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| 1 | | members, 47 advisory members, consultants, and staff, engaged |
| 2 | | in a process that presented a democratic forum that welded |
| 3 | | together the input of many dedicated people into a cohesive |
| 4 | | whole. |
| 5 | | (4) In 1979, the General Assembly used the recommendations |
| 6 | | to address the far-reaching and comprehensive need for |
| 7 | | statutory reform that would reflect the historical and |
| 8 | | continued progress in the capacity of our people to rise above |
| 9 | | prejudice, superstition, and irrational fears, enabling |
| 10 | | persons with disabilities to participate more fully in the |
| 11 | | total life of our society. |
| 12 | | (5) Part of the reform was the establishment of the |
| 13 | | Guardianship and Advocacy Commission, which since then has |
| 14 | | served as a national leader in protecting the rights and |
| 15 | | advancing the rights and interests of persons with |
| 16 | | disabilities. |
| 17 | | (6) Today, the Guardianship and Advocacy Commission |
| 18 | | provides critical services to some of the most vulnerable |
| 19 | | residents of this State in accordance with statutory mandates |
| 20 | | that are unmatched by any other single agency in the United |
| 21 | | States, 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 |
| 7 | | population of this State and the deepening understanding that |
| 8 | | persons with disabilities are entitled to full human rights |
| 9 | | and equal participation in society, require modernization of |
| 10 | | the Guardianship and Advocacy Commission to respond to the |
| 11 | | increasing need for its services and the evolving recognition |
| 12 | | and affirmation of the inherent dignity, right, and societal |
| 13 | | value of persons with disabilities. |
| 14 | | Section 3. Purpose. It is the purpose of this Act to |
| 15 | | support the modernization of the Guardianship and Advocacy |
| 16 | | Commission by establishing the Department of Disability |
| 17 | | Advocacy and Guardianship as the successor agency to the |
| 18 | | Guardianship and Advocacy Commission. The Department of |
| 19 | | Disability Advocacy and Guardianship will maintain and |
| 20 | | strengthen this State's commitment to protecting and advancing |
| 21 | | the rights of persons with disabilities by retaining the core |
| 22 | | statutory duties, authorities, and functions assigned to the |
| 23 | | Guardianship and Advocacy Commission while adopting a |
| 24 | | governance structure that balances direct accountability with |
| 25 | | the independence necessary for effective advocacy. |
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| 1 | | Section 5. The State Budget Law of the Civil |
| 2 | | Administrative Code of Illinois is amended by changing Section |
| 3 | | 50-28 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 |
| 8 | | 8 and 25 years. |
| 9 | | "Commission" means the Youth Budget Commission established |
| 10 | | under this Section. |
| 11 | | "Service models" include the following tiers of service |
| 12 | | delivered 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 |
| 24 | | stable, safe, healthy, educated, employable, and connected, |
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| 1 | | which 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 |
| 15 | | the Youth Budget Commission with the goal of producing an |
| 16 | | annual fiscal scan. The fiscal scan, under the direction of |
| 17 | | the Commission, shall be used to advise the Governor and |
| 18 | | General Assembly, as well as State agencies, on ways to |
| 19 | | improve and expand existing policies, services, programs, and |
| 20 | | opportunities for adolescents. The Governor's Office of |
| 21 | | Management and Budget shall post a link to the fiscal scan on |
| 22 | | its website. For fiscal year 2019 and each fiscal year |
| 23 | | thereafter, the Commission established under this Section, |
| 24 | | shall complete an analysis of enacted State budget items which |
| 25 | | directly impact adolescents. This analysis will categorize |
| 26 | | budget items by the 6 identified youth developmental goals and |
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| 1 | | 4 service models. The analysis will include State agency |
| 2 | | expenditures associated with these categories. General State |
| 3 | | Aid and federal funds such as Medicaid will be excluded from |
| 4 | | the analysis. |
| 5 | | The Commission shall also be responsible for: (1) |
| 6 | | monitoring and commenting on existing and proposed legislation |
| 7 | | and programs designed to address the needs of adolescents; (2) |
| 8 | | assisting State agencies in developing programs, services, |
| 9 | | public policies, and research strategies that will expand and |
| 10 | | enhance the well-being of adolescents; (3) facilitating the |
| 11 | | participation of and representation of adolescents in the |
| 12 | | development, implementation, and planning of policies, |
| 13 | | programs, and community-based services; and (4) promoting |
| 14 | | research efforts to document the impact of policies and |
| 15 | | programs on adolescents. |
| 16 | | (c) The Commission shall collaborate with State agencies, |
| 17 | | including the Illinois State Board of Education, the |
| 18 | | Department of Human Services, the Department of Children and |
| 19 | | Family Services, the Department of Commerce and Economic |
| 20 | | Opportunity, the Illinois Student Assistance Commission, the |
| 21 | | Department of Healthcare and Family Services, the Department |
| 22 | | of Public Health, the Illinois Community College Board, the |
| 23 | | Department of Juvenile Justice, the Illinois Criminal Justice |
| 24 | | Information Authority, the Department of Military Affairs, the |
| 25 | | Illinois Arts Council, the Department of Corrections, the |
| 26 | | Board of Higher Education, Department of Disability Advocacy |
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| 1 | | and Illinois Guardianship and Advocacy Commission, Department |
| 2 | | on Aging, and others. |
| 3 | | (d) The Commission shall be comprised of 15 members |
| 4 | | appointed by the Governor. Each member shall have a working |
| 5 | | knowledge of youth development, human services, and economic |
| 6 | | public policy in Illinois. One chairperson shall be a |
| 7 | | representative of a statewide nonprofit children and family |
| 8 | | services organization who has previously completed a similar |
| 9 | | analysis of the Illinois State budget. The other chairperson |
| 10 | | shall be a member of the General Assembly. Of the remaining |
| 11 | | members: |
| 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 |
| 6 | | to ensure that the needs of adolescents throughout the State |
| 7 | | of Illinois are met. Members will serve without compensation, |
| 8 | | but shall be reimbursed for Commission-related expenses. Of |
| 9 | | the initial members appointed under this Section: 5 members |
| 10 | | shall serve for a 3-year term; 5 members shall serve for a |
| 11 | | 4-year term; and 5 members shall serve for a 5-year term. Their |
| 12 | | successors shall serve for 5-year terms. |
| 13 | | (e) The Governor's Office of Management and Budget shall |
| 14 | | provide administrative support to the Commission. |
| 15 | | (Source: P.A. 100-818, eff. 8-13-18.) |
| 16 | | Section 10. The Youth Homelessness Prevention Subcommittee |
| 17 | | Act is amended by changing Section 20 as follows: |
| 18 | | (15 ILCS 60/20) |
| 19 | | Sec. 20. Membership. The Youth Homelessness Prevention |
| 20 | | Subcommittee 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 |
| 19 | | amended by changing Sections 5-15 and 5-20 and by adding |
| 20 | | Sections 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 |
| 23 | | Departments 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 |
| 4 | | have an officer as its head who shall be known as director or |
| 5 | | secretary and who shall, subject to the provisions of the |
| 6 | | Civil Administrative Code of Illinois, execute the powers and |
| 7 | | discharge the duties vested by law in his or her respective |
| 8 | | department. |
| 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 |
| 10 | | Guardianship. The Director of Disability Advocacy and |
| 11 | | Guardianship shall be a person thoroughly conversant with the |
| 12 | | purposes of the Guardianship and Advocacy Act, actively |
| 13 | | interested in the development of programs to advocate for |
| 14 | | individuals with disabilities, and not affiliated with any |
| 15 | | entity that provides services to individuals with |
| 16 | | disabilities. |
| 17 | | (20 ILCS 5/5-348 new) |
| 18 | | Sec. 5-348. In the Department of Disability Advocacy and |
| 19 | | Guardianship. For terms beginning on or after July 1, 2027, |
| 20 | | the Director of Disability Advocacy and Guardianship shall |
| 21 | | receive an annual salary of $197,000 or as set by the Governor, |
| 22 | | whichever is higher. On each July 1 thereafter, the Director |
| 23 | | shall receive an increase in salary based on a cost-of-living |
| 24 | | adjustment as authorized by Senate Joint Resolution 192 of the |
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| 1 | | 86th General Assembly. |
| 2 | | (20 ILCS 5/5-543 new) |
| 3 | | Sec. 5-543. In the Department of Disability Advocacy and |
| 4 | | Guardianship. A Disability Advocacy and Guardianship Advisory |
| 5 | | Council composed and appointed as provided in the Guardianship |
| 6 | | and Advocacy Act. |
| 7 | | Section 20. The Department of Innovation and Technology |
| 8 | | Act 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, |
| 12 | | office, or other unit within a transferred agency that is |
| 13 | | responsible for the information technology functions of the |
| 14 | | transferred agency. |
| 15 | | "Department" means the Department of Innovation and |
| 16 | | Technology. |
| 17 | | "Information technology" means technology, |
| 18 | | infrastructure, equipment, systems, software, networks, and |
| 19 | | processes used to create, send, receive, and store electronic |
| 20 | | or digital information, including, without limitation, |
| 21 | | computer systems and telecommunication services and systems. |
| 22 | | "Information technology" shall be construed broadly to |
| 23 | | incorporate future technologies that change or supplant those |
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| 1 | | in effect as of the effective date of this Act. |
| 2 | | "Information technology functions" means the development, |
| 3 | | procurement, installation, retention, maintenance, operation, |
| 4 | | possession, storage, and related functions of all information |
| 5 | | technology. |
| 6 | | "Secretary" means the Secretary of Innovation and |
| 7 | | Technology. |
| 8 | | "State agency" means each State agency, department, board, |
| 9 | | and commission under the jurisdiction of the Governor to which |
| 10 | | the Department provides services. |
| 11 | | "Transferred agency" means the Department on Aging; the |
| 12 | | Departments of Agriculture, Central Management Services, |
| 13 | | Children and Family Services, Commerce and Economic |
| 14 | | Opportunity, Corrections, Employment Security, Financial and |
| 15 | | Professional Regulation, Healthcare and Family Services, Human |
| 16 | | Rights, Human Services, Insurance, Juvenile Justice, Labor, |
| 17 | | Lottery, Military Affairs, Natural Resources, Public Health, |
| 18 | | Revenue, Transportation, and Veterans' Affairs; the Illinois |
| 19 | | State Police; the Capital Development Board; the Deaf and Hard |
| 20 | | of Hearing Commission; the Environmental Protection Agency; |
| 21 | | the Governor's Office of Management and Budget; the Department |
| 22 | | of Disability Advocacy and Guardianship and Advocacy |
| 23 | | Commission; the Abraham Lincoln Presidential Library and |
| 24 | | Museum; the Illinois Arts Council; the Illinois Council on |
| 25 | | Developmental Disabilities; the Illinois Emergency Management |
| 26 | | Agency; the Illinois Gaming Board; the Illinois Liquor Control |
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| 1 | | Commission; the Office of the State Fire Marshal; the Prisoner |
| 2 | | Review 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 |
| 5 | | Disabilities Administrative Act is amended by changing |
| 6 | | Sections 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 |
| 11 | | ongoing on-site inspections that shall occur at least annually |
| 12 | | of each facility under its jurisdiction. The inspections shall |
| 13 | | be 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 |
| 8 | | operate a facility for the care, custody, and treatment of |
| 9 | | persons with mental illness or habilitation of persons with |
| 10 | | developmental disabilities hereinafter designated, to be known |
| 11 | | as the Chester Mental Health Center. |
| 12 | | Within the Chester Mental Health Center there shall be |
| 13 | | confined the following classes of persons, whose history, in |
| 14 | | the opinion of the Department, discloses dangerous or violent |
| 15 | | tendencies and who, upon examination under the direction of |
| 16 | | the Department, have been found a fit subject for confinement |
| 17 | | in 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 |
| 7 | | Chester Mental Health Center that it is necessary to confine |
| 8 | | persons in order to maintain security or provide for the |
| 9 | | protection and safety of recipients and staff, the Chester |
| 10 | | Mental Health Center may confine all persons on a unit to their |
| 11 | | rooms. This period of confinement shall not exceed 10 hours in |
| 12 | | a 24-hour 24 hour period, including the recipient's scheduled |
| 13 | | hours of sleep, unless approved by the Secretary of the |
| 14 | | Department. During the period of confinement, the persons |
| 15 | | confined shall be observed at least every 15 minutes. A record |
| 16 | | shall be kept of the observations. This confinement shall not |
| 17 | | be considered seclusion as defined in the Mental Health and |
| 18 | | Developmental Disabilities Code. |
| 19 | | The facility director of the Chester Mental Health Center |
| 20 | | may authorize the temporary use of handcuffs on a recipient |
| 21 | | for a period not to exceed 10 minutes when necessary in the |
| 22 | | course of transport of the recipient within the facility to |
| 23 | | maintain custody or security. Use of handcuffs is subject to |
| 24 | | the provisions of Section 2-108 of the Mental Health and |
| 25 | | Developmental Disabilities Code. The facility shall keep a |
| 26 | | monthly record listing each instance in which handcuffs are |
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| 1 | | used, circumstances indicating the need for use of handcuffs, |
| 2 | | and time of application of handcuffs and time of release |
| 3 | | therefrom. The facility director shall allow the Department of |
| 4 | | Disability Advocacy and Illinois Guardianship and Advocacy |
| 5 | | Commission, the agency designated by the Governor under |
| 6 | | Section 1 of the Protection and Advocacy for Persons with |
| 7 | | Developmental Disabilities Act, and the Department to examine |
| 8 | | and copy such record upon request. |
| 9 | | The facility director of the Chester Mental Health Center |
| 10 | | may authorize the temporary use of transport devices on a |
| 11 | | civil recipient when necessary in the course of transport of |
| 12 | | the civil recipient outside the facility to maintain custody |
| 13 | | or security. The decision whether to use any transport devices |
| 14 | | shall be reviewed and approved on an individualized basis by a |
| 15 | | physician, an advanced practice registered nurse, or a |
| 16 | | physician assistant based upon a determination of the civil |
| 17 | | recipient's: (1) history of violence, (2) history of violence |
| 18 | | during transports, (3) history of escapes and escape attempts, |
| 19 | | (4) history of trauma, (5) history of incidents of restraint |
| 20 | | or seclusion and use of involuntary medication, (6) current |
| 21 | | functioning level and medical status, and (7) prior experience |
| 22 | | during similar transports, and the length, duration, and |
| 23 | | purpose of the transport. The least restrictive transport |
| 24 | | device consistent with the individual's need shall be used. |
| 25 | | Staff transporting the individual shall be trained in the use |
| 26 | | of the transport devices, recognizing and responding to a |
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| 1 | | person in distress, and shall observe and monitor the |
| 2 | | individual while being transported. The facility shall keep a |
| 3 | | monthly record listing all transports, including those |
| 4 | | transports for which use of transport devices was not sought, |
| 5 | | those for which use of transport devices was sought but |
| 6 | | denied, and each instance in which transport devices are used, |
| 7 | | circumstances indicating the need for use of transport |
| 8 | | devices, time of application of transport devices, time of |
| 9 | | release from those devices, and any adverse events. The |
| 10 | | facility director shall allow the Department of Disability |
| 11 | | Advocacy and Illinois Guardianship and Advocacy Commission, |
| 12 | | the agency designated by the Governor under Section 1 of the |
| 13 | | Protection and Advocacy for Persons with Developmental |
| 14 | | Disabilities Act, and the Department to examine and copy the |
