102ND GENERAL ASSEMBLY
State of Illinois
2021 and 2022
HB1323

 

Introduced 2/17/2021, by Rep. Emanuel Chris Welch

 

SYNOPSIS AS INTRODUCED:
 
405 ILCS 5/2-107  from Ch. 91 1/2, par. 2-107

    Amends the Mental Health and Developmental Disabilities Code. Makes a technical change in a Section concerning refusal of services and informing of risks.


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FISCAL NOTE ACT MAY APPLY

 

 

A BILL FOR

 

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1    AN ACT concerning health.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Mental Health and Developmental
5Disabilities Code is amended by changing Section 2-107 as
6follows:
 
7    (405 ILCS 5/2-107)  (from Ch. 91 1/2, par. 2-107)
8    Sec. 2-107. Refusal of services; informing of risks.
9    (a) An adult recipient of services or the the recipient's
10guardian, if the recipient is under guardianship, and the
11recipient's substitute decision maker, if any, must be
12informed of the recipient's right to refuse medication or
13electroconvulsive therapy. The recipient and the recipient's
14guardian or substitute decision maker shall be given the
15opportunity to refuse generally accepted mental health or
16developmental disability services, including but not limited
17to medication or electroconvulsive therapy. If such services
18are refused, they shall not be given unless such services are
19necessary to prevent the recipient from causing serious and
20imminent physical harm to the recipient or others and no less
21restrictive alternative is available. The facility director
22shall inform a recipient, guardian, or substitute decision
23maker, if any, who refuses such services of alternate services

 

 

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1available and the risks of such alternate services, as well as
2the possible consequences to the recipient of refusal of such
3services.
4    (b) Psychotropic medication or electroconvulsive therapy
5may be administered under this Section for up to 24 hours only
6if the circumstances leading up to the need for emergency
7treatment are set forth in writing in the recipient's record.
8    (c) Administration of medication or electroconvulsive
9therapy may not be continued unless the need for such
10treatment is redetermined at least every 24 hours based upon a
11personal examination of the recipient by a physician or a
12nurse under the supervision of a physician and the
13circumstances demonstrating that need are set forth in writing
14in the recipient's record.
15    (d) Neither psychotropic medication nor electroconvulsive
16therapy may be administered under this Section for a period in
17excess of 72 hours, excluding Saturdays, Sundays, and
18holidays, unless a petition is filed under Section 2-107.1 and
19the treatment continues to be necessary under subsection (a)
20of this Section. Once the petition has been filed, treatment
21may continue in compliance with subsections (a), (b), and (c)
22of this Section until the final outcome of the hearing on the
23petition.
24    (e) The Department shall issue rules designed to insure
25that in State-operated mental health facilities psychotropic
26medication and electroconvulsive therapy are administered in

 

 

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1accordance with this Section and only when appropriately
2authorized and monitored by a physician or a nurse under the
3supervision of a physician in accordance with accepted medical
4practice. The facility director of each mental health facility
5not operated by the State shall issue rules designed to insure
6that in that facility psychotropic medication and
7electroconvulsive therapy are administered in accordance with
8this Section and only when appropriately authorized and
9monitored by a physician or a nurse under the supervision of a
10physician in accordance with accepted medical practice. Such
11rules shall be available for public inspection and copying
12during normal business hours.
13    (f) The provisions of this Section with respect to the
14emergency administration of psychotropic medication and
15electroconvulsive therapy do not apply to facilities licensed
16under the Nursing Home Care Act, the Specialized Mental Health
17Rehabilitation Act of 2013, the ID/DD Community Care Act, or
18the MC/DD Act.
19    (g) Under no circumstances may long-acting psychotropic
20medications be administered under this Section.
21    (h) Whenever psychotropic medication or electroconvulsive
22therapy is refused pursuant to subsection (a) of this Section
23at least once that day, the physician shall determine and
24state in writing the reasons why the recipient did not meet the
25criteria for administration of medication or electroconvulsive
26therapy under subsection (a) and whether the recipient meets

 

 

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1the standard for administration of psychotropic medication or
2electroconvulsive therapy under Section 2-107.1 of this Code.
3If the physician determines that the recipient meets the
4standard for administration of psychotropic medication or
5electroconvulsive therapy under Section 2-107.1, the facility
6director or his or her designee shall petition the court for
7administration of psychotropic medication or electroconvulsive
8therapy pursuant to that Section unless the facility director
9or his or her designee states in writing in the recipient's
10record why the filing of such a petition is not warranted. This
11subsection (h) applies only to State-operated mental health
12facilities.
13    (i) The Department shall conduct annual trainings for all
14physicians and registered nurses working in State-operated
15mental health facilities on the appropriate use of emergency
16administration of psychotropic medication and
17electroconvulsive therapy, standards for their use, and the
18methods of authorization under this Section.
19(Source: P.A. 98-104, eff. 7-22-13; 99-180, eff. 7-29-15.)