Sen. Julie A. Morrison

Filed: 3/25/2026

 

 


 

 


 
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1
AMENDMENT TO SENATE BILL 3557

2    AMENDMENT NO. ______. Amend Senate Bill 3557 by replacing
3everything after the enacting clause with the following:
 
4    "Section 1. Findings. The General Assembly finds that:
5    (1) Illinois law recognizes that individuals with
6disabilities should have self-determination and retain the
7right to make decisions about their own lives and care to the
8maximum extent possible.
9    (2) Illinois has established, as a bedrock principle of
10public policy, that support and protection of persons with
11disabilities should be unbiased and free from conflicts of
12interest.
13    (3) Fifty years ago, the Governor's Commission for
14Revision of the Mental Health Code of Illinois released its
15report recommending revisions to the civil and criminal laws
16that advance the rights and interests of persons with
17disabilities. The report reflected the work of 36 Commission

 

 

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1members, 47 advisory members, consultants, and staff, engaged
2in a process that presented a democratic forum that welded
3together the input of many dedicated people into a cohesive
4whole.
5    (4) In 1979, the General Assembly used the recommendations
6to address the far-reaching and comprehensive need for
7statutory reform that would reflect the historical and
8continued progress in the capacity of our people to rise above
9prejudice, superstition, and irrational fears, enabling
10persons with disabilities to participate more fully in the
11total life of our society.
12    (5) Part of the reform was the establishment of the
13Guardianship and Advocacy Commission, which since then has
14served as a national leader in protecting the rights and
15advancing the rights and interests of persons with
16disabilities.
17    (6) Today, the Guardianship and Advocacy Commission
18provides critical services to some of the most vulnerable
19residents of this State in accordance with statutory mandates
20that are unmatched by any other single agency in the United
21States, including:
22        (A) serving as court-appointed guardian for nearly
23    5,000 adults with disabilities when no other suitable
24    person is available;
25        (B) providing constitutionally mandated, direct legal
26    representation in more than 7,000 involuntary mental

 

 

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1    health and developmental disability proceedings annually;
2    and
3        (C) investigating allegations of disability rights
4    violations by public and private disability service
5    providers.
6    (7) Continued demographic pressures, including the aging
7population of this State and the deepening understanding that
8persons with disabilities are entitled to full human rights
9and equal participation in society, require modernization of
10the Guardianship and Advocacy Commission to respond to the
11increasing need for its services and the evolving recognition
12and affirmation of the inherent dignity, right, and societal
13value of persons with disabilities.
 
14    Section 3. Purpose. It is the purpose of this Act to
15support the modernization of the Guardianship and Advocacy
16Commission by establishing the Department of Disability
17Advocacy and Guardianship as the successor agency to the
18Guardianship and Advocacy Commission. The Department of
19Disability Advocacy and Guardianship will maintain and
20strengthen this State's commitment to protecting and advancing
21the rights of persons with disabilities by retaining the core
22statutory duties, authorities, and functions assigned to the
23Guardianship and Advocacy Commission while adopting a
24governance structure that balances direct accountability with
25the independence necessary for effective advocacy.
 

 

 

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1    Section 5. The State Budget Law of the Civil
2Administrative Code of Illinois is amended by changing Section
350-28 as follows:
 
4    (15 ILCS 20/50-28)
5    Sec. 50-28. Youth Budget Commission.
6    (a) As used in this Section:
7    "Adolescent" or "youth" means a person between the ages of
88 and 25 years.
9    "Commission" means the Youth Budget Commission established
10under this Section.
11    "Service models" include the following tiers of service
12delivered to adolescents and their families:
13        (1) Prevention: support for at-risk youth (deterrence,
14    prevention of harm, extra supports).
15        (2) Treatment/intervention: respond to significant
16    challenges in need of direct intervention to change,
17    resolve or reverse behaviors, conditions, or both.
18        (3) Corrective/rehabilitation: correct or
19    rehabilitate acute behaviors or conditions that pose a
20    physical or psychological danger or threat to adolescents.
21        (4) Positive Youth Development: build individual
22    assets and increase competencies.
23    "Youth developmental goals" are defined as the outcomes of
24stable, safe, healthy, educated, employable, and connected,

 

 

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1which align with the following Budgeting for Results goals:
2        (1) Stable: meeting the needs of the most vulnerable;
3    increasing individual and family stability and
4    self-sufficiency.
5        (2) Safe: creating safer communities.
6        (3) Healthy: improving the overall health of
7    Illinoisans.
8        (4) Educated: improving school readiness and student
9    success for all.
10        (5) Employable: increasing employment and attracting,
11    retaining and growing businesses.
12        (6) Connected: strengthening cultural and
13    environmental vitality.
14    (b) Subject to appropriation, the Governor shall establish
15the Youth Budget Commission with the goal of producing an
16annual fiscal scan. The fiscal scan, under the direction of
17the Commission, shall be used to advise the Governor and
18General Assembly, as well as State agencies, on ways to
19improve and expand existing policies, services, programs, and
20opportunities for adolescents. The Governor's Office of
21Management and Budget shall post a link to the fiscal scan on
22its website. For fiscal year 2019 and each fiscal year
23thereafter, the Commission established under this Section,
24shall complete an analysis of enacted State budget items which
25directly impact adolescents. This analysis will categorize
26budget items by the 6 identified youth developmental goals and

 

 

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14 service models. The analysis will include State agency
2expenditures associated with these categories. General State
3Aid and federal funds such as Medicaid will be excluded from
4the analysis.
5    The Commission shall also be responsible for: (1)
6monitoring and commenting on existing and proposed legislation
7and programs designed to address the needs of adolescents; (2)
8assisting State agencies in developing programs, services,
9public policies, and research strategies that will expand and
10enhance the well-being of adolescents; (3) facilitating the
11participation of and representation of adolescents in the
12development, implementation, and planning of policies,
13programs, and community-based services; and (4) promoting
14research efforts to document the impact of policies and
15programs on adolescents.
16    (c) The Commission shall collaborate with State agencies,
17including the Illinois State Board of Education, the
18Department of Human Services, the Department of Children and
19Family Services, the Department of Commerce and Economic
20Opportunity, the Illinois Student Assistance Commission, the
21Department of Healthcare and Family Services, the Department
22of Public Health, the Illinois Community College Board, the
23Department of Juvenile Justice, the Illinois Criminal Justice
24Information Authority, the Department of Military Affairs, the
25Illinois Arts Council, the Department of Corrections, the
26Board of Higher Education, Department of Disability Advocacy

 

 

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1and Illinois Guardianship and Advocacy Commission, Department
2on Aging, and others.
3    (d) The Commission shall be comprised of 15 members
4appointed by the Governor. Each member shall have a working
5knowledge of youth development, human services, and economic
6public policy in Illinois. One chairperson shall be a
7representative of a statewide nonprofit children and family
8services organization who has previously completed a similar
9analysis of the Illinois State budget. The other chairperson
10shall be a member of the General Assembly. Of the remaining
11members:
12        (1) at least one member representing an organization
13    that has expertise in the needs of low-income youth;
14        (2) at least one member representing an organization
15    that has expertise in the needs of youth of color;
16        (3) at least one member representing an organization
17    that has expertise in the needs of youth who are
18    immigrants or are children of immigrants;
19        (4) at least one member representing an organization
20    that has expertise in the needs of youth who identify as
21    LGBTQ, gender non-conforming, or both;
22        (5) at least one member representing an organization
23    that has expertise in the needs of youth who are
24    disconnected from traditional educational systems;
25        (6) at least one member representing an organization
26    that has expertise in the needs of youth who are

 

 

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1    experiencing homelessness; and
2        (7) at least one member representing an organization
3    that has expertise in the needs of youth and young adults
4    involved with the justice system.
5    Commission members shall reflect regional representation
6to ensure that the needs of adolescents throughout the State
7of Illinois are met. Members will serve without compensation,
8but shall be reimbursed for Commission-related expenses. Of
9the initial members appointed under this Section: 5 members
10shall serve for a 3-year term; 5 members shall serve for a
114-year term; and 5 members shall serve for a 5-year term. Their
12successors shall serve for 5-year terms.
13    (e) The Governor's Office of Management and Budget shall
14provide administrative support to the Commission.
15(Source: P.A. 100-818, eff. 8-13-18.)
 
16    Section 10. The Youth Homelessness Prevention Subcommittee
17Act is amended by changing Section 20 as follows:
 
18    (15 ILCS 60/20)
19    Sec. 20. Membership. The Youth Homelessness Prevention
20Subcommittee shall include the following members:
21        (1) One representative from the Governor's office.
22        (2) The Director of the Department of Children and
23    Family Services.
24        (3) The Director of the Department of Healthcare and

 

 

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1    Family Services.
2        (4) The Secretary of the Department of Human Services.
3        (5) The Director of the Department of Juvenile
4    Justice.
5        (6) The Director of the Department of Corrections.
6        (7) The Director of the Department of Public Health.
7        (8) The Director of the Department of Disability
8    Advocacy and Guardianship and Advocacy Commission.
9        (9) Four representatives from agencies serving
10    homeless youth.
11        (10) One representative from a homeless advocacy
12    organization.
13        (11) One representative from a juvenile justice
14    advocacy organization.
15        (12) Four youth who have a lived experience with
16    homelessness.
17(Source: P.A. 101-98, eff. 1-1-20.)
 
18    Section 15. The Civil Administrative Code of Illinois is
19amended by changing Sections 5-15 and 5-20 and by adding
20Sections 5-218, 5-348, and 5-543 as follows:
 
21    (20 ILCS 5/5-15)  (was 20 ILCS 5/3)
22    Sec. 5-15. Departments of State government. The
23Departments of State government are created as follows:
24        The Department on Aging.

 

 

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1        The Department of Agriculture.
2        The Department of Central Management Services.
3        The Department of Children and Family Services.
4        The Department of Commerce and Economic Opportunity.
5        The Department of Corrections.
6        The Department of Disability Advocacy and
7    Guardianship.
8        The Department of Early Childhood.
9        The Department of Employment Security.
10        The Illinois Emergency Management Agency.
11        The Department of Financial and Professional
12    Regulation.
13        The Department of Healthcare and Family Services.
14        The Department of Human Rights.
15        The Department of Human Services.
16        The Department of Innovation and Technology.
17        The Department of Insurance.
18        The Department of Juvenile Justice.
19        The Department of Labor.
20        The Department of the Lottery.
21        The Department of Natural Resources.
22        The Department of Public Health.
23        The Department of Revenue.
24        The Illinois State Police.
25        The Department of Transportation.
26        The Department of Veterans Affairs.

 

 

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1(Source: P.A. 103-594, eff. 6-25-24; 104-234, eff. 8-15-25.)
 
2    (20 ILCS 5/5-20)  (was 20 ILCS 5/4)
3    Sec. 5-20. Heads of departments. Each department shall
4have an officer as its head who shall be known as director or
5secretary and who shall, subject to the provisions of the
6Civil Administrative Code of Illinois, execute the powers and
7discharge the duties vested by law in his or her respective
8department.
9    The following officers are hereby created:
10        Director of Aging, for the Department on Aging.
11        Director of Agriculture, for the Department of
12    Agriculture.
13        Director of Central Management Services, for the
14    Department of Central Management Services.
15        Director of Children and Family Services, for the
16    Department of Children and Family Services.
17        Director of Commerce and Economic Opportunity, for the
18    Department of Commerce and Economic Opportunity.
19        Director of Corrections, for the Department of
20    Corrections.
21        Director of Disability Advocacy and Guardianship, for
22    the Department of Disability Advocacy and Guardianship.
23        Director of the Illinois Emergency Management Agency,
24    for the Illinois Emergency Management Agency.
25        Secretary of Early Childhood, for the Department of

 

 

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1    Early Childhood.
2        Director of Employment Security, for the Department of
3    Employment Security.
4        Secretary of Financial and Professional Regulation,
5    for the Department of Financial and Professional
6    Regulation.
7        Director of Healthcare and Family Services, for the
8    Department of Healthcare and Family Services.
9        Director of Human Rights, for the Department of Human
10    Rights.
11        Secretary of Human Services, for the Department of
12    Human Services.
13        Secretary of Innovation and Technology, for the
14    Department of Innovation and Technology.
15        Director of Insurance, for the Department of
16    Insurance.
17        Director of Juvenile Justice, for the Department of
18    Juvenile Justice.
19        Director of Labor, for the Department of Labor.
20        Director of the Lottery, for the Department of the
21    Lottery.
22        Director of Natural Resources, for the Department of
23    Natural Resources.
24        Director of Public Health, for the Department of
25    Public Health.
26        Director of Revenue, for the Department of Revenue.

 

 

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1        Director of the Illinois State Police, for the
2    Illinois State Police.
3        Secretary of Transportation, for the Department of
4    Transportation.
5        Director of Veterans Affairs, for the Department of
6    Veterans Affairs.
7(Source: P.A. 103-594, eff. 6-25-24; 104-234, eff. 8-15-25.)
 
8    (20 ILCS 5/5-218 new)
9    Sec. 5-218. Director of Disability Advocacy and
10Guardianship. The Director of Disability Advocacy and
11Guardianship shall be a person thoroughly conversant with the
12purposes of the Guardianship and Advocacy Act, actively
13interested in the development of programs to advocate for
14individuals with disabilities, and not affiliated with any
15entity that provides services to individuals with
16disabilities.
 
17    (20 ILCS 5/5-348 new)
18    Sec. 5-348. In the Department of Disability Advocacy and
19Guardianship. For terms beginning on or after July 1, 2027,
20the Director of Disability Advocacy and Guardianship shall
21receive an annual salary of $197,000 or as set by the Governor,
22whichever is higher. On each July 1 thereafter, the Director
23shall receive an increase in salary based on a cost-of-living
24adjustment as authorized by Senate Joint Resolution 192 of the

 

 

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186th General Assembly.
 
2    (20 ILCS 5/5-543 new)
3    Sec. 5-543. In the Department of Disability Advocacy and
4Guardianship. A Disability Advocacy and Guardianship Advisory
5Council composed and appointed as provided in the Guardianship
6and Advocacy Act.
 
7    Section 20. The Department of Innovation and Technology
8Act is amended by changing Section 1-5 as follows:
 
9    (20 ILCS 1370/1-5)
10    Sec. 1-5. Definitions. In this Act:
11    "Dedicated unit" means the dedicated bureau, division,
12office, or other unit within a transferred agency that is
13responsible for the information technology functions of the
14transferred agency.
15    "Department" means the Department of Innovation and
16Technology.
17    "Information technology" means technology,
18infrastructure, equipment, systems, software, networks, and
19processes used to create, send, receive, and store electronic
20or digital information, including, without limitation,
21computer systems and telecommunication services and systems.
22"Information technology" shall be construed broadly to
23incorporate future technologies that change or supplant those

 

 

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1in effect as of the effective date of this Act.
2    "Information technology functions" means the development,
3procurement, installation, retention, maintenance, operation,
4possession, storage, and related functions of all information
5technology.
6    "Secretary" means the Secretary of Innovation and
7Technology.
8    "State agency" means each State agency, department, board,
9and commission under the jurisdiction of the Governor to which
10the Department provides services.
11    "Transferred agency" means the Department on Aging; the
12Departments of Agriculture, Central Management Services,
13Children and Family Services, Commerce and Economic
14Opportunity, Corrections, Employment Security, Financial and
15Professional Regulation, Healthcare and Family Services, Human
16Rights, Human Services, Insurance, Juvenile Justice, Labor,
17Lottery, Military Affairs, Natural Resources, Public Health,
18Revenue, Transportation, and Veterans' Affairs; the Illinois
19State Police; the Capital Development Board; the Deaf and Hard
20of Hearing Commission; the Environmental Protection Agency;
21the Governor's Office of Management and Budget; the Department
22of Disability Advocacy and Guardianship and Advocacy
23Commission; the Abraham Lincoln Presidential Library and
24Museum; the Illinois Arts Council; the Illinois Council on
25Developmental Disabilities; the Illinois Emergency Management
26Agency; the Illinois Gaming Board; the Illinois Liquor Control

 

 

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1Commission; the Office of the State Fire Marshal; the Prisoner
2Review Board; and the Department of Early Childhood.
3(Source: P.A. 103-588, eff. 6-5-24; 104-195, eff. 1-1-26.)
 
4    Section 25. The Mental Health and Developmental
5Disabilities Administrative Act is amended by changing
6Sections 4.3 and 14 as follows:
 
7    (20 ILCS 1705/4.3)  (from Ch. 91 1/2, par. 100-4.3)
8    Sec. 4.3. Site visits and inspections.
9    (a) (Blank).
10    (b) The Department shall establish a system of regular and
11ongoing on-site inspections that shall occur at least annually
12of each facility under its jurisdiction. The inspections shall
13be conducted by the Department's central office to:
14        (1) Determine facility compliance with Department
15    policies and procedures;
16        (2) Determine facility compliance with audit
17    recommendations;
18        (3) Evaluate facility compliance with applicable
19    federal standards;
20        (4) Review and follow up on complaints made by
21    community mental health agencies and advocates, and on
22    findings of the Division of Disability Human Rights and
23    Protections Authority division of the Department of
24    Disability Advocacy and Guardianship and Advocacy

 

 

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1    Commission;
2        (5) Review administrative and management problems
3    identified by other sources; and
4        (6) Identify and prevent abuse and neglect.
5(Source: P.A. 95-427, eff. 1-1-08.)
 
6    (20 ILCS 1705/14)  (from Ch. 91 1/2, par. 100-14)
7    Sec. 14. Chester Mental Health Center. To maintain and
8operate a facility for the care, custody, and treatment of
9persons with mental illness or habilitation of persons with
10developmental disabilities hereinafter designated, to be known
11as the Chester Mental Health Center.
12    Within the Chester Mental Health Center there shall be
13confined the following classes of persons, whose history, in
14the opinion of the Department, discloses dangerous or violent
15tendencies and who, upon examination under the direction of
16the Department, have been found a fit subject for confinement
17in that facility:
18        (a) Any male person who is charged with the commission
19    of a crime but has been acquitted by reason of insanity as
20    provided in Section 5-2-4 of the Unified Code of
21    Corrections.
22        (b) Any male person who is charged with the commission
23    of a crime but has been found unfit under Article 104 of
24    the Code of Criminal Procedure of 1963.
25        (c) Any male person with mental illness or

 

 

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1    developmental disabilities or person in need of mental
2    treatment now confined under the supervision of the
3    Department or hereafter admitted to any facility thereof
4    or committed thereto by any court of competent
5    jurisdiction.
6    If and when it shall appear to the facility director of the
7Chester Mental Health Center that it is necessary to confine
8persons in order to maintain security or provide for the
9protection and safety of recipients and staff, the Chester
10Mental Health Center may confine all persons on a unit to their
11rooms. This period of confinement shall not exceed 10 hours in
12a 24-hour 24 hour period, including the recipient's scheduled
13hours of sleep, unless approved by the Secretary of the
14Department. During the period of confinement, the persons
15confined shall be observed at least every 15 minutes. A record
16shall be kept of the observations. This confinement shall not
17be considered seclusion as defined in the Mental Health and
18Developmental Disabilities Code.
19    The facility director of the Chester Mental Health Center
20may authorize the temporary use of handcuffs on a recipient
21for a period not to exceed 10 minutes when necessary in the
22course of transport of the recipient within the facility to
23maintain custody or security. Use of handcuffs is subject to
24the provisions of Section 2-108 of the Mental Health and
25Developmental Disabilities Code. The facility shall keep a
26monthly record listing each instance in which handcuffs are

 

 

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1used, circumstances indicating the need for use of handcuffs,
2and time of application of handcuffs and time of release
3therefrom. The facility director shall allow the Department of
4Disability Advocacy and Illinois Guardianship and Advocacy
5Commission, the agency designated by the Governor under
6Section 1 of the Protection and Advocacy for Persons with
7Developmental Disabilities Act, and the Department to examine
8and copy such record upon request.
9    The facility director of the Chester Mental Health Center
10may authorize the temporary use of transport devices on a
11civil recipient when necessary in the course of transport of
12the civil recipient outside the facility to maintain custody
13or security. The decision whether to use any transport devices
14shall be reviewed and approved on an individualized basis by a
15physician, an advanced practice registered nurse, or a
16physician assistant based upon a determination of the civil
17recipient's: (1) history of violence, (2) history of violence
18during transports, (3) history of escapes and escape attempts,
19(4) history of trauma, (5) history of incidents of restraint
20or seclusion and use of involuntary medication, (6) current
21functioning level and medical status, and (7) prior experience
22during similar transports, and the length, duration, and
23purpose of the transport. The least restrictive transport
24device consistent with the individual's need shall be used.
25Staff transporting the individual shall be trained in the use
26of the transport devices, recognizing and responding to a

 

 

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1person in distress, and shall observe and monitor the
2individual while being transported. The facility shall keep a
3monthly record listing all transports, including those
4transports for which use of transport devices was not sought,
5those for which use of transport devices was sought but
6denied, and each instance in which transport devices are used,
7circumstances indicating the need for use of transport
8devices, time of application of transport devices, time of
9release from those devices, and any adverse events. The
10facility director shall allow the Department of Disability
11Advocacy and Illinois Guardianship and Advocacy Commission,
12the agency designated by the Governor under Section 1 of the
13Protection and Advocacy for Persons with Developmental
14Disabilities Act, and the Department to examine and copy the
15record upon request. This use of transport devices shall not
16be considered restraint as defined in the Mental Health and
17Developmental Disabilities Code. For the purpose of this
18Section "transport device" means ankle cuffs, handcuffs, waist
19chains or wrist-waist devices designed to restrict an
20individual's range of motion while being transported. These
21devices must be approved by the Division of Mental Health,
22used in accordance with the manufacturer's instructions, and
23used only by qualified staff members who have completed all
24training required to be eligible to transport patients and all
25other required training relating to the safe use and
26application of transport devices, including recognizing and

 

 

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1responding to signs of distress in an individual whose
2movement is being restricted by a transport device.
3    If and when it shall appear to the satisfaction of the
4Department that any person confined in the Chester Mental
5Health Center is not or has ceased to be such a source of
6danger to the public as to require his subjection to the
7regimen of the center, the Department is hereby authorized to
8transfer such person to any State facility for treatment of
9persons with mental illness or habilitation of persons with
10developmental disabilities, as the nature of the individual
11case may require.
12    Subject to the provisions of this Section, the Department,
13except where otherwise provided by law, shall, with respect to
14the management, conduct and control of the Chester Mental
15Health Center and the discipline, custody and treatment of the
16persons confined therein, have and exercise the same rights
17and powers as are vested by law in the Department with respect
18to any and all of the State facilities for treatment of persons
19with mental illness or habilitation of persons with
20developmental disabilities, and the recipients thereof, and
21shall be subject to the same duties as are imposed by law upon
22the Department with respect to such facilities and the
23recipients thereof.
24    The Department may elect to place persons who have been
25ordered by the court to be detained under the Sexually Violent
26Persons Commitment Act in a distinct portion of the Chester

 

 

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1Mental Health Center. The persons so placed shall be separated
2and shall not comingle with the recipients of the Chester
3Mental Health Center. The portion of Chester Mental Health
4Center that is used for the persons detained under the
5Sexually Violent Persons Commitment Act shall not be a part of
6the mental health facility for the enforcement and
7implementation of the Mental Health and Developmental
8Disabilities Code nor shall their care and treatment be
9subject to the provisions of the Mental Health and
10Developmental Disabilities Code. The changes added to this
11Section by this amendatory Act of the 98th General Assembly
12are inoperative on and after June 30, 2015.
13(Source: P.A. 99-143, eff. 7-27-15; 99-581, eff. 1-1-17;
14100-513, eff. 1-1-18.)
 
15    Section 30. The Guardianship and Advocacy Act is amended
16by changing the title of the Act and Sections 2, 3, 4, 5, 6, 7,
178, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24,
1825, 26, 27, 28, 30, 31, 32, 33.5, 34, and 36 and by adding
19Section 34.5 as follows:
 
20    (20 ILCS 3955/Act title)
21    An Act concerning the Department of Disability Advocacy
22and Guardianship, created to safeguard the rights of and
23advocate for persons with disabilities to create the
24Guardianship and Advocacy Commission, to safeguard the rights

 

 

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1and to provide legal counsel and representation for eligible
2persons and to create the Office of State Guardian for persons
3with disabilities.
 
4    (20 ILCS 3955/2)  (from Ch. 91 1/2, par. 702)
5    Sec. 2. As used in this Act, unless the context requires
6otherwise:
7    "Advisory Council" means the Disability Advocacy and
8Guardianship Advisory Council created by Section 5-543 of the
9Civil Administrative Code of Illinois.
10    (a) "Authority" means a Human Rights Authority.
11    (b) "Department Commission" means the Department of
12Disability Advocacy and Guardianship and Advocacy Commission.
13    (c) "Director" means the Director of the Department
14Guardianship and Advocacy Commission.
15    (d) "Guardian" means a court-appointed court appointed
16guardian for an adult or conservator.
17    (e) "Services" includes but is not limited to examination,
18diagnosis, evaluation, treatment, care, training,
19psychotherapy, pharmaceuticals, after-care, habilitation, and
20rehabilitation provided for an eligible person.
21    (f) "Person" means an individual, corporation,
22partnership, association, unincorporated organization, or a
23government or any subdivision, agency, or instrumentality
24thereof.
25    (g) "Eligible persons" means individuals who have

 

 

10400SB3557sam001- 24 -LRB104 18242 SPS 35943 a

1received, are receiving, have requested, or may be in need of
2mental health services, or are "persons with a "developmental
3disability" as defined in the federal Developmental
4Disabilities Assistance and Bill of Rights Act of 2000 (42
5U.S.C. 15002(8)) Services and Facilities Construction Act
6(Public Law 94-103, Title II), as now or hereafter amended, or
7"persons "with one or more disabilities" as defined in the
8Rehabilitation of Persons with Disabilities Act.
9    "Regional board" means a regional board of the Division of
10Disability Rights and Protections.
11    (h) "Rights" includes but is not limited to all rights,
12benefits, and privileges guaranteed by law, the Constitution
13of the State of Illinois, and the Constitution of the United
14States.
15    (i) "Legal Advocacy Service attorney" means an attorney
16employed by or under contract with the Division of Legal
17Advocacy Service.
18    (j) "Service provider" means any public or private
19facility, center, hospital, clinic, program, or any other
20person devoted in whole or in part to providing services to
21eligible persons.
22    (k) "State Guardian" means the Division Office of State
23Guardian.
24    (l) "Ward" means a ward as defined by the Probate Act of
251975, as now or hereafter amended, who is at least 18 years of
26age.

 

 

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1(Source: P.A. 99-143, eff. 7-27-15.)
 
2    (20 ILCS 3955/3)  (from Ch. 91 1/2, par. 703)
3    Sec. 3. The Department of Disability Advocacy and
4Guardianship and Advocacy Commission is hereby created as an
5executive agency of state government. The Division of Legal
6Advocacy Service, the Division of Disability Rights and
7Protections, Human Rights Authority and the Division Office of
8State Guardian shall be established as divisions of the
9Department Commission.
10(Source: P.A. 80-1487.)
 
11    (20 ILCS 3955/4)  (from Ch. 91 1/2, par. 704)
12    Sec. 4. (a) The Advisory Council Commission shall consist
13of 11 members, one of whom shall be a senior citizen age 60 or
14over, who shall be appointed by the Governor, with the advice
15and consent of the Senate, taking into account the
16requirements of State and federal statutes. At least one
17member of the Advisory Council shall be a senior citizen age 60
18or older. At least one member shall be a person with one or
19more disabilities or members of their families who receive
20services and support as required under Section 15 of the
21Persons with Disabilities on State Agency Boards Act. All
22appointments shall be filed with the Secretary of State by the
23appointing authority , with the advice and consent of the
24Senate.