| 15 | | record upon request. This use of transport devices shall not |
| 16 | | be considered restraint as defined in the Mental Health and |
| 17 | | Developmental Disabilities Code. For the purpose of this |
| 18 | | Section "transport device" means ankle cuffs, handcuffs, waist |
| 19 | | chains or wrist-waist devices designed to restrict an |
| 20 | | individual's range of motion while being transported. These |
| 21 | | devices must be approved by the Division of Mental Health, |
| 22 | | used in accordance with the manufacturer's instructions, and |
| 23 | | used only by qualified staff members who have completed all |
| 24 | | training required to be eligible to transport patients and all |
| 25 | | other required training relating to the safe use and |
| 26 | | application of transport devices, including recognizing and |
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| 1 | | responding to signs of distress in an individual whose |
| 2 | | movement is being restricted by a transport device. |
| 3 | | If and when it shall appear to the satisfaction of the |
| 4 | | Department that any person confined in the Chester Mental |
| 5 | | Health Center is not or has ceased to be such a source of |
| 6 | | danger to the public as to require his subjection to the |
| 7 | | regimen of the center, the Department is hereby authorized to |
| 8 | | transfer such person to any State facility for treatment of |
| 9 | | persons with mental illness or habilitation of persons with |
| 10 | | developmental disabilities, as the nature of the individual |
| 11 | | case may require. |
| 12 | | Subject to the provisions of this Section, the Department, |
| 13 | | except where otherwise provided by law, shall, with respect to |
| 14 | | the management, conduct and control of the Chester Mental |
| 15 | | Health Center and the discipline, custody and treatment of the |
| 16 | | persons confined therein, have and exercise the same rights |
| 17 | | and powers as are vested by law in the Department with respect |
| 18 | | to any and all of the State facilities for treatment of persons |
| 19 | | with mental illness or habilitation of persons with |
| 20 | | developmental disabilities, and the recipients thereof, and |
| 21 | | shall be subject to the same duties as are imposed by law upon |
| 22 | | the Department with respect to such facilities and the |
| 23 | | recipients thereof. |
| 24 | | The Department may elect to place persons who have been |
| 25 | | ordered by the court to be detained under the Sexually Violent |
| 26 | | Persons Commitment Act in a distinct portion of the Chester |
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| 1 | | Mental Health Center. The persons so placed shall be separated |
| 2 | | and shall not comingle with the recipients of the Chester |
| 3 | | Mental Health Center. The portion of Chester Mental Health |
| 4 | | Center that is used for the persons detained under the |
| 5 | | Sexually Violent Persons Commitment Act shall not be a part of |
| 6 | | the mental health facility for the enforcement and |
| 7 | | implementation of the Mental Health and Developmental |
| 8 | | Disabilities Code nor shall their care and treatment be |
| 9 | | subject to the provisions of the Mental Health and |
| 10 | | Developmental Disabilities Code. The changes added to this |
| 11 | | Section by this amendatory Act of the 98th General Assembly |
| 12 | | are inoperative on and after June 30, 2015. |
| 13 | | (Source: P.A. 99-143, eff. 7-27-15; 99-581, eff. 1-1-17; |
| 14 | | 100-513, eff. 1-1-18.) |
| 15 | | Section 30. The Guardianship and Advocacy Act is amended |
| 16 | | by changing the title of the Act and Sections 2, 3, 4, 5, 6, 7, |
| 17 | | 8, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, |
| 18 | | 25, 26, 27, 28, 30, 31, 32, 33.5, 34, and 36 and by adding |
| 19 | | Section 34.5 as follows: |
| 20 | | (20 ILCS 3955/Act title) |
| 21 | | An Act concerning the Department of Disability Advocacy |
| 22 | | and Guardianship, created to safeguard the rights of and |
| 23 | | advocate for persons with disabilities to create the |
| 24 | | Guardianship and Advocacy Commission, to safeguard the rights |
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| 1 | | and to provide legal counsel and representation for eligible |
| 2 | | persons and to create the Office of State Guardian for persons |
| 3 | | with 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 |
| 6 | | otherwise: |
| 7 | | "Advisory Council" means the Disability Advocacy and |
| 8 | | Guardianship Advisory Council created by Section 5-543 of the |
| 9 | | Civil Administrative Code of Illinois. |
| 10 | | (a) "Authority" means a Human Rights Authority. |
| 11 | | (b) "Department Commission" means the Department of |
| 12 | | Disability Advocacy and Guardianship and Advocacy Commission. |
| 13 | | (c) "Director" means the Director of the Department |
| 14 | | Guardianship and Advocacy Commission. |
| 15 | | (d) "Guardian" means a court-appointed court appointed |
| 16 | | guardian for an adult or conservator. |
| 17 | | (e) "Services" includes but is not limited to examination, |
| 18 | | diagnosis, evaluation, treatment, care, training, |
| 19 | | psychotherapy, pharmaceuticals, after-care, habilitation, and |
| 20 | | rehabilitation provided for an eligible person. |
| 21 | | (f) "Person" means an individual, corporation, |
| 22 | | partnership, association, unincorporated organization, or a |
| 23 | | government or any subdivision, agency, or instrumentality |
| 24 | | thereof. |
| 25 | | (g) "Eligible persons" means individuals who have |
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| 1 | | received, are receiving, have requested, or may be in need of |
| 2 | | mental health services, or are "persons with a "developmental |
| 3 | | disability" as defined in the federal Developmental |
| 4 | | Disabilities Assistance and Bill of Rights Act of 2000 (42 |
| 5 | | U.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 |
| 8 | | Rehabilitation of Persons with Disabilities Act. |
| 9 | | "Regional board" means a regional board of the Division of |
| 10 | | Disability Rights and Protections. |
| 11 | | (h) "Rights" includes but is not limited to all rights, |
| 12 | | benefits, and privileges guaranteed by law, the Constitution |
| 13 | | of the State of Illinois, and the Constitution of the United |
| 14 | | States. |
| 15 | | (i) "Legal Advocacy Service attorney" means an attorney |
| 16 | | employed by or under contract with the Division of Legal |
| 17 | | Advocacy Service. |
| 18 | | (j) "Service provider" means any public or private |
| 19 | | facility, center, hospital, clinic, program, or any other |
| 20 | | person devoted in whole or in part to providing services to |
| 21 | | eligible persons. |
| 22 | | (k) "State Guardian" means the Division Office of State |
| 23 | | Guardian. |
| 24 | | (l) "Ward" means a ward as defined by the Probate Act of |
| 25 | | 1975, as now or hereafter amended, who is at least 18 years of |
| 26 | | age. |
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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 |
| 4 | | Guardianship and Advocacy Commission is hereby created as an |
| 5 | | executive agency of state government. The Division of Legal |
| 6 | | Advocacy Service, the Division of Disability Rights and |
| 7 | | Protections, Human Rights Authority and the Division Office of |
| 8 | | State Guardian shall be established as divisions of the |
| 9 | | Department 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 |
| 13 | | of 11 members, one of whom shall be a senior citizen age 60 or |
| 14 | | over, who shall be appointed by the Governor, with the advice |
| 15 | | and consent of the Senate, taking into account the |
| 16 | | requirements of State and federal statutes. At least one |
| 17 | | member of the Advisory Council shall be a senior citizen age 60 |
| 18 | | or older. At least one member shall be a person with one or |
| 19 | | more disabilities or members of their families who receive |
| 20 | | services and support as required under Section 15 of the |
| 21 | | Persons with Disabilities on State Agency Boards Act. All |
| 22 | | appointments shall be filed with the Secretary of State by the |
| 23 | | appointing authority , with the advice and consent of the |
| 24 | | Senate. |
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| 1 | | All appointments shall be filed with the Secretary of |
| 2 | | State by the appointing authority. |
| 3 | | (b) The terms of the original members of the Advisory |
| 4 | | Council shall be the immediate former members of the |
| 5 | | Guardianship and Advocacy Commission serving an unexpired term |
| 6 | | on the Guardianship and Advocacy Commission on the day before |
| 7 | | the effective date of this amendatory Act of the 104th General |
| 8 | | Assembly, who shall continue to serve out their immediate |
| 9 | | terms on the Advisory Council and may serve up to 2 full |
| 10 | | consecutive terms thereafter. Any terms as a member of the |
| 11 | | Guardianship and Advocacy Commission immediately preceding the |
| 12 | | creation of the Department shall be considered in determining |
| 13 | | term limits. The terms shall be 3 years beginning on July 1, |
| 14 | | with each member serving no more than 2 full consecutive |
| 15 | | terms. All terms shall continue until a successor is appointed |
| 16 | | 3 one year terms, 3 two year terms, and 3 three year terms, all |
| 17 | | terms to continue until a successor is appointed and |
| 18 | | qualified. The length of the terms of the original members |
| 19 | | shall be drawn by lot of the first meeting held by the |
| 20 | | Commission. The members first appointed under this amendatory |
| 21 | | Act of 1984 shall serve for a term of 3 years. Thereafter all |
| 22 | | terms shall be for 3 years, with each member serving no more |
| 23 | | than 2 consecutive terms. Vacancies in the membership are to |
| 24 | | be filled in the same manner as original appointments. |
| 25 | | Appointments to fill vacancies occurring before the expiration |
| 26 | | of a term are for the remainder of the unexpired term. A member |
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| 1 | | of the Commission shall serve for a term ending on June 30 and |
| 2 | | until his successor is appointed and qualified. |
| 3 | | (c) The Advisory Council Commission shall annually elect a |
| 4 | | Chair and a Vice-Chair Chairman and any other officers it |
| 5 | | deems necessary. The Advisory Council Commission shall meet at |
| 6 | | least once every 3 times annually. A majority of the members of |
| 7 | | the Advisory Council, excluding vacancies, constitutes a |
| 8 | | quorum months with the times and places of meetings determined |
| 9 | | by the Chairman. Additional meetings may be called by the |
| 10 | | Chairman upon written notice 7 days before the meeting or by |
| 11 | | written petition of 5 members to the Chairman. Six members of |
| 12 | | the Commission constitute a quorum. |
| 13 | | (d) Members of the Advisory Council Commission are not |
| 14 | | entitled to compensation but shall receive reimbursement for |
| 15 | | actual expenses incurred in the performance of their duties. |
| 16 | | (e) The Advisory Council shall advise and make |
| 17 | | recommendations to the Department for the development of |
| 18 | | policies and operations that will aid in carrying out the |
| 19 | | purposes 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 |
| 23 | | throughout the State such regions as it considers appropriate |
| 24 | | to effectuate the purposes of the Division of Disability |
| 25 | | Rights and Protections Authority under this Act, taking into |
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| 1 | | account the requirements of State and federal statutes; |
| 2 | | population; civic, health and social service boundaries; and |
| 3 | | other pertinent factors. |
| 4 | | (b) The Department may Commission shall act through its |
| 5 | | divisions as provided in this Act. |
| 6 | | (c) The Department Commission shall establish general |
| 7 | | policy guidelines for the operation of the Division of Legal |
| 8 | | Advocacy Service, the Division of Disability Human Rights and |
| 9 | | Protections, Authority and the Division of State Guardian in |
| 10 | | furtherance of this Act. The policy guidelines shall ensure |
| 11 | | that each division makes decisions with an appropriate level |
| 12 | | of independence. Any action taken by a regional board |
| 13 | | authority is subject to the review and approval of the |
| 14 | | Director Commission. The Director Commission, acting on a |
| 15 | | request from the Director, may disapprove any action of a |
| 16 | | regional board authority, in which case the regional board |
| 17 | | authority shall cease such action. |
| 18 | | (d) The Director Commission shall hire a Director and |
| 19 | | staff to carry out the powers and duties of the Department |
| 20 | | Commission and its divisions pursuant to this Act and the |
| 21 | | rules and regulations promulgated by the Department |
| 22 | | Commission. All staff, other than the Director, shall be |
| 23 | | subject to the Personnel Code. |
| 24 | | (e) (Blank). The Commission shall review and evaluate the |
| 25 | | operations of the divisions. |
| 26 | | (f) The Department Commission shall operate subject to the |
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| 1 | | provisions of the Illinois Procurement Code. |
| 2 | | (g) The Department Commission shall prepare its budget. |
| 3 | | (h) The Department Commission shall prepare an annual |
| 4 | | report on its operations and submit the report to the Governor |
| 5 | | and the General Assembly. |
| 6 | | The requirement for reporting to the General Assembly |
| 7 | | shall be satisfied by filing copies of the report as required |
| 8 | | by Section 3.1 of the General Assembly Organization Act, and |
| 9 | | filing such additional copies with the State Government Report |
| 10 | | Distribution Center for the General Assembly as is required |
| 11 | | under paragraph (t) of Section 7 of the State Library Act. |
| 12 | | (i) The Department Commission shall establish rules and |
| 13 | | regulations for the conduct of the work of its divisions, |
| 14 | | including rules and regulations for the Division of Legal |
| 15 | | Advocacy Service and the Division of State Guardian in |
| 16 | | evaluating an eligible person's or ward's financial resources |
| 17 | | for the purpose of determining whether the eligible person or |
| 18 | | ward has the ability to pay for legal or guardianship services |
| 19 | | received. The determination of the eligible person's financial |
| 20 | | ability to pay for legal services shall be based upon the |
| 21 | | number of dependents in the eligible person's family unit and |
| 22 | | the income, liquid assets and necessary expenses, as |
| 23 | | prescribed by rule of the Department Commission of: (1) the |
| 24 | | eligible person; (2) the eligible person's spouse; and (3) the |
| 25 | | parents of minor eligible persons. The determination of a |
| 26 | | ward's ability to pay for guardianship services shall be based |
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| 1 | | upon the ward's estate. An eligible person or ward found to |
| 2 | | have sufficient financial resources shall be required to pay |
| 3 | | the Department Commission in accordance with standards |
| 4 | | established by the Department Commission. No fees may be |
| 5 | | charged for legal services given unless the eligible person is |
| 6 | | given notice at the start of such services that such fees might |
| 7 | | be charged. No fees may be charged for guardianship services |
| 8 | | given unless the ward is given notice of the request for fees |
| 9 | | filed with the probate court and the court approves the amount |
| 10 | | of fees to be assessed. All fees collected shall be deposited |
| 11 | | with the State Treasurer and placed in the Guardianship and |
| 12 | | Advocacy Fund. The Department Commission shall establish rules |
| 13 | | and regulations regarding the procedures of appeal for clients |
| 14 | | prior to termination or suspension of legal services. Such |
| 15 | | rules and regulations shall include, but not be limited to, |
| 16 | | client notification procedures prior to the actual |
| 17 | | termination, the scope of issues subject to appeal, and |
| 18 | | procedures specifying when a final administrative decision is |
| 19 | | made. |
| 20 | | (j) The Department Commission shall take such actions as |
| 21 | | it deems necessary and appropriate to receive private, federal |
| 22 | | and other public funds to help support the divisions and to |
| 23 | | safeguard the rights of eligible persons. Private funds and |
| 24 | | property may be accepted, held, maintained, administered and |
| 25 | | disposed of by the Department Commission, as trustee, for such |
| 26 | | purposes for the benefit of the People of the State of Illinois |
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| 1 | | pursuant to the terms of the instrument granting the funds or |
| 2 | | property to the Department Commission. |
| 3 | | (k) The Department Commission may expend funds under the |
| 4 | | State's plan to protect and advocate the rights of persons |
| 5 | | with a developmental disability established under the federal |
| 6 | | Developmental Disabilities Assistance and Bill of Rights Act |
| 7 | | of 2000 Services and Facilities Construction Act (Public Law |
| 8 | | 94-103, Title II). If the Governor designates the Department |
