98TH GENERAL ASSEMBLY
State of Illinois
2013 and 2014
HB2350

 

Introduced , by Rep. Ann Williams

 

SYNOPSIS AS INTRODUCED:
 
210 ILCS 45/2-201.5
225 ILCS 46/15
225 ILCS 46/33
225 ILCS 46/37 new
225 ILCS 46/50

    Amends the Health Care Worker Background Check Act. Provides that the Department of Public Health and the Department of State Police shall collaboratively establish a set fee for live scan services that all approved vendors offering live scan services under the Act and Nursing Home Care Act may not exceed. Provides that any live scan vendor meeting certain specified requirements shall be certified by the Department of Public Health for participation. Provides that all participating live scan vendors shall comply with the established fee requirements within 30 days after being notified that a fee has been set. Makes other changes. Makes corresponding changes in the Nursing Home Care Act. Effective immediately.


LRB098 09859 DRJ 40017 b

FISCAL NOTE ACT MAY APPLY

 

 

A BILL FOR

 

HB2350LRB098 09859 DRJ 40017 b

1    AN ACT concerning regulation.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Nursing Home Care Act is amended by changing
5Section 2-201.5 as follows:
 
6    (210 ILCS 45/2-201.5)
7    Sec. 2-201.5. Screening prior to admission.
8    (a) All persons age 18 or older seeking admission to a
9nursing facility must be screened to determine the need for
10nursing facility services prior to being admitted, regardless
11of income, assets, or funding source. Screening for nursing
12facility services shall be administered through procedures
13established by administrative rule. Screening may be done by
14agencies other than the Department as established by
15administrative rule. This Section applies on and after July 1,
161996. No later than October 1, 2010, the Department of
17Healthcare and Family Services, in collaboration with the
18Department on Aging, the Department of Human Services, and the
19Department of Public Health, shall file administrative rules
20providing for the gathering, during the screening process, of
21information relevant to determining each person's potential
22for placing other residents, employees, and visitors at risk of
23harm.

 

 

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1    (a-1) Any screening performed pursuant to subsection (a) of
2this Section shall include a determination of whether any
3person is being considered for admission to a nursing facility
4due to a need for mental health services. For a person who
5needs mental health services, the screening shall also include
6an evaluation of whether there is permanent supportive housing,
7or an array of community mental health services, including but
8not limited to supported housing, assertive community
9treatment, and peer support services, that would enable the
10person to live in the community. The person shall be told about
11the existence of any such services that would enable the person
12to live safely and humanely and about available appropriate
13nursing home services that would enable the person to live
14safely and humanely, and the person shall be given the
15assistance necessary to avail himself or herself of any
16available services.
17    (a-2) Pre-screening for persons with a serious mental
18illness shall be performed by a psychiatrist, a psychologist, a
19registered nurse certified in psychiatric nursing, a licensed
20clinical professional counselor, or a licensed clinical social
21worker, who is competent to (i) perform a clinical assessment
22of the individual, (ii) certify a diagnosis, (iii) make a
23determination about the individual's current need for
24treatment, including substance abuse treatment, and recommend
25specific treatment, and (iv) determine whether a facility or a
26community-based program is able to meet the needs of the

 

 

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1individual.
2    For any person entering a nursing facility, the
3pre-screening agent shall make specific recommendations about
4what care and services the individual needs to receive,
5beginning at admission, to attain or maintain the individual's
6highest level of independent functioning and to live in the
7most integrated setting appropriate for his or her physical and
8personal care and developmental and mental health needs. These
9recommendations shall be revised as appropriate by the
10pre-screening or re-screening agent based on the results of
11resident review and in response to changes in the resident's
12wishes, needs, and interest in transition.
13    Upon the person entering the nursing facility, the
14Department of Human Services or its designee shall assist the
15person in establishing a relationship with a community mental
16health agency or other appropriate agencies in order to (i)
17promote the person's transition to independent living and (ii)
18support the person's progress in meeting individual goals.
19    (a-3) The Department of Human Services, by rule, shall
20provide for a prohibition on conflicts of interest for
21pre-admission screeners. The rule shall provide for waiver of
22those conflicts by the Department of Human Services if the
23Department of Human Services determines that a scarcity of
24qualified pre-admission screeners exists in a given community
25and that, absent a waiver of conflicts, an insufficient number
26of pre-admission screeners would be available. If a conflict is

