State of Illinois
92nd General Assembly
Legislation

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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 5        (Section scheduled to be repealed on January 1, 2002)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.".

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