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92_HB1684sam001 LRB9204776LDpram 1 AMENDMENT TO HOUSE BILL 1684 2 AMENDMENT NO. . Amend House Bill 1684 by replacing 3 everything after the enacting clause with the following: 4 "Section 5. The Mental Health and Developmental 5 Disabilities Administrative Act is amended by adding Section 6 7.3 as follows: 7 (20 ILCS 1705/7.3 new) 8 Sec. 7.3. Nurse aide registry; finding of abuse or 9 neglect. The Department shall require that no facility, 10 service agency, or support agency providing mental health or 11 developmental disability services that is licensed, 12 certified, operated, or funded by the Department shall employ 13 a person, in any capacity, who is identified by the nurse 14 aide registry as having been subject of a substantiated 15 finding of abuse or neglect of a service recipient. The 16 Department shall establish and maintain such rules as are 17 necessary or appropriate to effectuate the intent of this 18 Section. The provisions of this Section shall not apply to 19 any facility, service agency, or support agency licensed or 20 certified by a State agency other than the Department, unless 21 operated by the Department of Human Services. -2- LRB9204776LDpram 1 Section 10. The Abused and Neglected Long Term Care 2 Facility Residents Reporting Act is amended by changing 3 Section 6.2 as follows: 4 (210 ILCS 30/6.2) (from Ch. 111 1/2, par. 4166.2) 5 (Section scheduled to be repealed on January 1, 2002) 6 Sec. 6.2. Inspector General. 7 (a) The Governor shall appoint, and the Senate shall 8 confirm, an Inspector General who shall function within the 9 Department of Human Services and report to the Secretary of 10 Human Services and the Governor. The Inspector General shall 11 investigate reports of suspected abuse or neglect (as those 12 terms are defined in Section 3 of this Act) of patients or 13 residents in any mental health or developmental disabilities 14 facility operated by the Department of Human Services and 15 shall have authority to investigate and take immediate action 16 on reports of abuse or neglect of recipients, whether 17 patients or residents, in any mental health or developmental 18 disabilities facility or program that is licensed or 19 certified by the Department of Human Services (as successor 20 to the Department of Mental Health and Developmental 21 Disabilities) or that is funded by the Department of Human 22 Services (as successor to the Department of Mental Health and 23 Developmental Disabilities) and is not licensed or certified 24 by any agency of the State. At the specific, written request 25 of an agency of the State other than the Department of Human 26 Services (as successor to the Department of Mental Health and 27 Developmental Disabilities), the Inspector General may 28 cooperate in investigating reports of abuse and neglect of 29 persons with mental illness or persons with developmental 30 disabilities. The Inspector General shall have no 31 supervision over or involvement in routine, programmatic, 32 licensure, or certification operations of the Department of 33 Human Services or any of its funded agencies. -3- LRB9204776LDpram 1 The Inspector General shall promulgate rules establishing 2 minimum requirements for reporting allegations of abuse and 3 neglect and initiating, conducting, and completing 4 investigations. The promulgated rules shall clearly set 5 forth that in instances where 2 or more State agencies could 6 investigate an allegation of abuse or neglect, the Inspector 7 General shall not conduct an investigation that is redundant 8 to an investigation conducted by another State agency. The 9 rules shall establish criteria for determining, based upon 10 the nature of the allegation, the appropriate method of 11 investigation, which may include, but need not be limited to, 12 site visits, telephone contacts, or requests for written 13 responses from agencies. The rules shall also clarify how 14 the Office of the Inspector General shall interact with the 15 licensing unit of the Department of Human Services in 16 investigations of allegations of abuse or neglect. Any 17 allegations or investigations of reports made pursuant to 18 this Act shall remain confidential until a final report is 19 completed. The resident or patient who allegedly was abused 20 or neglected and his or her legal guardian shall be informed 21 by the facility or agency of the report of alleged abuse or 22 neglect. Final reports regarding unsubstantiated or unfounded 23 allegations shall remain confidential, except that final 24 reports may be disclosed pursuant to Section 6 of this Act. 25 The Inspector General shall be appointed for a term of 4 26 years. 27 When determining if a report of abuse or neglect should 28 be substantiated or unsubstantiated the Office of the 29 Inspector General shall take into account any mitigating or 30 aggravating circumstances when indicated. The Inspector 31 General shall promulgate rules to establish criteria for 32 determining mitigating or aggravating circumstances when 33 determining if a report of abuse or neglect should be 34 substantiated or unsubstantiated. -4- LRB9204776LDpram 1 (b) The Inspector General shall within 24 hours after 2 receiving a report of suspected abuse or neglect determine 3 whether the evidence indicates that any possible criminal act 4 has been committed. If he determines that a possible criminal 5 act has been committed, or that special expertise is required 6 in the investigation, he shall immediately notify the 7 Department of State Police. The Department of State Police 8 shall investigate any report indicating a possible murder, 9 rape, or other felony. All investigations conducted by the 10 Inspector General shall be conducted in a manner designed to 11 ensure the preservation of evidence for possible use in a 12 criminal prosecution. 