 

 

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1waived, the pre-admission screener shall disclose the conflict
2of interest to the screened individual in the manner provided
3for by rule of the Department of Human Services. For the
4purposes of this subsection, a "conflict of interest" includes,
5but is not limited to, the existence of a professional or
6financial relationship between (i) a PAS-MH corporate or a
7PAS-MH agent and (ii) a community provider or long-term care
8facility.
9    (b) In addition to the screening required by subsection
10(a), a facility, except for those licensed as long term care
11for under age 22 facilities, shall, within 24 hours after
12admission, request a criminal history background check
13pursuant to the Uniform Conviction Information Act for all
14persons age 18 or older seeking admission to the facility,
15unless a background check was initiated by a hospital pursuant
16to subsection (d) of Section 6.09 of the Hospital Licensing
17Act. Background checks conducted pursuant to this Section shall
18be based on the resident's name, date of birth, and other
19identifiers as required by the Department of State Police. If
20the results of the background check are inconclusive, the
21facility shall initiate a fingerprint-based check, unless the
22fingerprint check is waived by the Director of Public Health
23based on verification by the facility that the resident is
24completely immobile or that the resident meets other criteria
25related to the resident's health or lack of potential risk
26which may be established by Departmental rule. A waiver issued

 

 

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1pursuant to this Section shall be valid only while the resident
2is immobile or while the criteria supporting the waiver exist.
3The facility shall provide for or arrange for any required
4fingerprint-based checks to be taken on the premises of the
5facility. If a fingerprint-based check is required, the
6facility shall arrange for it to be conducted in a manner that
7is respectful of the resident's dignity and that minimizes any
8emotional or physical hardship to the resident. Live scan
9vendors assisting in the initiation of fingerprint checks shall
10comply with the provisions contained in Section 37 of the
11Health Care Worker Background Check Act.
12    (c) If the results of a resident's criminal history
13background check reveal that the resident is an identified
14offender as defined in Section 1-114.01, the facility shall do
15the following:
16        (1) Immediately notify the Department of State Police,
17    in the form and manner required by the Department of State
18    Police, in collaboration with the Department of Public
19    Health, that the resident is an identified offender.
20        (2) Within 72 hours, arrange for a fingerprint-based
21    criminal history record inquiry to be requested on the
22    identified offender resident. The inquiry shall be based on
23    the subject's name, sex, race, date of birth, fingerprint
24    images, and other identifiers required by the Department of
25    State Police. The inquiry shall be processed through the
26    files of the Department of State Police and the Federal

 

 

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1    Bureau of Investigation to locate any criminal history
2    record information that may exist regarding the subject.
3    The Federal Bureau of Investigation shall furnish to the
4    Department of State Police, pursuant to an inquiry under
5    this paragraph (2), any criminal history record
6    information contained in its files.
7    The facility shall comply with all applicable provisions
8contained in the Uniform Conviction Information Act.
9    All name-based and fingerprint-based criminal history
10record inquiries shall be submitted to the Department of State
11Police electronically in the form and manner prescribed by the
12Department of State Police. The Department of State Police may
13charge the facility a fee for processing name-based and
14fingerprint-based criminal history record inquiries. The fee
15shall be deposited into the State Police Services Fund. The fee
16shall not exceed the actual cost of processing the inquiry.
17    (d) (Blank).
18    (e) The Department shall develop and maintain a
19de-identified database of residents who have injured facility
20staff, facility visitors, or other residents, and the attendant
21circumstances, solely for the purposes of evaluating and
22improving resident pre-screening and assessment procedures
23(including the Criminal History Report prepared under Section
242-201.6) and the adequacy of Department requirements
25concerning the provision of care and services to residents. A
26resident shall not be listed in the database until a Department

 

 

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1survey confirms the accuracy of the listing. The names of
2persons listed in the database and information that would allow
3them to be individually identified shall not be made public.
4Neither the Department nor any other agency of State government
5may use information in the database to take any action against
6any individual, licensee, or other entity, unless the
7Department or agency receives the information independent of
8this subsection (e). All information collected, maintained, or
9developed under the authority of this subsection (e) for the
10purposes of the database maintained under this subsection (e)
11shall be treated in the same manner as information that is
12subject to Part 21 of Article VIII of the Code of Civil
13Procedure.
14(Source: P.A. 96-1372, eff. 7-29-10; 97-48, eff. 6-28-11.)
 
