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91_SB1673 LRB9113088ACtm 1 AN ACT to amend the Health Care Worker Background Check 2 Act. 3 Be it enacted by the People of the State of Illinois, 4 represented in the General Assembly: 5 Section 5. The Health Care Worker Background Check Act 6 is amended by changing Sections 10, 15, and 30 as follows: 7 (225 ILCS 46/10) 8 Sec. 10. Applicability. This Act applies to all 9 individuals employed or retained by a health care employer as 10 home health care aides, nurse aides, personal care 11 assistants, private duty nurse aides, day training personnel, 12 or an individual working in any similar health-related 13 occupation where he or she provides direct care. As of the 14 effective date of this amendatory Act of the 91st General 15 Assembly, this Act applies to an individual employed or 16 retained by a health care employer as a home health care 17 aide, nurse aide, personal care assistant, private duty nurse 18 aide, day training personnel, or an individual working in any 19 similar health-related occupation whether or not the 20 individual provides direct care. 21 (Source: P.A. 89-197, eff. 7-21-95; 89-674, eff. 8-14-96.) 22 (225 ILCS 46/15) 23 (Text of Section before amendment by P.A. 91-656) 24 Sec. 15. Definitions. For the purposes of this Act, the 25 following definitions apply: 26 "Applicant" means an individual seeking employment with a 27 health care employer who has received a bona fide conditional 28 offer of employment. 29 "Conditional offer of employment" means a bona fide offer 30 of employment by a health care employer to an applicant, -2- LRB9113088ACtm 1 which is contingent upon the receipt of a report from the 2 Department of State Police indicating that the applicant does 3 not have a record of conviction of any of the criminal 4 offenses enumerated in Section 25. 5 "Direct care" means the provision of nursing care or 6 assistance with feeding, dressing, movement, bathing, 7 toileting, or other personal needs. The entity responsible 8 for inspecting and licensing, certifying, or registering the 9 health care employer may, by administrative rule, prescribe 10 guidelines for interpreting this definition with regard to 11 the health care employers that it licenses. 12 "Health care employer" means: 13 (1) the owner or licensee of any of the following: 14 (i) a community living facility, as defined in the 15 Community Living Facilities Act; 16 (ii) a life care facility, as defined in the Life 17 Care Facilities Act; 18 (iii) a long-term care facility, as defined in the 19 Nursing Home Care Act; 20 (iv) a home health agency, as defined in the Home 21 Health Agency Licensing Act; 22 (v) a full hospice, as defined in the Hospice 23 Program Licensing Act; 24 (vi) a hospital, as defined in the Hospital 25 Licensing Act; 26 (vii) a community residential alternative, as 27 defined in the Community Residential Alternatives 28 Licensing Act; 29 (viii) a nurse agency, as defined in the Nurse 30 Agency Licensing Act; 31 (ix) a respite care provider, as defined in the 32 Respite Program Act; 33 (ix-a) an establishment licensed under the Assisted 34 Living and Shared Housing Act; -3- LRB9113088ACtm 1 (x) a supportive living program, as defined in the 2 Illinois Public Aid Code; 3 (xi) early childhood intervention programs as 4 described in 59 Ill. Adm. Code 121; 5 (xii) the University of Illinois Hospital, Chicago; 6 (xiii) programs funded by the Department on Aging 7 through the Community Care Program; 8 (xiv) programs certified to participate in the 9 Supportive Living Program authorized pursuant to Section 10 5-5.01a of the Illinois Public Aid Code; 11 (xv) programs listed by the Emergency Medical 12 Services (EMS) Systems Act as Freestanding Emergency 13 Centers; 14 (xvi) locations licensed under the Alternative 15 Health Care Delivery Act; 16 (2) a day training program certified by the Department 17 of Human Services;or18 (3) a community integrated living arrangement operated 19 by a community mental health and developmental service 20 agency, as defined in the Community-Integrated Living 21 Arrangements Licensing and Certification Act; or.22 (4) a mental health or developmental disabilities 23 facility operated by the Department of Human Services. 24 "Initiate" means the obtaining of the authorization for a 25 record check from a student, applicant, or employee. The 26 educational entity or health care employer or its designee 27 shall transmit all necessary information and fees to the 28 Illinois State Police within 10 working days after receipt of 29 the authorization. 30 (Source: P.A. 90-14, eff. 7-1-97; 90-776, eff. 1-1-99; 31 91-598, eff. 1-1-00.) 32 (Text of Section after amendment by P.A. 91-656) 33 Sec. 15. Definitions. For the purposes of this Act, the 34 following definitions apply: -4- LRB9113088ACtm 1 "Applicant" means an individual seeking employment with a 2 health care employer who has received a bona fide conditional 3 offer of employment. 