State of Illinois
90th General Assembly
Legislation

   [ Search ]   [ Legislation ]   [ Bill Summary ]
[ Home ]   [ Back ]   [ Bottom ]


[ Introduced ][ Enrolled ][ House Amendment 001 ]

90_SB0956eng

      SEE INDEX
          Amends the Mental Health and  Developmental  Disabilities
      Administrative  Act.   Provides that the Department of Mental
      Health (and, on and after July 1,  1997,  the  Department  of
      Human   Services)  shall  require  candidates  for  positions
      involving   contact   with   recipients   of   services    in
      State-operated  facilities  to  submit  to  fingerprint-based
      criminal background investigations.  Sets forth circumstances
      under  which  information relating to an investigation may be
      disclosed.   Deletes provisions allowing  the  Department  to
      provide  supplemental  payments to families of persons placed
      in  licensed  private  facilities.    Deletes   a   provision
      requiring  30 days' notice to the Department and the person's
      guardian before a mentally retarded person is  discharged  or
      transferred  from  a  private  facility.  Provides  that  the
      Department shall visit all persons the Department places in a
      nursing  home once in the first month following placement and
      once every month thereafter when indicated.    Abolishes  the
      Community Funding Advisory Committee.   Repeals the Community
      Residential  Alternatives  Licensing  Act.  Provides that all
      agencies previously regulated by  the  Community  Residential
      Alternatives  Licensing  Act  shall  be  regulated  under the
      Community-Integrated  Living   Arrangements   Licensure   and
      Certification   Act.       Amends   the   Mental  Health  and
      Developmental Disabilities  Confidentiality  Act.    Provides
      that   mental   health  records  and  communications  may  be
      disclosed in accordance  with the Sex  Offender  Registration
      Act  and  the  Rights  of  Crime  Victims  and Witnesses Act.
      Permits a facility director to disclose whether a  person  is
      present  at  the  mental  health  or developmental disability
      facility upon the request of a peace officer  or  prosecuting
      authority  who  is  conducting a bona fide investigation of a
      criminal offense or attempting to apprehend a  fugitive  from
      justice.    Establishes  civil  and  criminal  immunity for a
      person who discloses the information in good faith.     Makes
      other   changes.     Effective  immediately,  except  certain
      provisions take effect on July 1, 1997.
                                                     LRB9002180WHmg
SB956 Engrossed                                LRB9002180WHmg
 1        AN ACT to amend certain Acts in relation to mental health
 2    and developmental disabilities.
 3        Be it enacted by the People of  the  State  of  Illinois,
 4    represented in the General Assembly:
 5        Section   5.    The   Department  of  Mental  Health  and
 6    Developmental  Disabilities  Act  (short  title  changed   to
 7    Mental  Health  and Developmental Disabilities Administrative
 8    Act effective July 1, 1997) is amended by  changing  Sections
 9    4.2, 15, 43, and 54 as follows:
10        (20 ILCS 1705/4.2) (from Ch. 91 1/2, par. 100-4.2)
11        Sec.  4.2.  Facility staff. The Department shall describe
12    and delineate  guidelines  for  each  of  the  facilities  it
13    operates regarding the number and qualifications of the staff
14    required to carry out prescribed duties. The guidelines shall
15    be  based  on  consideration  of  recipient  needs as well as
16    professional and programmatic requirements,  including  those
17    established  for  purposes  of national accreditation and for
18    certification under Titles  XVIII  and  XIX  of  the  federal
19    Social  Security  Act.  The  Department  shall  utilize those
20    guidelines in the preparation of its annual  plan  and  shall
21    include  in  the  plan  a report of efforts in management and
22    budgeting  at  each  facility  to  achieve  staffing  targets
23    established in relation to the guidelines.
24        (b)  As used in  this  Section,  "direct  care  position"
25    means  any  position  with  the  Department  in which the job
26    titles which will regularly  or  temporarily  entail  contact
27    with  recipients  in  the Department's facilities for persons
28    with a mental illness or a developmental disability.
29        (c)  The Department shall require that each candidate for
30    employment in a direct  care  position,  as  a  condition  of
31    employment,  shall  submit  to  a  fingerprint-based criminal
SB956 Engrossed             -2-                LRB9002180WHmg
 1    background investigation to  determine whether the  candidate
 2    for  employment  in  a  direct  care  position  has ever been
 3    charged with a crime and, if so,  the  disposition  of  those
 4    charges.  This  authorization shall indicate the scope of the
 5    inquiry and the agencies which may be  contacted.  Upon  this
 6    authorization,  the  Director  (or, on or after July 1, 1997,
 7    the Secretary) shall  request  and  receive  information  and
 8    assistance  from  any  federal,   State or local governmental
 9    agency  as  part  of  the   authorized   investigation.   The
10    Department   of   State   Police  shall  provide  information
11    concerning any criminal charges, and their  disposition,  now
12    or  hereafter  filed  against a candidate for employment in a
13    direct care position upon request of the Department when  the
14    request  is  made  in  the  form  and manner  required by the
15    Department of State Police.
16        Information concerning convictions  of  a  candidate  for
17    employment  in a direct care position investigated under this
18    Section, including the  source of  the  information  and  any
19    conclusions or  recommendations derived from the information,
20    shall  be  provided,  upon  request,  to    the candidate for
21    employment in a direct care position before final  action  by
22    the Department on the application. Information on convictions
23    of a candidate for employment in a direct care position under
24    this  Act  shall be provided to the director of the employing
25    unit, and,  upon request, to the candidate for employment  in
26    a  direct care position. Any information concerning  criminal
27    charges and the disposition of those charges obtained by  the
28    Department  shall  be confidential and may not be transmitted
29    outside the Department, except as required  in this Act,  and
30    may not be transmitted to anyone within the Department except
31    as  needed  for the purpose of evaluating an application of a
32    candidate for employment in a direct  care  position.    Only
33    information   and  standards  which  bear  a  reasonable  and
34    rational relation to  the    performance  of  a  direct  care
SB956 Engrossed             -3-                LRB9002180WHmg
 1    position  shall  be  used by the Department. Any employee  of
 2    the Department or the Department  of State  Police  receiving
 3    confidential  information  under  this  Section  who gives or
 4    causes to be given any  confidential  information  concerning
 5    any  criminal convictions of  a candidate for employment in a
 6    direct care position shall be guilty of a Class A misdemeanor
 7    unless  release of the  information  is  authorized  by  this
 8    Section.
 9        A  Department  employing unit may hire, on a probationary
10    basis, any  candidate  for  employment  in  a    direct  care
11    position,  authorizing  a  criminal  background investigation
12    under this  Section, pending the result of the investigation.
13    A candidate for employment in a direct care position shall be
14    notified before he or she is hired that his or her employment
15    may  be  terminated  on  the  basis  of  criminal  background
16    information obtained by the employing unit.
17        No person may be employed in a direct care  position  who
18    refuses  to  authorize  an  investigation as required by this
19    subsection (c).
20    (Source: P.A. 86-1013.)
21        (20 ILCS 1705/15) (from Ch. 91 1/2, par. 100-15)
22        (Text of Section in effect until July 1, 1997)
23        Sec. 15.  Before any person is released from  a  facility
24    operated  by the State pursuant to an absolute discharge or a
25    conditional discharge from hospitalization  under  this  Act,
26    the facility director of the facility in which such person is
27    hospitalized   shall   determine  that  such  person  is  not
28    currently in need of hospitalization and:
29             (a)  is able to live independently in the community;
30        or
31             (b)  requires further oversight and supervisory care
32        for which arrangements have been  made  with  responsible
33        relatives  or  supervised residential program approved by
SB956 Engrossed             -4-                LRB9002180WHmg
 1        the Department; or
 2             (c)  requires  further  personal  care  or   general
 3        oversight  as  defined  by the Nursing Home Care Act, for
 4        which  placement  arrangements  have  been  made  with  a
 5        suitable family home or other licensed facility  approved
 6        by the Department under this Section.
 7        Such  determination  shall  be  made in writing and shall
 8    become a part of the facility record of  such  absolutely  or
 9    conditionally  discharged  person.   When  the  determination
10    indicates  that  the condition of the person to be granted an
11    absolute discharge or a conditional  discharge  is  described
12    under  subparagraph (c) of this Section, the name and address
13    of the continuing care facility or home to which such  person
14    is  to  be  released shall be entered in the facility record.