| 9 | | Commission to be the organization or agency to provide the |
| 10 | | services called for in the State plan, the Department |
| 11 | | Commission shall make these protection and advocacy services |
| 12 | | available to persons with a developmental disability by |
| 13 | | referral or by contracting for these services to the extent |
| 14 | | practicable. If the Department Commission is unable to so make |
| 15 | | available such protection and advocacy services, it shall |
| 16 | | provide them through persons in its own employ. |
| 17 | | (l) The Department Commission shall, to the extent funds |
| 18 | | are available, monitor issues concerning the rights of |
| 19 | | eligible persons and the care and treatment provided to those |
| 20 | | persons, including but not limited to the incidence of abuse |
| 21 | | or neglect of eligible persons. For purposes of that |
| 22 | | monitoring the Department Commission shall have access to |
| 23 | | reports of suspected abuse or neglect and information |
| 24 | | regarding the disposition of such reports, subject to the |
| 25 | | provisions of the Mental Health and Developmental Disabilities |
| 26 | | Confidentiality Act. |
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| 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 |
| 4 | | State agency or service provider regulations or procedures for |
| 5 | | the purpose of safeguarding the rights of eligible persons. |
| 6 | | The State agency or service provider shall notify the |
| 7 | | Department Commission, within 60 days of the receipt of the |
| 8 | | recommendations, of the action taken thereon and the reason |
| 9 | | therefor. The Department Commission shall not make |
| 10 | | recommendations that which interfere with the proper practice |
| 11 | | of medical or other professions. |
| 12 | | (b) The Department Commission may recommend to the General |
| 13 | | Assembly legislation for the purpose of safeguarding the |
| 14 | | rights of eligible persons. |
| 15 | | (c) The Department Commission may take any other action as |
| 16 | | may 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, |
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| 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 |
| 16 | | Department any of the duties described in Section 7 of this |
| 17 | | Act. shall: |
| 18 | | (1) Organize and administer programs to provide legal |
| 19 | | counsel and representation for eligible persons so as to |
| 20 | | ensure that their legal rights are protected; |
| 21 | | (2) Examine and delineate the needs of eligible persons |
| 22 | | for legal counsel and representation and the resources |
| 23 | | necessary to meet those needs, subject to the approval of the |
| 24 | | Commission; and |
| 25 | | (3) Institute or cause to be instituted such legal |
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| 1 | | proceedings as may be necessary to enforce and give effect to |
| 2 | | any 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 |
| 7 | | judicial proceedings arising out of the "Mental Health and |
| 8 | | Developmental Disabilities Code", enacted by the Eightieth |
| 9 | | General Assembly, as now or hereafter amended, including but |
| 10 | | not limited to admission, civil commitment, involuntary |
| 11 | | treatment, legal competency and discharge; |
| 12 | | (2) Make available or provide legal counsel and |
| 13 | | representation to eligible persons to enforce rights or duties |
| 14 | | arising out of any mental health or related laws, local, State |
| 15 | | or 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 |
| 19 | | available counsel for eligible persons by referral or by |
| 20 | | contracting for legal services to the extent practicable. The |
| 21 | | Division of Legal Advocacy Service shall make a good faith |
| 22 | | effort to assist eligible persons to engage private counsel, |
| 23 | | and to contact private counsel for eligible persons whose |
| 24 | | disabilities limit their capacity to independently contact |
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| 1 | | private counsel. If the Division of Legal Advocacy Service is |
| 2 | | unable to so make available counsel, it shall provide |
| 3 | | attorneys in its own employ. Taking into consideration the |
| 4 | | availability of private counsel in the eligible person's local |
| 5 | | area, the Department Commission shall establish, by rule, the |
| 6 | | standards and procedures by which it will attempt to assist |
| 7 | | eligible 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 |
| 12 | | records pertaining to his client, as provided in the "Mental |
| 13 | | Health and Developmental Disabilities Confidentiality Act", |
| 14 | | enacted by the Eightieth General Assembly, as now or hereafter |
| 15 | | amended, and such other records to which he is permitted |
| 16 | | access; and |
| 17 | | (2) have the opportunity to consult with his client |
| 18 | | whenever necessary for the performance of his duties. Service |
| 19 | | providers shall provide adequate space and privacy for the |
| 20 | | purpose of attorney-client consultation. No attorney shall |
| 21 | | have the right to visit eligible persons or look at their |
| 22 | | records for the purpose of soliciting cases for |
| 23 | | representation. |
| 24 | | (Source: P.A. 80-1487.) |
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| 1 | | (20 ILCS 3955/13) (from Ch. 91 1/2, par. 713) |
| 2 | | Sec. 13. Nothing in this Act shall be construed to |
| 3 | | prohibit an eligible person from being represented by |
| 4 | | privately retained counsel or from waiving his right to an |
| 5 | | attorney in proceedings under the "Mental Health and |
| 6 | | Developmental Disabilities Code", approved by the Eightieth |
| 7 | | General Assembly, as now or hereafter amended, or as otherwise |
| 8 | | provided by law. If a Legal Advocacy Service attorney has been |
| 9 | | appointed by a court and the eligible person secures his own |
| 10 | | counsel or is permitted to self-represent, the court shall |
| 11 | | discharge 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 |
| 15 | | least 7 members and no more than 9 members appointed by the |
| 16 | | Director, in accordance with this Section. Each regional board |
| 17 | | authority shall include insofar as possible one professionally |
| 18 | | knowledgeable and broadly experienced employee or officer of a |
| 19 | | provider of each of the following services: mental health, |
| 20 | | developmental disabilities, and vocational rehabilitation. No |
| 21 | | other employee or officer of a service provider shall be |
| 22 | | appointed to a regional board authority. In making |
| 23 | | appointments, the Director shall strive to ensure |
| 24 | | representation of minority groups and of eligible persons, and |
| 25 | | shall give due consideration to recommendations of persons and |
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| 1 | | groups assisting eligible persons. The Director may remove for |
| 2 | | incompetence, neglect of duty, or malfeasance in office any |
| 3 | | member of a regional board authority. Each member of a |
| 4 | | regional board shall become a member of a regional board while |
| 5 | | retaining the existing end date of the member's current term. |
| 6 | | All terms shall be for 3 years, with each member serving no |
| 7 | | more than 2 consecutive terms, including terms as a member of a |
| 8 | | regional authority of the Guardianship and Advocacy Commission |
| 9 | | immediately preceding the creation of the Department. No |
| 10 | | member shall serve for more than 2 full consecutive 3-year |
| 11 | | terms. A quorum shall consist of a majority of appointed |
| 12 | | members, excluding vacancies All actions taken by the Director |
| 13 | | to appoint or remove members shall be reported to the |
| 14 | | Commission at the next scheduled Commission meeting. |
| 15 | | Each regional board authority shall annually elect a Chair |
| 16 | | chairman and any other officers it deems necessary. Members of |
| 17 | | the regional authorities shall serve for a term of 3 years, |
| 18 | | except that the terms of the first appointees shall be as |
| 19 | | follows: 3 members serving for a 1 year term; 3 members serving |
| 20 | | for a 2 year term; and 3 members serving for a 3 year term. |
| 21 | | Assignment of terms of such first appointees shall be by lot. |
| 22 | | No member shall serve for more than 2 consecutive 3 year terms. |
| 23 | | A quorum shall consist of a majority of appointed members. |
| 24 | | Vacancies in the regional board authorities shall be |
| 25 | | filled by the Director. Appointments to fill vacancies |
| 26 | | occurring before the expiration of a term are for the |
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| 1 | | remainder of the unexpired term in the same manner as original |
| 2 | | appointments. |
| 3 | | Members of the regional board authorities shall serve |
| 4 | | without compensation but shall be reimbursed for actual |
| 5 | | expenses incurred in the performance of their duties. |
| 6 | | Each regional board authority shall meet not less than |
| 7 | | once every 2 months. Meetings may also be held upon call of the |
| 8 | | Regional Chair Chairman or upon written request of a majority |
| 9 | | of the appointed any 5 members of the regional board, |
| 10 | | excluding 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 |
| 14 | | complaint alleging that the rights of an eligible person have |
| 15 | | been violated in the region in which the regional board |
| 16 | | authority sits, shall conduct an investigation unless it |
| 17 | | determines that the complaint is frivolous or beyond the scope |
| 18 | | of its authority or competence, or unless the Director finds |
| 19 | | that a conflict of interest exists and directs another |
| 20 | | regional board authority to conduct the investigation. The |
| 21 | | regional board authority shall inform the complainant of |
| 22 | | whether it will conduct an investigation, and if not, the |
| 23 | | reason therefor. The regional board authority may advise a |
| 24 | | complainant as to other remedies which may be available. |
| 25 | | Reassignments of investigations for conflicts of interest and |
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| 1 | | refusals to investigate shall be reviewed and approved by the |
| 2 | | Director and the Director may seek direction from the |
| 3 | | Commission. |
| 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 |
| 7 | | investigations upon its own initiative if it has reason to |
| 8 | | believe that the rights of an eligible person have been |
| 9 | | violated in the region in which the regional board authority |
| 10 | | sits, unless the Director finds that a conflict of interest |
| 11 | | exists and directs another regional board authority to conduct |
| 12 | | the 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 |
| 16 | | board authority may enter and inspect the premises of a |
| 17 | | service provider or State agency and question privately any |
| 18 | | person therein within reasonable limits and in a reasonable |
| 19 | | manner. Whenever possible, prior notice shall be given the |
| 20 | | parties regarding the nature, location, and persons involved |
| 21 | | in a particular investigation. |
| 22 | | (Source: P.A. 80-1416.) |
| 23 | | (20 ILCS 3955/18) (from Ch. 91 1/2, par. 718) |
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| 1 | | Sec. 18. In the course of an investigation, a regional |
| 2 | | board authority may inspect and copy any materials relevant to |
| 3 | | the investigation in the possession of a service provider or |
| 4 | | state agency. However, a regional board authority may not |
| 5 | | inspect or copy materials containing personally identifiable |
| 6 | | data which cannot can not be removed without imposing an |
| 7 | | unreasonable burden on the service provider or State agency, |
| 8 | | except as provided herein. The regional board authority shall |
| 9 | | give written notice to the person entitled to give consent for |
| 10 | | the identifiable eligible person under Section 5 of the |
| 11 | | "Mental Health and Developmental Disabilities Confidentiality |
| 12 | | Act", enacted by the Eightieth General Assembly, as now or |
| 13 | | hereafter amended, or under any other relevant law, that it is |
| 14 | | conducting an investigation and indicating the nature and |
| 15 | | purpose of the investigation and the need to inspect and copy |
| 16 | | materials containing data that identifies the eligible person. |
| 17 | | If the person notified objects in writing to such inspection |
| 18 | | and copying, the regional board authority may not inspect or |
| 19 | | copy such materials. The service provider or State agency may |
| 20 | | not 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 |
| 24 | | person any materials which identify an eligible person unless |
| 25 | | the eligible person or legally authorized person consents to |
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| 1 | | such disclosure, except if and to the extent that disclosure |
| 2 | | may be necessary for the appointment of a guardian for such |
| 3 | | eligible 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 |
| 7 | | and compel by subpoena the attendance and testimony of such |
| 8 | | witnesses and the production of such materials as are |
| 9 | | necessary 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 |
| 13 | | provisions of the Open Meetings Act, conduct closed meetings |
| 14 | | and hearings when necessary to ensure confidentiality or to |
| 15 | | protect the rights of any eligible person or provider of |
| 16 | | services or other person. However, it shall make public a |
| 17 | | summary of business conducted during any such meeting or |
| 18 | | hearing. Such summary shall not contain personally |
| 19 | | identifiable 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 |
| 23 | | regional board authority shall periodically inform the |
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| 1 | | complainant, or provider and any eligible person involved of |
| 2 | | the 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; |
| 11 | | it shall report its recommendations to the State agency, |
| 12 | | service provider or other person investigated. Such person |
| 13 | | investigated shall notify the regional board authority, within |
| 14 | | 30 days of the receipt of such recommendations, of the action |
| 15 | | taken 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 |
| 19 | | further action is required, it may refer a matter to the |
| 20 | | Director Commission or another division of the Department |
| 21 | | thereof, and any federal, State, or local agency, or other |
| 22 | | persons, as it may deem appropriate and as approved by the |
| 23 | | Director , as it may deem appropriate and as approved by the |
| 24 | | Director. |
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| 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 |
| 4 | | investigation, the regional board authority shall inform the |
| 5 | | complainant and the eligible person involved of the outcome of |
| 6 | | its 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 |
| 10 | | regional board authority may make public its findings and |
| 11 | | recommendations. It shall include in any such public statement |
| 12 | | any reply made by the State agency, service provider, or other |
| 13 | | person investigated that has requested that the reply be so |
| 14 | | included. The State agency, service provider, or other person |
| 15 | | investigated provider or person shall have opportunity to |
| 16 | | review and object to any proposed public findings and |
| 17 | | recommendations. If the State agency, service provider, or |
| 18 | | other person investigated requests, the objections shall be |
| 19 | | included with public findings and recommendations issued by |
| 20 | | the 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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| 1 | | the Director, propose to the Department Commission legislation |
| 2 | | for the purpose of safeguarding the rights of eligible |
| 3 | | persons. |
| 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 |
| 7 | | action as may be reasonable and appropriate to carry out the |
| 8 | | purposes 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 |
| 13 | | hereafter amended, the Division of State Guardian shall serve |
| 14 | | as guardian, either plenary or limited; temporary guardian; |
| 15 | | testamentary guardian; or successor guardian; of the person or |
| 16 | | the estate, or both, of a ward. If nomination is testamentary |
| 17 | | the Division of State Guardian shall be notified in writing at |
| 18 | | the time of the death of the testator. The Division Office of |
| 19 | | State Guardian may file a petition for its own appointment, or |
| 20 | | for the appointment of any other person, if the Division of |
| 21 | | State Guardian determines that the filing of the petition may |
| 22 | | avoid the need for State guardianship. In addition, the |
| 23 | | Division of State Guardian may assist the court, as the court |
| 24 | | may request, in proceedings for the appointment of a guardian |
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| 1 | | and in the supervision of persons and agencies which have been |
| 2 | | appointed 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 |
| 6 | | Guardian; available private guardian. |
| 7 | | (a) The Division of State Guardian shall not be appointed |
