State of Illinois
90th General Assembly
Legislation

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[ Introduced ][ Engrossed ][ House Amendment 001 ]

90_SB0956enr

      SEE INDEX
          Amends the Mental Health and  Developmental  Disabilities
      Administrative  Act.   Provides that the Department of Mental
      Health (and, on and after July 1,  1997,  the  Department  of
      Human   Services)  shall  require  candidates  for  positions
      involving   contact   with   recipients   of   services    in
      State-operated  facilities  to  submit  to  fingerprint-based
      criminal background investigations.  Sets forth circumstances
      under  which  information relating to an investigation may be
      disclosed.   Deletes provisions allowing  the  Department  to
      provide  supplemental  payments to families of persons placed
      in  licensed  private  facilities.    Deletes   a   provision
      requiring  30 days' notice to the Department and the person's
      guardian before a mentally retarded person is  discharged  or
      transferred  from  a  private  facility.  Provides  that  the
      Department shall visit all persons the Department places in a
      nursing  home once in the first month following placement and
      once every month thereafter when indicated.    Abolishes  the
      Community Funding Advisory Committee.   Repeals the Community
      Residential  Alternatives  Licensing  Act.  Provides that all
      agencies previously regulated by  the  Community  Residential
      Alternatives  Licensing  Act  shall  be  regulated  under the
      Community-Integrated  Living   Arrangements   Licensure   and
      Certification   Act.       Amends   the   Mental  Health  and
      Developmental Disabilities  Confidentiality  Act.    Provides
      that   mental   health  records  and  communications  may  be
      disclosed in accordance  with the Sex  Offender  Registration
      Act  and  the  Rights  of  Crime  Victims  and Witnesses Act.
      Permits a facility director to disclose whether a  person  is
      present  at  the  mental  health  or developmental disability
      facility upon the request of a peace officer  or  prosecuting
      authority  who  is  conducting a bona fide investigation of a
      criminal offense or attempting to apprehend a  fugitive  from
      justice.    Establishes  civil  and  criminal  immunity for a
      person who discloses the information in good faith.     Makes
      other   changes.     Effective  immediately,  except  certain
      provisions take effect on July 1, 1997.
                                                     LRB9002180WHmg
SB956 Enrolled                                 LRB9002180WHmg
 1        AN ACT to amend certain Acts in relation to mental health
 2    and developmental disabilities.
 3        Be it enacted by the People of  the  State  of  Illinois,
 4    represented in the General Assembly:
 5        Section   5.    The   Department  of  Mental  Health  and
 6    Developmental  Disabilities  Act  (short  title  changed   to
 7    Mental  Health  and Developmental Disabilities Administrative
 8    Act effective July 1, 1997) is amended by  changing  Sections
 9    4.2, 15, and 54 as follows:
10        (20 ILCS 1705/4.2) (from Ch. 91 1/2, par. 100-4.2)
11        Sec.  4.2.  Facility staff. The Department shall describe
12    and delineate  guidelines  for  each  of  the  facilities  it
13    operates regarding the number and qualifications of the staff
14    required to carry out prescribed duties. The guidelines shall
15    be  based  on  consideration  of  recipient  needs as well as
16    professional and programmatic requirements,  including  those
17    established  for  purposes  of national accreditation and for
18    certification under Titles  XVIII  and  XIX  of  the  federal
19    Social  Security  Act.  The  Department  shall  utilize those
20    guidelines in the preparation of its annual  plan  and  shall
21    include  in  the  plan  a report of efforts in management and
22    budgeting  at  each  facility  to  achieve  staffing  targets
23    established in relation to the guidelines.
24        (b)  As used in  this  Section,  "direct  care  position"
25    means  any  position  with  the  Department  in which the job
26    titles which will regularly  or  temporarily  entail  contact
27    with  recipients  in  the Department's facilities for persons
28    with a mental illness or a developmental disability.
29        (c)  The Department shall require that each candidate for
30    employment in a direct  care  position,  as  a  condition  of
31    employment,  shall  submit  to  a  fingerprint-based criminal
SB956 Enrolled              -2-                LRB9002180WHmg
 1    background investigation to  determine whether the  candidate
 2    for  employment  in  a  direct  care  position  has ever been
 3    charged with a crime and, if so,  the  disposition  of  those
 4    charges.  This  authorization shall indicate the scope of the
 5    inquiry and the agencies which may be  contacted.  Upon  this
 6    authorization,  the  Director  (or, on or after July 1, 1997,
 7    the Secretary) shall  request  and  receive  information  and
 8    assistance  from  any  federal,   State or local governmental
 9    agency  as  part  of  the   authorized   investigation.   The
10    Department   of   State   Police  shall  provide  information
11    concerning any criminal charges, and their  disposition,  now
12    or  hereafter  filed  against a candidate for employment in a
13    direct care position upon request of the Department when  the
14    request  is  made  in  the  form  and manner  required by the
15    Department of State Police.
16        Information concerning convictions  of  a  candidate  for
17    employment  in a direct care position investigated under this
18    Section, including the  source of  the  information  and  any
19    conclusions or  recommendations derived from the information,
20    shall  be  provided,  upon  request,  to    the candidate for
21    employment in a direct care position before final  action  by
22    the Department on the application. Information on convictions
23    of a candidate for employment in a direct care position under
24    this  Act  shall be provided to the director of the employing
25    unit, and,  upon request, to the candidate for employment  in
26    a  direct care position. Any information concerning  criminal
27    charges and the disposition of those charges obtained by  the
28    Department  shall  be confidential and may not be transmitted
29    outside the Department, except as required  in this Act,  and
30    may not be transmitted to anyone within the Department except
31    as  needed  for the purpose of evaluating an application of a
32    candidate for employment in a direct  care  position.    Only
33    information   and  standards  which  bear  a  reasonable  and
34    rational relation to  the    performance  of  a  direct  care
SB956 Enrolled              -3-                LRB9002180WHmg
 1    position  shall  be  used by the Department. Any employee  of
 2    the Department or the Department  of State  Police  receiving
 3    confidential  information  under  this  Section  who gives or
 4    causes to be given any  confidential  information  concerning
 5    any  criminal convictions of  a candidate for employment in a
 6    direct care position shall be guilty of a Class A misdemeanor
 7    unless  release of the  information  is  authorized  by  this
 8    Section.
 9        A  Department  employing unit may hire, on a probationary
10    basis, any  candidate  for  employment  in  a    direct  care
11    position,  authorizing  a  criminal  background investigation
12    under this  Section, pending the result of the investigation.
13    A candidate for employment in a direct care position shall be
14    notified before he or she is hired that his or her employment
15    may  be  terminated  on  the  basis  of  criminal  background
16    information obtained by the employing unit.
17        No person may be employed in a direct care  position  who
18    refuses  to  authorize  an  investigation as required by this
19    subsection (c).
20    (Source: P.A. 86-1013.)
21        (20 ILCS 1705/15) (from Ch. 91 1/2, par. 100-15)
22        (Text of Section in effect until July 1, 1997)
23        Sec. 15.  Before any person is released from  a  facility
24    operated  by the State pursuant to an absolute discharge or a
25    conditional discharge from hospitalization  under  this  Act,
26    the facility director of the facility in which such person is
27    hospitalized   shall   determine  that  such  person  is  not
28    currently in need of hospitalization and:
29             (a)  is able to live independently in the community;
30        or
31             (b)  requires further oversight and supervisory care
32        for which arrangements have been  made  with  responsible
33        relatives  or  supervised residential program approved by
SB956 Enrolled              -4-                LRB9002180WHmg
 1        the Department; or
 2             (c)  requires  further  personal  care  or   general
 3        oversight  as  defined  by the Nursing Home Care Act, for
 4        which  placement  arrangements  have  been  made  with  a
 5        suitable family home or other licensed facility  approved
 6        by the Department under this Section.
 7        Such  determination  shall  be  made in writing and shall
 8    become a part of the facility record of  such  absolutely  or
 9    conditionally  discharged  person.   When  the  determination
10    indicates  that  the condition of the person to be granted an
11    absolute discharge or a conditional  discharge  is  described
12    under  subparagraph (c) of this Section, the name and address
13    of the continuing care facility or home to which such  person
14    is  to  be  released shall be entered in the facility record.