15    Where a discharge from a mental health facility is made under
16    subparagraph  (c),  the  Department  of  Mental  Health   and
17    Developmental   Disabilities   shall  assign  the  person  so
18    discharged to  an  existing  community  based  not-for-profit
19    agency  for  participation  in day activities suitable to the
20    person's needs,  such  as  but  not  limited  to  social  and
21    vocational    rehabilitation,    and    other   recreational,
22    educational and financial  activities  unless  the  community
23    based  not-for-profit  agency  is  unqualified to accept such
24    assignment. Where the clientele of any not-for-profit  agency
25    increases  as  a  result of assignments under this amendatory
26    Act of 1977  by  more  than  3%  over  the  prior  year,  the
27    Department shall fully reimburse such agency for the costs of
28    providing  services  to  such  persons  in  excess of such 3%
29    increase.
30        Insofar as desirable  in  the  interests  of  the  former
31    recipient,  the  facility,  program  or  home  in  which  the
32    discharged person is to be placed shall be located in or near
33    the   community   in   which  the  person  resided  prior  to
34    hospitalization or in the community  in  which  the  person's
SB956 Engrossed             -5-                LRB9002180WHmg
 1    family  or nearest next of kin presently reside. Placement of
 2    the  discharged  person  in  facilities,  programs  or  homes
 3    located outside of this  State  shall  not  be  made  by  the
 4    Department   unless  there  are  no  appropriate  facilities,
 5    programs or homes available within this  State.  Out-of-state
 6    placements shall be subject to return of recipients so placed
 7    upon the availability of facilities, programs or homes within
 8    this  State  to  accommodate  these  recipients, except where
 9    placement  in  a  contiguous  state  results  in  locating  a
10    recipient in a facility or program closer to the  recipient's
11    home  or  family.   If  an  appropriate  facility  or program
12    becomes available equal to or closer to the recipient's  home
13    or  family,  the recipient shall be returned to and placed at
14    the appropriate facility or program within this State.
15        To place any  person  who  is  under  a  program  of  the
16    Department  at  board  in  a  suitable family home or in such
17    other facility or program  as  the  Department  may  consider
18    desirable.   The  Department  may  place  in licensed nursing
19    homes, sheltered care homes, or  homes  for  the  aged  those
20    persons  whose  behavioral  manifestations  and  medical  and
21    nursing   care   needs   are  such  as  to  be  substantially
22    indistinguishable  from  persons  already  living   in   such
23    facilities.   Prior  to any placement by the Department under
24    this Section, a determination shall be made by the  personnel
25    of  the  Department,  as to the capability and suitability of
26    such facility to adequately meet the needs of the  person  to
27    be  discharged.   When  specialized programs are necessary in
28    order to enable persons  in  need  of  supervised  living  to
29    develop  and  improve  in the community, the Department shall
30    place such  persons  only  in  specialized  residential  care
31    facilities  which  shall  meet Department standards including
32    restricted admission policy, special staffing and programming
33    for social and vocational rehabilitation, in addition to  the
34    requirements  of the appropriate State licensing agency.  The
SB956 Engrossed             -6-                LRB9002180WHmg
 1    Department shall not place any new person in a  facility  the
 2    license  of  which has been revoked or not renewed on grounds
 3    of inadequate programming, staffing, or medical or adjunctive
 4    services,  regardless  of  the  pendency  of  an  action  for
 5    administrative review regarding such revocation or failure to
 6    renew. Before the Department may transfer  any  person  to  a
 7    licensed  nursing  home,  sheltered care home or home for the
 8    aged or place any person in a  specialized  residential  care
 9    facility  the  Department  shall  notify  the  person  to  be
10    transferred,  or  a  responsible  relative of such person, in
11    writing, at least 30 days before the proposed transfer,  with
12    respect  to  all the relevant facts concerning such transfer,
13    except  in  cases  of  emergency  when  such  notice  is  not
14    required. If  either  the  person  to  be  transferred  or  a
15    responsible relative of such person objects to such transfer,
16    in  writing  to  the Department, at any time after receipt of
17    notice and before the transfer, the facility director of  the
18    facility   in   which   the  person  was  a  recipient  shall
19    immediately schedule a  hearing  at  the  facility  with  the
20    presence of the facility director, the person who objected to
21    such  proposed  transfer,  and a psychiatrist who is familiar
22    with the record of the person to be transferred. Such  person
23    to   be   transferred   or  a  responsible  relative  may  be
24    represented by such counsel or interested  party  as  he  may
25    appoint,  who  may present such testimony with respect to the
26    proposed transfer. Testimony presented at such hearing  shall
27    become    a    part   of   the   facility   record   of   the
28    person-to-be-transferred. The record of  testimony  shall  be
29    held  in the person-to-be-transferred's record in the central
30    files of the facility. If such hearing is held a transfer may
31    only be implemented,  if  at  all,  in  accordance  with  the
32    results  of  such  hearing. Within 15 days after such hearing
33    the facility director shall deliver his findings based on the
34    record of  the  case  and  the  testimony  presented  at  the
SB956 Engrossed             -7-                LRB9002180WHmg
 1    hearing,  by  registered or certified mail, to the parties to
 2    such hearing. The findings of the facility director shall  be
 3    deemed a final administrative decision of the Department. For
 4    purposes  of  this  Section,  "case of emergency" means those
 5    instances in which the health of the person to be transferred
 6    is imperiled and the most appropriate mental health  care  or
 7    medical  care  is  available  at  a  licensed  nursing  home,
 8    sheltered  care  home  or  home for the aged or a specialized
 9    residential care facility.
10        Prior to placement of any person in a facility under this
11    Section the  Department  shall  ensure  that  an  appropriate
12    training  plan  for  staff  is provided by the facility. Said
13    training  may  include  instruction  and   demonstration   by
14    Department  personnel qualified in the area of mental illness
15    or mental retardation, as applicable  to  the  person  to  be
16    placed. Training may be given both at the facility from which
17    the  recipient  is  transferred and at the facility receiving
18    the recipient, and may be available  on  a  continuing  basis
19    subsequent to placement.  In a facility providing services to
20    former  Department recipients, training shall be available as
21    necessary for facility staff.  Such training  will  be  on  a
22    continuing  basis as the needs of the facility and recipients
23    change and further training is required.
24        The Department shall not place any person in  a  facility
25    which does not have appropriately trained staff in sufficient
26    numbers  to  accommodate  the recipient population already at
27    the facility.  As a condition of further or future placements
28    of persons, the Department shall require  the  employment  of
29    additional  trained  staff members at the facility where said
30    persons are to be placed.  The Director,  or  his  designate,
31    shall  establish  guidelines  for  placement  of  persons  in
32    facilities under this Act.
33        Bills  for  the support for a person boarded out shall be
34    payable monthly out of the proper maintenance funds and shall
SB956 Engrossed             -8-                LRB9002180WHmg
 1    be audited as any other accounts of  the  Department.   If  a
 2    person  is  placed  in  a  facility  or  program  outside the
 3    Department, the  Department  may  pay  the  actual  costs  of
 4    residence,  treatment or maintenance in such facility and may
 5    collect such actual costs  or  a  portion  thereof  from  the
 6    recipient or the estate of a person placed in accordance with
 7    this Section.
 8        Other  than  those placed in a family home the Department
 9    shall cause all persons who are  placed  in  a  facility,  as
10    defined  by  the  Nursing  Home  Care  Act,  or in designated
11    community living situations or programs,  to  be  visited  at
12    least  once  during  every week for the first month following
13    placement, and once every month  thereafter  when  indicated.
14    Visits  shall  be  made  by  qualified and trained Department
15    personnel, or their designee, in the area of mental health or
16    developmental disabilities applicable to the person  visited,
17    and  shall  be  made on a more frequent basis when indicated.
18    The  Department  may  not  use  as  designee  any   personnel
19    connected  with  or responsible to the representatives of any
20    facility in which persons who  have  been  transferred  under
21    this  Section are placed.   In the course of such visit there
22    shall be  consideration  of  the  following  areas,  but  not
23    limited  thereto:  effects of transfer on physical and mental
24    health of the person, sufficiency of nursing care and medical
25    coverage  required  by  the  person,  sufficiency  of   staff
26    personnel  and  ability to provide basic care for the person,
27    social, recreational and  programmatic  activities  available
28    for the person, and other appropriate aspects of the person's
29    environment.
30        A  report containing the above observations shall be made
31    to  the  Department  and  to  any  other  appropriate  agency
32    subsequent to each visitation.  At the conclusion of one year
33    following absolute or  conditional  discharge,  or  a  longer
34    period  of time if required by the Department, the Department
SB956 Engrossed             -9-                LRB9002180WHmg
 1    may terminate the visitation requirements of this Section  as
 2    to a person placed in accordance with this Section, by filing
 3    a  written  statement of termination setting forth reasons to
 4    substantiate the termination of visitations in  the  person's
 5    file,  and  sending  a copy thereof to the person, and to his
 6    guardian or next of kin.
