HB2858 EnrolledLRB103 26814 KTG 53178 b

1    AN ACT concerning aging.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Illinois Act on the Aging is amended by
5changing Section 4.04 as follows:
 
6    (20 ILCS 105/4.04)  (from Ch. 23, par. 6104.04)
7    Sec. 4.04. Long Term Care Ombudsman Program. The purpose
8of the Long Term Care Ombudsman Program is to ensure that older
9persons and persons with disabilities receive quality
10services. This is accomplished by providing advocacy services
11for residents of long term care facilities and participants
12receiving home care and community-based care. Managed care is
13increasingly becoming the vehicle for delivering health and
14long-term services and supports to seniors and persons with
15disabilities, including dual eligible participants. The
16additional ombudsman authority will allow advocacy services to
17be provided to Illinois participants for the first time and
18will produce a cost savings for the State of Illinois by
19supporting the rebalancing efforts of the Patient Protection
20and Affordable Care Act.
21    (a) Long Term Care Ombudsman Program. The Department shall
22establish a Long Term Care Ombudsman Program, through the
23Office of State Long Term Care Ombudsman ("the Office"), in

 

 

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1accordance with the provisions of the Older Americans Act of
21965, as now or hereafter amended. The Long Term Care
3Ombudsman Program is authorized, subject to sufficient
4appropriations, to advocate on behalf of older persons and
5persons with disabilities residing in their own homes or
6community-based settings, relating to matters which may
7adversely affect the health, safety, welfare, or rights of
8such individuals.
9    (b) Definitions. As used in this Section, unless the
10context requires otherwise:
11        (1) "Access" means the right to:
12            (i) Enter any long term care facility or assisted
13        living or shared housing establishment or supportive
14        living facility;
15            (ii) Communicate privately and without restriction
16        with any resident, regardless of age, who consents to
17        the communication;
18            (iii) Seek consent to communicate privately and
19        without restriction with any participant or resident,
20        regardless of age;
21            (iv) Inspect and copy the clinical and other
22        records of a participant or resident, regardless of
23        age, with the express written consent of the
24        participant or resident;
25            (v) Observe all areas of the long term care
26        facility or supportive living facilities, assisted

 

 

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1        living or shared housing establishment except the
2        living area of any resident who protests the
3        observation; and
4            (vi) Subject to permission of the participant or
5        resident requesting services or his or her
6        representative, enter a home or community-based
7        setting.
8        (2) "Long Term Care Facility" means (i) any facility
9    as defined by Section 1-113 of the Nursing Home Care Act,
10    as now or hereafter amended; (ii) any skilled nursing
11    facility or a nursing facility which meets the
12    requirements of Section 1819(a), (b), (c), and (d) or
13    Section 1919(a), (b), (c), and (d) of the Social Security
14    Act, as now or hereafter amended (42 U.S.C. 1395i-3(a),
15    (b), (c), and (d) and 42 U.S.C. 1396r(a), (b), (c), and
16    (d)); (iii) any facility as defined by Section 1-113 of
17    the ID/DD Community Care Act, as now or hereafter amended;
18    (iv) any facility as defined by Section 1-113 of MC/DD
19    Act, as now or hereafter amended; and (v) any facility
20    licensed under Section 4-105 or 4-201 of the Specialized
21    Mental Health Rehabilitation Act of 2013, as now or
22    hereafter amended.
23        (2.5) "Assisted living establishment" and "shared
24    housing establishment" have the meanings given those terms
25    in Section 10 of the Assisted Living and Shared Housing
26    Act.

 

 

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1        (2.7) "Supportive living facility" means a facility
2    established under Section 5-5.01a of the Illinois Public
3    Aid Code.
4        (2.8) "Community-based setting" means any place of
5    abode other than an individual's private home.
6        (3) "State Long Term Care Ombudsman" means any person
7    employed by the Department to fulfill the requirements of
8    the Office of State Long Term Care Ombudsman as required
9    under the Older Americans Act of 1965, as now or hereafter
10    amended, and Departmental policy.
11        (3.1) "Ombudsman" means any designated representative
12    of the State Long Term Care Ombudsman Program; provided
13    that the representative, whether he is paid for or
14    volunteers his ombudsman services, shall be qualified and
15    designated by the Office to perform the duties of an
16    ombudsman as specified by the Department in rules and in
17    accordance with the provisions of the Older Americans Act
18    of 1965, as now or hereafter amended.
19        (4) "Participant" means an older person aged 60 or
20    over or an adult with a disability aged 18 through 59 who
21    is eligible for services under any of the following:
22            (i) A medical assistance waiver administered by
23        the State.
24            (ii) A managed care organization providing care
25        coordination and other services to seniors and persons
26        with disabilities.

