Public Act 90-0423 of the 90th General Assembly

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Public Act 90-0423

SB956 Enrolled                                 LRB9002180WHmg

    AN ACT to amend certain Acts in relation to mental health
and developmental disabilities.

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

    Section   5.    The   Department  of  Mental  Health  and
Developmental  Disabilities  Act  (short  title  changed   to
Mental  Health  and Developmental Disabilities Administrative
Act effective July 1, 1997) is amended by  changing  Sections
4.2, 15, and 54 as follows:

    (20 ILCS 1705/4.2) (from Ch. 91 1/2, par. 100-4.2)
    Sec.  4.2.  Facility staff. The Department shall describe
and delineate  guidelines  for  each  of  the  facilities  it
operates regarding the number and qualifications of the staff
required to carry out prescribed duties. The guidelines shall
be  based  on  consideration  of  recipient  needs as well as
professional and programmatic requirements,  including  those
established  for  purposes  of national accreditation and for
certification under Titles  XVIII  and  XIX  of  the  federal
Social  Security  Act.  The  Department  shall  utilize those
guidelines in the preparation of its annual  plan  and  shall
include  in  the  plan  a report of efforts in management and
budgeting  at  each  facility  to  achieve  staffing  targets
established in relation to the guidelines.
    (b)  As used in  this  Section,  "direct  care  position"
means  any  position  with  the  Department  in which the job
titles which will regularly  or  temporarily  entail  contact
with  recipients  in  the Department's facilities for persons
with a mental illness or a developmental disability.
    (c)  The Department shall require that each candidate for
employment in a direct  care  position,  as  a  condition  of
employment,  shall  submit  to  a  fingerprint-based criminal
background investigation to  determine whether the  candidate
for  employment  in  a  direct  care  position  has ever been
charged with a crime and, if so,  the  disposition  of  those
charges.  This  authorization shall indicate the scope of the
inquiry and the agencies which may be  contacted.  Upon  this
authorization,  the  Director  (or, on or after July 1, 1997,
the Secretary) shall  request  and  receive  information  and
assistance  from  any  federal,   State or local governmental
agency  as  part  of  the   authorized   investigation.   The
Department   of   State   Police  shall  provide  information
concerning any criminal charges, and their  disposition,  now
or  hereafter  filed  against a candidate for employment in a
direct care position upon request of the Department when  the
request  is  made  in  the  form  and manner  required by the
Department of State Police.
    Information concerning convictions  of  a  candidate  for
employment  in a direct care position investigated under this
Section, including the  source of  the  information  and  any
conclusions or  recommendations derived from the information,
shall  be  provided,  upon  request,  to    the candidate for
employment in a direct care position before final  action  by
the Department on the application. Information on convictions
of a candidate for employment in a direct care position under
this  Act  shall be provided to the director of the employing
unit, and,  upon request, to the candidate for employment  in
a  direct care position. Any information concerning  criminal
charges and the disposition of those charges obtained by  the
Department  shall  be confidential and may not be transmitted
outside the Department, except as required  in this Act,  and
may not be transmitted to anyone within the Department except
as  needed  for the purpose of evaluating an application of a
candidate for employment in a direct  care  position.    Only
information   and  standards  which  bear  a  reasonable  and
rational relation to  the    performance  of  a  direct  care
position  shall  be  used by the Department. Any employee  of
the Department or the Department  of State  Police  receiving
confidential  information  under  this  Section  who gives or
causes to be given any  confidential  information  concerning
any  criminal convictions of  a candidate for employment in a
direct care position shall be guilty of a Class A misdemeanor
unless  release of the  information  is  authorized  by  this
Section.
    A  Department  employing unit may hire, on a probationary
basis, any  candidate  for  employment  in  a    direct  care
position,  authorizing  a  criminal  background investigation
under this  Section, pending the result of the investigation.
A candidate for employment in a direct care position shall be
notified before he or she is hired that his or her employment
may  be  terminated  on  the  basis  of  criminal  background
information obtained by the employing unit.
    No person may be employed in a direct care  position  who
refuses  to  authorize  an  investigation as required by this
subsection (c).
(Source: P.A. 86-1013.)