 7        Upon the complaint of any  person  placed  in  accordance
 8    with   this  Section  or  any  responsible  citizen  or  upon
 9    discovery that such person has  been  abused,  neglected,  or
10    improperly  cared for, or that the placement does not provide
11    the  type  of  care  required  by  the  recipient's   current
12    condition,  the Department immediately shall investigate, and
13    determine if the well-being, health, care, or safety  of  any
14    person  is  affected  by any of the above occurrences, and if
15    any one of the above occurrences is verified, the  Department
16    shall  remove  such  person  at  once  to  a  facility of the
17    Department or to another  facility  outside  the  Department,
18    provided  such  person's  needs  can be met at said facility.
19    The  Department  may  also  provide  any  person  placed   in
20    accordance  with this Section who is without available funds,
21    and who is permitted to  engage  in  employment  outside  the
22    facility,   such  sums  for  the  transportation,  and  other
23    expenses as may be needed by him until he receives his  wages
24    for such employment.
25        The  Department  shall  promulgate  rules and regulations
26    governing the purchase of care for persons who are  wards  of
27    or  who  are  receiving  services  from the Department.  Such
28    rules and regulations shall apply to all monies  expended  by
29    any  agency of the State of Illinois for services rendered by
30    any person, corporate entity, agency, governmental agency  or
31    political  subdivision  whether  public or private outside of
32    the Department whether payment is made through a contractual,
33    per-diem or other arrangement.  No funds shall be paid to any
34    person, corporation, agency, governmental entity or political
SB956 Engrossed             -10-               LRB9002180WHmg
 1    subdivision  without   compliance   with   such   rules   and
 2    regulations.
 3        The  rules  and  regulations  governing  purchase of care
 4    shall  describe  categories  and  types  of  service   deemed
 5    appropriate for purchase by the Department.
 6        Any  provider  of  services  under  this Act may elect to
 7    receive payment for those services,  and  the  Department  is
 8    authorized  to  arrange  for that payment, by means of direct
 9    deposit  transmittals  to  the  service  provider's   account
10    maintained  at a bank, savings and loan association, or other
11    financial institution.  The financial  institution  shall  be
12    approved  by  the  Department,  and  the deposits shall be in
13    accordance  with  rules  and  regulations  adopted   by   the
14    Department.
15    (Source: P.A. 86-820; 86-922; 86-1028; 87-751.)
16        (Text of Section taking effect July 1, 1997)
17        Sec.  15.   Before any person is released from a facility
18    operated by the State pursuant to an absolute discharge or  a
19    conditional  discharge  from  hospitalization under this Act,
20    the facility director of the facility in which such person is
21    hospitalized  shall  determine  that  such  person   is   not
22    currently in need of hospitalization and:
23             (a)  is able to live independently in the community;
24        or
25             (b)  requires further oversight and supervisory care
26        for  which  arrangements  have been made with responsible
27        relatives or supervised residential program  approved  by
28        the Department; or
29             (c)  requires   further  personal  care  or  general
30        oversight as defined by the Nursing Home  Care  Act,  for
31        which  placement  arrangements  have  been  made  with  a
32        suitable  family home or other licensed facility approved
33        by the Department under this Section.
34        Such determination shall be made  in  writing  and  shall
SB956 Engrossed             -11-               LRB9002180WHmg
 1    become  a  part  of the facility record of such absolutely or
 2    conditionally  discharged  person.   When  the  determination
 3    indicates that the condition of the person to be  granted  an
 4    absolute  discharge  or  a conditional discharge is described
 5    under subparagraph (c) of this Section, the name and  address
 6    of  the continuing care facility or home to which such person
 7    is to be released shall be entered in  the  facility  record.
 8    Where a discharge from a mental health facility is made under
 9    subparagraph  (c),  the Department shall assign the person so
10    discharged to  an  existing  community  based  not-for-profit
11    agency  for  participation  in day activities suitable to the
12    person's needs,  such  as  but  not  limited  to  social  and
13    vocational    rehabilitation,    and    other   recreational,
14    educational and financial  activities  unless  the  community
15    based  not-for-profit  agency  is  unqualified to accept such
16    assignment. Where the clientele of any not-for-profit  agency
17    increases  as  a  result of assignments under this amendatory
18    Act of 1977  by  more  than  3%  over  the  prior  year,  the
19    Department shall fully reimburse such agency for the costs of
20    providing  services  to  such  persons  in  excess of such 3%
21    increase.
22        Insofar as desirable  in  the  interests  of  the  former
23    recipient,  the  facility,  program  or  home  in  which  the
24    discharged person is to be placed shall be located in or near
25    the   community   in   which  the  person  resided  prior  to
26    hospitalization or in the community  in  which  the  person's
27    family  or nearest next of kin presently reside. Placement of
28    the  discharged  person  in  facilities,  programs  or  homes
29    located outside of this  State  shall  not  be  made  by  the
30    Department   unless  there  are  no  appropriate  facilities,
31    programs or homes available within this  State.  Out-of-state
32    placements shall be subject to return of recipients so placed
33    upon the availability of facilities, programs or homes within
34    this  State  to  accommodate  these  recipients, except where
SB956 Engrossed             -12-               LRB9002180WHmg
 1    placement  in  a  contiguous  state  results  in  locating  a
 2    recipient in a facility or program closer to the  recipient's
 3    home  or  family.   If  an  appropriate  facility  or program
 4    becomes available equal to or closer to the recipient's  home
 5    or  family,  the recipient shall be returned to and placed at
 6    the appropriate facility or program within this State.
 7        To place any  person  who  is  under  a  program  of  the
 8    Department  at  board  in  a  suitable family home or in such
 9    other facility or program  as  the  Department  may  consider
10    desirable.   The  Department  may  place  in licensed nursing
11    homes, sheltered care homes, or  homes  for  the  aged  those
12    persons  whose  behavioral  manifestations  and  medical  and
13    nursing   care   needs   are  such  as  to  be  substantially
14    indistinguishable  from  persons  already  living   in   such
15    facilities.   Prior  to any placement by the Department under
16    this Section, a determination shall be made by the  personnel
17    of  the  Department,  as to the capability and suitability of
18    such facility to adequately meet the needs of the  person  to
19    be  discharged.   When  specialized programs are necessary in
20    order to enable persons  in  need  of  supervised  living  to
21    develop  and  improve  in the community, the Department shall
22    place such  persons  only  in  specialized  residential  care
23    facilities  which  shall  meet Department standards including
24    restricted admission policy, special staffing and programming
25    for social and vocational rehabilitation, in addition to  the
26    requirements  of the appropriate State licensing agency.  The
27    Department shall not place any new person in a  facility  the
28    license  of  which has been revoked or not renewed on grounds
29    of inadequate programming, staffing, or medical or adjunctive
30    services,  regardless  of  the  pendency  of  an  action  for
31    administrative review regarding such revocation or failure to
32    renew. Before the Department may transfer  any  person  to  a
33    licensed  nursing  home,  sheltered care home or home for the
34    aged or place any person in a  specialized  residential  care
SB956 Engrossed             -13-               LRB9002180WHmg
 1    facility  the  Department  shall  notify  the  person  to  be
 2    transferred,  or  a  responsible  relative of such person, in
 3    writing, at least 30 days before the proposed transfer,  with
 4    respect  to  all the relevant facts concerning such transfer,
 5    except  in  cases  of  emergency  when  such  notice  is  not
 6    required. If  either  the  person  to  be  transferred  or  a
 7    responsible relative of such person objects to such transfer,
 8    in  writing  to  the Department, at any time after receipt of
 9    notice and before the transfer, the facility director of  the
10    facility   in   which   the  person  was  a  recipient  shall
11    immediately schedule a  hearing  at  the  facility  with  the
12    presence of the facility director, the person who objected to
13    such  proposed  transfer,  and a psychiatrist who is familiar
14    with the record of the person to be transferred. Such  person
15    to   be   transferred   or  a  responsible  relative  may  be
16    represented by such counsel or interested  party  as  he  may
17    appoint,  who  may present such testimony with respect to the
18    proposed transfer. Testimony presented at such hearing  shall
19    become    a    part   of   the   facility   record   of   the
20    person-to-be-transferred. The record of  testimony  shall  be
21    held  in the person-to-be-transferred's record in the central
22    files of the facility. If such hearing is held a transfer may
23    only be implemented,  if  at  all,  in  accordance  with  the
24    results  of  such  hearing. Within 15 days after such hearing
25    the facility director shall deliver his findings based on the
26    record of  the  case  and  the  testimony  presented  at  the
27    hearing,  by  registered or certified mail, to the parties to
28    such hearing. The findings of the facility director shall  be
29    deemed a final administrative decision of the Department. For
30    purposes  of  this  Section,  "case of emergency" means those
31    instances in which the health of the person to be transferred
32    is imperiled and the most appropriate mental health  care  or
33    medical  care  is  available  at  a  licensed  nursing  home,
34    sheltered  care  home  or  home for the aged or a specialized
SB956 Engrossed             -14-               LRB9002180WHmg
 1    residential care facility.