| 8 | | if another suitable person is available and willing to accept |
| 9 | | the guardianship appointment. In all cases where a court |
| 10 | | appoints the Division of State Guardian, the court shall |
| 11 | | indicate in the order appointing the guardian as a finding of |
| 12 | | fact that no other suitable and willing person could be found |
| 13 | | to accept the guardianship appointment. On and after the |
| 14 | | effective date of the this amendatory Act of the 97th General |
| 15 | | Assembly, the court shall also indicate in the order, as a |
| 16 | | finding of fact, the reasons that the Division of State |
| 17 | | Guardian appointment, rather than the appointment of another |
| 18 | | interested party, is required. This requirement shall be |
| 19 | | waived where the Division Office of State Guardian petitions |
| 20 | | for its own appointment as guardian. |
| 21 | | (b) In all cases in which the Division of State Guardian |
| 22 | | has been appointed to prior to or after the effective date of |
| 23 | | this amendatory Act of the 104th General Assembly, the |
| 24 | | Division of State Guardian shall be recognized as a division |
| 25 | | of the Department. Any reference in law, regulation, order, or |
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| 1 | | appointment to the State Guardian or Office of State Guardian |
| 2 | | as a division of the Guardianship and Advocacy Commission |
| 3 | | shall be deemed to refer to the State Guardian as a division of |
| 4 | | the Department of Disability Advocacy and Guardianship. This |
| 5 | | subsection applies retroactively and prospectively to all |
| 6 | | appointments, actions, and proceedings involving the State |
| 7 | | Guardian 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 |
| 11 | | same powers and duties as a private guardian as provided in |
| 12 | | Article XIa of the Probate Act of 1975, approved August 7, |
| 13 | | 1975. The State Guardian shall not provide direct residential |
| 14 | | services to its wards. The State Guardian shall visit and |
| 15 | | consult with its wards at least four times a year for as long |
| 16 | | as the guardianship continues. |
| 17 | | (Source: P.A. 80-1416.) |
| 18 | | (20 ILCS 3955/33.5) |
| 19 | | Sec. 33.5. Guardianship training program. The State |
| 20 | | Guardian shall provide a training program that outlines the |
| 21 | | duties and responsibilities of guardians appointed under |
| 22 | | Article XIa of the Probate Act of 1975. The training program |
| 23 | | shall be offered to courts at no cost, and shall outline the |
| 24 | | duties responsibilities of a guardian and the rights of a |
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| 1 | | person under guardianship. The training program shall have 2 |
| 2 | | components: one for guardians of the person and another for |
| 3 | | guardians of the estate. The State Guardian shall determine |
| 4 | | the content of the training. The component for guardians of |
| 5 | | the person shall include content regarding Alzheimer's disease |
| 6 | | and dementia, including, but not limited to, the following |
| 7 | | topics: effective communication strategies; best practices for |
| 8 | | interacting with people living with Alzheimer's disease or |
| 9 | | related forms of dementia; and strategies for supporting |
| 10 | | people living with Alzheimer's disease or related forms of |
| 11 | | dementia in exercising their rights. In developing the |
| 12 | | training program content, the State Guardian shall consult |
| 13 | | with the courts, State and national guardianship |
| 14 | | organizations, public guardians, advocacy organizations, and |
| 15 | | persons and family members with direct experience with adult |
| 16 | | guardianship. In the preparation and dissemination of training |
| 17 | | materials, the State Guardian shall give due consideration to |
| 18 | | making the training materials accessible to persons with |
| 19 | | disabilities. |
| 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 |
| 23 | | of a service provider, who, in good faith, files a complaint |
| 24 | | with or provides information to the Department or any of its |
| 25 | | divisions Commission or any division thereof, including |
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| 1 | | private citizens and employees of service providers, shall not |
| 2 | | be subject to any penalties, sanctions, or restrictions as a |
| 3 | | consequence of filing the complaint or providing the |
| 4 | | information. |
| 5 | | (Source: P.A. 80-1416.) |
| 6 | | (20 ILCS 3955/34.5 new) |
| 7 | | Sec. 34.5. Prohibit interference with Department. No |
| 8 | | person shall willfully interfere with the performance of a |
| 9 | | duty or the exercise of a power by the Department or an officer |
| 10 | | or 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 |
| 13 | | Commission pursuant to authority granted under this Act shall |
| 14 | | be subject to the provisions of the Illinois Administrative |
| 15 | | Procedure Act. |
| 16 | | (Source: P.A. 84-1358.) |
| 17 | | (20 ILCS 3955/35 rep.) |
| 18 | | Section 33. The Guardianship and Advocacy Act is amended |
| 19 | | by repealing Section 35. |
| 20 | | Section 35. The Persons with Disabilities on State Agency |
| 21 | | Boards 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 |
| 3 | | context requires otherwise: |
| 4 | | "Disability" means a physical or mental characteristic |
| 5 | | resulting from disease, injury, congenital condition of birth, |
| 6 | | or functional disorder, the history of such a characteristic, |
| 7 | | or the perception of such a characteristic, when the |
| 8 | | characteristic results in substantial functional limitations |
| 9 | | in 3 or more of the following areas of major life activity: |
| 10 | | self care, fine motor skills, mobility, vision, respiration, |
| 11 | | learning, work, receptive and expressive language (hearing and |
| 12 | | speaking), self direction, capacity for independent living, |
| 13 | | and 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 |
| 2 | | Section 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 |
| 5 | | Department of Disability Advocacy and Guardianship and |
| 6 | | Advocacy Commission incident to the provision of legal or |
| 7 | | guardianship services to eligible persons or wards pursuant to |
| 8 | | subsection (i) of Section 5 of the Guardianship and Advocacy |
| 9 | | Act shall be paid into the Guardianship and Advocacy Fund. |
| 10 | | Appropriations for the improvement, development, addition |
| 11 | | or expansion of legal and guardianship services for eligible |
| 12 | | persons or wards pursuant to Section 5 of the Guardianship and |
| 13 | | Advocacy Act or for the financing of any program designed to |
| 14 | | provide such improvement, development, addition or expansion |
| 15 | | of services or for expenses incurred in administering the |
| 16 | | Division of Human Rights Authority, Legal Advocacy, the |
| 17 | | Division of Disability Rights and Protections, and the |
| 18 | | Division Service and Office of State Guardian are payable from |
| 19 | | the Guardianship and Advocacy Fund. |
| 20 | | (Source: P.A. 86-448; 86-1028.) |
| 21 | | Section 50. The Public Interest Attorney Assistance Act is |
| 22 | | amended 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 |
| 3 | | a State's Attorney in Illinois or the State's Attorneys |
| 4 | | Appellate Prosecutor who is continually licensed to practice |
| 5 | | law and prosecutes or defends cases on behalf of the State or a |
| 6 | | county. |
| 7 | | "Assistant Attorney General" means a full-time employee of |
| 8 | | the Illinois Attorney General who is continually licensed to |
| 9 | | practice law and prosecutes or defends cases on behalf of the |
| 10 | | State. |
| 11 | | "Assistant Public Defender" means a full-time employee of |
| 12 | | a Public Defender in Illinois or the State Appellate Defender |
| 13 | | who is continually licensed to practice law and provides legal |
| 14 | | representation to indigent persons, as provided by statute. |
| 15 | | "Assistant public guardian" means a full-time employee of |
| 16 | | a public guardian in Illinois who is continually licensed to |
| 17 | | practice law and provides legal representation pursuant to |
| 18 | | court appointment. |
| 19 | | "Civil legal aid" means free or reduced-cost legal |
| 20 | | representation or advice to low-income clients in non-criminal |
| 21 | | matters. |
| 22 | | "Civil legal aid attorney" means an attorney who is |
| 23 | | continually licensed to practice law and is employed full time |
| 24 | | as an attorney at a civil legal aid organization in Illinois. |
| 25 | | "Civil legal aid organization" means a not-for-profit |
| 26 | | corporation in Illinois that (i) is exempt from the payment of |
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| 1 | | federal income tax pursuant to Section 501(c)(3) of the |
| 2 | | Internal Revenue Code, (ii) is established for the purpose of |
| 3 | | providing legal services that include civil legal aid, (iii) |
| 4 | | employs 2 or more full-time attorneys who are licensed to |
| 5 | | practice law in this State and who directly provide civil |
| 6 | | legal aid, and (iv) is in compliance with registration and |
| 7 | | filing requirements that are applicable under the Charitable |
| 8 | | Trust Act and the Solicitation for Charity Act. |
| 9 | | "Commission" means the Illinois Student Assistance |
| 10 | | Commission. |
| 11 | | "Committee" means the advisory committee created under |
| 12 | | Section 20 of this Act. |
| 13 | | "Eligible debt" means outstanding principal, interest, and |
| 14 | | related fees from loans obtained for undergraduate, graduate, |
| 15 | | or law school educational expenses made by government or |
| 16 | | commercial lending institutions or educational institutions. |
| 17 | | "Eligible debt" excludes loans made by a private individual or |
| 18 | | family member. |
| 19 | | "Department of Disability Advocacy and Guardianship IGAC |
| 20 | | attorney" means a full-time employee of the Department of |
| 21 | | Disability Illinois Guardianship and Advocacy and Guardianship |
| 22 | | Commission, including the Division Office of State Guardian, |
| 23 | | the Division of Legal Advocacy Service, and the Division of |
| 24 | | Disability Human Rights and Protections Authority, who is |
| 25 | | continually licensed to practice law and provides legal |
| 26 | | representation to carry out the responsibilities of the |
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| 1 | | Department of Disability Advocacy and Illinois Guardianship |
| 2 | | and Advocacy Commission. |
| 3 | | "Legislative attorney" means a full-time employee of the |
| 4 | | Illinois Senate, the Illinois House of Representatives, or the |
| 5 | | Illinois Legislative Reference Bureau who is continually |
| 6 | | licensed to practice law and provides legal advice to members |
| 7 | | of the General Assembly. |
| 8 | | "Program" means the Public Interest Attorney Loan |
| 9 | | Repayment Assistance Program. |
| 10 | | "Public interest attorney" means an attorney practicing in |
| 11 | | Illinois who is an assistant State's Attorney, assistant |
| 12 | | Public Defender, civil legal aid attorney, assistant Attorney |
| 13 | | General, assistant public guardian, Department of Disability |
| 14 | | Advocacy and Guardianship IGAC attorney, or legislative |
| 15 | | attorney. |
| 16 | | "Qualifying employer" means (i) an Illinois State's |
| 17 | | Attorney or the State's Attorneys Appellate Prosecutor, (ii) |
| 18 | | an Illinois Public Defender or the State Appellate Defender, |
| 19 | | (iii) an Illinois civil legal aid organization, (iv) the |
| 20 | | Illinois Attorney General, (v) an Illinois public guardian, |
| 21 | | (vi) the Department of Disability Advocacy and Illinois |
| 22 | | Guardianship and Advocacy Commission, (vii) the Illinois |
| 23 | | Senate, (viii) the Illinois House of Representatives, or (ix) |
| 24 | | the Illinois Legislative Reference Bureau. |
| 25 | | (Source: P.A. 96-615, eff. 1-1-10; 96-768, eff. 1-1-10.) |
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| | 10400SB3557sam001 | - 54 - | LRB104 18242 SPS 35943 a |
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| 1 | | Section 55. The Abused and Neglected Long Term Care |
| 2 | | Facility Residents Reporting Act is amended by changing |
| 3 | | Sections 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 |
| 6 | | or employee or any physician, hospital, surgeon, dentist, |
| 7 | | osteopath, chiropractor, podiatric physician, accredited |
| 8 | | religious practitioner who provides treatment by spiritual |
| 9 | | means alone through prayer in accordance with the tenets and |
| 10 | | practices of the accrediting church, coroner, social worker, |
| 11 | | social services administrator, registered nurse, law |
| 12 | | enforcement officer, field personnel of the Department of |
| 13 | | Healthcare and Family Services, field personnel of the |
| 14 | | Illinois Department of Public Health and County or Municipal |
| 15 | | Health Departments, personnel of the Department of Human |
| 16 | | Services (acting as the successor to the Department of Mental |
| 17 | | Health and Developmental Disabilities or the Department of |
| 18 | | Public Aid), personnel of the Department of Disability |
| 19 | | Advocacy and Guardianship (acting as the successor to the |
| 20 | | Guardianship and Advocacy Commission), personnel of the State |
| 21 | | Fire Marshal, local fire department inspectors or other |
| 22 | | personnel, or personnel of the Illinois Department on Aging, |
| 23 | | or its subsidiary Agencies on Aging, or employee of a facility |
| 24 | | licensed under the Assisted Living and Shared Housing Act, |
| 25 | | having reasonable cause to believe any resident with whom they |
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| 1 | | have direct contact has been subjected to abuse or neglect |
| 2 | | shall immediately report or cause a report to be made to the |
| 3 | | Department. Persons required to make reports or cause reports |
| 4 | | to be made under this Section include all employees of the |
| 5 | | State of Illinois who are involved in providing services to |
| 6 | | residents, including professionals providing medical or |
| 7 | | rehabilitation services and all other persons having direct |
| 8 | | contact with residents; and further include all employees of |
| 9 | | community service agencies who provide services to a resident |
| 10 | | of a public or private long term care facility outside of that |
| 11 | | facility. Any long term care surveyor of the Illinois |
| 12 | | Department of Public Health who has reasonable cause to |
| 13 | | believe in the course of a survey that a resident has been |
| 14 | | abused or neglected and initiates an investigation while on |
| 15 | | site at the facility shall be exempt from making a report under |
| 16 | | this Section but the results of any such investigation shall |
| 17 | | be forwarded to the central register in a manner and form |
| 18 | | described by the Department. |
| 19 | | The requirement of this Act shall not relieve any |
| 20 | | long-term long term care facility administrator, agent or |
| 21 | | employee of responsibility to report the abuse or neglect of a |
| 22 | | resident under Section 3-610 of the Nursing Home Care Act or |
| 23 | | under Section 3-610 of the ID/DD Community Care Act or under |
| 24 | | Section 3-610 of the MC/DD Act or under Section 2-107 of the |
| 25 | | Specialized Mental Health Rehabilitation Act of 2013. |
| 26 | | In addition to the above persons required to report |
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| 1 | | suspected resident abuse and neglect, any other person may |
| 2 | | make a report to the Department, or to any law enforcement |
| 3 | | officer, if such person has reasonable cause to suspect a |
| 4 | | resident has been abused or neglected. |
| 5 | | This Section also applies to residents whose death occurs |
| 6 | | from suspected abuse or neglect before being found or brought |
| 7 | | to a hospital. |
| 8 | | A person required to make reports or cause reports to be |
| 9 | | made under this Section who fails to comply with the |
| 10 | | requirements of this Section is guilty of a Class A |
| 11 | | misdemeanor. |
| 12 | | (Source: P.A. 98-104, eff. 7-22-13; 98-214, eff. 8-9-13; |
| 13 | | 98-756, 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 |
| 16 | | under this Act shall be made immediately by telephone to the |
| 17 | | Department's central register established under Section 14 on |
| 18 | | the single, State-wide, toll-free telephone number established |
| 19 | | under Section 13, or in person or by telephone through the |
| 20 | | nearest Department office. No long-term long term care |
| 21 | | facility administrator, agent or employee, or any other |
| 22 | | person, shall screen reports or otherwise withhold any reports |
| 23 | | from the Department, and no long-term long term care facility, |
| 24 | | department of State government, or other agency shall |
| 25 | | establish any rules, criteria, standards or guidelines to the |
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| 1 | | contrary. Every long-term long term care facility, department |
| 2 | | of State government and other agency whose employees are |
| 3 | | required to make or cause to be made reports under Section 4 |
| 4 | | shall notify its employees of the provisions of that Section |
| 5 | | and of this Section, and provide to the Department |
| 6 | | documentation that such notification has been given. The |
