State of Illinois
91st General Assembly
Legislation

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91_SB1566

 
                                               LRB9112202WHcs

 1        AN ACT regarding mental health services.

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

 4        Section 1.  Short title. This Act may  be  cited  as  the
 5    Mental Health Services Accountability Act.

 6        Section   5.  Legislative  findings  and  declaration  of
 7    policy.
 8        (a)  The purposes of this Act are to set forth a  program
 9    to  ensure  that  tax  dollars  expended  for  mental  health
10    services  to vulnerable citizens of the State of Illinois are
11    properly used for patient care and to  better  provide  human
12    services to needy citizens of Illinois. The State of Illinois
13    enters  into  reimbursement  agreements with, contracts with,
14    and provides grants  to  private  entities  (contractors  and
15    grantees)  for  the  purpose of providing residential and day
16    treatment services to the mentally  ill  and  developmentally
17    disabled.  The  State of Illinois enters into these contracts
18    and provides these grants to provide quality  human  services
19    necessary  for  the  care  and  development  of  its neediest
20    citizens.
21        (b)  The  General  Assembly   finds   that   workers   in
22    private-sector  mental health facilities are among the lowest
23    paid workers in the State and often do not benefit fully from
24    cost-of-living increases appropriated by the State  to  their
25    employers.  Low  wages  are  largely responsible for turnover
26    rates that near 80% per year.
27        (c)  The General Assembly finds that  the  needs  of  its
28    mentally  ill and developmentally disabled citizens cannot be
29    met if the services provided to  them  through  reimbursement
30    agreements,  contracts, or grant agreements between the State
31    of Illinois and  contractors  and  grantees  are  subject  to
 
                            -2-                LRB9112202WHcs
 1    disruption.
 2        (d)  The   General  Assembly  finds  that  mental  health
 3    providers across the  State  often  have  vigorously  opposed
 4    unionization  of  their  workers  and  diverted  tax  dollars
 5    intended  for  resident  care to hire consultants and conduct
 6    campaigns  aimed  at  influencing  the   outcome   of   union
 7    elections.  Additionally,  mental  health  providers opposing
 8    unionization of their workers have required  the  workers  to
 9    attend  compulsory  anti-union  meetings on tax-dollar funded
10    work time.
11        (e)  The General Assembly finds that the development of a
12    stable, well-trained, committed workforce is essential to the
13    provision of quality services to vulnerable citizens.
14        (f)  The General Assembly further finds that tax  dollars
15    intended  for  client  care  should  not  be  used to conduct
16    campaigns  aimed  at  influencing  the   outcome   of   union
17    elections.  In  addition, tax-dollar funded staff time should
18    be spent providing  care  to  clients  and  not  consumed  by
19    attending compulsory anti-union meetings.
20        (g)  It  is hereby declared to be the policy of the State
21    of Illinois that, to foster  the  development  of  a  stable,
22    well-trained,  committed  workforce,  the  State  of Illinois
23    shall prohibit the contractors or grantees from  using  State
24    funding  to  influence  the decision of their employees to be
25    represented or not be represented by a  union  when  a  labor
26    organization  seeks  to  become  the  representative of their
27    employees.

28        Section 10.  Definitions. As used in this Act:
29        "Contractor or grantee" means an  individual  or  entity,
30    other  than  the  State  of  Illinois,  a  State agency, or a
31    political subdivision of the State of Illinois, which  has  a
32    reimbursement  agreement or contractual or other relationship
33    with or has received moneys from the State of Illinois  or  a
 
                            -3-                LRB9112202WHcs
 1    State agency to provide residential or day treatment services
 2    to  mentally  ill  or developmentally disabled persons, which
 3    reimbursement agreement, contract,  or  grant  is  funded  in
 4    whole  or  in  part  by the State of Illinois, or through the
 5    Medicaid program of the  State  of  Illinois.    "Contractor"
 6    includes  a  subcontractor  and a contractor of a grantee and
 7    any  other  entity  which  provides  direct   care   services
 8    controlled in whole or in part by the contractor or an entity
 9    in   which   the  contractor  has  a  substantial  beneficial
10    interest.  "Grantee" includes a sub-grantee and a grantee  of
11    a  contractor and any other entity which provides direct care
12    services controlled in whole or in part by the grantee, or an
13    entity in which the  grantee  has  a  substantial  beneficial
14    interest.
15        "Employee"  means  a  person  employed by a contractor or
16    grantee  other  than  a  person  employed  in  a  bona   fide
17    supervisory  or  managerial position as defined by applicable
18    law.
19        "Labor organization" means an organization of any kind in
20    which employees participate and which exists for the purpose,
21    in whole or in part,  of  representing  employees  concerning
22    grievances,  labor  disputes,  wages, rates of pay, benefits,
23    hours of employment, or working conditions.
24        "Accountability agreement" means an agreement in which  a
25    contractor or a grantee agrees:
26             (i)  not  to  use State funds to promote, assist, or
27        deter union organizing or to otherwise seek to  influence
28        the decision of any of its employees to be represented or
29        not represented by a labor organization; and
30             (ii)  not  to  require or prohibit the attendance of
31        employees at any meeting related to union representation;
32        and
33             (iii) not to schedule or hold  meetings  related  to
34        union representation during an employee's work time or in
 