 2        Prior to placement of any person in a facility under this
 3    Section the  Department  shall  ensure  that  an  appropriate
 4    training  plan  for  staff  is provided by the facility. Said
 5    training  may  include  instruction  and   demonstration   by
 6    Department  personnel qualified in the area of mental illness
 7    or mental retardation, as applicable  to  the  person  to  be
 8    placed.   Training  may  be  given  both at the facility from
 9    which the  recipient  is  transferred  and  at  the  facility
10    receiving the recipient, and may be available on a continuing
11    basis  subsequent  to  placement.   In  a  facility providing
12    services to former Department recipients, training  shall  be
13    available  as  necessary  for  facility staff.  Such training
14    will be on a continuing basis as the needs  of  the  facility
15    and recipients change and further training is required.
16        The  Department  shall not place any person in a facility
17    which does not have appropriately trained staff in sufficient
18    numbers to accommodate the recipient  population  already  at
19    the facility.  As a condition of further or future placements
20    of  persons,  the  Department shall require the employment of
21    additional trained staff members at the facility  where  said
22    persons  are  to  be  placed.   The  Secretary, or his or her
23    designate,  shall  establish  guidelines  for  placement   of
24    persons in facilities under this Act.
25        Bills  for  the support for a person boarded out shall be
26    payable monthly out of the proper maintenance funds and shall
27    be audited as any other accounts of  the  Department.   If  a
28    person  is  placed  in  a  facility  or  program  outside the
29    Department, the  Department  may  pay  the  actual  costs  of
30    residence,  treatment or maintenance in such facility and may
31    collect such actual costs  or  a  portion  thereof  from  the
32    recipient or the estate of a person placed in accordance with
33    this Section.
34        Other  than  those placed in a family home the Department
SB956 Engrossed             -15-               LRB9002180WHmg
 1    shall cause all persons who are  placed  in  a  facility,  as
 2    defined  by  the  Nursing  Home  Care  Act,  or in designated
 3    community living situations or programs,  to  be  visited  at
 4    least  once  during  every week for the first month following
 5    placement, and once every month  thereafter  when  indicated.
 6    Visits  shall  be  made  by  qualified and trained Department
 7    personnel, or their designee, in the area of mental health or
 8    developmental disabilities applicable to the person  visited,
 9    and  shall  be  made on a more frequent basis when indicated.
10    The  Department  may  not  use  as  designee  any   personnel
11    connected  with  or responsible to the representatives of any
12    facility in which persons who  have  been  transferred  under
13    this  Section are placed.   In the course of such visit there
14    shall be  consideration  of  the  following  areas,  but  not
15    limited  thereto:  effects of transfer on physical and mental
16    health of the person, sufficiency of nursing care and medical
17    coverage  required  by  the  person,  sufficiency  of   staff
18    personnel  and  ability to provide basic care for the person,
19    social, recreational and  programmatic  activities  available
20    for the person, and other appropriate aspects of the person's
21    environment.
22        A  report containing the above observations shall be made
23    to  the  Department  and  to  any  other  appropriate  agency
24    subsequent to each visitation.  At the conclusion of one year
25    following absolute or  conditional  discharge,  or  a  longer
26    period  of time if required by the Department, the Department
27    may terminate the visitation requirements of this Section  as
28    to a person placed in accordance with this Section, by filing
29    a  written  statement of termination setting forth reasons to
30    substantiate the termination of visitations in  the  person's
31    file,  and  sending  a copy thereof to the person, and to his
32    guardian or next of kin.
33        Upon the complaint of any  person  placed  in  accordance
34    with   this  Section  or  any  responsible  citizen  or  upon
SB956 Engrossed             -16-               LRB9002180WHmg
 1    discovery that such person has  been  abused,  neglected,  or
 2    improperly  cared for, or that the placement does not provide
 3    the  type  of  care  required  by  the  recipient's   current
 4    condition,  the Department immediately shall investigate, and
 5    determine if the well-being, health, care, or safety  of  any
 6    person  is  affected  by any of the above occurrences, and if
 7    any one of the above occurrences is verified, the  Department
 8    shall  remove  such  person  at  once  to  a  facility of the
 9    Department or to another  facility  outside  the  Department,
10    provided  such  person's  needs  can be met at said facility.
11    The  Department  may  also  provide  any  person  placed   in
12    accordance  with this Section who is without available funds,
13    and who is permitted to  engage  in  employment  outside  the
14    facility,   such  sums  for  the  transportation,  and  other
15    expenses as may be needed by him until he receives his  wages
16    for such employment.
17        The  Department  shall  promulgate  rules and regulations
18    governing the purchase of care for persons who are  wards  of
19    or  who  are  receiving  services  from the Department.  Such
20    rules and regulations shall apply to all monies  expended  by
21    any  agency of the State of Illinois for services rendered by
22    any person, corporate entity, agency, governmental agency  or
23    political  subdivision  whether  public or private outside of
24    the Department whether payment is made through a contractual,
25    per-diem or other arrangement.  No funds shall be paid to any
26    person, corporation, agency, governmental entity or political
27    subdivision  without   compliance   with   such   rules   and
28    regulations.
29        The  rules  and  regulations  governing  purchase of care
30    shall  describe  categories  and  types  of  service   deemed
31    appropriate for purchase by the Department.
32        Any  provider  of  services  under  this Act may elect to
33    receive payment for those services,  and  the  Department  is
34    authorized  to  arrange  for that payment, by means of direct
SB956 Engrossed             -17-               LRB9002180WHmg
 1    deposit  transmittals  to  the  service  provider's   account
 2    maintained  at a bank, savings and loan association, or other
 3    financial institution.  The financial  institution  shall  be
 4    approved  by  the  Department,  and  the deposits shall be in
 5    accordance  with  rules  and  regulations  adopted   by   the
 6    Department.
 7    (Source: P.A. 89-507, eff. 7-1-97.)
 8        (20 ILCS 1705/43) (from Ch. 91 1/2, par. 100-43)
 9        Sec.  43.   To provide habilitation and care for mentally
10    retarded and persons  with  a  developmental  disability  and
11    counseling  for  their  families  in accordance with programs
12    established and conducted by the Department.
13        In assisting families to place such persons  in  need  of
14    care in licensed facilities for mentally retarded and persons
15    with   a   developmental  disability.    The  Department  may
16    supplement the amount a family is able to pay, as  determined
17    by  the  Department in accordance with Sections 5-105 through
18    5-116 of the "Mental Health  and  Developmental  Disabilities
19    Code"  as  amended,  and  the  amount  available  from  other
20    sources. The Department shall have the authority to determine
21    eligibility for placement of a person in a private facility.
22        Whenever a mentally retarded person or a client is placed
23    in  a private facility pursuant to this Section, such private
24    facility must give the Department and the  person's  guardian
25    or  nearest  relative,  at  least  30 days' notice in writing
26    before such person may be discharged or transferred from  the
27    private facility, except in an emergency.
28    (Source: P.A. 88-380.)
29        (20 ILCS 1705/54) (from Ch. 91 1/2, par. 100-54)
30        (Text of Section in effect until July 1, 1997)
31        Sec. 54. Establishment of rates for purchase of services.
32        (a)  It  is  the  purpose  of  this  Section to establish
SB956 Engrossed             -18-               LRB9002180WHmg
 1    procedures   for   the    development,    calculation,    and
 2    communication  of  rates  promulgated  by  the  Department of
 3    Mental Health and Developmental Disabilities for the purchase
 4    of services for persons with a developmental disability,  and
 5    persons  with  mental illness; to require the promulgation of
 6    rules which specify the treatment of costs  for  purposes  of
 7    establishing   rates   for   various  purchase  care  program
 8    categories;   to   require   that   rates    be    equitable,
 9    understandable,  and  established  through  an  open,  public
10    process;  and  to  require  the delineation of where purchase
11    care, grant-in-aid, and other  payment  mechanisms  are  most
12    appropriately utilized.  The Department's rate-setting policy
13    should   stimulate   the   development   of  cost  effective,
14    clinically  appropriate,  community-based  residential,   and
15    other  support services for recipients according to an annual
16    statement of purchase care goals and objectives.