15    Section 10. The Health Care Worker Background Check Act is
16amended by changing Sections 15, 33, and 50 and by adding
17Section 37 as follows:
 
18    (225 ILCS 46/15)
19    Sec. 15. Definitions. In this Act:
20    "Applicant" means an individual seeking employment with a
21health care employer who has received a bona fide conditional
22offer of employment.
23    "Conditional offer of employment" means a bona fide offer
24of employment by a health care employer to an applicant, which

 

 

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1is contingent upon the receipt of a report from the Department
2of Public Health indicating that the applicant does not have a
3record of conviction of any of the criminal offenses enumerated
4in Section 25.
5    "Direct care" means the provision of nursing care or
6assistance with feeding, dressing, movement, bathing,
7toileting, or other personal needs, including home services as
8defined in the Home Health, Home Services, and Home Nursing
9Agency Licensing Act. The entity responsible for inspecting and
10licensing, certifying, or registering the health care employer
11may, by administrative rule, prescribe guidelines for
12interpreting this definition with regard to the health care
13employers that it licenses.
14    "Disqualifying offenses" means those offenses set forth in
15Section 25 of this Act.
16    "Employee" means any individual hired, employed, or
17retained to which this Act applies.
18    "Fingerprint-based criminal history records check" means a
19live scan livescan fingerprint-based criminal history records
20check submitted as a fee applicant inquiry in the form and
21manner prescribed by the Department of State Police.
22    "Health care employer" means:
23        (1) the owner or licensee of any of the following:
24            (i) a community living facility, as defined in the
25        Community Living Facilities Act;
26            (ii) a life care facility, as defined in the Life

 

 

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1        Care Facilities Act;
2            (iii) a long-term care facility;
3            (iv) a home health agency, home services agency, or
4        home nursing agency as defined in the Home Health, Home
5        Services, and Home Nursing Agency Licensing Act;
6            (v) a hospice care program or volunteer hospice
7        program, as defined in the Hospice Program Licensing
8        Act;
9            (vi) a hospital, as defined in the Hospital
10        Licensing Act;
11            (vii) (blank);
12            (viii) a nurse agency, as defined in the Nurse
13        Agency Licensing Act;
14            (ix) a respite care provider, as defined in the
15        Respite Program Act;
16            (ix-a) an establishment licensed under the
17        Assisted Living and Shared Housing Act;
18            (x) a supportive living program, as defined in the
19        Illinois Public Aid Code;
20            (xi) early childhood intervention programs as
21        described in 59 Ill. Adm. Code 121;
22            (xii) the University of Illinois Hospital,
23        Chicago;
24            (xiii) programs funded by the Department on Aging
25        through the Community Care Program;
26            (xiv) programs certified to participate in the

 

 

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1        Supportive Living Program authorized pursuant to
2        Section 5-5.01a of the Illinois Public Aid Code;
3            (xv) programs listed by the Emergency Medical
4        Services (EMS) Systems Act as Freestanding Emergency
5        Centers;
6            (xvi) locations licensed under the Alternative
7        Health Care Delivery Act;
8        (2) a day training program certified by the Department
9    of Human Services;
10        (3) a community integrated living arrangement operated
11    by a community mental health and developmental service
12    agency, as defined in the Community-Integrated Living
13    Arrangements Licensing and Certification Act; or
14        (4) the State Long Term Care Ombudsman Program,
15    including any regional long term care ombudsman programs
16    under Section 4.04 of the Illinois Act on the Aging, only
17    for the purpose of securing background checks.
18    "Initiate" means obtaining from a student, applicant, or
19employee his or her social security number, demographics, a
20disclosure statement, and an authorization for the Department
21of Public Health or its designee to request a fingerprint-based
22criminal history records check; transmitting this information
23electronically to the Department of Public Health; conducting
24Internet searches on certain web sites, including without
25limitation the Illinois Sex Offender Registry, the Department
26of Corrections' Sex Offender Search Engine, the Department of

 

 