| 7 | | Department of Human Services shall train all of its mental |
| 8 | | health and developmental disabilities employees in the |
| 9 | | detection and reporting of suspected abuse and neglect of |
| 10 | | residents. Reports made to the central register through the |
| 11 | | State-wide, toll-free telephone number shall be transmitted to |
| 12 | | appropriate Department offices and municipal health |
| 13 | | departments that have responsibility for licensing long term |
| 14 | | care facilities under the Nursing Home Care Act, the |
| 15 | | Specialized Mental Health Rehabilitation Act of 2013, the |
| 16 | | ID/DD Community Care Act, or the MC/DD Act. All reports |
| 17 | | received through offices of the Department shall be forwarded |
| 18 | | to the central register, in a manner and form described by the |
| 19 | | Department. The Department shall be capable of receiving |
| 20 | | reports of suspected abuse and neglect 24 hours a day, 7 days a |
| 21 | | week. Reports shall also be made in writing deposited in the |
| 22 | | U.S. mail, postage prepaid, within 24 hours after having |
| 23 | | reasonable cause to believe that the condition of the resident |
| 24 | | resulted from abuse or neglect. Such reports may in addition |
| 25 | | be made to the local law enforcement agency in the same manner. |
| 26 | | However, in the event a report is made to the local law |
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| 1 | | enforcement agency, the reporter also shall immediately so |
| 2 | | inform the Department. The Department shall initiate an |
| 3 | | investigation of each report of resident abuse and neglect |
| 4 | | under this Act, whether oral or written, as provided for in |
| 5 | | Section 3-702 of the Nursing Home Care Act, Section 2-208 of |
| 6 | | the Specialized Mental Health Rehabilitation Act of 2013, |
| 7 | | Section 3-702 of the ID/DD Community Care Act, or Section |
| 8 | | 3-702 of the MC/DD Act, except that reports of abuse which |
| 9 | | indicate that a resident's life or safety is in imminent |
| 10 | | danger shall be investigated within 24 hours of such report. |
| 11 | | The Department may delegate to law enforcement officials or |
| 12 | | other public agencies the duty to perform such investigation. |
| 13 | | With respect to investigations of reports of suspected |
| 14 | | abuse or neglect of residents of mental health and |
| 15 | | developmental disabilities institutions under the jurisdiction |
| 16 | | of the Department of Human Services, the Department shall |
| 17 | | transmit copies of such reports to the Illinois State Police, |
| 18 | | the Department of Human Services, and the Inspector General |
| 19 | | appointed under Section 1-17 of the Department of Human |
| 20 | | Services Act. If the Department receives a report of suspected |
| 21 | | abuse or neglect of a recipient of services as defined in |
| 22 | | Section 1-123 of the Mental Health and Developmental |
| 23 | | Disabilities Code, the Department shall transmit copies of |
| 24 | | such report to the Inspector General and the Director |
| 25 | | Directors of the Disability Advocacy and Guardianship and |
| 26 | | Advocacy Commission and the agency designated by the Governor |
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| 1 | | pursuant to the Protection and Advocacy for Persons with |
| 2 | | Developmental Disabilities Act. When requested by the Director |
| 3 | | of the Disability Advocacy and Guardianship and Advocacy |
| 4 | | Commission, the agency designated by the Governor pursuant to |
| 5 | | the Protection and Advocacy for Persons with Developmental |
| 6 | | Disabilities Act, or the Department of Financial and |
| 7 | | Professional Regulation, the Department, the Department of |
| 8 | | Human Services and the Illinois State Police shall make |
| 9 | | available a copy of the final investigative report regarding |
| 10 | | investigations conducted by their respective agencies on |
| 11 | | incidents of suspected abuse or neglect of residents of mental |
| 12 | | health and developmental disabilities institutions or |
| 13 | | individuals receiving services at community agencies under the |
| 14 | | jurisdiction of the Department of Human Services. Such final |
| 15 | | investigative report shall not contain witness statements, |
| 16 | | investigation notes, draft summaries, results of lie detector |
| 17 | | tests, investigative files or other raw data which was used to |
| 18 | | compile the final investigative report. Specifically, the |
| 19 | | final investigative report of the Illinois State Police shall |
| 20 | | mean the Director's final transmittal letter. The Department |
| 21 | | of Human Services shall also make available a copy of the |
| 22 | | results of disciplinary proceedings of employees involved in |
| 23 | | incidents of abuse or neglect to the Directors. All |
| 24 | | identifiable information in reports provided shall not be |
| 25 | | further disclosed except as provided by the Mental Health and |
| 26 | | Developmental Disabilities Confidentiality Act. Nothing in |
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| 1 | | this Section is intended to limit or construe the power or |
| 2 | | authority granted to the agency designated by the Governor |
| 3 | | pursuant to the Protection and Advocacy for Persons with |
| 4 | | Developmental Disabilities Act, pursuant to any other State or |
| 5 | | federal statute. |
| 6 | | With respect to investigations of reported resident abuse |
| 7 | | or neglect, the Department shall effect with appropriate law |
| 8 | | enforcement agencies formal agreements concerning methods and |
| 9 | | procedures for the conduct of investigations into the criminal |
| 10 | | histories of any administrator, staff assistant or employee of |
| 11 | | the nursing home or other person responsible for the residents |
| 12 | | care, as well as for other residents in the nursing home who |
| 13 | | may be in a position to abuse, neglect or exploit the patient. |
| 14 | | Pursuant to the formal agreements entered into with |
| 15 | | appropriate law enforcement agencies, the Department may |
| 16 | | request information with respect to whether the person or |
| 17 | | persons set forth in this paragraph have ever been charged |
| 18 | | with a crime and if so, the disposition of those charges. |
| 19 | | Unless the criminal histories of the subjects involved crimes |
| 20 | | of violence or resident abuse or neglect, the Department shall |
| 21 | | be entitled only to information limited in scope to charges |
| 22 | | and their dispositions. In cases where prior crimes of |
| 23 | | violence or resident abuse or neglect are involved, a more |
| 24 | | detailed report can be made available to authorized |
| 25 | | representatives of the Department, pursuant to the agreements |
| 26 | | entered into with appropriate law enforcement agencies. Any |
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| 1 | | criminal charges and their disposition information obtained by |
| 2 | | the Department shall be confidential and may not be |
| 3 | | transmitted outside the Department, except as required herein, |
| 4 | | to authorized representatives or delegates of the Department, |
| 5 | | and may not be transmitted to anyone within the Department who |
| 6 | | is not duly authorized to handle resident abuse or neglect |
| 7 | | investigations. |
| 8 | | The Department shall effect formal agreements with |
| 9 | | appropriate law enforcement agencies in the various counties |
| 10 | | and communities to encourage cooperation and coordination in |
| 11 | | the handling of resident abuse or neglect cases pursuant to |
| 12 | | this Act. The Department shall adopt and implement methods and |
| 13 | | procedures to promote statewide uniformity in the handling of |
| 14 | | reports of abuse and neglect under this Act, and those methods |
| 15 | | and procedures shall be adhered to by personnel of the |
| 16 | | Department involved in such investigations and reporting. The |
| 17 | | Department shall also make information required by this Act |
| 18 | | available to authorized personnel within the Department, as |
| 19 | | well as its authorized representatives. |
| 20 | | The Department shall keep a continuing record of all |
| 21 | | reports made pursuant to this Act, including indications of |
| 22 | | the final determination of any investigation and the final |
| 23 | | disposition of all reports. |
| 24 | | The Department shall report annually to the General |
| 25 | | Assembly on the incidence of abuse and neglect of long term |
| 26 | | care facility residents, with special attention to residents |
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| 1 | | who are persons with mental disabilities. The report shall |
| 2 | | include but not be limited to data on the number and source of |
| 3 | | reports of suspected abuse or neglect filed under this Act, |
| 4 | | the nature of any injuries to residents, the final |
| 5 | | determination of investigations, the type and number of cases |
| 6 | | where abuse or neglect is determined to exist, and the final |
| 7 | | disposition of cases. |
| 8 | | (Source: P.A. 102-538, eff. 8-20-21.) |
| 9 | | Section 60. The Community Living Facilities Licensing Act |
| 10 | | is 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 |
| 13 | | promulgate rules and regulations establishing minimum |
| 14 | | standards for licensing of Community Living Facilities. These |
| 15 | | rules shall regulate: |
| 16 | | (1) The location of Community Living Facilities. These |
| 17 | | provisions shall insure that the Community Living Facilities |
| 18 | | are in appropriate neighborhoods and shall prohibit |
| 19 | | concentration of these housing programs in communities. |
| 20 | | (2) The operation and conduct of Community Living |
| 21 | | Facilities. |
| 22 | | (3) The general financial ability, competence, character |
| 23 | | and qualifications of the applicant to provide appropriate |
| 24 | | care and comply with this Act. |
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| 1 | | (4) The appropriateness, safety, cleanliness and general |
| 2 | | adequacy of the premises, including maintenance of adequate |
| 3 | | fire protection and health standards, conforming to State laws |
| 4 | | and municipal codes, to provide for the physical comfort, |
| 5 | | well-being, care and protection of the residents. |
| 6 | | (5) The number, character, training and qualifications of |
| 7 | | personnel directly responsible for the residents. |
| 8 | | (6) Provisions for food, clothing, educational |
| 9 | | opportunities, social activities, home furnishings and |
| 10 | | personal property to insure the healthy physical, emotional |
| 11 | | and mental development of residents. |
| 12 | | (7) Implementation of habilitation plans for each |
| 13 | | resident. |
| 14 | | (8) Provisions for residents to receive appropriate |
| 15 | | programming and support services commensurate with their |
| 16 | | individual needs, and to participate in decisions regarding |
| 17 | | their use of programs and support services. |
| 18 | | Such services should include educational opportunities, |
| 19 | | vocational training and other day activities aimed at |
| 20 | | promoting independence and improving basic living skills. |
| 21 | | (9) Provisions and criteria for admission, discharge and |
| 22 | | transfers at Community Living Facilities. |
| 23 | | (10) Provisions specifying the role and responsibilities |
| 24 | | of residents for upkeep of their rooms and the overall |
| 25 | | maintenance and care of the Community Living Facilities. These |
| 26 | | provisions shall allow the residents to participate in normal, |
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| 1 | | daily activities associated with community living. |
| 2 | | (11) Provisions to insure that residents are notified of |
| 3 | | their legal rights, as defined in the rules promulgated |
| 4 | | pursuant to subsection (12) of this Section and to assist them |
| 5 | | in exercising these rights. Upon admission to a Community |
| 6 | | Living Facility, residents shall be provided a copy of their |
| 7 | | rights and related rules, regulations and policies, and the |
| 8 | | name, address, and telephone number of the Department of |
| 9 | | Disability Advocacy and Guardianship and Advocacy Commission. |
| 10 | | (12) Resident rights, which shall include, but need not be |
| 11 | | limited to, those guaranteed by the "Mental Health and |
| 12 | | Developmental Disabilities Code", as amended. |
| 13 | | (13) Maintenance of records pertaining to the admission, |
| 14 | | habilitation, and discharge of residents, and to the general |
| 15 | | operation of Community Living Facilities. |
| 16 | | (Source: P.A. 82-567.) |
| 17 | | Section 65. The Nursing Home Care Act is amended by |
| 18 | | changing 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 |
| 22 | | manual method or physical or mechanical device, material, or |
| 23 | | equipment attached or adjacent to a resident's body that the |
| 24 | | resident cannot remove easily and restricts freedom of |
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| 1 | | movement or normal access to one's body, and a chemical |
| 2 | | restraint is any drug used for discipline or convenience and |
| 3 | | not required to treat medical symptoms. |
| 4 | | Devices used for positioning, including, but not limited |
| 5 | | to, bed rails and gait belts, shall not be considered to be |
| 6 | | physical restraints for purposes of this Act unless the device |
| 7 | | is used to restrain or otherwise limit the patient's freedom |
| 8 | | to move. A device used for positioning must be requested by the |
| 9 | | resident or, if the resident is unable to consent, the |
| 10 | | resident's guardian or authorized representative, or the need |
| 11 | | for that device must be physically demonstrated by the |
| 12 | | resident and documented in the resident's care plan. The |
| 13 | | physically demonstrated need of the resident for a device used |
| 14 | | for positioning must be revisited in every comprehensive |
| 15 | | assessment of the resident. |
| 16 | | The Department shall by rule, designate certain devices as |
| 17 | | restraints, including at least all those devices which have |
| 18 | | been determined to be restraints by the United States |
| 19 | | Department of Health and Human Services in interpretive |
| 20 | | guidelines issued for the purposes of administering Titles |
| 21 | | XVIII and XIX of the Social Security Act. |
| 22 | | (b) Neither restraints nor confinements shall be employed |
| 23 | | for the purpose of punishment or for the convenience of any |
| 24 | | facility personnel. No restraints or confinements shall be |
| 25 | | employed except as ordered by a physician who documents the |
| 26 | | need for such restraints or confinements in the resident's |
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| 1 | | clinical record. |
| 2 | | (c) A restraint may be used only with the informed consent |
| 3 | | of the resident, the resident's guardian, or other authorized |
| 4 | | representative. A restraint may be used only for specific |
| 5 | | periods, if it is the least restrictive means necessary to |
| 6 | | attain and maintain the resident's highest practicable |
| 7 | | physical, mental or psychosocial well-being, including brief |
| 8 | | periods of time to provide necessary life-saving treatment. A |
| 9 | | restraint may be used only after consultation with appropriate |
| 10 | | health professionals, such as occupational or physical |
| 11 | | therapists, and a trial of less restrictive measures has led |
| 12 | | to the determination that the use of less restrictive measures |
| 13 | | would not attain or maintain the resident's highest |
| 14 | | practicable physical, mental or psychosocial well-being. |
| 15 | | However, if the resident needs emergency care, restraints may |
| 16 | | be used for brief periods to permit medical treatment to |
| 17 | | proceed unless the facility has notice that the resident has |
| 18 | | previously made a valid refusal of the treatment in question. |
| 19 | | (d) A restraint may be applied only by a person trained in |
| 20 | | the application of the particular type of restraint. |
| 21 | | (e) Whenever a period of use of a restraint is initiated, |
| 22 | | the resident shall be advised of his or her right to have a |
| 23 | | person or organization of his or her choosing, including the |
| 24 | | Department of Disability Advocacy and Guardianship and |
| 25 | | Advocacy Commission, notified of the use of the restraint. A |
| 26 | | recipient who is under guardianship may request that a person |
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| 1 | | or organization of his or her choosing be notified of the |
| 2 | | restraint, whether or not the guardian approves the notice. If |
| 3 | | the resident so chooses, the facility shall make the |
| 4 | | notification within 24 hours, including any information about |
| 5 | | the period of time that the restraint is to be used. Whenever |
| 6 | | the Department of Disability Advocacy and Guardianship and |
| 7 | | Advocacy Commission is notified that a resident has been |
| 8 | | restrained, it shall contact the resident to determine the |
| 9 | | circumstances of the restraint and whether further action is |
| 10 | | warranted. |
| 11 | | (f) Whenever a restraint is used on a resident whose |
| 12 | | primary mode of communication is sign language, the resident |
| 13 | | shall be permitted to have his or her hands free from restraint |