17        (b)  The  Department  shall  establish   rates   in   all
18    instances  where services are purchased by the Department for
19    a  specific  recipient  from  a  specific  community  service
20    provider for which the Department has the responsibility  for
21    establishing  payment  rates.   When  determining  rates, the
22    Department shall take into consideration differences  in  the
23    costs  of doing business among the various geographic regions
24    of  the  State  and  shall  set  rates  that  reflect   those
25    differences.    The   Department  may,  for  various  program
26    categories, adopt rates that are set by other State agencies.
27        (c)  The Department shall perform the following duties:
28             (1)  Develop rate-setting methodologies for purchase
29        care program categories.
30             (2)  Promulgate  rules  and  regulations   governing
31        rate-setting, treatment of costs, treatment of occupancy,
32        and payment and contracting processes for purchase care.
33             (3)  Collect  cost  and performance information from
34        care providers.  The Department may stipulate forms, unit
SB956 Engrossed             -19-               LRB9002180WHmg
 1        of  service   definitions,   reporting   procedures   and
 2        reporting intervals.
 3             (4)  Calculate  purchase of care reimbursement rates
 4        for specific providers  based  on  the  promulgated  rate
 5        methodology for that program category.
 6             (5)  Negotiate   and   implement  purchase  of  care
 7        contracts with specific providers.
 8             (6)  Develop an annual statement  of  purchase  care
 9        goals  and  objectives detailing maximum units of service
10        by program category to be purchased.  The plan  for  each
11        fiscal  year  shall be completed by May 1 of the previous
12        fiscal year.
13             (7)  Conduct an annual review and prepare an  annual
14        report of rates and units of service purchased, comparing
15        the   annual  purchase  of  care  statement  with  actual
16        services purchased, and  the  actual  cost  of  providing
17        those  services.    The report shall be made available by
18        May 1.
19             (8)  Establish and promulgate a process and criteria
20        for appealing rates.
21             (9)  Develop and promulgate standards  and  criteria
22        by which provider performance shall be evaluated.
23             (10)  Set rates based on published methodologies and
24        subject  to the availability of funds appropriated by the
25        General Assembly.
26             (11)  Establish and promulgate  a  policy  regarding
27        applicability  of  income  offsets in rate calculation or
28        and/or payment processes.
29             (12)  Develop  criteria  for  selection  of  payment
30        mechanisms to be employed in funding community services.
31        (d)  The   Department   may   investigate   and    employ
32    alternative   rate   setting   approaches   and   engage   in
33    demonstration   projects.   These  Such  approaches  must  be
34    publicly  articulated  by  the  Department,  identifying  the
SB956 Engrossed             -20-               LRB9002180WHmg
 1    purpose and scope of the alternative approach and  evaluation
 2    to be conducted.
 3        (e)  (Blank).   The  Director  shall  appoint a Community
 4    funding advisory Committee within 60 days after the effective
 5    date of this amendatory Act of 1983.
 6        The  Community  Funding  advisory  Committee   shall   be
 7    composed  of  12  members.   The  Director  shall  appoint  a
 8    chairperson  from  among the Committee members.  Two shall be
 9    individuals representing developmental disability  providers,
10    2    shall   be   individuals   representing   consumers   of
11    developmental disability services and advocates.
12        Two shall  be  individuals  representing  mental  illness
13    providers  and  2 shall be individuals representing consumers
14    of mental illness services and advocates.
15        The Directors of the Departments  of  Mental  Health  and
16    Developmental  Disabilities,  Public  Health, Public Aid, and
17    Children and Family Services, shall designate representatives
18    from their respective departments who shall also sit  on  the
19    Advisory Committee.
20        Members  shall serve terms as follows:  4 shall serve for
21    one year and until their successors are  appointed;  4  shall
22    serve  for  2 years and until their successors are appointed;
23    and 4 shall serve for 3 years and until their successors  are
24    appointed.     After   the   expiration   of   the   original
25    appointments, all terms shall be for 3 years.
26        It shall be the responsibility of the  Community  Funding
27    Advisory Committee to:
28             (1)  advise   and  counsel  the  Department  in  the
29        development and adoption of purchased  care  rate-setting
30        methodologies;
31             (2)  advise and counsel the Department in the annual
32        review of purchased care rates;
33             (3)  advise   and  counsel  the  Department  in  the
34        development of standards and criteria by  which  provider
SB956 Engrossed             -21-               LRB9002180WHmg
 1        contract performance shall be evaluated;
 2             (4)  review  and  comment on the annual statement of
 3        purchased care goals and objectives;
 4             (5)  review  purchased   care   rate   methodologies
 5        employed by the Department;
 6             (6)  Review criteria developed by the Department for
 7        selection of payment mechanisms to be employed in funding
 8        community services.
 9    (Source: P.A. 88-380; 89-58, eff. 1-1-96.)
10        (Text of Section taking effect July 1, 1997)
11        Sec. 54. Establishment of rates for purchase of services.
12        (a)  It  is  the  purpose  of  this  Section to establish
13    procedures   for   the    development,    calculation,    and
14    communication  of rates promulgated by the Department for the
15    purchase  of  services  for  persons  with  a   developmental
16    disability,  and  persons with mental illness; to require the
17    promulgation of rules which specify the  treatment  of  costs
18    for  purposes of establishing rates for various purchase care
19    program categories;  to  require  that  rates  be  equitable,
20    understandable,  and  established  through  an  open,  public
21    process;  and  to  require  the delineation of where purchase
22    care, grant-in-aid, and other  payment  mechanisms  are  most
23    appropriately utilized.  The Department's rate-setting policy
24    should   stimulate   the   development   of  cost  effective,
25    clinically  appropriate,  community-based  residential,   and
26    other  support services for recipients according to an annual
27    statement of purchase care goals and objectives.
28        (b)  The  Department  shall  establish   rates   in   all
29    instances  where services are purchased by the Department for
30    a  specific  recipient  from  a  specific  community  service
31    provider for which the Department has the responsibility  for
32    establishing  payment  rates.   When  determining  rates, the
33    Department shall take into consideration differences  in  the
34    costs  of doing business among the various geographic regions
SB956 Engrossed             -22-               LRB9002180WHmg
 1    of  the  State  and  shall  set  rates  that  reflect   those
 2    differences.    The   Department  may,  for  various  program
 3    categories, adopt rates that are set by other State agencies.
 4        (c)  The Department shall perform the following duties:
 5             (1)  Develop rate-setting methodologies for purchase
 6        care program categories.
 7             (2)  Promulgate  rules  and  regulations   governing
 8        rate-setting, treatment of costs, treatment of occupancy,
 9        and payment and contracting processes for purchase care.
10             (3)  Collect  cost  and performance information from
11        care providers.  The Department may stipulate forms, unit
12        of  service   definitions,   reporting   procedures   and
13        reporting intervals.
14             (4)  Calculate  purchase of care reimbursement rates
15        for specific providers  based  on  the  promulgated  rate
16        methodology for that program category.
17             (5)  Negotiate   and   implement  purchase  of  care
18        contracts with specific providers.
19             (6)  Develop an annual statement  of  purchase  care
20        goals  and  objectives detailing maximum units of service
21        by program category to be purchased.  The plan  for  each
22        fiscal  year  shall be completed by May 1 of the previous
23        fiscal year.
24             (7)  Conduct an annual review and prepare an  annual
25        report of rates and units of service purchased, comparing
26        the   annual  purchase  of  care  statement  with  actual
27        services purchased, and  the  actual  cost  of  providing
28        those  services.    The report shall be made available by
29        May 1.
30             (8)  Establish and promulgate a process and criteria
31        for appealing rates.
32             (9)  Develop and promulgate standards  and  criteria
33        by which provider performance shall be evaluated.
34             (10)  Set rates based on published methodologies and
SB956 Engrossed             -23-               LRB9002180WHmg
 1        subject  to the availability of funds appropriated by the
 2        General Assembly.
 3             (11)  Establish and promulgate  a  policy  regarding
 4        applicability  of  income  offsets in rate calculation or
 5        and/or payment processes.
 6             (12)  Develop  criteria  for  selection  of  payment
 7        mechanisms to be employed in funding community services.
 8        (d)  The   Department   may   investigate   and    employ
 9    alternative   rate   setting   approaches   and   engage   in
10    demonstration   projects.   These  Such  approaches  must  be
11    publicly  articulated  by  the  Department,  identifying  the
12    purpose and scope of the alternative approach and  evaluation
13    to be conducted.
14        (e)  (Blank).   The  Secretary  shall appoint a Community
15    Funding Advisory Committee within 60 days after the effective
16    date of this amendatory Act of 1983.
