State of Illinois
92nd General Assembly
Legislation

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[ Engrossed ][ Enrolled ][ Senate Amendment 001 ]
[ Senate Amendment 002 ]


92_SB2022

 
                                               LRB9215724RCcd

 1        AN  ACT  concerning   mental   health   and   development
 2    disabilities confidentiality.

 3        Be  it  enacted  by  the People of the State of Illinois,
 4    represented in the General Assembly:

 5        Section  5.   The   Mental   Health   and   Developmental
 6    Disabilities  Confidentiality  Act  is  amended  by  changing
 7    Section 10 as follows:

 8        (740 ILCS 110/10) (from Ch. 91 1/2, par. 810)
 9        Sec.  10.   (a)  Except as provided herein, in any civil,
10    criminal, administrative, or legislative  proceeding,  or  in
11    any  proceeding  preliminary  thereto,  a  recipient,  and  a
12    therapist  on  behalf and in the interest of a recipient, has
13    the privilege to  refuse  to  disclose  and  to  prevent  the
14    disclosure of the recipient's record or communications.
15             (1)  Records  and communications may be disclosed in
16        a civil, criminal or administrative proceeding  in  which
17        the  recipient  introduces  his  mental  condition or any
18        aspect of his services received for such condition as  an
19        element  of  his  claim  or  defense,  if and only to the
20        extent the court  in  which  the  proceedings  have  been
21        brought, or, in the case of an administrative proceeding,
22        the  court  to which an appeal or other action for review
23        of an administrative determination may be  taken,  finds,
24        after   in  camera  examination  of  testimony  or  other
25        evidence, that it  is  relevant,  probative,  not  unduly
26        prejudicial   or   inflammatory,  and  otherwise  clearly
27        admissible;   that   other   satisfactory   evidence   is
28        demonstrably unsatisfactory  as  evidence  of  the  facts
29        sought  to  be  established  by  such  evidence; and that
30        disclosure  is  more  important  to  the   interests   of
31        substantial  justice  than  protection from injury to the
 
                            -2-                LRB9215724RCcd
 1        therapist-recipient relationship or to the  recipient  or
 2        other  whom  disclosure  is  likely to harm.  Except in a
 3        criminal  proceeding  in  which  the  recipient,  who  is
 4        accused  in  that  proceeding,  raises  the  defense   of
 5        insanity,  no record or communication between a therapist
 6        and a recipient shall be deemed relevant for purposes  of
 7        this  subsection,  except the fact of treatment, the cost
 8        of services and the ultimate diagnosis unless  the  party
 9        seeking   disclosure   of   the   communication   clearly
10        establishes  in the trial court a compelling need for its
11        production. However, for purposes of  this  Act,  in  any
12        action  brought  or  defended under the Illinois Marriage
13        and Dissolution of Marriage Act,  or  in  any  action  in
14        which  pain  and  suffering  is  an element of the claim,
15        mental condition shall not be  deemed  to  be  introduced
16        merely  by  making  such  claim and shall be deemed to be
17        introduced only if the recipient  or  a  witness  on  his
18        behalf   first   testifies   concerning   the  record  or
19        communication.
20             (2)  Records or communications may be disclosed in a
21        civil proceeding after the  recipient's  death  when  the
22        recipient's   physical   or  mental  condition  has  been
23        introduced as an element of a claim  or  defense  by  any
24        party  claiming  or defending through or as a beneficiary
25        of the recipient, provided  the  court  finds,  after  in
26        camera  examination of the evidence, that it is relevant,
27        probative, and otherwise clearly admissible;  that  other
28        satisfactory  evidence  is  not  available  regarding the
29        facts sought to be established by such evidence; and that
30        disclosure  is  more  important  to  the   interests   of
31        substantial justice than protection from any injury which
32        disclosure is likely to cause.
33             (3)  In the event of a claim made or an action filed
34        by  a  recipient, or, following the recipient's death, by
 