15    Where a discharge from a mental health facility is made under
16    subparagraph  (c),  the  Department  of  Mental  Health   and
17    Developmental   Disabilities   shall  assign  the  person  so
18    discharged to  an  existing  community  based  not-for-profit
19    agency  for  participation  in day activities suitable to the
20    person's needs,  such  as  but  not  limited  to  social  and
21    vocational    rehabilitation,    and    other   recreational,
22    educational and financial  activities  unless  the  community
23    based  not-for-profit  agency  is  unqualified to accept such
24    assignment. Where the clientele of any not-for-profit  agency
25    increases  as  a  result of assignments under this amendatory
26    Act of 1977  by  more  than  3%  over  the  prior  year,  the
27    Department shall fully reimburse such agency for the costs of
28    providing  services  to  such  persons  in  excess of such 3%
29    increase.
30        Insofar as desirable  in  the  interests  of  the  former
31    recipient,  the  facility,  program  or  home  in  which  the
32    discharged person is to be placed shall be located in or near
33    the   community   in   which  the  person  resided  prior  to
34    hospitalization or in the community  in  which  the  person's
SB956 Enrolled              -5-                LRB9002180WHmg
 1    family  or nearest next of kin presently reside. Placement of
 2    the  discharged  person  in  facilities,  programs  or  homes
 3    located outside of this  State  shall  not  be  made  by  the
 4    Department   unless  there  are  no  appropriate  facilities,
 5    programs or homes available within this  State.  Out-of-state
 6    placements shall be subject to return of recipients so placed
 7    upon the availability of facilities, programs or homes within
 8    this  State  to  accommodate  these  recipients, except where
 9    placement  in  a  contiguous  state  results  in  locating  a
10    recipient in a facility or program closer to the  recipient's
11    home  or  family.   If  an  appropriate  facility  or program
12    becomes available equal to or closer to the recipient's  home
13    or  family,  the recipient shall be returned to and placed at
14    the appropriate facility or program within this State.
15        To place any  person  who  is  under  a  program  of  the
16    Department  at  board  in  a  suitable family home or in such
17    other facility or program  as  the  Department  may  consider
18    desirable.   The  Department  may  place  in licensed nursing
19    homes, sheltered care homes, or  homes  for  the  aged  those
20    persons  whose  behavioral  manifestations  and  medical  and
21    nursing   care   needs   are  such  as  to  be  substantially
22    indistinguishable  from  persons  already  living   in   such
23    facilities.   Prior  to any placement by the Department under
24    this Section, a determination shall be made by the  personnel
25    of  the  Department,  as to the capability and suitability of
26    such facility to adequately meet the needs of the  person  to
27    be  discharged.   When  specialized programs are necessary in
28    order to enable persons  in  need  of  supervised  living  to
29    develop  and  improve  in the community, the Department shall
30    place such  persons  only  in  specialized  residential  care
31    facilities  which  shall  meet Department standards including
32    restricted admission policy, special staffing and programming
33    for social and vocational rehabilitation, in addition to  the
34    requirements  of the appropriate State licensing agency.  The
SB956 Enrolled              -6-                LRB9002180WHmg
 1    Department shall not place any new person in a  facility  the
 2    license  of  which has been revoked or not renewed on grounds
 3    of inadequate programming, staffing, or medical or adjunctive
 4    services,  regardless  of  the  pendency  of  an  action  for
 5    administrative review regarding such revocation or failure to
 6    renew. Before the Department may transfer  any  person  to  a
 7    licensed  nursing  home,  sheltered care home or home for the
 8    aged or place any person in a  specialized  residential  care
 9    facility  the  Department  shall  notify  the  person  to  be
10    transferred,  or  a  responsible  relative of such person, in
11    writing, at least 30 days before the proposed transfer,  with
12    respect  to  all the relevant facts concerning such transfer,
13    except  in  cases  of  emergency  when  such  notice  is  not
14    required. If  either  the  person  to  be  transferred  or  a
15    responsible relative of such person objects to such transfer,
16    in  writing  to  the Department, at any time after receipt of
17    notice and before the transfer, the facility director of  the
18    facility   in   which   the  person  was  a  recipient  shall
19    immediately schedule a  hearing  at  the  facility  with  the
20    presence of the facility director, the person who objected to
21    such  proposed  transfer,  and a psychiatrist who is familiar
22    with the record of the person to be transferred. Such  person
23    to   be   transferred   or  a  responsible  relative  may  be
24    represented by such counsel or interested  party  as  he  may
25    appoint,  who  may present such testimony with respect to the
26    proposed transfer. Testimony presented at such hearing  shall
27    become    a    part   of   the   facility   record   of   the
28    person-to-be-transferred. The record of  testimony  shall  be
29    held  in the person-to-be-transferred's record in the central
30    files of the facility. If such hearing is held a transfer may
31    only be implemented,  if  at  all,  in  accordance  with  the
32    results  of  such  hearing. Within 15 days after such hearing
33    the facility director shall deliver his findings based on the
34    record of  the  case  and  the  testimony  presented  at  the
SB956 Enrolled              -7-                LRB9002180WHmg
 1    hearing,  by  registered or certified mail, to the parties to
 2    such hearing. The findings of the facility director shall  be
 3    deemed a final administrative decision of the Department. For
 4    purposes  of  this  Section,  "case of emergency" means those
 5    instances in which the health of the person to be transferred
 6    is imperiled and the most appropriate mental health  care  or
 7    medical  care  is  available  at  a  licensed  nursing  home,
 8    sheltered  care  home  or  home for the aged or a specialized
 9    residential care facility.
10        Prior to placement of any person in a facility under this
11    Section the  Department  shall  ensure  that  an  appropriate
12    training  plan  for  staff  is provided by the facility. Said
13    training  may  include  instruction  and   demonstration   by
14    Department  personnel qualified in the area of mental illness
15    or mental retardation, as applicable  to  the  person  to  be
16    placed. Training may be given both at the facility from which
17    the  recipient  is  transferred and at the facility receiving
18    the recipient, and may be available  on  a  continuing  basis
19    subsequent to placement.  In a facility providing services to
20    former  Department recipients, training shall be available as
21    necessary for facility staff.  Such training  will  be  on  a
22    continuing  basis as the needs of the facility and recipients
23    change and further training is required.
24        The Department shall not place any person in  a  facility
25    which does not have appropriately trained staff in sufficient
26    numbers  to  accommodate  the recipient population already at
27    the facility.  As a condition of further or future placements
28    of persons, the Department shall require  the  employment  of
29    additional  trained  staff members at the facility where said
30    persons are to be placed.  The Director,  or  his  designate,
31    shall  establish  guidelines  for  placement  of  persons  in
32    facilities under this Act.
33        Bills  for  the support for a person boarded out shall be
34    payable monthly out of the proper maintenance funds and shall
SB956 Enrolled              -8-                LRB9002180WHmg
 1    be audited as any other accounts of  the  Department.   If  a
 2    person  is  placed  in  a  facility  or  program  outside the
 3    Department, the  Department  may  pay  the  actual  costs  of
 4    residence,  treatment or maintenance in such facility and may
 5    collect such actual costs  or  a  portion  thereof  from  the
 6    recipient or the estate of a person placed in accordance with
 7    this Section.
 8        Other  than  those placed in a family home the Department
 9    shall cause all persons who are  placed  in  a  facility,  as
10    defined  by  the  Nursing  Home  Care  Act,  or in designated
11    community living situations or programs,  to  be  visited  at
12    least  once  during  every week for the first month following
13    placement, and once every month  thereafter  when  indicated.
14    Visits  shall  be  made  by  qualified and trained Department
15    personnel, or their designee, in the area of mental health or
16    developmental disabilities applicable to the person  visited,
17    and  shall  be  made on a more frequent basis when indicated.
18    The  Department  may  not  use  as  designee  any   personnel
19    connected  with  or responsible to the representatives of any
20    facility in which persons who  have  been  transferred  under
21    this  Section are placed.   In the course of such visit there
22    shall be  consideration  of  the  following  areas,  but  not
23    limited  thereto:  effects of transfer on physical and mental
24    health of the person, sufficiency of nursing care and medical
25    coverage  required  by  the  person,  sufficiency  of   staff
26    personnel  and  ability to provide basic care for the person,
27    social, recreational and  programmatic  activities  available
28    for the person, and other appropriate aspects of the person's
29    environment.