 

 

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1        (5) "Resident" means an older person aged 60 or over
2    or an adult with a disability aged 18 through 59 who
3    resides in a long-term care facility.
4    (c) Ombudsman; rules. The Office of State Long Term Care
5Ombudsman shall be composed of at least one full-time
6ombudsman and shall include a system of designated regional
7long term care ombudsman programs. Each regional program shall
8be designated by the State Long Term Care Ombudsman as a
9subdivision of the Office and any representative of a regional
10program shall be treated as a representative of the Office.
11    The Department, in consultation with the Office, shall
12promulgate administrative rules in accordance with the
13provisions of the Older Americans Act of 1965, as now or
14hereafter amended, to establish the responsibilities of the
15Department and the Office of State Long Term Care Ombudsman
16and the designated regional Ombudsman programs. The
17administrative rules shall include the responsibility of the
18Office and designated regional programs to investigate and
19resolve complaints made by or on behalf of residents of long
20term care facilities, supportive living facilities, and
21assisted living and shared housing establishments, and
22participants residing in their own homes or community-based
23settings, including the option to serve residents and
24participants under the age of 60, relating to actions,
25inaction, or decisions of providers, or their representatives,
26of such facilities and establishments, of public agencies, or

 

 

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1of social services agencies, which may adversely affect the
2health, safety, welfare, or rights of such residents and
3participants. The Office and designated regional programs may
4represent all residents and participants, but are not required
5by this Act to represent persons under 60 years of age, except
6to the extent required by federal law. When necessary and
7appropriate, representatives of the Office shall refer
8complaints to the appropriate regulatory State agency. The
9Department, in consultation with the Office, shall cooperate
10with the Department of Human Services and other State agencies
11in providing information and training to designated regional
12long term care ombudsman programs about the appropriate
13assessment and treatment (including information about
14appropriate supportive services, treatment options, and
15assessment of rehabilitation potential) of the participants
16they serve.
17    The State Long Term Care Ombudsman and all other
18ombudsmen, as defined in paragraph (3.1) of subsection (b)
19must submit to background checks under the Health Care Worker
20Background Check Act and receive training, as prescribed by
21the Illinois Department on Aging, before visiting facilities,
22private homes, or community-based settings. The training must
23include information specific to assisted living
24establishments, supportive living facilities, shared housing
25establishments, private homes, and community-based settings
26and to the rights of residents and participants guaranteed

 

 

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1under the corresponding Acts and administrative rules.
2    (c-5) Consumer Choice Information Reports. The Office
3shall:
4        (1) In collaboration with the Attorney General, create
5    a Consumer Choice Information Report form to be completed
6    by all licensed long term care facilities to aid
7    Illinoisans and their families in making informed choices
8    about long term care. The Office shall create a Consumer
9    Choice Information Report for each type of licensed long
10    term care facility. The Office shall collaborate with the
11    Attorney General and the Department of Human Services to
12    create a Consumer Choice Information Report form for
13    facilities licensed under the ID/DD Community Care Act or
14    the MC/DD Act.
15        (2) Develop a database of Consumer Choice Information
16    Reports completed by licensed long term care facilities
17    that includes information in the following consumer
18    categories:
19            (A) Medical Care, Services, and Treatment.
20            (B) Special Services and Amenities.
21            (C) Staffing.
22            (D) Facility Statistics and Resident Demographics.
23            (E) Ownership and Administration.
24            (F) Safety and Security.
25            (G) Meals and Nutrition.
26            (H) Rooms, Furnishings, and Equipment.

 

 

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1            (I) Family, Volunteer, and Visitation Provisions.
2        (3) Make this information accessible to the public,
3    including on the Internet by means of a hyperlink on the
4    Office's World Wide Web home page. Information about
5    facilities licensed under the ID/DD Community Care Act or
6    the MC/DD Act shall be made accessible to the public by the
7    Department of Human Services, including on the Internet by
8    means of a hyperlink on the Department of Human Services'
9    "For Customers" website.
10        (4) Have the authority, with the Attorney General, to
11    verify that information provided by a facility is
12    accurate.
13        (5) Request a new report from any licensed facility
14    whenever it deems necessary.
15        (6) Include in the Office's Consumer Choice
16    Information Report for each type of licensed long term
17    care facility additional information on each licensed long
18    term care facility in the State of Illinois, including
19    information regarding each facility's compliance with the
20    relevant State and federal statutes, rules, and standards;
21    customer satisfaction surveys; and information generated
22    from quality measures developed by the Centers for
23    Medicare and Medicaid Services.
24    (d) Access and visitation rights.
25        (1) In accordance with subparagraphs (A) and (E) of
26    paragraph (3) of subsection (c) of Section 1819 and

 

 

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1    subparagraphs (A) and (E) of paragraph (3) of subsection
2    (c) of Section 1919 of the Social Security Act, as now or
3    hereafter amended (42 U.S.C. 1395i-3 (c)(3)(A) and (E) and
4    42 U.S.C. 1396r (c)(3)(A) and (E)), and Section 712 of the
5    Older Americans Act of 1965, as now or hereafter amended
6    (42 U.S.C. 3058f), a long term care facility, supportive
7    living facility, assisted living establishment, and shared
8    housing establishment must:
9            (i) permit immediate access to any resident,
10        regardless of age, by a designated ombudsman;
11            (ii) permit representatives of the Office, with
12        the permission of the resident, the resident's legal
13        representative, or the resident's legal guardian, to
14        examine and copy a resident's clinical and other
15        records, regardless of the age of the resident, and if
16        a resident is unable to consent to such review, and has
17        no legal guardian, permit representatives of the
18        Office appropriate access, as defined by the
19        Department, in consultation with the Office, in
20        administrative rules, to the resident's records; and
21            (iii) permit a representative of the Program to
22        communicate privately and without restriction with any
23        participant who consents to the communication
24        regardless of the consent of, or withholding of
25        consent by, a legal guardian or an agent named in a
26        power of attorney executed by the participant.

