Rep. Litesa E. Wallace
Filed: 3/23/2017
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1 | AMENDMENT TO HOUSE BILL 3709
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2 | AMENDMENT NO. ______. Amend House Bill 3709 by replacing | ||||||
3 | everything after the enacting clause with the following:
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4 | "Section 5. The Mental Health and Developmental | ||||||
5 | Disabilities Code is amended by changing Section 3-501 as | ||||||
6 | follows:
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7 | (405 ILCS 5/3-501) (from Ch. 91 1/2, par. 3-501)
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8 | Sec. 3-501. Minor 12 years of age or older request to | ||||||
9 | receive
counseling services or psychotherapy on an outpatient | ||||||
10 | basis. | ||||||
11 | (a) Any minor 12 years of age or older may request and | ||||||
12 | receive
counseling services or psychotherapy on an outpatient | ||||||
13 | basis that are provided by, or under the supervision of, a | ||||||
14 | licensed service provider . The consent
of the minor's his | ||||||
15 | parent, guardian or person in loco parentis shall not be | ||||||
16 | initially necessary
to authorize outpatient counseling or |
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1 | psychotherapy. The minor's parent,
guardian or person in loco | ||||||
2 | parentis shall not be informed of such counseling
or | ||||||
3 | psychotherapy without the consent of the minor unless the | ||||||
4 | facility director
believes such disclosure is necessary. If the | ||||||
5 | facility director intends
to disclose the fact of counseling or | ||||||
6 | psychotherapy, the minor shall be
so informed. However, until | ||||||
7 | the consent of the minor's parent, guardian ,
or person in loco | ||||||
8 | parentis has been obtained, outpatient counseling or
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9 | psychotherapy provided to a minor under the age of 17
shall be | ||||||
10 | initially limited to not more than 8 90-minute sessions 5 | ||||||
11 | sessions, a session lasting not more
than 45 minutes . The | ||||||
12 | service provider shall consider the factors contained in | ||||||
13 | subsection (a-1) of this Section throughout the therapeutic | ||||||
14 | process to determine, through consultation with the minor, | ||||||
15 | whether attempting to obtain the consent of a parent, guardian, | ||||||
16 | or person in loco parentis would be detrimental to the minor's | ||||||
17 | well-being. No later than the eighth session, the service | ||||||
18 | provider shall determine and share with the minor the service | ||||||
19 | provider's decision as described below: | ||||||
20 | (1) If the service provider finds that attempting to | ||||||
21 | obtain consent would not be detrimental to the minor's | ||||||
22 | well-being, the provider shall notify the minor that the | ||||||
23 | consent of a parent, guardian, or person in loco parentis | ||||||
24 | is required. | ||||||
25 | (2) If the minor does not permit the service provider | ||||||
26 | to notify the parent, guardian, or person in loco parentis |
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1 | for the purpose of consent after the eighth session the | ||||||
2 | service provider shall discontinue counseling services and | ||||||
3 | shall not notify the parent, guardian, or person in loco | ||||||
4 | parentis about the treatment. | ||||||
5 | (3) If the minor permits the service provider to notify | ||||||
6 | the parent, guardian, or person in loco parentis for the | ||||||
7 | purpose of consent, without discontinuing treatment, the | ||||||
8 | service provider shall attempt to obtain consent. The | ||||||
9 | service provider shall document each attempt to obtain | ||||||
10 | consent in the minor's clinical record. The service | ||||||
11 | provider may continue to provide counseling services or | ||||||
12 | psychotherapy if: | ||||||
13 | (A) the service provider has made at least 2 | ||||||
14 | unsuccessful attempts to contact the minor's parent, | ||||||
15 | guardian, or person in loco parentis to obtain consent; | ||||||
16 | and | ||||||
17 | (B) the service provider has obtained the minor's | ||||||
18 | written consent. | ||||||
19 | (4) If after the eighth session the service provider of | ||||||
20 | counseling services or
psychotherapy determines that
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21 | obtaining consent would be detrimental to the minor's
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22 | well-being, the service provider shall consult with his or | ||||||
