 | shall by rule develop protocols, procedures, and policies for | ||||||
6 | (i) responding to reports of possible self-neglect, (ii) | ||||||
7 | protecting the autonomy, rights, privacy, and privileges of | ||||||
8 | adults during investigations of possible self-neglect and | ||||||
9 | consequential judicial proceedings regarding competency, (iii) | ||||||
10 | collecting and sharing relevant information and data among the | ||||||
11 | Department, provider agencies, regional administrative | ||||||
12 | agencies, and relevant seniors, (iv) developing working | ||||||
13 | agreements between provider agencies and law enforcement, | ||||||
14 | where practicable, and (v) developing procedures for | ||||||
15 | collecting data regarding incidents of self-neglect. The Elder | ||||||
16 | Self-Neglect Steering Committee shall be comprised of one | ||||||
17 | person selected by the Elder Abuse Advisory Committee of the | ||||||
18 | Department on Aging; 3 persons selected, on the request of the | ||||||
19 | Director of Aging, by State or regional organizations that | ||||||
20 | advocate for the rights of seniors, at least one of whom shall | ||||||
21 | be a legal assistance attorney who represents seniors in | ||||||
22 | competency proceedings; 2 persons selected, on the request of | ||||||
23 | the Director of Aging, by statewide organizations that | ||||||
24 | represent social workers and other persons who provide direct | ||||||
25 | intervention and care to housebound seniors who are likely to | ||||||
26 | neglect themselves; an expert on geropsychiatry, appointed by |
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1 | the Secretary of Human Services; an expert on issues of | ||||||
2 | physical health associated with seniors, appointed by the | ||||||
3 | Director of Public Health; one representative of a law | ||||||
4 | enforcement agency; one representative of the Chicago | ||||||
5 | Department on Aging; and 3 other persons selected by the | ||||||
6 | Director of Aging, including an expert from an institution of | ||||||
7 | higher education who is familiar with the relevant areas of | ||||||
8 | data collection and study.
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9 | (Source: P.A. 94-1064, eff. 1-1-07; 95-76, eff. 6-1-08 .)
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