093_SB0199

 
                                     LRB093 06333 DRJ 06452 b

 1        AN ACT in relation to health.

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

 4        Section   5.  The   Mental   Health   and   Developmental
 5    Disabilities  Code  is  amended  by  changing Sections 2-107,
 6    2-107.1, and 3-802 as follows:

 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  recipient's
10    guardian,  if  the  recipient  is under guardianship, and the
11    recipient's  substitute  decision  maker,  if  any,  must  be
12    informed of the recipient's right to refuse medication.   The
13    recipient and the recipient's guardian or substitute decision
14    maker  shall  be  given  the  opportunity to refuse generally
15    accepted mental health or developmental disability  services,
16    including  but  not  limited to medication.  If such services
17    are refused, they shall not be given unless such services are
18    necessary to prevent the recipient from causing  serious  and
19    imminent physical harm to the recipient or others and no less
20    restrictive  alternative is available.  The facility director
21    shall inform a recipient, guardian,  or  substitute  decision
22    maker,  if  any,  who  refuses  such  services  of  alternate
23    services  available and the risks of such alternate services,
24    as well as the possible  consequences  to  the  recipient  of
25    refusal of such services.
26        (b)  Authorized  involuntary treatment may be given under
27    this Section for up to 72 24 hours only if the  circumstances
28    leading  up to the need for emergency treatment are set forth
29    in writing in the recipient's record.
30        (c)  Authorized  involuntary   treatment   may   not   be
31    continued  unless the need for such treatment is redetermined
 
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 1    at least every 72 24 hours based upon a personal  examination
 2    of  the  recipient  by  a  physician  or  a  nurse  under the
 3    supervision   of   a   physician   and   the    circumstances
 4    demonstrating  that  need  are  set  forth  in writing in the
 5    recipient's record.
 6        (d)  Authorized  involuntary   treatment   may   not   be
 7    administered  under this Section for a period in excess of 72
 8    hours, excluding Saturdays, Sundays, and holidays,  unless  a
 9    petition  is  filed   under Section 2-107.1 and the treatment
10    continues to  be  necessary  under  subsection  (a)  of  this
11    Section.  Once  the  petition  has  been filed, treatment may
12    continue in compliance with subsections (a), (b), and (c)  of
13    this  Section  until  the final outcome of the hearing on the
14    petition.
15        (e)  The Department shall issue rules designed to  insure
16    that  in  State-operated  mental health facilities authorized
17    involuntary treatment is administered in accordance with this
18    Section and only when appropriately authorized and  monitored
19    by  a  physician  or  a  nurse  under  the  supervision  of a
20    physician in accordance with accepted medical practice.   The
21    facility director of each mental health facility not operated
22    by  the  State  shall  issue rules designed to insure that in
23    that   facility   authorized   involuntary    treatment    is
24    administered  in  accordance  with this Section and only when
25    appropriately authorized and monitored by a  physician  or  a
26    nurse under the supervision of a physician in accordance with
27    accepted medical practice.  Such rules shall be available for
28    public inspection and copying during normal business hours.
29        (f)  The  provisions  of this Section with respect to the
30    emergency administration of authorized involuntary  treatment
31    do  not  apply  to facilities licensed under the Nursing Home
32    Care Act.
33        (g) Under no circumstances may  long-acting  psychotropic
34    medications be administered under this Section.
 
                            -3-      LRB093 06333 DRJ 06452 b
 1    (Source: P.A. 90-538, eff. 12-1-97; 91-726, eff. 6-2-00.)

