Full Text of HB3841 99th General Assembly
HB3841 99TH GENERAL ASSEMBLY |
| | 99TH GENERAL ASSEMBLY
State of Illinois
2015 and 2016 HB3841 Introduced , by Rep. Elgie R. Sims, Jr. SYNOPSIS AS INTRODUCED: |
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Amends the Nursing Home Care Act. In a provision that requires a facility to conduct a criminal history background check for all persons age 18 or older seeking admission to the facility, provides that a facility is not required to conduct the criminal history background check if a criminal history background check was completed by the facility the resident resided at prior to seeking admission to the facility and the resident was transferred to the facility with no time passing during which the resident was not institutionalized.
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| | A BILL FOR |
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| | | HB3841 | | LRB099 09358 RPS 29563 b |
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| 1 | | AN ACT concerning regulation.
| 2 | | Be it enacted by the People of the State of Illinois,
| 3 | | represented in the General Assembly:
| 4 | | Section 5. The Nursing Home Care Act is amended by changing | 5 | | Section 2-201.5 as follows: | 6 | | (210 ILCS 45/2-201.5) | 7 | | Sec. 2-201.5. Screening prior to admission. | 8 | | (a) All persons age 18 or older seeking admission to a | 9 | | nursing
facility must be screened to
determine the need for | 10 | | nursing facility services prior to being admitted,
regardless | 11 | | of income, assets, or funding source. Screening for nursing | 12 | | facility services shall be administered
through procedures | 13 | | established by administrative rule. Screening may be done
by | 14 | | agencies other than the Department as established by | 15 | | administrative rule.
This Section applies on and after July 1, | 16 | | 1996. No later than October 1, 2010, the Department of | 17 | | Healthcare and Family Services, in collaboration with the | 18 | | Department on Aging, the Department of Human Services, and the | 19 | | Department of Public Health, shall file administrative rules | 20 | | providing for the gathering, during the screening process, of | 21 | | information relevant to determining each person's potential | 22 | | for placing other residents, employees, and visitors at risk of | 23 | | harm. |
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| 1 | | (a-1) Any screening performed pursuant to subsection (a) of
| 2 | | this Section shall include a determination of whether any
| 3 | | person is being considered for admission to a nursing facility | 4 | | due to a
need for mental health services. For a person who | 5 | | needs
mental health services, the screening shall
also include | 6 | | an evaluation of whether there is permanent supportive housing, | 7 | | or an array of
community mental health services, including but | 8 | | not limited to
supported housing, assertive community | 9 | | treatment, and peer support services, that would enable the | 10 | | person to live in the community. The person shall be told about | 11 | | the existence of any such services that would enable the person | 12 | | to live safely and humanely and about available appropriate | 13 | | nursing home services that would enable the person to live | 14 | | safely and humanely, and the person shall be given the | 15 | | assistance necessary to avail himself or herself of any | 16 | | available services. | 17 | | (a-2) Pre-screening for persons with a serious mental | 18 | | illness shall be performed by a psychiatrist, a psychologist, a | 19 | | registered nurse certified in psychiatric nursing, a licensed | 20 | | clinical professional counselor, or a licensed clinical social | 21 | | worker,
who is competent to (i) perform a clinical assessment | 22 | | of the individual, (ii) certify a diagnosis, (iii) make a
| 23 | | determination about the individual's current need for | 24 | | treatment, including substance abuse treatment, and recommend | 25 | | specific treatment, and (iv) determine whether a facility or a | 26 | | community-based program
is able to meet the needs of the |
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| 1 | | individual. | 2 | | For any person entering a nursing facility, the | 3 | | pre-screening agent shall make specific recommendations about | 4 | | what care and services the individual needs to receive, | 5 | | beginning at admission, to attain or maintain the individual's | 6 | | highest level of independent functioning and to live in the | 7 | | most integrated setting appropriate for his or her physical and | 8 | | personal care and developmental and mental health needs. These | 9 | | recommendations shall be revised as appropriate by the | 10 | | pre-screening or re-screening agent based on the results of | 11 | | resident review and in response to changes in the resident's | 12 | | wishes, needs, and interest in transition. | 13 | | Upon the person entering the nursing facility, the | 14 | | Department of Human Services or its designee shall assist the | 15 | | person in establishing a relationship with a community mental | 16 | | health agency or other appropriate agencies in order to (i) | 17 | | promote the person's transition to independent living and (ii) | 18 | | support the person's progress in meeting individual goals. | 19 | | (a-3) The Department of Human Services, by rule, shall | 20 | | provide for a prohibition on conflicts of interest for | 21 | | pre-admission screeners. The rule shall provide for waiver of | 22 | | those conflicts by the Department of Human Services if the | 23 | | Department of Human Services determines that a scarcity of | 24 | | qualified pre-admission screeners exists in a given community | 25 | | and that, absent a waiver of conflicts, an insufficient number | 26 | | of pre-admission screeners would be available. If a conflict is |