 

 

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1        (2) Each long term care facility, supportive living
2    facility, assisted living establishment, and shared
3    housing establishment shall display, in multiple,
4    conspicuous public places within the facility accessible
5    to both visitors and residents and in an easily readable
6    format, the address and phone number of the Office of the
7    Long Term Care Ombudsman, in a manner prescribed by the
8    Office.
9    (e) Immunity. An ombudsman or any representative of the
10Office participating in the good faith performance of his or
11her official duties shall have immunity from any liability
12(civil, criminal or otherwise) in any proceedings (civil,
13criminal or otherwise) brought as a consequence of the
14performance of his official duties.
15    (f) Business offenses.
16        (1) No person shall:
17            (i) Intentionally prevent, interfere with, or
18        attempt to impede in any way any representative of the
19        Office in the performance of his official duties under
20        this Act and the Older Americans Act of 1965; or
21            (ii) Intentionally retaliate, discriminate
22        against, or effect reprisals against any long term
23        care facility resident or employee for contacting or
24        providing information to any representative of the
25        Office.
26        (2) A violation of this Section is a business offense,

 

 

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1    punishable by a fine not to exceed $501.
2        (3) The State Long Term Care Ombudsman shall notify
3    the State's Attorney of the county in which the long term
4    care facility, supportive living facility, or assisted
5    living or shared housing establishment is located, or the
6    Attorney General, of any violations of this Section.
7    (g) Confidentiality of records and identities. The
8Department shall establish procedures for the disclosure by
9the State Ombudsman or the regional ombudsmen entities of
10files maintained by the program. The procedures shall provide
11that the files and records may be disclosed only at the
12discretion of the State Long Term Care Ombudsman or the person
13designated by the State Ombudsman to disclose the files and
14records, and the procedures shall prohibit the disclosure of
15the identity of any complainant, resident, participant,
16witness, or employee of a long term care provider unless:
17        (1) the complainant, resident, participant, witness,
18    or employee of a long term care provider or his or her
19    legal representative consents to the disclosure and the
20    consent is in writing;
21        (2) the complainant, resident, participant, witness,
22    or employee of a long term care provider gives consent
23    orally; and the consent is documented contemporaneously in
24    writing in accordance with such requirements as the
25    Department shall establish; or
26        (3) the disclosure is required by court order.

 

 

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1    (h) Legal representation. The Attorney General shall
2provide legal representation to any representative of the
3Office against whom suit or other legal action is brought in
4connection with the performance of the representative's
5official duties, in accordance with the State Employee
6Indemnification Act.
7    (i) Treatment by prayer and spiritual means. Nothing in
8this Act shall be construed to authorize or require the
9medical supervision, regulation or control of remedial care or
10treatment of any resident in a long term care facility
11operated exclusively by and for members or adherents of any
12church or religious denomination the tenets and practices of
13which include reliance solely upon spiritual means through
14prayer for healing.
15    (j) The Long Term Care Ombudsman Fund is created as a
16special fund in the State treasury to receive moneys for the
17express purposes of this Section. All interest earned on
18moneys in the fund shall be credited to the fund. Moneys
19contained in the fund shall be used to support the purposes of
20this Section.
21    (k) Each Regional Ombudsman may, in accordance with rules
22promulgated by the Office, establish a multi-disciplinary team
23to act in an advisory role for the purpose of providing
24professional knowledge and expertise in handling complex
25abuse, neglect, and advocacy issues involving participants.
26Each multi-disciplinary team may consist of one or more

 

 

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1volunteer representatives from any combination of at least 7
2members from the following professions: banking or finance;
3disability care; health care; pharmacology; law; law
4enforcement; emergency responder; mental health care; clergy;
5coroner or medical examiner; substance abuse; domestic
6violence; sexual assault; or other related fields. To support
7multi-disciplinary teams in this role, law enforcement
8agencies and coroners or medical examiners shall supply
9records as may be requested in particular cases. The Regional
10Ombudsman, or his or her designee, of the area in which the
11multi-disciplinary team is created shall be the facilitator of
12the multi-disciplinary team.
13(Source: P.A. 102-1033, eff. 1-1-23.)
 
14    Section 10. The Adult Protective Services Act is amended
15by changing Sections 2, 4, 4.1, 4.2, 5, and 8 as follows:
 
16    (320 ILCS 20/2)  (from Ch. 23, par. 6602)
17    Sec. 2. Definitions. As used in this Act, unless the
18context requires otherwise:
19    (a) "Abandonment" means the desertion or willful forsaking
20of an eligible adult by an individual responsible for the care
21and custody of that eligible adult under circumstances in
22which a reasonable person would continue to provide care and
23custody. Nothing in this Act shall be construed to mean that an
24eligible adult is a victim of abandonment because of health

 

 