 

 

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1    All appointments shall be filed with the Secretary of
2State by the appointing authority.
3    (b) The terms of the original members of the Advisory
4Council shall be the immediate former members of the
5Guardianship and Advocacy Commission serving an unexpired term
6on the Guardianship and Advocacy Commission on the day before
7the effective date of this amendatory Act of the 104th General
8Assembly, who shall continue to serve out their immediate
9terms on the Advisory Council and may serve up to 2 full
10consecutive terms thereafter. Any terms as a member of the
11Guardianship and Advocacy Commission immediately preceding the
12creation of the Department shall be considered in determining
13term limits. The terms shall be 3 years beginning on July 1,
14with each member serving no more than 2 full consecutive
15terms. All terms shall continue until a successor is appointed
163 one year terms, 3 two year terms, and 3 three year terms, all
17terms to continue until a successor is appointed and
18qualified. The length of the terms of the original members
19shall be drawn by lot of the first meeting held by the
20Commission. The members first appointed under this amendatory
21Act of 1984 shall serve for a term of 3 years. Thereafter all
22terms shall be for 3 years, with each member serving no more
23than 2 consecutive terms. Vacancies in the membership are to
24be filled in the same manner as original appointments.
25Appointments to fill vacancies occurring before the expiration
26of a term are for the remainder of the unexpired term. A member

 

 

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1of the Commission shall serve for a term ending on June 30 and
2until his successor is appointed and qualified.
3    (c) The Advisory Council Commission shall annually elect a
4Chair and a Vice-Chair Chairman and any other officers it
5deems necessary. The Advisory Council Commission shall meet at
6least once every 3 times annually. A majority of the members of
7the Advisory Council, excluding vacancies, constitutes a
8quorum months with the times and places of meetings determined
9by the Chairman. Additional meetings may be called by the
10Chairman upon written notice 7 days before the meeting or by
11written petition of 5 members to the Chairman. Six members of
12the Commission constitute a quorum.
13    (d) Members of the Advisory Council Commission are not
14entitled to compensation but shall receive reimbursement for
15actual expenses incurred in the performance of their duties.
16    (e) The Advisory Council shall advise and make
17recommendations to the Department for the development of
18policies and operations that will aid in carrying out the
19purposes of this Act.
20(Source: P.A. 83-1538.)
 
21    (20 ILCS 3955/5)  (from Ch. 91 1/2, par. 705)
22    Sec. 5. (a) The Department Commission shall establish
23throughout the State such regions as it considers appropriate
24to effectuate the purposes of the Division of Disability
25Rights and Protections Authority under this Act, taking into

 

 

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1account the requirements of State and federal statutes;
2population; civic, health and social service boundaries; and
3other pertinent factors.
4    (b) The Department may Commission shall act through its
5divisions as provided in this Act.
6    (c) The Department Commission shall establish general
7policy guidelines for the operation of the Division of Legal
8Advocacy Service, the Division of Disability Human Rights and
9Protections, Authority and the Division of State Guardian in
10furtherance of this Act. The policy guidelines shall ensure
11that each division makes decisions with an appropriate level
12of independence. Any action taken by a regional board
13authority is subject to the review and approval of the
14Director Commission. The Director Commission, acting on a
15request from the Director, may disapprove any action of a
16regional board authority, in which case the regional board
17authority shall cease such action.
18    (d) The Director Commission shall hire a Director and
19staff to carry out the powers and duties of the Department
20Commission and its divisions pursuant to this Act and the
21rules and regulations promulgated by the Department
22Commission. All staff, other than the Director, shall be
23subject to the Personnel Code.
24    (e) (Blank). The Commission shall review and evaluate the
25operations of the divisions.
26    (f) The Department Commission shall operate subject to the

 

 

10400SB3557sam001- 29 -LRB104 18242 SPS 35943 a

1provisions of the Illinois Procurement Code.
2    (g) The Department Commission shall prepare its budget.
3    (h) The Department Commission shall prepare an annual
4report on its operations and submit the report to the Governor
5and the General Assembly.
6    The requirement for reporting to the General Assembly
7shall be satisfied by filing copies of the report as required
8by Section 3.1 of the General Assembly Organization Act, and
9filing such additional copies with the State Government Report
10Distribution Center for the General Assembly as is required
11under paragraph (t) of Section 7 of the State Library Act.
12    (i) The Department Commission shall establish rules and
13regulations for the conduct of the work of its divisions,
14including rules and regulations for the Division of Legal
15Advocacy Service and the Division of State Guardian in
16evaluating an eligible person's or ward's financial resources
17for the purpose of determining whether the eligible person or
18ward has the ability to pay for legal or guardianship services
19received. The determination of the eligible person's financial
20ability to pay for legal services shall be based upon the
21number of dependents in the eligible person's family unit and
22the income, liquid assets and necessary expenses, as
23prescribed by rule of the Department Commission of: (1) the
24eligible person; (2) the eligible person's spouse; and (3) the
25parents of minor eligible persons. The determination of a
26ward's ability to pay for guardianship services shall be based

 

 

10400SB3557sam001- 30 -LRB104 18242 SPS 35943 a

1upon the ward's estate. An eligible person or ward found to
2have sufficient financial resources shall be required to pay
3the Department Commission in accordance with standards
4established by the Department Commission. No fees may be
5charged for legal services given unless the eligible person is
6given notice at the start of such services that such fees might
7be charged. No fees may be charged for guardianship services
8given unless the ward is given notice of the request for fees
9filed with the probate court and the court approves the amount
10of fees to be assessed. All fees collected shall be deposited
11with the State Treasurer and placed in the Guardianship and
12Advocacy Fund. The Department Commission shall establish rules
13and regulations regarding the procedures of appeal for clients
14prior to termination or suspension of legal services. Such
15rules and regulations shall include, but not be limited to,
16client notification procedures prior to the actual
17termination, the scope of issues subject to appeal, and
18procedures specifying when a final administrative decision is
19made.
20    (j) The Department Commission shall take such actions as
21it deems necessary and appropriate to receive private, federal
22and other public funds to help support the divisions and to
23safeguard the rights of eligible persons. Private funds and
24property may be accepted, held, maintained, administered and
25disposed of by the Department Commission, as trustee, for such
26purposes for the benefit of the People of the State of Illinois

 

 

10400SB3557sam001- 31 -LRB104 18242 SPS 35943 a

1pursuant to the terms of the instrument granting the funds or
2property to the Department Commission.
3    (k) The Department Commission may expend funds under the
4State's plan to protect and advocate the rights of persons
5with a developmental disability established under the federal
6Developmental Disabilities Assistance and Bill of Rights Act
7of 2000 Services and Facilities Construction Act (Public Law
894-103, Title II). If the Governor designates the Department
9Commission to be the organization or agency to provide the
10services called for in the State plan, the Department
11Commission shall make these protection and advocacy services
12available to persons with a developmental disability by
13referral or by contracting for these services to the extent
14practicable. If the Department Commission is unable to so make
15available such protection and advocacy services, it shall
16provide them through persons in its own employ.
17    (l) The Department Commission shall, to the extent funds
18are available, monitor issues concerning the rights of
19eligible persons and the care and treatment provided to those
20persons, including but not limited to the incidence of abuse
21or neglect of eligible persons. For purposes of that
22monitoring the Department Commission shall have access to
23reports of suspected abuse or neglect and information
24regarding the disposition of such reports, subject to the
25provisions of the Mental Health and Developmental Disabilities
26Confidentiality Act.

 

 

10400SB3557sam001- 32 -LRB104 18242 SPS 35943 a

1(Source: P.A. 100-1148, eff. 12-10-18.)
 
2    (20 ILCS 3955/6)  (from Ch. 91 1/2, par. 706)
3    Sec. 6. (a) The Department Commission may recommend to any
4State agency or service provider regulations or procedures for
5the purpose of safeguarding the rights of eligible persons.
6The State agency or service provider shall notify the
7Department Commission, within 60 days of the receipt of the
8recommendations, of the action taken thereon and the reason
9therefor. The Department Commission shall not make
10recommendations that which interfere with the proper practice
11of medical or other professions.
12    (b) The Department Commission may recommend to the General
13Assembly legislation for the purpose of safeguarding the
14rights of eligible persons.
15    (c) The Department Commission may take any other action as
16may be reasonable to carry out the purposes of this Act.
17(Source: P.A. 80-1487.)
 
18    (20 ILCS 3955/7)  (from Ch. 91 1/2, par. 707)
19    Sec. 7. The Director shall:
20        (1) carry out the policies and programs of the
21    Department; Commission and
22        (2) coordinate the activities of the its divisions of
23    the Department; and may delegate to the Human Rights
24    Authority Director any duties described in Sections 14,

 

 

10400SB3557sam001- 33 -LRB104 18242 SPS 35943 a

1    15, and 16 of this Act.
2        (3) organize and administer programs to provide legal
3    counsel and representation for eligible persons to ensure
4    that their legal rights are protected;
5        (4) examine and delineate the needs of eligible
6    persons for legal counsel and representation and the
7    resources necessary to meet those needs, subject to the
8    approval of the Department; and
9        (5) institute or cause to be instituted legal
10    proceedings as may be necessary to enforce and give effect
11    to any of the duties or powers of the Department or its
12    divisions.
13(Source: P.A. 96-271, eff. 1-1-10.)
 
14    (20 ILCS 3955/8)  (from Ch. 91 1/2, par. 708)
15    Sec. 8. The Director may delegate to employees of the
16Department any of the duties described in Section 7 of this
17Act. shall:
18    (1) Organize and administer programs to provide legal
19counsel and representation for eligible persons so as to
20ensure that their legal rights are protected;
21    (2) Examine and delineate the needs of eligible persons
22for legal counsel and representation and the resources
23necessary to meet those needs, subject to the approval of the
24Commission; and
25    (3) Institute or cause to be instituted such legal

 

 

10400SB3557sam001- 34 -LRB104 18242 SPS 35943 a

1proceedings as may be necessary to enforce and give effect to
2any of the duties or powers of the Commission or its divisions.
3(Source: P.A. 80-1487.)
 
4    (20 ILCS 3955/10)  (from Ch. 91 1/2, par. 710)
5    Sec. 10. The Division of Legal Advocacy Service shall:
6    (1) Make available legal counsel to eligible persons in
7judicial proceedings arising out of the "Mental Health and
8Developmental Disabilities Code", enacted by the Eightieth
9General Assembly, as now or hereafter amended, including but
10not limited to admission, civil commitment, involuntary
11treatment, legal competency and discharge;
12    (2) Make available or provide legal counsel and
13representation to eligible persons to enforce rights or duties
14arising out of any mental health or related laws, local, State
15or federal.
16(Source: P.A. 80-1487.)
 
17    (20 ILCS 3955/11)  (from Ch. 91 1/2, par. 711)
18    Sec. 11. The Division of Legal Advocacy Service shall make
19available counsel for eligible persons by referral or by
20contracting for legal services to the extent practicable. The
21Division of Legal Advocacy Service shall make a good faith
22effort to assist eligible persons to engage private counsel,
23and to contact private counsel for eligible persons whose
24disabilities limit their capacity to independently contact

 

 

10400SB3557sam001- 35 -LRB104 18242 SPS 35943 a

1private counsel. If the Division of Legal Advocacy Service is
2unable to so make available counsel, it shall provide
3attorneys in its own employ. Taking into consideration the
4availability of private counsel in the eligible person's local
5area, the Department Commission shall establish, by rule, the
6standards and procedures by which it will attempt to assist
7eligible persons to engage private counsel.
8(Source: P.A. 84-1358.)
 
9    (20 ILCS 3955/12)  (from Ch. 91 1/2, par. 712)
10    Sec. 12. A Legal Advocacy Service attorney shall:
11    (1) have ready access to view and copy all mental health
12records pertaining to his client, as provided in the "Mental
13Health and Developmental Disabilities Confidentiality Act",
14enacted by the Eightieth General Assembly, as now or hereafter
15amended, and such other records to which he is permitted
16access; and
17    (2) have the opportunity to consult with his client
18whenever necessary for the performance of his duties. Service
19providers shall provide adequate space and privacy for the
20purpose of attorney-client consultation. No attorney shall
21have the right to visit eligible persons or look at their
22records for the purpose of soliciting cases for
23representation.
24(Source: P.A. 80-1487.)
 

 

 

10400SB3557sam001- 36 -LRB104 18242 SPS 35943 a

1    (20 ILCS 3955/13)  (from Ch. 91 1/2, par. 713)
2    Sec. 13. Nothing in this Act shall be construed to
3prohibit an eligible person from being represented by
4privately retained counsel or from waiving his right to an
5attorney in proceedings under the "Mental Health and
6Developmental Disabilities Code", approved by the Eightieth
7General Assembly, as now or hereafter amended, or as otherwise
8provided by law. If a Legal Advocacy Service attorney has been
9appointed by a court and the eligible person secures his own
10counsel or is permitted to self-represent, the court shall
11discharge the Legal Advocacy Service attorney.
12(Source: P.A. 80-1487.)
 
13    (20 ILCS 3955/14)  (from Ch. 91 1/2, par. 714)
14    Sec. 14. Each regional board authority shall consist of at
15least 7 members and no more than 9 members appointed by the
16Director, in accordance with this Section. Each regional board
17authority shall include insofar as possible one professionally
18knowledgeable and broadly experienced employee or officer of a
19provider of each of the following services: mental health,
20developmental disabilities, and vocational rehabilitation. No
21other employee or officer of a service provider shall be
22appointed to a regional board authority. In making
23appointments, the Director shall strive to ensure
24representation of minority groups and of eligible persons, and
25shall give due consideration to recommendations of persons and

 

 

10400SB3557sam001- 37 -LRB104 18242 SPS 35943 a

1groups assisting eligible persons. The Director may remove for
2incompetence, neglect of duty, or malfeasance in office any
3member of a regional board authority. Each member of a
4regional board shall become a member of a regional board while
5retaining the existing end date of the member's current term.
6All terms shall be for 3 years, with each member serving no
7more than 2 consecutive terms, including terms as a member of a
8regional authority of the Guardianship and Advocacy Commission
9immediately preceding the creation of the Department. No
10member shall serve for more than 2 full consecutive 3-year
11terms. A quorum shall consist of a majority of appointed
12members, excluding vacancies All actions taken by the Director
13to appoint or remove members shall be reported to the
14Commission at the next scheduled Commission meeting.
15    Each regional board authority shall annually elect a Chair
16chairman and any other officers it deems necessary. Members of
17the regional authorities shall serve for a term of 3 years,
18except that the terms of the first appointees shall be as
19follows: 3 members serving for a 1 year term; 3 members serving
20for a 2 year term; and 3 members serving for a 3 year term.
21Assignment of terms of such first appointees shall be by lot.
22No member shall serve for more than 2 consecutive 3 year terms.
23A quorum shall consist of a majority of appointed members.
24    Vacancies in the regional board authorities shall be
25filled by the Director. Appointments to fill vacancies
26occurring before the expiration of a term are for the

 

 

10400SB3557sam001- 38 -LRB104 18242 SPS 35943 a

1remainder of the unexpired term in the same manner as original
2appointments.
3    Members of the regional board authorities shall serve
4without compensation but shall be reimbursed for actual
5expenses incurred in the performance of their duties.
6    Each regional board authority shall meet not less than
7once every 2 months. Meetings may also be held upon call of the
8Regional Chair Chairman or upon written request of a majority
9of the appointed any 5 members of the regional board,
10excluding vacancies authority.
11(Source: P.A. 104-273, eff. 1-1-26.)
 
12    (20 ILCS 3955/15)  (from Ch. 91 1/2, par. 715)
13    Sec. 15. A regional board that authority which receives a
14complaint alleging that the rights of an eligible person have
15been violated in the region in which the regional board
16authority sits, shall conduct an investigation unless it
17determines that the complaint is frivolous or beyond the scope
18of its authority or competence, or unless the Director finds
19that a conflict of interest exists and directs another
20regional board authority to conduct the investigation. The
21regional board authority shall inform the complainant of
22whether it will conduct an investigation, and if not, the
23reason therefor. The regional board authority may advise a
24complainant as to other remedies which may be available.
25Reassignments of investigations for conflicts of interest and

 

 

10400SB3557sam001- 39 -LRB104 18242 SPS 35943 a

1refusals to investigate shall be reviewed and approved by the
2Director and the Director may seek direction from the
3Commission.
4(Source: P.A. 96-271, eff. 1-1-10.)
 
5    (20 ILCS 3955/16)  (from Ch. 91 1/2, par. 716)
6    Sec. 16. A regional board authority may conduct
7investigations upon its own initiative if it has reason to
8believe that the rights of an eligible person have been
9violated in the region in which the regional board authority
10sits, unless the Director finds that a conflict of interest
11exists and directs another regional board authority to conduct
12the investigation.
13(Source: P.A. 96-271, eff. 1-1-10.)
 
14    (20 ILCS 3955/17)  (from Ch. 91 1/2, par. 717)
15    Sec. 17. In the course of an investigation, a regional
16board authority may enter and inspect the premises of a
17service provider or State agency and question privately any
18person therein within reasonable limits and in a reasonable
19manner. Whenever possible, prior notice shall be given the
20parties regarding the nature, location, and persons involved
21in a particular investigation.
22(Source: P.A. 80-1416.)
 
23    (20 ILCS 3955/18)  (from Ch. 91 1/2, par. 718)

 

 

10400SB3557sam001- 40 -LRB104 18242 SPS 35943 a

1    Sec. 18. In the course of an investigation, a regional
2board authority may inspect and copy any materials relevant to
3the investigation in the possession of a service provider or
4state agency. However, a regional board authority may not
5inspect or copy materials containing personally identifiable
6data which cannot can not be removed without imposing an
7unreasonable burden on the service provider or State agency,
8except as provided herein. The regional board authority shall
9give written notice to the person entitled to give consent for
10the identifiable eligible person under Section 5 of the
11"Mental Health and Developmental Disabilities Confidentiality
12Act", enacted by the Eightieth General Assembly, as now or
13hereafter amended, or under any other relevant law, that it is
14conducting an investigation and indicating the nature and
15purpose of the investigation and the need to inspect and copy
16materials containing data that identifies the eligible person.
17If the person notified objects in writing to such inspection
18and copying, the regional board authority may not inspect or
19copy such materials. The service provider or State agency may
20not object on behalf of an eligible person.
21(Source: P.A. 80-1487.)
 
22    (20 ILCS 3955/19)  (from Ch. 91 1/2, par. 719)
23    Sec. 19. No regional board authority may disclose to any
24person any materials which identify an eligible person unless
25the eligible person or legally authorized person consents to

 

 

10400SB3557sam001- 41 -LRB104 18242 SPS 35943 a

1such disclosure, except if and to the extent that disclosure
2may be necessary for the appointment of a guardian for such
3eligible person.
4(Source: P.A. 80-1487.)
 
5    (20 ILCS 3955/20)  (from Ch. 91 1/2, par. 720)
6    Sec. 20. A regional board authority may conduct hearings
7and compel by subpoena the attendance and testimony of such
8witnesses and the production of such materials as are
9necessary or desirable for its investigation.
10(Source: P.A. 80-1487.)
 
11    (20 ILCS 3955/21)  (from Ch. 91 1/2, par. 721)
12    Sec. 21. A regional board authority may, subject to the
13provisions of the Open Meetings Act, conduct closed meetings
14and hearings when necessary to ensure confidentiality or to
15protect the rights of any eligible person or provider of
16services or other person. However, it shall make public a
17summary of business conducted during any such meeting or
18hearing. Such summary shall not contain personally
19identifiable data.
20(Source: P.A. 96-271, eff. 1-1-10.)
 
21    (20 ILCS 3955/22)  (from Ch. 91 1/2, par. 722)
22    Sec. 22. During the course of an investigation, the
23regional board authority shall periodically inform the

 

 

10400SB3557sam001- 42 -LRB104 18242 SPS 35943 a

1complainant, or provider and any eligible person involved of
2the status of the investigation.
3(Source: P.A. 80-1487.)
 
4    (20 ILCS 3955/23)  (from Ch. 91 1/2, par. 723)
5    Sec. 23. If a regional board authority finds that:
6    A. a matter should be further considered;
7    B. an act investigated should be modified or cancelled;
8    C. a statute or regulation should be altered;
9    D. reasons should be given for an act; or
10    E. any other action should be taken;
11it shall report its recommendations to the State agency,
12service provider or other person investigated. Such person
13investigated shall notify the regional board authority, within
1430 days of the receipt of such recommendations, of the action
15taken thereon and the reason therefor.
16(Source: P.A. 80-1416.)
 
17    (20 ILCS 3955/24)  (from Ch. 91 1/2, par. 724)
18    Sec. 24. If a regional board authority determines that
19further action is required, it may refer a matter to the
20Director Commission or another division of the Department
21thereof, and any federal, State, or local agency, or other
22persons, as it may deem appropriate and as approved by the
23Director , as it may deem appropriate and as approved by the
24Director.

 

 

10400SB3557sam001- 43 -LRB104 18242 SPS 35943 a

1(Source: P.A. 96-271, eff. 1-1-10.)
 
2    (20 ILCS 3955/25)  (from Ch. 91 1/2, par. 725)
3    Sec. 25. Within 10 days of the completion of its
4investigation, the regional board authority shall inform the
5complainant and the eligible person involved of the outcome of
6its investigation and of any action taken thereon.
7(Source: P.A. 80-1487.)
 
8    (20 ILCS 3955/26)  (from Ch. 91 1/2, par. 726)
9    Sec. 26. Subject to the provisions of Section 19, a
10regional board authority may make public its findings and
11recommendations. It shall include in any such public statement
12any reply made by the State agency, service provider, or other
13person investigated that has requested that the reply be so
14included. The State agency, service provider, or other person
15investigated provider or person shall have opportunity to
16review and object to any proposed public findings and
17recommendations. If the State agency, service provider, or
18other person investigated requests, the objections shall be
19included with public findings and recommendations issued by
20the regional board authority in the this matter.
21(Source: P.A. 80-1416.)
 
22    (20 ILCS 3955/27)  (from Ch. 91 1/2, par. 727)
23    Sec. 27. A regional board authority may, by acting through

 

 

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1the Director, propose to the Department Commission legislation
2for the purpose of safeguarding the rights of eligible
3persons.
4(Source: P.A. 96-271, eff. 1-1-10.)
 
5    (20 ILCS 3955/28)  (from Ch. 91 1/2, par. 728)
6    Sec. 28. A regional board authority may take such other
7action as may be reasonable and appropriate to carry out the
8purposes of this Act.
9(Source: P.A. 80-1416.)
 
10    (20 ILCS 3955/30)  (from Ch. 91 1/2, par. 730)
11    Sec. 30. When appointed by the court pursuant to the
12"Probate Act of 1975", approved August 7, 1975, as now or
13hereafter amended, the Division of State Guardian shall serve
14as guardian, either plenary or limited; temporary guardian;
15testamentary guardian; or successor guardian; of the person or
16the estate, or both, of a ward. If nomination is testamentary
17the Division of State Guardian shall be notified in writing at
18the time of the death of the testator. The Division Office of
19State Guardian may file a petition for its own appointment, or
20for the appointment of any other person, if the Division of
21State Guardian determines that the filing of the petition may
22avoid the need for State guardianship. In addition, the
23Division of State Guardian may assist the court, as the court
24may request, in proceedings for the appointment of a guardian

 

 

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1and in the supervision of persons and agencies which have been
2appointed as guardians.
3(Source: P.A. 89-396, eff. 8-20-95.)
 
4    (20 ILCS 3955/31)  (from Ch. 91 1/2, par. 731)
5    Sec. 31. Appointment; availability of Division of State
6Guardian; available private guardian.
7    (a) The Division of State Guardian shall not be appointed
8if another suitable person is available and willing to accept
9the guardianship appointment. In all cases where a court
10appoints the Division of State Guardian, the court shall
11indicate in the order appointing the guardian as a finding of
12fact that no other suitable and willing person could be found
13to accept the guardianship appointment. On and after the
14effective date of the this amendatory Act of the 97th General
15Assembly, the court shall also indicate in the order, as a
16finding of fact, the reasons that the Division of State
17Guardian appointment, rather than the appointment of another
18interested party, is required. This requirement shall be
19waived where the Division Office of State Guardian petitions
20for its own appointment as guardian.
21    (b) In all cases in which the Division of State Guardian
22has been appointed to prior to or after the effective date of
23this amendatory Act of the 104th General Assembly, the
24Division of State Guardian shall be recognized as a division
25of the Department. Any reference in law, regulation, order, or

 

 

10400SB3557sam001- 46 -LRB104 18242 SPS 35943 a

1appointment to the State Guardian or Office of State Guardian
2as a division of the Guardianship and Advocacy Commission
3shall be deemed to refer to the State Guardian as a division of
4the Department of Disability Advocacy and Guardianship. This
5subsection applies retroactively and prospectively to all
6appointments, actions, and proceedings involving the State
7Guardian or its wards.
8(Source: P.A. 97-1093, eff. 1-1-13.)
 
9    (20 ILCS 3955/32)  (from Ch. 91 1/2, par. 732)
10    Sec. 32. The Division of State Guardian shall have the
11same powers and duties as a private guardian as provided in
12Article XIa of the Probate Act of 1975, approved August 7,
131975. The State Guardian shall not provide direct residential
14services to its wards. The State Guardian shall visit and
15consult with its wards at least four times a year for as long
16as the guardianship continues.
17(Source: P.A. 80-1416.)
 
18    (20 ILCS 3955/33.5)
19    Sec. 33.5. Guardianship training program. The State
20Guardian shall provide a training program that outlines the
21duties and responsibilities of guardians appointed under
22Article XIa of the Probate Act of 1975. The training program
23shall be offered to courts at no cost, and shall outline the
24duties responsibilities of a guardian and the rights of a

 

 

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1person under guardianship. The training program shall have 2
2components: one for guardians of the person and another for
3guardians of the estate. The State Guardian shall determine
4the content of the training. The component for guardians of
5the person shall include content regarding Alzheimer's disease
6and dementia, including, but not limited to, the following
7topics: effective communication strategies; best practices for
8interacting with people living with Alzheimer's disease or
9related forms of dementia; and strategies for supporting
10people living with Alzheimer's disease or related forms of
11dementia in exercising their rights. In developing the
12training program content, the State Guardian shall consult
13with the courts, State and national guardianship
14organizations, public guardians, advocacy organizations, and
15persons and family members with direct experience with adult
16guardianship. In the preparation and dissemination of training
17materials, the State Guardian shall give due consideration to
18making the training materials accessible to persons with
19disabilities.
20(Source: P.A. 103-64, eff. 1-1-24; 104-237, eff. 1-1-26.)
 
21    (20 ILCS 3955/34)  (from Ch. 91 1/2, par. 734)
22    Sec. 34. A person, including a private citizen or employee
23of a service provider, who, in good faith, files a complaint
24with or provides information to the Department or any of its
25divisions Commission or any division thereof, including

 

 

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1private citizens and employees of service providers, shall not
2be subject to any penalties, sanctions, or restrictions as a
3consequence of filing the complaint or providing the
4information.
5(Source: P.A. 80-1416.)
 
6    (20 ILCS 3955/34.5 new)
7    Sec. 34.5. Prohibit interference with Department. No
8person shall willfully interfere with the performance of a
9duty or the exercise of a power by the Department or an officer
10or employee of the Department.
 
11    (20 ILCS 3955/36)  (from Ch. 91 1/2, par. 736)
12    Sec. 36. Rules and regulations adopted by the Department
13Commission pursuant to authority granted under this Act shall
14be subject to the provisions of the Illinois Administrative
15Procedure Act.
16(Source: P.A. 84-1358.)
 
17    (20 ILCS 3955/35 rep.)
18    Section 33. The Guardianship and Advocacy Act is amended
19by repealing Section 35.
 
20    Section 35. The Persons with Disabilities on State Agency
21Boards Act is amended by changing Section 10 as follows:
 

 

 

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1    (20 ILCS 4007/10)
2    Sec. 10. Definitions. As used in this Act, unless the
3context requires otherwise:
4    "Disability" means a physical or mental characteristic
5resulting from disease, injury, congenital condition of birth,
6or functional disorder, the history of such a characteristic,
7or the perception of such a characteristic, when the
8characteristic results in substantial functional limitations
9in 3 or more of the following areas of major life activity:
10self care, fine motor skills, mobility, vision, respiration,
11learning, work, receptive and expressive language (hearing and
12speaking), self direction, capacity for independent living,
13and economic sufficiency.
14    "State human services agency" means the following:
15        (1) The Citizens Council on Mental Health and
16    Developmental Disabilities created under Article 11A of
17    the Legislative Commission Reorganization Act of 1984.
18        (2) Advisory councils created by the Department of
19    Human Rights under Section 7-107 of the Illinois Human
20    Rights Act.
21        (3) The Department of Disability Advocacy and
22    Guardianship and Advocacy Commission created under the
23    Guardianship and Advocacy Act.
24        (4) (Blank).
25(Source: P.A. 100-866, eff. 8-14-18.)
 