30        A  report containing the above observations shall be made
31    to  the  Department  and  to  any  other  appropriate  agency
32    subsequent to each visitation.  At the conclusion of one year
33    following absolute or  conditional  discharge,  or  a  longer
34    period  of time if required by the Department, the Department
SB956 Enrolled              -9-                LRB9002180WHmg
 1    may terminate the visitation requirements of this Section  as
 2    to a person placed in accordance with this Section, by filing
 3    a  written  statement of termination setting forth reasons to
 4    substantiate the termination of visitations in  the  person's
 5    file,  and  sending  a copy thereof to the person, and to his
 6    guardian or next of kin.
 7        Upon the complaint of any  person  placed  in  accordance
 8    with   this  Section  or  any  responsible  citizen  or  upon
 9    discovery that such person has  been  abused,  neglected,  or
10    improperly  cared for, or that the placement does not provide
11    the  type  of  care  required  by  the  recipient's   current
12    condition,  the Department immediately shall investigate, and
13    determine if the well-being, health, care, or safety  of  any
14    person  is  affected  by any of the above occurrences, and if
15    any one of the above occurrences is verified, the  Department
16    shall  remove  such  person  at  once  to  a  facility of the
17    Department or to another  facility  outside  the  Department,
18    provided  such  person's  needs  can be met at said facility.
19    The  Department  may  also  provide  any  person  placed   in
20    accordance  with this Section who is without available funds,
21    and who is permitted to  engage  in  employment  outside  the
22    facility,   such  sums  for  the  transportation,  and  other
23    expenses as may be needed by him until he receives his  wages
24    for such employment.
25        The  Department  shall  promulgate  rules and regulations
26    governing the purchase of care for persons who are  wards  of
27    or  who  are  receiving  services  from the Department.  Such
28    rules and regulations shall apply to all monies  expended  by
29    any  agency of the State of Illinois for services rendered by
30    any person, corporate entity, agency, governmental agency  or
31    political  subdivision  whether  public or private outside of
32    the Department whether payment is made through a contractual,
33    per-diem or other arrangement.  No funds shall be paid to any
34    person, corporation, agency, governmental entity or political
SB956 Enrolled              -10-               LRB9002180WHmg
 1    subdivision  without   compliance   with   such   rules   and
 2    regulations.
 3        The  rules  and  regulations  governing  purchase of care
 4    shall  describe  categories  and  types  of  service   deemed
 5    appropriate for purchase by the Department.
 6        Any  provider  of  services  under  this Act may elect to
 7    receive payment for those services,  and  the  Department  is
 8    authorized  to  arrange  for that payment, by means of direct
 9    deposit  transmittals  to  the  service  provider's   account
10    maintained  at a bank, savings and loan association, or other
11    financial institution.  The financial  institution  shall  be
12    approved  by  the  Department,  and  the deposits shall be in
13    accordance  with  rules  and  regulations  adopted   by   the
14    Department.
15    (Source: P.A. 86-820; 86-922; 86-1028; 87-751.)
16        (Text of Section taking effect July 1, 1997)
17        Sec.  15.   Before any person is released from a facility
18    operated by the State pursuant to an absolute discharge or  a
19    conditional  discharge  from  hospitalization under this Act,
20    the facility director of the facility in which such person is
21    hospitalized  shall  determine  that  such  person   is   not
22    currently in need of hospitalization and:
23             (a)  is able to live independently in the community;
24        or
25             (b)  requires further oversight and supervisory care
26        for  which  arrangements  have been made with responsible
27        relatives or supervised residential program  approved  by
28        the Department; or
29             (c)  requires   further  personal  care  or  general
30        oversight as defined by the Nursing Home  Care  Act,  for
31        which  placement  arrangements  have  been  made  with  a
32        suitable  family home or other licensed facility approved
33        by the Department under this Section.
34        Such determination shall be made  in  writing  and  shall
SB956 Enrolled              -11-               LRB9002180WHmg
 1    become  a  part  of the facility record of such absolutely or
 2    conditionally  discharged  person.   When  the  determination
 3    indicates that the condition of the person to be  granted  an
 4    absolute  discharge  or  a conditional discharge is described
 5    under subparagraph (c) of this Section, the name and  address
 6    of  the continuing care facility or home to which such person
 7    is to be released shall be entered in  the  facility  record.
 8    Where a discharge from a mental health facility is made under
 9    subparagraph  (c),  the Department shall assign the person so
10    discharged to  an  existing  community  based  not-for-profit
11    agency  for  participation  in day activities suitable to the
12    person's needs,  such  as  but  not  limited  to  social  and
13    vocational    rehabilitation,    and    other   recreational,
14    educational and financial  activities  unless  the  community
15    based  not-for-profit  agency  is  unqualified to accept such
16    assignment. Where the clientele of any not-for-profit  agency
17    increases  as  a  result of assignments under this amendatory
18    Act of 1977  by  more  than  3%  over  the  prior  year,  the
19    Department shall fully reimburse such agency for the costs of
20    providing  services  to  such  persons  in  excess of such 3%
21    increase.
22        Insofar as desirable  in  the  interests  of  the  former
23    recipient,  the  facility,  program  or  home  in  which  the
24    discharged person is to be placed shall be located in or near
25    the   community   in   which  the  person  resided  prior  to
26    hospitalization or in the community  in  which  the  person's
27    family  or nearest next of kin presently reside. Placement of
28    the  discharged  person  in  facilities,  programs  or  homes
29    located outside of this  State  shall  not  be  made  by  the
30    Department   unless  there  are  no  appropriate  facilities,
31    programs or homes available within this  State.  Out-of-state
32    placements shall be subject to return of recipients so placed
33    upon the availability of facilities, programs or homes within
34    this  State  to  accommodate  these  recipients, except where
SB956 Enrolled              -12-               LRB9002180WHmg
 1    placement  in  a  contiguous  state  results  in  locating  a
 2    recipient in a facility or program closer to the  recipient's
 3    home  or  family.   If  an  appropriate  facility  or program
 4    becomes available equal to or closer to the recipient's  home
 5    or  family,  the recipient shall be returned to and placed at
 6    the appropriate facility or program within this State.
 7        To place any  person  who  is  under  a  program  of  the
 8    Department  at  board  in  a  suitable family home or in such
 9    other facility or program  as  the  Department  may  consider
10    desirable.   The  Department  may  place  in licensed nursing
11    homes, sheltered care homes, or  homes  for  the  aged  those
12    persons  whose  behavioral  manifestations  and  medical  and
13    nursing   care   needs   are  such  as  to  be  substantially
14    indistinguishable  from  persons  already  living   in   such
15    facilities.   Prior  to any placement by the Department under
16    this Section, a determination shall be made by the  personnel
17    of  the  Department,  as to the capability and suitability of
18    such facility to adequately meet the needs of the  person  to
19    be  discharged.   When  specialized programs are necessary in
20    order to enable persons  in  need  of  supervised  living  to
21    develop  and  improve  in the community, the Department shall
22    place such  persons  only  in  specialized  residential  care
23    facilities  which  shall  meet Department standards including
24    restricted admission policy, special staffing and programming
25    for social and vocational rehabilitation, in addition to  the
26    requirements  of the appropriate State licensing agency.  The
27    Department shall not place any new person in a  facility  the
28    license  of  which has been revoked or not renewed on grounds
29    of inadequate programming, staffing, or medical or adjunctive
30    services,  regardless  of  the  pendency  of  an  action  for
31    administrative review regarding such revocation or failure to
32    renew. Before the Department may transfer  any  person  to  a
33    licensed  nursing  home,  sheltered care home or home for the
34    aged or place any person in a  specialized  residential  care
SB956 Enrolled              -13-               LRB9002180WHmg
 1    facility  the  Department  shall  notify  the  person  to  be
 2    transferred,  or  a  responsible  relative of such person, in
 3    writing, at least 30 days before the proposed transfer,  with
 4    respect  to  all the relevant facts concerning such transfer,
 5    except  in  cases  of  emergency  when  such  notice  is  not
 6    required. If  either  the  person  to  be  transferred  or  a
 7    responsible relative of such person objects to such transfer,
 8    in  writing  to  the Department, at any time after receipt of
 9    notice and before the transfer, the facility director of  the
10    facility   in   which   the  person  was  a  recipient  shall
11    immediately schedule a  hearing  at  the  facility  with  the
12    presence of the facility director, the person who objected to
13    such  proposed  transfer,  and a psychiatrist who is familiar
14    with the record of the person to be transferred. Such  person
15    to   be   transferred   or  a  responsible  relative  may  be
16    represented by such counsel or interested  party  as  he  may
17    appoint,  who  may present such testimony with respect to the
18    proposed transfer. Testimony presented at such hearing  shall
19    become    a    part   of   the   facility   record   of   the
20    person-to-be-transferred. The record of  testimony  shall  be
21    held  in the person-to-be-transferred's record in the central
22    files of the facility. If such hearing is held a transfer may
23    only be implemented,  if  at  all,  in  accordance  with  the
24    results  of  such  hearing. Within 15 days after such hearing
25    the facility director shall deliver his findings based on the
26    record of  the  case  and  the  testimony  presented  at  the
27    hearing,  by  registered or certified mail, to the parties to
28    such hearing. The findings of the facility director shall  be
29    deemed a final administrative decision of the Department. For
30    purposes  of  this  Section,  "case of emergency" means those
31    instances in which the health of the person to be transferred
32    is imperiled and the most appropriate mental health  care  or
33    medical  care  is  available  at  a  licensed  nursing  home,
34    sheltered  care  home  or  home for the aged or a specialized
SB956 Enrolled              -14-               LRB9002180WHmg
 1    residential care facility.
