98TH GENERAL ASSEMBLY
State of Illinois
2013 and 2014
SB1197

 

Introduced 1/30/2013, by Sen. John M. Sullivan

 

SYNOPSIS AS INTRODUCED:
 
210 ILCS 45/2-201  from Ch. 111 1/2, par. 4152-201

    Amends the Nursing Home Care Act. Provides that to protect the residents' funds, a facility shall at the time of admission provide each resident, resident's guardian, resident's representative, or resident's immediate family member with a written statement explaining to the resident and to the resident's spouse their obligation to comply with the asset and income disclosure requirements of the federal Social Security Act and the regulations duly promulgated thereunder. Provides that the signed acknowledgment that the facility is to obtain from each resident, resident's guardian, resident's representative, or resident's immediate family member shall acknowledge that such person understands that failure to comply with asset and income disclosure requirements may result in the denial of Medicaid eligibility. Effective immediately.


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A BILL FOR

 

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1    AN ACT concerning regulation.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Nursing Home Care Act is amended by changing
5Section 2-201 as follows:
 
6    (210 ILCS 45/2-201)  (from Ch. 111 1/2, par. 4152-201)
7    Sec. 2-201. To protect the residents' funds, the facility:
8    (1) Shall at the time of admission provide, in order of
9priority, each resident, or the resident's guardian, if any, or
10the resident's representative, if any, or the resident's
11immediate family member, if any, with a written statement
12explaining to the resident and to the resident's spouse (a)
13their spousal impoverishment rights, as defined at Section 5-4
14of the Illinois Public Aid Code, and at Section 303 of Title
15III of the Medicare Catastrophic Coverage Act of 1988 (P.L.
16100-360), and (b) their obligation to comply with the asset and
17income disclosure requirements of Title XIX of the federal
18Social Security Act and the regulations duly promulgated
19thereunder, and (c) the resident's rights regarding personal
20funds and listing the services for which the resident will be
21charged. The facility shall obtain a signed acknowledgment from
22each resident or the resident's guardian, if any, or the
23resident's representative, if any, or the resident's immediate

 

 

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1family member, if any, that such person has received the
2statement and understands that failure to comply with asset and
3income disclosure requirements may result in the denial of
4Medicaid eligibility.
5    (2) May accept funds from a resident for safekeeping and
6managing, if it receives written authorization from, in order
7of priority, the resident or the resident's guardian, if any,
8or the resident's representative, if any, or the resident's
9immediate family member, if any; such authorization shall be
10attested to by a witness who has no pecuniary interest in the
11facility or its operations, and who is not connected in any way
12to facility personnel or the administrator in any manner
13whatsoever.
14    (3) Shall maintain and allow, in order of priority, each
15resident or the resident's guardian, if any, or the resident's
16representative, if any, or the resident's immediate family
17member, if any, access to a written record of all financial
18arrangements and transactions involving the individual
19resident's funds.
20    (4) Shall provide, in order of priority, each resident, or
21the resident's guardian, if any, or the resident's
22representative, if any, or the resident's immediate family
23member, if any, with a written itemized statement at least
24quarterly, of all financial transactions involving the
25resident's funds.
26    (5) Shall purchase a surety bond, or otherwise provide

 

 

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1assurance satisfactory to the Departments of Public Health and
2Insurance that all residents' personal funds deposited with the
3facility are secure against loss, theft, and insolvency.
4    (6) Shall keep any funds received from a resident for
5safekeeping in an account separate from the facility's funds,
6and shall at no time withdraw any part or all of such funds for
7any purpose other than to return the funds to the resident upon
8the request of the resident or any other person entitled to
9make such request, to pay the resident his allowance, or to
10make any other payment authorized by the resident or any other
11person entitled to make such authorization.
12    (7) Shall deposit any funds received from a resident in
13excess of $100 in an interest bearing account insured by
14agencies of, or corporations chartered by, the State or federal
15government. The account shall be in a form which clearly
16indicates that the facility has only a fiduciary interest in
17the funds and any interest from the account shall accrue to the
18resident. The facility may keep up to $100 of a resident's
19money in a non-interest bearing account or petty cash fund, to
20be readily available for the resident's current expenditures.
21    (8) Shall return to the resident, or the person who
22executed the written authorization required in subsection (2)
23of this Section, upon written request, all or any part of the
24resident's funds given the facility for safekeeping, including
25the interest accrued from deposits.
26    (9) Shall (a) place any monthly allowance to which a

 

 

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1resident is entitled in that resident's personal account, or
2give it to the resident, unless the facility has written
3authorization from the resident or the resident's guardian or
4if the resident is a minor, his parent, to handle it
5differently, (b) take all steps necessary to ensure that a
6personal needs allowance that is placed in a resident's
7personal account is used exclusively by the resident or for the
8benefit of the resident, and (c) where such funds are withdrawn
9from the resident's personal account by any person other than
10the resident, require such person to whom funds constituting
11any part of a resident's personal needs allowance are released,
12to execute an affidavit that such funds shall be used
13exclusively for the benefit of the resident.
14    (10) Unless otherwise provided by State law, upon the death
15of a resident, shall provide the executor or administrator of
16the resident's estate with a complete accounting of all the
17resident's personal property, including any funds of the
18resident being held by the facility.
19    (11) If an adult resident is incapable of managing his
20funds and does not have a resident's representative, guardian,
21or an immediate family member, shall notify the Office of the
22State Guardian of the Guardianship and Advocacy Commission.
23    (12) If the facility is sold, shall provide the buyer with
24a written verification by a public accountant of all residents'
25monies and properties being transferred, and obtain a signed
26receipt from the new owner.

 

 

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1(Source: P.A. 86-410; 86-486; 86-1028; 87-551; 87-1122.)
 
2    Section 99. Effective date. This Act takes effect upon
3becoming law.