| 14 | | for brief periods each hour, except when this freedom may |
| 15 | | result in physical harm to the resident or others. |
| 16 | | (g) The requirements of this Section are intended to |
| 17 | | control in any conflict with the requirements of Sections |
| 18 | | 1-126 and 2-108 of the Mental Health and Developmental |
| 19 | | Disabilities 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 |
| 24 | | priority, each resident, or the resident's guardian, if any, |
| 25 | | or the resident's representative, if any, or the resident's |
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| 1 | | immediate family member, if any, with a written statement |
| 2 | | explaining to the resident and to the resident's spouse (a) |
| 3 | | their spousal impoverishment rights, as defined at Section 5-4 |
| 4 | | of the Illinois Public Aid Code, and at Section 303 of Title |
| 5 | | III of the Medicare Catastrophic Coverage Act of 1988 (P.L. |
| 6 | | 100-360), (b) their obligation to comply with the asset and |
| 7 | | income disclosure requirements of Title XIX of the federal |
| 8 | | Social Security Act and the regulations duly promulgated |
| 9 | | thereunder, except that this item (b) does not apply to |
| 10 | | facilities operated by the Illinois Department of Veterans |
| 11 | | Affairs that do not participate in Medicaid, and (c) the |
| 12 | | resident's rights regarding personal funds and listing the |
| 13 | | services for which the resident will be charged. The facility |
| 14 | | shall obtain a signed acknowledgment from each resident or the |
| 15 | | resident's guardian, if any, or the resident's representative, |
| 16 | | if any, or the resident's immediate family member, if any, |
| 17 | | that such person has received the statement and understands |
| 18 | | that failure to comply with asset and income disclosure |
| 19 | | requirements may result in the denial of Medicaid eligibility. |
| 20 | | (2) May accept funds from a resident for safekeeping and |
| 21 | | managing, if it receives written authorization from, in order |
| 22 | | of priority, the resident or the resident's guardian, if any, |
| 23 | | or the resident's representative, if any, or the resident's |
| 24 | | immediate family member, if any; such authorization shall be |
| 25 | | attested to by a witness who has no pecuniary interest in the |
| 26 | | facility or its operations, and who is not connected in any way |
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| 1 | | to facility personnel or the administrator in any manner |
| 2 | | whatsoever. |
| 3 | | (3) Shall maintain and allow, in order of priority, each |
| 4 | | resident or the resident's guardian, if any, or the resident's |
| 5 | | representative, if any, or the resident's immediate family |
| 6 | | member, if any, access to a written record of all financial |
| 7 | | arrangements and transactions involving the individual |
| 8 | | resident's funds. |
| 9 | | (4) Shall provide, in order of priority, each resident, or |
| 10 | | the resident's guardian, if any, or the resident's |
| 11 | | representative, if any, or the resident's immediate family |
| 12 | | member, if any, with a written itemized statement at least |
| 13 | | quarterly, of all financial transactions involving the |
| 14 | | resident's funds. |
| 15 | | (5) Shall purchase a surety bond, or otherwise provide |
| 16 | | assurance satisfactory to the Departments of Public Health and |
| 17 | | Insurance that all residents' personal funds deposited with |
| 18 | | the facility are secure against loss, theft, and insolvency. |
| 19 | | (6) Shall keep any funds received from a resident for |
| 20 | | safekeeping in an account separate from the facility's funds, |
| 21 | | and shall at no time withdraw any part or all of such funds for |
| 22 | | any purpose other than to return the funds to the resident upon |
| 23 | | the request of the resident or any other person entitled to |
| 24 | | make such request, to pay the resident his allowance, or to |
| 25 | | make any other payment authorized by the resident or any other |
| 26 | | person entitled to make such authorization. |
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| 1 | | (7) Shall deposit any funds received from a resident in |
| 2 | | excess of $100 in an interest bearing account insured by |
| 3 | | agencies of, or corporations chartered by, the State or |
| 4 | | federal government. The account shall be in a form which |
| 5 | | clearly indicates that the facility has only a fiduciary |
| 6 | | interest in the funds and any interest from the account shall |
| 7 | | accrue to the resident. The facility may keep up to $100 of a |
| 8 | | resident's money in a non-interest bearing account or petty |
| 9 | | cash fund, to be readily available for the resident's current |
| 10 | | expenditures. |
| 11 | | (8) Shall return to the resident, or the person who |
| 12 | | executed the written authorization required in subsection (2) |
| 13 | | of this Section, upon written request, all or any part of the |
| 14 | | resident's funds given the facility for safekeeping, including |
| 15 | | the interest accrued from deposits. |
| 16 | | (9) Shall (a) place any monthly allowance to which a |
| 17 | | resident is entitled in that resident's personal account, or |
| 18 | | give it to the resident, unless the facility has written |
| 19 | | authorization from the resident or the resident's guardian or |
| 20 | | if the resident is a minor, his parent, to handle it |
| 21 | | differently, (b) take all steps necessary to ensure that a |
| 22 | | personal needs allowance that is placed in a resident's |
| 23 | | personal account is used exclusively by the resident or for |
| 24 | | the benefit of the resident, and (c) where such funds are |
| 25 | | withdrawn from the resident's personal account by any person |
| 26 | | other than the resident, require such person to whom funds |
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| 1 | | constituting any part of a resident's personal needs allowance |
| 2 | | are released, to execute an affidavit that such funds shall be |
| 3 | | used exclusively for the benefit of the resident. |
| 4 | | (10) Unless otherwise provided by State law, upon the |
| 5 | | death of a resident, shall provide the executor or |
| 6 | | administrator of the resident's estate with a complete |
| 7 | | accounting of all the resident's personal property, including |
| 8 | | any funds of the resident being held by the facility. |
| 9 | | (11) If an adult resident is incapable of managing his |
| 10 | | funds and does not have a resident's representative, guardian, |
| 11 | | or an immediate family member, shall notify the Division |
| 12 | | Office of the State Guardian of the Department of Disability |
| 13 | | Advocacy and Guardianship and Advocacy Commission. |
| 14 | | (12) If the facility is sold, shall provide the buyer with |
| 15 | | a written verification by a public accountant of all |
| 16 | | residents' monies and properties being transferred, and obtain |
| 17 | | a signed receipt from the new owner. |
| 18 | | (Source: P.A. 104-234, eff. 8-15-25.) |
| 19 | | Section 67. The Community-Integrated Living Arrangements |
| 20 | | Licensure and Certification Act is amended by changing Section |
| 21 | | 9.1 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 |
| 25 | | provided by State law, the service provider shall provide the |
| 26 | | executor or administrator of the recipient's estate with a |
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| 1 | | complete accounting of all the recipient's personal property, |
| 2 | | including any funds of the recipient being held by the service |
| 3 | | provider. |
| 4 | | (c) If a recipient changes service providers, the former |
| 5 | | service provider shall provide the new service provider with a |
| 6 | | written verification by a public accountant of all the |
| 7 | | recipient's money and property being transferred and shall |
| 8 | | obtain a signed receipt for the money and property from the new |
| 9 | | service provider upon transfer of the recipient's money and |
| 10 | | property. |
| 11 | | (d) If a service provider is sold, the service provider |
| 12 | | shall provide the new owner with a written verification by a |
| 13 | | public accountant of all the recipient's money and property |
| 14 | | being transferred and shall obtain a signed receipt for the |
| 15 | | money and property from the new owner upon transfer of the |
| 16 | | recipient'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 |
| 19 | | 2-106 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 |
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| 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 |
| 17 | | for the purpose of punishment or for the convenience of any |
| 18 | | facility personnel. No restraints or confinements shall be |
| 19 | | employed except as ordered by a physician who documents the |
| 20 | | need for such restraints or confinements in the resident's |
| 21 | | clinical record. Each facility licensed under this Act must |
| 22 | | have a written policy to address the use of restraints and |
| 23 | | seclusion. The Department shall establish by rule the |
| 24 | | provisions that the policy must include, which, to the extent |
| 25 | | practicable, should be consistent with the requirements for |
| 26 | | participation in the federal Medicare program. Each policy |
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| 1 | | shall include periodic review of the use of restraints. |
| 2 | | (c) A restraint may be used only with the informed consent |
| 3 | | of the resident, the resident's guardian, or other authorized |
| 4 | | representative. A restraint may be used only for specific |
| 5 | | periods, if it is the least restrictive means necessary to |
| 6 | | attain and maintain the resident's highest practicable |
| 7 | | physical, mental or psychosocial well-being well being, |
| 8 | | including brief periods of time to provide necessary |
| 9 | | lifesaving life saving treatment. A restraint may be used only |
| 10 | | after consultation with appropriate health professionals, such |
| 11 | | as occupational or physical therapists, and a trial of less |
| 12 | | restrictive measures has led to the determination that the use |
| 13 | | of less restrictive measures would not attain or maintain the |
| 14 | | resident's highest practicable physical, mental or |
| 15 | | psychosocial well-being well being. However, if the resident |
| 16 | | needs emergency care, restraints may be used for brief periods |
| 17 | | to permit medical treatment to proceed unless the facility has |
| 18 | | notice that the resident has previously made a valid refusal |
| 19 | | of the treatment in question. |
| 20 | | (d) A restraint may be applied only by a person trained in |
| 21 | | the application of the particular type of restraint. |
| 22 | | (e) Whenever a period of use of a restraint is initiated, |
| 23 | | the resident shall be advised of his or her right to have a |
| 24 | | person or organization of his or her choosing, including the |
| 25 | | Department of Disability Advocacy and Guardianship and |
| 26 | | Advocacy Commission, notified of the use of the restraint. A |
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| 1 | | recipient who is under guardianship may request that a person |
| 2 | | or organization of his or her choosing be notified of the |
| 3 | | restraint, whether or not the guardian approves the notice. If |
| 4 | | the resident so chooses, the facility shall make the |
| 5 | | notification within 24 hours, including any information about |
| 6 | | the period of time that the restraint is to be used. Whenever |
| 7 | | the Department of Disability Advocacy and Guardianship and |
| 8 | | Advocacy Commission is notified that a resident has been |
| 9 | | restrained, it shall contact the resident to determine the |
| 10 | | circumstances of the restraint and whether further action is |
| 11 | | warranted. |
| 12 | | (f) Whenever a restraint is used on a resident whose |
| 13 | | primary mode of communication is sign language, the resident |
| 14 | | shall be permitted to have his or her hands free from restraint |
| 15 | | for brief periods each hour, except when this freedom may |
| 16 | | result in physical harm to the resident or others. |
| 17 | | (g) The requirements of this Section are intended to |
| 18 | | control in any conflict with the requirements of Sections |
| 19 | | 1-126 and 2-108 of the Mental Health and Developmental |
| 20 | | Disabilities 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' |
| 24 | | funds, the facility: |
| 25 | | (1) Shall at the time of admission provide, in order of |
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| 1 | | priority, each resident, or the resident's guardian, if any, |
| 2 | | or the resident's representative, if any, or the resident's |
| 3 | | immediate family member, if any, with a written statement |
| 4 | | explaining to the resident and to the resident's spouse (a) |
| 5 | | their spousal impoverishment rights, as defined at Section 5-4 |
| 6 | | of the Illinois Public Aid Code, and at Section 303 of Title |
| 7 | | III of the Medicare Catastrophic Coverage Act of 1988 (P.L. |
| 8 | | 100-360), and (b) the resident's rights regarding personal |
| 9 | | funds and listing the services for which the resident will be |
| 10 | | charged. The facility shall obtain a signed acknowledgment |
| 11 | | from each resident or the resident's guardian, if any, or the |
| 12 | | resident's representative, if any, or the resident's immediate |
| 13 | | family member, if any, that such person has received the |
| 14 | | statement. |
| 15 | | (2) May accept funds from a resident for safekeeping and |
| 16 | | managing, if it receives written authorization from, in order |
| 17 | | of priority, the resident or the resident's guardian, if any, |
| 18 | | or the resident's representative, if any, or the resident's |
| 19 | | immediate family member, if any; such authorization shall be |
| 20 | | attested to by a witness who has no pecuniary interest in the |
| 21 | | facility or its operations, and who is not connected in any way |
| 22 | | to facility personnel or the administrator in any manner |
| 23 | | whatsoever. |
| 24 | | (3) Shall maintain and allow, in order of priority, each |
| 25 | | resident or the resident's guardian, if any, or the resident's |
| 26 | | representative, if any, or the resident's immediate family |
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| 1 | | member, if any, access to a written record of all financial |
| 2 | | arrangements and transactions involving the individual |
| 3 | | resident's funds. |
| 4 | | (4) Shall provide, in order of priority, each resident, or |
| 5 | | the resident's guardian, if any, or the resident's |
| 6 | | representative, if any, or the resident's immediate family |
| 7 | | member, if any, with a written itemized statement at least |
| 8 | | quarterly, of all financial transactions involving the |
| 9 | | resident's funds. |
| 10 | | (5) Shall purchase a surety bond, or otherwise provide |
| 11 | | assurance satisfactory to the Departments of Public Health and |
| 12 | | Financial and Professional Regulation that all residents' |
| 13 | | personal funds deposited with the facility are secure against |
| 14 | | loss, theft, and insolvency. |
| 15 | | (6) Shall keep any funds received from a resident for |
| 16 | | safekeeping in an account separate from the facility's funds, |
| 17 | | and shall at no time withdraw any part or all of such funds for |
| 18 | | any purpose other than to return the funds to the resident upon |
| 19 | | the request of the resident or any other person entitled to |
| 20 | | make such request, to pay the resident his or her allowance, or |
| 21 | | to make any other payment authorized by the resident or any |
| 22 | | other person entitled to make such authorization. |
| 23 | | (7) Shall deposit any funds received from a resident in |
| 24 | | excess of $100 in an interest-bearing interest bearing account |
| 25 | | insured by agencies of, or corporations chartered by, the |
| 26 | | State or federal government. The account shall be in a form |
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| 1 | | which clearly indicates that the facility has only a fiduciary |
| 2 | | interest in the funds and any interest from the account shall |
| 3 | | accrue to the resident. The facility may keep up to $100 of a |
| 4 | | resident's money in a non-interest-bearing account or petty |
| 5 | | cash fund, to be readily available for the resident's current |
| 6 | | expenditures. |
| 7 | | (8) Shall return to the resident, or the person who |
| 8 | | executed the written authorization required in subsection (2) |
| 9 | | of this Section, upon written request, all or any part of the |
| 10 | | resident's funds given the facility for safekeeping, including |
| 11 | | the interest accrued from deposits. |
| 12 | | (9) Shall (a) place any monthly allowance to which a |
| 13 | | resident is entitled in that resident's personal account, or |
| 14 | | give it to the resident, unless the facility has written |
| 15 | | authorization from the resident or the resident's guardian or |
| 16 | | if the resident is a minor, his parent, to handle it |
| 17 | | differently, (b) take all steps necessary to ensure that a |
| 18 | | personal needs allowance that is placed in a resident's |
| 19 | | personal account is used exclusively by the resident or for |
| 20 | | the benefit of the resident, and (c) where such funds are |