    (20 ILCS 1705/15) (from Ch. 91 1/2, par. 100-15)
    (Text of Section in effect until July 1, 1997)
    Sec. 15.  Before any person is released from  a  facility
operated  by the State pursuant to an absolute discharge or a
conditional discharge from hospitalization  under  this  Act,
the facility director of the facility in which such person is
hospitalized   shall   determine  that  such  person  is  not
currently in need of hospitalization and:
         (a)  is able to live independently in the community;
    or
         (b)  requires further oversight and supervisory care
    for which arrangements have been  made  with  responsible
    relatives  or  supervised residential program approved by
    the Department; or
         (c)  requires  further  personal  care  or   general
    oversight  as  defined  by the Nursing Home Care Act, for
    which  placement  arrangements  have  been  made  with  a
    suitable family home or other licensed facility  approved
    by the Department under this Section.
    Such  determination  shall  be  made in writing and shall
become a part of the facility record of  such  absolutely  or
conditionally  discharged  person.   When  the  determination
indicates  that  the condition of the person to be granted an
absolute discharge or a conditional  discharge  is  described
under  subparagraph (c) of this Section, the name and address
of the continuing care facility or home to which such  person
is  to  be  released shall be entered in the facility record.
Where a discharge from a mental health facility is made under
subparagraph  (c),  the  Department  of  Mental  Health   and
Developmental   Disabilities   shall  assign  the  person  so
discharged to  an  existing  community  based  not-for-profit
agency  for  participation  in day activities suitable to the
person's needs,  such  as  but  not  limited  to  social  and
vocational    rehabilitation,    and    other   recreational,
educational and financial  activities  unless  the  community
based  not-for-profit  agency  is  unqualified to accept such
assignment. Where the clientele of any not-for-profit  agency
increases  as  a  result of assignments under this amendatory
Act of 1977  by  more  than  3%  over  the  prior  year,  the
Department shall fully reimburse such agency for the costs of
providing  services  to  such  persons  in  excess of such 3%
increase.
    Insofar as desirable  in  the  interests  of  the  former
recipient,  the  facility,  program  or  home  in  which  the
discharged person is to be placed shall be located in or near
the   community   in   which  the  person  resided  prior  to
hospitalization or in the community  in  which  the  person's
family  or nearest next of kin presently reside. Placement of
the  discharged  person  in  facilities,  programs  or  homes
located outside of this  State  shall  not  be  made  by  the
Department   unless  there  are  no  appropriate  facilities,
programs or homes available within this  State.  Out-of-state
placements shall be subject to return of recipients so placed
upon the availability of facilities, programs or homes within
this  State  to  accommodate  these  recipients, except where
placement  in  a  contiguous  state  results  in  locating  a
recipient in a facility or program closer to the  recipient's
home  or  family.   If  an  appropriate  facility  or program
becomes available equal to or closer to the recipient's  home
or  family,  the recipient shall be returned to and placed at
the appropriate facility or program within this State.
    To place any  person  who  is  under  a  program  of  the
Department  at  board  in  a  suitable family home or in such
other facility or program  as  the  Department  may  consider
desirable.   The  Department  may  place  in licensed nursing
homes, sheltered care homes, or  homes  for  the  aged  those
persons  whose  behavioral  manifestations  and  medical  and
nursing   care   needs   are  such  as  to  be  substantially
indistinguishable  from  persons  already  living   in   such
facilities.   Prior  to any placement by the Department under
this Section, a determination shall be made by the  personnel
of  the  Department,  as to the capability and suitability of
such facility to adequately meet the needs of the  person  to
be  discharged.   When  specialized programs are necessary in
order to enable persons  in  need  of  supervised  living  to
develop  and  improve  in the community, the Department shall
place such  persons  only  in  specialized  residential  care
facilities  which  shall  meet Department standards including
restricted admission policy, special staffing and programming
for social and vocational rehabilitation, in addition to  the
requirements  of the appropriate State licensing agency.  The
Department shall not place any new person in a  facility  the
license  of  which has been revoked or not renewed on grounds
of inadequate programming, staffing, or medical or adjunctive
services,  regardless  of  the  pendency  of  an  action  for
administrative review regarding such revocation or failure to
renew. Before the Department may transfer  any  person  to  a
licensed  nursing  home,  sheltered care home or home for the
aged or place any person in a  specialized  residential  care
facility  the  Department  shall  notify  the  person  to  be
transferred,  or  a  responsible  relative of such person, in
writing, at least 30 days before the proposed transfer,  with
respect  to  all the relevant facts concerning such transfer,
except  in  cases  of  emergency  when  such  notice  is  not
required. If  either  the  person  to  be  transferred  or  a
responsible relative of such person objects to such transfer,
in  writing  to  the Department, at any time after receipt of
notice and before the transfer, the facility director of  the
facility   in   which   the  person  was  a  recipient  shall
immediately schedule a  hearing  at  the  facility  with  the
presence of the facility director, the person who objected to
such  proposed  transfer,  and a psychiatrist who is familiar
with the record of the person to be transferred. Such  person
to   be   transferred   or  a  responsible  relative  may  be
represented by such counsel or interested  party  as  he  may
appoint,  who  may present such testimony with respect to the
proposed transfer. Testimony presented at such hearing  shall
become    a    part   of   the   facility   record   of   the
person-to-be-transferred. The record of  testimony  shall  be
held  in the person-to-be-transferred's record in the central
files of the facility. If such hearing is held a transfer may
only be implemented,  if  at  all,  in  accordance  with  the
results  of  such  hearing. Within 15 days after such hearing
the facility director shall deliver his findings based on the
record of  the  case  and  the  testimony  presented  at  the
hearing,  by  registered or certified mail, to the parties to
such hearing. The findings of the facility director shall  be
deemed a final administrative decision of the Department. For
purposes  of  this  Section,  "case of emergency" means those
instances in which the health of the person to be transferred
is imperiled and the most appropriate mental health  care  or
medical  care  is  available  at  a  licensed  nursing  home,
sheltered  care  home  or  home for the aged or a specialized
residential care facility.
    Prior to placement of any person in a facility under this
Section the  Department  shall  ensure  that  an  appropriate
training  plan  for  staff  is provided by the facility. Said
training  may  include  instruction  and   demonstration   by
Department  personnel qualified in the area of mental illness
or mental retardation, as applicable  to  the  person  to  be
placed. Training may be given both at the facility from which
the  recipient  is  transferred and at the facility receiving
the recipient, and may be available  on  a  continuing  basis
subsequent to placement.  In a facility providing services to
former  Department recipients, training shall be available as
necessary for facility staff.  Such training  will  be  on  a
continuing  basis as the needs of the facility and recipients
change and further training is required.
    The Department shall not place any person in  a  facility
which does not have appropriately trained staff in sufficient
numbers  to  accommodate  the recipient population already at
the facility.  As a condition of further or future placements
of persons, the Department shall require  the  employment  of
additional  trained  staff members at the facility where said
persons are to be placed.  The Director,  or  his  designate,
shall  establish  guidelines  for  placement  of  persons  in
facilities under this Act.
    Bills  for  the support for a person boarded out shall be
payable monthly out of the proper maintenance funds and shall
be audited as any other accounts of  the  Department.   If  a
person  is  placed  in  a  facility  or  program  outside the
Department, the  Department  may  pay  the  actual  costs  of
residence,  treatment or maintenance in such facility and may
collect such actual costs  or  a  portion  thereof  from  the
recipient or the estate of a person placed in accordance with
this Section.
    Other  than  those placed in a family home the Department
shall cause all persons who are  placed  in  a  facility,  as
defined  by  the  Nursing  Home  Care  Act,  or in designated
community living situations or programs,  to  be  visited  at
least  once  during  every week for the first month following
placement, and once every month  thereafter  when  indicated.
Visits  shall  be  made  by  qualified and trained Department
personnel, or their designee, in the area of mental health or
developmental disabilities applicable to the person  visited,
and  shall  be  made on a more frequent basis when indicated.
The  Department  may  not  use  as  designee  any   personnel
connected  with  or responsible to the representatives of any
facility in which persons who  have  been  transferred  under
this  Section are placed.   In the course of such visit there
shall be  consideration  of  the  following  areas,  but  not
limited  thereto:  effects of transfer on physical and mental
health of the person, sufficiency of nursing care and medical
coverage  required  by  the  person,  sufficiency  of   staff
personnel  and  ability to provide basic care for the person,
social, recreational and  programmatic  activities  available
for the person, and other appropriate aspects of the person's
environment.
    A  report containing the above observations shall be made
to  the  Department  and  to  any  other  appropriate  agency
subsequent to each visitation.  At the conclusion of one year
following absolute or  conditional  discharge,  or  a  longer
period  of time if required by the Department, the Department
may terminate the visitation requirements of this Section  as
to a person placed in accordance with this Section, by filing
a  written  statement of termination setting forth reasons to
substantiate the termination of visitations in  the  person's
file,  and  sending  a copy thereof to the person, and to his
guardian or next of kin.
    Upon the complaint of any  person  placed  in  accordance
with   this  Section  or  any  responsible  citizen  or  upon
discovery that such person has  been  abused,  neglected,  or
improperly  cared for, or that the placement does not provide
the  type  of  care  required  by  the  recipient's   current
condition,  the Department immediately shall investigate, and
determine if the well-being, health, care, or safety  of  any
person  is  affected  by any of the above occurrences, and if
any one of the above occurrences is verified, the  Department
shall  remove  such  person  at  once  to  a  facility of the
Department or to another  facility  outside  the  Department,
provided  such  person's  needs  can be met at said facility.
The  Department  may  also  provide  any  person  placed   in
accordance  with this Section who is without available funds,
and who is permitted to  engage  in  employment  outside  the
facility,   such  sums  for  the  transportation,  and  other
expenses as may be needed by him until he receives his  wages
for such employment.
    The  Department  shall  promulgate  rules and regulations
governing the purchase of care for persons who are  wards  of
or  who  are  receiving  services  from the Department.  Such
rules and regulations shall apply to all monies  expended  by
any  agency of the State of Illinois for services rendered by
any person, corporate entity, agency, governmental agency  or
political  subdivision  whether  public or private outside of
the Department whether payment is made through a contractual,
per-diem or other arrangement.  No funds shall be paid to any
person, corporation, agency, governmental entity or political
subdivision  without   compliance   with   such   rules   and
regulations.
    The  rules  and  regulations  governing  purchase of care
shall  describe  categories  and  types  of  service   deemed
appropriate for purchase by the Department.
    Any  provider  of  services  under  this Act may elect to
receive payment for those services,  and  the  Department  is
authorized  to  arrange  for that payment, by means of direct
deposit  transmittals  to  the  service  provider's   account
maintained  at a bank, savings and loan association, or other
financial institution.  The financial  institution  shall  be
approved  by  the  Department,  and  the deposits shall be in
accordance  with  rules  and  regulations  adopted   by   the
Department.
(Source: P.A. 86-820; 86-922; 86-1028; 87-751.)