23 | her supervisor when possible to review and authorize the | ||||||
24 | determination under subsection (a) of this Section. The | ||||||
25 | service provider shall document the basis
for the | ||||||
26 | determination in the minor's clinical record and
may then |
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1 | accept the minor's written consent to continue to
provide | ||||||
2 | counseling services or psychotherapy without also
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3 | obtaining the consent of a parent, guardian, or person in
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4 | loco parentis. | ||||||
5 | (5) If the minor continues to receive counseling or
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6 | psychotherapy services without the consent of a parent, | ||||||
7 | guardian, or person in loco parentis beyond 8 sessions, the
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8 | service provider shall evaluate, in consultation with his
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9 | or her supervisor when possible, his or her determination
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10 | under this subsection (a), and review the determination
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11 | every 60 days until treatment ends or the minor reaches age | ||||||
12 | 17. | ||||||
13 | (6) When counseling services or psychotherapy are | ||||||
14 | related to allegations of neglect, sexual abuse, or mental | ||||||
15 | or physical abuse by the minor's parent, guardian, or | ||||||
16 | person in loco parentis, obtaining consent of that parent, | ||||||
17 | guardian, or person in loco parentis shall be presumed to | ||||||
18 | be detrimental to the minor's well-being. | ||||||
19 | (a-1) Each of the following factors must be present in | ||||||
20 | order for the service provider to find that obtaining the | ||||||
21 | consent of a parent, guardian, or person in loco parentis would | ||||||
22 | be detrimental to the minor's well-being: | ||||||
23 | (1) requiring the consent or notification of a parent | ||||||
24 | or guardian would cause the minor to reject the treatment; | ||||||
25 | (2) the failure to provide the treatment would be | ||||||
26 | detrimental to the minor's well-being; |
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1 | (3) the minor has knowingly and voluntarily sought the | ||||||
2 | treatment; and | ||||||
3 | (4) in the opinion of the service provider, the minor | ||||||
4 | is mature enough to participate in treatment productively. | ||||||
5 | (a-2) The minor's parent, guardian, or person in loco | ||||||
6 | parentis shall not be informed of the counseling or | ||||||
7 | psychotherapy without the written consent of the minor unless | ||||||
8 | the service provider believes the disclosure is necessary. If | ||||||
9 | the facility director or service provider intends to disclose | ||||||
10 | the fact of counseling or psychotherapy, the minor shall be so | ||||||
11 | informed. Under the Mental Health and Developmental | ||||||
12 | Disabilities Confidentiality Act, the facility director, his | ||||||
13 | or her designee, or the service provider shall not allow the | ||||||
14 | minor's parent or guardian, upon request, to inspect or copy | ||||||
15 | the minor's record or any part of the record if the service | ||||||
16 | provider finds that there are compelling reasons for denying | ||||||
17 | the access. Nothing in this Section shall be interpreted to | ||||||
18 | limit a minor's privacy and confidentiality protections under | ||||||
19 | State law.
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20 | (b) The minor's parent, guardian or person in loco parentis | ||||||
21 | shall not
be liable for the out-of-pocket costs, including | ||||||
22 | co-payments, deductibles, or co-insurance for costs of | ||||||
23 | outpatient counseling or psychotherapy which
is received by the | ||||||
24 | minor without the consent of the minor's parent, guardian ,
or | ||||||
25 | person in loco parentis.
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26 | (c) Counseling services or psychotherapy provided under |
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1 | this Section shall be provided in compliance with the | ||||||
2 | Professional Counselor and Clinical Professional Counselor | ||||||
3 | Licensing and Practice Act and the Clinical Psychologist | ||||||
4 | Licensing Act. | ||||||
5 | (Source: P.A. 86-922.)".
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