 2        Prior to placement of any person in a facility under this
 3    Section the  Department  shall  ensure  that  an  appropriate
 4    training  plan  for  staff  is provided by the facility. Said
 5    training  may  include  instruction  and   demonstration   by
 6    Department  personnel qualified in the area of mental illness
 7    or mental retardation, as applicable  to  the  person  to  be
 8    placed.   Training  may  be  given  both at the facility from
 9    which the  recipient  is  transferred  and  at  the  facility
10    receiving the recipient, and may be available on a continuing
11    basis  subsequent  to  placement.   In  a  facility providing
12    services to former Department recipients, training  shall  be
13    available  as  necessary  for  facility staff.  Such training
14    will be on a continuing basis as the needs  of  the  facility
15    and recipients change and further training is required.
16        The  Department  shall not place any person in a facility
17    which does not have appropriately trained staff in sufficient
18    numbers to accommodate the recipient  population  already  at
19    the facility.  As a condition of further or future placements
20    of  persons,  the  Department shall require the employment of
21    additional trained staff members at the facility  where  said
22    persons  are  to  be  placed.   The  Secretary, or his or her
23    designate,  shall  establish  guidelines  for  placement   of
24    persons in facilities under this Act.
25        Bills  for  the support for a person boarded out shall be
26    payable monthly out of the proper maintenance funds and shall
27    be audited as any other accounts of  the  Department.   If  a
28    person  is  placed  in  a  facility  or  program  outside the
29    Department, the  Department  may  pay  the  actual  costs  of
30    residence,  treatment or maintenance in such facility and may
31    collect such actual costs  or  a  portion  thereof  from  the
32    recipient or the estate of a person placed in accordance with
33    this Section.
34        Other  than  those placed in a family home the Department
SB956 Enrolled              -15-               LRB9002180WHmg
 1    shall cause all persons who are  placed  in  a  facility,  as
 2    defined  by  the  Nursing  Home  Care  Act,  or in designated
 3    community living situations or programs,  to  be  visited  at
 4    least  once  during  every week for the first month following
 5    placement, and once every month  thereafter  when  indicated.
 6    Visits  shall  be  made  by  qualified and trained Department
 7    personnel, or their designee, in the area of mental health or
 8    developmental disabilities applicable to the person  visited,
 9    and  shall  be  made on a more frequent basis when indicated.
10    The  Department  may  not  use  as  designee  any   personnel
11    connected  with  or responsible to the representatives of any
12    facility in which persons who  have  been  transferred  under
13    this  Section are placed.   In the course of such visit there
14    shall be  consideration  of  the  following  areas,  but  not
15    limited  thereto:  effects of transfer on physical and mental
16    health of the person, sufficiency of nursing care and medical
17    coverage  required  by  the  person,  sufficiency  of   staff
18    personnel  and  ability to provide basic care for the person,
19    social, recreational and  programmatic  activities  available
20    for the person, and other appropriate aspects of the person's
21    environment.
22        A  report containing the above observations shall be made
23    to  the  Department  and  to  any  other  appropriate  agency
24    subsequent to each visitation.  At the conclusion of one year
25    following absolute or  conditional  discharge,  or  a  longer
26    period  of time if required by the Department, the Department
27    may terminate the visitation requirements of this Section  as
28    to a person placed in accordance with this Section, by filing
29    a  written  statement of termination setting forth reasons to
30    substantiate the termination of visitations in  the  person's
31    file,  and  sending  a copy thereof to the person, and to his
32    guardian or next of kin.
33        Upon the complaint of any  person  placed  in  accordance
34    with   this  Section  or  any  responsible  citizen  or  upon
SB956 Enrolled              -16-               LRB9002180WHmg
 1    discovery that such person has  been  abused,  neglected,  or
 2    improperly  cared for, or that the placement does not provide
 3    the  type  of  care  required  by  the  recipient's   current
 4    condition,  the Department immediately shall investigate, and
 5    determine if the well-being, health, care, or safety  of  any
 6    person  is  affected  by any of the above occurrences, and if
 7    any one of the above occurrences is verified, the  Department
 8    shall  remove  such  person  at  once  to  a  facility of the
 9    Department or to another  facility  outside  the  Department,
10    provided  such  person's  needs  can be met at said facility.
11    The  Department  may  also  provide  any  person  placed   in
12    accordance  with this Section who is without available funds,
13    and who is permitted to  engage  in  employment  outside  the
14    facility,   such  sums  for  the  transportation,  and  other
15    expenses as may be needed by him until he receives his  wages
16    for such employment.
17        The  Department  shall  promulgate  rules and regulations
18    governing the purchase of care for persons who are  wards  of
19    or  who  are  receiving  services  from the Department.  Such
20    rules and regulations shall apply to all monies  expended  by
21    any  agency of the State of Illinois for services rendered by
22    any person, corporate entity, agency, governmental agency  or
23    political  subdivision  whether  public or private outside of
24    the Department whether payment is made through a contractual,
25    per-diem or other arrangement.  No funds shall be paid to any
26    person, corporation, agency, governmental entity or political
27    subdivision  without   compliance   with   such   rules   and
28    regulations.
29        The  rules  and  regulations  governing  purchase of care
30    shall  describe  categories  and  types  of  service   deemed
31    appropriate for purchase by the Department.
32        Any  provider  of  services  under  this Act may elect to
33    receive payment for those services,  and  the  Department  is
34    authorized  to  arrange  for that payment, by means of direct
SB956 Enrolled              -17-               LRB9002180WHmg
 1    deposit  transmittals  to  the  service  provider's   account
 2    maintained  at a bank, savings and loan association, or other
 3    financial institution.  The financial  institution  shall  be
 4    approved  by  the  Department,  and  the deposits shall be in
 5    accordance  with  rules  and  regulations  adopted   by   the
 6    Department.
 7    (Source: P.A. 89-507, eff. 7-1-97.)
 8        (20 ILCS 1705/54) (from Ch. 91 1/2, par. 100-54)
 9        (Text of Section in effect until July 1, 1997)
10        Sec. 54. Establishment of rates for purchase of services.
11        (a)  It  is  the  purpose  of  this  Section to establish
12    procedures   for   the    development,    calculation,    and
13    communication  of  rates  promulgated  by  the  Department of
14    Mental Health and Developmental Disabilities for the purchase
15    of services for persons with a developmental disability,  and
16    persons  with  mental illness; to require the promulgation of
17    rules which specify the treatment of costs  for  purposes  of
18    establishing   rates   for   various  purchase  care  program
19    categories;   to   require   that   rates    be    equitable,
20    understandable,  and  established  through  an  open,  public
21    process;  and  to  require  the delineation of where purchase
22    care, grant-in-aid, and other  payment  mechanisms  are  most
23    appropriately utilized.  The Department's rate-setting policy
24    should   stimulate   the   development   of  cost  effective,
25    clinically  appropriate,  community-based  residential,   and
26    other  support services for recipients according to an annual
27    statement of purchase care goals and objectives.
28        (b)  The  Department  shall  establish   rates   in   all
29    instances  where services are purchased by the Department for
30    a  specific  recipient  from  a  specific  community  service
31    provider for which the Department has the responsibility  for
32    establishing  payment  rates.   When  determining  rates, the
33    Department shall take into consideration differences  in  the
SB956 Enrolled              -18-               LRB9002180WHmg
 1    costs  of doing business among the various geographic regions
 2    of  the  State  and  shall  set  rates  that  reflect   those
 3    differences.    The   Department  may,  for  various  program
 4    categories, adopt rates that are set by other State agencies.