 

 

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1    Section 45. The State Finance Act is amended by changing
2Section 6z-22 as follows:
 
3    (30 ILCS 105/6z-22)  (from Ch. 127, par. 142z-22)
4    Sec. 6z-22. All fees or other monies received by the
5Department of Disability Advocacy and Guardianship and
6Advocacy Commission incident to the provision of legal or
7guardianship services to eligible persons or wards pursuant to
8subsection (i) of Section 5 of the Guardianship and Advocacy
9Act shall be paid into the Guardianship and Advocacy Fund.
10    Appropriations for the improvement, development, addition
11or expansion of legal and guardianship services for eligible
12persons or wards pursuant to Section 5 of the Guardianship and
13Advocacy Act or for the financing of any program designed to
14provide such improvement, development, addition or expansion
15of services or for expenses incurred in administering the
16Division of Human Rights Authority, Legal Advocacy, the
17Division of Disability Rights and Protections, and the
18Division Service and Office of State Guardian are payable from
19the Guardianship and Advocacy Fund.
20(Source: P.A. 86-448; 86-1028.)
 
21    Section 50. The Public Interest Attorney Assistance Act is
22amended by changing Section 15 as follows:
 
23    (110 ILCS 916/15)

 

 

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1    Sec. 15. Definitions. For the purposes of this Act:
2    "Assistant State's Attorney" means a full-time employee of
3a State's Attorney in Illinois or the State's Attorneys
4Appellate Prosecutor who is continually licensed to practice
5law and prosecutes or defends cases on behalf of the State or a
6county.
7    "Assistant Attorney General" means a full-time employee of
8the Illinois Attorney General who is continually licensed to
9practice law and prosecutes or defends cases on behalf of the
10State.
11    "Assistant Public Defender" means a full-time employee of
12a Public Defender in Illinois or the State Appellate Defender
13who is continually licensed to practice law and provides legal
14representation to indigent persons, as provided by statute.
15    "Assistant public guardian" means a full-time employee of
16a public guardian in Illinois who is continually licensed to
17practice law and provides legal representation pursuant to
18court appointment.
19    "Civil legal aid" means free or reduced-cost legal
20representation or advice to low-income clients in non-criminal
21matters.
22    "Civil legal aid attorney" means an attorney who is
23continually licensed to practice law and is employed full time
24as an attorney at a civil legal aid organization in Illinois.
25    "Civil legal aid organization" means a not-for-profit
26corporation in Illinois that (i) is exempt from the payment of

 

 

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1federal income tax pursuant to Section 501(c)(3) of the
2Internal Revenue Code, (ii) is established for the purpose of
3providing legal services that include civil legal aid, (iii)
4employs 2 or more full-time attorneys who are licensed to
5practice law in this State and who directly provide civil
6legal aid, and (iv) is in compliance with registration and
7filing requirements that are applicable under the Charitable
8Trust Act and the Solicitation for Charity Act.
9    "Commission" means the Illinois Student Assistance
10Commission.
11    "Committee" means the advisory committee created under
12Section 20 of this Act.
13    "Eligible debt" means outstanding principal, interest, and
14related fees from loans obtained for undergraduate, graduate,
15or law school educational expenses made by government or
16commercial lending institutions or educational institutions.
17"Eligible debt" excludes loans made by a private individual or
18family member.
19    "Department of Disability Advocacy and Guardianship IGAC
20attorney" means a full-time employee of the Department of
21Disability Illinois Guardianship and Advocacy and Guardianship
22Commission, including the Division Office of State Guardian,
23the Division of Legal Advocacy Service, and the Division of
24Disability Human Rights and Protections Authority, who is
25continually licensed to practice law and provides legal
26representation to carry out the responsibilities of the

 

 

10400SB3557sam001- 53 -LRB104 18242 SPS 35943 a

1Department of Disability Advocacy and Illinois Guardianship
2and Advocacy Commission.
3    "Legislative attorney" means a full-time employee of the
4Illinois Senate, the Illinois House of Representatives, or the
5Illinois Legislative Reference Bureau who is continually
6licensed to practice law and provides legal advice to members
7of the General Assembly.
8    "Program" means the Public Interest Attorney Loan
9Repayment Assistance Program.
10    "Public interest attorney" means an attorney practicing in
11Illinois who is an assistant State's Attorney, assistant
12Public Defender, civil legal aid attorney, assistant Attorney
13General, assistant public guardian, Department of Disability
14Advocacy and Guardianship IGAC attorney, or legislative
15attorney.
16    "Qualifying employer" means (i) an Illinois State's
17Attorney or the State's Attorneys Appellate Prosecutor, (ii)
18an Illinois Public Defender or the State Appellate Defender,
19(iii) an Illinois civil legal aid organization, (iv) the
20Illinois Attorney General, (v) an Illinois public guardian,
21(vi) the Department of Disability Advocacy and Illinois
22Guardianship and Advocacy Commission, (vii) the Illinois
23Senate, (viii) the Illinois House of Representatives, or (ix)
24the Illinois Legislative Reference Bureau.
25(Source: P.A. 96-615, eff. 1-1-10; 96-768, eff. 1-1-10.)
 

 

 

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1    Section 55. The Abused and Neglected Long Term Care
2Facility Residents Reporting Act is amended by changing
3Sections 4 and 6 as follows:
 
4    (210 ILCS 30/4)  (from Ch. 111 1/2, par. 4164)
5    Sec. 4. Any long term care facility administrator, agent
6or employee or any physician, hospital, surgeon, dentist,
7osteopath, chiropractor, podiatric physician, accredited
8religious practitioner who provides treatment by spiritual
9means alone through prayer in accordance with the tenets and
10practices of the accrediting church, coroner, social worker,
11social services administrator, registered nurse, law
12enforcement officer, field personnel of the Department of
13Healthcare and Family Services, field personnel of the
14Illinois Department of Public Health and County or Municipal
15Health Departments, personnel of the Department of Human
16Services (acting as the successor to the Department of Mental
17Health and Developmental Disabilities or the Department of
18Public Aid), personnel of the Department of Disability
19Advocacy and Guardianship (acting as the successor to the
20Guardianship and Advocacy Commission), personnel of the State
21Fire Marshal, local fire department inspectors or other
22personnel, or personnel of the Illinois Department on Aging,
23or its subsidiary Agencies on Aging, or employee of a facility
24licensed under the Assisted Living and Shared Housing Act,
25having reasonable cause to believe any resident with whom they

 

 

10400SB3557sam001- 55 -LRB104 18242 SPS 35943 a

1have direct contact has been subjected to abuse or neglect
2shall immediately report or cause a report to be made to the
3Department. Persons required to make reports or cause reports
4to be made under this Section include all employees of the
5State of Illinois who are involved in providing services to
6residents, including professionals providing medical or
7rehabilitation services and all other persons having direct
8contact with residents; and further include all employees of
9community service agencies who provide services to a resident
10of a public or private long term care facility outside of that
11facility. Any long term care surveyor of the Illinois
12Department of Public Health who has reasonable cause to
13believe in the course of a survey that a resident has been
14abused or neglected and initiates an investigation while on
15site at the facility shall be exempt from making a report under
16this Section but the results of any such investigation shall
17be forwarded to the central register in a manner and form
18described by the Department.
19    The requirement of this Act shall not relieve any
20long-term long term care facility administrator, agent or
21employee of responsibility to report the abuse or neglect of a
22resident under Section 3-610 of the Nursing Home Care Act or
23under Section 3-610 of the ID/DD Community Care Act or under
24Section 3-610 of the MC/DD Act or under Section 2-107 of the
25Specialized Mental Health Rehabilitation Act of 2013.
26    In addition to the above persons required to report

 

 

10400SB3557sam001- 56 -LRB104 18242 SPS 35943 a

1suspected resident abuse and neglect, any other person may
2make a report to the Department, or to any law enforcement
3officer, if such person has reasonable cause to suspect a
4resident has been abused or neglected.
5    This Section also applies to residents whose death occurs
6from suspected abuse or neglect before being found or brought
7to a hospital.
8    A person required to make reports or cause reports to be
9made under this Section who fails to comply with the
10requirements of this Section is guilty of a Class A
11misdemeanor.
12(Source: P.A. 98-104, eff. 7-22-13; 98-214, eff. 8-9-13;
1398-756, eff. 7-16-14; 99-180, eff. 7-29-15.)
 
14    (210 ILCS 30/6)  (from Ch. 111 1/2, par. 4166)
15    Sec. 6. All reports of suspected abuse or neglect made
16under this Act shall be made immediately by telephone to the
17Department's central register established under Section 14 on
18the single, State-wide, toll-free telephone number established
19under Section 13, or in person or by telephone through the
20nearest Department office. No long-term long term care
21facility administrator, agent or employee, or any other
22person, shall screen reports or otherwise withhold any reports
23from the Department, and no long-term long term care facility,
24department of State government, or other agency shall
25establish any rules, criteria, standards or guidelines to the

 

 

10400SB3557sam001- 57 -LRB104 18242 SPS 35943 a

1contrary. Every long-term long term care facility, department
2of State government and other agency whose employees are
3required to make or cause to be made reports under Section 4
4shall notify its employees of the provisions of that Section
5and of this Section, and provide to the Department
6documentation that such notification has been given. The
7Department of Human Services shall train all of its mental
8health and developmental disabilities employees in the
9detection and reporting of suspected abuse and neglect of
10residents. Reports made to the central register through the
11State-wide, toll-free telephone number shall be transmitted to
12appropriate Department offices and municipal health
13departments that have responsibility for licensing long term
14care facilities under the Nursing Home Care Act, the
15Specialized Mental Health Rehabilitation Act of 2013, the
16ID/DD Community Care Act, or the MC/DD Act. All reports
17received through offices of the Department shall be forwarded
18to the central register, in a manner and form described by the
19Department. The Department shall be capable of receiving
20reports of suspected abuse and neglect 24 hours a day, 7 days a
21week. Reports shall also be made in writing deposited in the
22U.S. mail, postage prepaid, within 24 hours after having
23reasonable cause to believe that the condition of the resident
24resulted from abuse or neglect. Such reports may in addition
25be made to the local law enforcement agency in the same manner.
26However, in the event a report is made to the local law

 

 

10400SB3557sam001- 58 -LRB104 18242 SPS 35943 a

1enforcement agency, the reporter also shall immediately so
2inform the Department. The Department shall initiate an
3investigation of each report of resident abuse and neglect
4under this Act, whether oral or written, as provided for in
5Section 3-702 of the Nursing Home Care Act, Section 2-208 of
6the Specialized Mental Health Rehabilitation Act of 2013,
7Section 3-702 of the ID/DD Community Care Act, or Section
83-702 of the MC/DD Act, except that reports of abuse which
9indicate that a resident's life or safety is in imminent
10danger shall be investigated within 24 hours of such report.
11The Department may delegate to law enforcement officials or
12other public agencies the duty to perform such investigation.
13    With respect to investigations of reports of suspected
14abuse or neglect of residents of mental health and
15developmental disabilities institutions under the jurisdiction
16of the Department of Human Services, the Department shall
17transmit copies of such reports to the Illinois State Police,
18the Department of Human Services, and the Inspector General
19appointed under Section 1-17 of the Department of Human
20Services Act. If the Department receives a report of suspected
21abuse or neglect of a recipient of services as defined in
22Section 1-123 of the Mental Health and Developmental
23Disabilities Code, the Department shall transmit copies of
24such report to the Inspector General and the Director
25Directors of the Disability Advocacy and Guardianship and
26Advocacy Commission and the agency designated by the Governor

 

 

10400SB3557sam001- 59 -LRB104 18242 SPS 35943 a

1pursuant to the Protection and Advocacy for Persons with
2Developmental Disabilities Act. When requested by the Director
3of the Disability Advocacy and Guardianship and Advocacy
4Commission, the agency designated by the Governor pursuant to
5the Protection and Advocacy for Persons with Developmental
6Disabilities Act, or the Department of Financial and
7Professional Regulation, the Department, the Department of
8Human Services and the Illinois State Police shall make
9available a copy of the final investigative report regarding
10investigations conducted by their respective agencies on
11incidents of suspected abuse or neglect of residents of mental
12health and developmental disabilities institutions or
13individuals receiving services at community agencies under the
14jurisdiction of the Department of Human Services. Such final
15investigative report shall not contain witness statements,
16investigation notes, draft summaries, results of lie detector
17tests, investigative files or other raw data which was used to
18compile the final investigative report. Specifically, the
19final investigative report of the Illinois State Police shall
20mean the Director's final transmittal letter. The Department
21of Human Services shall also make available a copy of the
22results of disciplinary proceedings of employees involved in
23incidents of abuse or neglect to the Directors. All
24identifiable information in reports provided shall not be
25further disclosed except as provided by the Mental Health and
26Developmental Disabilities Confidentiality Act. Nothing in

 

 

10400SB3557sam001- 60 -LRB104 18242 SPS 35943 a

1this Section is intended to limit or construe the power or
2authority granted to the agency designated by the Governor
3pursuant to the Protection and Advocacy for Persons with
4Developmental Disabilities Act, pursuant to any other State or
5federal statute.
6    With respect to investigations of reported resident abuse
7or neglect, the Department shall effect with appropriate law
8enforcement agencies formal agreements concerning methods and
9procedures for the conduct of investigations into the criminal
10histories of any administrator, staff assistant or employee of
11the nursing home or other person responsible for the residents
12care, as well as for other residents in the nursing home who
13may be in a position to abuse, neglect or exploit the patient.
14Pursuant to the formal agreements entered into with
15appropriate law enforcement agencies, the Department may
16request information with respect to whether the person or
17persons set forth in this paragraph have ever been charged
18with a crime and if so, the disposition of those charges.
19Unless the criminal histories of the subjects involved crimes
20of violence or resident abuse or neglect, the Department shall
21be entitled only to information limited in scope to charges
22and their dispositions. In cases where prior crimes of
23violence or resident abuse or neglect are involved, a more
24detailed report can be made available to authorized
25representatives of the Department, pursuant to the agreements
26entered into with appropriate law enforcement agencies. Any

 

 

10400SB3557sam001- 61 -LRB104 18242 SPS 35943 a

1criminal charges and their disposition information obtained by
2the Department shall be confidential and may not be
3transmitted outside the Department, except as required herein,
4to authorized representatives or delegates of the Department,
5and may not be transmitted to anyone within the Department who
6is not duly authorized to handle resident abuse or neglect
7investigations.
8    The Department shall effect formal agreements with
9appropriate law enforcement agencies in the various counties
10and communities to encourage cooperation and coordination in
11the handling of resident abuse or neglect cases pursuant to
12this Act. The Department shall adopt and implement methods and
13procedures to promote statewide uniformity in the handling of
14reports of abuse and neglect under this Act, and those methods
15and procedures shall be adhered to by personnel of the
16Department involved in such investigations and reporting. The
17Department shall also make information required by this Act
18available to authorized personnel within the Department, as
19well as its authorized representatives.
20    The Department shall keep a continuing record of all
21reports made pursuant to this Act, including indications of
22the final determination of any investigation and the final
23disposition of all reports.
24    The Department shall report annually to the General
25Assembly on the incidence of abuse and neglect of long term
26care facility residents, with special attention to residents

 

 

10400SB3557sam001- 62 -LRB104 18242 SPS 35943 a

1who are persons with mental disabilities. The report shall
2include but not be limited to data on the number and source of
3reports of suspected abuse or neglect filed under this Act,
4the nature of any injuries to residents, the final
5determination of investigations, the type and number of cases
6where abuse or neglect is determined to exist, and the final
7disposition of cases.
8(Source: P.A. 102-538, eff. 8-20-21.)
 
9    Section 60. The Community Living Facilities Licensing Act
10is amended by changing Section 5 as follows:
 
11    (210 ILCS 35/5)  (from Ch. 111 1/2, par. 4185)
12    Sec. 5. Licensing standards. The Department shall
13promulgate rules and regulations establishing minimum
14standards for licensing of Community Living Facilities. These
15rules shall regulate:
16    (1) The location of Community Living Facilities. These
17provisions shall insure that the Community Living Facilities
18are in appropriate neighborhoods and shall prohibit
19concentration of these housing programs in communities.
20    (2) The operation and conduct of Community Living
21Facilities.
22    (3) The general financial ability, competence, character
23and qualifications of the applicant to provide appropriate
24care and comply with this Act.

 

 

10400SB3557sam001- 63 -LRB104 18242 SPS 35943 a

1    (4) The appropriateness, safety, cleanliness and general
2adequacy of the premises, including maintenance of adequate
3fire protection and health standards, conforming to State laws
4and municipal codes, to provide for the physical comfort,
5well-being, care and protection of the residents.
6    (5) The number, character, training and qualifications of
7personnel directly responsible for the residents.
8    (6) Provisions for food, clothing, educational
9opportunities, social activities, home furnishings and
10personal property to insure the healthy physical, emotional
11and mental development of residents.
12    (7) Implementation of habilitation plans for each
13resident.
14    (8) Provisions for residents to receive appropriate
15programming and support services commensurate with their
16individual needs, and to participate in decisions regarding
17their use of programs and support services.
18    Such services should include educational opportunities,
19vocational training and other day activities aimed at
20promoting independence and improving basic living skills.
21    (9) Provisions and criteria for admission, discharge and
22transfers at Community Living Facilities.
23    (10) Provisions specifying the role and responsibilities
24of residents for upkeep of their rooms and the overall
25maintenance and care of the Community Living Facilities. These
26provisions shall allow the residents to participate in normal,

 

 

10400SB3557sam001- 64 -LRB104 18242 SPS 35943 a

1daily activities associated with community living.
2    (11) Provisions to insure that residents are notified of
3their legal rights, as defined in the rules promulgated
4pursuant to subsection (12) of this Section and to assist them
5in exercising these rights. Upon admission to a Community
6Living Facility, residents shall be provided a copy of their
7rights and related rules, regulations and policies, and the
8name, address, and telephone number of the Department of
9Disability Advocacy and Guardianship and Advocacy Commission.
10    (12) Resident rights, which shall include, but need not be
11limited to, those guaranteed by the "Mental Health and
12Developmental Disabilities Code", as amended.
13    (13) Maintenance of records pertaining to the admission,
14habilitation, and discharge of residents, and to the general
15operation of Community Living Facilities.
16(Source: P.A. 82-567.)
 
17    Section 65. The Nursing Home Care Act is amended by
18changing Sections 2-106 and 2-201 as follows:
 
19    (210 ILCS 45/2-106)  (from Ch. 111 1/2, par. 4152-106)
20    Sec. 2-106. Restraints.
21    (a) For purposes of this Act, a physical restraint is any
22manual method or physical or mechanical device, material, or
23equipment attached or adjacent to a resident's body that the
24resident cannot remove easily and restricts freedom of

 

 

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1movement or normal access to one's body, and a chemical
2restraint is any drug used for discipline or convenience and
3not required to treat medical symptoms.
4    Devices used for positioning, including, but not limited
5to, bed rails and gait belts, shall not be considered to be
6physical restraints for purposes of this Act unless the device
7is used to restrain or otherwise limit the patient's freedom
8to move. A device used for positioning must be requested by the
9resident or, if the resident is unable to consent, the
10resident's guardian or authorized representative, or the need
11for that device must be physically demonstrated by the
12resident and documented in the resident's care plan. The
13physically demonstrated need of the resident for a device used
14for positioning must be revisited in every comprehensive
15assessment of the resident.
16    The Department shall by rule, designate certain devices as
17restraints, including at least all those devices which have
18been determined to be restraints by the United States
19Department of Health and Human Services in interpretive
20guidelines issued for the purposes of administering Titles
21XVIII and XIX of the Social Security Act.
22    (b) Neither restraints nor confinements shall be employed
23for the purpose of punishment or for the convenience of any
24facility personnel. No restraints or confinements shall be
25employed except as ordered by a physician who documents the
26need for such restraints or confinements in the resident's

 

 

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1clinical record.
2    (c) A restraint may be used only with the informed consent
3of the resident, the resident's guardian, or other authorized
4representative. A restraint may be used only for specific
5periods, if it is the least restrictive means necessary to
6attain and maintain the resident's highest practicable
7physical, mental or psychosocial well-being, including brief
8periods of time to provide necessary life-saving treatment. A
9restraint may be used only after consultation with appropriate
10health professionals, such as occupational or physical
11therapists, and a trial of less restrictive measures has led
12to the determination that the use of less restrictive measures
13would not attain or maintain the resident's highest
14practicable physical, mental or psychosocial well-being.
15However, if the resident needs emergency care, restraints may
16be used for brief periods to permit medical treatment to
17proceed unless the facility has notice that the resident has
18previously made a valid refusal of the treatment in question.
19    (d) A restraint may be applied only by a person trained in
20the application of the particular type of restraint.
21    (e) Whenever a period of use of a restraint is initiated,
22the resident shall be advised of his or her right to have a
23person or organization of his or her choosing, including the
24Department of Disability Advocacy and Guardianship and
25Advocacy Commission, notified of the use of the restraint. A
26recipient who is under guardianship may request that a person

 

 

10400SB3557sam001- 67 -LRB104 18242 SPS 35943 a

1or organization of his or her choosing be notified of the
2restraint, whether or not the guardian approves the notice. If
3the resident so chooses, the facility shall make the
4notification within 24 hours, including any information about
5the period of time that the restraint is to be used. Whenever
6the Department of Disability Advocacy and Guardianship and
7Advocacy Commission is notified that a resident has been
8restrained, it shall contact the resident to determine the
9circumstances of the restraint and whether further action is
10warranted.
11    (f) Whenever a restraint is used on a resident whose
12primary mode of communication is sign language, the resident
13shall be permitted to have his or her hands free from restraint
14for brief periods each hour, except when this freedom may
15result in physical harm to the resident or others.
16    (g) The requirements of this Section are intended to
17control in any conflict with the requirements of Sections
181-126 and 2-108 of the Mental Health and Developmental
19Disabilities Code.
20(Source: P.A. 103-489, eff. 1-1-24.)
 
21    (210 ILCS 45/2-201)  (from Ch. 111 1/2, par. 4152-201)
22    Sec. 2-201. To protect the residents' funds, the facility:
23    (1) Shall at the time of admission provide, in order of
24priority, each resident, or the resident's guardian, if any,
25or the resident's representative, if any, or the resident's

 

 

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1immediate family member, if any, with a written statement
2explaining to the resident and to the resident's spouse (a)
3their spousal impoverishment rights, as defined at Section 5-4
4of the Illinois Public Aid Code, and at Section 303 of Title
5III of the Medicare Catastrophic Coverage Act of 1988 (P.L.
6100-360), (b) their obligation to comply with the asset and
7income disclosure requirements of Title XIX of the federal
8Social Security Act and the regulations duly promulgated
9thereunder, except that this item (b) does not apply to
10facilities operated by the Illinois Department of Veterans
11Affairs that do not participate in Medicaid, and (c) the
12resident's rights regarding personal funds and listing the
13services for which the resident will be charged. The facility
14shall obtain a signed acknowledgment from each resident or the
15resident's guardian, if any, or the resident's representative,
16if any, or the resident's immediate family member, if any,
17that such person has received the statement and understands
18that failure to comply with asset and income disclosure
19requirements may result in the denial of Medicaid eligibility.
20    (2) May accept funds from a resident for safekeeping and
21managing, if it receives written authorization from, in order
22of priority, the resident or the resident's guardian, if any,
23or the resident's representative, if any, or the resident's
24immediate family member, if any; such authorization shall be
25attested to by a witness who has no pecuniary interest in the
26facility or its operations, and who is not connected in any way

 

 

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1to facility personnel or the administrator in any manner
2whatsoever.
3    (3) Shall maintain and allow, in order of priority, each
4resident or the resident's guardian, if any, or the resident's
5representative, if any, or the resident's immediate family
6member, if any, access to a written record of all financial
7arrangements and transactions involving the individual
8resident's funds.
9    (4) Shall provide, in order of priority, each resident, or
10the resident's guardian, if any, or the resident's
11representative, if any, or the resident's immediate family
12member, if any, with a written itemized statement at least
13quarterly, of all financial transactions involving the
14resident's funds.
15    (5) Shall purchase a surety bond, or otherwise provide
16assurance satisfactory to the Departments of Public Health and
17Insurance that all residents' personal funds deposited with
18the facility are secure against loss, theft, and insolvency.
19    (6) Shall keep any funds received from a resident for
20safekeeping in an account separate from the facility's funds,
21and shall at no time withdraw any part or all of such funds for
22any purpose other than to return the funds to the resident upon
23the request of the resident or any other person entitled to
24make such request, to pay the resident his allowance, or to
25make any other payment authorized by the resident or any other
26person entitled to make such authorization.

 

 

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1    (7) Shall deposit any funds received from a resident in
2excess of $100 in an interest bearing account insured by
3agencies of, or corporations chartered by, the State or
4federal government. The account shall be in a form which
5clearly indicates that the facility has only a fiduciary
6interest in the funds and any interest from the account shall
7accrue to the resident. The facility may keep up to $100 of a
8resident's money in a non-interest bearing account or petty
9cash fund, to be readily available for the resident's current
10expenditures.
11    (8) Shall return to the resident, or the person who
12executed the written authorization required in subsection (2)
13of this Section, upon written request, all or any part of the
14resident's funds given the facility for safekeeping, including
15the interest accrued from deposits.
16    (9) Shall (a) place any monthly allowance to which a
17resident is entitled in that resident's personal account, or
18give it to the resident, unless the facility has written
19authorization from the resident or the resident's guardian or
20if the resident is a minor, his parent, to handle it
21differently, (b) take all steps necessary to ensure that a
22personal needs allowance that is placed in a resident's
23personal account is used exclusively by the resident or for
24the benefit of the resident, and (c) where such funds are
25withdrawn from the resident's personal account by any person
26other than the resident, require such person to whom funds

 

 

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1constituting any part of a resident's personal needs allowance
2are released, to execute an affidavit that such funds shall be
3used exclusively for the benefit of the resident.
4    (10) Unless otherwise provided by State law, upon the
5death of a resident, shall provide the executor or
6administrator of the resident's estate with a complete
7accounting of all the resident's personal property, including
8any funds of the resident being held by the facility.
9    (11) If an adult resident is incapable of managing his
10funds and does not have a resident's representative, guardian,
11or an immediate family member, shall notify the Division
12Office of the State Guardian of the Department of Disability
13Advocacy and Guardianship and Advocacy Commission.
14    (12) If the facility is sold, shall provide the buyer with
15a written verification by a public accountant of all
16residents' monies and properties being transferred, and obtain
17a signed receipt from the new owner.
18(Source: P.A. 104-234, eff. 8-15-25.)
 
19    Section 67. The Community-Integrated Living Arrangements
20Licensure and Certification Act is amended by changing Section
219.1 as follows:
 
22    (210 ILCS 135/9.1)
23    Sec. 9.1. Recipient's funds; protection.
24    (a) To protect a recipient's funds, a service provider:

 

 

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1        (1) May accept funds from a recipient for safekeeping
2    and management if the service provider receives written
3    authorization from the recipient or the recipient's
4    guardian.
5        (2) Shall maintain a written record of all financial
6    arrangements and transactions involving each individual
7    recipient's funds and shall allow each recipient, or the
8    recipient's guardian, access to that written record.
9        (3) Shall provide, in order of priority, each
10    recipient, or the recipient's guardian, if any, or the
11    recipient's immediate family member, if any, with a
12    written itemized statement of all financial transactions
13    involving the recipient's funds or a copy of the
14    recipient's checking or savings account register for the
15    period. This information shall be provided at least
16    quarterly.
17        (4) Shall purchase and maintain a surety bond or other
18    commercial policy with crime coverage in an amount equal
19    to or greater than all of the recipient's personal funds
20    deposited with the service provider to which employees of
21    the service provider have access to secure against loss,
22    theft, and insolvency. The insurance company that provides
23    the surety bond or commercial policy with crime coverage
24    shall inform the Division of Developmental Disabilities of
25    the Department of Human Services of any reduction or
26    cancellation of the surety bond or commercial policy with

 

 

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1    crime coverage.
2        (5) Shall keep any funds received from a recipient in
3    an account separate from the service provider's funds for
4    safekeeping, and shall not withdraw all or any part of the
5    recipient's funds unless the service provider is (i)
6    returning the funds to the recipient upon the request of
7    the recipient or any other person entitled to make the
8    request, (ii) paying the recipient his or her allowance,
9    or (iii) making any other payment authorized by the
10    recipient or any other person entitled to make that
11    authorization.
12        (6) Shall deposit any funds received from a recipient
13    in excess of $100 in an interest-bearing account insured
14    by agencies of, or corporations chartered by, the State or
15    the federal government. The account shall be in a form
16    that clearly indicates that the service provider has only
17    a fiduciary interest in the funds and that any interest
18    earned on funds in the account shall accrue to the
19    recipient. The service provider may keep up to $100 of a
20    recipient's funds in a non-interest-bearing account or
21    petty cash fund, to be readily available for the
22    recipient's current expenditures.
23        (7) Shall, upon written request of a recipient or the
24    recipient's guardian, return to the recipient or the
25    recipient's guardian of the estate all or any part of the
26    recipient's funds given to the service provider for

 

 

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1    safekeeping, including the accrued interest earned on the
2    deposits of the recipient's funds.
3        (8) Shall (i) place any monthly allowance that a
4    recipient is entitled to in the recipient's personal
5    account or give the monthly allowance directly to the
6    recipient, unless the service provider has written
7    authorization from the recipient, the recipient's
8    guardian, or the recipient's parent if the recipient is a
9    minor, to handle the monthly allowance differently, (ii)
10    take all steps necessary to ensure that a monthly
11    allowance that is placed in a recipient's personal account
12    is used exclusively by the recipient or for the
13    recipient's benefit, and (iii) require any person other
14    than the recipient who withdraws funds from the
15    recipient's personal account that constitute any portion
16    of the recipient's monthly allowance to execute an
17    affidavit that the funds will be used exclusively for the
18    benefit of the recipient.
19        (9) If an adult recipient is incapable of managing his
20    or her funds and does not have a guardian or immediate
21    family member, the service provider shall notify the
22    Division Office of the State Guardian of the Guardianship
23    and Advocacy Commission.
24    (b) Upon the death of a recipient, unless otherwise
25provided by State law, the service provider shall provide the
26executor or administrator of the recipient's estate with a

 

 

10400SB3557sam001- 75 -LRB104 18242 SPS 35943 a

1complete accounting of all the recipient's personal property,
2including any funds of the recipient being held by the service
3provider.
4    (c) If a recipient changes service providers, the former
5service provider shall provide the new service provider with a
6written verification by a public accountant of all the
7recipient's money and property being transferred and shall
8obtain a signed receipt for the money and property from the new
9service provider upon transfer of the recipient's money and
10property.
11    (d) If a service provider is sold, the service provider
12shall provide the new owner with a written verification by a
13public accountant of all the recipient's money and property
14being transferred and shall obtain a signed receipt for the
15money and property from the new owner upon transfer of the
16recipient's money and property.
17(Source: P.A. 98-1073, eff. 8-26-14.)
 