13 (b-5) The Inspector General shall make a determination 14 to accept or reject a preliminary report of the investigation 15 of alleged abuse or neglect based on established 16 investigative procedures. Notice of the Inspector General's 17 determination must be given to the person or persons alleged 18 to have been responsible for abuse or neglect and to the 19 facility or agency. The facility or agency or the person or 20 persons alleged to have been responsible for the abuse or 21 neglect may request clarification or reconsideration based on 22 additional information. For cases where the allegation of 23 abuse or neglect is substantiated, the Inspector General 24 shall require the facility or agency to submit a written 25 response. The written response from a facility or agency 26 shall address in a concise and reasoned manner the actions 27 that the agency or facility will take or has taken to protect 28 the resident or patient from abuse or neglect, prevent 29 reoccurrences, and eliminate problems identified and shall 30 include implementation and completion dates for all such 31 action. 32 (c) The Inspector General shall, within 10 calendar days 33 after the transmittal date of a completed investigation where 34 abuse or neglect is substantiated or administrative action is -5- LRB9204776LDpram 1 recommended, provide a complete report on the case to the 2 Secretary of Human Services and to the agency in which the 3 abuse or neglect is alleged to have happened. The complete 4 report shall include a written response from the agency or 5 facility operated by the State to the Inspector General that 6 addresses in a concise and reasoned manner the actions that 7 the agency or facility will take or has taken to protect the 8 resident or patient from abuse or neglect, prevent 9 reoccurrences, and eliminate problems identified and shall 10 include implementation and completion dates for all such 11 action. The Secretary of Human Services shall accept or 12 reject the response and establish how the Department will 13 determine whether the facility or program followed the 14 approved response. The Secretary may require Department 15 personnel to visit the facility or agency for training, 16 technical assistance, programmatic, licensure, or 17 certification purposes. Administrative action, including 18 sanctions, may be applied should the Secretary reject the 19 response or should the facility or agency fail to follow the 20 approved response. The facility or agency shall inform the 21 resident or patient and the legal guardian whether the 22 reported allegation was substantiated, unsubstantiated, or 23 unfounded. There shall be an appeals process for any person 24 or agency that is subject to any action based on a 25 recommendation or recommendations. 26 (d) The Inspector General may recommend to the 27 Departments of Public Health and Human Services sanctions to 28 be imposed against mental health and developmental 29 disabilities facilities under the jurisdiction of the 30 Department of Human Services for the protection of residents, 31 including appointment of on-site monitors or receivers, 32 transfer or relocation of residents, and closure of units. 33 The Inspector General may seek the assistance of the Attorney 34 General or any of the several State's attorneys in imposing -6- LRB9204776LDpram 1 such sanctions. 2 (e) The Inspector General shall establish and conduct 3 periodic training programs for Department employees 4 concerning the prevention and reporting of neglect and abuse. 5 (f) The Inspector General shall at all times be granted 6 access to any mental health or developmental disabilities 7 facility operated by the Department, shall establish and 8 conduct unannounced site visits to those facilities at least 9 once annually, and shall be granted access, for the purpose 10 of investigating a report of abuse or neglect, to any 11 facility or program funded by the Department that is subject 12 under the provisions of this Section to investigation by the 13 Inspector General for a report of abuse or neglect. 14 (g) Nothing in this Section shall limit investigations 15 by the Department of Human Services that may otherwise be 16 required by law or that may be necessary in that Department's 17 capacity as the central administrative authority responsible 18 for the operation of State mental health and developmental 19 disability facilities. 20 (g-5) After notice and an opportunity for a hearing that 21 is separate and distinct from the Office of the Inspector 22 General's appeals process as implemented under subsection (c) 23 of this Section, the Inspector General shall report to the 24 Department of Public Health's nurse aide registry under 25 Section 3-206.01 of the Nursing Home Care Act the identity of 26 individuals against whom there has been a substantiated 27 finding of abuse or neglect of a service recipient. 