4 "Conditional offer of employment" means a bona fide offer 5 of employment by a health care employer to an applicant, 6 which is contingent upon the receipt of a report from the 7 Department of State Police indicating that the applicant does 8 not have a record of conviction of any of the criminal 9 offenses enumerated in Section 25. 10 "Direct care" means the provision of nursing care or 11 assistance with feeding, dressing, movement, bathing, 12 toileting, or other personal needs. The entity responsible 13 for inspecting and licensing, certifying, or registering the 14 health care employer may, by administrative rule, prescribe 15 guidelines for interpreting this definition with regard to 16 the health care employers that it licenses. 17 "Health care employer" means: 18 (1) the owner or licensee of any of the following: 19 (i) a community living facility, as defined in the 20 Community Living Facilities Act; 21 (ii) a life care facility, as defined in the Life 22 Care Facilities Act; 23 (iii) a long-term care facility, as defined in the 24 Nursing Home Care Act; 25 (iv) a home health agency, as defined in the Home 26 Health Agency Licensing Act; 27 (v) a full hospice, as defined in the Hospice 28 Program Licensing Act; 29 (vi) a hospital, as defined in the Hospital 30 Licensing Act; 31 (vii) a community residential alternative, as 32 defined in the Community Residential Alternatives 33 Licensing Act; 34 (viii) a nurse agency, as defined in the Nurse -5- LRB9113088ACtm 1 Agency Licensing Act; 2 (ix) a respite care provider, as defined in the 3 Respite Program Act; 4 (ix-a) an establishment licensed under the Assisted 5 Living and Shared Housing Act;(xi)6 (x) a supportive living program, as defined in the 7 Illinois Public Aid Code; 8 (xi) early childhood intervention programs as 9 described in 59 Ill. Adm. Code 121; 10 (xii) the University of Illinois Hospital, Chicago; 11 (xiii) programs funded by the Department on Aging 12 through the Community Care Program; 13 (xiv) programs certified to participate in the 14 Supportive Living Program authorized pursuant to Section 15 5-5.01a of the Illinois Public Aid Code; 16 (xv) programs listed by the Emergency Medical 17 Services (EMS) Systems Act as Freestanding Emergency 18 Centers; 19 (xvi) locations licensed under the Alternative 20 Health Care Delivery Act; 21 (2) a day training program certified by the Department 22 of Human Services;or23 (3) a community integrated living arrangement operated 24 by a community mental health and developmental service 25 agency, as defined in the Community-Integrated Living 26 Arrangements Licensing and Certification Act; or.27 (4) a mental health or developmental disabilities 28 facility operated by the Department of Human Services. 29 "Initiate" means the obtaining of the authorization for a 30 record check from a student, applicant, or employee. The 31 educational entity or health care employer or its designee 32 shall transmit all necessary information and fees to the 33 Illinois State Police within 10 working days after receipt of 34 the authorization. -6- LRB9113088ACtm 1 (Source: P.A. 90-14, eff. 7-1-97; 90-776, eff. 1-1-99; 2 91-598, eff. 1-1-00; 91-656, eff. 1-1-01; revised 1-6-00.) 3 (225 ILCS 46/30) 4 Sec. 30. Non-fingerprint based UCIA criminal records 5 check. 6 (a) Beginning on January 1, 1997, an educational entity, 7 other than a secondary school, conducting a nurse aide 8 training program must initiate a UCIA criminal history 9 records check prior to entry of an individual into the 10 training program. A nurse aide seeking to be included on the 11 nurse aide registry shall authorize the Department of Public 12 Health or its designee that tests nurse aides or the health 13 care employer or its designee to request a criminal history 14 record check pursuant to the Uniform Conviction Information 15 Act (UCIA) for each nurse aide applying for inclusion on the 16 State nurse aide registry. Any nurse aide not submitting the 17 required authorization and information for the record check 18 will not be added to the State nurse aide registry. A nurse 19 aide will not be entered on the State nurse aide registry if 20 the report from the Department of State Police indicates that 21 the nurse aide has a record of conviction of any of the 22 criminal offenses enumerated in Section 25 unless the nurse 23 aide's identity is validated and it is determined that the 24 nurse aide does not have a disqualifying criminal history 25 record based upon a fingerprint-based records check pursuant 26 to Section 35 or the nurse aide receives a waiver pursuant to 27 Section 40. 28 (b) The Department of Public Health shall notify each 29 health care employer inquiring as to the information on the 30 State nurse aide registry of the date of the nurse aide's 31 last UCIA criminal history record check. If it has been more 32 than one year since the records check, the health care 33 employer must initiate or have initiated on his or her behalf -7- LRB9113088ACtm 1 a UCIA criminal history record check for the nurse aide 2 pursuant to this Section. The health care employer must send 3 a copy of the results of the record check to the State nurse 4 aide registry for an individual employed as a nurse aide. 5 (c) Beginning January 1, 1996 a health care employer who 6 makes a conditional offer of employment to an applicant other 7 than a nurse aide for a position with duties that involve 8 direct care for clients, patients, or residents must initiate 9 or have initiated on his or her behalf a UCIA criminal 10 history record check for that applicant. 