101ST GENERAL ASSEMBLY
State of Illinois
2019 and 2020
HB4636

 

Introduced 2/5/2020, by Rep. Debbie Meyers-Martin

 

SYNOPSIS AS INTRODUCED:
 
405 ILCS 5/2-200  from Ch. 91 1/2, par. 2-200
405 ILCS 5/3-207  from Ch. 91 1/2, par. 3-207
405 ILCS 5/3-908  from Ch. 91 1/2, par. 3-908

    Amends the Mental Health and Developmental Disabilities Code. Provides that notice of a recipient's rights shall include, if applicable, the recipient's right to request a transfer to a different Department of Human Services' facility. Provides that a recipient in any Department facility, his or her attorney, guardian (if any), or responsible relative may make a written application to the facility director of the recipient's current facility to transfer to another Department facility. Provides that the Department shall provide the form to make such an application to a recipient, his or her attorney, guardian (if any), or responsible relative upon request. Provides that upon receipt of the recipient's application, the facility director shall promptly schedule a hearing to be held within 7 days. Provides that the hearing shall be held at the recipient's current facility. Establishes the burden of proof that the recipient must show in order to be transferred. Provides that if the utilization review committee finds that the recipient has sustained his or her burden and the request for transfer is supported by substantial evidence, it shall recommend that the transfer proceed within 30 days. Provides that if it does not so find, it shall recommend that the recipient not be transferred. Provides that if a recipient's application for transfer is denied, no application may be filed for 180 days. Provides that the recipient does, however, have the right to administratively appeal any decision of the utilization review committee.


LRB101 19394 RLC 68866 b

FISCAL NOTE ACT MAY APPLY

 

 

A BILL FOR

 

HB4636LRB101 19394 RLC 68866 b

1    AN ACT concerning health.
 
2    WHEREAS, The Mental Health and Developmental Disabilities
3Code sets forth important procedural protections when a
4recipient is initially transferred between Department of Human
5Services' facilities, but has no explicit procedural
6protection outside of this initial transfer period; and
 
7    WHEREAS, It is the intent of this Act to protect the
8liberty interests and to mitigate harm to Department of Human
9Services' recipients; therefore
 
10    Be it enacted by the People of the State of Illinois,
11represented in the General Assembly:
 
12    Section 5. The Mental Health and Developmental
13Disabilities Code is amended by changing Sections 2-200, 3-207,
14and 3-908 as follows:
 
15    (405 ILCS 5/2-200)  (from Ch. 91 1/2, par. 2-200)
16    Sec. 2-200. (a) Upon commencement of services, or as soon
17thereafter as the condition of the recipient permits, every
18adult recipient, as well as the recipient's guardian or
19substitute decision maker, and every recipient who is 12 years
20of age or older and the parent or guardian of a minor or person
21under guardianship shall be informed orally and in writing of

 

 

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1the rights guaranteed by this Chapter which are relevant to the
2nature of the recipient's services program. The notice shall
3include, if applicable, the recipient's right to request a
4transfer to a different Department facility under Section 3-
5908. Every facility shall also post conspicuously in public
6areas a summary of the rights which are relevant to the
7services delivered by that facility as well as contact
8information for the Guardianship and Advocacy Commission and
9the agency designated by the Governor under Section 1 of the
10Protection and Advocacy for Persons with Developmental
11Disabilities Act.
12    (b) A recipient who is 12 years of age or older and the
13parent or guardian of a minor or person under guardianship at
14any time may designate, and upon commencement of services shall
15be informed of the right to designate, a person or agency to
16receive notice under Section 2-201 or to direct that no
17information about the recipient be disclosed to any person or
18agency.
19    (c) Upon commencement of services, or as soon thereafter as
20the condition of the recipient permits, the facility shall ask
21the adult recipient or minor recipient admitted pursuant to
22Section 3-502 whether the recipient wants the facility to
23contact the recipient's spouse, parents, guardian, close
24relatives, friends, attorney, advocate from the Guardianship
25and Advocacy Commission or the agency designated by the
26Governor under Section 1 of the Protection and Advocacy for

 

 