28 Nothing in this subsection shall diminish or impair the 29 rights of a person who is a member of a collective bargaining 30 unit pursuant to the Illinois Public Labor Relations Act or 31 pursuant to any federal labor statute. Notwithstanding 32 anything hereinafter or previously provided, if an 33 individual is terminated by an employer as the result of the 34 circumstances that led to a finding of abuse or neglect and -7- LRB9204776LDpram 1 that finding is later overturned under a grievance and/or 2 arbitration procedure provided for in Section 8 of the 3 Illinois Public Labor Relations Act or under a comparable 4 provision in another labor statute applicable to that person, 5 the report must be removed from the registry. 6 The Department of Human Services shall promulgate or 7 amend rules as necessary or appropriate to establish 8 procedures for reporting to the registry, including 9 procedures for notice to the individual, appeal and hearing, 10 and petition for removal of the report from the registry. The 11 portion of the rules pertaining to hearings shall provide 12 that, at the hearing, both parties may present written and 13 oral evidence. 14 Notice to the individual shall include a clear and 15 concise statement of the grounds on which the report to the 16 registry is based and notice of the opportunity for a hearing 17 to contest the report. The Department of Human Services shall 18 provide the notice by certified mail. The notice shall give 19 the individual an opportunity to contest the report in a 20 hearing before the Department of Human Services or to submit 21 a written response to the findings instead of requesting a 22 hearing. If after notice and a hearing or if the individual 23 does not request a hearing, the Department of Human Services 24 finds that the report is valid, the finding shall be included 25 as part of the registry, as well as a brief statement from 26 the reported individual if he or she chooses to make a 27 statement. The Department of Public Health shall make 28 available to the public information reported to the registry. 29 In the case of inquiries concerning an individual listed in 30 the registry, any information disclosed concerning a finding 31 of abuse or neglect shall also include disclosure of the 32 individual's brief statement in the registry relating to the 33 reported finding or include a clear and accurate summary of 34 the statement. -8- LRB9204776LDpram 1 At any time after the report to the registry, an 2 individual may petition the Department of Human Services for 3 removal from the registry of the finding against him or her. 4 The Department of Human Services may report the removal of 5 the finding to the registry unless, after an investigation 6 and a hearing, the Department of Human Services determines 7 that removal is not in the public interest. 8 (h) This Section is repealed on January 1, 2002. 9 (Source: P.A. 90-252, eff. 7-29-97; 90-512, eff. 8-22-97; 10 90-655, eff. 7-30-98; 91-169, eff. 7-16-99.) 11 Section 15. The Nursing Home Care Act is amended by 12 changing Section 3-206.1 as follows: 13 (210 ILCS 45/3-206.01) (from Ch. 111 1/2, par. 14 4153-206.01) 15 Sec. 3-206.01. Nurse aide registry. 16 (a) The Department shall establish and maintain a 17 registry of all individuals who have satisfactorily completed 18 the training required by Section 3-206. The registry shall 19 include the name of the nursing assistant, habilitation aide, 20 or child care aide, his or her current address, Social 21 Security number, and the date and location of the training 22 course completed by the individual, and the date of the 23 individual's last criminal records check. Any individual 24 placed on the registry is required to inform the Department 25 of any change of address within 30 days. A facility shall not 26 employ an individual as a nursing assistant, habilitation 27 aide, or child care aide unless the facility has inquired of 28 the Department as to information in the registry concerning 29 the individual and shall not employ anyone not on the 30 registry unless the individual is enrolled in a training 31 program under paragraph (5) of subsection (a) of Section 32 3-206 of this Act. -9- LRB9204776LDpram 1 If the Department finds that a nursing assistant, 2 habilitation aide, or child care aide has abused a resident, 3 neglected a resident, or misappropriated resident property in 4 a facility, the Department shall notify the individual of 5 this finding by certified mail sent to the address contained 6 in the registry. The notice shall give the individual an 7 opportunity to contest the finding in a hearing before the 8 Department or to submit a written response to the findings in 9 lieu of requesting a hearing. If, after a hearing or if the 10 individual does not request a hearing, the Department finds 11 that the individual abused a resident, neglected a resident, 12 or misappropriated resident property in a facility, the 13 finding shall be included as part of the registry as well as 14 a brief statement from the individual, if he or she chooses 15 to make such a statement. The Department shall make 16 information in the registry available to the public. In the 17 case of inquiries to the registry concerning an individual 18 listed in the registry, any information disclosed concerning 19 such a finding shall also include disclosure of any statement 20 in the registry relating to the finding or a clear and 21 accurate summary of the statement. 22 (b) The Department shall add to or remove from the nurse 23 aide registry records of findings as reported by the 24 Inspector General under Section 6.2 of the Abused and 25 Neglected Long Term Care Facility Residents Reporting Act. 26 (Source: P.A. 91-598, eff. 1-1-00.) 27 Section 99. Effective date. This Act takes effect on 28 January 1, 2002.".