11 (c-5) Beginning July 1, 2000, a health care employer who 12 makes a conditional offer of employment to an applicant other 13 than a nurse aide must initiate or have initiated on his or 14 her behalf a UCIA criminal history record check for that 15 applicant, whether or not the position involves direct care 16 for clients, patients, or residents. 17 (d) No later than January 1, 1997 a health care employer 18 must initiate or have initiated on his or her behalf a UCIA 19 criminal history record check for all employees other than 20 those enumerated in subsections (a), (b), and (c) of this 21 Section with duties that involve direct care for clients, 22 patients, or residents. A health care employer having actual 23 knowledge from a source other than a non-fingerprint check 24 that an employee has been convicted of committing or 25 attempting to commit one of the offenses enumerated in 26 Section 25 of this Act must initiate a fingerprint-based 27 background check within 10 working days of acquiring that 28 knowledge. The employer may continue to employ that 29 individual in a direct care position, may reassign that 30 individual to a non-direct care position, or may suspend the 31 individual until the results of the fingerprint-based 32 background check are received. 33 (d-5) No later than January 1, 2001, a health care 34 employer must initiate or have initiated on his or her behalf -8- LRB9113088ACtm 1 a UCIA criminal history check for all employees other than 2 those enumerated in subsections (a) through (d) of this 3 Section, whether or not the position involves direct care for 4 clients, patients, or residents. A health care employer 5 having actual knowledge from a source other than a 6 non-fingerprint check that an employee has been convicted of 7 committing or attempting to commit one of the offenses 8 enumerated in Section 25 of this Act must initiate a 9 fingerprint-based background check within 10 working day 10 after acquiring that knowledge. The employer may continue to 11 employ that individual in his or her current position, may 12 reassign the individual, or may suspend the individual until 13 the results of the fingerprint-based background check are 14 received. 15 (e) The request for a UCIA criminal history record check 16 must be in the form prescribed by the Department of State 17 Police. 18 (f) The applicant or employee must be notified of the 19 following whenever a non-fingerprint check is made: 20 (i) that the health care employer shall request or 21 have requested on his or her behalf a UCIA criminal 22 history record check pursuant to this Act; 23 (ii) that the applicant or employee has a right to 24 obtain a copy of the criminal records report from the 25 health care employer, challenge the accuracy and 26 completeness of the report, and request a waiver under 27 Section 40 of this Act; 28 (iii) that the applicant, if hired conditionally, 29 may be terminated if the criminal records report 30 indicates that the applicant has a record of conviction 31 of any of the criminal offenses enumerated in Section 25 32 unless the applicant's identity is validated and it is 33 determined that the applicant does not have a 34 disqualifying criminal history record based on a -9- LRB9113088ACtm 1 fingerprint-based records check pursuant to Section 35. 2 (iv) that the applicant, if not hired 3 conditionally, shall not be hired if the criminal records 4 report indicates that the applicant has a record of 5 conviction of any of the criminal offenses enumerated in 6 Section 25 unless the applicant's record is cleared based 7 on a fingerprint-based records check pursuant to Section 8 35. 9 (v) that the employee may be terminated if the 10 criminal records report indicates that the employee has a 11 record of conviction of any of the criminal offenses 12 enumerated in Section 25 unless the employee's record is 13 cleared based on a fingerprint-based records check 14 pursuant to Section 35. 15 (g) A health care employer may conditionally employ an 16 applicant to provide direct care for up to 3 months pending 17 the results of a UCIA criminal history record check. 18 (Source: P.A. 91-598, eff. 1-1-00.) 19 Section 95. No acceleration or delay. Where this Act 20 makes changes in a statute that is represented in this Act by 21 text that is not yet or no longer in effect (for example, a 22 Section represented by multiple versions), the use of that 23 text does not accelerate or delay the taking effect of (i) 24 the changes made by this Act or (ii) provisions derived from 25 any other Public Act. 26 Section 99. Effective date. This Act takes effect upon 27 becoming law.