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1Corrections' Inmate Search Engine, the Department of
2Corrections Wanted Fugitives Search Engine, the National Sex
3Offender Public Registry, and the website of the Health and
4Human Services Office of Inspector General to determine if the
5applicant has been adjudicated a sex offender, has been a
6prison inmate, or has committed Medicare or Medicaid fraud, or
7conducting similar searches as defined by rule; and having the
8student, applicant, or employee's fingerprints collected and
9transmitted electronically to the Department of State Police.
10    "Live scan Livescan vendor" means an entity whose equipment
11has been certified by the Department of State Police to collect
12an individual's demographics and inkless fingerprints and, in a
13manner prescribed by the Department of State Police and the
14Department of Public Health, electronically transmit the
15fingerprints and required data to the Department of State
16Police and a daily file of required data to the Department of
17Public Health. The Department of Public Health shall negotiate
18a contract with one or more vendors that effectively
19demonstrate that the vendor has 2 or more years of experience
20transmitting fingerprints electronically to the Department of
21State Police and that the vendor can successfully transmit the
22required data in a manner prescribed by the Department of
23Public Health. Vendor authorization may be further defined by
24administrative rule.
25    "Long-term care facility" means a facility licensed by the
26State or certified under federal law as a long-term care

 

 

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1facility, including without limitation facilities licensed
2under the Nursing Home Care Act, the Specialized Mental Health
3Rehabilitation Act, or the ID/DD Community Care Act, a
4supportive living facility, an assisted living establishment,
5or a shared housing establishment or registered as a board and
6care home.
7(Source: P.A. 96-339, eff. 7-1-10; 97-38, eff. 6-28-11; 97-227,
8eff. 1-1-12; 97-813, eff. 7-13-12.)
 
9    (225 ILCS 46/33)
10    Sec. 33. Fingerprint-based criminal history records check.
11    (a) A fingerprint-based criminal history records check is
12not required for health care employees who have been
13continuously employed by a health care employer since October
141, 2007, have met the requirements for criminal history
15background checks prior to October 1, 2007, and have no
16disqualifying convictions or requested and received a waiver of
17those disqualifying convictions. These employees shall be
18retained on the Health Care Worker Registry as long as they
19remain active. Nothing in this subsection (a) shall be
20construed to prohibit a health care employer from initiating a
21criminal history records check for these employees. Should
22these employees seek a new position with a different health
23care employer, then a fingerprint-based criminal history
24records check shall be required.
25    (b) On October 1, 2007 or as soon thereafter as is

 

 

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1reasonably practical, in the discretion of the Director of
2Public Health, and thereafter, any student, applicant, or
3employee who desires to be included on the Department of Public
4Health's Health Care Worker Registry must authorize the
5Department of Public Health or its designee to request a
6fingerprint-based criminal history records check to determine
7if the individual has a conviction for a disqualifying offense.
8This authorization shall allow the Department of Public Health
9to request and receive information and assistance from any
10State or local governmental agency. Each individual shall
11submit his or her fingerprints to the Department of State
12Police in an electronic format that complies with the form and
13manner for requesting and furnishing criminal history record
14information prescribed by the Department of State Police. The
15fingerprints submitted under this Section shall be checked
16against the fingerprint records now and hereafter filed in the
17Department of State Police criminal history record databases.
18The Department of State Police shall charge a fee for
19conducting the criminal history records check, which shall not
20exceed the actual cost of the records check. The live scan
21livescan vendor may act as the designee for individuals,
22educational entities, or health care employers in the
23collection of Department of State Police fees and deposit those
24fees into the State Police Services Fund. The Department of
25State Police shall provide information concerning any criminal
26convictions, now or hereafter filed, against the individual.

 

 

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1    (c) On October 1, 2007 or as soon thereafter as is
2reasonably practical, in the discretion of the Director of
3Public Health, and thereafter, an educational entity, other
4than a secondary school, conducting a nurse aide training
5program must initiate a fingerprint-based criminal history
6records check requested by the Department of Public Health
7prior to entry of an individual into the training program.
8    (d) On October 1, 2007 or as soon thereafter as is
9reasonably practical, in the discretion of the Director of
10Public Health, and thereafter, a health care employer who makes
11a conditional offer of employment to an applicant for a
12position as an employee must initiate a fingerprint-based
13criminal history record check, requested by the Department of
14Public Health, on the applicant, if such a background check has
15not been previously conducted.
16    (e) When initiating a background check requested by the
17Department of Public Health, an educational entity or health
18care employer shall electronically submit to the Department of
19Public Health the student's, applicant's, or employee's social
20security number, demographics, disclosure, and authorization
21information in a format prescribed by the Department of Public
22Health within 2 working days after the authorization is
23secured. The student, applicant, or employee must have his or
24her fingerprints collected electronically and transmitted to
25the Department of State Police within 10 working days. The
26educational entity or health care employer must transmit all