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1care services provided or not provided by licensed health care
2professionals.
3    (a-1) "Abuse" means causing any physical, mental or sexual
4injury to an eligible adult, including exploitation of such
5adult's financial resources, and abandonment.
6    Nothing in this Act shall be construed to mean that an
7eligible adult is a victim of abuse, abandonment, neglect, or
8self-neglect for the sole reason that he or she is being
9furnished with or relies upon treatment by spiritual means
10through prayer alone, in accordance with the tenets and
11practices of a recognized church or religious denomination.
12    Nothing in this Act shall be construed to mean that an
13eligible adult is a victim of abuse because of health care
14services provided or not provided by licensed health care
15professionals.
16    Nothing in this Act shall be construed to mean that an
17eligible adult is a victim of abuse in cases of criminal
18activity by strangers, telemarketing scams, consumer fraud,
19internet fraud, home repair disputes, complaints against a
20homeowners' association, or complaints between landlords and
21tenants.
22    (a-5) "Abuser" means a person who is a family member,
23caregiver, or another person who has a continuing relationship
24with the eligible adult and abuses, abandons, neglects, or
25financially exploits an eligible adult.
26    (a-6) "Adult with disabilities" means a person aged 18

 

 

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1through 59 who resides in a domestic living situation and
2whose disability as defined in subsection (c-5) impairs his or
3her ability to seek or obtain protection from abuse,
4abandonment, neglect, or exploitation.
5    (a-7) "Caregiver" means a person who either as a result of
6a family relationship, voluntarily, or in exchange for
7compensation has assumed responsibility for all or a portion
8of the care of an eligible adult who needs assistance with
9activities of daily living or instrumental activities of daily
10living.
11    (b) "Department" means the Department on Aging of the
12State of Illinois.
13    (c) "Director" means the Director of the Department.
14    (c-5) "Disability" means a physical or mental disability,
15including, but not limited to, a developmental disability, an
16intellectual disability, a mental illness as defined under the
17Mental Health and Developmental Disabilities Code, or dementia
18as defined under the Alzheimer's Disease Assistance Act.
19    (d) "Domestic living situation" means a residence where
20the eligible adult at the time of the report lives alone or
21with his or her family or a caregiver, or others, or other
22community-based unlicensed facility, but is not:
23        (1) A licensed facility as defined in Section 1-113 of
24    the Nursing Home Care Act;
25        (1.5) A facility licensed under the ID/DD Community
26    Care Act;

 

 

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1        (1.6) A facility licensed under the MC/DD Act;
2        (1.7) A facility licensed under the Specialized Mental
3    Health Rehabilitation Act of 2013;
4        (2) A "life care facility" as defined in the Life Care
5    Facilities Act;
6        (3) A home, institution, or other place operated by
7    the federal government or agency thereof or by the State
8    of Illinois;
9        (4) A hospital, sanitarium, or other institution, the
10    principal activity or business of which is the diagnosis,
11    care, and treatment of human illness through the
12    maintenance and operation of organized facilities
13    therefor, which is required to be licensed under the
14    Hospital Licensing Act;
15        (5) A "community living facility" as defined in the
16    Community Living Facilities Licensing Act;
17        (6) (Blank);
18        (7) A "community-integrated living arrangement" as
19    defined in the Community-Integrated Living Arrangements
20    Licensure and Certification Act or a "community
21    residential alternative" as licensed under that Act;
22        (8) An assisted living or shared housing establishment
23    as defined in the Assisted Living and Shared Housing Act;
24    or
25        (9) A supportive living facility as described in
26    Section 5-5.01a of the Illinois Public Aid Code.

 

 

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1    (e) "Eligible adult" means either an adult with
2disabilities aged 18 through 59 or a person aged 60 or older
3who resides in a domestic living situation and is, or is
4alleged to be, abused, abandoned, neglected, or financially
5exploited by another individual or who neglects himself or
6herself. "Eligible adult" also includes an adult who resides
7in any of the facilities that are excluded from the definition
8of "domestic living situation" under paragraphs (1) through
9(9) of subsection (d), if either: (i) the alleged abuse,
10abandonment, or neglect occurs outside of the facility and not
11under facility supervision and the alleged abuser is a family
12member, caregiver, or another person who has a continuing
13relationship with the adult; or (ii) the alleged financial
14exploitation is perpetrated by a family member, caregiver, or
15another person who has a continuing relationship with the
16adult, but who is not an employee of the facility where the
17adult resides.
18    (f) "Emergency" means a situation in which an eligible
19adult is living in conditions presenting a risk of death or
20physical, mental or sexual injury and the provider agency has
21reason to believe the eligible adult is unable to consent to
22services which would alleviate that risk.
23    (f-1) "Financial exploitation" means the use of an
24eligible adult's resources by another to the disadvantage of
25that adult or the profit or advantage of a person other than
26that adult.