    (Text of Section taking effect July 1, 1997)
    Sec.  15.   Before any person is released from a facility
operated by the State pursuant to an absolute discharge or  a
conditional  discharge  from  hospitalization under this Act,
the facility director of the facility in which such person is
hospitalized  shall  determine  that  such  person   is   not
currently in need of hospitalization and:
         (a)  is able to live independently in the community;
    or
         (b)  requires further oversight and supervisory care
    for  which  arrangements  have been made with responsible
    relatives or supervised residential program  approved  by
    the Department; or
         (c)  requires   further  personal  care  or  general
    oversight as defined by the Nursing Home  Care  Act,  for
    which  placement  arrangements  have  been  made  with  a
    suitable  family home or other licensed facility approved
    by the Department under this Section.
    Such determination shall be made  in  writing  and  shall
become  a  part  of the facility record of such absolutely or
conditionally  discharged  person.   When  the  determination
indicates that the condition of the person to be  granted  an
absolute  discharge  or  a conditional discharge is described
under subparagraph (c) of this Section, the name and  address
of  the continuing care facility or home to which such person
is to be released shall be entered in  the  facility  record.
Where a discharge from a mental health facility is made under
subparagraph  (c),  the Department shall assign the person so
discharged to  an  existing  community  based  not-for-profit
agency  for  participation  in day activities suitable to the
person's needs,  such  as  but  not  limited  to  social  and
vocational    rehabilitation,    and    other   recreational,
educational and financial  activities  unless  the  community
based  not-for-profit  agency  is  unqualified to accept such
assignment. Where the clientele of any not-for-profit  agency
increases  as  a  result of assignments under this amendatory
Act of 1977  by  more  than  3%  over  the  prior  year,  the
Department shall fully reimburse such agency for the costs of
providing  services  to  such  persons  in  excess of such 3%
increase.
    Insofar as desirable  in  the  interests  of  the  former
recipient,  the  facility,  program  or  home  in  which  the
discharged person is to be placed shall be located in or near
the   community   in   which  the  person  resided  prior  to
hospitalization or in the community  in  which  the  person's
family  or nearest next of kin presently reside. Placement of
the  discharged  person  in  facilities,  programs  or  homes
located outside of this  State  shall  not  be  made  by  the
Department   unless  there  are  no  appropriate  facilities,
programs or homes available within this  State.  Out-of-state
placements shall be subject to return of recipients so placed
upon the availability of facilities, programs or homes within
this  State  to  accommodate  these  recipients, except where
placement  in  a  contiguous  state  results  in  locating  a
recipient in a facility or program closer to the  recipient's
home  or  family.   If  an  appropriate  facility  or program
becomes available equal to or closer to the recipient's  home
or  family,  the recipient shall be returned to and placed at
the appropriate facility or program within this State.
    To place any  person  who  is  under  a  program  of  the
Department  at  board  in  a  suitable family home or in such
other facility or program  as  the  Department  may  consider
desirable.   The  Department  may  place  in licensed nursing
homes, sheltered care homes, or  homes  for  the  aged  those
persons  whose  behavioral  manifestations  and  medical  and
nursing   care   needs   are  such  as  to  be  substantially
indistinguishable  from  persons  already  living   in   such
facilities.   Prior  to any placement by the Department under
this Section, a determination shall be made by the  personnel
of  the  Department,  as to the capability and suitability of
such facility to adequately meet the needs of the  person  to
be  discharged.   When  specialized programs are necessary in
order to enable persons  in  need  of  supervised  living  to
develop  and  improve  in the community, the Department shall
place such  persons  only  in  specialized  residential  care
facilities  which  shall  meet Department standards including
restricted admission policy, special staffing and programming
for social and vocational rehabilitation, in addition to  the
requirements  of the appropriate State licensing agency.  The
Department shall not place any new person in a  facility  the
license  of  which has been revoked or not renewed on grounds
of inadequate programming, staffing, or medical or adjunctive
services,  regardless  of  the  pendency  of  an  action  for
administrative review regarding such revocation or failure to
renew. Before the Department may transfer  any  person  to  a
licensed  nursing  home,  sheltered care home or home for the
aged or place any person in a  specialized  residential  care
facility  the  Department  shall  notify  the  person  to  be
transferred,  or  a  responsible  relative of such person, in
writing, at least 30 days before the proposed transfer,  with
respect  to  all the relevant facts concerning such transfer,
except  in  cases  of  emergency  when  such  notice  is  not
required. If  either  the  person  to  be  transferred  or  a
responsible relative of such person objects to such transfer,
in  writing  to  the Department, at any time after receipt of
notice and before the transfer, the facility director of  the
facility   in   which   the  person  was  a  recipient  shall
immediately schedule a  hearing  at  the  facility  with  the
presence of the facility director, the person who objected to
such  proposed  transfer,  and a psychiatrist who is familiar
with the record of the person to be transferred. Such  person
to   be   transferred   or  a  responsible  relative  may  be
represented by such counsel or interested  party  as  he  may
appoint,  who  may present such testimony with respect to the
proposed transfer. Testimony presented at such hearing  shall
become    a    part   of   the   facility   record   of   the
person-to-be-transferred. The record of  testimony  shall  be
held  in the person-to-be-transferred's record in the central
files of the facility. If such hearing is held a transfer may
only be implemented,  if  at  all,  in  accordance  with  the
results  of  such  hearing. Within 15 days after such hearing
the facility director shall deliver his findings based on the
record of  the  case  and  the  testimony  presented  at  the
hearing,  by  registered or certified mail, to the parties to
such hearing. The findings of the facility director shall  be
deemed a final administrative decision of the Department. For
purposes  of  this  Section,  "case of emergency" means those
instances in which the health of the person to be transferred
is imperiled and the most appropriate mental health  care  or
medical  care  is  available  at  a  licensed  nursing  home,
sheltered  care  home  or  home for the aged or a specialized
residential care facility.
    Prior to placement of any person in a facility under this
Section the  Department  shall  ensure  that  an  appropriate
training  plan  for  staff  is provided by the facility. Said
training  may  include  instruction  and   demonstration   by
Department  personnel qualified in the area of mental illness
or mental retardation, as applicable  to  the  person  to  be
placed.   Training  may  be  given  both at the facility from
which the  recipient  is  transferred  and  at  the  facility
receiving the recipient, and may be available on a continuing
basis  subsequent  to  placement.   In  a  facility providing
services to former Department recipients, training  shall  be
available  as  necessary  for  facility staff.  Such training
will be on a continuing basis as the needs  of  the  facility
and recipients change and further training is required.
    The  Department  shall not place any person in a facility
which does not have appropriately trained staff in sufficient
numbers to accommodate the recipient  population  already  at
the facility.  As a condition of further or future placements
of  persons,  the  Department shall require the employment of
additional trained staff members at the facility  where  said
persons  are  to  be  placed.   The  Secretary, or his or her
designate,  shall  establish  guidelines  for  placement   of
persons in facilities under this Act.
    Bills  for  the support for a person boarded out shall be
payable monthly out of the proper maintenance funds and shall
be audited as any other accounts of  the  Department.   If  a
person  is  placed  in  a  facility  or  program  outside the
Department, the  Department  may  pay  the  actual  costs  of
residence,  treatment or maintenance in such facility and may
collect such actual costs  or  a  portion  thereof  from  the
recipient or the estate of a person placed in accordance with
this Section.
    Other  than  those placed in a family home the Department
shall cause all persons who are  placed  in  a  facility,  as
defined  by  the  Nursing  Home  Care  Act,  or in designated
community living situations or programs,  to  be  visited  at
least  once  during  every week for the first month following
placement, and once every month  thereafter  when  indicated.
Visits  shall  be  made  by  qualified and trained Department
personnel, or their designee, in the area of mental health or
developmental disabilities applicable to the person  visited,
and  shall  be  made on a more frequent basis when indicated.
The  Department  may  not  use  as  designee  any   personnel
connected  with  or responsible to the representatives of any
facility in which persons who  have  been  transferred  under
this  Section are placed.   In the course of such visit there
shall be  consideration  of  the  following  areas,  but  not
limited  thereto:  effects of transfer on physical and mental
health of the person, sufficiency of nursing care and medical
coverage  required  by  the  person,  sufficiency  of   staff
personnel  and  ability to provide basic care for the person,
social, recreational and  programmatic  activities  available
for the person, and other appropriate aspects of the person's
environment.
    A  report containing the above observations shall be made
to  the  Department  and  to  any  other  appropriate  agency
subsequent to each visitation.  At the conclusion of one year
following absolute or  conditional  discharge,  or  a  longer
period  of time if required by the Department, the Department
may terminate the visitation requirements of this Section  as
to a person placed in accordance with this Section, by filing
a  written  statement of termination setting forth reasons to
substantiate the termination of visitations in  the  person's
file,  and  sending  a copy thereof to the person, and to his
guardian or next of kin.
    Upon the complaint of any  person  placed  in  accordance
with   this  Section  or  any  responsible  citizen  or  upon
discovery that such person has  been  abused,  neglected,  or
improperly  cared for, or that the placement does not provide
the  type  of  care  required  by  the  recipient's   current
condition,  the Department immediately shall investigate, and
determine if the well-being, health, care, or safety  of  any
person  is  affected  by any of the above occurrences, and if
any one of the above occurrences is verified, the  Department
shall  remove  such  person  at  once  to  a  facility of the
Department or to another  facility  outside  the  Department,
provided  such  person's  needs  can be met at said facility.
The  Department  may  also  provide  any  person  placed   in
accordance  with this Section who is without available funds,
and who is permitted to  engage  in  employment  outside  the
facility,   such  sums  for  the  transportation,  and  other
expenses as may be needed by him until he receives his  wages
for such employment.
    The  Department  shall  promulgate  rules and regulations
governing the purchase of care for persons who are  wards  of
or  who  are  receiving  services  from the Department.  Such
rules and regulations shall apply to all monies  expended  by
any  agency of the State of Illinois for services rendered by
any person, corporate entity, agency, governmental agency  or
political  subdivision  whether  public or private outside of
the Department whether payment is made through a contractual,
per-diem or other arrangement.  No funds shall be paid to any
person, corporation, agency, governmental entity or political
subdivision  without   compliance   with   such   rules   and
regulations.
    The  rules  and  regulations  governing  purchase of care
shall  describe  categories  and  types  of  service   deemed
appropriate for purchase by the Department.
    Any  provider  of  services  under  this Act may elect to
receive payment for those services,  and  the  Department  is
authorized  to  arrange  for that payment, by means of direct
deposit  transmittals  to  the  service  provider's   account
maintained  at a bank, savings and loan association, or other
financial institution.  The financial  institution  shall  be
approved  by  the  Department,  and  the deposits shall be in
accordance  with  rules  and  regulations  adopted   by   the
Department.
(Source: P.A. 89-507, eff. 7-1-97.)