                            -4-                LRB9112202WHcs
 1        work areas; and
 2             (iv)   to   allow  a  labor  organization  the  same
 3        opportunity to communicate with employees as is  used  by
 4        the  contractor  or  the  grantee, including the right to
 5        have access to the premises of the contractor or grantee,
 6        post notices, distribute literature, and use the premises
 7        of the employer to hold meetings with employees.
 8        "State funds" means any money or  other  thing  of  value
 9    provided  by  the  State  of  Illinois,  a State agency, or a
10    political subdivision of the State of Illinois.

11        Section 15.  Policy requirements.
12        (a) All contractors and grantees shall be subject to  and
13    shall abide by an accountability agreement.
14        (b)  No contractor or grantee shall receive a contract or
15    grant to provide residential or day  treatment  services  for
16    the  mentally ill or developmentally disabled citizens of the
17    State of Illinois unless the contractor or grantee has agreed
18    to an accountability agreement.
19        (c)  Any  reimbursement  agreement,  contract,  or  grant
20    entered into by and between a contractor or a grantee and the
21    State of Illinois or a State agency to provide residential or
22    day treatment services to the mentally ill or developmentally
23    disabled shall include an  accountability  agreement  and  an
24    agreement  by  the  contractor  or grantee to comply with the
25    terms of the accountability agreement.
26        (d) Any grant agreement entered into  by  and  between  a
27    grantee  and  the  State  of  Illinois  or  a State agency to
28    provide residential or day treatment services to the mentally
29    ill   or   developmentally   disabled   shall   include    an
30    accountability  agreement  and an agreement by the grantee to
31    comply with the terms of the accountability agreement.
32        (e) Any contractor or grantee entering  into  a  contract
33    with  any  person  or  entity to provide direct care services
 
                            -5-                LRB9112202WHcs
 1    subject to  the  contract  or  grant  agreement  between  the
 2    contractor  or  grantee  and the State of Illinois or a State
 3    agency shall include in the contract or  grant  agreement  an
 4    accountability  agreement  identical  to  the  accountability
 5    agreement  in  the  contract  or  grant agreement between the
 6    contractor or grantee and the  State  of  Illinois  or  State
 7    agency.

 8        Section 20.  Reporting. Any labor organization may file a
 9    complaint  with  the  Department  of  Human  Services  if  it
10    believes  that  a contractor or grantee is expending funds in
11    violation of this Act. Upon the filing of such  a  complaint,
12    the  Department  of  Human Services shall, within 14 calendar
13    days, notify the contractor or grantee that it  must  provide
14    the following accounting:
15             (1)  the  date, the amount of, and the nature of any
16        use of money or other things of value for the  production
17        or   distribution   of   literature   or   other  similar
18        communications,  the  holding  of   meetings,   including
19        meetings  with  supervisors and managerial employees, and
20        the use of consultants or lawyers;
21             (2) the source of the money or other things of value
22        so used.
23        The accounting shall be made to the Department  of  Human
24    Services  within  14  calendar  days  of  the  receipt of the
25    request for it. The accounting shall be made available to the
26    complainant upon receipt by the Department of Human Services.

27        Section 25.  Enforcement.
28        (a) If a contractor or grantee breaches an accountability
29    agreement or fails to comply with the reporting  requirements
30    of  Section  20,  the  State  of Illinois may take any action
31    necessary to enforce compliance, including but not limited to
32    a civil action for  injunctive  relief,  declaratory  relief,
 
                            -6-                LRB9112202WHcs
 1    specific  performance,  or  damages or a combination of those
 2    remedies.
 3        (b) If the State of Illinois brings an enforcement action
 4    for violation of this Act, any person or  labor  organization
 5    with  a  direct interest in compliance with this Act may join
 6    in that enforcement action as a real party in interest.
 7        (c) If the State of Illinois  declines  to  institute  an
 8    action  for enforcement for violation of this Act, any person
 9    or labor organization with a direct  interest  in  compliance
10    with this Act may institute and enforce a civil action on his
11    or  her  or  its own behalf against the contractor or grantee
12    and seek  injunctive  relief,  declaratory  relief,  specific
13    performance, or damages or a combination of those remedies.
14        (d)  Remedies  for  violation of this Act include but are
15    not limited to injunctive and  declaratory  relief,  specific
16    performance,  and monetary damages. In view of the difficulty
17    of determining actual damages incurred because of a violation
18    of this Act, liquidated damages shall be awarded at the  rate
19    of $1,000 for each violation plus an additional $500 for each
20    day  the violation continues without remedy. Damages shall be
21    distributed equally between the State  of  Illinois  and  the
22    private plaintiffs, if any.

23        Section 90.  Severability. The provisions of this Act are
24    severable under Section 1.31 of the Statute on Statutes.

25        Section  99.  Effective date.  This Act takes effect upon
26    becoming law.

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