18    Section 70. The MC/DD Act is amended by changing Sections
192-106 and 2-201 as follows:
 
20    (210 ILCS 46/2-106)
21    Sec. 2-106. Restraints and confinements.
22    (a) For purposes of this Act:
23        (i) A physical restraint is any manual method or
24    physical or mechanical device, material, or equipment

 

 

10400SB3557sam001- 76 -LRB104 18242 SPS 35943 a

1    attached or adjacent to a resident's body that the
2    resident cannot remove easily and restricts freedom of
3    movement or normal access to one's body. Devices used for
4    positioning, including but not limited to bed rails, gait
5    belts, and cushions, shall not be considered to be
6    restraints for purposes of this Section.
7        (ii) A chemical restraint is any drug used for
8    discipline or convenience and not required to treat
9    medical symptoms. The Department shall by rule, designate
10    certain devices as restraints, including at least all
11    those devices which have been determined to be restraints
12    by the United States Department of Health and Human
13    Services in interpretive guidelines issued for the
14    purposes of administering Titles XVIII and XIX of the
15    Social Security Act.
16    (b) Neither restraints nor confinements shall be employed
17for the purpose of punishment or for the convenience of any
18facility personnel. No restraints or confinements shall be
19employed except as ordered by a physician who documents the
20need for such restraints or confinements in the resident's
21clinical record. Each facility licensed under this Act must
22have a written policy to address the use of restraints and
23seclusion. The Department shall establish by rule the
24provisions that the policy must include, which, to the extent
25practicable, should be consistent with the requirements for
26participation in the federal Medicare program. Each policy

 

 

10400SB3557sam001- 77 -LRB104 18242 SPS 35943 a

1shall include periodic review of the use of restraints.
2    (c) A restraint may be used only with the informed consent
3of the resident, the resident's guardian, or other authorized
4representative. A restraint may be used only for specific
5periods, if it is the least restrictive means necessary to
6attain and maintain the resident's highest practicable
7physical, mental or psychosocial well-being well being,
8including brief periods of time to provide necessary
9lifesaving life saving treatment. A restraint may be used only
10after consultation with appropriate health professionals, such
11as occupational or physical therapists, and a trial of less
12restrictive measures has led to the determination that the use
13of less restrictive measures would not attain or maintain the
14resident's highest practicable physical, mental or
15psychosocial well-being well being. However, if the resident
16needs emergency care, restraints may be used for brief periods
17to permit medical treatment to proceed unless the facility has
18notice that the resident has previously made a valid refusal
19of the treatment in question.
20    (d) A restraint may be applied only by a person trained in
21the application of the particular type of restraint.
22    (e) Whenever a period of use of a restraint is initiated,
23the resident shall be advised of his or her right to have a
24person or organization of his or her choosing, including the
25Department of Disability Advocacy and Guardianship and
26Advocacy Commission, notified of the use of the restraint. A

 

 

10400SB3557sam001- 78 -LRB104 18242 SPS 35943 a

1recipient who is under guardianship may request that a person
2or organization of his or her choosing be notified of the
3restraint, whether or not the guardian approves the notice. If
4the resident so chooses, the facility shall make the
5notification within 24 hours, including any information about
6the period of time that the restraint is to be used. Whenever
7the Department of Disability Advocacy and Guardianship and
8Advocacy Commission is notified that a resident has been
9restrained, it shall contact the resident to determine the
10circumstances of the restraint and whether further action is
11warranted.
12    (f) Whenever a restraint is used on a resident whose
13primary mode of communication is sign language, the resident
14shall be permitted to have his or her hands free from restraint
15for brief periods each hour, except when this freedom may
16result in physical harm to the resident or others.
17    (g) The requirements of this Section are intended to
18control in any conflict with the requirements of Sections
191-126 and 2-108 of the Mental Health and Developmental
20Disabilities Code.
21(Source: P.A. 99-180, eff. 7-29-15.)
 
22    (210 ILCS 46/2-201)
23    Sec. 2-201. Residents' funds. To protect the residents'
24funds, the facility:
25    (1) Shall at the time of admission provide, in order of

 

 

10400SB3557sam001- 79 -LRB104 18242 SPS 35943 a

1priority, each resident, or the resident's guardian, if any,
2or the resident's representative, if any, or the resident's
3immediate family member, if any, with a written statement
4explaining to the resident and to the resident's spouse (a)
5their spousal impoverishment rights, as defined at Section 5-4
6of the Illinois Public Aid Code, and at Section 303 of Title
7III of the Medicare Catastrophic Coverage Act of 1988 (P.L.
8100-360), and (b) the resident's rights regarding personal
9funds and listing the services for which the resident will be
10charged. The facility shall obtain a signed acknowledgment
11from each resident or the resident's guardian, if any, or the
12resident's representative, if any, or the resident's immediate
13family member, if any, that such person has received the
14statement.
15    (2) May accept funds from a resident for safekeeping and
16managing, if it receives written authorization from, in order
17of priority, the resident or the resident's guardian, if any,
18or the resident's representative, if any, or the resident's
19immediate family member, if any; such authorization shall be
20attested to by a witness who has no pecuniary interest in the
21facility or its operations, and who is not connected in any way
22to facility personnel or the administrator in any manner
23whatsoever.
24    (3) Shall maintain and allow, in order of priority, each
25resident or the resident's guardian, if any, or the resident's
26representative, if any, or the resident's immediate family

 

 

10400SB3557sam001- 80 -LRB104 18242 SPS 35943 a

1member, if any, access to a written record of all financial
2arrangements and transactions involving the individual
3resident's funds.
4    (4) Shall provide, in order of priority, each resident, or
5the resident's guardian, if any, or the resident's
6representative, if any, or the resident's immediate family
7member, if any, with a written itemized statement at least
8quarterly, of all financial transactions involving the
9resident's funds.
10    (5) Shall purchase a surety bond, or otherwise provide
11assurance satisfactory to the Departments of Public Health and
12Financial and Professional Regulation that all residents'
13personal funds deposited with the facility are secure against
14loss, theft, and insolvency.
15    (6) Shall keep any funds received from a resident for
16safekeeping in an account separate from the facility's funds,
17and shall at no time withdraw any part or all of such funds for
18any purpose other than to return the funds to the resident upon
19the request of the resident or any other person entitled to
20make such request, to pay the resident his or her allowance, or
21to make any other payment authorized by the resident or any
22other person entitled to make such authorization.
23    (7) Shall deposit any funds received from a resident in
24excess of $100 in an interest-bearing interest bearing account
25insured by agencies of, or corporations chartered by, the
26State or federal government. The account shall be in a form

 

 

10400SB3557sam001- 81 -LRB104 18242 SPS 35943 a

1which clearly indicates that the facility has only a fiduciary
2interest in the funds and any interest from the account shall
3accrue to the resident. The facility may keep up to $100 of a
4resident's money in a non-interest-bearing account or petty
5cash fund, to be readily available for the resident's current
6expenditures.
7    (8) Shall return to the resident, or the person who
8executed the written authorization required in subsection (2)
9of this Section, upon written request, all or any part of the
10resident's funds given the facility for safekeeping, including
11the interest accrued from deposits.
12    (9) Shall (a) place any monthly allowance to which a
13resident is entitled in that resident's personal account, or
14give it to the resident, unless the facility has written
15authorization from the resident or the resident's guardian or
16if the resident is a minor, his parent, to handle it
17differently, (b) take all steps necessary to ensure that a
18personal needs allowance that is placed in a resident's
19personal account is used exclusively by the resident or for
20the benefit of the resident, and (c) where such funds are
21withdrawn from the resident's personal account by any person
22other than the resident, require such person to whom funds
23constituting any part of a resident's personal needs allowance
24are released, to execute an affidavit that such funds shall be
25used exclusively for the benefit of the resident.
26    (10) Unless otherwise provided by State law, upon the

 

 

10400SB3557sam001- 82 -LRB104 18242 SPS 35943 a

1death of a resident, shall provide the executor or
2administrator of the resident's estate with a complete
3accounting of all the resident's personal property, including
4any funds of the resident being held by the facility.
5    (11) If an adult resident is incapable of managing his or
6her funds and does not have a resident's representative,
7guardian, or an immediate family member, shall notify the
8Division Office of the State Guardian of the Department of
9Disability Advocacy and Guardianship and Advocacy Commission.
10    (12) If the facility is sold, shall provide the buyer with
11a written verification by a public accountant of all
12residents' monies and properties being transferred, and obtain
13a signed receipt from the new owner.
14(Source: P.A. 99-180, eff. 7-29-15.)
 
15    Section 75. The ID/DD Community Care Act is amended by
16changing Sections 2-106 and 2-201 as follows:
 
17    (210 ILCS 47/2-106)
18    Sec. 2-106. Restraints and confinements.
19    (a) For purposes of this Act:
20        (i) A physical restraint is any manual method or
21    physical or mechanical device, material, or equipment
22    attached or adjacent to a resident's body that the
23    resident cannot remove easily and restricts freedom of
24    movement or normal access to one's body. Devices used for

 

 

10400SB3557sam001- 83 -LRB104 18242 SPS 35943 a

1    positioning, including but not limited to bed rails, gait
2    belts, and cushions, shall not be considered to be
3    restraints for purposes of this Section.
4        (ii) A chemical restraint is any drug used for
5    discipline or convenience and not required to treat
6    medical symptoms. The Department shall by rule, designate
7    certain devices as restraints, including at least all
8    those devices which have been determined to be restraints
9    by the United States Department of Health and Human
10    Services in interpretive guidelines issued for the
11    purposes of administering Titles XVIII and XIX of the
12    Social Security Act.
13    (b) Neither restraints nor confinements shall be employed
14for the purpose of punishment or for the convenience of any
15facility personnel. No restraints or confinements shall be
16employed except as ordered by a physician who documents the
17need for such restraints or confinements in the resident's
18clinical record. Each facility licensed under this Act must
19have a written policy to address the use of restraints and
20seclusion. The Department shall establish by rule the
21provisions that the policy must include, which, to the extent
22practicable, should be consistent with the requirements for
23participation in the federal Medicare program. Each policy
24shall include periodic review of the use of restraints.
25    (c) A restraint may be used only with the informed consent
26of the resident, the resident's guardian, or other authorized

 

 

10400SB3557sam001- 84 -LRB104 18242 SPS 35943 a

1representative. A restraint may be used only for specific
2periods, if it is the least restrictive means necessary to
3attain and maintain the resident's highest practicable
4physical, mental or psychosocial well-being well being,
5including brief periods of time to provide necessary
6lifesaving life saving treatment. A restraint may be used only
7after consultation with appropriate health professionals, such
8as occupational or physical therapists, and a trial of less
9restrictive measures has led to the determination that the use
10of less restrictive measures would not attain or maintain the
11resident's highest practicable physical, mental or
12psychosocial well-being well being. However, if the resident
13needs emergency care, restraints may be used for brief periods
14to permit medical treatment to proceed unless the facility has
15notice that the resident has previously made a valid refusal
16of the treatment in question.
17    (d) A restraint may be applied only by a person trained in
18the application of the particular type of restraint.
19    (e) Whenever a period of use of a restraint is initiated,
20the resident shall be advised of his or her right to have a
21person or organization of his or her choosing, including the
22Department of Disability Advocacy and Guardianship and
23Advocacy Commission, notified of the use of the restraint. A
24recipient who is under guardianship may request that a person
25or organization of his or her choosing be notified of the
26restraint, whether or not the guardian approves the notice. If

 

 

10400SB3557sam001- 85 -LRB104 18242 SPS 35943 a

1the resident so chooses, the facility shall make the
2notification within 24 hours, including any information about
3the period of time that the restraint is to be used. Whenever
4the Department of Disability Advocacy and Guardianship and
5Advocacy Commission is notified that a resident has been
6restrained, it shall contact the resident to determine the
7circumstances of the restraint and whether further action is
8warranted.
9    (f) Whenever a restraint is used on a resident whose
10primary mode of communication is sign language, the resident
11shall be permitted to have his or her hands free from restraint
12for brief periods each hour, except when this freedom may
13result in physical harm to the resident or others.
14    (g) The requirements of this Section are intended to
15control in any conflict with the requirements of Sections
161-126 and 2-108 of the Mental Health and Developmental
17Disabilities Code.
18(Source: P.A. 96-339, eff. 7-1-10.)
 
19    (210 ILCS 47/2-201)
20    Sec. 2-201. Residents' funds. To protect the residents'
21funds, the facility:
22    (1) Shall at the time of admission provide, in order of
23priority, each resident, or the resident's guardian, if any,
24or the resident's representative, if any, or the resident's
25immediate family member, if any, with a written statement

 

 

10400SB3557sam001- 86 -LRB104 18242 SPS 35943 a

1explaining to the resident and to the resident's spouse (a)
2their spousal impoverishment rights, as defined at Section 5-4
3of the Illinois Public Aid Code, and at Section 303 of Title
4III of the Medicare Catastrophic Coverage Act of 1988 (P.L.
5100-360), and (b) the resident's rights regarding personal
6funds and listing the services for which the resident will be
7charged. The facility shall obtain a signed acknowledgment
8from each resident or the resident's guardian, if any, or the
9resident's representative, if any, or the resident's immediate
10family member, if any, that such person has received the
11statement.
12    (2) May accept funds from a resident for safekeeping and
13managing, if it receives written authorization from, in order
14of priority, the resident or the resident's guardian, if any,
15or the resident's representative, if any, or the resident's
16immediate family member, if any; such authorization shall be
17attested to by a witness who has no pecuniary interest in the
18facility or its operations, and who is not connected in any way
19to facility personnel or the administrator in any manner
20whatsoever.
21    (3) Shall maintain and allow, in order of priority, each
22resident or the resident's guardian, if any, or the resident's
23representative, if any, or the resident's immediate family
24member, if any, access to a written record of all financial
25arrangements and transactions involving the individual
26resident's funds.

 

 

10400SB3557sam001- 87 -LRB104 18242 SPS 35943 a

1    (4) Shall provide, in order of priority, each resident, or
2the resident's guardian, if any, or the resident's
3representative, if any, or the resident's immediate family
4member, if any, with a written itemized statement at least
5quarterly, of all financial transactions involving the
6resident's funds.
7    (5) Shall purchase a surety bond, or otherwise provide
8assurance satisfactory to the Departments of Public Health and
9Financial and Professional Regulation that all residents'
10personal funds deposited with the facility are secure against
11loss, theft, and insolvency.
12    (6) Shall keep any funds received from a resident for
13safekeeping in an account separate from the facility's funds,
14and shall at no time withdraw any part or all of such funds for
15any purpose other than to return the funds to the resident upon
16the request of the resident or any other person entitled to
17make such request, to pay the resident his or her allowance, or
18to make any other payment authorized by the resident or any
19other person entitled to make such authorization.
20    (7) Shall deposit any funds received from a resident in
21excess of $100 in an interest-bearing interest bearing account
22insured by agencies of, or corporations chartered by, the
23State or federal government. The account shall be in a form
24which clearly indicates that the facility has only a fiduciary
25interest in the funds and any interest from the account shall
26accrue to the resident. The facility may keep up to $100 of a

 

 

10400SB3557sam001- 88 -LRB104 18242 SPS 35943 a

1resident's money in a non-interest-bearing account or petty
2cash fund, to be readily available for the resident's current
3expenditures.
4    (8) Shall return to the resident, or the person who
5executed the written authorization required in subsection (2)
6of this Section, upon written request, all or any part of the
7resident's funds given the facility for safekeeping, including
8the interest accrued from deposits.
9    (9) Shall (a) place any monthly allowance to which a
10resident is entitled in that resident's personal account, or
11give it to the resident, unless the facility has written
12authorization from the resident or the resident's guardian or
13if the resident is a minor, his parent, to handle it
14differently, (b) take all steps necessary to ensure that a
15personal needs allowance that is placed in a resident's
16personal account is used exclusively by the resident or for
17the benefit of the resident, and (c) where such funds are
18withdrawn from the resident's personal account by any person
19other than the resident, require such person to whom funds
20constituting any part of a resident's personal needs allowance
21are released, to execute an affidavit that such funds shall be
22used exclusively for the benefit of the resident.
23    (10) Unless otherwise provided by State law, upon the
24death of a resident, shall provide the executor or
25administrator of the resident's estate with a complete
26accounting of all the resident's personal property, including

 

 

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1any funds of the resident being held by the facility.
2    (11) If an adult resident is incapable of managing his or
3her funds and does not have a resident's representative,
4guardian, or an immediate family member, shall notify the
5Division Office of the State Guardian of the Department of
6Disability Advocacy and Guardianship and Advocacy Commission.
7    (12) If the facility is sold, shall provide the buyer with
8a written verification by a public accountant of all
9residents' monies and properties being transferred, and obtain
10a signed receipt from the new owner.
11(Source: P.A. 96-339, eff. 7-1-10; 96-1000, eff. 7-2-10.)
 
12    Section 80. The Hospital Licensing Act is amended by
13changing Section 9.6 as follows:
 
14    (210 ILCS 85/9.6)
15    Sec. 9.6. Patient protection from abuse.
16    (a) No administrator, agent, or employee of a hospital or
17a hospital affiliate, or a member of a hospital's medical
18staff, may abuse a patient in the hospital or in a facility
19operated by a hospital affiliate.
20    (b) Any hospital administrator, agent, employee, or
21medical staff member, or an administrator, employee, or
22physician employed by a hospital affiliate, who has reasonable
23cause to believe that any patient with whom he or she has
24direct contact has been subjected to abuse in the hospital or

 

 

10400SB3557sam001- 90 -LRB104 18242 SPS 35943 a

1hospital affiliate shall promptly report or cause a report to
2be made to a designated hospital administrator responsible for
3providing such reports to the Department as required by this
4Section.
5    (c) Retaliation against a person who lawfully and in good
6faith makes a report under this Section is prohibited.
7    (d) Upon receiving a report under subsection (b) of this
8Section, the hospital or hospital affiliate shall submit the
9report to the Department within 24 hours of obtaining such
10report. In the event that the hospital receives multiple
11reports involving a single alleged instance of abuse, the
12hospital shall submit one report to the Department.
13    (e) Upon receiving a report under this Section, the
14hospital or hospital affiliate shall promptly conduct an
15internal review to ensure the alleged victim's safety.
16Measures to protect the alleged victim shall be taken as
17deemed necessary by the hospital's administrator and may
18include, but are not limited to, removing suspected violators
19from further patient contact during the hospital's or hospital
20affiliate's internal review. If the alleged victim lacks
21decision-making capacity under the Health Care Surrogate Act
22and no health care surrogate is available, the hospital or
23hospital affiliate may contact the Department of Disability
24Advocacy and Illinois Guardianship and Advocacy Commission to
25determine the need for a temporary guardian of that person.
26    (f) All internal hospital and hospital affiliate reviews

 

 

10400SB3557sam001- 91 -LRB104 18242 SPS 35943 a

1shall be conducted by a designated employee or agent who is
2qualified to detect abuse and is not involved in the alleged
3victim's treatment. All internal review findings must be
4documented and filed according to hospital or hospital
5affiliate procedures and shall be made available to the
6Department upon request.
7    (g) Any other person may make a report of patient abuse to
8the Department if that person has reasonable cause to believe
9that a patient has been abused in the hospital or hospital
10affiliate.
11    (h) The report required under this Section shall include:
12the name of the patient; the name and address of the hospital
13or hospital affiliate treating the patient; the age of the
14patient; the nature of the patient's condition, including any
15evidence of previous injuries or disabilities; and any other
16information that the reporter believes might be helpful in
17establishing the cause of the reported abuse and the identity
18of the person believed to have caused the abuse.
19    (i) Except for willful or wanton misconduct, any
20individual, person, institution, or agency participating in
21good faith in the making of a report under this Section, or in
22the investigation of such a report or in making a disclosure of
23information concerning reports of abuse under this Section,
24shall have immunity from any liability, whether civil,
25professional, or criminal, that otherwise might result by
26reason of such actions. For the purpose of any proceedings,

 

 

10400SB3557sam001- 92 -LRB104 18242 SPS 35943 a

1whether civil, professional, or criminal, the good faith of
2any persons required to report cases of suspected abuse under
3this Section or who disclose information concerning reports of
4abuse in compliance with this Section, shall be presumed.
5    (j) No administrator, agent, or employee of a hospital or
6hospital affiliate shall adopt or employ practices or
7procedures designed to discourage good faith reporting of
8patient abuse under this Section.
9    (k) Every hospital and hospital affiliate shall ensure
10that all new and existing employees are trained in the
11detection and reporting of abuse of patients and retrained at
12least every 2 years thereafter.
13    (l) The Department shall investigate each report of
14patient abuse made under this Section according to the
15procedures of the Department, except that a report of abuse
16which indicates that a patient's life or safety is in imminent
17danger shall be investigated within 24 hours of such report.
18Under no circumstances may a hospital's or hospital
19affiliate's internal review of an allegation of abuse replace
20an investigation of the allegation by the Department.
21    (m) The Department shall keep a continuing record of all
22reports made pursuant to this Section, including indications
23of the final determination of any investigation and the final
24disposition of all reports. The Department shall inform the
25investigated hospital or hospital affiliate and any other
26person making a report under subsection (g) of its final

 

 

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1determination or disposition in writing.
2    (n) The Department shall not disclose to the public any
3information regarding any reports and investigations under
4this Section unless and until the report of abuse is
5substantiated following a full and proper investigation.
6    (o) All patient identifiable information in any report or
7investigation under this Section shall be confidential and
8shall not be disclosed except as authorized by this Act or
9other applicable law.
10    (p) Nothing in this Section relieves a hospital or
11hospital affiliate administrator, employee, agent, or medical
12staff member from contacting appropriate law enforcement
13authorities as required by law.
14    (q) Nothing in this Section shall be construed to mean
15that a patient is a victim of abuse because of health care
16services provided or not provided by health care
17professionals.
18    (r) Nothing in this Section shall require a hospital or
19hospital affiliate, including its employees, agents, and
20medical staff members, to provide any services to a patient in
21contravention of his or her stated or implied objection
22thereto upon grounds that such services conflict with his or
23her religious beliefs or practices, nor shall such a patient
24be considered abused under this Section for the exercise of
25such beliefs or practices.
26    (s) The Department's implementation of this Section is

 

 

10400SB3557sam001- 94 -LRB104 18242 SPS 35943 a

1subject to appropriations to the Department for that purpose.
2    (t) As used in this Section, the following terms have the
3following meanings:
4    "Abuse" means any physical or mental injury or sexual
5abuse intentionally inflicted by a hospital or hospital
6affiliate employee, agent, or medical staff member on a
7patient of the hospital or hospital affiliate and does not
8include any hospital or hospital affiliate, medical, health
9care, or other personal care services done in good faith in the
10interest of the patient according to established medical and
11clinical standards of care.
12    "Hospital affiliate" has the meaning given to that term in
13Section 10.8.
14    "Mental injury" means intentionally caused emotional
15distress in a patient from words or gestures that would be
16considered by a reasonable person to be humiliating,
17harassing, or threatening and which causes observable and
18substantial impairment.
19    "Sexual abuse" means any intentional act of sexual contact
20or sexual penetration of a patient in the hospital.
21    "Substantiated", with respect to a report of abuse, means
22that a preponderance of the evidence indicates that abuse
23occurred.
24(Source: P.A. 103-803, eff. 1-1-25.)
 
25    Section 85. The Illinois Public Aid Code is amended by

 

 

10400SB3557sam001- 95 -LRB104 18242 SPS 35943 a

1changing Section 3-1.2 as follows:
 
2    (305 ILCS 5/3-1.2)  (from Ch. 23, par. 3-1.2)
3    Sec. 3-1.2. Need.
4    (a) Income available to the person, when added to
5contributions in money, substance, or services from other
6sources, including contributions from legally responsible
7relatives, must be insufficient to equal the grant amount
8established by Department regulation for such person. In
9determining earned income to be taken into account,
10consideration shall be given to any expenses reasonably
11attributable to the earning of such income. If federal law or
12regulations permit or require exemption of earned or other
13income and resources, the Illinois Department shall provide by
14rule and regulation that the amount of income to be
15disregarded be increased (1) to the maximum extent so required
16and (2) to the maximum extent permitted by federal law or
17regulation in effect as of the date this amendatory Act
18becomes law. The Illinois Department may also provide by rule
19and regulation that the amount of resources to be disregarded
20be increased to the maximum extent so permitted or required.
21    (b) Subject to federal approval, resources (for example,
22land, buildings, equipment, supplies, or tools), including
23farmland property and personal property used in the
24income-producing operations related to the farmland (for
25example, equipment and supplies, motor vehicles, or tools),

 

 

10400SB3557sam001- 96 -LRB104 18242 SPS 35943 a

1necessary for self-support, up to $6,000 of the person's
2equity in the income-producing property, provided that the
3property produces a net annual income of at least 6% of the
4excluded equity value of the property, are exempt. Equity
5value in excess of $6,000 shall not be excluded. If the
6activity produces income that is less than 6% of the exempt
7equity due to reasons beyond the person's control (for
8example, the person's illness or crop failure) and there is a
9reasonable expectation that the property will again produce
10income equal to or greater than 6% of the equity value (for
11example, a medical prognosis that the person is expected to
12respond to treatment or that drought-resistant corn will be
13planted), the equity value in the property up to $6,000 is
14exempt. If the person owns more than one piece of property and
15each produces income, each piece of property shall be looked
16at to determine whether the 6% rule is met, and then the
17amounts of the person's equity in all of those properties
18shall be totaled to determine whether the total equity is
19$6,000 or less. The total equity value of all properties that
20is exempt shall be limited to $6,000.
21    (c) In determining the resources of an individual or any
22dependents, the Department shall exclude from consideration
23the value of funeral and burial spaces, funeral and burial
24insurance the proceeds of which can only be used to pay the
25funeral and burial expenses of the insured and funds
26specifically set aside for the funeral and burial arrangements

 

 

10400SB3557sam001- 97 -LRB104 18242 SPS 35943 a

1of the individual or his or her dependents, including prepaid
2funeral and burial plans, to the same extent that such items
3are excluded from consideration under the federal Supplemental
4Security Income program (SSI). At any time prior to or after
5submitting an application for medical assistance and before a
6final determination of eligibility has been made by the
7Department, an applicant may use available resources to
8purchase one of the prepaid funeral or burial contracts
9exempted under this Section.
10    Prepaid funeral or burial contracts are exempt to the
11following extent:
12        (1) Funds in a revocable prepaid funeral or burial
13    contract are exempt up to $1,500, except that any portion
14    of a contract that clearly represents the purchase of
15    burial space, as that term is defined for purposes of the
16    Supplemental Security Income program, is exempt regardless
17    of value.
18        (2) Funds in an irrevocable prepaid funeral or burial
19    contract are exempt up to $7,248, except that any portion
20    of a contract that clearly represents the purchase of
21    burial space, as that term is defined for purposes of the
22    Supplemental Security Income program, is exempt regardless
23    of value. This amount shall be adjusted annually for any
24    increase in the Consumer Price Index. The amount exempted
25    shall be limited to the price of the funeral goods and
26    services to be provided upon death. The contract must

 

 

10400SB3557sam001- 98 -LRB104 18242 SPS 35943 a

1    provide a complete description of the funeral goods and
2    services to be provided and the price thereof. Any amount
3    in the contract not so specified shall be treated as a
4    transfer of assets for less than fair market value.
5        (3) A prepaid, guaranteed-price funeral or burial
6    contract, funded by an irrevocable assignment of a
7    person's life insurance policy to a trust or a funeral
8    home, is exempt. The amount exempted shall be limited to
9    the amount of the insurance benefit designated for the
10    cost of the funeral goods and services to be provided upon
11    the person's death. The contract must provide a complete
12    description of the funeral goods and services to be
13    provided and the price thereof. Any amount in the contract
14    not so specified shall be treated as a transfer of assets
15    for less than fair market value. The trust must include a
16    statement that, upon the death of the person, the State
17    will receive all amounts remaining in the trust, including
18    any remaining payable proceeds under the insurance policy
19    up to an amount equal to the total medical assistance paid
20    on behalf of the person. The trust is responsible for
21    ensuring that the provider of funeral services under the
22    contract receives the proceeds of the policy when it
23    provides the funeral goods and services specified under
24    the contract. The irrevocable assignment of ownership of
25    the insurance policy must be acknowledged by the insurance
26    company.