17        The  Community  Funding  Advisory  Committee   shall   be
18    composed  of  12  members.   Two members shall be individuals
19    representing developmental disability providers, 2  shall  be
20    individuals    representing    consumers   of   developmental
21    disability services and  advocates.   Two  members  shall  be
22    individuals representing mental illness providers and 2 shall
23    be  individuals  representing  consumers  of  mental  illness
24    services  and advocates.      The Secretary of Human Services
25    and the Directors of the Departments of Public Health, Public
26    Aid, and Children and Family Services, shall each designate a
27    representative from their respective  departments  who  shall
28    also sit on the Advisory Committee.
29        The  Secretary shall appoint a chairperson from among the
30    Committee members.
31        Members shall serve terms as follows:  4 shall serve  for
32    one  year  and  until their successors are appointed; 4 shall
33    serve for 2 years and until their successors  are  appointed;
34    and  4 shall serve for 3 years and until their successors are
SB956 Engrossed             -24-               LRB9002180WHmg
 1    appointed.    After   the   expiration   of   the    original
 2    appointments, all terms shall be for 3 years.
 3        It  shall  be the responsibility of the Community Funding
 4    Advisory Committee to:
 5             (1)  advise  and  counsel  the  Department  in   the
 6        development  and  adoption of purchased care rate-setting
 7        methodologies;
 8             (2)  advise and counsel the Department in the annual
 9        review of purchased care rates;
10             (3)  advise  and  counsel  the  Department  in   the
11        development  of  standards and criteria by which provider
12        contract performance shall be evaluated;
13             (4)  review and comment on the annual  statement  of
14        purchased care goals and objectives;
15             (5)  review   purchased   care   rate  methodologies
16        employed by the Department;
17             (6)  Review criteria developed by the Department for
18        selection of payment mechanisms to be employed in funding
19        community services.
20    (Source:  P.A.  88-380;  89-58,  eff.  1-1-96;  89-507,  eff.
21    7-1-97.)
22        (20 ILCS 1705/7.1 rep.)
23        Section  10.   The  Department  of  Mental   Health   and
24    Developmental Disabilities Act (short title changed to Mental
25    Health  and  Developmental  Disabilities  Administrative  Act
26    effective July 1, 1997) is amended by repealing Section 7.1.
27        Section  15. The Community-Integrated Living Arrangements
28    Licensure and Certification Act is amended by adding  Section
29    11 as follows:
30        (210 ILCS 135/11 new)
31        Sec.  11.  All  agencies  previously  licensed  under the
SB956 Engrossed             -25-               LRB9002180WHmg
 1    Community Residential Alternatives Licensing Act are  subject
 2    to and shall be licensed under this Act.
 3        (210 ILCS 140/1 Act rep.)
 4        Section   20.   The  Community  Residential  Alternatives
 5    Licensing Act is repealed.
 6        Section  25.   The  Mental   Health   and   Developmental
 7    Disabilities  Confidentiality  Act  is  amended  by  changing
 8    Sections 11 and 12 as follows:
 9        (740 ILCS 110/11) (from Ch. 91 1/2, par. 811)
10        (Text of Section in effect until July 1, 1997)
11        Sec.  11.   Disclosure  of  records  and  communications.
12    Records    and   communications  may  be  disclosed,  (i)  in
13    accordance with the provisions of the  Abused  and  Neglected
14    Child  Reporting  Act;  (ii)  when,  and  to  the  extent,  a
15    therapist,  in  his  or  her sole discretion, determines that
16    disclosure  is  necessary  to  initiate  or  continue   civil
17    commitment  proceedings  under  the  laws of this State or to
18    otherwise protect the recipient or  other  person  against  a
19    clear,  imminent risk of serious physical or mental injury or
20    disease or death being inflicted upon the recipient or by the
21    recipient on himself or  another;  (iii)  when,  and  to  the
22    extent   disclosure   is,  in  the  sole  discretion  of  the
23    therapist, necessary to the provision  of  emergency  medical
24    care  to  a recipient who is unable to assert or waive his or
25    her rights hereunder; (iv) when disclosure  is  necessary  to
26    collect  sums  or  receive  third  party payment representing
27    charges  for  mental  health  or  developmental  disabilities
28    services provided by a therapist or  agency  to  a  recipient
29    under  Chapter  V  of  the  Mental  Health  and Developmental
30    Disabilities Code or to transfer debts under the  Uncollected
31    States  Claims  Act;  however, disclosure shall be limited to
SB956 Engrossed             -26-               LRB9002180WHmg
 1    information needed to pursue collection, and the  information
 2    so  disclosed  shall  not  be used for any other purposes nor
 3    shall it be redisclosed except in connection with  collection
 4    activities;  (v)  when  requested  by  a  family  member, the
 5    Department of Mental Health  and  Developmental  Disabilities
 6    may  assist  in  the  location  of  the  interment  site of a
 7    deceased recipient who is interred in a cemetery  established
 8    under  Section  100-26 of the Department of Mental Health and
 9    Developmental   Disabilities   Act;   (vi)   in    commitment
10    proceedings  and  involuntary  medication  hearings under the
11    Mental  Health  and  Developmental  Disabilities   Code   and
12    proceedings  and  investigations  preliminary thereto, to the
13    State's Attorney for the county or residence of a person  for
14    whom   involuntary   or  judicial  admission  or  involuntary
15    medication is sought, or in which the person is found, or  in
16    which   the   facility   is  located,  and  to  the  attorney
17    representing the recipient in the commitment  proceedings  or
18    medication   hearing,   provided   that  the  information  so
19    disclosed shall not be utilized for any other purpose nor  be
20    redisclosed  except  in  connection  with  the proceedings or
21    investigations; (vii) when, and to the extent  disclosure  is
22    necessary  to  comply  with  the  requirements  of the Census
23    Bureau in taking the federal  Decennial  Census;  and  (viii)
24    when,  and to the extent, in the therapist's sole discretion,
25    disclosure  is  necessary  to  warn  or  protect  a  specific
26    individual against whom  a  recipient  has  made  a  specific
27    threat  of  violence where there exists a therapist-recipient
28    relationship or a special recipient-individual  relationship;
29    (ix)  in  accordance  with the Sex Offender Registration Act;
30    and (x) in accordance with the Rights of  Crime  Victims  and
31    Witnesses Act. Any person, institution, or agency, under this
32    Act,  participating  in  good faith in the making of a report
33    under the Abused and Neglected Child Reporting Act or in  the
34    disclosure  of records and communications under this Section,
SB956 Engrossed             -27-               LRB9002180WHmg
 1    shall have immunity from any liability,  civil,  criminal  or
 2    otherwise,  that  might  result by reason of such action. For
 3    the purpose of any proceeding, civil or criminal, arising out
 4    of a report or disclosure under this Section, the good  faith
 5    of  any  person,  institution,  or  agency  so  reporting  or
 6    disclosing shall be presumed.
 7    (Source: P.A. 88-484; 89-439, eff. 6-1-96.)
 8        (Text of Section taking effect July 1, 1997)