 5        (c)  The Department shall perform the following duties:
 6             (1)  Develop rate-setting methodologies for purchase
 7        care program categories.
 8             (2)  Promulgate  rules  and  regulations   governing
 9        rate-setting, treatment of costs, treatment of occupancy,
10        and payment and contracting processes for purchase care.
11             (3)  Collect  cost  and performance information from
12        care providers.  The Department may stipulate forms, unit
13        of  service   definitions,   reporting   procedures   and
14        reporting intervals.
15             (4)  Calculate  purchase of care reimbursement rates
16        for specific providers  based  on  the  promulgated  rate
17        methodology for that program category.
18             (5)  Negotiate   and   implement  purchase  of  care
19        contracts with specific providers.
20             (6)  Develop an annual statement  of  purchase  care
21        goals  and  objectives detailing maximum units of service
22        by program category to be purchased.  The plan  for  each
23        fiscal  year  shall be completed by May 1 of the previous
24        fiscal year.
25             (7)  Conduct an annual review and prepare an  annual
26        report of rates and units of service purchased, comparing
27        the   annual  purchase  of  care  statement  with  actual
28        services purchased, and  the  actual  cost  of  providing
29        those  services.    The report shall be made available by
30        May 1.
31             (8)  Establish and promulgate a process and criteria
32        for appealing rates.
33             (9)  Develop and promulgate standards  and  criteria
34        by which provider performance shall be evaluated.
SB956 Enrolled              -19-               LRB9002180WHmg
 1             (10)  Set rates based on published methodologies and
 2        subject  to the availability of funds appropriated by the
 3        General Assembly.
 4             (11)  Establish and promulgate  a  policy  regarding
 5        applicability  of  income  offsets in rate calculation or
 6        and/or payment processes.
 7             (12)  Develop  criteria  for  selection  of  payment
 8        mechanisms to be employed in funding community services.
 9        (d)  The   Department   may   investigate   and    employ
10    alternative   rate   setting   approaches   and   engage   in
11    demonstration   projects.   These  Such  approaches  must  be
12    publicly  articulated  by  the  Department,  identifying  the
13    purpose and scope of the alternative approach and  evaluation
14    to be conducted.
15        (e)  (Blank).   The  Director  shall  appoint a Community
16    funding advisory Committee within 60 days after the effective
17    date of this amendatory Act of 1983.
18        The  Community  Funding  advisory  Committee   shall   be
19    composed  of  12  members.   The  Director  shall  appoint  a
20    chairperson  from  among the Committee members.  Two shall be
21    individuals representing developmental disability  providers,
22    2    shall   be   individuals   representing   consumers   of
23    developmental disability services and advocates.
24        Two shall  be  individuals  representing  mental  illness
25    providers  and  2 shall be individuals representing consumers
26    of mental illness services and advocates.
27        The Directors of the Departments  of  Mental  Health  and
28    Developmental  Disabilities,  Public  Health, Public Aid, and
29    Children and Family Services, shall designate representatives
30    from their respective departments who shall also sit  on  the
31    Advisory Committee.
32        Members  shall serve terms as follows:  4 shall serve for
33    one year and until their successors are  appointed;  4  shall
34    serve  for  2 years and until their successors are appointed;
SB956 Enrolled              -20-               LRB9002180WHmg
 1    and 4 shall serve for 3 years and until their successors  are
 2    appointed.     After   the   expiration   of   the   original
 3    appointments, all terms shall be for 3 years.
 4        It shall be the responsibility of the  Community  Funding
 5    Advisory Committee to:
 6             (1)  advise   and  counsel  the  Department  in  the
 7        development and adoption of purchased  care  rate-setting
 8        methodologies;
 9             (2)  advise and counsel the Department in the annual
10        review of purchased care rates;
11             (3)  advise   and  counsel  the  Department  in  the
12        development of standards and criteria by  which  provider
13        contract performance shall be evaluated;
14             (4)  review  and  comment on the annual statement of
15        purchased care goals and objectives;
16             (5)  review  purchased   care   rate   methodologies
17        employed by the Department;
18             (6)  Review criteria developed by the Department for
19        selection of payment mechanisms to be employed in funding
20        community services.
21    (Source: P.A. 88-380; 89-58, eff. 1-1-96.)
22        (Text of Section taking effect July 1, 1997)
23        Sec. 54. Establishment of rates for purchase of services.
24        (a)  It  is  the  purpose  of  this  Section to establish
25    procedures   for   the    development,    calculation,    and
26    communication  of rates promulgated by the Department for the
27    purchase  of  services  for  persons  with  a   developmental
28    disability,  and  persons with mental illness; to require the
29    promulgation of rules which specify the  treatment  of  costs
30    for  purposes of establishing rates for various purchase care
31    program categories;  to  require  that  rates  be  equitable,
32    understandable,  and  established  through  an  open,  public
33    process;  and  to  require  the delineation of where purchase
34    care, grant-in-aid, and other  payment  mechanisms  are  most
SB956 Enrolled              -21-               LRB9002180WHmg
 1    appropriately utilized.  The Department's rate-setting policy
 2    should   stimulate   the   development   of  cost  effective,
 3    clinically  appropriate,  community-based  residential,   and
 4    other  support services for recipients according to an annual
 5    statement of purchase care goals and objectives.
 6        (b)  The  Department  shall  establish   rates   in   all
 7    instances  where services are purchased by the Department for
 8    a  specific  recipient  from  a  specific  community  service
 9    provider for which the Department has the responsibility  for
10    establishing  payment  rates.   When  determining  rates, the
11    Department shall take into consideration differences  in  the
12    costs  of doing business among the various geographic regions
13    of  the  State  and  shall  set  rates  that  reflect   those
14    differences.    The   Department  may,  for  various  program
15    categories, adopt rates that are set by other State agencies.
16        (c)  The Department shall perform the following duties:
17             (1)  Develop rate-setting methodologies for purchase
18        care program categories.
19             (2)  Promulgate  rules  and  regulations   governing
20        rate-setting, treatment of costs, treatment of occupancy,
21        and payment and contracting processes for purchase care.
22             (3)  Collect  cost  and performance information from
23        care providers.  The Department may stipulate forms, unit
24        of  service   definitions,   reporting   procedures   and
25        reporting intervals.
26             (4)  Calculate  purchase of care reimbursement rates
27        for specific providers  based  on  the  promulgated  rate
28        methodology for that program category.
29             (5)  Negotiate   and   implement  purchase  of  care
30        contracts with specific providers.
31             (6)  Develop an annual statement  of  purchase  care
32        goals  and  objectives detailing maximum units of service
33        by program category to be purchased.  The plan  for  each
34        fiscal  year  shall be completed by May 1 of the previous
SB956 Enrolled              -22-               LRB9002180WHmg
 1        fiscal year.
 2             (7)  Conduct an annual review and prepare an  annual
 3        report of rates and units of service purchased, comparing
 4        the   annual  purchase  of  care  statement  with  actual
 5        services purchased, and  the  actual  cost  of  providing
 6        those  services.    The report shall be made available by
 7        May 1.
 8             (8)  Establish and promulgate a process and criteria
 9        for appealing rates.
10             (9)  Develop and promulgate standards  and  criteria
11        by which provider performance shall be evaluated.
12             (10)  Set rates based on published methodologies and
13        subject  to the availability of funds appropriated by the
14        General Assembly.
15             (11)  Establish and promulgate  a  policy  regarding
16        applicability  of  income  offsets in rate calculation or
17        and/or payment processes.
18             (12)  Develop  criteria  for  selection  of  payment
19        mechanisms to be employed in funding community services.
20        (d)  The   Department   may   investigate   and    employ
21    alternative   rate   setting   approaches   and   engage   in
22    demonstration   projects.   These  Such  approaches  must  be
23    publicly  articulated  by  the  Department,  identifying  the
24    purpose and scope of the alternative approach and  evaluation
25    to be conducted.
26        (e)  (Blank).   The  Secretary  shall appoint a Community
27    Funding Advisory Committee within 60 days after the effective
28    date of this amendatory Act of 1983.
29        The  Community  Funding  Advisory  Committee   shall   be
30    composed  of  12  members.   Two members shall be individuals
31    representing developmental disability providers, 2  shall  be
32    individuals    representing    consumers   of   developmental
33    disability services and  advocates.   Two  members  shall  be
34    individuals representing mental illness providers and 2 shall
SB956 Enrolled              -23-               LRB9002180WHmg
 1    be  individuals  representing  consumers  of  mental  illness
 2    services  and advocates.      The Secretary of Human Services
 3    and the Directors of the Departments of Public Health, Public
 4    Aid, and Children and Family Services, shall each designate a
 5    representative from their respective  departments  who  shall
 6    also sit on the Advisory Committee.
