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90_HB3222 210 ILCS 30/6.2 from Ch. 111 1/2, par. 4166.2 210 ILCS 30/6.3 from Ch. 111 1/2, par. 4166.3 210 ILCS 30/6.4 from Ch. 111 1/2, par. 4166.4 210 ILCS 30/6.5 from Ch. 111 1/2, par. 4166.5 210 ILCS 30/6.6 from Ch. 111 1/2, par. 4166.6 210 ILCS 30/6.7 from Ch. 111 1/2, par. 4166.7 Amends the Abused and Neglected Long Term Care Facility Residents Reporting Act. Deletes provisions that repeal portions of the Act on January 1, 2000 relating to the Inspector General and the Quality Care Board. LRB9010765LDmb LRB9010765LDmb 1 AN ACT to amend the Abused and Neglected Long Term Care 2 Facility Residents Reporting Act by changing Sections 6.2, 3 6.3, 6.4, 6.5, 6.6, and 6.7. 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 Sections 6.2, 6.3, 6.4, 6.5, 6.6, and 6.7 as follows: 9 (210 ILCS 30/6.2) (from Ch. 111 1/2, par. 4166.2) 10 (Section scheduled to be repealed on January 1, 2000) 11 Sec. 6.2. Inspector General. 12 (a) The Governor shall appoint, and the Senate shall 13 confirm, an Inspector General who shall function within the 14 Department of Human Services and report to the Secretary of 15 Human Services and the Governor. The Inspector General shall 16 investigate reports of suspected abuse or neglect (as those 17 terms are defined in Section 3 of this Act) of patients or 18 residents in any mental health or developmental disabilities 19 facility operated by the Department of Human Services and 20 shall have authority to investigate and take immediate action 21 on reports of abuse or neglect of recipients, whether 22 patients or residents, in any mental health or developmental 23 disabilities facility or program that is licensed or 24 certified by the Department of Human Services (as successor 25 to the Department of Mental Health and Developmental 26 Disabilities) or that is funded by the Department of Human 27 Services (as successor to the Department of Mental Health and 28 Developmental Disabilities) and is not licensed or certified 29 by any agency of the State. At the specific, written request 30 of an agency of the State other than the Department of Human 31 Services (as successor to the Department of Mental Health and -2- LRB9010765LDmb 1 Developmental Disabilities), the Inspector General may 2 cooperate in investigating reports of abuse and neglect of 3 persons with mental illness or persons with developmental 4 disabilities. The Inspector General shall have no 5 supervision over or involvement in routine, programmatic, 6 licensure, or certification operations of the Department of 7 Human Services or any of its funded agencies. 8 The Inspector General shall promulgate rules establishing 9 minimum requirements for reporting allegations of abuse and 10 neglect and initiating, conducting, and completing 11 investigations. The promulgated rules shall clearly set 12 forth that in instances where 2 or more State agencies could 13 investigate an allegation of abuse or neglect, the Inspector 14 General shall not conduct an investigation that is redundant 15 to an investigation conducted by another State agency. The 16 rules shall establish criteria for determining, based upon 17 the nature of the allegation, the appropriate method of 18 investigation, which may include, but need not be limited to, 19 site visits, telephone contacts, or requests for written 20 responses from agencies. The rules shall also clarify how 21 the Office of the Inspector General shall interact with the 22 licensing unit of the Department of Human Services in 23 investigations of allegations of abuse or neglect. Any 24 allegations or investigations of reports made pursuant to 25 this Act shall remain confidential until a final report is 26 completed. The resident or patient who allegedly was abused 27 or neglected and his or her legal guardian shall be informed 28 by the facility or agency of the report of alleged abuse or 29 neglect. Final reports regarding unsubstantiated or unfounded 30 allegations shall remain confidential, except that final 31 reports may be disclosed pursuant to Section 6 of this Act. 32 The Inspector General shall be appointed for a term of 4 33 years. 34 (b) The Inspector General shall within 24 hours after -3- LRB9010765LDmb 1 receiving a report of suspected abuse or neglect determine 2 whether the evidence indicates that any possible criminal act 3 has been committed. If he determines that a possible criminal 4 act has been committed, or that special expertise is required 5 in the investigation, he shall immediately notify the 6 Department of State Police. The Department of State Police 7 shall investigate any report indicating a possible murder, 8 rape, or other felony. All investigations conducted by the 9 Inspector General shall be conducted in a manner designed to 10 ensure the preservation of evidence for possible use in a 11 criminal prosecution. 