 9        Sec.  11.   Disclosure  of  records  and  communications.
10    Records    and   communications  may  be  disclosed,  (i)  in
11    accordance with the provisions of the  Abused  and  Neglected
12    Child  Reporting  Act;  (ii)  when,  and  to  the  extent,  a
13    therapist,  in  his  or  her sole discretion, determines that
14    disclosure  is  necessary  to  initiate  or  continue   civil
15    commitment  proceedings  under  the  laws of this State or to
16    otherwise protect the recipient or  other  person  against  a
17    clear,  imminent risk of serious physical or mental injury or
18    disease or death being inflicted upon the recipient or by the
19    recipient on himself or  another;  (iii)  when,  and  to  the
20    extent   disclosure   is,  in  the  sole  discretion  of  the
21    therapist, necessary to the provision  of  emergency  medical
22    care  to  a recipient who is unable to assert or waive his or
23    her rights hereunder; (iv) when disclosure  is  necessary  to
24    collect  sums  or  receive  third  party payment representing
25    charges  for  mental  health  or  developmental  disabilities
26    services provided by a therapist or  agency  to  a  recipient
27    under  Chapter  V  of  the  Mental  Health  and Developmental
28    Disabilities Code or to transfer debts under the  Uncollected
29    State  Claims  Act;  however,  disclosure shall be limited to
30    information needed to pursue collection, and the  information
31    so  disclosed  shall  not  be used for any other purposes nor
32    shall it be redisclosed except in connection with  collection
33    activities;  (v)  when  requested  by  a  family  member, the
34    Department of Human Services may assist in  the  location  of
SB956 Engrossed             -28-               LRB9002180WHmg
 1    the interment site of a deceased recipient who is interred in
 2    a  cemetery  established  under  Section 100-26 of the Mental
 3    Health and  Developmental  Disabilities  Administrative  Act;
 4    (vi)  in  commitment  proceedings  and involuntary medication
 5    hearings  under   the   Mental   Health   and   Developmental
 6    Disabilities   Code   and   proceedings   and  investigations
 7    preliminary thereto, to the State's Attorney for  the  county
 8    or  residence  of  a  person for whom involuntary or judicial
 9    admission or involuntary medication is sought,  or  in  which
10    the person is found, or in which the facility is located, and
11    to  the attorney representing the recipient in the commitment
12    proceedings  or  medication  hearing,   provided   that   the
13    information  so disclosed shall not be utilized for any other
14    purpose nor be redisclosed  except  in  connection  with  the
15    proceedings  or investigations; (vii) when, and to the extent
16    disclosure is necessary to comply with  the  requirements  of
17    the Census Bureau in taking the federal Decennial Census; and
18    (viii)  when,  and  to  the  extent,  in the therapist's sole
19    discretion, disclosure is necessary  to  warn  or  protect  a
20    specific  individual  against  whom  a  recipient  has made a
21    specific  threat   of   violence   where   there   exists   a
22    therapist-recipient     relationship     or     a     special
23    recipient-individual  relationship;  (ix)  in accordance with
24    the Sex Offender Registration Act; and (x) in accordance with
25    the Rights of Crime Victims and Witnesses  Act.  Any  person,
26    institution, or agency, under this Act, participating in good
27    faith  in  the  making  of  a  report  under  the  Abused and
28    Neglected Child Reporting Act or in the disclosure of records
29    and communications under this Section,  shall  have  immunity
30    from  any liability, civil, criminal or otherwise, that might
31    result by reason of such  action.  For  the  purpose  of  any
32    proceeding,  civil  or  criminal,  arising out of a report or
33    disclosure under this Section, the good faith of any  person,
34    institution,  or  agency  so reporting or disclosing shall be
SB956 Engrossed             -29-               LRB9002180WHmg
 1    presumed.
 2    (Source: P.A.  88-484;  89-439,  eff.  6-1-96;  89-507,  eff.
 3    7-1-97.)
 4        (740 ILCS 110/12) (from Ch. 91 1/2, par. 812)
 5        (Text of Section in effect until July 1, 1997)
 6        Sec. 12.  (a)  If the United States Secret Service or the
 7    Department of State Police requests information from a mental
 8    health  or  developmental  disability facility, as defined in
 9    Section  1-107  and  1-114   of   the   Mental   Health   and
10    Developmental  Disabilities  Code,  relating  to  a  specific
11    recipient   and   the   facility   director  determines  that
12    disclosure of such information may be  necessary  to  protect
13    the  life  of,  or  to prevent the infliction of great bodily
14    harm to, a public official, or a person under the  protection
15    of  the  United  States  Secret  Service,  only the following
16    information may be disclosed: the recipient's name,  address,
17    and  age and the date of any admission to or discharge from a
18    facility; and any information which would indicate whether or
19    not the recipient has a history of  violence  or  presents  a
20    danger  of  violence  to  the  person  under protection.  Any
21    information so disclosed  shall  be  used  for  investigative
22    purposes  only  and  shall  not be publicly disseminated. Any
23    person participating in good faith in the disclosure of  such
24    information  in  accordance  with  this  provision shall have
25    immunity from any liability, civil, criminal or otherwise, if
26    such information is disclosed relying upon the representation
27    of an officer of the United  States  Secret  Service  or  the
28    Department  of  State  Police  that  a  person  is  under the
29    protection of the United States Secret Service or is a public
30    official.
31        For the purpose of this subsection (a), the term  "public
32    official"  means  the Governor, Lieutenant Governor, Attorney
33    General,  Secretary  of  State,  State   Comptroller,   State
SB956 Engrossed             -30-               LRB9002180WHmg
 1    Treasurer  or member of the General Assembly.  The term shall
 2    also include the  spouse,  child  or  children  of  a  public
 3    official.
 4        (b)  The  Department  of  Mental Health and Developmental
 5    Disabilities and  all  private  hospitals  are  required,  as
 6    hereafter  described  in  this  subsection,  to  furnish  the
 7    Department  of  State  Police only such information as may be
 8    required for the  sole  purpose  of  determining  whether  an
 9    individual  who  may  be  or  may  have  been  a  patient  is
10    disqualified   because  of  that  status  from  receiving  or
11    retaining  a  Firearm  Owner's  Identification   Card   under
12    subsection   (e)   of   Section   8  of  the  Firearm  Owners
13    Identification Card Act. All private hospitals shall, in  the
14    form  and  manner  required  by  the Department, provide such
15    information as shall  be  necessary  for  the  Department  to
16    comply  with  the reporting requirements to the Department of
17    State Police.  Such information shall be furnished within  30
18    days  after  admission  to  a  private  hospital.   Any  such
19    information  disclosed  under  this  subsection  shall remain
20    privileged and confidential, and shall not be redisclosed nor
21    utilized for any other purpose.  The method of requiring  the
22    providing   of  such  information  shall  guarantee  that  no
23    information is released beyond what  is  necessary  for  this
24    purpose.  In  addition,  the  information  disclosed shall be
25    provided by the Department within the time period established
26    by Section 24-3 of the Criminal Code of  1961  regarding  the
27    delivery of firearms.  The method used shall be sufficient to
28    provide  the necessary information within the prescribed time
29    period, which may include periodically providing lists to the
30    Department of Mental Health and Developmental Disabilities or
31    any private hospital of Firearm Owner's  Identification  Card
32    applicants on which the Department or hospital shall indicate
33    the  identities of those individuals who are to its knowledge
34    disqualified from having  a  Firearm  Owner's  Identification
SB956 Engrossed             -31-               LRB9002180WHmg
 1    Card  for  reasons  described  herein.   The  Department  may
 2    provide for a centralized source of information for the State
 3    on this subject under its jurisdiction.
 4        Any  person,  institution,  or  agency,  under  this Act,
 5    participating in good faith in the reporting or disclosure of
 6    records and communications otherwise in accordance with  this
 7    provision  or with rules, regulations or guidelines issued by
 8    the Department shall have immunity from any liability, civil,
 9    criminal or otherwise, that might result  by  reason  of  the
10    action.    For  the  purpose  of  any  proceeding,  civil  or
11    criminal, arising out of a report or disclosure in accordance
12    with  this  provision,  the  good  faith   of   any   person,
13    institution,  or  agency  so reporting or disclosing shall be
14    presumed.  The full extent of the immunity provided  in  this
15    subsection  (b)  shall  apply  to  any person, institution or
16    agency that fails to make a report or disclosure in the  good
17    faith  belief  that  the  report  or disclosure would violate
18    federal regulations governing the confidentiality of  alcohol
19    and drug abuse patient records implementing 42 U.S.C. 290dd-3
20    and 290ee-3.
21        For  purposes  of this subsection (b) only, the following
22    terms shall have the meaning prescribed:
23             (1)  "Hospital" means only that type of  institution
24        which  is  providing full-time residential facilities and
25        treatment for in-patients and excludes institutions, such
26        as community clinics, which  only  provide  treatment  to
27        out-patients.
28             (2)  "Patient"  shall  mean  only a person who is an
29        in-patient  or  resident  of   any   hospital,   not   an
30        out-patient   or   client   seen   solely   for  periodic
31        consultation.
32        (c)  Upon the request of a  peace  officer  who  takes  a
33    person  into  custody  and transports such person to a mental
34    health  or  developmental  disability  facility  pursuant  to
SB956 Engrossed             -32-               LRB9002180WHmg
 1    Section 3-606 or 4-404 of the Mental Health and Developmental
 2    Disabilities Code  or  who  transports  a  person  from  such
 3    facility,  a  facility  director  shall  furnish  said  peace
 4    officer  the  name,  address,  age  and  name  of the nearest
 5    relative of the person transported  to  or  from  the  mental
 6    health  or  developmental  disability  facility.   In no case
 7    shall the facility director disclose to the peace officer any
 8    information  relating  to   the   diagnosis,   treatment   or
 9    evaluation of the person's mental or physical health.
10        For  the  purposes  of  this  subsection  (c),  the terms
11    "mental health or developmental disability facility",  "peace
12    officer"  and  "facility  director"  shall  have the meanings
13    ascribed to them  in  the  Mental  Health  and  Developmental
14    Disabilities Code.
15        (d)  Upon  the  request of a peace officer or prosecuting
16    authority who is conducting a bona fide  investigation  of  a
17    criminal  offense, or attempting to apprehend a fugitive from
18    justice, a facility director may disclose whether a person is
19    present at the facility.  The  requesting  peace  officer  or
20    prosecuting  authority  must  furnish  a  case number and the
21    purpose of the investigation or an outstanding arrest warrant
22    at the time of the  request.   Any  person,  institution,  or
23    agency   participating  in  good  faith  in  disclosing  such
24    information in accordance with this subsection (d) is  immune
25    from  any liability, civil, criminal or otherwise, that might
26    result by reason of the action.
