HB0653 EnrolledLRB097 03481 RPM 43518 b

1    AN ACT concerning regulation.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 1. Short title. This amendatory Act may be referred
5to as Paul's Law.
 
6    Section 5. The Community-Integrated Living Arrangements
7Licensure and Certification Act is amended by changing Sections
84 and 9 and by adding Sections 13, 14, and 15 as follows:
 
9    (210 ILCS 135/4)  (from Ch. 91 1/2, par. 1704)
10    Sec. 4. (a) Any community mental health or developmental
11services agency who wishes to develop and support a variety of
12community-integrated living arrangements may do so pursuant to
13a license issued by the Department under this Act. However,
14programs established under or otherwise subject to the Child
15Care Act of 1969, the Nursing Home Care Act, or the MR/DD
16Community Care Act, as now or hereafter amended, shall remain
17subject thereto, and this Act shall not be construed to limit
18the application of those Acts.
19    (b) The system of licensure established under this Act
20shall be for the purposes of:
21        (1) Insuring that all recipients residing in
22    community-integrated living arrangements are receiving

 

 

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1    appropriate community-based services, including treatment,
2    training and habilitation or rehabilitation;
3        (2) Insuring that recipients' rights are protected and
4    that all programs provided to and placements arranged for
5    recipients comply with this Act, the Mental Health and
6    Developmental Disabilities Code, and applicable Department
7    rules and regulations;
8        (3) Maintaining the integrity of communities by
9    requiring regular monitoring and inspection of placements
10    and other services provided in community-integrated living
11    arrangements.
12    The licensure system shall be administered by a quality
13assurance unit within the Department which shall be
14administratively independent of units responsible for funding
15of agencies or community services.
16    (c) As a condition of being licensed by the Department as a
17community mental health or developmental services agency under
18this Act, the agency shall certify to the Department that:
19        (1) All recipients residing in community-integrated
20    living arrangements are receiving appropriate
21    community-based services, including treatment, training
22    and habilitation or rehabilitation;
23        (2) All programs provided to and placements arranged
24    for recipients are supervised by the agency; and
25        (3) All programs provided to and placements arranged
26    for recipients comply with this Act, the Mental Health and

 

 

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1    Developmental Disabilities Code, and applicable Department
2    rules and regulations.
3    (d) An applicant for licensure as a community mental health
4or developmental services agency under this Act shall submit an
5application pursuant to the application process established by
6the Department by rule and shall pay an application fee in an
7amount established by the Department, which amount shall not be
8more than $200.
9    (e) If an applicant meets the requirements established by
10the Department to be licensed as a community mental health or
11developmental services agency under this Act, after payment of
12the licensing fee, the Department shall issue a license valid
13for 3 years from the date thereof unless suspended or revoked
14by the Department or voluntarily surrendered by the agency.
15    (f) Upon application to the Department, the Department may
16issue a temporary permit to an applicant for a 6-month period
17to allow the holder of such permit reasonable time to become
18eligible for a license under this Act.
19    (g)(1) The Department may conduct site visits to an agency
20licensed under this Act, or to any program or placement
21certified by the agency, and inspect the records or premises,
22or both, of such agency, program or placement as it deems
23appropriate, for the purpose of determining compliance with
24this Act, the Mental Health and Developmental Disabilities
25Code, and applicable Department rules and regulations.
26    (2) If the Department determines that an agency licensed

 

 

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1under this Act is not in compliance with this Act or the rules
2and regulations promulgated under this Act, the Department
3shall serve a notice of violation upon the licensee. Each
4notice of violation shall be prepared in writing and shall
5specify the nature of the violation, the statutory provision or
6rule alleged to have been violated, and that the licensee
7submit a plan of correction to the Department if required. The
8notice shall also inform the licensee of any other action which
9the Department might take pursuant to this Act and of the right
10to a hearing.
11    (g-5) As determined by the Department, a disproportionate
12number or percentage of licensure complaints; a
13disproportionate number or percentage of substantiated cases
14of abuse, neglect, or exploitation involving an agency; an
15apparent unnatural death of an individual served by an agency;
16any egregious or life-threatening abuse or neglect within an
17agency; or any other significant event as determined by the
18Department shall initiate a review of the agency's license by
19the Department, as well as a review of its service agreement
20for funding. The Department shall adopt rules to establish the
21process by which the determination to initiate a review shall
22be made and the timeframe to initiate a review upon the making
23of such determination.
24    (h) Upon the expiration of any license issued under this
25Act, a license renewal application shall be required of and a
26license renewal fee in an amount established by the Department

 

 

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1shall be charged to a community mental health or developmental
2services agency, provided that such fee shall not be more than
3$200.
4(Source: P.A. 96-339, eff. 7-1-10.)
 
5    (210 ILCS 135/9)  (from Ch. 91 1/2, par. 1709)
6    Sec. 9. By July 1, 1989, the Department shall adopt rules
7pursuant to the Illinois Administrative Procedure Act to
8establish minimum standards for licensing community-integrated
9living arrangements under this Act. These rules shall govern
10the operation and conduct of community-integrated living
11arrangements and shall provide for the license application
12process; agency standards and financial requirements;
13licensing, certification and license renewal procedures;
14revocation of licenses; notification to recipients of their
15rights and the ability to contact the Guardianship and Advocacy
16Commission; emergency actions which can be taken by the
17Department to protect recipients' rights, welfare, and safety;
18and any other rules deemed necessary to implement the
19provisions of this Act.
20    By December 31, 1996, the Department shall adopt rules
21under the Illinois Administrative Procedure Act that specify
22the components of reimbursement for community-integrated
23living arrangements and include costs as reported on the
24Interagency Statistical and Financial Report.
25    By December 31, 2011, the Department shall adopt rules

 

 

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1under the Illinois Administrative Procedure Act that govern the
2assignment and operations of monitors and receiverships for
3community-integrated living arrangements wherein the
4Department has identified systemic risks to individuals
5served. The rules shall specify the criteria for determining
6the need for independent monitors and receivers, their conduct
7once established, and their reporting requirements to the
8Department. These monitors and receivers shall be independent
9entities appointed by the Department and not staff from State
10agencies. This paragraph does not limit, however, the
11Department's authority to take necessary action through its own
12or other State staff.
13(Source: P.A. 89-31, eff. 6-23-95.)
 