 7        The  Secretary shall appoint a chairperson from among the
 8    Committee members.
 9        Members shall serve terms as follows:  4 shall serve  for
10    one  year  and  until their successors are appointed; 4 shall
11    serve for 2 years and until their successors  are  appointed;
12    and  4 shall serve for 3 years and until their successors are
13    appointed.    After   the   expiration   of   the    original
14    appointments, all terms shall be for 3 years.
15        It  shall  be the responsibility of the Community Funding
16    Advisory Committee to:
17             (1)  advise  and  counsel  the  Department  in   the
18        development  and  adoption of purchased care rate-setting
19        methodologies;
20             (2)  advise and counsel the Department in the annual
21        review of purchased care rates;
22             (3)  advise  and  counsel  the  Department  in   the
23        development  of  standards and criteria by which provider
24        contract performance shall be evaluated;
25             (4)  review and comment on the annual  statement  of
26        purchased care goals and objectives;
27             (5)  review   purchased   care   rate  methodologies
28        employed by the Department;
29             (6)  Review criteria developed by the Department for
30        selection of payment mechanisms to be employed in funding
31        community services.
32    (Source:  P.A.  88-380;  89-58,  eff.  1-1-96;  89-507,  eff.
33    7-1-97.)
SB956 Enrolled              -24-               LRB9002180WHmg
 1        Section 15. The Community-Integrated Living  Arrangements
 2    Licensure  and Certification Act is amended by adding Section
 3    11 as follows:
 4        (210 ILCS 135/11 new)
 5        Sec. 11.  All  agencies  previously  licensed  under  the
 6    Community  Residential Alternatives Licensing Act are subject
 7    to and shall be licensed under this Act.
 8        (210 ILCS 140/1 Act rep.)
 9        Section  20.  The  Community   Residential   Alternatives
10    Licensing Act is repealed.
11        Section   25.    The   Mental  Health  and  Developmental
12    Disabilities  Confidentiality  Act  is  amended  by  changing
13    Sections 11 and 12 as follows:
14        (740 ILCS 110/11) (from Ch. 91 1/2, par. 811)
15        (Text of Section in effect until July 1, 1997)
16        Sec.  11.   Disclosure  of  records  and  communications.
17    Records   and  communications  may  be  disclosed,   (i)   in
18    accordance  with  the  provisions of the Abused and Neglected
19    Child  Reporting  Act;  (ii)  when,  and  to  the  extent,  a
20    therapist, in his or her  sole  discretion,  determines  that
21    disclosure   is  necessary  to  initiate  or  continue  civil
22    commitment proceedings under the laws of  this  State  or  to
23    otherwise  protect  the  recipient  or other person against a
24    clear, imminent risk of serious physical or mental injury  or
25    disease or death being inflicted upon the recipient or by the
26    recipient  on  himself  or  another;  (iii)  when, and to the
27    extent  disclosure  is,  in  the  sole  discretion   of   the
28    therapist,  necessary  to  the provision of emergency medical
29    care to a recipient who is unable to assert or waive  his  or
30    her  rights  hereunder;  (iv) when disclosure is necessary to
SB956 Enrolled              -25-               LRB9002180WHmg
 1    collect sums or  receive  third  party  payment  representing
 2    charges  for  mental  health  or  developmental  disabilities
 3    services  provided  by  a  therapist or agency to a recipient
 4    under Chapter  V  of  the  Mental  Health  and  Developmental
 5    Disabilities  Code or to transfer debts under the Uncollected
 6    States Claims Act; however, disclosure shall  be  limited  to
 7    information  needed to pursue collection, and the information
 8    so disclosed shall not be used for  any  other  purposes  nor
 9    shall  it be redisclosed except in connection with collection
10    activities; (v)  when  requested  by  a  family  member,  the
11    Department  of  Mental  Health and Developmental Disabilities
12    may assist in  the  location  of  the  interment  site  of  a
13    deceased  recipient who is interred in a cemetery established
14    under Section 100-26 of the Department of Mental  Health  and
15    Developmental    Disabilities   Act;   (vi)   in   commitment
16    proceedings and involuntary  medication  hearings  under  the
17    Mental   Health   and  Developmental  Disabilities  Code  and
18    proceedings and investigations preliminary  thereto,  to  the
19    State's  Attorney for the county or residence of a person for
20    whom  involuntary  or  judicial  admission   or   involuntary
21    medication  is sought, or in which the person is found, or in
22    which  the  facility  is  located,  and   to   the   attorney
23    representing  the  recipient in the commitment proceedings or
24    medication  hearing,  provided  that   the   information   so
25    disclosed  shall not be utilized for any other purpose nor be
26    redisclosed except in  connection  with  the  proceedings  or
27    investigations;  (vii)  when, and to the extent disclosure is
28    necessary to comply  with  the  requirements  of  the  Census
29    Bureau  in  taking  the  federal Decennial Census; and (viii)
30    when, and to the extent, in the therapist's sole  discretion,
31    disclosure  is  necessary  to  warn  or  protect  a  specific
32    individual  against  whom  a  recipient  has  made a specific
33    threat of violence where there exists  a  therapist-recipient
34    relationship  or a special recipient-individual relationship;
SB956 Enrolled              -26-               LRB9002180WHmg
 1    (ix) in accordance with the Sex  Offender  Registration  Act;
 2    and  (x)  in  accordance with the Rights of Crime Victims and
 3    Witnesses Act. Any person, institution, or agency, under this
 4    Act, participating in good faith in the making  of  a  report
 5    under  the Abused and Neglected Child Reporting Act or in the
 6    disclosure of records and communications under this  Section,
 7    shall  have  immunity  from any liability, civil, criminal or
 8    otherwise, that might result by reason of  such  action.  For
 9    the purpose of any proceeding, civil or criminal, arising out
10    of  a report or disclosure under this Section, the good faith
11    of  any  person,  institution,  or  agency  so  reporting  or
12    disclosing shall be presumed.
13    (Source: P.A. 88-484; 89-439, eff. 6-1-96.)
14        (Text of Section taking effect July 1, 1997)
15        Sec.  11.   Disclosure  of  records  and  communications.
16    Records   and  communications  may  be  disclosed,   (i)   in
17    accordance  with  the  provisions of the Abused and Neglected
18    Child  Reporting  Act;  (ii)  when,  and  to  the  extent,  a
19    therapist, in his or her  sole  discretion,  determines  that
20    disclosure   is  necessary  to  initiate  or  continue  civil
21    commitment proceedings under the laws of  this  State  or  to
22    otherwise  protect  the  recipient  or other person against a
23    clear, imminent risk of serious physical or mental injury  or
24    disease or death being inflicted upon the recipient or by the
25    recipient  on  himself  or  another;  (iii)  when, and to the
26    extent  disclosure  is,  in  the  sole  discretion   of   the
27    therapist,  necessary  to  the provision of emergency medical
28    care to a recipient who is unable to assert or waive  his  or
29    her  rights  hereunder;  (iv) when disclosure is necessary to
30    collect sums or  receive  third  party  payment  representing
31    charges  for  mental  health  or  developmental  disabilities
32    services  provided  by  a  therapist or agency to a recipient
33    under Chapter  V  of  the  Mental  Health  and  Developmental
34    Disabilities  Code or to transfer debts under the Uncollected
SB956 Enrolled              -27-               LRB9002180WHmg
 1    State Claims Act; however, disclosure  shall  be  limited  to
 2    information  needed to pursue collection, and the information
 3    so disclosed shall not be used for  any  other  purposes  nor
 4    shall  it be redisclosed except in connection with collection
 5    activities; (v)  when  requested  by  a  family  member,  the
 6    Department  of  Human  Services may assist in the location of
 7    the interment site of a deceased recipient who is interred in
 8    a cemetery established under Section  100-26  of  the  Mental
 9    Health  and  Developmental  Disabilities  Administrative Act;
10    (vi) in commitment  proceedings  and  involuntary  medication
11    hearings   under   the   Mental   Health   and  Developmental
12    Disabilities  Code   and   proceedings   and   investigations
13    preliminary  thereto,  to the State's Attorney for the county
14    or residence of a person for  whom  involuntary  or  judicial
15    admission  or  involuntary  medication is sought, or in which
16    the person is found, or in which the facility is located, and
17    to the attorney representing the recipient in the  commitment
18    proceedings   or   medication   hearing,  provided  that  the
19    information so disclosed shall not be utilized for any  other
20    purpose  nor  be  redisclosed  except  in connection with the
21    proceedings or investigations; (vii) when, and to the  extent
22    disclosure  is  necessary  to comply with the requirements of
23    the Census Bureau in taking the federal Decennial Census; and
24    (viii) when, and to  the  extent,  in  the  therapist's  sole
25    discretion,  disclosure  is  necessary  to  warn or protect a
26    specific individual against  whom  a  recipient  has  made  a
27    specific   threat   of   violence   where   there   exists  a
28    therapist-recipient     relationship     or     a     special
29    recipient-individual relationship; (ix)  in  accordance  with
30    the Sex Offender Registration Act; and (x) in accordance with
31    the  Rights  of  Crime Victims and Witnesses Act. Any person,
32    institution, or agency, under this Act, participating in good
33    faith in  the  making  of  a  report  under  the  Abused  and
34    Neglected Child Reporting Act or in the disclosure of records
SB956 Enrolled              -28-               LRB9002180WHmg
 1    and  communications  under  this Section, shall have immunity
 2    from any liability, civil, criminal or otherwise, that  might
 3    result  by  reason  of  such  action.  For the purpose of any
 4    proceeding, civil or criminal, arising out  of  a  report  or
 5    disclosure  under this Section, the good faith of any person,
 6    institution, or agency so reporting or  disclosing  shall  be
 7    presumed.