27    (Source: P.A. 86-922; 87-124; 87-299; 87-300; 87-895.)
28        (Text of Section taking effect July 1, 1997)
29        Sec. 12.  (a) If the United States Secret Service or  the
30    Department of State Police requests information from a mental
31    health  or  developmental  disability facility, as defined in
32    Section  1-107  and  1-114   of   the   Mental   Health   and
33    Developmental  Disabilities  Code,  relating  to  a  specific
34    recipient   and   the   facility   director  determines  that
SB956 Engrossed             -33-               LRB9002180WHmg
 1    disclosure of such information may be  necessary  to  protect
 2    the  life  of,  or  to prevent the infliction of great bodily
 3    harm to, a public official, or a person under the  protection
 4    of  the  United  States  Secret  Service,  only the following
 5    information may be disclosed: the recipient's name,  address,
 6    and  age and the date of any admission to or discharge from a
 7    facility; and any information which would indicate whether or
 8    not the recipient has a history of  violence  or  presents  a
 9    danger  of  violence  to  the  person  under protection.  Any
10    information so disclosed  shall  be  used  for  investigative
11    purposes  only  and  shall  not be publicly disseminated. Any
12    person participating in good faith in the disclosure of  such
13    information  in  accordance  with  this  provision shall have
14    immunity from any liability, civil, criminal or otherwise, if
15    such information is disclosed relying upon the representation
16    of an officer of the United  States  Secret  Service  or  the
17    Department  of  State  Police  that  a  person  is  under the
18    protection of the United States Secret Service or is a public
19    official.
20        For the purpose of this subsection (a), the term  "public
21    official"  means  the Governor, Lieutenant Governor, Attorney
22    General,  Secretary  of  State,  State   Comptroller,   State
23    Treasurer  or member of the General Assembly.  The term shall
24    also include the  spouse,  child  or  children  of  a  public
25    official.
26        (b)  The   Department   of   Human  Services  (acting  as
27    successor  to   the   Department   of   Mental   Health   and
28    Developmental  Disabilities)  and  all  private hospitals are
29    required, as  hereafter  described  in  this  subsection,  to
30    furnish  the Department of State Police only such information
31    as may be  required  for  the  sole  purpose  of  determining
32    whether  an  individual who may be or may have been a patient
33    is disqualified because of  that  status  from  receiving  or
34    retaining   a   Firearm  Owner's  Identification  Card  under
SB956 Engrossed             -34-               LRB9002180WHmg
 1    subsection  (e)  of  Section  8   of   the   Firearm   Owners
 2    Identification  Card Act. All private hospitals shall, in the
 3    form and manner required  by  the  Department,  provide  such
 4    information  as  shall  be  necessary  for  the Department to
 5    comply with the reporting requirements to the  Department  of
 6    State  Police.  Such information shall be furnished within 30
 7    days  after  admission  to  a  private  hospital.   Any  such
 8    information disclosed  under  this  subsection  shall  remain
 9    privileged and confidential, and shall not be redisclosed nor
10    utilized  for any other purpose.  The method of requiring the
11    providing  of  such  information  shall  guarantee  that   no
12    information  is  released  beyond  what is necessary for this
13    purpose. In addition,  the  information  disclosed  shall  be
14    provided by the Department within the time period established
15    by  Section  24-3  of the Criminal Code of 1961 regarding the
16    delivery of firearms.  The method used shall be sufficient to
17    provide the necessary information within the prescribed  time
18    period, which may include periodically providing lists to the
19    Department  of  Human  Services  or  any  private hospital of
20    Firearm Owner's Identification Card applicants on  which  the
21    Department or hospital shall indicate the identities of those
22    individuals who are to its knowledge disqualified from having
23    a  Firearm  Owner's Identification Card for reasons described
24    herein.  The Department may provide for a centralized  source
25    of  information  for  the  State  on  this  subject under its
26    jurisdiction.
27        Any person,  institution,  or  agency,  under  this  Act,
28    participating in good faith in the reporting or disclosure of
29    records  and communications otherwise in accordance with this
30    provision or with rules, regulations or guidelines issued  by
31    the Department shall have immunity from any liability, civil,
32    criminal  or  otherwise,  that  might result by reason of the
33    action.   For  the  purpose  of  any  proceeding,  civil   or
34    criminal, arising out of a report or disclosure in accordance
SB956 Engrossed             -35-               LRB9002180WHmg
 1    with   this   provision,   the  good  faith  of  any  person,
 2    institution, or agency so reporting or  disclosing  shall  be
 3    presumed.   The  full extent of the immunity provided in this
 4    subsection (b) shall apply  to  any  person,  institution  or
 5    agency  that fails to make a report or disclosure in the good
 6    faith belief that the  report  or  disclosure  would  violate
 7    federal  regulations governing the confidentiality of alcohol
 8    and drug abuse patient records implementing 42 U.S.C. 290dd-3
 9    and 290ee-3.
10        For purposes of this subsection (b) only,  the  following
11    terms shall have the meaning prescribed:
12             (1)  "Hospital"  means only that type of institution
13        which is providing full-time residential  facilities  and
14        treatment for in-patients and excludes institutions, such
15        as  community  clinics,  which  only provide treatment to
16        out-patients.
17             (2)  "Patient" shall mean only a person  who  is  an
18        in-patient   or   resident   of   any  hospital,  not  an
19        out-patient  or   client   seen   solely   for   periodic
20        consultation.
21        (c)  Upon  the  request  of  a  peace officer who takes a
22    person into custody and transports such person  to  a  mental
23    health  or  developmental  disability  facility  pursuant  to
24    Section 3-606 or 4-404 of the Mental Health and Developmental
25    Disabilities  Code  or  who  transports  a  person  from such
26    facility,  a  facility  director  shall  furnish  said  peace
27    officer the name,  address,  age  and  name  of  the  nearest
28    relative  of  the  person  transported  to or from the mental
29    health or developmental  disability  facility.   In  no  case
30    shall the facility director disclose to the peace officer any
31    information   relating   to   the   diagnosis,  treatment  or
32    evaluation of the person's mental or physical health.
33        For the  purposes  of  this  subsection  (c),  the  terms
34    "mental  health or developmental disability facility", "peace
SB956 Engrossed             -36-               LRB9002180WHmg
 1    officer" and "facility  director"  shall  have  the  meanings
 2    ascribed  to  them  in  the  Mental  Health and Developmental
 3    Disabilities Code.
 4        (d)  Upon the request of a peace officer  or  prosecuting
 5    authority  who  is  conducting a bona fide investigation of a
 6    criminal offense, or attempting to apprehend a fugitive  from
 7    justice, a facility director may disclose whether a person is
 8    present  at  the  facility.   The requesting peace officer or
 9    prosecuting authority must furnish  a  case  number  and  the
10    purpose of the investigation or an outstanding arrest warrant
11    at  the  time  of  the  request.  Any person, institution, or
12    agency  participating  in  good  faith  in  disclosing   such
13    information  in accordance with this subsection (d) is immune
14    from any liability, civil, criminal or otherwise, that  might
15    result by reason of the action.
16    (Source: P.A. 89-507, eff. 7-1-97.)
17        Section  99.  Effective date.  This Act takes effect upon
18    becoming  law,  except  that  the  provisions  repealing  the
19    Community Residential  Alternatives  Licensing  Act  and  the
20    provisions  adding  Section  11  to  the Community-Integrated
21    Living Arrangements  Licensure  and  Certification  Act  take
22    effect on July 1, 1997.
SB956 Engrossed             -37-               LRB9002180WHmg
 1                                INDEX
 2               Statutes amended in order of appearance
 3    20 ILCS 1705/4.2          from Ch. 91 1/2, par. 100-4.2
 4    20 ILCS 1705/15           from Ch. 91 1/2, par. 100-15
 5    20 ILCS 1705/43           from Ch. 91 1/2, par. 100-43
 6    20 ILCS 1705/54           from Ch. 91 1/2, par. 100-54
 7    20 ILCS 1705/7.1 rep.
 8    210 ILCS 135/11 new
 9    210 ILCS 140/Act rep.
10    740 ILCS 110/11           from Ch. 91 1/2, par. 811
11    740 ILCS 110/12           from Ch. 91 1/2, par. 812

[ Top ]