 2        (405 ILCS 5/2-107.1) (from Ch. 91 1/2, par. 2-107.1)
 3        Sec.  2-107.1.  Administration  of authorized involuntary
 4    treatment upon application to a court.
 5        (a)  An adult recipient of services and  the  recipient's
 6    guardian,  if  the  recipient  is under guardianship, and the
 7    substitute decision maker, if any, shall be informed  of  the
 8    recipient's right to refuse medication. The recipient and the
 9    recipient's  guardian  or  substitute decision maker shall be
10    given the opportunity to  refuse  generally  accepted  mental
11    health  or  developmental  disability services, including but
12    not limited to medication.
13        (a-5)  Notwithstanding the provisions of Section 2-107 of
14    this  Code,   authorized   involuntary   treatment   may   be
15    administered  to  an  adult recipient of services without the
16    informed  consent  of  the  recipient  under  the   following
17    standards:
18             (1)  Any  person 18 years of age or older, including
19        any guardian, may petition the circuit court for an order
20        authorizing the administration of authorized  involuntary
21        treatment  to a recipient of services. The petition shall
22        state that the petitioner has made a good  faith  attempt
23        to  determine  whether the recipient has executed a power
24        of attorney for health care under the Powers of  Attorney
25        for  Health  Care  Law or a declaration for mental health
26        treatment under the Mental  Health  Treatment  Preference
27        Declaration Act and to obtain copies of these instruments
28        if  they exist.  If either of the above-named instruments
29        is available to the petitioner, the instrument or a  copy
30        of the instrument shall be attached to the petition as an
31        exhibit.  The  petitioner  shall  deliver  a  copy of the
32        petition, and  notice  of  the  time  and  place  of  the
33        hearing,  to  the  respondent,  his  or her attorney, any
 
                            -4-      LRB093 06333 DRJ 06452 b
 1        known  agent  or  attorney-in-fact,  if  any,   and   the
 2        guardian,  if any, no later than 3 days prior to the date
 3        of the hearing. Service of the petition and notice of the
 4        time and place of the hearing may be made by transmitting
 5        them via facsimile machine to  the  respondent  or  other
 6        party.   Upon  receipt  of  the  petition and notice, the
 7        party served, or the person delivering the  petition  and
 8        notice  to  the  party served, shall acknowledge service.
 9        If the party sending the petition  and  notice  does  not
10        receive  acknowledgement  of  service  within  24  hours,
11        service must be made by personal service.
12             The  petition  may  include a request that the court
13        authorize such testing and procedures as may be essential
14        for  the  safe  and  effective  administration   of   the
15        authorized    involuntary    treatment   sought   to   be
16        administered, but only where the petition sets forth  the
17        specific    testing   and   procedures   sought   to   be
18        administered.
19             If a hearing is requested  to  be  held  immediately
20        following  the  hearing  on  a  petition  for involuntary
21        admission, then the notice requirement shall be the  same
22        as  that  for the hearing on the petition for involuntary
23        admission,  and  the  petition  filed  pursuant  to  this
24        Section shall be filed with the petition for  involuntary
25        admission.
26             (2)  The court shall hold a hearing within 7 days of
27        the  filing of the petition.  The People, the petitioner,
28        or the respondent shall be entitled to a  continuance  of
29        up  to  10 7 days as of right.  An additional continuance
30        of  not more than 10 7 days may be granted to  any  party
31        (i)  upon  a  showing  that  the continuance is needed in
32        order to adequately prepare for or present evidence in  a
33        hearing  under  this  Section  or  (ii) under exceptional
34        circumstances.   The  court  may  grant   an   additional
 
                            -5-      LRB093 06333 DRJ 06452 b
 1        continuance   not   to   exceed  21  days  when,  in  its
 2        discretion, the court determines that such a  continuance
 3        is  necessary  in  order to provide the recipient with an
 4        examination pursuant to Section 3-803 or  3-804  of  this
 5        Act,  to  provide  the  recipient with a trial by jury as
 6        provided in Section 3-802 of this Act, or to arrange  for
 7        the  substitution  of  counsel  as  provided  for  by the
 8        Illinois  Supreme  Court  Rules.  The  hearing  shall  be
 9        separate from a judicial  proceeding  held  to  determine
10        whether  a person is subject to involuntary admission but
11        may be heard immediately preceding or  following  such  a
12        judicial proceeding and may be heard by the same trier of
13        fact or law as in that judicial proceeding.
14             (3)  Unless    otherwise    provided   herein,   the
15        procedures set forth in Article VIII of Chapter 3 of this
16        Act, including the provisions  regarding  appointment  of
17        counsel, shall govern hearings held under this subsection
18        (a-5).
19             (4)  Authorized  involuntary  treatment shall not be
20        administered  to  the  recipient  unless  it   has   been
21        determined  by  clear and convincing evidence that all of
22        the following factors are present:
23                  (A)  That the recipient has  a  serious  mental
24             illness or developmental disability.
25                  (B)  That  because  of  said  mental illness or
26             developmental disability, the recipient exhibits any
27             one of the following: (i) deterioration  of  his  or
28             her  ability  to  function, (ii) suffering, or (iii)
29             threatening behavior.
30                  (C)  That the illness or disability has existed
31             for a period marked by the  continuing  presence  of
32             the   symptoms   set  forth  in  item  (B)  of  this
33             subdivision (4) or the repeated episodic  occurrence
34             of these symptoms.
 