 

 

10400SB3557sam001- 99 -LRB104 18242 SPS 35943 a

1        (4) Existing life insurance policies are exempt if
2    there has been an irrevocable assignment in compliance
3    with Section 2b of the Illinois Funeral or Burial Funds
4    Act. A person shall sign a contract with a funeral home,
5    which is licensed under the Illinois Funeral or Burial
6    Funds Act, that describes the cost of the funeral goods
7    and services to be provided upon the person's death, up to
8    $7,248, except that any portion of a contract that clearly
9    represents the purchase of burial space, as that term is
10    defined for purposes of the Supplemental Security Income
11    program, is exempt regardless of value. This amount shall
12    be adjusted annually for any increase in the Consumer
13    Price Index. The contract must provide a complete
14    description of the goods and services and any cash
15    advances to be provided and the price thereof. The person
16    shall sign an irrevocable designation of beneficiary form
17    declaring that any amounts payable from the policies not
18    used for goods and services and any cash advances as set
19    forth in the contract shall be received by the State, up to
20    an amount equal to the total medical assistance paid on
21    behalf of the person; any funds remaining after payment to
22    the State shall be paid to a secondary beneficiary (if
23    any) listed on the policy, or to the estate of the
24    purchaser if no secondary beneficiary is named on the
25    policy in the event the proceeds exceed the prearranged
26    costs of merchandise and services and any cash advances

 

 

10400SB3557sam001- 100 -LRB104 18242 SPS 35943 a

1    and the total medical assistance paid on behalf of the
2    insured. More than one policy may be subject to this
3    subsection if the total face value of the policies is
4    necessary to pay the amount described in the contract with
5    the funeral home; policies that are not necessary to pay
6    the amount described in the contract are not exempt. The
7    licensed funeral home to which the life insurance policy
8    benefits have been irrevocably assigned shall retain
9    copies for inspection by the Comptroller and shall report
10    annually to the Comptroller the following: the name of the
11    insured, the name of the insurance company and policy
12    number, an itemized account of the amount of the contract
13    for goods and services and any cash advances provided, and
14    the current value of the policy of benefits designated
15    with a record of all amounts paid back to the State or
16    other beneficiary. The Department of Healthcare and Family
17    Services shall adopt rules and forms to implement this
18    Section.
19    (d) Notwithstanding any other provision of this Code to
20the contrary, an irrevocable trust containing the resources of
21a person who is determined to have a disability shall be
22considered exempt from consideration. A pooled trust must be
23established and managed by a non-profit association that pools
24funds but maintains a separate account for each beneficiary.
25The trust may be established by the person, a parent,
26grandparent, legal guardian, or court. It must be established

 

 

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1for the sole benefit of the person and language contained in
2the trust shall stipulate that any amount remaining in the
3trust (up to the amount expended by the Department on medical
4assistance) that is not retained by the trust for reasonable
5administrative costs related to wrapping up the affairs of the
6subaccount shall be paid to the Department upon the death of
7the person. After a person reaches age 65, any funding by or on
8behalf of the person to the trust shall be treated as a
9transfer of assets for less than fair market value unless the
10person is a ward of a county public guardian or the Division of
11State Guardian pursuant to Section 13-5 of the Probate Act of
121975 or Section 30 of the Guardianship and Advocacy Act and
13lives in the community, or the person is a ward of a county
14public guardian or the Division of State Guardian pursuant to
15Section 13-5 of the Probate Act of 1975 or Section 30 of the
16Guardianship and Advocacy Act and a court has found that any
17expenditures from the trust will maintain or enhance the
18person's quality of life. If the trust contains proceeds from
19a personal injury settlement, any Department charge must be
20satisfied in order for the transfer to the trust to be treated
21as a transfer for fair market value.
22    (e) The homestead shall be exempt from consideration
23except to the extent that it meets the income and shelter needs
24of the person. "Homestead" means the dwelling house and
25contiguous real estate owned and occupied by the person,
26regardless of its value. Subject to federal approval, a person

 

 

10400SB3557sam001- 102 -LRB104 18242 SPS 35943 a

1shall not be eligible for long-term care services, however, if
2the person's equity interest in his or her homestead exceeds
3the minimum home equity as allowed and increased annually
4under federal law. Subject to federal approval, on and after
5the effective date of this amendatory Act of the 97th General
6Assembly, homestead property transferred to a trust shall no
7longer be considered homestead property.
8    (f) Occasional or irregular gifts in cash, goods or
9services from persons who are not legally responsible
10relatives which are of nominal value or which do not have
11significant effect in meeting essential requirements shall be
12disregarded.
13    (g) The eligibility of any applicant for or recipient of
14public aid under this Article is not affected by the payment of
15any grant under the "Senior Citizens and Disabled Persons
16Property Tax Relief Act" or any distributions or items of
17income described under subparagraph (X) of paragraph (2) of
18subsection (a) of Section 203 of the Illinois Income Tax Act.
19    (h) The Illinois Department may, after appropriate
20investigation, establish and implement a consolidated standard
21to determine need and eligibility for and amount of benefits
22under this Article or a uniform cash supplement to the federal
23Supplemental Security Income program for all or any part of
24the then current recipients under this Article; provided,
25however, that the establishment or implementation of such a
26standard or supplement shall not result in reductions in

 

 

10400SB3557sam001- 103 -LRB104 18242 SPS 35943 a

1benefits under this Article for the then current recipients of
2such benefits.
3    (i) The provisions under paragraph (4) of subsection (c)
4are subject to federal approval. The Department of Healthcare
5and Family Services shall apply for any necessary federal
6waivers or approvals to implement by January 1, 2023 the
7changes made to this Section by this amendatory Act of the
8102nd General Assembly.
9(Source: P.A. 102-959, eff. 5-27-22.)
 
10    Section 90. The Adult Protective Services Act is amended
11by changing Sections 2 and 3.5 as follows:
 
12    (320 ILCS 20/2)  (from Ch. 23, par. 6602)
13    Sec. 2. Definitions. As used in this Act, unless the
14context requires otherwise:
15    (a) "Abandonment" means the desertion or willful forsaking
16of an eligible adult by an individual responsible for the care
17and custody of that eligible adult under circumstances in
18which a reasonable person would continue to provide care and
19custody. Nothing in this Act shall be construed to mean that an
20eligible adult is a victim of abandonment because of health
21care services provided or not provided by licensed health care
22professionals.
23    (a-1) "Abuse" means causing any physical, mental or sexual
24injury to an eligible adult, including exploitation of such

 

 

10400SB3557sam001- 104 -LRB104 18242 SPS 35943 a

1adult's financial resources, and abandonment or subjecting an
2eligible adult to an environment which creates a likelihood of
3harm to the eligible adult's health, physical and emotional
4well-being, or welfare.
5    Nothing in this Act shall be construed to mean that an
6eligible adult is a victim of abuse, abandonment, neglect, or
7self-neglect for the sole reason that he or she is being
8furnished with or relies upon treatment by spiritual means
9through prayer alone, in accordance with the tenets and
10practices of a recognized church or religious denomination.
11    Nothing in this Act shall be construed to mean that an
12eligible adult is a victim of abuse because of health care
13services provided or not provided by licensed health care
14professionals.
15    Nothing in this Act shall be construed to mean that an
16eligible adult is a victim of abuse in cases of criminal
17activity by strangers, telemarketing scams, consumer fraud,
18internet fraud, home repair disputes, complaints against a
19homeowners' association, or complaints between landlords and
20tenants.
21    (a-5) "Abuser" means a person who is a family member,
22caregiver, or another person who has a continuing relationship
23with the eligible adult and abuses, abandons, neglects, or
24financially exploits an eligible adult.
25    (a-6) "Adult with disabilities" means a person aged 18
26through 59 who resides in a domestic living situation and

 

 

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1whose disability as defined in subsection (c-5) impairs his or
2her ability to seek or obtain protection from abuse,
3abandonment, neglect, or exploitation.
4    (a-7) "Caregiver" means a person who either as a result of
5a family relationship, voluntarily, or in exchange for
6compensation has assumed responsibility for all or a portion
7of the care of an eligible adult who needs assistance with
8activities of daily living or instrumental activities of daily
9living.
10    (b) "Department" means the Department on Aging of the
11State of Illinois.
12    (c) "Director" means the Director of the Department.
13    (c-5) "Disability" means a physical or mental disability,
14including, but not limited to, a developmental disability, an
15intellectual disability, a mental illness as defined under the
16Mental Health and Developmental Disabilities Code, or dementia
17as defined under the Alzheimer's Disease Assistance Act.
18    (d) "Domestic living situation" means a residence where
19the eligible adult at the time of the report lives alone or
20with his or her family or a caregiver, or others, or other
21community-based unlicensed facility, but is not:
22        (1) A licensed facility as defined in Section 1-113 of
23    the Nursing Home Care Act;
24        (1.5) A facility licensed under the ID/DD Community
25    Care Act;
26        (1.6) A facility licensed under the MC/DD Act;

 

 

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

 

 

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

 

 

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

 

 

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

 

 

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

 

 

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

 

 

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1emotional well-being, and general safety. The term includes
2compulsive hoarding, which is characterized by the acquisition
3and retention of large quantities of items and materials that
4produce an extensively cluttered living space, which
5significantly impairs the performance of essential self-care
6tasks or otherwise substantially threatens life or safety.
7    (j) "Substantiated case" means a reported case of alleged
8or suspected abuse, abandonment, neglect, financial
9exploitation, or self-neglect in which a provider agency,
10after assessment, determines that there is reason to believe
11abuse, abandonment, neglect, or financial exploitation has
12occurred.
13    (k) "Verified" means a determination that there is "clear
14and convincing evidence" that the specific injury or harm
15alleged was the result of abuse, abandonment, neglect, or
16financial exploitation.
17(Source: P.A. 102-244, eff. 1-1-22; 102-953, eff. 5-27-22;
18103-329, eff. 1-1-24; 103-626, eff. 1-1-25.)
 
19    (320 ILCS 20/3.5)
20    Sec. 3.5. Other responsibilities. The Department shall
21also be responsible for the following activities, contingent
22upon adequate funding; implementation shall be expanded to
23adults with disabilities upon the effective date of this
24amendatory Act of the 98th General Assembly, except those
25responsibilities under subsection (a), which shall be

 

 

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1undertaken as soon as practicable:
2        (a) promotion of a wide range of endeavors for the
3    purpose of preventing abuse, abandonment, neglect,
4    financial exploitation, and self-neglect, including, but
5    not limited to, promotion of public and professional
6    education to increase awareness of abuse, abandonment,
7    neglect, financial exploitation, and self-neglect; to
8    increase reports; to establish access to and use of the
9    Registry established under Section 7.5; and to improve
10    response by various legal, financial, social, and health
11    systems;
12        (b) coordination of efforts with other agencies,
13    councils, and like entities, to include but not be limited
14    to, the Administrative Office of the Illinois Courts, the
15    Office of the Attorney General, the Illinois State Police,
16    the Illinois Law Enforcement Training Standards Board, the
17    State Triad, the Illinois Criminal Justice Information
18    Authority, the Departments of Public Health, Healthcare
19    and Family Services, and Human Services, the Department of
20    Disability Advocacy and Illinois Guardianship and Advocacy
21    Commission, the Family Violence Coordinating Council, the
22    Illinois Violence Prevention Authority, and other entities
23    which may impact awareness of, and response to, abuse,
24    abandonment, neglect, financial exploitation, and
25    self-neglect;
26        (c) collection and analysis of data;

 

 

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1        (d) monitoring of the performance of regional
2    administrative agencies and adult protective services
3    agencies;
4        (e) promotion of prevention activities;
5        (f) establishing and coordinating an aggressive
6    training program on the unique nature of adult abuse cases
7    with other agencies, councils, and like entities, to
8    include but not be limited to the Office of the Attorney
9    General, the Illinois State Police, the Illinois Law
10    Enforcement Training Standards Board, the State Triad, the
11    Illinois Criminal Justice Information Authority, the State
12    Departments of Public Health, Healthcare and Family
13    Services, and Human Services, the Family Violence
14    Coordinating Council, the Illinois Violence Prevention
15    Authority, the agency designated by the Governor under
16    Section 1 of the Protection and Advocacy for Persons with
17    Developmental Disabilities Act, and other entities that
18    may impact awareness of and response to abuse,
19    abandonment, neglect, financial exploitation, and
20    self-neglect;
21        (g) solicitation of financial institutions for the
22    purpose of making information available to the general
23    public warning of financial exploitation of adults and
24    related financial fraud or abuse, including such
25    information and warnings available through signage or
26    other written materials provided by the Department on the

 

 

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1    premises of such financial institutions, provided that the
2    manner of displaying or distributing such information is
3    subject to the sole discretion of each financial
4    institution; and
5        (g-1) developing by joint rulemaking with the
6    Department of Financial and Professional Regulation
7    minimum training standards which shall be used by
8    financial institutions for their current and new employees
9    with direct customer contact; the Department of Financial
10    and Professional Regulation shall retain sole visitation
11    and enforcement authority under this subsection (g-1); the
12    Department of Financial and Professional Regulation shall
13    provide bi-annual reports to the Department setting forth
14    aggregate statistics on the training programs required
15    under this subsection (g-1).
16(Source: P.A. 102-244, eff. 1-1-22; 102-538, eff. 8-20-21;
17102-813, eff. 5-13-22; 103-626, eff. 1-1-25.)
 
18    Section 95. The Mental Health and Developmental
19Disabilities Code is amended by changing Sections 2-103,
202-108, 2-109, 2-114, 2-200, 2-201, 3-206, 3-405, 3-805, 3-910,
214-201.1, 4-203, 4-605, and 5-100 as follows:
 
22    (405 ILCS 5/2-103)  (from Ch. 91 1/2, par. 2-103)
23    Sec. 2-103. Except as provided in this Section, a
24recipient who resides in a mental health or developmental

 

 

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1disabilities facility shall be permitted unimpeded, private,
2and uncensored communication with persons of his choice by
3mail, telephone and visitation.
4    (a) The facility director shall ensure that correspondence
5can be conveniently received and mailed, that telephones are
6reasonably accessible, and that space for visits is available.
7Writing materials, postage and telephone usage funds shall be
8provided in reasonable amounts to recipients who reside in
9Department facilities and who are unable to procure such
10items.
11    (b) Reasonable times and places for the use of telephones
12and for visits may be established in writing by the facility
13director.
14    (c) Unimpeded, private and uncensored communication by
15mail, telephone, and visitation may be reasonably restricted
16by the facility director only in order to protect the
17recipient or others from harm, harassment or intimidation,
18provided that notice of such restriction shall be given to all
19recipients upon admission. When communications are restricted,
20the facility shall advise the recipient that he has the right
21to require the facility to notify the affected parties of the
22restriction, and to notify such affected party when the
23restrictions are no longer in effect. However, all letters
24addressed by a recipient to the Governor, members of the
25General Assembly, Attorney General, judges, state's attorneys,
26the Department of Disability Advocacy and Guardianship and

 

 

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1Advocacy Commission, or the Agency designated pursuant to "An
2Act in relation to the protection and advocacy of the rights of
3persons with developmental disabilities, and amending Acts
4therein named", approved September 20, 1985, officers of the
5Department, or licensed attorneys at law must be forwarded at
6once to the persons to whom they are addressed without
7examination by the facility authorities. Letters in reply from
8the officials and attorneys mentioned above must be delivered
9to the recipient without examination by the facility
10authorities.
11    (d) No facility shall prevent any attorney who represents
12a recipient or who has been requested to do so by any relative
13or family member of the recipient, from visiting a recipient
14during normal business hours, unless that recipient refuses to
15meet with the attorney.
16    (e) Whenever, as the result of the closing or the
17reduction in the number of units or available beds of any
18mental health facility operated by the Department of Human
19Services, the State determines to enter into a contract with
20any mental health facility to provide hospitalization to
21persons who would otherwise be served by the State-operated
22mental health facility, the resident shall be entitled to the
23same rights under this Section.
24(Source: P.A. 97-1007, eff. 8-17-12.)
 
25    (405 ILCS 5/2-108)  (from Ch. 91 1/2, par. 2-108)

 

 

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1    Sec. 2-108. Use of restraint. Restraint may be used only
2as a therapeutic measure to prevent a recipient from causing
3physical harm to himself or physical abuse to others.
4Restraint may only be applied by a person who has been trained
5in the application of the particular type of restraint to be
6utilized. In no event shall restraint be utilized to punish or
7discipline a recipient, nor is restraint to be used as a
8convenience for the staff.
9    (a) Except as provided in this Section, restraint shall be
10employed only upon the written order of a physician, clinical
11psychologist, clinical social worker, clinical professional
12counselor, advanced practice psychiatric nurse, or registered
13nurse with supervisory responsibilities. No restraint shall be
14ordered unless the physician, clinical psychologist, clinical
15social worker, clinical professional counselor, advanced
16practice psychiatric nurse, or registered nurse with
17supervisory responsibilities, after personally observing and
18examining the recipient, is clinically satisfied that the use
19of restraint is justified to prevent the recipient from
20causing physical harm to himself or others. In no event may
21restraint continue for longer than 2 hours unless within that
22time period a nurse with supervisory responsibilities,
23advanced practice psychiatric nurse, or a physician confirms,
24in writing, following a personal examination of the recipient,
25that the restraint does not pose an undue risk to the
26recipient's health in light of the recipient's physical or

 

 

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1medical condition. The order shall state the events leading up
2to the need for restraint and the purposes for which restraint
3is employed. The order shall also state the length of time
4restraint is to be employed and the clinical justification for
5that length of time. No order for restraint shall be valid for
6more than 16 hours. If further restraint is required, a new
7order must be issued pursuant to the requirements provided in
8this Section.
9    (b) In the event there is an emergency requiring the
10immediate use of restraint, it may be ordered temporarily by a
11qualified person only where a physician, clinical
12psychologist, clinical social worker, clinical professional
13counselor, advanced practice psychiatric nurse, or registered
14nurse with supervisory responsibilities is not immediately
15available. In that event, an order by a nurse, clinical
16psychologist, clinical social worker, clinical professional
17counselor, advanced practice psychiatric nurse, or physician
18shall be obtained pursuant to the requirements of this Section
19as quickly as possible, and the recipient shall be examined by
20a physician or supervisory nurse within 2 hours after the
21initial employment of the emergency restraint. Whoever orders
22restraint in emergency situations shall document its necessity
23and place that documentation in the recipient's record.
24    (c) The person who orders restraint shall inform the
25facility director or his designee in writing of the use of
26restraint within 24 hours.

 

 

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1    (d) The facility director shall review all restraint
2orders daily and shall inquire into the reasons for the orders
3for restraint by any person who routinely orders them.
4    (e) Restraint may be employed during all or part of one
524-hour 24 hour period, the period commencing with the initial
6application of the restraint. However, once restraint has been
7employed during one 24-hour 24 hour period, it shall not be
8used again on the same recipient during the next 48 hours
9without the prior written authorization of the facility
10director.
11    (f) Restraint shall be employed in a humane and
12therapeutic manner and the person being restrained shall be
13observed by a qualified person as often as is clinically
14appropriate but in no event less than once every 15 minutes.
15The qualified person shall maintain a record of the
16observations. Specifically, unless there is an immediate
17danger that the recipient will physically harm himself or
18others, restraint shall be loosely applied to permit freedom
19of movement. Further, the recipient shall be permitted to have
20regular meals and toilet privileges free from the restraint,
21except when freedom of action may result in physical harm to
22the recipient or others.
23    (g) Every facility that employs restraint shall provide
24training in the safe and humane application of each type of
25restraint employed. The facility shall not authorize the use
26of any type of restraint by an employee who has not received

 

 

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1training in the safe and humane application of that type of
2restraint. Each facility in which restraint is used shall
3maintain records detailing which employees have been trained
4and are authorized to apply restraint, the date of the
5training and the type of restraint that the employee was
6trained to use.
7    (h) Whenever restraint is imposed upon any recipient whose
8primary mode of communication is sign language, the recipient
9shall be permitted to have his hands free from restraint for
10brief periods each hour, except when freedom may result in
11physical harm to the recipient or others.
12    (i) A recipient who is restrained may only be secluded at
13the same time pursuant to an explicit written authorization as
14provided in Section 2-109 of this Code. Whenever a recipient
15is restrained, a member of the facility staff shall remain
16with the recipient at all times unless the recipient has been
17secluded. A recipient who is restrained and secluded shall be
18observed by a qualified person as often as is clinically
19appropriate but in no event less than every 15 minutes.
20    (j) Whenever restraint is used, the recipient shall be
21advised of his right, pursuant to Sections 2-200 and 2-201 of
22this Code, to have any person of his choosing, including the
23Department of Disability Advocacy and Guardianship and
24Advocacy Commission or the agency designated pursuant to the
25Protection and Advocacy for Persons with Developmental
26Disabilities Act notified of the restraint. A recipient who is

 

 

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1under guardianship may request that any person of his choosing
2be notified of the restraint whether or not the guardian
3approves of the notice. Whenever the Department of Disability
4Advocacy and Guardianship and Advocacy Commission is notified
5that a recipient has been restrained, it shall contact that
6recipient to determine the circumstances of the restraint and
7whether further action is warranted.
8(Source: P.A. 101-587, eff. 1-1-20.)
 
9    (405 ILCS 5/2-109)  (from Ch. 91 1/2, par. 2-109)
10    Sec. 2-109. Seclusion. Seclusion may be used only as a
11therapeutic measure to prevent a recipient from causing
12physical harm to himself or physical abuse to others. In no
13event shall seclusion be utilized to punish or discipline a
14recipient, nor is seclusion to be used as a convenience for the
15staff.
16    (a) Seclusion shall be employed only upon the written
17order of a physician, clinical psychologist, clinical social
18worker, clinical professional counselor, advanced practice
19psychiatric nurse, or registered nurse with supervisory
20responsibilities. No seclusion shall be ordered unless the
21physician, clinical psychologist, clinical social worker,
22clinical professional counselor, advanced practice psychiatric
23nurse, or registered nurse with supervisory responsibilities,
24after personally observing and examining the recipient, is
25clinically satisfied that the use of seclusion is justified to

 

 

10400SB3557sam001- 123 -LRB104 18242 SPS 35943 a

1prevent the recipient from causing physical harm to himself or
2others. In no event may seclusion continue for longer than 2
3hours unless within that time period a nurse with supervisory
4responsibilities, advanced practice psychiatric nurse, or a
5physician confirms in writing, following a personal
6examination of the recipient, that the seclusion does not pose
7an undue risk to the recipient's health in light of the
8recipient's physical or medical condition. The order shall
9state the events leading up to the need for seclusion and the
10purposes for which seclusion is employed. The order shall also
11state the length of time seclusion is to be employed and the
12clinical justification for the length of time. No order for
13seclusion shall be valid for more than 16 hours. If further
14seclusion is required, a new order must be issued pursuant to
15the requirements provided in this Section.
16    (b) The person who orders seclusion shall inform the
17facility director or his designee in writing of the use of
18seclusion within 24 hours.
19    (c) The facility director shall review all seclusion
20orders daily and shall inquire into the reasons for the orders
21for seclusion by any person who routinely orders them.
22    (d) Seclusion may be employed during all or part of one
2316-hour 16 hour period, that period commencing with the
24initial application of the seclusion. However, once seclusion
25has been employed during one 16-hour 16 hour period, it shall
26not be used again on the same recipient during the next 48

 

 

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1hours without the prior written authorization of the facility
2director.
3    (e) The person who ordered the seclusion shall assign a
4qualified person to observe the recipient at all times. A
5recipient who is restrained and secluded shall be observed by
6a qualified person as often as is clinically appropriate but
7in no event less than once every 15 minutes.
8    (f) Safety precautions shall be followed to prevent
9injuries to the recipient in the seclusion room. Seclusion
10rooms shall be adequately lighted, heated, and furnished. If a
11door is locked, someone with a key shall be in constant
12attendance nearby.
13    (g) Whenever seclusion is used, the recipient shall be
14advised of his right, pursuant to Sections 2-200 and 2-201 of
15this Code, to have any person of his choosing, including the
16Department of Disability Advocacy and Guardianship and
17Advocacy Commission notified of the seclusion. A person who is
18under guardianship may request that any person of his choosing
19be notified of the seclusion whether or not the guardian
20approves of the notice. Whenever the Department of Disability
21Advocacy and Guardianship and Advocacy Commission is notified
22that a recipient has been secluded, it shall contact that
23recipient to determine the circumstances of the seclusion and
24whether further action is warranted.
25(Source: P.A. 101-587, eff. 1-1-20.)
 

 

 

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1    (405 ILCS 5/2-114)  (from Ch. 91 1/2, par. 2-114)
2    Sec. 2-114. (a) Whenever an attorney or other advocate
3from the Department of Disability Advocacy and Guardianship
4and Advocacy Commission or the agency designated by the
5Governor under Section 1 of the Protection and Advocacy for
6Persons with Developmental Disabilities Act or any other
7attorney advises a facility in which a recipient is receiving
8inpatient mental health services that he is presently
9representing the recipient, or has been appointed by any court
10or administrative agency to do so or has been requested to
11represent the recipient by a member of the recipient's family,
12the facility shall, subject to the provisions of Section 2-113
13of this Code, disclose to the attorney or advocate whether the
14recipient is presently residing in the facility and, if so,
15how the attorney or advocate may communicate with the
16recipient.
17    (b) The facility may take reasonable precautions to
18identify the attorney or advocate. No further information
19shall be disclosed to the attorney or advocate except in
20conformity with the authorization procedures contained in the
21Mental Health and Developmental Disabilities Confidentiality
22Act.
23    (c) Whenever the location of the recipient has been
24disclosed to an attorney or advocate, the facility director
25shall inform the recipient of that fact and shall note this
26disclosure in the recipient's records.

 

 

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1    (d) An attorney or advocate who receives any information
2under this Section may not disclose this information to anyone
3else without the written consent of the recipient obtained
4pursuant to Section 5 of the Mental Health and Developmental
5Disabilities Confidentiality Act.
6(Source: P.A. 99-143, eff. 7-27-15.)
 