                            -3-                LRB9215724RCcd
 1        any party claiming as a beneficiary of the recipient  for
 2        injury caused in the course of providing services to such
 3        recipient,  the therapist and other persons whose actions
 4        are alleged to have been the cause of injury may disclose
 5        pertinent records and communications to  an  attorney  or
 6        attorneys  engaged  to render advice about and to provide
 7        representation in connection  with  such  matter  and  to
 8        persons working under the supervision of such attorney or
 9        attorneys,   and  may  testify  as  to  such  records  or
10        communication  in   any   administrative,   judicial   or
11        discovery  proceeding  for  the  purpose of preparing and
12        presenting a defense against such claim or action.
13             (4)  Records and communications  made  to  or  by  a
14        therapist in the course of examination ordered by a court
15        for  good  cause  shown  may,  if  otherwise relevant and
16        admissible,  be  disclosed  in  a  civil,  criminal,   or
17        administrative  proceeding  in  which  the recipient is a
18        party or in appropriate  pretrial  proceedings,  provided
19        such  court  has  found  that  the  recipient has been as
20        adequately and as effectively as possible informed before
21        submitting to such  examination  that  such  records  and
22        communications  would  not  be considered confidential or
23        privileged.  Such records  and  communications  shall  be
24        admissible  only  as  to issues involving the recipient's
25        physical or mental condition and only to the extent  that
26        these are germane to such proceedings.
27             (5)  Records  and communications may be disclosed in
28        a proceeding under the Probate Act of 1975, to  determine
29        a   recipient's  competency  or  need  for  guardianship,
30        provided that the disclosure is made only with respect to
31        that issue.
32             (6)  Records and  communications  may  be  disclosed
33        when  such  are made during treatment which the recipient
34        is ordered to undergo to render him fit to stand trial on
 
                            -4-                LRB9215724RCcd
 1        a criminal charge, provided that the disclosure  is  made
 2        only with respect to the issue of fitness to stand trial.
 3             (7)  Records and communications of the recipient may
 4        be  disclosed  in  any civil or administrative proceeding
 5        involving the validity  of  or  benefits  under  a  life,
 6        accident,   health  or  disability  insurance  policy  or
 7        certificate,  or  Health  Care  Service  Plan   Contract,
 8        insuring  the  recipient,  but  only if and to the extent
 9        that the recipient's mental condition,  or  treatment  or
10        services  in  connection therewith, is a material element
11        of any claim or  defense  of  any  party,  provided  that
12        information  sought or disclosed shall not be redisclosed
13        except  in  connection  with  the  proceeding  in   which
14        disclosure is made.
15             (8)  Records or communications may be disclosed when
16        such  are  relevant  to  a  matter in issue in any action
17        brought  under  this  Act  and  proceedings   preliminary
18        thereto, provided that any information so disclosed shall
19        not  be utilized for any other purpose nor be redisclosed
20        except in connection  with  such  action  or  preliminary
21        proceedings.
22             (9)  Records and communications of the recipient may
23        be disclosed in investigations of and trials for homicide
24        when  the  disclosure  relates  directly  to  the fact or
25        immediate circumstances of the homicide.
26             (10)  Records  and  communications  of  a   deceased
27        recipient  may  be  disclosed  to  a coroner conducting a
28        preliminary  investigation  into  the  recipient's  death
29        under Section 3-3013  of  the  Counties  Code.   However,
30        records  and  communications  of  the  deceased recipient
31        disclosed in an investigation shall be limited solely  to
32        the   deceased  recipient's  records  and  communications
33        relating to the factual  circumstances  of  the  incident
34        being investigated in a mental health facility.
 
                            -5-                LRB9215724RCcd
 1             (11)  Records  and  communications  of  a  recipient
 2        shall  be  disclosed  in a proceeding where a petition or
 3        motion is filed under the Juvenile Court Act of 1987  and
 4        the  recipient  is  named as a parent, guardian, or legal
 5        custodian of a minor who is the subject of a petition for
 6        wardship as described in Section 2-3 of  that  Act  or  a
 7        minor  who  is  the subject of a petition for wardship as
 8        described in Section 2-4 of that Act alleging  the  minor
 9        is  abused,  neglected,  or dependent or the recipient is
10        named as a parent of a child who  is  the  subject  of  a
11        petition,  supplemental  petition, or motion to appoint a
12        guardian with the power  to  consent  to  adoption  under
13        Section 2-29 of the Juvenile Court Act of 1987.
14             (12)  Records  and  communications  of the recipient
15        shall be disclosed upon  request  of  a  law  enforcement
16        officer,  a  State's Attorney, the Attorney General, or a
17        designee of any of these persons upon proof that a  valid
18        felony   warrant   was  issued  for  the  arrest  of  the
19        recipient. However, records  and  communications  of  the
20        recipient  disclosed  shall  be limited solely to records
21        and communications concerning: (i) the  recipient's  past
22        or current presence at a mental health facility; and (ii)
23        the date of the recipient's discharge or future discharge
24        from a mental health facility.
25        (b)  Before  a  disclosure  is made under subsection (a),
26    any party to the proceeding or any  other  interested  person
27    may   request   an   in   camera  review  of  the  record  or
28    communications  to  be  disclosed.   The  court   or   agency
29    conducting the proceeding may hold an in camera review on its
30    own  motion.  When,  contrary  to  the  express  wish  of the
31    recipient, the therapist asserts a privilege on behalf and in
32    the interest of a recipient, the court may require  that  the
33    therapist, in an in camera hearing, establish that disclosure
34    is  not  in the best interest of the recipient.  The court or
 
