State of Illinois
90th General Assembly
Legislation

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[ House Amendment 001 ]

90_HB0099

      210 ILCS 30/6.2           from Ch. 111 1/2, par. 4166.2
      210 ILCS 30/6.9 new
          Amends the Abused and Neglected Long Term  Care  Facility
      Residents  Reporting  Act  to require the Governor to appoint
      for a 4 year term an Inspector General  to  conduct  separate
      and  independent investigations into allegations or incidents
      of abuse or neglect  of  the  residents  of  long  term  care
      facilities  licensed  by  the  Department  of  Public Health.
      Allows the Inspector General access to facilities and to  all
      necessary  information and personnel.  Requires the Inspector
      General  to  notify  the  proper  enforcement  authority   of
      possible  criminal  acts.   Permits  the Inspector General to
      recommend  civil  or  criminal  actions  and  to   seek   the
      assistance  of  the  Attorney  General  or any of the State's
      Attorneys.  Grants to the  Inspector  General  the  power  to
      subpoena  witnesses and compel production of books and papers
      pertinent to an investigation; makes failing to appear or  to
      produce  or  giving  false  testimony  a Class A misdemeanor.
      Effective immediately.
                                                     LRB9000697DPcc
                                               LRB9000697DPcc
 1        AN ACT to amend the Abused and Neglected Long  Term  Care
 2    Facility  Residents Reporting Act by changing Section 6.2 and
 3    adding Section 6.9.
 4        Be it enacted by the People of  the  State  of  Illinois,
 5    represented in the General Assembly:
 6        Section  5.   The  Abused  and  Neglected  Long Term Care
 7    Facility Residents  Reporting  Act  is  amended  by  changing
 8    Section 6.2 and adding Section 6.9 as follows:
 9        (210 ILCS 30/6.2) (from Ch. 111 1/2, par. 4166.2)
10        (Section scheduled to be repealed on January 1, 2000)
11        (Text of Section before amendment by P.A. 89-507)
12        Sec.   6.2.  Inspector   General;   mental   health   and
13    developmental disability facilities.
14        (a)  The  Governor  shall  appoint,  and the Senate shall
15    confirm, an Inspector General who shall function  within  the
16    Department  of  Mental  Health and Developmental Disabilities
17    and report to the  Director.   The  Inspector  General  shall
18    investigate  reports  of suspected abuse or neglect (as those
19    terms are defined in Section 3 of this Act)  of  patients  or
20    residents  in  any  facility  operated  by  the Department of
21    Mental Health and Developmental Disabilities and  shall  have
22    authority to investigate and take immediate action on reports
23    of  abuse  or  neglect  of  recipients,  whether  patients or
24    residents, in any facility or program  that  is  licensed  or
25    certified   by   the   Department   of   Mental   Health  and
26    Developmental  Disabilities  or  that  is   funded   by   the
27    Department  of  Mental  Health and Developmental Disabilities
28    and is not licensed or certified by any agency of the  State.
29    At  the  specific,  written request of an agency of the State
30    other than the Department of Mental Health and  Developmental
31    Disabilities,   the   Inspector   General  may  cooperate  in
                            -2-                LRB9000697DPcc
 1    investigating reports of abuse and neglect  of  persons  with
 2    mental  illness  or  persons with developmental disabilities.
 3    The Inspector General  shall  have  no  supervision  over  or
 4    involvement   in   routine,   programmatic,   licensure,   or
 5    certification  operations  of the Department of Mental Health
 6    and Developmental Disabilities or any of its funded agencies.
 7        The Inspector General shall promulgate rules establishing
 8    minimum  requirements   for   initiating,   conducting,   and
 9    completing   investigations.   The  promulgated  rules  shall
10    clearly set forth that in instances where  2  or  more  State
11    agencies could investigate an allegation of abuse or neglect,
12    the Inspector General shall not conduct an investigation that
13    is  redundant  to an investigation conducted by another State
14    agency.  The rules shall establish criteria for  determining,
15    based  upon  the  nature  of  the allegation, the appropriate
16    method of investigation, which may include, but need  not  be
17    limited  to, site visits, telephone contacts, or requests for
18    written responses  from  agencies.    The  rules  shall  also
19    clarify  how  the  Office  of  the  Inspector  General  shall
20    interact  with the licensing unit of the Department of Mental
21    Health and Developmental Disabilities  in  investigations  of
22    allegations   of  abuse  or  neglect.    Any  allegations  or
23    investigations of reports made pursuant  to  this  Act  shall
24    remain confidential until a final report is completed.  Final
25    reports  regarding  unsubstantiated  or unfounded allegations
26    shall remain confidential, except that final reports  may  be
27    disclosed pursuant to Section 6 of this Act.