 8    (Source:  P.A.  88-484;  89-439,  eff.  6-1-96;  89-507, eff.
 9    7-1-97.)
10        (740 ILCS 110/12) (from Ch. 91 1/2, par. 812)
11        (Text of Section in effect until July 1, 1997)
12        Sec. 12.  (a)  If the United States Secret Service or the
13    Department of State Police requests information from a mental
14    health or developmental disability facility,  as  defined  in
15    Section   1-107   and   1-114   of   the  Mental  Health  and
16    Developmental  Disabilities  Code,  relating  to  a  specific
17    recipient  and  the   facility   director   determines   that
18    disclosure  of  such  information may be necessary to protect
19    the life of, or to prevent the  infliction  of  great  bodily
20    harm  to, a public official, or a person under the protection
21    of the United  States  Secret  Service,  only  the  following
22    information  may be disclosed: the recipient's name, address,
23    and age and the date of any admission to or discharge from  a
24    facility; and any information which would indicate whether or
25    not  the  recipient  has  a history of violence or presents a
26    danger of violence  to  the  person  under  protection.   Any
27    information  so  disclosed  shall  be  used for investigative
28    purposes only and shall not  be  publicly  disseminated.  Any
29    person  participating in good faith in the disclosure of such
30    information in accordance  with  this  provision  shall  have
31    immunity from any liability, civil, criminal or otherwise, if
32    such information is disclosed relying upon the representation
33    of  an  officer  of  the  United States Secret Service or the
SB956 Enrolled              -29-               LRB9002180WHmg
 1    Department of  State  Police  that  a  person  is  under  the
 2    protection of the United States Secret Service or is a public
 3    official.
 4        For  the purpose of this subsection (a), the term "public
 5    official" means the Governor, Lieutenant  Governor,  Attorney
 6    General,   Secretary   of  State,  State  Comptroller,  State
 7    Treasurer or member of the General Assembly.  The term  shall
 8    also  include  the  spouse,  child  or  children  of a public
 9    official.
10        (b)  The Department of Mental  Health  and  Developmental
11    Disabilities  and  all  private  hospitals  are  required, as
12    hereafter  described  in  this  subsection,  to  furnish  the
13    Department of State Police only such information  as  may  be
14    required  for  the  sole  purpose  of  determining whether an
15    individual  who  may  be  or  may  have  been  a  patient  is
16    disqualified  because  of  that  status  from  receiving   or
17    retaining   a   Firearm  Owner's  Identification  Card  under
18    subsection  (e)  of  Section  8   of   the   Firearm   Owners
19    Identification  Card Act. All private hospitals shall, in the
20    form and manner required  by  the  Department,  provide  such
21    information  as  shall  be  necessary  for  the Department to
22    comply with the reporting requirements to the  Department  of
23    State  Police.  Such information shall be furnished within 30
24    days  after  admission  to  a  private  hospital.   Any  such
25    information disclosed  under  this  subsection  shall  remain
26    privileged and confidential, and shall not be redisclosed nor
27    utilized  for any other purpose.  The method of requiring the
28    providing  of  such  information  shall  guarantee  that   no
29    information  is  released  beyond  what is necessary for this
30    purpose. In addition,  the  information  disclosed  shall  be
31    provided by the Department within the time period established
32    by  Section  24-3  of the Criminal Code of 1961 regarding the
33    delivery of firearms.  The method used shall be sufficient to
34    provide the necessary information within the prescribed  time
SB956 Enrolled              -30-               LRB9002180WHmg
 1    period, which may include periodically providing lists to the
 2    Department of Mental Health and Developmental Disabilities or
 3    any  private  hospital of Firearm Owner's Identification Card
 4    applicants on which the Department or hospital shall indicate
 5    the identities of those individuals who are to its  knowledge
 6    disqualified  from  having  a  Firearm Owner's Identification
 7    Card  for  reasons  described  herein.   The  Department  may
 8    provide for a centralized source of information for the State
 9    on this subject under its jurisdiction.
10        Any person,  institution,  or  agency,  under  this  Act,
11    participating in good faith in the reporting or disclosure of
12    records  and communications otherwise in accordance with this
13    provision or with rules, regulations or guidelines issued  by
14    the Department shall have immunity from any liability, civil,
15    criminal  or  otherwise,  that  might result by reason of the
16    action.   For  the  purpose  of  any  proceeding,  civil   or
17    criminal, arising out of a report or disclosure in accordance
18    with   this   provision,   the  good  faith  of  any  person,
19    institution, or agency so reporting or  disclosing  shall  be
20    presumed.   The  full extent of the immunity provided in this
21    subsection (b) shall apply  to  any  person,  institution  or
22    agency  that fails to make a report or disclosure in the good
23    faith belief that the  report  or  disclosure  would  violate
24    federal  regulations governing the confidentiality of alcohol
25    and drug abuse patient records implementing 42 U.S.C. 290dd-3
26    and 290ee-3.
27        For purposes of this subsection (b) only,  the  following
28    terms shall have the meaning prescribed:
29             (1)  "Hospital"  means only that type of institution
30        which is providing full-time residential  facilities  and
31        treatment for in-patients and excludes institutions, such
32        as  community  clinics,  which  only provide treatment to
33        out-patients.
34             (2)  "Patient" shall mean only a person  who  is  an
SB956 Enrolled              -31-               LRB9002180WHmg
 1        in-patient   or   resident   of   any  hospital,  not  an
 2        out-patient  or   client   seen   solely   for   periodic
 3        consultation.
 4        (c)  Upon  the  request  of  a  peace officer who takes a
 5    person into custody and transports such person  to  a  mental
 6    health  or  developmental  disability  facility  pursuant  to
 7    Section 3-606 or 4-404 of the Mental Health and Developmental
 8    Disabilities  Code  or  who  transports  a  person  from such
 9    facility,  a  facility  director  shall  furnish  said  peace
10    officer the name,  address,  age  and  name  of  the  nearest
11    relative  of  the  person  transported  to or from the mental
12    health or developmental  disability  facility.   In  no  case
13    shall the facility director disclose to the peace officer any
14    information   relating   to   the   diagnosis,  treatment  or
15    evaluation of the person's mental or physical health.
16        For the  purposes  of  this  subsection  (c),  the  terms
17    "mental  health or developmental disability facility", "peace
18    officer" and "facility  director"  shall  have  the  meanings
19    ascribed  to  them  in  the  Mental  Health and Developmental
20    Disabilities Code.
21        (d)  Upon the request of a peace officer  or  prosecuting
22    authority  who  is  conducting a bona fide investigation of a
23    criminal offense, or attempting to apprehend a fugitive  from
24    justice, a facility director may disclose whether a person is
25    present  at  the  facility.   The requesting peace officer or
26    prosecuting authority must furnish  a  case  number  and  the
27    purpose of the investigation or an outstanding arrest warrant
28    at  the  time  of  the  request.  Any person, institution, or
29    agency  participating  in  good  faith  in  disclosing   such
30    information  in accordance with this subsection (d) is immune
31    from any liability, civil, criminal or otherwise, that  might
32    result by reason of the action.