12 (b-5) The Inspector General shall make a determination 13 to accept or reject a preliminary report of the investigation 14 of alleged abuse or neglect based on established 15 investigative procedures. The facility or agency may request 16 clarification or reconsideration based on additional 17 information. For cases where the allegation of abuse or 18 neglect is substantiated, the Inspector General shall require 19 the facility or agency to submit a written response. The 20 written response from a facility or agency shall address in a 21 concise and reasoned manner the actions that the agency or 22 facility will take or has taken to protect the resident or 23 patient from abuse or neglect, prevent reoccurrences, and 24 eliminate problems identified and shall include 25 implementation and completion dates for all such action. 26 (c) The Inspector General shall, within 10 calendar days 27 after the transmittal date of a completed investigation where 28 abuse or neglect is substantiated or administrative action is 29 recommended, provide a complete report on the case to the 30 Secretary of Human Services and to the agency in which the 31 abuse or neglect is alleged to have happened. The complete 32 report shall include a written response from the agency or 33 facility operated by the State to the Inspector General that 34 addresses in a concise and reasoned manner the actions that -4- LRB9010765LDmb 1 the agency or facility will take or has taken to protect the 2 resident or patient from abuse or neglect, prevent 3 reoccurrences, and eliminate problems identified and shall 4 include implementation and completion dates for all such 5 action. The Secretary of Human Services shall accept or 6 reject the response and establish how the Department will 7 determine whether the facility or program followed the 8 approved response. The Secretary may require Department 9 personnel to visit the facility or agency for training, 10 technical assistance, programmatic, licensure, or 11 certification purposes. Administrative action, including 12 sanctions, may be applied should the Secretary reject the 13 response or should the facility or agency fail to follow the 14 approved response. The facility or agency shall inform the 15 resident or patient and the legal guardian whether the 16 reported allegation was substantiated, unsubstantiated, or 17 unfounded. There shall be an appeals process for any person 18 or agency that is subject to any action based on a 19 recommendation or recommendations. 20 (d) The Inspector General may recommend to the 21 Departments of Public Health and Human Services sanctions to 22 be imposed against mental health and developmental 23 disabilities facilities under the jurisdiction of the 24 Department of Human Services for the protection of residents, 25 including appointment of on-site monitors or receivers, 26 transfer or relocation of residents, and closure of units. 27 The Inspector General may seek the assistance of the Attorney 28 General or any of the several State's attorneys in imposing 29 such sanctions. 30 (e) The Inspector General shall establish and conduct 31 periodic training programs for Department employees 32 concerning the prevention and reporting of neglect and abuse. 33 (f) The Inspector General shall at all times be granted 34 access to any mental health or developmental disabilities -5- LRB9010765LDmb 1 facility operated by the Department, shall establish and 2 conduct unannounced site visits to those facilities at least 3 once annually, and shall be granted access, for the purpose 4 of investigating a report of abuse or neglect, to any 5 facility or program funded by the Department that is subject 6 under the provisions of this Section to investigation by the 7 Inspector General for a report of abuse or neglect. 8 (g) Nothing in this Section shall limit investigations 9 by the Department of Human Services that may otherwise be 10 required by law or that may be necessary in that Department's 11 capacity as the central administrative authority responsible 12 for the operation of State mental health and developmental 13 disability facilities. 14(h) This Section is repealed on January 1, 2000.15 (Source: P.A. 89-427, eff. 12-7-95; 89-507, eff. 7-1-97; 16 90-252, eff. 7-29-97; 90-512, eff. 8-22-97; revised 17 11-14-97.) 18 (210 ILCS 30/6.3) (from Ch. 111 1/2, par. 4166.3) 19 (Section scheduled to be repealed on January 1, 2000) 20 Sec. 6.3. Quality Care Board. There is created, within 21 the Department of Human Services' Office of the Inspector 22 General, a Quality Care Board to be composed of 7 members 23 appointed by the Governor with the advice and consent of the 24 Senate. One of the members shall be designated as chairman 25 by the Governor. Of the initial appointments made by the 26 Governor, 4 Board members shall each be appointed for a term 27 of 4 years and 3 members shall each be appointed for a term 28 of 2 years. Upon the expiration of each member's term, a 29 successor shall be appointed for a term of 4 years. In the 30 case of a vacancy in the office of any member, the Governor 31 shall appoint a successor for the remainder of the unexpired 32 term. 33 Members appointed by the Governor shall be qualified by -6- LRB9010765LDmb 1 professional knowledge or experience in the area of law, 2 investigatory techniques, or in the area of care of the 3 mentally ill or developmentally disabled. Two members 4 appointed by the Governor shall be persons with a disability 5 or a parent of a person with a disability. Members shall 6 serve without compensation, but shall be reimbursed for 7 expenses incurred in connection with the performance of their 8 duties as members. 