7    (405 ILCS 5/2-200)  (from Ch. 91 1/2, par. 2-200)
8    Sec. 2-200. (a) Upon commencement of services, or as soon
9thereafter as the condition of the recipient permits, every
10adult recipient, as well as the recipient's guardian or
11substitute decision maker, and every recipient who is 12 years
12of age or older and the parent or guardian of a minor or person
13under guardianship shall be informed orally and in writing of
14the rights guaranteed by this Chapter which are relevant to
15the nature of the recipient's services program. The notice
16shall include, if applicable, the recipient's right to request
17a transfer to a different Department facility under Section
183-908. Every facility shall also post conspicuously in public
19areas a summary of the rights which are relevant to the
20services delivered by that facility as well as contact
21information for the Department of Disability Advocacy and
22Guardianship and Advocacy Commission and the agency designated
23by the Governor under Section 1 of the Protection and Advocacy
24for Persons with Developmental Disabilities Act.
25    (b) A recipient who is 12 years of age or older and the

 

 

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1parent or guardian of a minor or person under guardianship at
2any time may designate, and upon commencement of services
3shall be informed of the right to designate, a person or agency
4to receive notice under Section 2-201 or to direct that no
5information about the recipient be disclosed to any person or
6agency.
7    (c) Upon commencement of services, or as soon thereafter
8as the condition of the recipient permits, the facility shall
9ask the adult recipient or minor recipient admitted pursuant
10to Section 3-502 whether the recipient wants the facility to
11contact the recipient's spouse, parents, guardian, close
12relatives, friends, attorney, advocate from the Department of
13Disability Advocacy and Guardianship and Advocacy Commission
14or the agency designated by the Governor under Section 1 of the
15Protection and Advocacy for Persons with Developmental
16Disabilities Act, or others and inform them of the recipient's
17presence at the facility. The facility shall by phone or by
18mail contact at least two of those people designated by the
19recipient and shall inform them of the recipient's location.
20If the recipient so requests, the facility shall also inform
21them of how to contact the recipient.
22    (d) Upon commencement of services, or as soon thereafter
23as the condition of the recipient permits, the facility shall
24advise the recipient as to the circumstances under which the
25law permits the use of emergency forced medication or
26electroconvulsive therapy under subsection (a) of Section

 

 

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12-107, restraint under Section 2-108, or seclusion under
2Section 2-109. At the same time, the facility shall inquire of
3the recipient which form of intervention the recipient would
4prefer if any of these circumstances should arise. The
5recipient's preference shall be noted in the recipient's
6record and communicated by the facility to the recipient's
7guardian or substitute decision maker, if any, and any other
8individual designated by the recipient. If any such
9circumstances subsequently do arise, the facility shall give
10due consideration to the preferences of the recipient
11regarding which form of intervention to use as communicated to
12the facility by the recipient or as stated in the recipient's
13advance directive.
14(Source: P.A. 102-593, eff. 8-27-21.)
 
15    (405 ILCS 5/2-201)  (from Ch. 91 1/2, par. 2-201)
16    Sec. 2-201. (a) Whenever any rights of a recipient of
17services that are specified in this Chapter are restricted,
18the professional responsible for overseeing the implementation
19of the recipient's services plan shall be responsible for
20promptly giving notice of the restriction or use of restraint
21or seclusion and the reason therefor to:
22        (1) the recipient and, if such recipient is a minor or
23    under guardianship, his parent or guardian;
24        (2) a person designated under subsection (b) of
25    Section 2-200 upon commencement of services or at any

 

 

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1    later time to receive such notice;
2        (3) the facility director;
3        (4) the Department of Disability Advocacy and
4    Guardianship and Advocacy Commission, or the agency
5    designated under "An Act in relation to the protection and
6    advocacy of the rights of persons with developmental
7    disabilities, and amending Acts therein named", approved
8    September 20, 1985, if either is so designated; and
9        (5) the recipient's substitute decision maker, if any.
10    The professional shall also be responsible for promptly
11recording such restriction or use of restraint or seclusion
12and the reason therefor in the recipient's record.
13    (b) The facility director shall maintain a file of all
14notices of restrictions of rights, or the use of restraint or
15seclusion for the past 3 years. The facility director shall
16allow the Department of Disability Advocacy and Guardianship
17and Advocacy Commission, the agency designated by the Governor
18under Section 1 of "An Act in relation to the protection and
19advocacy of the rights of persons with developmental
20disabilities, and amending Acts therein named," approved
21September 20, 1985, and the Department to examine and copy
22such records upon request. Records obtained under this Section
23shall not be further disclosed except pursuant to written
24authorization of the recipient under Section 5 of the Mental
25Health and Developmental Disabilities Confidentiality Act.
26(Source: P.A. 91-726, eff. 6-2-00.)
 

 

 

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1    (405 ILCS 5/3-206)  (from Ch. 91 1/2, par. 3-206)
2    Sec. 3-206. Whenever a person is admitted or objects to
3admission, and whenever a recipient is notified that his legal
4status is to be changed, the facility director of the mental
5health facility shall provide the person, if he is 12 or older,
6with the address and phone number of the Department of
7Disability Advocacy and Guardianship and Advocacy Commission.
8If the person requests, the facility director shall assist him
9in contacting the Department of Disability Advocacy and
10Guardianship Commission.
11(Source: P.A. 88-380.)
 
12    (405 ILCS 5/3-405)  (from Ch. 91 1/2, par. 3-405)
13    Sec. 3-405. (a) If the facility director of a Department
14mental health facility declines to admit a person seeking
15admission under Articles III or IV of this Chapter, a review of
16the denial may be requested by the person seeking admission
17or, with his consent, by an interested person on his behalf.
18Such a request may be made on behalf of a minor presented for
19admission under Section 3-502, 3-503 or 3-504 by the minor's
20attorney, by the parent, guardian or person in loco parentis
21who executed the application for his admission, or by the
22minor himself if he is 16 years of age or older. Whenever
23admission to a Department facility is denied, the person
24seeking admission shall immediately be given written notice of

 

 

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1the right to request review of the denial under this Section
2and shall be provided, if he is 12 or older, with the address
3and phone number of the Department of Disability Advocacy and
4Guardianship and Advocacy Commission. If the person requests,
5the facility director shall assist him in contacting the
6Department of Disability Advocacy and Guardianship Commission.
7A written request for review shall be submitted to the
8director of the facility that denied admission within 14 days
9of the denial. Upon receipt of the request, the facility
10director shall promptly schedule a hearing to be held at the
11denying facility within 7 days pursuant to Section 3-207.
12    (b) At the hearing the Department shall have the burden of
13proving that the person denied admission does not meet the
14standard set forth in the Section under which admission is
15sought or that an appropriate alternative community treatment
16program was available to meet the person's needs and was
17offered. If the utilization review committee finds that the
18decision denying admission is based upon substantial evidence,
19it shall recommend that the denial of admission be upheld.
20However, if it finds that the facility to which admission is
21sought can provide adequate and appropriate treatment for the
22person and no appropriate community alternative treatment is
23available, it shall recommend that the person denied admission
24be admitted. If it determines that another facility can
25provide treatment appropriate to the clinical condition and
26needs of the person denied admission, it may recommend that

 

 

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1the Department or other agency assist the person in obtaining
2such treatment.
3(Source: P.A. 91-726, eff. 6-2-00.)
 
4    (405 ILCS 5/3-805)  (from Ch. 91 1/2, par. 3-805)
5    Sec. 3-805. Every respondent alleged to be subject to
6involuntary admission on an inpatient or outpatient basis
7shall be represented by counsel. If the respondent is indigent
8or an appearance has not been entered on his behalf at the time
9the matter is set for hearing, the court shall appoint counsel
10for him. A hearing shall not proceed when a respondent is not
11represented by counsel unless, after conferring with counsel,
12the respondent requests to represent himself and the court is
13satisfied that the respondent has the capacity to make an
14informed waiver of his right to counsel. Counsel shall be
15allowed time for adequate preparation and shall not be
16prevented from conferring with the respondent at reasonable
17times nor from making an investigation of the matters in issue
18and presenting such relevant evidence as he believes is
19necessary.
20    1. If the court determines that the respondent is unable
21to obtain counsel, the court shall appoint as counsel an
22attorney employed by or under contract with the Department of
23Disability Advocacy and Guardianship and Mental Health
24Advocacy Commission, if available.
25    2. If an attorney from the Department of Disability

 

 

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1Advocacy and Guardianship and Mental Health Advocacy
2Commission is not available, the court shall appoint as
3counsel the public defender or, only if no public defender is
4available, an attorney licensed to practice law in this State.
5    3. Upon filing with the court of a verified statement of
6legal services rendered by the private attorney appointed
7pursuant to paragraph (2) of this Section, the court shall
8determine a reasonable fee for such services. If the
9respondent is unable to pay the fee, the court shall enter an
10order upon the county to pay the entire fee or such amount as
11the respondent is unable to pay.
12(Source: P.A. 96-1399, eff. 7-29-10; 96-1453, eff. 8-20-10.)
 
13    (405 ILCS 5/3-910)  (from Ch. 91 1/2, par. 3-910)
14    Sec. 3-910. (a) Whenever a recipient who has been in a
15Department facility for more than 7 days is to be transferred
16to another facility under Section 3-908, the facility director
17of the facility shall give written notice at least 14 days
18before the transfer to the recipient, his attorney, guardian,
19if any, and responsible relative. In the case of a minor,
20notice shall be given to his attorney, to the parent,
21guardian, or person in loco parentis who executed the
22application for his admission, and to the minor himself if he
23is 12 years of age or older. The notice shall include the
24reasons for transfer, a statement of the right to object and
25the address and phone number of the Department of Disability

 

 

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1Advocacy and Guardianship and Advocacy Commission. If the
2recipient requests, the facility director shall assist him in
3contacting the Department of Disability Advocacy and
4Guardianship Commission.
5    (b) In an emergency, when the health of the recipient or
6the physical safety of the recipient or others is imminently
7imperiled and appropriate care is not available where the
8recipient is located, a recipient may be immediately
9transferred to another facility provided that notice of the
10transfer is given as soon as possible but not more than 48
11hours after transfer. The reason for the emergency shall be
12noted in the recipient's record and specified in the notice.
13    (c) A recipient may object to his transfer or his
14attorney, guardian, or responsible relative may object on his
15behalf. In the case of a minor, his attorney, the person who
16executed the application for admission, or the minor himself
17if he is 12 years of age or older, may object to the transfer.
18Prior to transfer or within 14 days after an emergency
19transfer, a written objection shall be submitted to the
20facility director of the facility where the recipient is
21located. Upon receipt of an objection, the facility director
22shall promptly schedule a hearing to be held within 7 days
23pursuant to Section 3-207. The hearing shall be held at the
24transferring facility except that when an emergency transfer
25has taken place the hearing may be held at the receiving
26facility. Except in an emergency, no transfer shall proceed

 

 

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1pending hearing on an objection.
2    (d) At the hearing the Department shall have the burden of
3proving that the standard for transfer under Section 3-908 is
4met. If the transfer is to a facility which is substantially
5more physically restrictive than the transferring facility,
6the Department shall also prove that the transfer is
7reasonably required for the safety of the recipient or others.
8If the utilization review committee finds that the Department
9has sustained its burden and the decision to transfer is based
10upon substantial evidence, it shall recommend that the
11transfer proceed. If it does not so find, it shall recommend
12that the recipient not be transferred.
13(Source: P.A. 88-380.)
 
14    (405 ILCS 5/4-201.1)  (from Ch. 91 1/2, par. 4-201.1)
15    Sec. 4-201.1. (a) A person residing in a Department mental
16health facility who is evaluated as having a mild or moderate
17intellectual disability, an attorney or advocate representing
18the person, or a guardian of such person may object to the
19Department facility director's certification required in
20Section 4-201, the treatment and habilitation plan, or
21appropriateness of setting, and obtain an administrative
22decision requiring revision of a treatment or habilitation
23plan or change of setting, by utilization review as provided
24in Sections 3-207 and 4-209 of this Code. As part of this
25utilization review, the Committee shall include as one of its

 

 

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1members a qualified intellectual disabilities professional.
2    (b) The mental health facility director shall give written
3notice to each person evaluated as having a mild or moderate
4intellectual disability, the person's attorney and guardian,
5if any, or in the case of a minor, to his or her attorney, to
6the parent, guardian or person in loco parentis and to the
7minor if 12 years of age or older, of the person's right to
8request a review of the facility director's initial or
9subsequent determination that such person is appropriately
10placed or is receiving appropriate services. The notice shall
11also provide the address and phone number of the Division of
12Legal Advocacy Service of the Department of Disability
13Advocacy and Guardianship and Advocacy Commission, which the
14person or guardian can contact for legal assistance. If
15requested, the facility director shall assist the person or
16guardian in contacting the Division of Legal Advocacy Service.
17This notice shall be given within 24 hours of Department's
18evaluation by the Department of Human Services that the person
19has a mild or moderate intellectual disability.
20    (c) Any recipient of services who successfully challenges
21a final decision of the Secretary of the Department (or his or
22her designee) reviewing an objection to the certification
23required under Section 4-201, the treatment and habilitation
24plan, or the appropriateness of the setting shall be entitled
25to recover reasonable attorney's fees incurred in that
26challenge, unless the Department's position was substantially

 

 

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1justified.
2(Source: P.A. 99-143, eff. 7-27-15.)
 
3    (405 ILCS 5/4-203)  (from Ch. 91 1/2, par. 4-203)
4    Sec. 4-203. (a) Every developmental disabilities facility
5shall maintain adequate records which shall include the
6Section of this Act under which the client was admitted, any
7subsequent change in the client's status, and requisite
8documentation for such admission and status.
9    (b) The Department shall ensure that a monthly report is
10maintained for each Department mental health facility, and
11each unit of a Department developmental disability facility
12for dually diagnosed persons, which lists (1) initials of
13persons admitted to, residing at, or discharged from a
14Department mental health facility or unit for dually diagnosed
15persons of Department developmental disability facility during
16that month with a primary or secondary diagnosis of
17intellectual disability, (2) the date and facility and unit of
18admission or continuing, care, (3) the legal admission status,
19(4) the recipient's diagnosis, (5) the date and facility and
20unit of transfer or discharge, (6) whether or not there is a
21public or private guardian, (7) whether the facility director
22has certified that appropriate treatment and habilitation are
23available for and being provided to such person pursuant to
24Section 4-203 of this Chapter, and (8) whether the person or a
25guardian has requested review as provided in Section 4-209 of

 

 

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1this Chapter and, if so, the outcome of the review. The
2Secretary of the Department shall furnish a copy of each
3monthly report upon request to the Department of Disability
4Advocacy and Guardianship and Advocacy Commission and the
5agency designated by the Governor under Section 1 of "An Act in
6relation to the protection and advocacy of the rights of
7persons with developmental disabilities, and amending certain
8Acts therein named", approved September 20, 1985, and under
9Section 1 of "An Act for the protection and advocacy of
10mentally ill persons", approved September 20, 1987.
11    (c) Nothing contained in this Chapter shall be construed
12to limit or otherwise affect the power of any developmental
13disabilities facility to determine the qualifications of
14persons permitted to admit clients to such facility. This
15subsection shall not affect or limit the powers of any court to
16order admission to a developmental disabilities facility as
17set forth in this Chapter.
18(Source: P.A. 97-227, eff. 1-1-12.)
 
19    (405 ILCS 5/4-605)  (from Ch. 91 1/2, par. 4-605)
20    Sec. 4-605. Every respondent alleged to meet the standard
21for judicial admission shall be represented by counsel. If the
22respondent is indigent or an appearance has not been entered
23on his behalf at the time the matter is set for hearing, the
24court shall appoint counsel for him. A hearing shall not
25proceed when a respondent is not represented by counsel

 

 

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1unless, after conferring with counsel, the respondent requests
2to represent himself and the court is satisfied that the
3respondent has the capacity to make an informed waiver of his
4right to counsel. Counsel shall be allowed time for adequate
5preparation and shall not be prevented from conferring with
6the respondent at reasonable times nor from making an
7investigation of the matters in issue and presenting such
8relevant evidence as he believes is necessary.
9    1. If the court determines that the respondent is unable
10to obtain counsel, the court shall appoint as counsel an
11attorney employed by or under contract with the Department of
12Disability Advocacy and Guardianship and Advocacy Commission,
13if available.
14    2. If an attorney from the Department of Disability
15Advocacy and Guardianship and Advocacy Commission is not
16available, the court shall appoint as counsel the public
17defender or, only if no public defender is available, an
18attorney licensed to practice law in this State.
19    3. Upon filing with the court of a verified statement of
20legal services rendered by the private attorney appointed
21pursuant to paragraph (2) of this Section, the court shall
22determine a reasonable fee for such services. If the
23respondent is unable to pay the fee, the court shall enter an
24order upon the county to pay the entire fee or such amount as
25the respondent is unable to pay.
26(Source: P.A. 85-1247.)
 

 

 

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1    (405 ILCS 5/5-100)  (from Ch. 91 1/2, par. 5-100)
2    Sec. 5-100. Written notice of the death of a recipient of
3services which occurs at a mental health or developmental
4disabilities facility, or the death of a recipient of services
5who has not been discharged from a mental health or
6developmental disabilities facility but whose death occurs
7elsewhere, shall within 10 days of the death of a recipient be
8mailed to the Department of Public Health which, for the
9primary purpose of monitoring patterns of abuse and neglect of
10recipients of services, shall make such notices available to
11the Department of Disability Advocacy and Guardianship and
12Advocacy Commission and to the agency designated by the
13Governor under Section 1 of "An Act in relation to the
14protection and advocacy of the rights of persons with
15developmental disabilities, and amending Acts therein named",
16approved September 20, 1985. Such notice shall include the
17name of the recipient, the name and address of the facility at
18which the death occurred, the recipient's age, the nature of
19the recipient's condition, including any evidence of the
20previous injuries or disabilities, or relevant medical
21conditions or any other information which might be helpful in
22establishing the cause of death.
23    Written notice of the death of a recipient of services who
24was admitted by court order, and the cause thereof shall, in
25all cases, be mailed by the facility director to the court

 

 

10400SB3557sam001- 141 -LRB104 18242 SPS 35943 a

1entering the original admission order, and if possible, to the
2same judge, and the time, place and alleged cause of such death
3shall be entered upon the docket. Such notice must be mailed
4within 10 days following the death of the recipient.
5    In the event of a sudden or mysterious death of any
6recipient of services at any public or private facility, a
7coroner's inquest shall be held as provided by law in other
8cases.
9    In cases where the deceased person was a recipient or
10client of any state facility, and the fees for holding an
11inquest cannot be collected out of his estate, such fees shall
12be paid by the Department.
13(Source: P.A. 88-380.)
 
14    Section 100. The Alzheimer's Disease Assistance Act is
15amended by changing Section 6 as follows:
 
16    (410 ILCS 405/6)  (from Ch. 111 1/2, par. 6956)
17    Sec. 6. Alzheimer's Disease Advisory Committee.
18    (a) There is created the Alzheimer's Disease Advisory
19Committee consisting of 17 voting members appointed by the
20Director of the Department, as well as 5 nonvoting members as
21hereinafter provided in this Section. The Director or his
22designee shall serve as one of the 17 voting members and as the
23Chairman of the Committee. Those appointed as voting members
24shall include persons who are experienced in research and the

 

 

10400SB3557sam001- 142 -LRB104 18242 SPS 35943 a

1delivery of services to individuals with Alzheimer's disease
2or a related disorder and their families. Such members shall
3include:
4        (1) one individual from a statewide association
5    dedicated to Alzheimer's care, support, and research;
6        (2) one individual from a non-governmental statewide
7    organization that advocates for seniors;
8        (3) the Dementia Coordinator of the Illinois
9    Department of Public Health, or the Dementia Coordinator's
10    designee;
11        (4) one individual representing the Community Care
12    Program's Home and Community Services Division;
13        (5) one individual representing the Adult Protective
14    Services Unit;
15        (6) 3 individuals from Alzheimer's Disease Assistance
16    Centers;
17        (7) one individual from a statewide association
18    representing an adult day service organization;
19        (8) one individual from a statewide association
20    representing home care providers;
21        (9) one individual from a statewide trade organization
22    representing the interests of physicians licensed to
23    practice medicine in all of its branches in Illinois;
24        (10) one individual representing long-term care
25    facilities licensed under the Nursing Home Care Act, an
26    assisted living establishment licensed under the Assisted

 

 

10400SB3557sam001- 143 -LRB104 18242 SPS 35943 a

1    Living and Shared Housing Act, or supportive living
2    facilities;
3        (11) one individual from a statewide association
4    representing the interests of social workers;
5        (12) one individual representing Area Agencies on
6    Aging;
7        (13) the Medicaid Director of the Department of
8    Healthcare and Family Services, or the Medicaid Director's
9    designee;
10        (14) one individual from a statewide association
11    representing health education and promotion and public
12    health advocacy; and
13        (15) one individual with medical or academic
14    experience with early onset Alzheimer's disease or related
15    disorders.
16    (b) In addition to the 17 voting members, the Directors of
17the following State agencies or their designees who are
18qualified to represent each Department's programs and services
19for those with Alzheimer's disease or related disorders shall
20serve as nonvoting members: Department on Aging, Department of
21Healthcare and Family Services, Department of Public Health,
22Department of Human Services, and Department of Disability
23Advocacy and Guardianship and Advocacy Commission.
24    Each voting member appointed by the Director of Public
25Health shall serve for a term of 2 years, and until his
26successor is appointed and qualified. Members of the Committee

 

 

10400SB3557sam001- 144 -LRB104 18242 SPS 35943 a

1shall not be compensated but shall be reimbursed for expenses
2actually incurred in the performance of their duties.
3Vacancies shall be filled in the same manner as original
4appointments.
5    The Committee shall review all State programs and services
6provided by State agencies that are directed toward persons
7with Alzheimer's disease and related dementias, and by
8consensus recommend changes to improve the State's response to
9this serious health problem. Such recommendations shall be
10included in the State plan described in this Act.
11(Source: P.A. 101-588, eff. 1-1-20.)
 
12    Section 103. The Vital Records Act is amended by changing
13Section 25.2 as follows:
 
14    (410 ILCS 535/25.2)
15    Sec. 25.2. Division Office of State Guardian birth record
16request.
17    (a) For purposes of this Section, an individual's status
18as a person under guardianship of with the Division Office of
19State Guardian may be verified with a copy of the court order
20placing the individual under the guardianship of the Division
21Office of State Guardian.
22    (b) The applicable fees under Section 17 for a new
23certificate of birth and under Section 25 for a search for a
24birth record or certified copy of a birth record shall be

 

 

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1waived for requests made by the Division Office of State
2Guardian to the Office of the State Registrar of Vital Records
3in Springfield for an individual under guardianship of the
4Division Office of State Guardian, whose status is verified
5under subsection (a) of this Section.
6    (c) The State Registrar of Vital Records shall establish
7standards and procedures consistent with this Section for
8waiver of the applicable fees.
9    (d) An individual under guardianship shall be provided no
10more than 4 birth records annually under this Section.
11(Source: P.A. 103-682, eff. 7-1-25.)
 
12    Section 105. The Clerks of Courts Act is amended by
13changing Section 27.3f as follows:
 
14    (705 ILCS 105/27.3f)
15    Sec. 27.3f. Guardianship and advocacy operations fee.
16    (a) As used in this Section, "guardianship and advocacy"
17means the guardianship and advocacy services provided by the
18Department of Disability Advocacy and Guardianship and
19Advocacy Commission and defined in the Guardianship and
20Advocacy Act. Viable public guardianship and advocacy
21programs, including the public guardianship programs created
22and supervised in probate proceedings in the Illinois courts,
23are essential to the administration of justice and ensure that
24incapacitated persons and their estates are protected. To

 

 

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1defray the expense of maintaining and operating the divisions
2and programs of the Department of Disability Advocacy and
3Guardianship and Advocacy Commission and to support viable
4guardianship and advocacy programs throughout Illinois, each
5circuit court clerk shall charge and collect a fee on all
6matters filed in probate cases in accordance with this
7Section, but no fees shall be assessed against the Division of
8State Guardian, any State agency under the jurisdiction of the
9Governor, any public guardian, or any State's Attorney.
10    (b) No fee specified in this Section shall be imposed in
11any minor guardianship established under Article XI of the
12Probate Act of 1975, or against an indigent person. An
13indigent person shall include any person who meets one or more
14of the following criteria:
15        (1) He or she is receiving assistance under one or
16    more of the following public benefits programs:
17    Supplemental Security Income (SSI), Aid to the Aged,
18    Blind, and Disabled (AABD), Temporary Assistance for Needy
19    Families (TANF), Supplemental Nutrition Assistance Program
20    (SNAP) (formerly Food Stamps), General Assistance, State
21    Transitional Assistance, or State Children and Family
22    Assistance.
23        (2) His or her available income is 125% or less of the
24    current poverty level as established by the United States
25    Department of Health and Human Services, unless the
26    applicant's assets that are not exempt under Part 9 or 10

 

 

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1    of Article XII of the Code of Civil Procedure are of a
2    nature and value that the court determines that the
3    applicant is able to pay the fees, costs, and charges.
4        (3) He or she is, in the discretion of the court,
5    unable to proceed in an action without payment of fees,
6    costs, and charges and whose payment of those fees, costs,
7    and charges would result in substantial hardship to the
8    person or his or her family.
9        (4) He or she is an indigent person pursuant to
10    Section 5-105.5 of the Code of Civil Procedure, providing
11    that an "indigent person" means a person whose income is
12    125% or less of the current official federal poverty
13    guidelines or who is otherwise eligible to receive civil
14    legal services under the Legal Services Corporation Act of
15    1974.
16    (c) The clerk is entitled to receive the fee specified in
17this Section, which shall be paid in advance, and managed by
18the clerk as set out in paragraph (2), except that, for good
19cause shown, the court may suspend, reduce, or release the
20costs payable under this Section:
21        (1) For administration of the estate of a decedent
22    (whether testate or intestate) or of a missing person, a
23    fee of $100.
24        (2) The guardianship and advocacy operations fee, as
25    outlined in this Section, shall be in addition to all
26    other fees and charges and assessable as costs. Five

 

 

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1    percent of the fee shall be retained by the clerk for
2    deposit into the Circuit Court Clerk Operation and
3    Administrative Fund to defray costs of collection and 95%
4    of the fee shall be disbursed within 60 days after receipt
5    by the circuit clerk to the State Treasurer for deposit by
6    the State Treasurer into the Guardianship and Advocacy
7    Fund.
8(Source: P.A. 97-1093, eff. 1-1-13.)
 
9    Section 110. The Criminal Code of 2012 is amended by
10changing Section 12-9 as follows:
 
11    (720 ILCS 5/12-9)  (from Ch. 38, par. 12-9)
12    Sec. 12-9. Threatening public officials; human service
13providers.
14    (a) A person commits threatening a public official or
15human service provider when:
16        (1) that person knowingly delivers or conveys,
17    directly or indirectly, to a public official or human
18    service provider by any means a communication:
19            (i) containing a threat that would place the
20        public official or human service provider or a member
21        of his or her immediate family in reasonable
22        apprehension of immediate or future bodily harm,
23        sexual assault, confinement, or restraint; or
24            (ii) containing a threat that would place the

 

 

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1        public official or human service provider or a member
2        of his or her immediate family in reasonable
3        apprehension that damage will occur to property in the
4        custody, care, or control of the public official or
5        his or her immediate family; and
6        (2) the threat was conveyed because of the performance
7    or nonperformance of some public duty or duty as a human
8    service provider, because of hostility of the person
9    making the threat toward the status or position of the
10    public official or the human service provider, or because
11    of any other factor related to the official's public
12    existence.
13    (a-5) For purposes of a threat to a sworn law enforcement
14officer, the threat must contain specific facts indicative of
15a unique threat to the person, family or property of the
16officer and not a generalized threat of harm.
17    (a-6) For purposes of a threat to a social worker,
18caseworker, investigator, or human service provider, the
19threat must contain specific facts indicative of a unique
20threat to the person, family or property of the individual and
21not a generalized threat of harm.
22    (b) For purposes of this Section:
23        (1) "Public official" means a person who is elected to
24    office in accordance with a statute or who is appointed to
25    an office which is established, and the qualifications and
26    duties of which are prescribed, by statute, to discharge a

 

 

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1    public duty for the State or any of its political
2    subdivisions or in the case of an elective office any
3    person who has filed the required documents for nomination
4    or election to such office. "Public official" includes a
5    duly appointed assistant State's Attorney, assistant
6    Attorney General, or Appellate Prosecutor; a sworn law
7    enforcement or peace officer; a social worker, caseworker,
8    attorney, or investigator employed by the Department of
9    Healthcare and Family Services, the Department of Human
10    Services, the Department of Children and Family Services,
11    or the Department of Disability Advocacy and Guardianship
12    and Advocacy Commission; or an assistant public guardian,
13    attorney, social worker, case manager, or investigator
14    employed by a duly appointed public guardian.
15        (1.5) "Human service provider" means a social worker,
16    case worker, or investigator employed by an agency or
17    organization providing social work, case work, or
18    investigative services under a contract with or a grant
19    from the Department of Human Services, the Department of
20    Children and Family Services, the Department of Healthcare
21    and Family Services, or the Department on Aging.
22        (2) "Immediate family" means a public official's
23    spouse or child or children.
24    (c) Threatening a public official or human service
25provider is a Class 3 felony for a first offense and a Class 2
26felony for a second or subsequent offense.

 

 

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1(Source: P.A. 100-1, eff. 1-1-18.)
 