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| 1 | | waived, the pre-admission screener shall disclose the conflict | 2 | | of interest to the screened individual in the manner provided | 3 | | for by rule of the Department of Human Services. For the | 4 | | purposes of this subsection, a "conflict of interest" includes, | 5 | | but is not limited to, the existence of a professional or | 6 | | financial relationship between (i) a PAS-MH corporate or a | 7 | | PAS-MH agent and (ii) a community provider or long-term care | 8 | | facility. | 9 | | (b) In addition to the screening required by subsection | 10 | | (a), a facility, except for those licensed as long term care | 11 | | for under age 22 facilities, shall, within 24 hours after | 12 | | admission, request a criminal history background check | 13 | | pursuant to the Uniform Conviction Information Act for all | 14 | | persons age 18 or older seeking admission to the facility, | 15 | | unless (i) a background check was initiated by a hospital | 16 | | pursuant to subsection (d) of Section 6.09 of the Hospital | 17 | | Licensing Act or (ii) a background check was completed by the | 18 | | facility the resident resided at prior to seeking admission to | 19 | | the facility and the resident was transferred to the facility | 20 | | with no time passing during which the resident was not | 21 | | institutionalized . Background checks conducted pursuant to | 22 | | this Section shall be based on the resident's name, date of | 23 | | birth, and other identifiers as required by the Department of | 24 | | State Police. If the results of the background check are | 25 | | inconclusive, the facility shall initiate a fingerprint-based | 26 | | check, unless the fingerprint check is waived by the Director |
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| 1 | | of Public Health based on verification by the facility that the | 2 | | resident is completely immobile or that the resident meets | 3 | | other criteria related to the resident's health or lack of | 4 | | potential risk which may be established by Departmental rule. A | 5 | | waiver issued pursuant to this Section shall be valid only | 6 | | while the resident is immobile or while the criteria supporting | 7 | | the waiver exist. The facility shall provide for or arrange for | 8 | | any required fingerprint-based checks to be taken on the | 9 | | premises of the facility. If a fingerprint-based check is | 10 | | required, the facility shall arrange for it to be conducted in | 11 | | a manner that is respectful of the resident's dignity and that | 12 | | minimizes any emotional or physical hardship to the resident. | 13 | | (c) If the results of a resident's criminal history | 14 | | background check reveal that the resident is an identified | 15 | | offender as defined in Section 1-114.01, the facility shall do | 16 | | the following: | 17 | | (1) Immediately notify the Department of State Police, | 18 | | in the form and manner required by the Department of State | 19 | | Police, in collaboration with the Department of Public | 20 | | Health, that the resident is an identified offender. | 21 | | (2) Within 72 hours, arrange for a fingerprint-based | 22 | | criminal history record inquiry to be requested on the | 23 | | identified offender resident. The inquiry shall be based on | 24 | | the subject's name, sex, race, date of birth, fingerprint | 25 | | images, and other identifiers required by the Department of | 26 | | State Police. The inquiry shall be processed through the |
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| 1 | | files of the Department of State Police and the Federal | 2 | | Bureau of Investigation to locate any criminal history | 3 | | record information that may exist regarding the subject. | 4 | | The Federal Bureau of Investigation shall furnish to the | 5 | | Department of State Police,
pursuant to an inquiry under | 6 | | this paragraph (2),
any criminal history record | 7 | | information contained in its
files. | 8 | | The facility shall comply with all applicable provisions | 9 | | contained in the Uniform Conviction Information Act. | 10 | | All name-based and fingerprint-based criminal history | 11 | | record inquiries shall be submitted to the Department of State | 12 | | Police electronically in the form and manner prescribed by the | 13 | | Department of State Police. The Department of State Police may | 14 | | charge the facility a fee for processing name-based and | 15 | | fingerprint-based criminal history record inquiries. The fee | 16 | | shall be deposited into the State Police Services Fund. The fee | 17 | | shall not exceed the actual cost of processing the inquiry. | 18 | | (d) (Blank).
| 19 | | (e) The Department shall develop and maintain a | 20 | | de-identified database of residents who have injured facility | 21 | | staff, facility visitors, or other residents, and the attendant | 22 | | circumstances, solely for the purposes of evaluating and | 23 | | improving resident pre-screening and assessment procedures | 24 | | (including the Criminal History Report prepared under Section | 25 | | 2-201.6) and the adequacy of Department requirements | 26 | | concerning the provision of care and services to residents. A |
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| 1 | | resident shall not be listed in the database until a Department | 2 | | survey confirms the accuracy of the listing. The names of | 3 | | persons listed in the database and information that would allow | 4 | | them to be individually identified shall not be made public. | 5 | | Neither the Department nor any other agency of State government | 6 | | may use information in the database to take any action against | 7 | | any individual, licensee, or other entity, unless the | 8 | | Department or agency receives the information independent of | 9 | | this subsection (e). All information
collected, maintained, or | 10 | | developed under the authority of this subsection (e) for the | 11 | | purposes of the database maintained under this subsection (e) | 12 | | shall be treated in the same manner as information that is | 13 | | subject to Part 21 of Article VIII of the Code of Civil | 14 | | Procedure. | 15 | | (Source: P.A. 96-1372, eff. 7-29-10; 97-48, eff. 6-28-11.)
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