28        The  Inspector General shall be appointed for a term of 4
29    years.
30        (b)  The Inspector General shall within  24  hours  after
31    receiving  a  report  of suspected abuse or neglect determine
32    whether the evidence indicates that any possible criminal act
33    has been committed. If he determines that a possible criminal
34    act has been committed, or that special expertise is required
                            -3-                LRB9000697DPcc
 1    in  the  investigation,  he  shall  immediately  notify   the
 2    Department  of  State  Police. The Department of State Police
 3    shall investigate any report indicating  a  possible  murder,
 4    rape,  or  other  felony. All investigations conducted by the
 5    Inspector General shall be conducted in a manner designed  to
 6    ensure  the  preservation  of  evidence for possible use in a
 7    criminal prosecution.
 8        (c)  The Inspector General shall, within 10 calendar days
 9    after the transmittal date of a completed investigation where
10    abuse or neglect is substantiated or administrative action is
11    recommended, provide a complete report on  the  case  to  the
12    Director  of Mental Health and Developmental Disabilities and
13    to the agency in which the abuse or  neglect  is  alleged  to
14    have  happened.   There  shall  be an appeals process for any
15    person or agency that is subject to any  action  based  on  a
16    recommendation or recommendations.
17        (d)  The   Inspector   General   may   recommend  to  the
18    Departments  of  Public  Health   and   Mental   Health   and
19    Developmental  Disabilities  sanctions  to be imposed against
20    facilities under the jurisdiction of the Department of Mental
21    Health and Developmental Disabilities for the  protection  of
22    residents,  including  appointment  of  on-site  monitors  or
23    receivers,  transfer  or relocation of residents, and closure
24    of units. The Inspector General may seek  the  assistance  of
25    the  Attorney General or any of the several State's attorneys
26    in imposing such sanctions.
27        (e)  The Inspector General shall  establish  and  conduct
28    periodic   training   programs   for   Department   employees
29    concerning the prevention and reporting of neglect and abuse.
30        (f)  The  Inspector General shall at all times be granted
31    access to any facility  operated  by  the  Department,  shall
32    establish  and  conduct  unannounced  site  visits  to  those
33    facilities  at  least  once  annually,  and  shall be granted
34    access, for the purpose of investigating a report of abuse or
                            -4-                LRB9000697DPcc
 1    neglect, to any facility or program funded by the  Department
 2    that  is  subject  under  the  provisions  of this Section to
 3    investigation by the Inspector General for a report of  abuse
 4    or neglect.
 5        (g)  Nothing  in  this Section shall limit investigations
 6    by  the  Department  of  Mental  Health   and   Developmental
 7    Disabilities  that  may  otherwise be required by law or that
 8    may be necessary in that Department's capacity as the central
 9    administrative authority responsible  for  the  operation  of
10    State mental health and developmental disability facilities.
11        (h)  This Section is repealed on January 1, 2000.
12    (Source: P.A. 89-427, eff. 12-7-95.)
13        (Text of Section after amendment by P.A. 89-507)
14        Sec.   6.2.  Inspector   General;   mental   health   and
15    developmental disability facilities.