9 The Board shall meet quarterly, and may hold other 10 meetings on the call of the chairman. Four members shall 11 constitute a quorum. The Board may adopt rules and 12 regulations it deems necessary to govern its own procedures. 13This Section is repealed on January 1, 2000.14 (Source: P.A. 89-427, eff. 12-7-95; 89-507, eff. 7-1-97.) 15 (210 ILCS 30/6.4) (from Ch. 111 1/2, par. 4166.4) 16 (This Section is scheduled to be repealed January 1, 17 2000.) 18 Sec. 6.4. Scope and function of the Quality Care Board. 19 The Board shall monitor and oversee the operations, policies, 20 and procedures of the Inspector General to assure the prompt 21 and thorough investigation of allegations of neglect and 22 abuse. In fulfilling these responsibilities, the Board may 23 do the following: 24 (1) Provide independent, expert consultation to the 25 Inspector General on policies and protocols for 26 investigations of alleged neglect and abuse. 27 (2) Review existing regulations relating to the 28 operation of facilities under the control of the 29 Department. 30 (3) Advise the Inspector General as to the content 31 of training activities authorized under Section 6.2. 32 (4) Recommend policies concerning methods for 33 improving the intergovernmental relationships between the -7- LRB9010765LDmb 1 office of the Inspector General and other State or 2 federal agencies. 3This Section is repealed on January 1, 2000.4 (Source: P.A. 89-427, eff. 12-7-95.) 5 (210 ILCS 30/6.5) (from Ch. 111 1/2, par. 4166.5) 6 (Section scheduled to be repealed on January 1, 2000) 7 Sec. 6.5. Investigators. Within 60 days after the 8 effective date of this amendatory Act of 1992, the Inspector 9 General shall establish a comprehensive program to ensure 10 that every person employed or newly hired to conduct 11 investigations shall receive training on an on-going basis 12 concerning investigative techniques, communication skills, 13 and the appropriate means of contact with persons admitted or 14 committed to the mental health or developmental disabilities 15 facilities under the jurisdiction of the Department of Human 16 Services. 17This Section is repealed on January 1, 2000.18 (Source: P.A. 89-427, eff. 12-7-95; 89-507, eff. 7-1-97.) 19 (210 ILCS 30/6.6) (from Ch. 111 1/2, par. 4166.6) 20 (This Section is scheduled to be repealed January 1, 21 2000.) 22 Sec. 6.6. Subpoenas; testimony; penalty. The Inspector 23 General shall have the power to subpoena witnesses and compel 24 the production of books and papers pertinent to an 25 investigation authorized by this Act, provided that the power 26 to subpoena or to compel the production of books and papers 27 shall not extend to the person or documents of a labor 28 organization or its representatives insofar as the person or 29 documents of a labor organization relate to the function of 30 representing an employee subject to investigation under this 31 Act. Mental health records of patients shall be confidential 32 as provided under the Mental Health and Developmental -8- LRB9010765LDmb 1 Disabilities Confidentiality Act. Any person who fails to 2 appear in response to a subpoena or to answer any question or 3 produce any books or papers pertinent to an investigation 4 under this Act, except as otherwise provided in this Section, 5 or who knowingly gives false testimony in relation to an 6 investigation under this Act is guilty of a Class A 7 misdemeanor. 8This Section is repealed on January 1, 2000.9 (Source: P.A. 89-427, eff. 12-7-95.) 10 (210 ILCS 30/6.7) (from Ch. 111 1/2, par. 4166.7) 11 (This Section is scheduled to be repealed January 1, 12 2000.) 13 Sec. 6.7. Annual report. The Inspector General shall 14 provide to the General Assembly and the Governor, no later 15 than January 1 of each year, a summary of reports and 16 investigations made under this Act for the prior fiscal year 17 with respect to residents of institutions under the 18 jurisdiction of the Department. The report shall detail the 19 imposition of sanctions and the final disposition of those 20 recommendations. The summaries shall not contain any 21 confidential or identifying information concerning the 22 subjects of the reports and investigations. The report shall 23 also include a trend analysis of the number of reported 24 allegations and their disposition, for each facility and 25 Department-wide, for the most recent 3-year time period and a 26 statement, for each facility, of the staffing-to-patient 27 ratios. The ratios shall include only the number of direct 28 care staff. The report shall also include detailed 29 recommended administrative actions and matters for 30 consideration by the General Assembly. 31This Section is repealed on July 1, 2000.32 (Source: P.A. 89-427, eff. 12-7-95.)