 

 

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1    (f-3) "Investment advisor" means any person required to
2register as an investment adviser or investment adviser
3representative under Section 8 of the Illinois Securities Law
4of 1953, which for purposes of this Act excludes any bank,
5trust company, savings bank, or credit union, or their
6respective employees.
7    (f-5) "Mandated reporter" means any of the following
8persons while engaged in carrying out their professional
9duties:
10        (1) a professional or professional's delegate while
11    engaged in: (i) social services, (ii) law enforcement,
12    (iii) education, (iv) the care of an eligible adult or
13    eligible adults, or (v) any of the occupations required to
14    be licensed under the Behavior Analyst Licensing Act, the
15    Clinical Psychologist Licensing Act, the Clinical Social
16    Work and Social Work Practice Act, the Illinois Dental
17    Practice Act, the Dietitian Nutritionist Practice Act, the
18    Marriage and Family Therapy Licensing Act, the Medical
19    Practice Act of 1987, the Naprapathic Practice Act, the
20    Nurse Practice Act, the Nursing Home Administrators
21    Licensing and Disciplinary Act, the Illinois Occupational
22    Therapy Practice Act, the Illinois Optometric Practice Act
23    of 1987, the Pharmacy Practice Act, the Illinois Physical
24    Therapy Act, the Physician Assistant Practice Act of 1987,
25    the Podiatric Medical Practice Act of 1987, the
26    Respiratory Care Practice Act, the Professional Counselor

 

 

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1    and Clinical Professional Counselor Licensing and Practice
2    Act, the Illinois Speech-Language Pathology and Audiology
3    Practice Act, the Veterinary Medicine and Surgery Practice
4    Act of 2004, and the Illinois Public Accounting Act;
5        (1.5) an employee of an entity providing developmental
6    disabilities services or service coordination funded by
7    the Department of Human Services;
8        (2) an employee of a vocational rehabilitation
9    facility prescribed or supervised by the Department of
10    Human Services;
11        (3) an administrator, employee, or person providing
12    services in or through an unlicensed community based
13    facility;
14        (4) any religious practitioner who provides treatment
15    by prayer or spiritual means alone in accordance with the
16    tenets and practices of a recognized church or religious
17    denomination, except as to information received in any
18    confession or sacred communication enjoined by the
19    discipline of the religious denomination to be held
20    confidential;
21        (5) field personnel of the Department of Healthcare
22    and Family Services, Department of Public Health, and
23    Department of Human Services, and any county or municipal
24    health department;
25        (6) personnel of the Department of Human Services, the
26    Guardianship and Advocacy Commission, the State Fire

 

 

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1    Marshal, local fire departments, the Department on Aging
2    and its subsidiary Area Agencies on Aging and provider
3    agencies, except the State Long Term Care Ombudsman and
4    any of his or her representatives or volunteers where
5    prohibited from making such a report pursuant to 45 CFR
6    1324.11(e)(3)(iv); and the Office of State Long Term Care
7    Ombudsman;
8        (7) any employee of the State of Illinois not
9    otherwise specified herein who is involved in providing
10    services to eligible adults, including professionals
11    providing medical or rehabilitation services and all other
12    persons having direct contact with eligible adults;
13        (8) a person who performs the duties of a coroner or
14    medical examiner; or
15        (9) a person who performs the duties of a paramedic or
16    an emergency medical technician; or .
17        (10) a person who performs the duties of an investment
18    advisor.
19    (g) "Neglect" means another individual's failure to
20provide an eligible adult with or willful withholding from an
21eligible adult the necessities of life including, but not
22limited to, food, clothing, shelter or health care. This
23subsection does not create any new affirmative duty to provide
24support to eligible adults. Nothing in this Act shall be
25construed to mean that an eligible adult is a victim of neglect
26because of health care services provided or not provided by

 

 

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1licensed health care professionals.
2    (h) "Provider agency" means any public or nonprofit agency
3in a planning and service area that is selected by the
4Department or appointed by the regional administrative agency
5with prior approval by the Department on Aging to receive and
6assess reports of alleged or suspected abuse, abandonment,
7neglect, or financial exploitation. A provider agency is also
8referenced as a "designated agency" in this Act.
9    (i) "Regional administrative agency" means any public or
10nonprofit agency in a planning and service area that provides
11regional oversight and performs functions as set forth in
12subsection (b) of Section 3 of this Act. The Department shall
13designate an Area Agency on Aging as the regional
14administrative agency or, in the event the Area Agency on
15Aging in that planning and service area is deemed by the
16Department to be unwilling or unable to provide those
17functions, the Department may serve as the regional
18administrative agency or designate another qualified entity to
19serve as the regional administrative agency; any such
20designation shall be subject to terms set forth by the
21Department.
22    (i-5) "Self-neglect" means a condition that is the result
23of an eligible adult's inability, due to physical or mental
24impairments, or both, or a diminished capacity, to perform
25essential self-care tasks that substantially threaten his or
26her own health, including: providing essential food, clothing,

 

 

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1shelter, and health care; and obtaining goods and services
2necessary to maintain physical health, mental health,
3emotional well-being, and general safety. The term includes
4compulsive hoarding, which is characterized by the acquisition
5and retention of large quantities of items and materials that
6produce an extensively cluttered living space, which
7significantly impairs the performance of essential self-care
8tasks or otherwise substantially threatens life or safety.
9    (j) "Substantiated case" means a reported case of alleged
10or suspected abuse, abandonment, neglect, financial
11exploitation, or self-neglect in which a provider agency,
12after assessment, determines that there is reason to believe
13abuse, abandonment, neglect, or financial exploitation has
14occurred.
15    (k) "Verified" means a determination that there is "clear
16and convincing evidence" that the specific injury or harm
17alleged was the result of abuse, abandonment, neglect, or
18financial exploitation.
19(Source: P.A. 102-244, eff. 1-1-22; 102-953, eff. 5-27-22.)
 