HB4636- 3 -LRB101 19394 RLC 68866 b

1Persons with Developmental Disabilities Act, or others and
2inform them of the recipient's presence at the facility. The
3facility shall by phone or by mail contact at least two of
4those people designated by the recipient and shall inform them
5of the recipient's location. If the recipient so requests, the
6facility shall also inform them of how to contact the
7recipient.
8    (d) Upon commencement of services, or as soon thereafter as
9the condition of the recipient permits, the facility shall
10advise the recipient as to the circumstances under which the
11law permits the use of emergency forced medication or
12electroconvulsive therapy under subsection (a) of Section
132-107, restraint under Section 2-108, or seclusion under
14Section 2-109. At the same time, the facility shall inquire of
15the recipient which form of intervention the recipient would
16prefer if any of these circumstances should arise. The
17recipient's preference shall be noted in the recipient's record
18and communicated by the facility to the recipient's guardian or
19substitute decision maker, if any, and any other individual
20designated by the recipient. If any such circumstances
21subsequently do arise, the facility shall give due
22consideration to the preferences of the recipient regarding
23which form of intervention to use as communicated to the
24facility by the recipient or as stated in the recipient's
25advance directive.
26(Source: P.A. 100-915, eff. 1-1-19.)
 

 

 

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1    (405 ILCS 5/3-207)  (from Ch. 91 1/2, par. 3-207)
2    Sec. 3-207. (a) Hearings under Sections 3-405, 3-904,
33-908, and 3-911 of this Chapter shall be conducted by a
4utilization review committee. The Secretary shall appoint a
5utilization review committee at each Department facility. Each
6such committee shall consist of a multi-disciplinary group of
7professional staff members who are trained and equipped to deal
8with the clinical and treatment needs of recipients. The
9recipient and the objector may be represented by persons of
10their choice.
11    (b) The committee shall not be bound by rules of evidence
12or procedure but shall conduct the proceedings in a manner
13intended to ensure a fair hearing. The committee may make such
14investigation as it deems necessary. A record of the
15proceedings shall be made and shall be kept in the recipient's
16record. Within 3 days of conclusion of the hearing, the
17committee shall submit to the facility director its written
18recommendations which include its factual findings and
19conclusions. A copy of the recommendations shall be given to
20the recipient and the objector.
21    (c) Within 7 days of receipt of the recommendations, the
22facility director shall give written notice to the recipient
23and objector of his acceptance or rejection of the
24recommendations and his reason therefor. If the director of the
25facility rejects the recommendations or if the recipient or

 

 

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1objector requests review of the director's decision, the
2director shall promptly forward a copy of his decision, the
3recommendations, and the record of the hearing to the Secretary
4of the Department for final review. The decision of the
5director or the decision of the Secretary of the Department, if
6his review was requested, shall be considered a final
7administrative decision.
8(Source: P.A. 91-726, eff. 6-2-00.)
 
9    (405 ILCS 5/3-908)  (from Ch. 91 1/2, par. 3-908)
10    Sec. 3-908.
11    (a) The facility director of any Department facility may
12transfer a recipient to another Department facility if he
13determines the transfer to be clinically advisable and
14consistent with the treatment needs of the recipient.
15    (b) A recipient in any Department facility, his or her
16attorney, guardian (if any), or responsible relative may make a
17written application to the facility director of the recipient's
18current facility to transfer to another Department facility.
19The Department shall provide the form to make such an
20application to a recipient, his or her attorney, guardian (if
21any), or responsible relative upon request.
22    A recipient of services eligible to apply under this
23subsection (b) shall not include persons with the primary
24diagnosis of a developmental disability.
25    (c) Upon receipt of the recipient's application, the

 

 

HB4636- 6 -LRB101 19394 RLC 68866 b

1facility director shall promptly schedule a hearing to be held
2by the utilization review committee within 7 days under Section
33-207. The hearing shall be held at the recipient's current
4facility.
5    (d) At the hearing, the recipient shall have the burden of
6proving that:
7        (1) the facility to which the recipient is requesting a
8    transfer to a less restrictive facility that provides
9    treatment which is more clinically appropriate for the
10    recipient; and
11        (2) the transfer does not threaten the safety of the
12    recipient or others.
13    (e) If the utilization review committee finds that the
14recipient has sustained his or her burden and the request for
15transfer is supported by substantial evidence, it shall
16recommend that the transfer proceed within 30 days. If it does
17not so find, it shall recommend that the recipient not be
18transferred.
19    (f) If a recommended transfer cannot be currently made due
20to lack of space at the receiving facility, that facility shall
21inform the recipient and his or her petitioning attorney or
22guardian, in writing, and provide an estimated time frame for
23the completion of the transfer.
24    (g) If a recipient's application for transfer is denied, no
25application under this Section may be filed by or for the
26recipient for 180 days after the date of the denial. The

 

 

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1recipient does, however, have the right to administratively
2appeal any decision of the utilization review committee.
3    If the recipient refuses the transfer recommended under
4subsection (e), no application under this Section may be filed
5by or for the recipient for 180 days after the date of the
6recipient's refusal.
7(Source: P.A. 88-380.)