16        (a)  The  Governor  shall  appoint,  and the Senate shall
17    confirm, an Inspector General who shall function  within  the
18    Department  of  Human Services and report to the Secretary of
19    Human Services.   The  Inspector  General  shall  investigate
20    reports  of  suspected  abuse  or neglect (as those terms are
21    defined in Section 3 of this Act) of patients or residents in
22    any mental  health  or  developmental  disabilities  facility
23    operated  by  the Department of Human Services and shall have
24    authority to investigate and take immediate action on reports
25    of abuse  or  neglect  of  recipients,  whether  patients  or
26    residents, in any mental health or developmental disabilities
27    facility  or  program  that  is  licensed or certified by the
28    Department of Human Services (as successor to the  Department
29    of  Mental  Health and Developmental Disabilities) or that is
30    funded by the Department of Human Services (as  successor  to
31    the   Department   of   Mental   Health   and   Developmental
32    Disabilities)  and is not licensed or certified by any agency
33    of the State.  At the specific, written request of an  agency
34    of  the State other than the Department of Human Services (as
                            -5-                LRB9000697DPcc
 1    successor  to   the   Department   of   Mental   Health   and
 2    Developmental   Disabilities),   the  Inspector  General  may
 3    cooperate in investigating reports of abuse  and  neglect  of
 4    persons  with  mental  illness  or persons with developmental
 5    disabilities.   The   Inspector   General   shall   have   no
 6    supervision  over  or  involvement  in routine, programmatic,
 7    licensure, or certification operations of the  Department  of
 8    Human Services or any of its funded agencies.
 9        The Inspector General shall promulgate rules establishing
10    minimum   requirements   for   initiating,   conducting,  and
11    completing  investigations.   The  promulgated  rules   shall
12    clearly  set  forth  that  in instances where 2 or more State
13    agencies could investigate an allegation of abuse or neglect,
14    the Inspector General shall not conduct an investigation that
15    is redundant to an investigation conducted by  another  State
16    agency.   The rules shall establish criteria for determining,
17    based upon the nature  of  the  allegation,  the  appropriate
18    method  of  investigation, which may include, but need not be
19    limited to, site visits, telephone contacts, or requests  for
20    written  responses  from  agencies.    The  rules  shall also
21    clarify  how  the  Office  of  the  Inspector  General  shall
22    interact with the licensing unit of the Department  of  Human
23    Services   in  investigations  of  allegations  of  abuse  or
24    neglect.  Any allegations or investigations of  reports  made
25    pursuant  to this Act shall remain confidential until a final
26    report is completed.  Final reports regarding unsubstantiated
27    or unfounded allegations shall  remain  confidential,  except
28    that  final reports may be disclosed pursuant to Section 6 of
29    this Act.
30        The Inspector General shall be appointed for a term of  4
31    years.
32        (b)  The  Inspector  General  shall within 24 hours after
33    receiving a report of suspected abuse  or  neglect  determine
34    whether the evidence indicates that any possible criminal act
                            -6-                LRB9000697DPcc
 1    has been committed. If he determines that a possible criminal
 2    act has been committed, or that special expertise is required
 3    in   the  investigation,  he  shall  immediately  notify  the
 4    Department of State Police.  The Department of  State  Police
 5    shall  investigate  any  report indicating a possible murder,
 6    rape, or other felony. All investigations  conducted  by  the
 7    Inspector  General shall be conducted in a manner designed to
 8    ensure the preservation of evidence for  possible  use  in  a
 9    criminal prosecution.
10        (c)  The Inspector General shall, within 10 calendar days
11    after the transmittal date of a completed investigation where
12    abuse or neglect is substantiated or administrative action is
13    recommended,  provide  a  complete  report on the case to the
14    Secretary of Human Services and to the agency  in  which  the
15    abuse or neglect is alleged to have happened.  There shall be
16    an  appeals  process for any person or agency that is subject
17    to any action based on a recommendation or recommendations.
18        (d)  The  Inspector  General   may   recommend   to   the
19    Departments  of Public Health and Human Services sanctions to
20    be  imposed   against   mental   health   and   developmental
21    disabilities   facilities   under  the  jurisdiction  of  the
22    Department of Human Services for the protection of residents,
23    including  appointment  of  on-site  monitors  or  receivers,
24    transfer or relocation of residents, and  closure  of  units.
25    The Inspector General may seek the assistance of the Attorney
26    General  or  any of the several State's attorneys in imposing
27    such sanctions.
28        (e)  The Inspector General shall  establish  and  conduct
29    periodic   training   programs   for   Department   employees
30    concerning the prevention and reporting of neglect and abuse.
31        (f)  The  Inspector General shall at all times be granted
32    access to any mental  health  or  developmental  disabilities
33    facility  operated  by  the  Department,  shall establish and
34    conduct unannounced site visits to those facilities at  least
                            -7-                LRB9000697DPcc
 1    once  annually,  and shall be granted access, for the purpose
 2    of investigating  a  report  of  abuse  or  neglect,  to  any
 3    facility  or program funded by the Department that is subject
 4    under the provisions of this Section to investigation by  the
 5    Inspector General for a report of abuse or neglect.
 6        (g)  Nothing  in  this Section shall limit investigations
 7    by the Department of Human Services  that  may  otherwise  be
 8    required by law or that may be necessary in that Department's
 9    capacity  as the central administrative authority responsible
10    for the operation of State mental  health  and  developmental
11    disability facilities.