33    (Source: P.A. 86-922; 87-124; 87-299; 87-300; 87-895.)
34        (Text of Section taking effect July 1, 1997)
SB956 Enrolled              -32-               LRB9002180WHmg
 1        Sec.  12.  (a) If the United States Secret Service or the
 2    Department of State Police requests information from a mental
 3    health or developmental disability facility,  as  defined  in
 4    Section   1-107   and   1-114   of   the  Mental  Health  and
 5    Developmental  Disabilities  Code,  relating  to  a  specific
 6    recipient  and  the   facility   director   determines   that
 7    disclosure  of  such  information may be necessary to protect
 8    the life of, or to prevent the  infliction  of  great  bodily
 9    harm  to, a public official, or a person under the protection
10    of the United  States  Secret  Service,  only  the  following
11    information  may be disclosed: the recipient's name, address,
12    and age and the date of any admission to or discharge from  a
13    facility; and any information which would indicate whether or
14    not  the  recipient  has  a history of violence or presents a
15    danger of violence  to  the  person  under  protection.   Any
16    information  so  disclosed  shall  be  used for investigative
17    purposes only and shall not  be  publicly  disseminated.  Any
18    person  participating in good faith in the disclosure of such
19    information in accordance  with  this  provision  shall  have
20    immunity from any liability, civil, criminal or otherwise, if
21    such information is disclosed relying upon the representation
22    of  an  officer  of  the  United States Secret Service or the
23    Department of  State  Police  that  a  person  is  under  the
24    protection of the United States Secret Service or is a public
25    official.
26        For  the purpose of this subsection (a), the term "public
27    official" means the Governor, Lieutenant  Governor,  Attorney
28    General,   Secretary   of  State,  State  Comptroller,  State
29    Treasurer or member of the General Assembly.  The term  shall
30    also  include  the  spouse,  child  or  children  of a public
31    official.
32        (b)  The  Department  of  Human   Services   (acting   as
33    successor   to   the   Department   of   Mental   Health  and
34    Developmental Disabilities) and  all  private  hospitals  are
SB956 Enrolled              -33-               LRB9002180WHmg
 1    required,  as  hereafter  described  in  this  subsection, to
 2    furnish the Department of State Police only such  information
 3    as  may  be  required  for  the  sole  purpose of determining
 4    whether an individual who may be or may have been  a  patient
 5    is  disqualified  because  of  that  status from receiving or
 6    retaining  a  Firearm  Owner's  Identification   Card   under
 7    subsection   (e)   of   Section   8  of  the  Firearm  Owners
 8    Identification Card Act. All private hospitals shall, in  the
 9    form  and  manner  required  by  the Department, provide such
10    information as shall  be  necessary  for  the  Department  to
11    comply  with  the reporting requirements to the Department of
12    State Police.  Such information shall be furnished within  30
13    days  after  admission  to  a  private  hospital.   Any  such
14    information  disclosed  under  this  subsection  shall remain
15    privileged and confidential, and shall not be redisclosed nor
16    utilized for any other purpose.  The method of requiring  the
17    providing   of  such  information  shall  guarantee  that  no
18    information is released beyond what  is  necessary  for  this
19    purpose.  In  addition,  the  information  disclosed shall be
20    provided by the Department within the time period established
21    by Section 24-3 of the Criminal Code of  1961  regarding  the
22    delivery of firearms.  The method used shall be sufficient to
23    provide  the necessary information within the prescribed time
24    period, which may include periodically providing lists to the
25    Department of Human  Services  or  any  private  hospital  of
26    Firearm  Owner's  Identification Card applicants on which the
27    Department or hospital shall indicate the identities of those
28    individuals who are to its knowledge disqualified from having
29    a Firearm Owner's Identification Card for  reasons  described
30    herein.   The Department may provide for a centralized source
31    of information for  the  State  on  this  subject  under  its
32    jurisdiction.
33        Any  person,  institution,  or  agency,  under  this Act,
34    participating in good faith in the reporting or disclosure of
SB956 Enrolled              -34-               LRB9002180WHmg
 1    records and communications otherwise in accordance with  this
 2    provision  or with rules, regulations or guidelines issued by
 3    the Department shall have immunity from any liability, civil,
 4    criminal or otherwise, that might result  by  reason  of  the
 5    action.    For  the  purpose  of  any  proceeding,  civil  or
 6    criminal, arising out of a report or disclosure in accordance
 7    with  this  provision,  the  good  faith   of   any   person,
 8    institution,  or  agency  so reporting or disclosing shall be
 9    presumed.  The full extent of the immunity provided  in  this
10    subsection  (b)  shall  apply  to  any person, institution or
11    agency that fails to make a report or disclosure in the  good
12    faith  belief  that  the  report  or disclosure would violate
13    federal regulations governing the confidentiality of  alcohol
14    and drug abuse patient records implementing 42 U.S.C. 290dd-3
15    and 290ee-3.
16        For  purposes  of this subsection (b) only, the following
17    terms shall have the meaning prescribed:
18             (1)  "Hospital" means only that type of  institution
19        which  is  providing full-time residential facilities and
20        treatment for in-patients and excludes institutions, such
21        as community clinics, which  only  provide  treatment  to
22        out-patients.
23             (2)  "Patient"  shall  mean  only a person who is an
24        in-patient  or  resident  of   any   hospital,   not   an
25        out-patient   or   client   seen   solely   for  periodic
26        consultation.
27        (c)  Upon the request of a  peace  officer  who  takes  a
28    person  into  custody  and transports such person to a mental
29    health  or  developmental  disability  facility  pursuant  to
30    Section 3-606 or 4-404 of the Mental Health and Developmental
31    Disabilities Code  or  who  transports  a  person  from  such
32    facility,  a  facility  director  shall  furnish  said  peace
33    officer  the  name,  address,  age  and  name  of the nearest
34    relative of the person transported  to  or  from  the  mental
SB956 Enrolled              -35-               LRB9002180WHmg
 1    health  or  developmental  disability  facility.   In no case
 2    shall the facility director disclose to the peace officer any
 3    information  relating  to   the   diagnosis,   treatment   or
 4    evaluation of the person's mental or physical health.
 5        For  the  purposes  of  this  subsection  (c),  the terms
 6    "mental health or developmental disability facility",  "peace
 7    officer"  and  "facility  director"  shall  have the meanings
 8    ascribed to them  in  the  Mental  Health  and  Developmental
 9    Disabilities Code.
10        (d)  Upon  the  request of a peace officer or prosecuting
11    authority who is conducting a bona fide  investigation  of  a
12    criminal  offense, or attempting to apprehend a fugitive from
13    justice, a facility director may disclose whether a person is
14    present at the facility.  The  requesting  peace  officer  or
15    prosecuting  authority  must  furnish  a  case number and the
16    purpose of the investigation or an outstanding arrest warrant
17    at the time of the  request.   Any  person,  institution,  or
18    agency   participating  in  good  faith  in  disclosing  such
19    information in accordance with this subsection (d) is  immune
20    from  any liability, civil, criminal or otherwise, that might
21    result by reason of the action.
22    (Source: P.A. 89-507, eff. 7-1-97.)
23        Section 99.  Effective date.  This Act takes effect  upon
24    becoming  law,  except  that  the  provisions  repealing  the
25    Community  Residential  Alternatives  Licensing  Act  and the
26    provisions adding  Section  11  to  the  Community-Integrated
27    Living  Arrangements  Licensure  and  Certification  Act take
28    effect on July 1, 1997.
SB956 Enrolled              -36-               LRB9002180WHmg
 1                                INDEX
 2               Statutes amended in order of appearance
 3    20 ILCS 1705/4.2          from Ch. 91 1/2, par. 100-4.2
 4    20 ILCS 1705/15           from Ch. 91 1/2, par. 100-15
 5    20 ILCS 1705/43           from Ch. 91 1/2, par. 100-43
 6    20 ILCS 1705/54           from Ch. 91 1/2, par. 100-54
 7    20 ILCS 1705/7.1 rep.
 8    210 ILCS 135/11 new
 9    210 ILCS 140/Act rep.
10    740 ILCS 110/11           from Ch. 91 1/2, par. 811
11    740 ILCS 110/12           from Ch. 91 1/2, par. 812

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