                            -6-                LRB9215724RCcd
 1    agency may prevent disclosure  or  limit  disclosure  to  the
 2    extent  that  other  admissible  evidence  is  sufficient  to
 3    establish  the facts in issue.  The court or agency may enter
 4    such orders as may be  necessary  in  order  to  protect  the
 5    confidentiality,  privacy,  and safety of the recipient or of
 6    other persons.  Any order to  disclose  or  to  not  disclose
 7    shall  be considered a final order for purposes of appeal and
 8    shall be subject to interlocutory appeal.
 9        (c)  A recipient's  records  and  communications  may  be
10    disclosed  to  a  duly  authorized  committee,  commission or
11    subcommittee of the General Assembly which possesses subpoena
12    and hearing powers, upon a  written  request  approved  by  a
13    majority  vote  of  the committee, commission or subcommittee
14    members.   The  committee,  commission  or  subcommittee  may
15    request records only for the  purposes  of  investigating  or
16    studying   possible  violations  of  recipient  rights.   The
17    request shall state  the  purpose  for  which  disclosure  is
18    sought.
19        The facility shall notify the recipient, or his guardian,
20    and therapist in writing of any disclosure request under this
21    subsection  within  5 business days after such request.  Such
22    notification shall also inform the  recipient,  or  guardian,
23    and  therapist  of  their  right  to object to the disclosure
24    within 10 business days after receipt of the notification and
25    shall include the name, address and telephone number  of  the
26    committee,  commission or subcommittee member or staff person
27    with whom an objection shall be filed.  If no  objection  has
28    been  filed  within  15  business  days after the request for
29    disclosure, the  facility  shall  disclose  the  records  and
30    communications  to the committee, commission or subcommittee.
31    If an objection has been filed within 15 business days  after
32    the  request  for disclosure, the facility shall disclose the
33    records  and  communications  only   after   the   committee,
34    commission  or  subcommittee  has  permitted  the  recipient,
 
                            -7-                LRB9215724RCcd
 1    guardian  or  therapist  to  present  his objection in person
 2    before it and has renewed its request  for  disclosure  by  a
 3    majority vote of its members.
 4        Disclosure  under  this  subsection shall not occur until
 5    all  personally  identifiable  data  of  the  recipient   and
 6    provider  are  removed  from  the records and communications.
 7    Disclosure under this  subsection  shall  not  occur  in  any
 8    public proceeding.
 9        (d)  No   party   to   any   proceeding  described  under
10    paragraphs (1), (2), (3), (4), (7), or (8) of subsection  (a)
11    of  this  Section,  nor  his  or  her attorney, shall serve a
12    subpoena   seeking   to   obtain   access   to   records   or
13    communications  under  this  Act  unless  the   subpoena   is
14    accompanied by a written order issued by a judge, authorizing
15    the  disclosure  of  the  records  or  the  issuance  of  the
16    subpoena.  No person shall comply with a subpoena for records
17    or communications under this  Act,  unless  the  subpoena  is
18    accompanied  by  a  written order authorizing the issuance of
19    the subpoena or the disclosure of the records.
20        (e)  When a  person  has  been  transported  by  a  peace
21    officer to a mental health facility, then upon the request of
22    a peace officer, if the person is allowed to leave the mental
23    health   facility  within  48  hours  of  arrival,  excluding
24    Saturdays, Sundays, and holidays, the facility director shall
25    notify the local  law  enforcement  authority  prior  to  the
26    release  of  the person.  The local law enforcement authority
27    may re-disclose the information as  necessary  to  alert  the
28    appropriate enforcement or prosecuting authority.
29        (f)  A  recipient's  records  and communications shall be
30    disclosed to the Inspector General of the Department of Human
31    Services  within  10  business  days  of  a  request  by  the
32    Inspector  General  in  the  course   of   an   investigation
33    authorized  by  the  Abused  and  Neglected  Long  Term  Care
34    Facility  Residents  Reporting  Act and applicable rule.  The
 
                            -8-                LRB9215724RCcd
 1    request shall be in  writing  and  signed  by  the  Inspector
 2    General  or his or her designee.  The request shall state the
 3    purpose for which  disclosure  is  sought.   Any  person  who
 4    knowingly and willfully refuses to comply with such a request
 5    is guilty of a Class A misdemeanor.
 6    (Source: P.A. 91-726, eff. 6-2-00; 92-358, eff. 8-15-01.)

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