    (20 ILCS 1705/54) (from Ch. 91 1/2, par. 100-54)
    (Text of Section in effect until July 1, 1997)
    Sec. 54. Establishment of rates for purchase of services.
    (a)  It  is  the  purpose  of  this  Section to establish
procedures   for   the    development,    calculation,    and
communication  of  rates  promulgated  by  the  Department of
Mental Health and Developmental Disabilities for the purchase
of services for persons with a developmental disability,  and
persons  with  mental illness; to require the promulgation of
rules which specify the treatment of costs  for  purposes  of
establishing   rates   for   various  purchase  care  program
categories;   to   require   that   rates    be    equitable,
understandable,  and  established  through  an  open,  public
process;  and  to  require  the delineation of where purchase
care, grant-in-aid, and other  payment  mechanisms  are  most
appropriately utilized.  The Department's rate-setting policy
should   stimulate   the   development   of  cost  effective,
clinically  appropriate,  community-based  residential,   and
other  support services for recipients according to an annual
statement of purchase care goals and objectives.
    (b)  The  Department  shall  establish   rates   in   all
instances  where services are purchased by the Department for
a  specific  recipient  from  a  specific  community  service
provider for which the Department has the responsibility  for
establishing  payment  rates.   When  determining  rates, the
Department shall take into consideration differences  in  the
costs  of doing business among the various geographic regions
of  the  State  and  shall  set  rates  that  reflect   those
differences.    The   Department  may,  for  various  program
categories, adopt rates that are set by other State agencies.
    (c)  The Department shall perform the following duties:
         (1)  Develop rate-setting methodologies for purchase
    care program categories.
         (2)  Promulgate  rules  and  regulations   governing
    rate-setting, treatment of costs, treatment of occupancy,
    and payment and contracting processes for purchase care.
         (3)  Collect  cost  and performance information from
    care providers.  The Department may stipulate forms, unit
    of  service   definitions,   reporting   procedures   and
    reporting intervals.
         (4)  Calculate  purchase of care reimbursement rates
    for specific providers  based  on  the  promulgated  rate
    methodology for that program category.
         (5)  Negotiate   and   implement  purchase  of  care
    contracts with specific providers.
         (6)  Develop an annual statement  of  purchase  care
    goals  and  objectives detailing maximum units of service
    by program category to be purchased.  The plan  for  each
    fiscal  year  shall be completed by May 1 of the previous
    fiscal year.
         (7)  Conduct an annual review and prepare an  annual
    report of rates and units of service purchased, comparing
    the   annual  purchase  of  care  statement  with  actual
    services purchased, and  the  actual  cost  of  providing
    those  services.    The report shall be made available by
    May 1.
         (8)  Establish and promulgate a process and criteria
    for appealing rates.
         (9)  Develop and promulgate standards  and  criteria
    by which provider performance shall be evaluated.
         (10)  Set rates based on published methodologies and
    subject  to the availability of funds appropriated by the
    General Assembly.
         (11)  Establish and promulgate  a  policy  regarding
    applicability  of  income  offsets in rate calculation or
    and/or payment processes.
         (12)  Develop  criteria  for  selection  of  payment
    mechanisms to be employed in funding community services.
    (d)  The   Department   may   investigate   and    employ
alternative   rate   setting   approaches   and   engage   in
demonstration   projects.   These  Such  approaches  must  be
publicly  articulated  by  the  Department,  identifying  the
purpose and scope of the alternative approach and  evaluation
to be conducted.
    (e)  (Blank).   The  Director  shall  appoint a Community
funding advisory Committee within 60 days after the effective
date of this amendatory Act of 1983.
    The  Community  Funding  advisory  Committee   shall   be
composed  of  12  members.   The  Director  shall  appoint  a
chairperson  from  among the Committee members.  Two shall be
individuals representing developmental disability  providers,
2    shall   be   individuals   representing   consumers   of
developmental disability services and advocates.
    Two shall  be  individuals  representing  mental  illness
providers  and  2 shall be individuals representing consumers
of mental illness services and advocates.
    The Directors of the Departments  of  Mental  Health  and
Developmental  Disabilities,  Public  Health, Public Aid, and
Children and Family Services, shall designate representatives
from their respective departments who shall also sit  on  the
Advisory Committee.
    Members  shall serve terms as follows:  4 shall serve for
one year and until their successors are  appointed;  4  shall
serve  for  2 years and until their successors are appointed;
and 4 shall serve for 3 years and until their successors  are
appointed.     After   the   expiration   of   the   original
appointments, all terms shall be for 3 years.
    It shall be the responsibility of the  Community  Funding
Advisory Committee to:
         (1)  advise   and  counsel  the  Department  in  the
    development and adoption of purchased  care  rate-setting
    methodologies;
         (2)  advise and counsel the Department in the annual
    review of purchased care rates;
         (3)  advise   and  counsel  the  Department  in  the
    development of standards and criteria by  which  provider
    contract performance shall be evaluated;
         (4)  review  and  comment on the annual statement of
    purchased care goals and objectives;
         (5)  review  purchased   care   rate   methodologies
    employed by the Department;
         (6)  Review criteria developed by the Department for
    selection of payment mechanisms to be employed in funding
    community services.
(Source: P.A. 88-380; 89-58, eff. 1-1-96.)