 

 

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1necessary information and fees to the live scan livescan vendor
2and Department of State Police within 10 working days after
3receipt of the authorization. This information and the results
4of the criminal history record checks shall be maintained by
5the Department of Public Health's Health Care Worker Registry.
6    (f) A direct care employer may initiate a fingerprint-based
7background check requested by the Department of Public Health
8for any of its employees, but may not use this process to
9initiate background checks for residents. The results of any
10fingerprint-based background check that is initiated with the
11Department as the requestor shall be entered in the Health Care
12Worker Registry.
13    (g) As long as the employee has had a fingerprint-based
14criminal history record check requested by the Department of
15Public Health and stays active on the Health Care Worker
16Registry, no further criminal history record checks shall be
17deemed necessary, as the Department of State Police shall
18notify the Department of Public Health of any additional
19convictions associated with the fingerprints previously
20submitted. Health care employers are required to check the
21Health Care Worker Registry before hiring an employee to
22determine that the individual has had a fingerprint-based
23record check requested by the Department of Public Health and
24has no disqualifying convictions or has been granted a waiver
25pursuant to Section 40 of this Act. If the individual has not
26had such a background check or is not active on the Health Care

 

 

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1Worker Registry, then the health care employer must initiate a
2fingerprint-based record check requested by the Department of
3Public Health. If an individual is inactive on the Health Care
4Worker Registry, that individual is prohibited from being hired
5to work as a certified nurse aide if, since the individual's
6most recent completion of a competency test, there has been a
7period of 24 consecutive months during which the individual has
8not provided nursing or nursing-related services for pay. If
9the individual can provide proof of having retained his or her
10certification by not having a 24 consecutive month break in
11service for pay, he or she may be hired as a certified nurse
12aide and that employment information shall be entered into the
13Health Care Worker Registry.
14    (h) On October 1, 2007 or as soon thereafter as is
15reasonably practical, in the discretion of the Director of
16Public Health, and thereafter, if the Department of State
17Police notifies the Department of Public Health that an
18employee has a new conviction of a disqualifying offense, based
19upon the fingerprints that were previously submitted, then (i)
20the Health Care Worker Registry shall notify the employee's
21last known employer of the offense, (ii) a record of the
22employee's disqualifying offense shall be entered on the Health
23Care Worker Registry, and (iii) the individual shall no longer
24be eligible to work as an employee unless he or she obtains a
25waiver pursuant to Section 40 of this Act.
26    (i) On October 1, 2007, or as soon thereafter, in the

 

 

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1discretion of the Director of Public Health, as is reasonably
2practical, and thereafter, each direct care employer or its
3designee must provide an employment verification for each
4employee no less than annually. The direct care employer or its
5designee must log into the Health Care Worker Registry through
6a secure login. The health care employer or its designee must
7indicate employment and termination dates within 30 days after
8hiring or terminating an employee, as well as the employment
9category and type. Failure to comply with this subsection (i)
10constitutes a licensing violation. For health care employers
11that are not licensed or certified, a fine of up to $500 may be
12imposed for failure to maintain these records. This information
13shall be used by the Department of Public Health to notify the
14last known employer of any disqualifying offenses that are
15reported by the Department of State Police.
16    (j) The Department of Public Health shall notify each
17health care employer or long-term care facility inquiring as to
18the information on the Health Care Worker Registry if the
19applicant or employee listed on the registry has a
20disqualifying offense and is therefore ineligible to work or
21has a waiver pursuant to Section 40 of this Act.
22    (k) The student, applicant, or employee must be notified of
23each of the following whenever a fingerprint-based criminal
24history records check is required:
25        (1) That the educational entity, health care employer,
26    or long-term care facility shall initiate a

 

 