2    Section 115. The Mental Health and Developmental
3Disabilities Confidentiality Act is amended by changing
4Sections 4, 8, and 8.1 as follows:
 
5    (740 ILCS 110/4)  (from Ch. 91 1/2, par. 804)
6    Sec. 4. (a) The following persons shall be entitled, upon
7request, to inspect and copy a recipient's record or any part
8thereof:
9        (1) the parent or guardian of a recipient who is under
10    12 years of age;
11        (2) the recipient if he is 12 years of age or older;
12        (3) the parent or guardian of a recipient who is at
13    least 12 but under 18 years, if the recipient is informed
14    and does not object or if the therapist does not find that
15    there are compelling reasons for denying the access. The
16    parent or guardian who is denied access by either the
17    recipient or the therapist may petition a court for access
18    to the record. Nothing in this paragraph is intended to
19    prohibit the parent or guardian of a recipient who is at
20    least 12 but under 18 years from requesting and receiving
21    the following information: current physical and mental
22    condition, diagnosis, treatment needs, services provided,
23    and services needed, including medication, if any;
24        (3.5) the parent or guardian of a minor, regardless of

 

 

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1    the minor's age, if the minor is involved in special
2    education services under Section 14-1.11 of the School
3    Code, and only for the purpose of inspecting and copying a
4    record of the specific mental health or developmental
5    services that the parent or guardian consented to on the
6    recipient's behalf for special education services; or the
7    designated representative of a student over the age of 18
8    involved in special education services under Section
9    14-6.10 of the School Code;
10        (4) the guardian of a recipient who is 18 years or
11    older;
12        (5) an attorney or guardian ad litem who represents a
13    minor 12 years of age or older in any judicial or
14    administrative proceeding, provided that the court or
15    administrative hearing officer has entered an order
16    granting the attorney this right;
17        (6) an agent appointed under a recipient's power of
18    attorney for health care or for property, when the power
19    of attorney authorizes the access;
20        (7) an attorney-in-fact appointed under the Mental
21    Health Treatment Preference Declaration Act; or
22        (8) any person in whose care and custody the recipient
23    has been placed pursuant to Section 3-811 of the Mental
24    Health and Developmental Disabilities Code.
25    (b) Assistance in interpreting the record may be provided
26without charge and shall be provided if the person inspecting

 

 

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1the record is under 18 years of age. However, access may in no
2way be denied or limited if the person inspecting the record
3refuses the assistance. A reasonable fee may be charged for
4duplication of a record. However, when requested to do so in
5writing by any indigent recipient, the custodian of the
6records shall provide at no charge to the recipient, or to the
7Department of Disability Advocacy and Guardianship and
8Advocacy Commission, the agency designated by the Governor
9under Section 1 of the Protection and Advocacy for Persons
10with Developmental Disabilities Act or to any other
11not-for-profit agency whose primary purpose is to provide free
12legal services or advocacy for the indigent and who has
13received written authorization from the recipient under
14Section 5 of this Act to receive his records, one copy of any
15records in its possession whose disclosure is authorized under
16this Act.
17    (c) Any person entitled to access to a record under this
18Section may submit a written statement concerning any disputed
19or new information, which statement shall be entered into the
20record. Whenever any disputed part of a record is disclosed,
21any submitted statement relating thereto shall accompany the
22disclosed part. Additionally, any person entitled to access
23may request modification of any part of the record which he
24believes is incorrect or misleading. If the request is
25refused, the person may seek a court order to compel
26modification.

 

 

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1    (d) Whenever access or modification is requested, the
2request and any action taken thereon shall be noted in the
3recipient's record.
4    (e) Nothing in this Section shall be construed to affect
5the protection of or access to records under the Illinois
6School Student Records Act or the federal Individuals with
7Disabilities Education Act.
8(Source: P.A. 103-474, eff. 1-1-24; 104-263, eff. 1-1-26.)
 
9    (740 ILCS 110/8)  (from Ch. 91 1/2, par. 808)
10    Sec. 8. In the course of an investigation, or in the course
11of monitoring issues concerning the rights of recipients or
12the services provided to recipients as authorized by
13subsection (l) of Section 5 of the Guardianship and Advocacy
14Act, the Division of Disability Rights and Protections a
15regional human rights authority of the Department of
16Disability Advocacy and Guardianship and Advocacy Commission
17created by the Guardianship and Advocacy Act may inspect and
18copy any recipient's records in the possession of a therapist,
19agency, department, Department or facility which provides
20services to a recipient, including reports of suspected abuse
21or neglect of a recipient and information regarding the
22disposition of such reports. However, the Division of
23Disability Rights and Protections a regional authority may not
24inspect or copy records containing personally identifiable
25data which cannot be removed without imposing an unreasonable

 

 

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1burden on the therapist, agency, department, Department or
2facility which provides services, except as provided herein.
3The Division of Disability Rights and Protections regional
4authority shall give written notice to the person entitled to
5give consent for the identifiable recipient of services under
6Section 4 that it is conducting an investigation or monitoring
7and indicating the nature and purpose of the investigation or
8monitoring and the need to inspect and copy the recipient's
9record. If the person notified objects in writing to such
10inspection and copying, the Division of Disability Rights and
11Protections regional authority may not inspect or copy the
12record. The therapist, agency, department, Department or
13facility which provides services may not object on behalf of a
14recipient.
15(Source: P.A. 86-820; 86-1013; 86-1475.)
 
16    (740 ILCS 110/8.1)  (from Ch. 91 1/2, par. 808.1)
17    Sec. 8.1. The agency designated by the Governor under
18Section 1 of "An Act in relation to the protection and advocacy
19of the rights of persons with developmental disabilities, and
20amending Acts therein named", approved September 20, 1985, as
21now or hereafter amended, shall have access, for the purpose
22of inspection and copying, to the records of a person with
23developmental disabilities who resides in a developmental
24disability facility or mental health facility, as defined in
25Sections 1-107 and 1-114, respectively, of the Mental Health

 

 

10400SB3557sam001- 156 -LRB104 18242 SPS 35943 a

1and Developmental Disabilities Code, as now or hereafter
2amended, if (a) a complaint is received by such agency from or
3on behalf of the person with a developmental disability, and
4(b) such person does not have a guardian of the person or the
5State or the designee of the State is his or her guardian of
6the person. The designated agency shall provide written notice
7of the receipt of a complaint to the custodian of the records
8of the person from whom or on whose behalf a complaint is
9received. The designated agency shall provide to the person
10with developmental disabilities and to the Division of his or
11her State Guardian guardian, if appointed, written notice of
12the nature of the complaint based upon which the designated
13agency has gained access to the records. No record or the
14contents of any record shall be redisclosed by the designated
15agency unless the person with developmental disabilities and
16the Division of State Guardian guardian are provided 7 days
17advance written notice, except in emergency situations, of the
18designated agency's intent to redisclose such record, during
19which time the person with developmental disabilities or the
20Division of State Guardian guardian may seek to judicially
21enjoin the designated agency's redisclosure of such record on
22the grounds that such redisclosure is contrary to the
23interests of the person with developmental disabilities. If a
24person with developmental disabilities resides in a
25developmental disability or mental health facility and has a
26guardian other than the State or the designee of the State, the

 

 

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1facility director shall disclose the guardian's name, address
2and telephone number to the designated agency at the agency's
3request.
4    Upon written request and after the provision of written
5notice to the agency, facility or other body from which
6records and other materials are sought of the designated
7agency's investigation of problems affecting numbers of
8persons with developmental disabilities, the designated agency
9shall be entitled to inspect and copy any records or other
10materials which may further the agency's investigation of
11problems affecting numbers of persons with developmental
12disabilities. When required by law any personally identifiable
13information of persons with developmental disabilities shall
14be removed from the records. However, the designated agency
15may not inspect or copy records or other materials when the
16removal of personally identifiable information imposes an
17unreasonable burden on mental health and developmental
18disabilities facilities.
19    For the purposes of this Section, "developmental
20disability" means a severe, chronic disability of a person
21which -
22    (A) is attributable to a mental or physical impairment or
23combination of mental and physical impairments;
24    (B) is manifested before the person attains age 22;
25    (C) is likely to continue indefinitely;
26    (D) results in substantial functional limitations in 3 or

 

 

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1more of the following areas of major life activity: (i)
2self-care, (ii) receptive and expressive language, (iii)
3learning, (iv) mobility, (v) self-direction, (vi) capacity for
4independent living, and (vii) economic self-sufficiency; and
5    (E) reflects the person's need for a combination and
6sequence of special, interdisciplinary or generic care,
7treatment or other services which are of lifelong or extended
8duration and are individually planned and coordinated.
9(Source: P.A. 88-380.)
 
10    Section 120. The Adoption Act is amended by changing
11Section 13 as follows:
 
12    (750 ILCS 50/13)  (from Ch. 40, par. 1516)
13    Sec. 13. Interim order. As soon as practicable after the
14filing of a petition for adoption the court shall hold a
15hearing for the following purposes:
16    A. In other than an adoption of a related child or an
17adoption through an agency, or of an adult:
18        (a) To determine the validity of the consent, provided
19    that the execution of a consent pursuant to this Act shall
20    be prima facie evidence of its validity, and provided that
21    the validity of a consent shall not be affected by the
22    omission therefrom of the names of the petitioners or
23    adopting parents at the time the consent is executed or
24    acknowledged, and further provided that the execution of a

 

 

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1    consent prior to the filing of a petition for adoption
2    shall not affect its validity.
3        (b) To determine whether there is available suitable
4    temporary custodial care for a child sought to be adopted.
5    B. In all cases except standby adoptions and re-adoptions:
6        (a) The court shall appoint some licensed attorney
7    other than the State's attorney acting in his or her
8    official capacity as guardian ad litem to represent a
9    child sought to be adopted. Such guardian ad litem shall
10    have power to consent to the adoption of the child, if such
11    consent is required. In the case of a related adoption
12    where the child sought to be adopted is not a youth in
13    care, the court shall have the discretion to waive the
14    appointment of a guardian ad litem.
15        (b) The court shall appoint a guardian ad litem for
16    all named minors or defendants who are persons under legal
17    disability, if any. In the case of a related adoption
18    where the child sought to be adopted is not a youth in
19    care, the court shall have the discretion to waive the
20    appointment of a guardian ad litem.
21        (c) If the petition alleges a person to be unfit
22    pursuant to the provisions of subparagraph (p) of
23    paragraph D of Section 1 of this Act, such person shall be
24    represented by counsel. If such person is indigent or an
25    appearance has not been entered on his behalf at the time
26    the matter is set for hearing, the court shall appoint as

 

 

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1    counsel for him either the Department of Disability
2    Advocacy and Guardianship and Advocacy Commission, the
3    public defender, or, only if no attorney from the
4    Department of Disability Advocacy and Guardianship and
5    Advocacy Commission or the public defender is available,
6    an attorney licensed to practice law in this State.
7        (d) If it is proved to the satisfaction of the court,
8    after such investigation as the court deems necessary,
9    that termination of parental rights and temporary
10    commitment of the child to an agency or to a person deemed
11    competent by the court, including petitioners, will be for
12    the welfare of the child, the court may order the child to
13    be so committed and may terminate the parental rights of
14    the parents and declare the child a ward of the court or,
15    if it is not so proved, the court may enter such other
16    order as it shall deem necessary and advisable.
17        (e) Before an interim custody order is granted under
18    this Section, service of summons shall be had upon the
19    parent or parents whose rights have not been terminated,
20    except as provided in subsection (f). Reasonable notice
21    and opportunity to be heard shall be given to the parent or
22    parents after service of summons when the address of the
23    parent or parents is available. The party seeking an
24    interim custody order shall make all reasonable efforts to
25    locate the parent or parents of the child or children they
26    are seeking to adopt and to notify the parent or parents of

 

 

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1    the party's request for an interim custody order pursuant
2    to this Section.
3        (f) An interim custody order may be granted without
4    notice upon presentation to the court of a written
5    petition, accompanied by an affidavit, stating that there
6    is an immediate danger to the child and that irreparable
7    harm will result to the child if notice is given to the
8    parent or parents or legal guardian. Upon making a finding
9    that there is an immediate danger to the child if service
10    of process is had upon and notice of hearing is given to
11    the parent or parents or legal guardian prior to the entry
12    of an order granting temporary custody to someone other
13    than a parent or legal guardian, the court may enter an
14    order of temporary custody which shall expire not more
15    than 10 days after its entry. Every ex parte custody order
16    granted without notice shall state the injury which the
17    court sought to avoid by granting the order, the
18    irreparable injury that would have occurred had notice
19    been given, and the reason the order was granted without
20    notice. The matter shall be set down for full hearing
21    before the expiration of the ex parte order and will be
22    heard after service of summons is had upon and notice of
23    hearing is given to the parent or parents or legal
24    guardian. At the hearing the burden of proof shall be upon
25    the party seeking to extend the interim custody order to
26    show that the order was properly granted without notice

 

 

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1    and that custody should remain with the party seeking to
2    adopt during the pendency of the adoption proceeding. If
3    the interim custody order is extended, the reasons for
4    granting the extension shall be stated in the order.
5    C. In the case of a child born outside the United States or
6a territory thereof, if the petitioners have previously been
7appointed guardians of such child by a court of competent
8jurisdiction in a country other than the United States or a
9territory thereof, the court may order that the petitioners
10continue as guardians of such child.
11    D. In standby adoption cases:
12        (a) The court shall appoint a licensed attorney other
13    than the State's Attorney acting in his or her official
14    capacity as guardian ad litem to represent a child sought
15    to be adopted. The guardian ad litem shall have power to
16    consent to the adoption of the child, if consent is
17    required.
18        (b) The court shall appoint a guardian ad litem for
19    all named minors or defendants who are persons under legal
20    disability, if any. In the case of a related adoption
21    where the child sought to be adopted is not a youth in
22    care, the court shall have the discretion to waive the
23    appointment of a guardian ad litem.
24        (c) The court lacks jurisdiction to proceed on the
25    petition for standby adoption if the child has a living
26    parent, adoptive parent, or adjudicated parent whose

 

 

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1    rights have not been terminated and whose whereabouts are
2    known, unless the parent consents to the standby adoption
3    or, after receiving notice of the hearing on the standby
4    adoption petition, fails to object to the appointment of a
5    standby adoptive parent at the hearing on the petition.
6        (d) The court shall investigate as needed for the
7    welfare of the child and shall determine whether the
8    petitioner or petitioners shall be permitted to adopt.
9(Source: P.A. 102-139, eff. 1-1-22.)
 
10    Section 125. The Probate Act of 1975 is amended by
11changing Sections 11a-3.1, 11a-3.2, 11a-5, 11a-5.1, 11a-8.1,
1211a-9, 11a-12, 11a-13, 11a-14.1, 11a-17, 12-4, 13-1, and
1313-1.2 as follows:
 
14    (755 ILCS 5/11a-3.1)
15    Sec. 11a-3.1. Appointment of standby guardian.
16    (a) The guardian of a person with a disability may
17designate in any writing, including a will, a person qualified
18to act under Section 11a-5 to be appointed as standby guardian
19of the person or estate, or both, of the person with a
20disability. The guardian may designate in any writing,
21including a will, a person qualified to act under Section
2211a-5 to be appointed as successor standby guardian of the
23person or estate of the person with a disability, or both. The
24designation must be witnessed by 2 or more credible witnesses

 

 

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1at least 18 years of age, neither of whom is the person
2designated as the standby guardian. The designation may be
3proved by any competent evidence. If the designation is
4executed and attested in the same manner as a will, it shall
5have prima facie validity. Prior to designating a proposed
6standby guardian, the guardian shall consult with the person
7with a disability to determine the preference of the person
8with a disability as to the person who will serve as standby
9guardian. The guardian shall give due consideration to the
10preference of the person with a disability in selecting a
11standby guardian.
12    (b) Upon the filing of a petition for the appointment of a
13standby guardian, the court may appoint a standby guardian of
14the person or estate, or both, of the person with a disability
15as the court finds to be in the best interests of the person
16with a disability. The court shall apply the same standards
17used in determining the suitability of a plenary or limited
18guardian in determining the suitability of a standby guardian,
19giving due consideration to the preference of the person with
20a disability as to a standby guardian. The court may not
21appoint the Division Office of State Guardian, pursuant to
22Section 30 of the Guardianship and Advocacy Act, or a public
23guardian, pursuant to Section 13-5 of this Act, as a standby
24guardian, without the written consent of the Division of State
25Guardian or public guardian or an authorized representative of
26the Division of State Guardian or public guardian.

 

 

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1    (c) The standby guardian shall take and file an oath or
2affirmation that the standby guardian will faithfully
3discharge the duties of the office of standby guardian
4according to law, and shall file in and have approved by the
5court a bond binding the standby guardian so to do, but shall
6not be required to file a bond until the standby guardian
7assumes all duties as guardian of the person with a disability
8under Section 11a-18.2.
9    (d) The designation of a standby guardian may, but need
10not, be in the following form:
11
DESIGNATION OF STANDBY GUARDIAN
12
[IT IS IMPORTANT TO READ THE FOLLOWING INSTRUCTIONS:
13        A standby guardian is someone who has been appointed
14    by the court as the person who will act as guardian of the
15    person with a disability when the guardian of the person
16    with a disability dies or is no longer willing or able to
17    make and carry out day-to-day care decisions concerning
18    the person with a disability. By properly completing this
19    form, a guardian is naming the person that the guardian
20    wants to be appointed as the standby guardian of the
21    person with a disability. Signing the form does not
22    appoint the standby guardian; to be appointed, a petition
23    must be filed in and approved by the court.]
24        1. Guardian and Ward. I, (insert name of designating
25    guardian), currently residing at (insert address of
26    designating guardian), am the guardian of the following

 

 

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1    person with a disability: (insert name of ward).
2        2. Standby Guardian. I hereby designate the following
3    person to be appointed as standby guardian for my ward
4    listed above: (insert name and address of person
5    designated).
6        3. Successor Standby Guardian. If the person named in
7    item 2 above cannot or will not act as standby guardian, I
8    designate the following person to be appointed as
9    successor standby guardian for my ward: (insert name and
10    address of person designated).
11        4. Date and Signature. This designation is made this
12    (insert day) day of (insert month and year).
13        Signed: (designating guardian)
14        5. Witnesses. I saw the guardian sign this designation
15    or the guardian told me that the guardian signed this
16    designation. Then I signed the designation as a witness in
17    the presence of the guardian. I am not designated in this
18    instrument to act as a standby guardian for the guardian's
19    ward. (insert space for names, addresses, and signatures
20    of 2 witnesses)
21
[END OF FORM]
22(Source: P.A. 102-72, eff. 1-1-22.)
 
23    (755 ILCS 5/11a-3.2)
24    Sec. 11a-3.2. Short-term guardian.
25    (a) The guardian of a person with a disability may appoint

 

 

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1in writing, without court approval, a short-term guardian of
2the person with a disability to take over the guardian's
3duties, to the extent provided in Section 11a-18.3, each time
4the guardian is unavailable or unable to carry out those
5duties. The guardian shall consult with the person with a
6disability to determine the preference of the person with a
7disability concerning the person to be appointed as short-term
8guardian and the guardian shall give due consideration to the
9preference of the person with a disability in choosing a
10short-term guardian. The written instrument appointing a
11short-term guardian shall be dated and shall identify the
12appointing guardian, the person with a disability, the person
13appointed to be the short-term guardian, and the termination
14date of the appointment. The written instrument shall be
15signed by, or at the direction of, the appointing guardian in
16the presence of at least 2 credible witnesses at least 18 years
17of age, neither of whom is the person appointed as the
18short-term guardian. The person appointed as the short-term
19guardian shall also sign the written instrument, but need not
20sign at the same time as the appointing guardian. A guardian
21may not appoint the Division Office of State Guardian or a
22public guardian as a short-term guardian, without the written
23consent of the Division of State Guardian or public guardian
24or an authorized representative of the State Guardian or
25public guardian.
26    (b) The appointment of the short-term guardian is

 

 

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1effective immediately upon the date the written instrument is
2executed, unless the written instrument provides for the
3appointment to become effective upon a later specified date or
4event. A short-term guardian appointed by the guardian shall
5have authority to act as guardian of the person with a
6disability for a cumulative total of 60 days during any
712-month period. Only one written instrument appointing a
8short-term guardian may be in force at any given time.
9    (c) Every appointment of a short-term guardian may be
10amended or revoked by the appointing guardian at any time and
11in any manner communicated to the short-term guardian or to
12any other person. Any person other than the short-term
13guardian to whom a revocation or amendment is communicated or
14delivered shall make all reasonable efforts to inform the
15short-term guardian of that fact as promptly as possible.
16    (d) The appointment of a short-term guardian or successor
17short-term guardian does not affect the rights in the person
18with a disability of any guardian other than the appointing
19guardian.
20    (e) The written instrument appointing a short-term
21guardian may, but need not, be in the following form:
 
22
APPOINTMENT OF SHORT-TERM GUARDIAN
23
[IT IS IMPORTANT TO READ THE FOLLOWING INSTRUCTIONS:
24        By properly completing this form, a guardian is
25    appointing a short-term guardian of the person with a

 

 

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1    disability for a cumulative total of up to 60 days during
2    any 12-month period. A separate form shall be completed
3    each time a short-term guardian takes over guardianship
4    duties. The person or persons appointed as the short-term
5    guardian shall sign the form, but need not do so at the
6    same time as the guardian.]
7        1. Guardian and Ward. I, (insert name of appointing
8    guardian), currently residing at (insert address of
9    appointing guardian), am the guardian of the following
10    person with a disability: (insert name of ward).
11        2. Short-term Guardian. I hereby appoint the following
12    person as the short-term guardian for my ward: (insert
13    name and address of appointed person).
14        3. Effective date. This appointment becomes effective:
15    (check one if you wish it to be applicable)
16        ( ) On the date that I state in writing that I am no
17    longer either willing or able to make and carry out
18    day-to-day care decisions concerning my ward.
19        ( ) On the date that a physician familiar with my
20    condition certifies in writing that I am no longer willing
21    or able to make and carry out day-to-day care decisions
22    concerning my ward.
23        ( ) On the date that I am admitted as an in-patient to
24    a hospital or other health care institution.
25        ( ) On the following date: (insert date).
26        ( ) Other: (insert other).

 

 

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1        [NOTE: If this item is not completed, the appointment
2    is effective immediately upon the date the form is signed
3    and dated below.]
4        4. Termination. This appointment shall terminate on:
5    (enter a date corresponding to 60 days from the current
6    date, less the number of days within the past 12 months
7    that any short-term guardian has taken over guardianship
8    duties), unless it terminates sooner as determined by the
9    event or date I have indicated below: (check one if you
10    wish it to be applicable)
11        ( ) On the date that I state in writing that I am
12    willing and able to make and carry out day-to-day care
13    decisions concerning my ward.
14        ( ) On the date that a physician familiar with my
15    condition certifies in writing that I am willing and able
16    to make and carry out day-to-day care decisions concerning
17    my ward.
18        ( ) On the date that I am discharged from the hospital
19    or other health care institution where I was admitted as
20    an in-patient, which established the effective date.
21        ( ) On the date which is (state a number of days) days
22    after the effective date.
23        ( ) Other: (insert other).
24        [NOTE: If this item is not completed, the appointment
25    will be effective until the 60th day within the past year
26    during which time any short-term guardian of this ward had

 

 

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1    taken over guardianship duties from the guardian,
2    beginning on the effective date.]
3        5. Date and signature of appointing guardian. This
4    appointment is made this (insert day) day of (insert month
5    and year).
6        Signed: (appointing guardian)
7        6. Witnesses. I saw the guardian sign this instrument
8    or I saw the guardian direct someone to sign this
9    instrument for the guardian. Then I signed this instrument
10    as a witness in the presence of the guardian. I am not
11    appointed in this instrument to act as the short-term
12    guardian for the guardian's ward. (insert space for names,
13    addresses, and signatures of 2 witnesses)
14        7. Acceptance of short-term guardian. I accept this
15    appointment as short-term guardian on this (insert day)
16    day of (insert month and year).
17        Signed: (short-term guardian)
18
[END OF FORM]
19    (f) Each time the guardian appoints a short-term guardian,
20the guardian shall: (i) provide the person with a disability
21with the name, address, and telephone number of the short-term
22guardian; (ii) advise the person with a disability that he has
23the right to object to the appointment of the short-term
24guardian by filing a petition in court; and (iii) notify the
25person with a disability when the short-term guardian will be
26taking over guardianship duties and the length of time that

 

 

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1the short-term guardian will be acting as guardian.
2(Source: P.A. 102-72, eff. 1-1-22.)
 
3    (755 ILCS 5/11a-5)  (from Ch. 110 1/2, par. 11a-5)
4    Sec. 11a-5. Who may act as guardian.
5    (a) A person is qualified to act as guardian of the person
6and as guardian of the estate of a person with a disability if
7the court finds that the proposed guardian is capable of
8providing an active and suitable program of guardianship for
9the person with a disability and that the proposed guardian:
10        (1) has attained the age of 18 years;
11        (2) is a resident of the United States;
12        (3) is not of unsound mind;
13        (4) is not an adjudged person with a disability as
14    defined in this Act; and
15        (5) has not been convicted of a felony, unless the
16    court finds appointment of the person convicted of a
17    felony to be in the best interests of the person with a
18    disability, and as part of the best interests
19    determination, the court has considered the nature of the
20    offense, the date of offense, and the evidence of the
21    proposed guardian's rehabilitation. No person shall be
22    appointed who has been convicted of a felony involving
23    harm or threat to a minor or an elderly person or a person
24    with a disability, including a felony sexual offense.
25    (b) Any public agency, or not-for-profit corporation found

 

 

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1capable by the court of providing an active and suitable
2program of guardianship for the person with a disability,
3taking into consideration the nature of such person's
4disability and the nature of such organization's services, may
5be appointed guardian of the person or of the estate, or both,
6of the person with a disability. The court shall not appoint as
7guardian an agency or employee of an agency that is directly
8providing residential services to the ward. One person or
9agency may be appointed guardian of the person and another
10person or agency appointed guardian of the estate.
11    (b-5)(1) The court may appoint separate individuals or
12entities to act as the guardian of the person and the guardian
13of the estate of a person with a disability if the court finds
14it is in the best interests of the person with a disability
15that separate guardians be appointed. The court shall not
16appoint a separate person or entity to act as guardian of the
17person or guardian of the estate with a public guardian or the
18Division Office of State Guardian unless the public guardian
19or the Division Office of State Guardian agrees to such an
20appointment.
21    (2) The court may appoint co-guardians to act as guardian
22of the person, guardian of the estate, or both the guardian of
23the person and the guardian of the estate if the court finds it
24is in the best interests of the person with a disability. When
25considering appointing co-guardians, the court shall consider
26the proposed co-guardians' history of cooperating and working

 

 

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1together on behalf of the person with a disability. The court
2shall appoint only co-guardians who agree to serve together.
3The court shall not appoint a public guardian or the Division
4Office of State Guardian as a co-guardian for a person with a
5disability.
6    (c) Any corporation qualified to accept and execute trusts
7in this State may be appointed guardian or limited guardian of
8the estate of a person with a disability.
9(Source: P.A. 102-72, eff. 1-1-22.)
 
10    (755 ILCS 5/11a-5.1)
11    Sec. 11a-5.1. Multiple guardianships. The court may not
12appoint an individual the guardian of the person or estate of
13an adult with disabilities before the individual has disclosed
14to the court the number of adults with disabilities over which
15the individual is currently appointed as guardian. If the
16court determines that an individual is appointed guardian over
17more than 5 adults with disabilities, then the court shall
18issue an order directing the circuit court clerk to notify the
19Department of Disability Advocacy and Guardianship and
20Advocacy Commission, in a form and manner prescribed by the
21Department of Disability Advocacy and Guardianship and
22Advocacy Commission. The clerk shall notify the Department of
23Disability Advocacy and Guardianship and Advocacy Commission
24no later than 7 days after the entry of the order. The
25Department of Disability Advocacy and Guardianship and

 

 

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1Advocacy Commission shall maintain a list of all notifications
2it receives under this Section for reference by other agencies
3or units of government or the public. This Section does not
4apply to the Division Office of the State Guardian or a public
5guardian.
6(Source: P.A. 100-659, eff. 1-1-19.)
 