14    (210 ILCS 135/13 new)
15    Sec. 13. Registry checks for employees.
16    (a) Within 60 days after the effective date of this
17amendatory Act of the 97th General Assembly, the Department
18shall require all of its community developmental services
19agencies to conduct required registry checks on employees at
20the time of hire and annually thereafter during employment. The
21required registries to be checked are the Health Care Worker
22Registry, the Department of Children and Family Services' State
23Central Register, and the Illinois Sex Offender Registry. A
24person may not be employed if he or she is found to have
25disqualifying convictions or substantiated cases of abuse or

 

 

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1neglect. At the time of the annual registry checks, if a
2current employee's name has been placed on a registry with
3disqualifying convictions or disqualifying substantiated cases
4of abuse or neglect, then the employee must be terminated.
5Disqualifying convictions or disqualifying substantiated cases
6of abuse or neglect are defined for the Department of Children
7and Family Services' State Central Register by the Department
8of Children and Family Services' standards for background
9checks in Part 385 of Title 89 of the Illinois Administrative
10Code. Disqualifying convictions or disqualifying substantiated
11cases of abuse or neglect are defined for the Health Care
12Worker Registry by the Health Care Worker Background Check Act
13and the Department's standards for abuse and neglect
14investigations in Section 1-17 of the Department of Human
15Services Act.
16    (b) In collaboration with the Department of Children and
17Family Services and the Department of Public Health, the
18Department of Human Services shall establish a waiver process
19from the prohibition of employment or termination of employment
20requirements in subsection (a) of this Section for any
21applicant or employee listed under the Department of Children
22and Family Services' State Central Register seeking to be hired
23or maintain his or her employment with a community
24developmental services agency under this Act. The waiver
25process for applicants and employees outlined under Section 40
26of the Health Care Worker Background Check Act shall remain in

 

 

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1effect for individuals listed on the Health Care Worker
2Registry.
3    (c) In order to effectively and efficiently comply with
4subsection (a), the Department of Children and Family Services
5shall take immediate actions to streamline the process for
6checking the State Central Register for employees hired by
7community developmental services agencies referenced in this
8Act. These actions may include establishing a website for
9registry checks or establishing a registry check process
10similar to the Health Care Worker Registry.
 
11    (210 ILCS 135/14 new)
12    Sec. 14. Transparency for individuals and guardians. By
13October 1, 2011, the Department shall make available to
14individuals and guardians upon enrollment a document listing
15telephone numbers and other contact information to report
16suspected cases of abuse, neglect, or exploitation. The
17information provided shall include a delineation of the
18individuals' rights. By July 1, 2012, the Department shall make
19available through its website information on each agency
20regarding licensure and quality assurance survey results;
21licensure and contract status; and substantiated findings of
22abuse, egregious neglect, and exploitation. The Department
23shall adopt rules regarding the posting of this information and
24shall inform individuals and guardians of its availability
25during the initial provider selection process.
 

 

 

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1    (210 ILCS 135/15 new)
2    Sec. 15. Designation of representative. Any adult resident
3of a community-integrated living arrangement who does not have
4a legal guardian and has not been adjudicated incompetent may
5designate another adult of his or her choice to serve as the
6representative of the resident for the sole purpose of
7receiving notification from the agency or from the Department
8concerning any incident or condition regarding the health,
9safety, or well-being of the resident. The designation shall be
10made in writing and signed by the resident, the designated
11representative, and a representative of the agency. The agency
12shall inform the resident of his or her right to designate
13another adult as a representative for such purposes. The
14designation may be revoked in writing by the resident at any
15time. The agency shall provide a designation of representative
16form that is substantially the same as the following:
 
17
"DESIGNATION OF REPRESENTATIVE

 
18I, (insert name), am....... years old and reside at........
 
19I have not been adjudicated incompetent and do not have a legal
20guardian.
 
21I hereby delegate (insert name, phone number, and e-mail

 

 

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1address of designated representative), an adult who resides
2at.........., as my representative for the sole purpose of
3receiving notification of any incident that may affect my
4health, safety or well-being while a resident at.........., and
5hereby give my consent to (insert name of agency) to
6communicate with (insert name of designated representative)
7about any such incident.
 
8I understand that I may revoke this Designation of
9Representative at any time by notifying (insert name of agency)
10in writing that I wish to do so.
 
11I also understand that by executing this document I am waiving
12my right to confidentiality, but only to the extent of the
13authority conveyed in this document.
 
14(Insert Name of Resident)
 
15.....................
16Signature of Resident
 
17(Insert Name of Representative)
 
18...........................
19Signature of Representative
 

 

 

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1(Insert Name of Agency Representative)
 
2...........................
3Signature of Representative".
 
4    Section 99. Effective date. This Act takes effect upon
5becoming law.