20    (320 ILCS 20/4)  (from Ch. 23, par. 6604)
21    Sec. 4. Reports of abuse, abandonment, or neglect.
22    (a) Any person who suspects the abuse, abandonment,
23neglect, financial exploitation, or self-neglect of an
24eligible adult may report this suspicion or information about
25the suspicious death of an eligible adult to an agency

 

 

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1designated to receive such reports under this Act or to the
2Department.
3    (a-5) If any mandated reporter has reason to believe that
4an eligible adult, who because of a disability or other
5condition or impairment is unable to seek assistance for
6himself or herself, has, within the previous 12 months, been
7subjected to abuse, abandonment, neglect, or financial
8exploitation, the mandated reporter shall, within 24 hours
9after developing such belief, report this suspicion to an
10agency designated to receive such reports under this Act or to
11the Department. The agency designated to receive such reports
12under this Act or the Department may establish a manner in
13which a mandated reporter can make the required report through
14an Internet reporting tool. Information sent and received
15through the Internet reporting tool is subject to the same
16rules in this Act as other types of confidential reporting
17established by the designated agency or the Department.
18Whenever a mandated reporter is required to report under this
19Act in his or her capacity as a member of the staff of a
20medical or other public or private institution, facility, or
21agency, he or she shall make a report to an agency designated
22to receive such reports under this Act or to the Department in
23accordance with the provisions of this Act and may also notify
24the person in charge of the institution, facility, or agency
25or his or her designated agent that the report has been made.
26Under no circumstances shall any person in charge of such

 

 

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1institution, facility, or agency, or his or her designated
2agent to whom the notification has been made, exercise any
3control, restraint, modification, or other change in the
4report or the forwarding of the report to an agency designated
5to receive such reports under this Act or to the Department.
6The privileged quality of communication between any
7professional person required to report and his or her patient
8or client shall not apply to situations involving abused,
9abandoned, neglected, or financially exploited eligible adults
10and shall not constitute grounds for failure to report as
11required by this Act.
12    (a-6) If a mandated reporter has reason to believe that
13the death of an eligible adult may be the result of abuse or
14neglect, the matter shall be reported to an agency designated
15to receive such reports under this Act or to the Department for
16subsequent referral to the appropriate law enforcement agency
17and the coroner or medical examiner in accordance with
18subsection (c-5) of Section 3 of this Act.
19    (a-7) A person making a report under this Act in the belief
20that it is in the alleged victim's best interest shall be
21immune from criminal or civil liability or professional
22disciplinary action on account of making the report,
23notwithstanding any requirements concerning the
24confidentiality of information with respect to such eligible
25adult which might otherwise be applicable.
26    (a-9) Law enforcement officers shall continue to report

 

 

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1incidents of alleged abuse pursuant to the Illinois Domestic
2Violence Act of 1986, notwithstanding any requirements under
3this Act.
4    (b) Any person, institution or agency participating in the
5making of a report, providing information or records related
6to a report, assessment, or services, or participating in the
7investigation of a report under this Act in good faith, or
8taking photographs or x-rays as a result of an authorized
9assessment, shall have immunity from any civil, criminal or
10other liability in any civil, criminal or other proceeding
11brought in consequence of making such report or assessment or
12on account of submitting or otherwise disclosing such
13photographs or x-rays to any agency designated to receive
14reports of alleged or suspected abuse, abandonment, or
15neglect. Any person, institution or agency authorized by the
16Department to provide assessment, intervention, or
17administrative services under this Act shall, in the good
18faith performance of those services, have immunity from any
19civil, criminal or other liability in any civil, criminal, or
20other proceeding brought as a consequence of the performance
21of those services. For the purposes of any civil, criminal, or
22other proceeding, the good faith of any person required to
23report, permitted to report, or participating in an
24investigation of a report of alleged or suspected abuse,
25abandonment, neglect, financial exploitation, or self-neglect
26shall be presumed.

 

 

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1    (c) The identity of a person making a report of alleged or
2suspected abuse, abandonment, neglect, financial exploitation,
3or self-neglect or a report concerning information about the
4suspicious death of an eligible adult under this Act may be
5disclosed by the Department or other agency provided for in
6this Act only with such person's written consent or by court
7order, but is otherwise confidential.
8    (d) The Department shall by rule establish a system for
9filing and compiling reports made under this Act.
10    (e) Any physician who willfully fails to report as
11required by this Act shall be referred to the Illinois State
12Medical Disciplinary Board for action in accordance with
13subdivision (A)(22) of Section 22 of the Medical Practice Act
14of 1987. Any dentist or dental hygienist who willfully fails
15to report as required by this Act shall be referred to the
16Department of Professional Regulation for action in accordance
17with paragraph 19 of Section 23 of the Illinois Dental
18Practice Act. Any optometrist who willfully fails to report as
19required by this Act shall be referred to the Department of
20Financial and Professional Regulation for action in accordance
21with paragraph (15) of subsection (a) of Section 24 of the
22Illinois Optometric Practice Act of 1987. Any other mandated
23reporter required by this Act to report suspected abuse,
24abandonment, neglect, or financial exploitation who willfully
25fails to report the same is guilty of a Class A misdemeanor.
26(Source: P.A. 102-244, eff. 1-1-22.)
 