12        (h)  This Section is repealed on January 1, 2000.
13    (Source: P.A. 89-427, eff. 12-7-95; 89-507, eff. 7-1-97.)
14        (210 ILCS 30/6.9 new)
15        Sec. 6.9.  Inspector General; long term care facilities.
16        (a)  The  Governor  shall  appoint,  and the Senate shall
17    confirm, an Inspector General who shall have the authority to
18    conduct investigations into allegations of  or  incidents  of
19    possible  misconduct, misfeasance, malfeasance, or violations
20    of rules, procedures, or laws concerning the abuse or neglect
21    of residents of long term care  facilities  licensed  by  the
22    Department of Public Health. The Inspector General shall make
23    recommendations  to  the Director of Public Health concerning
24    civil or criminal actions against long term care  facilities.
25    Any investigation conducted by the Inspector General shall be
26    independent and separate from the reports mandated by Section
27    4.   The Inspector General shall be appointed for a term of 4
28    years.  The Inspector General shall  be  independent  of  the
29    operations of the Department and shall report to the Director
30    of  Public  Health  and perform other duties the Director may
31    designate.
32        (b)  The Inspector  General  shall  have  access  to  all
33    information  and personnel necessary to perform the duties of
                            -8-                LRB9000697DPcc
 1    the office.
 2        (c)  The Inspector General shall be the  primary  liaison
 3    between  the Attorney General, the State's Attorneys, and the
 4    various law  enforcement  agencies  of  this  State  and  its
 5    political   subdivisions   with   regard   to  investigations
 6    conducted under the  Inspector  General's  auspices.  If  the
 7    Inspector General determines that a possible criminal act has
 8    been  committed, or that special expertise is required in the
 9    investigation, he or she shall immediately notify the  proper
10    enforcement  authority.  All  investigations conducted by the
11    Inspector General shall be conducted in a manner designed  to
12    ensure  the  preservation  of  evidence for possible use in a
13    criminal prosecution.
14        (d)  The  Inspector  General   may   recommend   to   the
15    Department,  the  Department  of Human Services, or any other
16    appropriate agency, civil or criminal actions to  be  brought
17    against long term care facilities licensed by the Department.
18    The Inspector General may seek the assistance of the Attorney
19    General   or   any  of  the  State's  Attorneys  in  imposing
20    liability.
21        (e)  The Inspector General shall at all times be  granted
22    access  to  any  long  term  care  facility  licensed  by the
23    Department.
24        (f)  Nothing in this Section shall  limit  investigations
25    by  the  Department  that may otherwise be required by law or
26    that may be necessary in the  Department's  capacity  as  the
27    central licensing authority for long term care facilities.
28        (g)  The  Inspector  General  shall  have  the  power  to
29    subpoena  witnesses  and  compel  the production of books and
30    papers pertinent to an investigation authorized by this  Act.
31    Any  person  who fails to appear in response to a subpoena or
32    to answer  any  question  or  produce  any  books  or  papers
33    pertinent to an investigation under this Act or who knowingly
34    gives  false  testimony in relation to an investigation under
                            -9-                LRB9000697DPcc
 1    this Act is guilty of a Class A misdemeanor.
 2        (h)  The Inspector General shall provide to  the  General
 3    Assembly  and  the  Governor, no later than January 1 of each
 4    year, a summary of reports and investigations made under this
 5    Section for the prior fiscal year. The summaries shall detail
 6    the imposition of sanctions  and  the  final  disposition  of
 7    those  recommendations.   The summaries shall not contain any
 8    confidential  or  identifying  information   concerning   the
 9    subjects  of  the  reports  and investigations. The summaries
10    also  shall  include  detailed   recommended   administrative
11    actions   and   matters  for  consideration  by  the  General
12    Assembly.
13        (i)  As used in this Section, "Inspector General"  refers
14    to the person appointed under subsection (a) of this Section.
15        Section  95.   No  acceleration or delay.  Where this Act
16    makes changes in a statute that is represented in this Act by
17    text that is not yet or no longer in effect (for  example,  a
18    Section  represented  by  multiple versions), the use of that
19    text does not accelerate or delay the taking  effect  of  (i)
20    the  changes made by this Act or (ii) provisions derived from
21    any other Public Act.
22        Section 99.  Effective date.  This Act takes effect  upon
23    becoming law.

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