                            -6-      LRB093 06333 DRJ 06452 b
 1                  (D)  That   the   benefits   of  the  treatment
 2             outweigh the harm.
 3                  (E)  That the recipient lacks the  capacity  to
 4             make a reasoned decision about the treatment.
 5                  (F)  That  other less restrictive services have
 6             been explored and found inappropriate.
 7                  (G)  If the petition  seeks  authorization  for
 8             testing  and other procedures, that such testing and
 9             procedures are essential for the safe and  effective
10             administration of the treatment.
11             (5)  In  no  event  shall an order issued under this
12        Section be effective for more  than  90  days.  A  second
13        90-day  period of involuntary treatment may be authorized
14        pursuant to a hearing that complies  with  the  standards
15        and  procedures  of  this  subsection  (a-5). Thereafter,
16        additional 180-day periods of involuntary  treatment  may
17        be authorized pursuant to the standards and procedures of
18        this   Section  without  limit.  If  a  new  petition  to
19        authorize the administration  of  authorized  involuntary
20        treatment  is  filed  at  least  15  days  prior  to  the
21        expiration  of the prior order, and if any continuance of
22        the  hearing  is  agreed  to  by   the   recipient,   the
23        administration   of   the   treatment   may  continue  in
24        accordance with the prior order pending the completion of
25        a hearing under this Section.
26             (6)  An order issued  under  this  subsection  (a-5)
27        shall  designate the persons authorized to administer the
28        authorized involuntary treatment under the standards  and
29        procedures  of this subsection (a-5). Those persons shall
30        have complete discretion not to administer any  treatment
31        authorized  under  this Section or to change the specific
32        medications and  dosages.  Whenever  a  medication  or  a
33        dosage  is  changed, the specifics must be entered in the
34        individual's record. The order  shall  also  specify  the
 
                            -7-      LRB093 06333 DRJ 06452 b
 1        medications  and  the  anticipated  range of dosages that
 2        have been authorized.
 3        (b)  A guardian may  be  authorized  to  consent  to  the
 4    administration  of  authorized  involuntary  treatment  to an
 5    objecting recipient only under the standards  and  procedures
 6    of subsection (a-5).
 7        (c)  Notwithstanding any other provision of this Section,
 8    a  guardian  may  consent to the administration of authorized
 9    involuntary treatment  to  a  non-objecting  recipient  under
10    Article XIa of the Probate Act of 1975.
11        (d)  Nothing   in   this   Section   shall   prevent  the
12    administration  of  authorized   involuntary   treatment   to
13    recipients in an emergency under Section 2-107 of this Act.
14        (e)  Notwithstanding   any  of  the  provisions  of  this
15    Section, authorized involuntary treatment may be administered
16    pursuant to a power of attorney for  health  care  under  the
17    Powers  of  Attorney for Health Care Law or a declaration for
18    mental health treatment under  the  Mental  Health  Treatment
19    Preference Declaration Act.
20    (Source:  P.A.  91-726,  eff.  6-2-00;  91-787,  eff. 1-1-01;
21    92-16, eff. 6-28-01.)

22        (405 ILCS 5/3-802) (from Ch. 91 1/2, par. 3-802)
23        Sec. 3-802.  The respondent is entitled to a jury on  the
24    question  of  whether he is subject to involuntary admission.
25    The jury shall consist of 6 persons to be chosen in the  same
26    manner as are jurors in other civil proceedings. A respondent
27    is  not  entitled  to  a  jury  on  the  question  of whether
28    authorized involuntary treatment may  be  administered  under
29    Section 2-107.
30    (Source: P.A. 80-1414.)

31        Section  99.  Effective date.  This Act takes effect upon
32    becoming law.