 

 

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1    (320 ILCS 20/4.1)
2    Sec. 4.1. Employer discrimination. No employer shall
3discharge, demote or suspend, or threaten to discharge, demote
4or suspend, or in any manner discriminate against any
5employee: (i) who makes any good faith oral or written report
6of suspected abuse, abandonment, neglect, or financial
7exploitation; (ii) who makes any good faith oral or written
8report concerning information about the suspicious death of an
9eligible adult; or (iii) who is or will be a witness or testify
10in any investigation or proceeding concerning a report of
11suspected abuse, abandonment, neglect, or financial
12exploitation.
13(Source: P.A. 102-244, eff. 1-1-22.)
 
14    (320 ILCS 20/4.2)
15    Sec. 4.2. Testimony by mandated reporter and investigator.
16Any mandated reporter who makes a report or any person who
17investigates a report under this Act shall testify fully in
18any judicial proceeding resulting from such report, as to any
19evidence of abuse, abandonment, neglect, or financial
20exploitation or the cause thereof. Any mandated reporter who
21is required to report a suspected case of or a suspicious death
22due to abuse, abandonment, neglect, or financial exploitation
23under Section 4 of this Act shall testify fully in any
24administrative hearing resulting from such report, as to any

 

 

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1evidence of abuse, abandonment, neglect, or financial
2exploitation or the cause thereof. No evidence shall be
3excluded by reason of any common law or statutory privilege
4relating to communications between the alleged abuser or the
5eligible adult subject of the report under this Act and the
6person making or investigating the report.
7(Source: P.A. 102-244, eff. 1-1-22.)
 
8    (320 ILCS 20/5)  (from Ch. 23, par. 6605)
9    Sec. 5. Procedure.
10    (a) A provider agency designated to receive reports of
11alleged or suspected abuse, abandonment, neglect, financial
12exploitation, or self-neglect under this Act shall, upon
13receiving such a report, conduct a face-to-face assessment
14with respect to such report, in accord with established law
15and Department protocols, procedures, and policies.
16Face-to-face assessments, casework, and follow-up of reports
17of self-neglect by the provider agencies designated to receive
18reports of self-neglect shall be subject to sufficient
19appropriation for statewide implementation of assessments,
20casework, and follow-up of reports of self-neglect. In the
21absence of sufficient appropriation for statewide
22implementation of assessments, casework, and follow-up of
23reports of self-neglect, the designated adult protective
24services provider agency shall refer all reports of
25self-neglect to the appropriate agency or agencies as

 

 

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1designated by the Department for any follow-up. The assessment
2shall include, but not be limited to, a visit to the residence
3of the eligible adult who is the subject of the report and
4shall include interviews or consultations regarding the
5allegations with service agencies, immediate family members,
6and individuals who may have knowledge of the eligible adult's
7circumstances based on the consent of the eligible adult in
8all instances, except where the provider agency is acting in
9the best interest of an eligible adult who is unable to seek
10assistance for himself or herself and where there are
11allegations against a caregiver who has assumed
12responsibilities in exchange for compensation. If, after the
13assessment, the provider agency determines that the case is
14substantiated it shall develop a service care plan for the
15eligible adult and may report its findings at any time during
16the case to the appropriate law enforcement agency in accord
17with established law and Department protocols, procedures, and
18policies. In developing a case plan, the provider agency may
19consult with any other appropriate provider of services, and
20such providers shall be immune from civil or criminal
21liability on account of such acts. The plan shall include
22alternative suggested or recommended services which are
23appropriate to the needs of the eligible adult and which
24involve the least restriction of the eligible adult's
25activities commensurate with his or her needs. Only those
26services to which consent is provided in accordance with

 

 

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1Section 9 of this Act shall be provided, contingent upon the
2availability of such services.
3    (b) A provider agency shall refer evidence of crimes
4against an eligible adult to the appropriate law enforcement
5agency according to Department policies. A referral to law
6enforcement may be made at intake, at or any time during the
7case, or after a report of a suspicious death, depending upon
8the circumstances. Where a provider agency has reason to
9believe the death of an eligible adult may be the result of
10abuse, abandonment, or neglect, the agency shall immediately
11report the matter to the coroner or medical examiner and shall
12cooperate fully with any subsequent investigation.
13    (c) If any person other than the alleged victim refuses to
14allow the provider agency to begin an investigation,
15interferes with the provider agency's ability to conduct an
16investigation, or refuses to give access to an eligible adult,
17the appropriate law enforcement agency must be consulted
18regarding the investigation.
19(Source: P.A. 101-496, eff. 1-1-20; 102-244, eff. 1-1-22.)
 