| 21 | | withdrawn from the resident's personal account by any person |
| 22 | | other than the resident, require such person to whom funds |
| 23 | | constituting any part of a resident's personal needs allowance |
| 24 | | are released, to execute an affidavit that such funds shall be |
| 25 | | used exclusively for the benefit of the resident. |
| 26 | | (10) Unless otherwise provided by State law, upon the |
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| 1 | | death of a resident, shall provide the executor or |
| 2 | | administrator of the resident's estate with a complete |
| 3 | | accounting of all the resident's personal property, including |
| 4 | | any funds of the resident being held by the facility. |
| 5 | | (11) If an adult resident is incapable of managing his or |
| 6 | | her funds and does not have a resident's representative, |
| 7 | | guardian, or an immediate family member, shall notify the |
| 8 | | Division Office of the State Guardian of the Department of |
| 9 | | Disability Advocacy and Guardianship and Advocacy Commission. |
| 10 | | (12) If the facility is sold, shall provide the buyer with |
| 11 | | a written verification by a public accountant of all |
| 12 | | residents' monies and properties being transferred, and obtain |
| 13 | | a 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 |
| 16 | | changing 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 |
|
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| 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 |
| 14 | | for the purpose of punishment or for the convenience of any |
| 15 | | facility personnel. No restraints or confinements shall be |
| 16 | | employed except as ordered by a physician who documents the |
| 17 | | need for such restraints or confinements in the resident's |
| 18 | | clinical record. Each facility licensed under this Act must |
| 19 | | have a written policy to address the use of restraints and |
| 20 | | seclusion. The Department shall establish by rule the |
| 21 | | provisions that the policy must include, which, to the extent |
| 22 | | practicable, should be consistent with the requirements for |
| 23 | | participation in the federal Medicare program. Each policy |
| 24 | | shall include periodic review of the use of restraints. |
| 25 | | (c) A restraint may be used only with the informed consent |
| 26 | | of the resident, the resident's guardian, or other authorized |
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| 1 | | representative. A restraint may be used only for specific |
| 2 | | periods, if it is the least restrictive means necessary to |
| 3 | | attain and maintain the resident's highest practicable |
| 4 | | physical, mental or psychosocial well-being well being, |
| 5 | | including brief periods of time to provide necessary |
| 6 | | lifesaving life saving treatment. A restraint may be used only |
| 7 | | after consultation with appropriate health professionals, such |
| 8 | | as occupational or physical therapists, and a trial of less |
| 9 | | restrictive measures has led to the determination that the use |
| 10 | | of less restrictive measures would not attain or maintain the |
| 11 | | resident's highest practicable physical, mental or |
| 12 | | psychosocial well-being well being. However, if the resident |
| 13 | | needs emergency care, restraints may be used for brief periods |
| 14 | | to permit medical treatment to proceed unless the facility has |
| 15 | | notice that the resident has previously made a valid refusal |
| 16 | | of the treatment in question. |
| 17 | | (d) A restraint may be applied only by a person trained in |
| 18 | | the application of the particular type of restraint. |
| 19 | | (e) Whenever a period of use of a restraint is initiated, |
| 20 | | the resident shall be advised of his or her right to have a |
| 21 | | person or organization of his or her choosing, including the |
| 22 | | Department of Disability Advocacy and Guardianship and |
| 23 | | Advocacy Commission, notified of the use of the restraint. A |
| 24 | | recipient who is under guardianship may request that a person |
| 25 | | or organization of his or her choosing be notified of the |
| 26 | | restraint, whether or not the guardian approves the notice. If |
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| 1 | | the resident so chooses, the facility shall make the |
| 2 | | notification within 24 hours, including any information about |
| 3 | | the period of time that the restraint is to be used. Whenever |
| 4 | | the Department of Disability Advocacy and Guardianship and |
| 5 | | Advocacy Commission is notified that a resident has been |
| 6 | | restrained, it shall contact the resident to determine the |
| 7 | | circumstances of the restraint and whether further action is |
| 8 | | warranted. |
| 9 | | (f) Whenever a restraint is used on a resident whose |
| 10 | | primary mode of communication is sign language, the resident |
| 11 | | shall be permitted to have his or her hands free from restraint |
| 12 | | for brief periods each hour, except when this freedom may |
| 13 | | result in physical harm to the resident or others. |
| 14 | | (g) The requirements of this Section are intended to |
| 15 | | control in any conflict with the requirements of Sections |
| 16 | | 1-126 and 2-108 of the Mental Health and Developmental |
| 17 | | Disabilities 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' |
| 21 | | funds, the facility: |
| 22 | | (1) Shall at the time of admission provide, in order of |
| 23 | | priority, each resident, or the resident's guardian, if any, |
| 24 | | or the resident's representative, if any, or the resident's |
| 25 | | immediate family member, if any, with a written statement |
|
| | 10400SB3557sam001 | - 86 - | LRB104 18242 SPS 35943 a |
|
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| 1 | | explaining to the resident and to the resident's spouse (a) |
| 2 | | their spousal impoverishment rights, as defined at Section 5-4 |
| 3 | | of the Illinois Public Aid Code, and at Section 303 of Title |
| 4 | | III of the Medicare Catastrophic Coverage Act of 1988 (P.L. |
| 5 | | 100-360), and (b) the resident's rights regarding personal |
| 6 | | funds and listing the services for which the resident will be |
| 7 | | charged. The facility shall obtain a signed acknowledgment |
| 8 | | from each resident or the resident's guardian, if any, or the |
| 9 | | resident's representative, if any, or the resident's immediate |
| 10 | | family member, if any, that such person has received the |
| 11 | | statement. |
| 12 | | (2) May accept funds from a resident for safekeeping and |
| 13 | | managing, if it receives written authorization from, in order |
| 14 | | of priority, the resident or the resident's guardian, if any, |
| 15 | | or the resident's representative, if any, or the resident's |
| 16 | | immediate family member, if any; such authorization shall be |
| 17 | | attested to by a witness who has no pecuniary interest in the |
| 18 | | facility or its operations, and who is not connected in any way |
| 19 | | to facility personnel or the administrator in any manner |
| 20 | | whatsoever. |
| 21 | | (3) Shall maintain and allow, in order of priority, each |
| 22 | | resident or the resident's guardian, if any, or the resident's |
| 23 | | representative, if any, or the resident's immediate family |
| 24 | | member, if any, access to a written record of all financial |
| 25 | | arrangements and transactions involving the individual |
| 26 | | resident's funds. |
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| 1 | | (4) Shall provide, in order of priority, each resident, or |
| 2 | | the resident's guardian, if any, or the resident's |
| 3 | | representative, if any, or the resident's immediate family |
| 4 | | member, if any, with a written itemized statement at least |
| 5 | | quarterly, of all financial transactions involving the |
| 6 | | resident's funds. |
| 7 | | (5) Shall purchase a surety bond, or otherwise provide |
| 8 | | assurance satisfactory to the Departments of Public Health and |
| 9 | | Financial and Professional Regulation that all residents' |
| 10 | | personal funds deposited with the facility are secure against |
| 11 | | loss, theft, and insolvency. |
| 12 | | (6) Shall keep any funds received from a resident for |
| 13 | | safekeeping in an account separate from the facility's funds, |
| 14 | | and shall at no time withdraw any part or all of such funds for |
| 15 | | any purpose other than to return the funds to the resident upon |
| 16 | | the request of the resident or any other person entitled to |
| 17 | | make such request, to pay the resident his or her allowance, or |
| 18 | | to make any other payment authorized by the resident or any |
| 19 | | other person entitled to make such authorization. |
| 20 | | (7) Shall deposit any funds received from a resident in |
| 21 | | excess of $100 in an interest-bearing interest bearing account |
| 22 | | insured by agencies of, or corporations chartered by, the |
| 23 | | State or federal government. The account shall be in a form |
| 24 | | which clearly indicates that the facility has only a fiduciary |
| 25 | | interest in the funds and any interest from the account shall |
| 26 | | accrue to the resident. The facility may keep up to $100 of a |
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| 1 | | resident's money in a non-interest-bearing account or petty |
| 2 | | cash fund, to be readily available for the resident's current |
| 3 | | expenditures. |
| 4 | | (8) Shall return to the resident, or the person who |
| 5 | | executed the written authorization required in subsection (2) |
| 6 | | of this Section, upon written request, all or any part of the |
| 7 | | resident's funds given the facility for safekeeping, including |
| 8 | | the interest accrued from deposits. |
| 9 | | (9) Shall (a) place any monthly allowance to which a |
| 10 | | resident is entitled in that resident's personal account, or |
| 11 | | give it to the resident, unless the facility has written |
| 12 | | authorization from the resident or the resident's guardian or |
| 13 | | if the resident is a minor, his parent, to handle it |
| 14 | | differently, (b) take all steps necessary to ensure that a |
| 15 | | personal needs allowance that is placed in a resident's |
| 16 | | personal account is used exclusively by the resident or for |
| 17 | | the benefit of the resident, and (c) where such funds are |
| 18 | | withdrawn from the resident's personal account by any person |
| 19 | | other than the resident, require such person to whom funds |
| 20 | | constituting any part of a resident's personal needs allowance |
| 21 | | are released, to execute an affidavit that such funds shall be |
| 22 | | used exclusively for the benefit of the resident. |
| 23 | | (10) Unless otherwise provided by State law, upon the |
| 24 | | death of a resident, shall provide the executor or |
| 25 | | administrator of the resident's estate with a complete |
| 26 | | accounting of all the resident's personal property, including |
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| 1 | | any funds of the resident being held by the facility. |
| 2 | | (11) If an adult resident is incapable of managing his or |
| 3 | | her funds and does not have a resident's representative, |
| 4 | | guardian, or an immediate family member, shall notify the |
| 5 | | Division Office of the State Guardian of the Department of |
| 6 | | Disability Advocacy and Guardianship and Advocacy Commission. |
| 7 | | (12) If the facility is sold, shall provide the buyer with |
| 8 | | a written verification by a public accountant of all |
| 9 | | residents' monies and properties being transferred, and obtain |
| 10 | | a 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 |
| 13 | | changing 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 |
| 17 | | a hospital affiliate, or a member of a hospital's medical |
| 18 | | staff, may abuse a patient in the hospital or in a facility |
| 19 | | operated by a hospital affiliate. |
| 20 | | (b) Any hospital administrator, agent, employee, or |
| 21 | | medical staff member, or an administrator, employee, or |
| 22 | | physician employed by a hospital affiliate, who has reasonable |
| 23 | | cause to believe that any patient with whom he or she has |
| 24 | | direct contact has been subjected to abuse in the hospital or |
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| 1 | | hospital affiliate shall promptly report or cause a report to |
| 2 | | be made to a designated hospital administrator responsible for |
| 3 | | providing such reports to the Department as required by this |
| 4 | | Section. |
| 5 | | (c) Retaliation against a person who lawfully and in good |
| 6 | | faith makes a report under this Section is prohibited. |
| 7 | | (d) Upon receiving a report under subsection (b) of this |
| 8 | | Section, the hospital or hospital affiliate shall submit the |
| 9 | | report to the Department within 24 hours of obtaining such |
| 10 | | report. In the event that the hospital receives multiple |
| 11 | | reports involving a single alleged instance of abuse, the |
| 12 | | hospital shall submit one report to the Department. |
| 13 | | (e) Upon receiving a report under this Section, the |
| 14 | | hospital or hospital affiliate shall promptly conduct an |
| 15 | | internal review to ensure the alleged victim's safety. |
| 16 | | Measures to protect the alleged victim shall be taken as |
| 17 | | deemed necessary by the hospital's administrator and may |
| 18 | | include, but are not limited to, removing suspected violators |
| 19 | | from further patient contact during the hospital's or hospital |
| 20 | | affiliate's internal review. If the alleged victim lacks |
| 21 | | decision-making capacity under the Health Care Surrogate Act |
| 22 | | and no health care surrogate is available, the hospital or |
| 23 | | hospital affiliate may contact the Department of Disability |
| 24 | | Advocacy and Illinois Guardianship and Advocacy Commission to |
| 25 | | determine the need for a temporary guardian of that person. |
| 26 | | (f) All internal hospital and hospital affiliate reviews |
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| 1 | | shall be conducted by a designated employee or agent who is |
| 2 | | qualified to detect abuse and is not involved in the alleged |
| 3 | | victim's treatment. All internal review findings must be |
| 4 | | documented and filed according to hospital or hospital |
| 5 | | affiliate procedures and shall be made available to the |
| 6 | | Department upon request. |
| 7 | | (g) Any other person may make a report of patient abuse to |
| 8 | | the Department if that person has reasonable cause to believe |
| 9 | | that a patient has been abused in the hospital or hospital |
| 10 | | affiliate. |
| 11 | | (h) The report required under this Section shall include: |
| 12 | | the name of the patient; the name and address of the hospital |
| 13 | | or hospital affiliate treating the patient; the age of the |
| 14 | | patient; the nature of the patient's condition, including any |
| 15 | | evidence of previous injuries or disabilities; and any other |
| 16 | | information that the reporter believes might be helpful in |
| 17 | | establishing the cause of the reported abuse and the identity |
| 18 | | of the person believed to have caused the abuse. |
| 19 | | (i) Except for willful or wanton misconduct, any |
| 20 | | individual, person, institution, or agency participating in |
| 21 | | good faith in the making of a report under this Section, or in |
| 22 | | the investigation of such a report or in making a disclosure of |
| 23 | | information concerning reports of abuse under this Section, |
| 24 | | shall have immunity from any liability, whether civil, |
| 25 | | professional, or criminal, that otherwise might result by |
| 26 | | reason of such actions. For the purpose of any proceedings, |
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| 1 | | whether civil, professional, or criminal, the good faith of |
| 2 | | any persons required to report cases of suspected abuse under |
| 3 | | this Section or who disclose information concerning reports of |
| 4 | | abuse in compliance with this Section, shall be presumed. |
| 5 | | (j) No administrator, agent, or employee of a hospital or |
| 6 | | hospital affiliate shall adopt or employ practices or |
| 7 | | procedures designed to discourage good faith reporting of |
| 8 | | patient abuse under this Section. |
| 9 | | (k) Every hospital and hospital affiliate shall ensure |
| 10 | | that all new and existing employees are trained in the |
| 11 | | detection and reporting of abuse of patients and retrained at |
| 12 | | least every 2 years thereafter. |
| 13 | | (l) The Department shall investigate each report of |
| 14 | | patient abuse made under this Section according to the |
| 15 | | procedures of the Department, except that a report of abuse |
| 16 | | which indicates that a patient's life or safety is in imminent |
| 17 | | danger shall be investigated within 24 hours of such report. |
| 18 | | Under no circumstances may a hospital's or hospital |
| 19 | | affiliate's internal review of an allegation of abuse replace |
| 20 | | an investigation of the allegation by the Department. |
| 21 | | (m) The Department shall keep a continuing record of all |
| 22 | | reports made pursuant to this Section, including indications |
| 23 | | of the final determination of any investigation and the final |
| 24 | | disposition of all reports. The Department shall inform the |
| 25 | | investigated hospital or hospital affiliate and any other |