7    (755 ILCS 5/11a-8.1)
8    Sec. 11a-8.1. Petition for standby guardian of the person
9with a disability. The petition for appointment of a standby
10guardian of the person or the estate, or both, of a person with
11a disability must state, if known: (a) the name, date of birth,
12and residence of the person with a disability; (b) the names
13and post office addresses of the nearest relatives of the
14person with a disability in the following order: (1) the
15spouse and adult children, parents and adult brothers and
16sisters, if any; if none, (2) nearest adult kindred known to
17the petitioner; (c) the name and post office address of the
18person having guardianship of the person with a disability,
19and of any person or persons acting as agents of the person
20with a disability under the Illinois Power of Attorney Act;
21(d) the name, post office address, and, in case of any
22individual, the age and occupation of the proposed standby
23guardian; (e) the preference of the person with a disability
24as to the choice of standby guardian; (f) the facts concerning
25the consent of the guardian of the person with a disability to

 

 

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1the appointment of the standby guardian, or the willingness
2and ability of the guardian of the person with a disability to
3make and carry out day-to-day care decisions concerning the
4person with a disability; (g) the facts concerning the
5execution or admission to probate of the written designation
6of the standby guardian, if any, a copy of which shall be
7attached to or filed with the petition; (h) the facts
8concerning any guardianship court actions pending concerning
9the person with a disability; and (i) the facts concerning the
10willingness of the proposed standby guardian to serve, and in
11the case of the Division Office of State Guardian and any
12public guardian, evidence of a written acceptance to serve
13signed by the Division of State Guardian or public guardian or
14an authorized representative of the Division of State Guardian
15or public guardian, consistent with subsection (b) of Section
1611a-3.1.
17(Source: P.A. 99-143, eff. 7-27-15.)
 
18    (755 ILCS 5/11a-9)  (from Ch. 110 1/2, par. 11a-9)
19    Sec. 11a-9. Report.
20    (a) The petition for adjudication of disability and for
21appointment of a guardian should be accompanied by a report
22which contains (1) a description of the nature and type of the
23respondent's disability and an assessment of how the
24disability impacts on the ability of the respondent to make
25decisions or to function independently; (2) an analysis and

 

 

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1results of evaluations of the respondent's mental and physical
2condition and, where appropriate, educational condition,
3adaptive behavior and social skills, which have been performed
4within 3 months of the date of the filing of the petition, or,
5in the case of an intellectual disability, a psychological
6evaluation of the respondent that has been performed by a
7clinical psychologist licensed under the Clinical Psychologist
8Licensing Act, within one year of the date of the filing of the
9petition; (3) an opinion as to whether guardianship is needed,
10the type and scope of the guardianship needed, and the reasons
11therefor; (4) a recommendation as to the most suitable living
12arrangement and, where appropriate, treatment or habilitation
13plan for the respondent and the reasons therefor; (5) the
14name, business address, business telephone number, and
15signatures of all persons who performed the evaluations upon
16which the report is based, one of whom shall be a licensed
17physician, or may, in the case of an intellectual disability,
18be a clinical psychologist licensed under the Clinical
19Psychologist Licensing Act, and a statement of the
20certification, license, or other credentials that qualify the
21evaluators who prepared the report.
22    (b) If for any reason no report accompanies the petition,
23the court shall order appropriate evaluations to be performed
24by a qualified person or persons and a report prepared and
25filed with the court at least 10 days prior to the hearing.
26    (b-5) Upon oral or written motion by the respondent or the

 

 

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1guardian ad litem or upon the court's own motion, the court
2shall appoint one or more independent experts to examine the
3respondent. Upon the filing with the court of a verified
4statement of services rendered by the expert or experts, the
5court shall determine a reasonable fee for the services
6performed. If the respondent is unable to pay the fee, the
7court may enter an order upon the petitioner to pay the entire
8fee or such amount as the respondent is unable to pay. However,
9in cases where the Division Office of State Guardian is the
10petitioner, consistent with Section 30 of the Guardianship and
11Advocacy Act, no expert services fees shall be assessed
12against the Division Office of the State Guardian.
13    (c) Unless the court otherwise directs, any report
14prepared pursuant to this Section shall not be made part of the
15public record of the proceedings but shall be available to the
16court or an appellate court in which the proceedings are
17subject to review, to the respondent, the petitioner, the
18guardian, and their attorneys, to the respondent's guardian ad
19litem, and to such other persons as the court may direct.
20    Accessibility to a report prepared pursuant to this
21Section shall be in accordance with Section 5 of the Court
22Record and Document Accessibility Act.
23(Source: P.A. 102-109, eff. 1-1-22; 103-166, eff. 1-1-24.)
 
24    (755 ILCS 5/11a-12)  (from Ch. 110 1/2, par. 11a-12)
25    Sec. 11a-12. Order of appointment.

 

 

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1    (a) If basis for the appointment of a guardian as
2specified in Section 11a-3 is not found, the court shall
3dismiss the petition.
4    (b) If the respondent is adjudged to be a person with a
5disability and to lack some but not all of the capacity as
6specified in Section 11a-3, and if the court finds that
7guardianship is necessary for the protection of the person
8with a disability, his or her estate, or both, the court shall
9appoint a limited guardian for the respondent's person or
10estate or both. The court shall enter a written order stating
11the factual basis for its findings and specifying the duties
12and powers of the guardian and the legal disabilities to which
13the respondent is subject.
14    (c) If the respondent is adjudged to be a person with a
15disability and to be totally without capacity as specified in
16Section 11a-3, and if the court finds that limited
17guardianship will not provide sufficient protection for the
18person with a disability, his or her estate, or both, the court
19shall appoint a plenary guardian for the respondent's person
20or estate or both. The court shall enter a written order
21stating the factual basis for its findings.
22    (d) The selection of the guardian shall be in the
23discretion of the court, which shall give due consideration to
24the preference of the person with a disability as to a
25guardian, as well as the qualifications of the proposed
26guardian, in making its appointment. However, the paramount

 

 

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1concern in the selection of the guardian is the best interests
2and well-being of the person with a disability.
3    One person or agency may be appointed a limited or plenary
4guardian of the person and another person or corporate trustee
5appointed as a limited or plenary guardian of the estate. If
6different persons are appointed, the court shall consider the
7factors set forth in subsection (b-5) of Section 11a-5. The
8court shall enter a written order stating the factual basis
9for its findings.
10    (e) The order of appointment of a guardian shall include
11the requirement that the guardian complete the training
12program as provided in Section 33.5 of the Guardianship and
13Advocacy Act that outlines the responsibilities of the
14guardian of the person and the rights of the person under
15guardianship and file with the court a certificate of
16completion within one year from the date of issuance of the
17letters of guardianship, except that: (1) the chief judge of
18any circuit may order implementation of another training
19program by a suitable provider containing substantially
20similar content; (2) employees of the Division Office of the
21State Guardian, public guardians, attorneys currently
22authorized to practice law, corporate fiduciaries, and persons
23certified by the Center for Guardianship Certification are
24exempt from this training requirement; and (3) the court may,
25for good cause shown, exempt from this requirement an
26individual not otherwise listed in item (2). For the purposes

 

 

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1of this subsection (e), good cause may be proven by affidavit.
2If the court finds good cause to exempt an individual from the
3training requirement, the order of appointment shall so state.
4(Source: P.A. 104-237, eff. 1-1-26.)
 
5    (755 ILCS 5/11a-13)  (from Ch. 110 1/2, par. 11a-13)
6    Sec. 11a-13. Costs in certain cases.)
7    (a) No costs may be taxed or charged by any public officer
8in any proceeding for the appointment of a guardian or for any
9subsequent proceeding or report made in pursuance of the
10appointment when the primary purpose of the appointment is as
11set forth in Section 11-11 or is the management of the estate
12of a person with a mental disability who resides in a state
13mental health or developmental disabilities facility when the
14value of the personal estate does not exceed $1,000.
15    (b) No costs shall be taxed or charged against the
16Division Office of the State Guardian by any public officer in
17any proceeding for the appointment of a guardian or for any
18subsequent proceeding or report made in pursuance of the
19appointment.
20(Source: P.A. 99-143, eff. 7-27-15.)
 
21    (755 ILCS 5/11a-14.1)  (from Ch. 110 1/2, par. 11a-14.1)
22    Sec. 11a-14.1. Residential placement.) No guardian
23appointed under this Article, except for duly appointed Public
24Guardians and the Division Office of State Guardian, shall

 

 

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1have the power, unless specified by court order, to place his
2ward in a residential facility. The guardianship order may
3specify the conditions on which the guardian may admit the
4ward to a residential facility without further court order. In
5making residential placement decisions, the guardian shall
6make decisions in conformity with the preferences of the ward
7unless the guardian is reasonably certain that the decisions
8will result in substantial harm to the ward or to the ward's
9estate. When the preferences of the ward cannot be ascertained
10or where they will result in substantial harm to the ward or to
11the ward's estate, the guardian shall make decisions with
12respect to the ward's placement which are in the best
13interests of the ward. The guardian shall not remove the ward
14from his or her home or separate the ward from family and
15friends unless such removal is necessary to prevent
16substantial harm to the ward or to the ward's estate. The
17guardian shall have a duty to investigate the availability of
18reasonable residential alternatives. The guardian shall
19monitor the placement of the ward on an on-going basis to
20ensure its continued appropriateness, and shall pursue
21appropriate alternatives as needed.
22(Source: P.A. 90-250, eff. 7-29-97.)
 
23    (755 ILCS 5/11a-17)  (from Ch. 110 1/2, par. 11a-17)
24    Sec. 11a-17. Duties of personal guardian.
25    (a) To the extent ordered by the court and under the

 

 

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1direction of the court, the guardian of the person shall have
2custody of the ward and the ward's minor and adult dependent
3children and shall procure for them and shall make provision
4for their support, care, comfort, health, education and
5maintenance, and professional services as are appropriate, but
6the ward's spouse may not be deprived of the custody and
7education of the ward's minor and adult dependent children,
8without the consent of the spouse, unless the court finds that
9the spouse is not a fit and competent person to have that
10custody and education. The guardian shall assist the ward in
11the development of maximum self-reliance and independence. The
12guardian of the person may petition the court for an order
13directing the guardian of the estate to pay an amount
14periodically for the provision of the services specified by
15the court order. If the ward's estate is insufficient to
16provide for education and the guardian of the ward's person
17fails to provide education, the court may award the custody of
18the ward to some other person for the purpose of providing
19education. If a person makes a settlement upon or provision
20for the support or education of a ward, the court may make an
21order for the visitation of the ward by the person making the
22settlement or provision as the court deems proper. A guardian
23of the person may not admit a ward to a mental health facility
24except at the ward's request as provided in Article IV of the
25Mental Health and Developmental Disabilities Code and unless
26the ward has the capacity to consent to such admission as

 

 

10400SB3557sam001- 184 -LRB104 18242 SPS 35943 a

1provided in Article IV of the Mental Health and Developmental
2Disabilities Code.
3    (a-3) If a guardian of an estate has not been appointed,
4the guardian of the person may, without an order of court,
5open, maintain, and transfer funds to an ABLE account on
6behalf of the ward and the ward's minor and adult dependent
7children as specified under Section 16.6 of the State
8Treasurer Act.
9    (a-5) If the ward filed a petition for dissolution of
10marriage under the Illinois Marriage and Dissolution of
11Marriage Act before the ward was adjudicated a person with a
12disability under this Article, the guardian of the ward's
13person and estate may maintain that action for dissolution of
14marriage on behalf of the ward. Upon petition by the guardian
15of the ward's person or estate, the court may authorize and
16direct a guardian of the ward's person or estate to file a
17petition for dissolution of marriage or to file a petition for
18legal separation or declaration of invalidity of marriage
19under the Illinois Marriage and Dissolution of Marriage Act on
20behalf of the ward if the court finds by clear and convincing
21evidence that the relief sought is in the ward's best
22interests. In making its determination, the court shall
23consider the standards set forth in subsection (e) of this
24Section.
25    (a-10) Upon petition by the guardian of the ward's person
26or estate, the court may authorize and direct a guardian of the

 

 

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1ward's person or estate to consent, on behalf of the ward, to
2the ward's marriage pursuant to Part II of the Illinois
3Marriage and Dissolution of Marriage Act if the court finds by
4clear and convincing evidence that the marriage is in the
5ward's best interests. In making its determination, the court
6shall consider the standards set forth in subsection (e) of
7this Section. Upon presentation of a court order authorizing
8and directing a guardian of the ward's person and estate to
9consent to the ward's marriage, the county clerk shall accept
10the guardian's application, appearance, and signature on
11behalf of the ward for purposes of issuing a license to marry
12under Section 203 of the Illinois Marriage and Dissolution of
13Marriage Act.
14    (b) If the court directs, the guardian of the person shall
15file with the court at intervals indicated by the court, a
16report that shall state briefly: (1) the current mental,
17physical, and social condition of the ward and the ward's
18minor and adult dependent children; (2) their present living
19arrangement, and a description and the address of every
20residence where they lived during the reporting period and the
21length of stay at each place; (3) a summary of the medical,
22educational, vocational, and other professional services given
23to them; (4) a resume of the guardian's visits with and
24activities on behalf of the ward and the ward's minor and adult
25dependent children; (5) a recommendation as to the need for
26continued guardianship; (6) any other information requested by

 

 

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1the court or useful in the opinion of the guardian. The
2Division Office of the State Guardian shall assist the
3guardian in filing the report when requested by the guardian.
4The court may take such action as it deems appropriate
5pursuant to the report.
6    (c) Absent court order pursuant to the Illinois Power of
7Attorney Act directing a guardian to exercise powers of the
8principal under an agency that survives disability, the
9guardian has no power, duty, or liability with respect to any
10personal or health care matters covered by the agency. This
11subsection (c) applies to all agencies, whenever and wherever
12executed.
13    (d) A guardian acting as a surrogate decision maker under
14the Health Care Surrogate Act shall have all the rights of a
15surrogate under that Act without court order including the
16right to make medical treatment decisions such as decisions to
17forgo or withdraw life-sustaining treatment. Any decisions by
18the guardian to forgo or withdraw life-sustaining treatment
19that are not authorized under the Health Care Surrogate Act
20shall require a court order. Nothing in this Section shall
21prevent an agent acting under a power of attorney for health
22care from exercising his or her authority under the Illinois
23Power of Attorney Act without further court order, unless a
24court has acted under Section 2-10 of the Illinois Power of
25Attorney Act. If a guardian is also a health care agent for the
26ward under a valid power of attorney for health care, the

 

 

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1guardian acting as agent may execute his or her authority
2under that act without further court order.
3    (e) Decisions made by a guardian on behalf of a ward shall
4be made in accordance with the following standards for
5decision making. The guardian shall consider the ward's
6current preferences to the extent the ward has the ability to
7participate in decision making when those preferences are
8known or reasonably ascertainable by the guardian. Decisions
9by the guardian shall conform to the ward's current
10preferences: (1) unless the guardian reasonably believes that
11doing so would result in substantial harm to the ward's
12welfare or personal or financial interests; and (2) so long as
13such decisions give substantial weight to what the ward, if
14competent, would have done or intended under the
15circumstances, taking into account evidence that includes, but
16is not limited to, the ward's personal, philosophical,
17religious and moral beliefs, and ethical values relative to
18the decision to be made by the guardian. Where possible, the
19guardian shall determine how the ward would have made a
20decision based on the ward's previously expressed preferences,
21and make decisions in accordance with the preferences of the
22ward. If the ward's wishes are unknown and remain unknown
23after reasonable efforts to discern them, or if the guardian
24reasonably believes that a decision made in conformity with
25the ward's preferences would result in substantial harm to the
26ward's welfare or personal or financial interests, the

 

 

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1decision shall be made on the basis of the ward's best
2interests as determined by the guardian. In determining the
3ward's best interests, the guardian shall weigh the reason for
4and nature of the proposed action, the benefit or necessity of
5the action, the possible risks and other consequences of the
6proposed action, and any available alternatives and their
7risks, consequences and benefits, and shall take into account
8any other information, including the views of family and
9friends, that the guardian believes the ward would have
10considered if able to act for herself or himself.
11    (f) Upon petition by any interested person (including the
12standby or short-term guardian), with such notice to
13interested persons as the court directs and a finding by the
14court that it is in the best interests of the person with a
15disability, the court may terminate or limit the authority of
16a standby or short-term guardian or may enter such other
17orders as the court deems necessary to provide for the best
18interests of the person with a disability. The petition for
19termination or limitation of the authority of a standby or
20short-term guardian may, but need not, be combined with a
21petition to have another guardian appointed for the person
22with a disability.
23    (g)(1) Unless there is a court order to the contrary, the
24guardian, consistent with the standards set forth in
25subsection (e) of this Section, shall use reasonable efforts
26to notify the ward's known adult children, who have requested

 

 

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1notification and provided contact information, of the ward's
2admission to a hospital, hospice, or palliative care program,
3the ward's death, and the arrangements for the disposition of
4the ward's remains.
5    (2) If a guardian unreasonably prevents an adult child,
6spouse, adult grandchild, parent, or adult sibling of the ward
7from visiting the ward, the court, upon a verified petition,
8may order the guardian to permit visitation between the ward
9and the adult child, spouse, adult grandchild, parent, or
10adult sibling. In making its determination, the court shall
11consider the standards set forth in subsection (e) of this
12Section. The court shall not allow visitation if the court
13finds that the ward has capacity to evaluate and communicate
14decisions regarding visitation and expresses a desire not to
15have visitation with the petitioner. This subsection (g) does
16not apply to duly appointed public guardians or the Division
17Office of State Guardian.
18(Source: P.A. 101-329, eff. 8-9-19; 102-72, eff. 1-1-22;
19102-258, eff. 8-6-21; 102-813, eff. 5-13-22.)
 
20    (755 ILCS 5/12-4)  (from Ch. 110 1/2, par. 12-4)
21    Sec. 12-4. When security excused or specified.)
22    (a) Except as provided in paragraph (c) of Section 6-13
23with respect to a nonresident executor, no security is
24required of a person who is excused by the will from giving
25bond or security and no greater security than is specified by

 

 

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1the will is required, unless in either case the court, from its
2own knowledge or the suggestion of any interested person, has
3cause to suspect the representative of fraud or incompetence
4or believes that the estate of the decedent will not be
5sufficient to discharge all the claims against the estate, or
6in the case of a testamentary guardian of the estate, that the
7rights of the ward will be prejudiced by failure to give
8security.
9    (b) If a person designates a guardian of his person or
10estate or both to be appointed in the event he is adjudged a
11person with a disability as provided in Section 11a-6 and
12excuses the guardian from giving bond or security, or if the
13guardian is the Division Office of State Guardian, the
14guardian's bond in the amount from time to time required under
15this Article shall be in full force and effect without
16writing, unless the court requires the filing of a written
17bond.
18    (c) The Division Office of State Guardian shall not be
19required to have sureties or surety companies as security on
20its bonds. The oath and bond of the representative without
21surety shall be sufficient.
22(Source: P.A. 99-143, eff. 7-27-15.)
 
23    (755 ILCS 5/13-1)  (from Ch. 110 1/2, par. 13-1)
24    Sec. 13-1. Appointment and term of public administrator
25and public guardian.

 

 

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1    (a) Except as provided in Section 13-1.1, before the first
2Monday of December, 1977 and every 4 years thereafter, and as
3often as vacancies occur, the Governor, by and with the advice
4and consent of the Senate, shall appoint in each county a
5suitable person to serve as public administrator and a
6suitable person to serve as public guardian of the county. The
7Governor may designate, without the advice and consent of the
8Senate, the Division Office of State Guardian as an interim
9public guardian to fill a vacancy in one or more counties
10having a population of 500,000 or less if the designation:
11        (1) is specifically designated as an interim
12    appointment for a term of the lesser of one year or until
13    the Governor appoints, with the advice and consent of the
14    Senate, a county public guardian to fill the vacancy;
15        (2) requires the Division Office of State Guardian to
16    affirm its availability to act in the county; and
17        (3) expires in a pending case of a person with a
18    disability in the county at such a time as the court
19    appoints a qualified successor guardian of the estate and
20    person for the person with a disability.
21    When appointed as an interim public guardian, the Division
22of State Guardian will perform the powers and duties assigned
23to it under the Guardianship and Advocacy Act.
24    The Governor may appoint the same person to serve as
25public guardian and public administrator in one or more
26counties. In considering the number of counties of service for

 

 

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1any prospective public guardian or public administrator the
2Governor may consider the population of the county and the
3ability of the prospective public guardian or public
4administrator to travel to multiple counties and manage
5estates in multiple counties. Each person so appointed holds
6his office for 4 years from the first Monday of December, 1977
7and every 4 years thereafter or until his successor is
8appointed and qualified.
9    (b) Within 14 days of notification to the current public
10guardian of the appointment by the Governor of a new public
11guardian pursuant to this Section, the outgoing public
12guardian shall provide the incoming successor public guardian
13with a list of current guardianships. Within 60 days of
14receipt of the list of guardianships, the incoming public
15guardian may petition the court for a transfer of a
16guardianship to the incoming public guardian. The transfer of
17a guardianship of the person, estate, or both shall be made if
18it is in the best interests of the ward as determined by the
19court on a case-by-case basis.
20    Factors for the court to consider include, but are not
21limited to, the following:
22        (1) the ward's preference as to the transfer of the
23    guardianship;
24        (2) the recommendation of the guardian ad litem, the
25    ward's family members, and other interested parties;
26        (3) the length of time in which the outgoing public

 

 

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1    guardian has served as guardian for the ward;
2        (4) the ward's relationship with the outgoing public
3    guardian's office;
4        (5) the nature and extent of the ward's disabilities;
5        (6) the ward's current residential placement, his or
6    her current support network, and ongoing needs;
7        (7) the costs involved in the transfer of the ward's
8    estate;
9        (8) the status of pending legal matters or other
10    matters germane to the ward's care or the management of
11    the ward's estate;
12        (9) the obligation to post bond and the cost thereof;
13        (10) the guardians' status with regard to
14    certification by the Center for Guardianship
15    Certification; and
16        (11) other good causes.
17    If the court approves a transfer to the incoming public
18guardian, the outgoing public guardian shall file a final
19account of his or her activities on behalf of the ward within
2030 days or within such other time that the court may allow. The
21outgoing public guardian may file a petition for final fees
22pursuant to subsection (b) of Section 13-3.1.
23(Source: P.A. 102-72, eff. 1-1-22.)
 
24    (755 ILCS 5/13-1.2)
25    Sec. 13-1.2. Certification requirement. Each person

 

 

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1appointed as a public guardian by the Governor shall be
2certified as a National Certified Guardian by the Center for
3Guardianship Certification within 6 months after his or her
4appointment. The Department of Disability Advocacy and
5Guardianship and Advocacy Commission shall provide public
6guardians with information about certification requirements
7and procedures for testing and certification offered by the
8Center for Guardianship Certification. The cost of
9certification shall be considered an expense connected with
10the operation of the public guardian's office within the
11meaning of subsection (b) of Section 13-3.1 of this Article.
12    A public guardian shall additionally complete a one-hour
13course regarding Alzheimer's disease and dementia within 6
14months of appointment and annually thereafter. The training
15program shall include, but not be limited to, the following
16topics: effective communication strategies; best practices for
17interacting with people with Alzheimer's disease and related
18forms of dementia; and strategies for supporting people living
19with Alzheimer's disease or related forms of dementia in
20exercising their rights.
21(Source: P.A. 103-64, eff. 1-1-24.)
 
22    Section 130. The Supported Decision-Making Agreement Act
23is amended by changing Section 30 as follows:
 
24    (755 ILCS 9/30)

 

 

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1    Sec. 30. Supporter duties.
2    (a) Except as otherwise provided by a supported
3decision-making agreement, a supporter may:
4        (1) Assist the principal in understanding information,
5    options, responsibilities, and consequences of the life
6    decisions of the principal, including those decisions
7    related to the affairs or support services of the
8    principal.
9        (2) Help the principal access, obtain, and understand
10    any information that is relevant to any given life
11    decision, including a medical, psychological, financial,
12    or educational decision, or any treatment records or
13    records necessary to manage the affairs or support
14    services of the principal.
15        (3) Assist the principal in finding, obtaining, making
16    appointments for, and implementing the support services or
17    plans for support services of the principal.
18        (4) Help the principal monitor information about the
19    affairs or support services of the principal, including
20    keeping track of future necessary or recommended services.
21        (5) Ascertain the wishes and decisions of the
22    principal in order to advocate that the wishes and
23    decisions of an individual with disabilities are
24    implemented.
25    (b) A supporter shall act with the care, competence, and
26diligence ordinarily exercised by an individual in a similar

 

 

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1circumstance, with due regard to the possession of, or lack
2of, special skills or expertise.
3    (c) A supporter shall seek training and education
4regarding the responsibilities and limitations of the
5supporter role. The Department of Disability Advocacy and
6Guardianship and Advocacy Commission shall provide public
7information about this Act and the supporter role,
8responsibilities, and limitations.
9    The Department of Disability Advocacy and Guardianship and
10Advocacy Commission shall develop training and education
11materials for both principals and supporters, including, but
12not limited to, sample agreements that will be posted on the
13website of the Department Commission along with public
14awareness materials.
15(Source: P.A. 102-614, eff. 2-27-22.)
 
16    Section 135. The Illinois Power of Attorney Act is amended
17by changing Section 2-7 as follows:
 
18    (755 ILCS 45/2-7)  (from Ch. 110 1/2, par. 802-7)
19    Sec. 2-7. Duty - standard of care - record-keeping -
20exoneration.
21    (a) The agent shall be under no duty to exercise the powers
22granted by the agency or to assume control of or
23responsibility for any of the principal's property, care or
24affairs, regardless of the principal's physical or mental

 

 

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1condition. Whenever a power is exercised, the agent shall act
2in good faith for the benefit of the principal using due care,
3competence, and diligence in accordance with the terms of the
4agency and shall be liable for negligent exercise. An agent
5who acts with due care for the benefit of the principal shall
6not be liable or limited merely because the agent also
7benefits from the act, has individual or conflicting interests
8in relation to the property, care or affairs of the principal
9or acts in a different manner with respect to the agency and
10the agent's individual interests. The agent shall not be
11affected by any amendment or termination of the agency until
12the agent has actual knowledge thereof. The agent shall not be
13liable for any loss due to error of judgment nor for the act or
14default of any other person.
15    (b) An agent that has accepted appointment must act in
16accordance with the principal's expectations to the extent
17actually known to the agent and otherwise in the principal's
18best interests.
19    (c) An agent shall keep a record of all receipts,
20disbursements, and significant actions taken under the
21authority of the agency and shall provide a copy of this record
22when requested to do so by:
23        (1) the principal, a guardian, another fiduciary
24    acting on behalf of the principal, and, after the death of
25    the principal, the personal representative or successors
26    in interest of the principal's estate;

 

 

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1        (2) a representative of a provider agency, as defined
2    in Section 2 of the Adult Protective Services Act, acting
3    in the course of an assessment of a complaint of elder
4    abuse or neglect under that Act;
5        (3) a representative of the Office of the State Long
6    Term Care Ombudsman, acting in the course of an
7    investigation of a complaint of financial exploitation of
8    a nursing home resident under Section 4.04 of the Illinois
9    Act on the Aging;
10        (4) a representative of the Office of Inspector
11    General for the Department of Human Services, acting in
12    the course of an assessment of a complaint of financial
13    exploitation of an adult with disabilities pursuant to
14    Section 35 of the Abuse of Adults with Disabilities
15    Intervention Act;
16        (5) a court under Section 2-10 of this Act; or
17        (6) a representative of the Division Office of State
18    Guardian or public guardian for the county in which the
19    principal resides acting in the course of investigating
20    whether to file a petition for guardianship of the
21    principal under Section 11a-4 or 11a-8 of the Probate Act
22    of 1975.
23    (d) If the agent fails to provide his or her record of all
24receipts, disbursements, and significant actions within 21
25days after a request under subsection (c), the adult abuse
26provider agency, the Division of State Guardian, the public

 

 

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1guardian, or a representative of the Office of the State Long
2Term Care Ombudsman may petition the court for an order
3requiring the agent to produce his or her record of receipts,
4disbursements, and significant actions. If the court finds
5that the agent's failure to provide his or her record in a
6timely manner to the adult abuse provider agency, the Division
7of State Guardian, the public guardian, or a representative of
8the Office of the State Long Term Care Ombudsman was without
9good cause, the court may assess reasonable costs and
10attorney's fees against the agent, and order such other relief
11as is appropriate.
12    (e) An agent is not required to disclose receipts,
13disbursements, or other significant actions conducted on
14behalf of the principal except as otherwise provided in the
15power of attorney or as required under subsection (c).
16    (f) An agent that violates this Act is liable to the
17principal or the principal's successors in interest for the
18amount required (i) to restore the value of the principal's
19property to what it would have been had the violation not
20occurred, and (ii) to reimburse the principal or the
21principal's successors in interest for the attorney's fees and
22costs paid on the agent's behalf. This subsection does not
23limit any other applicable legal or equitable remedies.
24(Source: P.A. 100-952, eff. 1-1-19.)
 
25    Section 999. Effective date. This Act takes effect July 1,

 

 

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12027.".