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1    fingerprint-based criminal history record check requested
2    by the Department of Public Health of the student,
3    applicant, or employee pursuant to this Act.
4        (2) That the student, applicant, or employee has a
5    right to obtain a copy of the criminal records report that
6    indicates a conviction for a disqualifying offense and
7    challenge the accuracy and completeness of the report
8    through an established Department of State Police
9    procedure of Access and Review.
10        (3) That the applicant, if hired conditionally, may be
11    terminated if the criminal records report indicates that
12    the applicant has a record of a conviction of any of the
13    criminal offenses enumerated in Section 25, unless the
14    applicant obtains a waiver pursuant to Section 40 of this
15    Act.
16        (4) That the applicant, if not hired conditionally,
17    shall not be hired if the criminal records report indicates
18    that the applicant has a record of a conviction of any of
19    the criminal offenses enumerated in Section 25, unless the
20    applicant obtains a waiver pursuant to Section 40 of this
21    Act.
22        (5) That the employee shall be terminated if the
23    criminal records report indicates that the employee has a
24    record of a conviction of any of the criminal offenses
25    enumerated in Section 25.
26        (6) If, after the employee has originally been

 

 

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1    determined not to have disqualifying offenses, the
2    employer is notified that the employee has a new
3    conviction(s) of any of the criminal offenses enumerated in
4    Section 25, then the employee shall be terminated.
5    (l) A health care employer or long-term care facility may
6conditionally employ an applicant for up to 3 months pending
7the results of a fingerprint-based criminal history record
8check requested by the Department of Public Health.
9    (m) The Department of Public Health or an entity
10responsible for inspecting, licensing, certifying, or
11registering the health care employer or long-term care facility
12shall be immune from liability for notices given based on the
13results of a fingerprint-based criminal history record check.
14(Source: P.A. 95-120, eff. 8-13-07.)
 
15    (225 ILCS 46/37 new)
16    Sec. 37. Live scan vendor fees. The Department of Public
17Health and the Department of State Police shall collaboratively
18establish a set fee for live scan services that all approved
19live scan vendors offering live scan services under this Act
20and Section 2-201.5 of the Nursing Home Care Act may not
21exceed. Any live scan vendor meeting the requirements set forth
22in this Section shall be certified by the Department of Public
23Health for participation in both programs. Any vendor currently
24providing live scan vendor services under the requirements of
25this Act or the Nursing Home Care Act shall be notified within

 

 

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130 days after the effective date of this amendatory Act of the
298th General Assembly of the provisions contained in this Act
3and Section 2-201.5 of the Nursing Home Care Act and shall be
4given 30 days after the date the live scan vendor is notified
5of the established fee to notify the Department of Public
6Health of the live scan vendor's intent to seek certification.
7All participating live scan vendors shall comply with the
8established fee requirements within 30 days after being
9notified that a fee has been set, regardless of the status of
10their application for certification. Certification
11qualifications shall include, but not be limited to, the
12following:
13        (1) two or more years of experience transmitting
14    fingerprints electronically to the Department of State
15    Police;
16        (2) successful transmission of the required data in a
17    manner agreed on by the Department of Public Health and the
18    Department of State Police;
19        (3) licensure by the State as a fingerprint vendor
20    under the Private Detective, Private Alarm, Private
21    Security, Fingerprint Vendor, and Locksmith Act of 2004;
22    and
23        (4) an agreement to simultaneously provide live scan
24    services under multiple Acts.
25    All administrative rules adopted under this Section shall
26be agreed upon by the Department of State Police and the

 

 

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1Department of Public Health.
 
2    (225 ILCS 46/50)
3    Sec. 50. Health care employer files. The health care
4employer shall retain on file for a period of 5 years records
5of criminal records requests for all employees. The health care
6employer shall retain a copy of the disclosure and
7authorization forms, a copy of the live scan livescan request
8form, all notifications resulting from the fingerprint-based
9criminal history records check and waiver, if appropriate, for
10the duration of the individual's employment. The files shall be
11subject to inspection by the agency responsible for inspecting,
12licensing, or certifying the health care employer. A fine of up
13to $500 may be imposed by the appropriate agency for failure to
14maintain these records. The Department of Public Health must
15keep an electronic record of criminal history background checks
16for an individual for as long as the individual remains active
17on the Health Care Worker Registry.
18(Source: P.A. 95-120, eff. 8-13-07.)
 
19    Section 99. Effective date. This Act takes effect upon
20becoming law.