    (Text of Section taking effect July 1, 1997)
    Sec. 54. Establishment of rates for purchase of services.
    (a)  It  is  the  purpose  of  this  Section to establish
procedures   for   the    development,    calculation,    and
communication  of rates promulgated by the Department for the
purchase  of  services  for  persons  with  a   developmental
disability,  and  persons with mental illness; to require the
promulgation of rules which specify the  treatment  of  costs
for  purposes of establishing rates for various purchase care
program categories;  to  require  that  rates  be  equitable,
understandable,  and  established  through  an  open,  public
process;  and  to  require  the delineation of where purchase
care, grant-in-aid, and other  payment  mechanisms  are  most
appropriately utilized.  The Department's rate-setting policy
should   stimulate   the   development   of  cost  effective,
clinically  appropriate,  community-based  residential,   and
other  support services for recipients according to an annual
statement of purchase care goals and objectives.
    (b)  The  Department  shall  establish   rates   in   all
instances  where services are purchased by the Department for
a  specific  recipient  from  a  specific  community  service
provider for which the Department has the responsibility  for
establishing  payment  rates.   When  determining  rates, the
Department shall take into consideration differences  in  the
costs  of doing business among the various geographic regions
of  the  State  and  shall  set  rates  that  reflect   those
differences.    The   Department  may,  for  various  program
categories, adopt rates that are set by other State agencies.
    (c)  The Department shall perform the following duties:
         (1)  Develop rate-setting methodologies for purchase
    care program categories.
         (2)  Promulgate  rules  and  regulations   governing
    rate-setting, treatment of costs, treatment of occupancy,
    and payment and contracting processes for purchase care.
         (3)  Collect  cost  and performance information from
    care providers.  The Department may stipulate forms, unit
    of  service   definitions,   reporting   procedures   and
    reporting intervals.
         (4)  Calculate  purchase of care reimbursement rates
    for specific providers  based  on  the  promulgated  rate
    methodology for that program category.
         (5)  Negotiate   and   implement  purchase  of  care
    contracts with specific providers.
         (6)  Develop an annual statement  of  purchase  care
    goals  and  objectives detailing maximum units of service
    by program category to be purchased.  The plan  for  each
    fiscal  year  shall be completed by May 1 of the previous
    fiscal year.
         (7)  Conduct an annual review and prepare an  annual
    report of rates and units of service purchased, comparing
    the   annual  purchase  of  care  statement  with  actual
    services purchased, and  the  actual  cost  of  providing
    those  services.    The report shall be made available by
    May 1.
         (8)  Establish and promulgate a process and criteria
    for appealing rates.
         (9)  Develop and promulgate standards  and  criteria
    by which provider performance shall be evaluated.
         (10)  Set rates based on published methodologies and
    subject  to the availability of funds appropriated by the
    General Assembly.
         (11)  Establish and promulgate  a  policy  regarding
    applicability  of  income  offsets in rate calculation or
    and/or payment processes.
         (12)  Develop  criteria  for  selection  of  payment
    mechanisms to be employed in funding community services.
    (d)  The   Department   may   investigate   and    employ
alternative   rate   setting   approaches   and   engage   in
demonstration   projects.   These  Such  approaches  must  be
publicly  articulated  by  the  Department,  identifying  the
purpose and scope of the alternative approach and  evaluation
to be conducted.
    (e)  (Blank).   The  Secretary  shall appoint a Community
Funding Advisory Committee within 60 days after the effective
date of this amendatory Act of 1983.
    The  Community  Funding  Advisory  Committee   shall   be
composed  of  12  members.   Two members shall be individuals
representing developmental disability providers, 2  shall  be
individuals    representing    consumers   of   developmental
disability services and  advocates.   Two  members  shall  be
individuals representing mental illness providers and 2 shall
be  individuals  representing  consumers  of  mental  illness
services  and advocates.      The Secretary of Human Services
and the Directors of the Departments of Public Health, Public
Aid, and Children and Family Services, shall each designate a
representative from their respective  departments  who  shall
also sit on the Advisory Committee.
    The  Secretary shall appoint a chairperson from among the
Committee members.
    Members shall serve terms as follows:  4 shall serve  for
one  year  and  until their successors are appointed; 4 shall
serve for 2 years and until their successors  are  appointed;
and  4 shall serve for 3 years and until their successors are
appointed.    After   the   expiration   of   the    original
appointments, all terms shall be for 3 years.
    It  shall  be the responsibility of the Community Funding
Advisory Committee to:
         (1)  advise  and  counsel  the  Department  in   the
    development  and  adoption of purchased care rate-setting
    methodologies;
         (2)  advise and counsel the Department in the annual
    review of purchased care rates;
         (3)  advise  and  counsel  the  Department  in   the
    development  of  standards and criteria by which provider
    contract performance shall be evaluated;
         (4)  review and comment on the annual  statement  of
    purchased care goals and objectives;
         (5)  review   purchased   care   rate  methodologies
    employed by the Department;
         (6)  Review criteria developed by the Department for
    selection of payment mechanisms to be employed in funding
    community services.
(Source:  P.A.  88-380;  89-58,  eff.  1-1-96;  89-507,  eff.
7-1-97.)
    Section 15. The Community-Integrated Living  Arrangements
Licensure  and Certification Act is amended by adding Section
11 as follows:

    (210 ILCS 135/11 new)
    Sec. 11.  All  agencies  previously  licensed  under  the
Community  Residential Alternatives Licensing Act are subject
to and shall be licensed under this Act.