20    (320 ILCS 20/8)  (from Ch. 23, par. 6608)
21    Sec. 8. Access to records. All records concerning reports
22of abuse, abandonment, neglect, financial exploitation, or
23self-neglect or reports of suspicious deaths due to abuse,
24neglect, or financial exploitation and all records generated
25as a result of such reports shall be confidential and shall not

 

 

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1be disclosed except as specifically authorized by this Act or
2other applicable law. In accord with established law and
3Department protocols, procedures, and policies, access to such
4records, but not access to the identity of the person or
5persons making a report of alleged abuse, abandonment,
6neglect, financial exploitation, or self-neglect as contained
7in such records, shall be provided, upon request, to the
8following persons and for the following persons:
9        (1) Department staff, provider agency staff, other
10    aging network staff, and regional administrative agency
11    staff, including staff of the Chicago Department on Aging
12    while that agency is designated as a regional
13    administrative agency, in the furtherance of their
14    responsibilities under this Act;
15        (1.5) A representative of the public guardian acting
16    in the course of investigating the appropriateness of
17    guardianship for the eligible adult or while pursuing a
18    petition for guardianship of the eligible adult pursuant
19    to the Probate Act of 1975;
20        (2) A law enforcement agency or State's Attorney's
21    office investigating known or suspected abuse,
22    abandonment, neglect, financial exploitation, or
23    self-neglect. Where a provider agency has reason to
24    believe that the death of an eligible adult may be the
25    result of abuse, abandonment, or neglect, including any
26    reports made after death, the agency shall immediately

 

 

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1    provide the appropriate law enforcement agency with all
2    records pertaining to the eligible adult;
3        (2.5) A law enforcement agency, fire department
4    agency, or fire protection district having proper
5    jurisdiction pursuant to a written agreement between a
6    provider agency and the law enforcement agency, fire
7    department agency, or fire protection district under which
8    the provider agency may furnish to the law enforcement
9    agency, fire department agency, or fire protection
10    district a list of all eligible adults who may be at
11    imminent risk of abuse, abandonment, neglect, financial
12    exploitation, or self-neglect;
13        (3) A physician who has before him or her or who is
14    involved in the treatment of an eligible adult whom he or
15    she reasonably suspects may be abused, abandoned,
16    neglected, financially exploited, or self-neglected or who
17    has been referred to the Adult Protective Services
18    Program;
19        (4) An eligible adult reported to be abused,
20    abandoned, neglected, financially exploited, or
21    self-neglected, or such adult's authorized guardian or
22    agent, unless such guardian or agent is the abuser or the
23    alleged abuser;
24        (4.5) An executor or administrator of the estate of an
25    eligible adult who is deceased;
26        (5) A probate court with jurisdiction over the

 

 

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1    guardianship of an alleged victim for an in camera
2    inspection In cases regarding abuse, abandonment, neglect,
3    or financial exploitation, a court or a guardian ad litem,
4    upon its or his or her finding that access to such records
5    may be necessary for the determination of an issue before
6    the court. However, such access shall be limited to an in
7    camera inspection of the records, unless the court
8    determines that disclosure of the information contained
9    therein is necessary for the resolution of an issue then
10    pending before it;
11        (5.5) A In cases regarding self-neglect, a guardian ad
12    litem, unless such guardian ad litem is the abuser or
13    alleged abuser;
14        (6) A grand jury, upon its determination that access
15    to such records is necessary in the conduct of its
16    official business;
17        (7) Any person authorized by the Director, in writing,
18    for audit or bona fide research purposes;
19        (8) A coroner or medical examiner who has reason to
20    believe that an eligible adult has died as the result of
21    abuse, abandonment, neglect, financial exploitation, or
22    self-neglect. The provider agency shall immediately
23    provide the coroner or medical examiner with all records
24    pertaining to the eligible adult;
25        (8.5) A coroner or medical examiner having proper
26    jurisdiction, pursuant to a written agreement between a

 

 

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1    provider agency and the coroner or medical examiner, under
2    which the provider agency may furnish to the office of the
3    coroner or medical examiner a list of all eligible adults
4    who may be at imminent risk of death as a result of abuse,
5    abandonment, neglect, financial exploitation, or
6    self-neglect;
7        (9) Department of Financial and Professional
8    Regulation staff and members of the Illinois Medical
9    Disciplinary Board or the Social Work Examining and
10    Disciplinary Board in the course of investigating alleged
11    violations of the Clinical Social Work and Social Work
12    Practice Act by provider agency staff or other licensing
13    bodies at the discretion of the Director of the Department
14    on Aging;
15        (9-a) Department of Healthcare and Family Services
16    staff and provider agency staff when that Department is
17    funding services to the eligible adult, including access
18    to the identity of the eligible adult;
19        (9-b) Department of Human Services staff and provider
20    agency staff when that Department is funding services to
21    the eligible adult or is providing reimbursement for
22    services provided by the abuser or alleged abuser,
23    including access to the identity of the eligible adult;
24        (10) Hearing officers in the course of conducting an
25    administrative hearing under this Act; parties to such
26    hearing shall be entitled to discovery as established by

 

 

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1    rule;
2        (11) A caregiver who challenges placement on the
3    Registry shall be given the statement of allegations in
4    the abuse report and the substantiation decision in the
5    final investigative report; and
6        (12) The Illinois Guardianship and Advocacy Commission
7    and the agency designated by the Governor under Section 1
8    of the Protection and Advocacy for Persons with
9    Developmental Disabilities Act shall have access, through
10    the Department, to records, including the findings,
11    pertaining to a completed or closed investigation of a
12    report of suspected abuse, abandonment, neglect, financial
13    exploitation, or self-neglect of an eligible adult.
14(Source: P.A. 102-244, eff. 1-1-22.)
 
15    Section 99. Effective date. This Act takes effect January
161, 2024.