    (210 ILCS 140/1 Act rep.)
    Section  20.  The  Community   Residential   Alternatives
Licensing Act is repealed.

    Section   25.    The   Mental  Health  and  Developmental
Disabilities  Confidentiality  Act  is  amended  by  changing
Sections 11 and 12 as follows:

    (740 ILCS 110/11) (from Ch. 91 1/2, par. 811)
    (Text of Section in effect until July 1, 1997)
    Sec.  11.   Disclosure  of  records  and  communications.
Records   and  communications  may  be  disclosed,   (i)   in
accordance  with  the  provisions of the Abused and Neglected
Child  Reporting  Act;  (ii)  when,  and  to  the  extent,  a
therapist, in his or her  sole  discretion,  determines  that
disclosure   is  necessary  to  initiate  or  continue  civil
commitment proceedings under the laws of  this  State  or  to
otherwise  protect  the  recipient  or other person against a
clear, imminent risk of serious physical or mental injury  or
disease or death being inflicted upon the recipient or by the
recipient  on  himself  or  another;  (iii)  when, and to the
extent  disclosure  is,  in  the  sole  discretion   of   the
therapist,  necessary  to  the provision of emergency medical
care to a recipient who is unable to assert or waive  his  or
her  rights  hereunder;  (iv) when disclosure is necessary to
collect sums or  receive  third  party  payment  representing
charges  for  mental  health  or  developmental  disabilities
services  provided  by  a  therapist or agency to a recipient
under Chapter  V  of  the  Mental  Health  and  Developmental
Disabilities  Code or to transfer debts under the Uncollected
States Claims Act; however, disclosure shall  be  limited  to
information  needed to pursue collection, and the information
so disclosed shall not be used for  any  other  purposes  nor
shall  it be redisclosed except in connection with collection
activities; (v)  when  requested  by  a  family  member,  the
Department  of  Mental  Health and Developmental Disabilities
may assist in  the  location  of  the  interment  site  of  a
deceased  recipient who is interred in a cemetery established
under Section 100-26 of the Department of Mental  Health  and
Developmental    Disabilities   Act;   (vi)   in   commitment
proceedings and involuntary  medication  hearings  under  the
Mental   Health   and  Developmental  Disabilities  Code  and
proceedings and investigations preliminary  thereto,  to  the
State's  Attorney for the county or residence of a person for
whom  involuntary  or  judicial  admission   or   involuntary
medication  is sought, or in which the person is found, or in
which  the  facility  is  located,  and   to   the   attorney
representing  the  recipient in the commitment proceedings or
medication  hearing,  provided  that   the   information   so
disclosed  shall not be utilized for any other purpose nor be
redisclosed except in  connection  with  the  proceedings  or
investigations;  (vii)  when, and to the extent disclosure is
necessary to comply  with  the  requirements  of  the  Census
Bureau  in  taking  the  federal Decennial Census; and (viii)
when, and to the extent, in the therapist's sole  discretion,
disclosure  is  necessary  to  warn  or  protect  a  specific
individual  against  whom  a  recipient  has  made a specific
threat of violence where there exists  a  therapist-recipient
relationship  or a special recipient-individual relationship;
(ix) in accordance with the Sex  Offender  Registration  Act;
and  (x)  in  accordance with the Rights of Crime Victims and
Witnesses Act. Any person, institution, or agency, under this
Act, participating in good faith in the making  of  a  report
under  the Abused and Neglected Child Reporting Act or in the
disclosure of records and communications under this  Section,
shall  have  immunity  from any liability, civil, criminal or
otherwise, that might result by reason of  such  action.  For
the purpose of any proceeding, civil or criminal, arising out
of  a report or disclosure under this Section, the good faith
of  any  person,  institution,  or  agency  so  reporting  or
disclosing shall be presumed.
(Source: P.A. 88-484; 89-439, eff. 6-1-96.)

    (Text of Section taking effect July 1, 1997)
    Sec.  11.   Disclosure  of  records  and  communications.
Records   and  communications  may  be  disclosed,   (i)   in
accordance  with  the  provisions of the Abused and Neglected
Child  Reporting  Act;  (ii)  when,  and  to  the  extent,  a
therapist, in his or her  sole  discretion,  determines  that
disclosure   is  necessary  to  initiate  or  continue  civil
commitment proceedings under the laws of  this  State  or  to
otherwise  protect  the  recipient  or other person against a
clear, imminent risk of serious physical or mental injury  or
disease or death being inflicted upon the recipient or by the
recipient  on  himself  or  another;  (iii)  when, and to the
extent  disclosure  is,  in  the  sole  discretion   of   the
therapist,  necessary  to  the provision of emergency medical
care to a recipient who is unable to assert or waive  his  or
her  rights  hereunder;  (iv) when disclosure is necessary to
collect sums or  receive  third  party  payment  representing
charges  for  mental  health  or  developmental  disabilities
services  provided  by  a  therapist or agency to a recipient
under Chapter  V  of  the  Mental  Health  and  Developmental
Disabilities  Code or to transfer debts under the Uncollected
State Claims Act; however, disclosure  shall  be  limited  to
information  needed to pursue collection, and the information
so disclosed shall not be used for  any  other  purposes  nor
shall  it be redisclosed except in connection with collection
activities; (v)  when  requested  by  a  family  member,  the
Department  of  Human  Services may assist in the location of
the interment site of a deceased recipient who is interred in
a cemetery established under Section  100-26  of  the  Mental
Health  and  Developmental  Disabilities  Administrative Act;
(vi) in commitment  proceedings  and  involuntary  medication
hearings   under   the   Mental   Health   and  Developmental
Disabilities  Code   and   proceedings   and   investigations
preliminary  thereto,  to the State's Attorney for the county
or residence of a person for  whom  involuntary  or  judicial
admission  or  involuntary  medication is sought, or in which
the person is found, or in which the facility is located, and
to the attorney representing the recipient in the  commitment
proceedings   or   medication   hearing,  provided  that  the
information so disclosed shall not be utilized for any  other
purpose  nor  be  redisclosed  except  in connection with the
proceedings or investigations; (vii) when, and to the  extent
disclosure  is  necessary  to comply with the requirements of
the Census Bureau in taking the federal Decennial Census; and
(viii) when, and to  the  extent,  in  the  therapist's  sole
discretion,  disclosure  is  necessary  to  warn or protect a
specific individual against  whom  a  recipient  has  made  a
specific   threat   of   violence   where   there   exists  a
therapist-recipient     relationship     or     a     special
recipient-individual relationship; (ix)  in  accordance  with
the Sex Offender Registration Act; and (x) in accordance with
the  Rights  of  Crime Victims and Witnesses Act. Any person,
institution, or agency, under this Act, participating in good
faith in  the  making  of  a  report  under  the  Abused  and
Neglected Child Reporting Act or in the disclosure of records
and  communications  under  this Section, shall have immunity
from any liability, civil, criminal or otherwise, that  might
result  by  reason  of  such  action.  For the purpose of any
proceeding, civil or criminal, arising out  of  a  report  or
disclosure  under this Section, the good faith of any person,
institution, or agency so reporting or  disclosing  shall  be
presumed.
(Source:  P.A.  88-484;  89-439,  eff.  6-1-96;  89-507, eff.
7-1-97.)

    (740 ILCS 110/12) (from Ch. 91 1/2, par. 812)
    (Text of Section in effect until July 1, 1997)
    Sec. 12.  (a)  If the United States Secret Service or the
Department of State Police requests information from a mental
health or developmental disability facility,  as  defined  in
Section   1-107   and   1-114   of   the  Mental  Health  and
Developmental  Disabilities  Code,  relating  to  a  specific
recipient  and  the   facility   director   determines   that
disclosure  of  such  information may be necessary to protect
the life of, or to prevent the  infliction  of  great  bodily
harm  to, a public official, or a person under the protection
of the United  States  Secret  Service,  only  the  following
information  may be disclosed: the recipient's name, address,
and age and the date of any admission to or discharge from  a
facility; and any information which would indicate whether or
not  the  recipient  has  a history of violence or presents a
danger of violence  to  the  person  under  protection.   Any
information  so  disclosed  shall  be  used for investigative
purposes only and shall not  be  publicly  disseminated.  Any
person  participating in good faith in the disclosure of such
information in accordance  with  this  provision  shall  have
immunity from any liability, civil, criminal or otherwise, if
such information is disclosed relying upon the representation
of  an  officer  of  the  United States Secret Service or the
Department of  State  Police  that  a  person  is  under  the
protection of the United States Secret Service or is a public
official.
    For  the purpose of this subsection (a), the term "public
official" means the Governor, Lieutenant  Governor,  Attorney
General,   Secretary   of  State,  State  Comptroller,  State
Treasurer or member of the General Assembly.  The term  shall
also  include  the  spouse,  child  or  children  of a public
official.
    (b)  The Department of Mental  Health  and  Developmental
Disabilities  and  all  private  hospitals  are  required, as
hereafter  described  in  this  subsection,  to  furnish  the
Department of State Police only such information  as  may  be
required  for  the  sole  purpose  of  determining whether an
individual  who  may  be  or  may  have  been  a  patient  is
disqualified  because  of  that  status  from  receiving   or
retaining   a   Firearm  Owner's  Identification  Card  under
subsection  (e)  of  Section  8   of   the   Firearm   Owners
Identification  Card Act. All private hospitals shall, in the
form and manner required  by  the  Department,  provide  such
information  as  shall  be  necessary  for  the Department to
comply with the reporting requirements to the  Department  of
State  Police.  Such information shall be furnished within 30
days  after  admission  to  a  private  hospital.   Any  such
information disclosed  under  this  subsection  shall  remain
privileged and confidential, and shall not be redisclosed nor
utilized  for any other purpose.  The method of requiring the
providing  of  such  information  shall  guarantee  that   no
information  is  released  beyond  what is necessary for this
purpose. In addition,  the  information  disclosed  shall  be
provided by the Department within the time period established
by  Section  24-3  of the Criminal Code of 1961 regarding the
delivery of firearms.  The method used shall be sufficient to
provide the necessary information within the prescribed  time
period, which may include periodically providing lists to the
Department of Mental Health and Developmental Disabilities or
any  private  hospital of Firearm Owner's Identification Card
applicants on which the Department or hospital shall indicate
the identities of those individuals who are to its  knowledge
disqualified  from  having  a  Firearm Owner's Identification
Card  for  reasons  described  herein.   The  Department  may
provide for a centralized source of information for the State
on this subject under its jurisdiction.
    Any person,  institution,  or  agency,  under  this  Act,
participating in good faith in the reporting or disclosure of
records  and communications otherwise in accordance with this
provision or with rules, regulations or guidelines issued  by
the Department shall have immunity from any liability, civil,
criminal  or  otherwise,  that  might result by reason of the
action.   For  the  purpose  of  any  proceeding,  civil   or
criminal, arising out of a report or disclosure in accordance
with   this   provision,   the  good  faith  of  any  person,
institution, or agency so reporting or  disclosing  shall  be
presumed.   The  full extent of the immunity provided in this
subsection (b) shall apply  to  any  person,  institution  or
agency  that fails to make a report or disclosure in the good
faith belief that the  report  or  disclosure  would  violate
federal  regulations governing the confidentiality of alcohol
and drug abuse patient records implementing 42 U.S.C. 290dd-3
and 290ee-3.
    For purposes of this subsection (b) only,  the  following
terms shall have the meaning prescribed:
         (1)  "Hospital"  means only that type of institution
    which is providing full-time residential  facilities  and
    treatment for in-patients and excludes institutions, such
    as  community  clinics,  which  only provide treatment to
    out-patients.
         (2)  "Patient" shall mean only a person  who  is  an
    in-patient   or   resident   of   any  hospital,  not  an
    out-patient  or   client   seen   solely   for   periodic
    consultation.
    (c)  Upon  the  request  of  a  peace officer who takes a
person into custody and transports such person  to  a  mental
health  or  developmental  disability  facility  pursuant  to
Section 3-606 or 4-404 of the Mental Health and Developmental
Disabilities  Code  or  who  transports  a  person  from such
facility,  a  facility  director  shall  furnish  said  peace
officer the name,  address,  age  and  name  of  the  nearest
relative  of  the  person  transported  to or from the mental
health or developmental  disability  facility.   In  no  case
shall the facility director disclose to the peace officer any
information   relating   to   the   diagnosis,  treatment  or
evaluation of the person's mental or physical health.
    For the  purposes  of  this  subsection  (c),  the  terms
"mental  health or developmental disability facility", "peace
officer" and "facility  director"  shall  have  the  meanings
ascribed  to  them  in  the  Mental  Health and Developmental
Disabilities Code.
    (d)  Upon the request of a peace officer  or  prosecuting
authority  who  is  conducting a bona fide investigation of a
criminal offense, or attempting to apprehend a fugitive  from
justice, a facility director may disclose whether a person is
present  at  the  facility.   The requesting peace officer or
prosecuting authority must furnish  a  case  number  and  the
purpose of the investigation or an outstanding arrest warrant
at  the  time  of  the  request.  Any person, institution, or
agency  participating  in  good  faith  in  disclosing   such
information  in accordance with this subsection (d) is immune
from any liability, civil, criminal or otherwise, that  might
result by reason of the action.
(Source: P.A. 86-922; 87-124; 87-299; 87-300; 87-895.)

    (Text of Section taking effect July 1, 1997)
    Sec.  12.  (a) If the United States Secret Service or the
Department of State Police requests information from a mental
health or developmental disability facility,  as  defined  in
Section   1-107   and   1-114   of   the  Mental  Health  and
Developmental  Disabilities  Code,  relating  to  a  specific
recipient  and  the   facility   director   determines   that
disclosure  of  such  information may be necessary to protect
the life of, or to prevent the  infliction  of  great  bodily
harm  to, a public official, or a person under the protection
of the United  States  Secret  Service,  only  the  following
information  may be disclosed: the recipient's name, address,
and age and the date of any admission to or discharge from  a
facility; and any information which would indicate whether or
not  the  recipient  has  a history of violence or presents a
danger of violence  to  the  person  under  protection.   Any
information  so  disclosed  shall  be  used for investigative
purposes only and shall not  be  publicly  disseminated.  Any
person  participating in good faith in the disclosure of such
information in accordance  with  this  provision  shall  have
immunity from any liability, civil, criminal or otherwise, if
such information is disclosed relying upon the representation
of  an  officer  of  the  United States Secret Service or the
Department of  State  Police  that  a  person  is  under  the
protection of the United States Secret Service or is a public
official.
    For  the purpose of this subsection (a), the term "public
official" means the Governor, Lieutenant  Governor,  Attorney
General,   Secretary   of  State,  State  Comptroller,  State
Treasurer or member of the General Assembly.  The term  shall
also  include  the  spouse,  child  or  children  of a public
official.
    (b)  The  Department  of  Human   Services   (acting   as
successor   to   the   Department   of   Mental   Health  and
Developmental Disabilities) and  all  private  hospitals  are
required,  as  hereafter  described  in  this  subsection, to
furnish the Department of State Police only such  information
as  may  be  required  for  the  sole  purpose of determining
whether an individual who may be or may have been  a  patient
is  disqualified  because  of  that  status from receiving or
retaining  a  Firearm  Owner's  Identification   Card   under
subsection   (e)   of   Section   8  of  the  Firearm  Owners
Identification Card Act. All private hospitals shall, in  the
form  and  manner  required  by  the Department, provide such
information as shall  be  necessary  for  the  Department  to
comply  with  the reporting requirements to the Department of
State Police.  Such information shall be furnished within  30
days  after  admission  to  a  private  hospital.   Any  such
information  disclosed  under  this  subsection  shall remain
privileged and confidential, and shall not be redisclosed nor
utilized for any other purpose.  The method of requiring  the
providing   of  such  information  shall  guarantee  that  no
information is released beyond what  is  necessary  for  this
purpose.  In  addition,  the  information  disclosed shall be
provided by the Department within the time period established
by Section 24-3 of the Criminal Code of  1961  regarding  the
delivery of firearms.  The method used shall be sufficient to
provide  the necessary information within the prescribed time
period, which may include periodically providing lists to the
Department of Human  Services  or  any  private  hospital  of
Firearm  Owner's  Identification Card applicants on which the
Department or hospital shall indicate the identities of those
individuals who are to its knowledge disqualified from having
a Firearm Owner's Identification Card for  reasons  described
herein.   The Department may provide for a centralized source
of information for  the  State  on  this  subject  under  its
jurisdiction.
    Any  person,  institution,  or  agency,  under  this Act,
participating in good faith in the reporting or disclosure of
records and communications otherwise in accordance with  this
provision  or with rules, regulations or guidelines issued by
the Department shall have immunity from any liability, civil,
criminal or otherwise, that might result  by  reason  of  the
action.    For  the  purpose  of  any  proceeding,  civil  or
criminal, arising out of a report or disclosure in accordance
with  this  provision,  the  good  faith   of   any   person,
institution,  or  agency  so reporting or disclosing shall be
presumed.  The full extent of the immunity provided  in  this
subsection  (b)  shall  apply  to  any person, institution or
agency that fails to make a report or disclosure in the  good
faith  belief  that  the  report  or disclosure would violate
federal regulations governing the confidentiality of  alcohol
and drug abuse patient records implementing 42 U.S.C. 290dd-3
and 290ee-3.
    For  purposes  of this subsection (b) only, the following
terms shall have the meaning prescribed:
         (1)  "Hospital" means only that type of  institution
    which  is  providing full-time residential facilities and
    treatment for in-patients and excludes institutions, such
    as community clinics, which  only  provide  treatment  to
    out-patients.
         (2)  "Patient"  shall  mean  only a person who is an
    in-patient  or  resident  of   any   hospital,   not   an
    out-patient   or   client   seen   solely   for  periodic
    consultation.
    (c)  Upon the request of a  peace  officer  who  takes  a
person  into  custody  and transports such person to a mental
health  or  developmental  disability  facility  pursuant  to
Section 3-606 or 4-404 of the Mental Health and Developmental
Disabilities Code  or  who  transports  a  person  from  such
facility,  a  facility  director  shall  furnish  said  peace
officer  the  name,  address,  age  and  name  of the nearest
relative of the person transported  to  or  from  the  mental
health  or  developmental  disability  facility.   In no case
shall the facility director disclose to the peace officer any
information  relating  to   the   diagnosis,   treatment   or
evaluation of the person's mental or physical health.
    For  the  purposes  of  this  subsection  (c),  the terms
"mental health or developmental disability facility",  "peace
officer"  and  "facility  director"  shall  have the meanings
ascribed to them  in  the  Mental  Health  and  Developmental
Disabilities Code.
    (d)  Upon  the  request of a peace officer or prosecuting
authority who is conducting a bona fide  investigation  of  a
criminal  offense, or attempting to apprehend a fugitive from
justice, a facility director may disclose whether a person is
present at the facility.  The  requesting  peace  officer  or
prosecuting  authority  must  furnish  a  case number and the
purpose of the investigation or an outstanding arrest warrant
at the time of the  request.   Any  person,  institution,  or
agency   participating  in  good  faith  in  disclosing  such
information in accordance with this subsection (d) is  immune
from  any liability, civil, criminal or otherwise, that might
result by reason of the action.
(Source: P.A. 89-507, eff. 7-1-97.)

    Section 99.  Effective date.  This Act takes effect  upon
becoming  law,  except  that  the  provisions  repealing  the
Community  Residential  Alternatives  Licensing  Act  and the
provisions adding  Section  11  to  the  Community-Integrated
Living  Arrangements  Licensure  and  Certification  Act take
effect on July 1, 1997.
                            INDEX
           Statutes amended in order of appearance
20 ILCS 1705/4.2          from Ch. 91 1/2, par. 100-4.2
20 ILCS 1705/15           from Ch. 91 1/2, par. 100-15
20 ILCS 1705/43           from Ch. 91 1/2, par. 100-43
20 ILCS 1705/54           from Ch. 91 1/2, par. 100-54
20 ILCS 1705/7.1 rep.
210 ILCS 135/11 new
210 ILCS 140/Act rep.
740 ILCS 110/11           from Ch. 91 1/2, par. 811
740 ILCS 110/12           from Ch. 91 1/2, par. 812

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