| 26 | | person making a report under subsection (g) of its final |
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| 1 | | determination or disposition in writing. |
| 2 | | (n) The Department shall not disclose to the public any |
| 3 | | information regarding any reports and investigations under |
| 4 | | this Section unless and until the report of abuse is |
| 5 | | substantiated following a full and proper investigation. |
| 6 | | (o) All patient identifiable information in any report or |
| 7 | | investigation under this Section shall be confidential and |
| 8 | | shall not be disclosed except as authorized by this Act or |
| 9 | | other applicable law. |
| 10 | | (p) Nothing in this Section relieves a hospital or |
| 11 | | hospital affiliate administrator, employee, agent, or medical |
| 12 | | staff member from contacting appropriate law enforcement |
| 13 | | authorities as required by law. |
| 14 | | (q) Nothing in this Section shall be construed to mean |
| 15 | | that a patient is a victim of abuse because of health care |
| 16 | | services provided or not provided by health care |
| 17 | | professionals. |
| 18 | | (r) Nothing in this Section shall require a hospital or |
| 19 | | hospital affiliate, including its employees, agents, and |
| 20 | | medical staff members, to provide any services to a patient in |
| 21 | | contravention of his or her stated or implied objection |
| 22 | | thereto upon grounds that such services conflict with his or |
| 23 | | her religious beliefs or practices, nor shall such a patient |
| 24 | | be considered abused under this Section for the exercise of |
| 25 | | such beliefs or practices. |
| 26 | | (s) The Department's implementation of this Section is |
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| 1 | | subject to appropriations to the Department for that purpose. |
| 2 | | (t) As used in this Section, the following terms have the |
| 3 | | following meanings: |
| 4 | | "Abuse" means any physical or mental injury or sexual |
| 5 | | abuse intentionally inflicted by a hospital or hospital |
| 6 | | affiliate employee, agent, or medical staff member on a |
| 7 | | patient of the hospital or hospital affiliate and does not |
| 8 | | include any hospital or hospital affiliate, medical, health |
| 9 | | care, or other personal care services done in good faith in the |
| 10 | | interest of the patient according to established medical and |
| 11 | | clinical standards of care. |
| 12 | | "Hospital affiliate" has the meaning given to that term in |
| 13 | | Section 10.8. |
| 14 | | "Mental injury" means intentionally caused emotional |
| 15 | | distress in a patient from words or gestures that would be |
| 16 | | considered by a reasonable person to be humiliating, |
| 17 | | harassing, or threatening and which causes observable and |
| 18 | | substantial impairment. |
| 19 | | "Sexual abuse" means any intentional act of sexual contact |
| 20 | | or sexual penetration of a patient in the hospital. |
| 21 | | "Substantiated", with respect to a report of abuse, means |
| 22 | | that a preponderance of the evidence indicates that abuse |
| 23 | | occurred. |
| 24 | | (Source: P.A. 103-803, eff. 1-1-25.) |
| 25 | | Section 85. The Illinois Public Aid Code is amended by |
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| 1 | | changing 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 |
| 5 | | contributions in money, substance, or services from other |
| 6 | | sources, including contributions from legally responsible |
| 7 | | relatives, must be insufficient to equal the grant amount |
| 8 | | established by Department regulation for such person. In |
| 9 | | determining earned income to be taken into account, |
| 10 | | consideration shall be given to any expenses reasonably |
| 11 | | attributable to the earning of such income. If federal law or |
| 12 | | regulations permit or require exemption of earned or other |
| 13 | | income and resources, the Illinois Department shall provide by |
| 14 | | rule and regulation that the amount of income to be |
| 15 | | disregarded be increased (1) to the maximum extent so required |
| 16 | | and (2) to the maximum extent permitted by federal law or |
| 17 | | regulation in effect as of the date this amendatory Act |
| 18 | | becomes law. The Illinois Department may also provide by rule |
| 19 | | and regulation that the amount of resources to be disregarded |
| 20 | | be increased to the maximum extent so permitted or required. |
| 21 | | (b) Subject to federal approval, resources (for example, |
| 22 | | land, buildings, equipment, supplies, or tools), including |
| 23 | | farmland property and personal property used in the |
| 24 | | income-producing operations related to the farmland (for |
| 25 | | example, equipment and supplies, motor vehicles, or tools), |
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| 1 | | necessary for self-support, up to $6,000 of the person's |
| 2 | | equity in the income-producing property, provided that the |
| 3 | | property produces a net annual income of at least 6% of the |
| 4 | | excluded equity value of the property, are exempt. Equity |
| 5 | | value in excess of $6,000 shall not be excluded. If the |
| 6 | | activity produces income that is less than 6% of the exempt |
| 7 | | equity due to reasons beyond the person's control (for |
| 8 | | example, the person's illness or crop failure) and there is a |
| 9 | | reasonable expectation that the property will again produce |
| 10 | | income equal to or greater than 6% of the equity value (for |
| 11 | | example, a medical prognosis that the person is expected to |
| 12 | | respond to treatment or that drought-resistant corn will be |
| 13 | | planted), the equity value in the property up to $6,000 is |
| 14 | | exempt. If the person owns more than one piece of property and |
| 15 | | each produces income, each piece of property shall be looked |
| 16 | | at to determine whether the 6% rule is met, and then the |
| 17 | | amounts of the person's equity in all of those properties |
| 18 | | shall be totaled to determine whether the total equity is |
| 19 | | $6,000 or less. The total equity value of all properties that |
| 20 | | is exempt shall be limited to $6,000. |
| 21 | | (c) In determining the resources of an individual or any |
| 22 | | dependents, the Department shall exclude from consideration |
| 23 | | the value of funeral and burial spaces, funeral and burial |
| 24 | | insurance the proceeds of which can only be used to pay the |
| 25 | | funeral and burial expenses of the insured and funds |
| 26 | | specifically set aside for the funeral and burial arrangements |
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| 1 | | of the individual or his or her dependents, including prepaid |
| 2 | | funeral and burial plans, to the same extent that such items |
| 3 | | are excluded from consideration under the federal Supplemental |
| 4 | | Security Income program (SSI). At any time prior to or after |
| 5 | | submitting an application for medical assistance and before a |
| 6 | | final determination of eligibility has been made by the |
| 7 | | Department, an applicant may use available resources to |
| 8 | | purchase one of the prepaid funeral or burial contracts |
| 9 | | exempted under this Section. |
| 10 | | Prepaid funeral or burial contracts are exempt to the |
| 11 | | following 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 |
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| 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. |
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| 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 |
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| 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 |
| 20 | | the contrary, an irrevocable trust containing the resources of |
| 21 | | a person who is determined to have a disability shall be |
| 22 | | considered exempt from consideration. A pooled trust must be |
| 23 | | established and managed by a non-profit association that pools |
| 24 | | funds but maintains a separate account for each beneficiary. |
| 25 | | The trust may be established by the person, a parent, |
| 26 | | grandparent, legal guardian, or court. It must be established |
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| 1 | | for the sole benefit of the person and language contained in |
| 2 | | the trust shall stipulate that any amount remaining in the |
| 3 | | trust (up to the amount expended by the Department on medical |
| 4 | | assistance) that is not retained by the trust for reasonable |
| 5 | | administrative costs related to wrapping up the affairs of the |
| 6 | | subaccount shall be paid to the Department upon the death of |
| 7 | | the person. After a person reaches age 65, any funding by or on |
| 8 | | behalf of the person to the trust shall be treated as a |
| 9 | | transfer of assets for less than fair market value unless the |
| 10 | | person is a ward of a county public guardian or the Division of |
| 11 | | State Guardian pursuant to Section 13-5 of the Probate Act of |
| 12 | | 1975 or Section 30 of the Guardianship and Advocacy Act and |
| 13 | | lives in the community, or the person is a ward of a county |
| 14 | | public guardian or the Division of State Guardian pursuant to |
| 15 | | Section 13-5 of the Probate Act of 1975 or Section 30 of the |
| 16 | | Guardianship and Advocacy Act and a court has found that any |
| 17 | | expenditures from the trust will maintain or enhance the |
| 18 | | person's quality of life. If the trust contains proceeds from |
| 19 | | a personal injury settlement, any Department charge must be |
| 20 | | satisfied in order for the transfer to the trust to be treated |
| 21 | | as a transfer for fair market value. |
| 22 | | (e) The homestead shall be exempt from consideration |
| 23 | | except to the extent that it meets the income and shelter needs |
| 24 | | of the person. "Homestead" means the dwelling house and |
| 25 | | contiguous real estate owned and occupied by the person, |
| 26 | | regardless of its value. Subject to federal approval, a person |
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| 1 | | shall not be eligible for long-term care services, however, if |
| 2 | | the person's equity interest in his or her homestead exceeds |
| 3 | | the minimum home equity as allowed and increased annually |
| 4 | | under federal law. Subject to federal approval, on and after |
| 5 | | the effective date of this amendatory Act of the 97th General |
| 6 | | Assembly, homestead property transferred to a trust shall no |
| 7 | | longer be considered homestead property. |
| 8 | | (f) Occasional or irregular gifts in cash, goods or |
| 9 | | services from persons who are not legally responsible |
| 10 | | relatives which are of nominal value or which do not have |
| 11 | | significant effect in meeting essential requirements shall be |
| 12 | | disregarded. |
| 13 | | (g) The eligibility of any applicant for or recipient of |
| 14 | | public aid under this Article is not affected by the payment of |
| 15 | | any grant under the "Senior Citizens and Disabled Persons |
| 16 | | Property Tax Relief Act" or any distributions or items of |
| 17 | | income described under subparagraph (X) of paragraph (2) of |
| 18 | | subsection (a) of Section 203 of the Illinois Income Tax Act. |
| 19 | | (h) The Illinois Department may, after appropriate |
| 20 | | investigation, establish and implement a consolidated standard |
| 21 | | to determine need and eligibility for and amount of benefits |
| 22 | | under this Article or a uniform cash supplement to the federal |
| 23 | | Supplemental Security Income program for all or any part of |
| 24 | | the then current recipients under this Article; provided, |
| 25 | | however, that the establishment or implementation of such a |
| 26 | | standard or supplement shall not result in reductions in |
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| 1 | | benefits under this Article for the then current recipients of |
| 2 | | such benefits. |
| 3 | | (i) The provisions under paragraph (4) of subsection (c) |
| 4 | | are subject to federal approval. The Department of Healthcare |
| 5 | | and Family Services shall apply for any necessary federal |
| 6 | | waivers or approvals to implement by January 1, 2023 the |
| 7 | | changes made to this Section by this amendatory Act of the |
| 8 | | 102nd General Assembly. |
| 9 | | (Source: P.A. 102-959, eff. 5-27-22.) |
| 10 | | Section 90. The Adult Protective Services Act is amended |
| 11 | | by 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 |
| 14 | | context requires otherwise: |
| 15 | | (a) "Abandonment" means the desertion or willful forsaking |
| 16 | | of an eligible adult by an individual responsible for the care |
| 17 | | and custody of that eligible adult under circumstances in |
| 18 | | which a reasonable person would continue to provide care and |
| 19 | | custody. Nothing in this Act shall be construed to mean that an |
| 20 | | eligible adult is a victim of abandonment because of health |
| 21 | | care services provided or not provided by licensed health care |
| 22 | | professionals. |
| 23 | | (a-1) "Abuse" means causing any physical, mental or sexual |
| 24 | | injury to an eligible adult, including exploitation of such |
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| 1 | | adult's financial resources, and abandonment or subjecting an |
| 2 | | eligible adult to an environment which creates a likelihood of |
| 3 | | harm to the eligible adult's health, physical and emotional |
| 4 | | well-being, or welfare. |
| 5 | | Nothing in this Act shall be construed to mean that an |
| 6 | | eligible adult is a victim of abuse, abandonment, neglect, or |
| 7 | | self-neglect for the sole reason that he or she is being |
| 8 | | furnished with or relies upon treatment by spiritual means |
| 9 | | through prayer alone, in accordance with the tenets and |
| 10 | | practices of a recognized church or religious denomination. |
| 11 | | Nothing in this Act shall be construed to mean that an |
| 12 | | eligible adult is a victim of abuse because of health care |
| 13 | | services provided or not provided by licensed health care |
| 14 | | professionals. |
| 15 | | Nothing in this Act shall be construed to mean that an |
| 16 | | eligible adult is a victim of abuse in cases of criminal |
| 17 | | activity by strangers, telemarketing scams, consumer fraud, |
| 18 | | internet fraud, home repair disputes, complaints against a |
| 19 | | homeowners' association, or complaints between landlords and |
| 20 | | tenants. |
| 21 | | (a-5) "Abuser" means a person who is a family member, |
| 22 | | caregiver, or another person who has a continuing relationship |
| 23 | | with the eligible adult and abuses, abandons, neglects, or |
| 24 | | financially exploits an eligible adult. |
| 25 | | (a-6) "Adult with disabilities" means a person aged 18 |
| 26 | | through 59 who resides in a domestic living situation and |
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| 1 | | whose disability as defined in subsection (c-5) impairs his or |
| 2 | | her ability to seek or obtain protection from abuse, |
| 3 | | abandonment, neglect, or exploitation. |
| 4 | | (a-7) "Caregiver" means a person who either as a result of |
| 5 | | a family relationship, voluntarily, or in exchange for |
| 6 | | compensation has assumed responsibility for all or a portion |
| 7 | | of the care of an eligible adult who needs assistance with |
| 8 | | activities of daily living or instrumental activities of daily |
| 9 | | living. |
| 10 | | (b) "Department" means the Department on Aging of the |
| 11 | | State of Illinois. |
| 12 | | (c) "Director" means the Director of the Department. |
| 13 | | (c-5) "Disability" means a physical or mental disability, |
| 14 | | including, but not limited to, a developmental disability, an |
| 15 | | intellectual disability, a mental illness as defined under the |
| 16 | | Mental Health and Developmental Disabilities Code, or dementia |
| 17 | | as defined under the Alzheimer's Disease Assistance Act. |
| 18 | | (d) "Domestic living situation" means a residence where |
| 19 | | the eligible adult at the time of the report lives alone or |
| 20 | | with his or her family or a caregiver, or others, or other |
| 21 | | community-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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| 1 | | disabilities aged 18 through 59 or a person aged 60 or older |
| 2 | | who resides in a domestic living situation and is, or is |
| 3 | | alleged to be, abused, abandoned, neglected, or financially |
| 4 | | exploited by another individual or who neglects himself or |
| 5 | | herself. "Eligible adult" also includes an adult who resides |
| 6 | | in any of the facilities that are excluded from the definition |
| 7 | | of "domestic living situation" under paragraphs (1) through |
| 8 | | (9) of subsection (d), if either: (i) the alleged abuse, |
| 9 | | abandonment, or neglect occurs outside of the facility and not |
| 10 | | under facility supervision and the alleged abuser is a family |
| 11 | | member, caregiver, or another person who has a continuing |
| 12 | | relationship with the adult; or (ii) the alleged financial |
| 13 | | exploitation is perpetrated by a family member, caregiver, or |
| 14 | | another person who has a continuing relationship with the |
| 15 | | adult, but who is not an employee of the facility where the |
| 16 | | adult resides. |
| 17 | | (f) "Emergency" means a situation in which an eligible |
| 18 | | adult is living in conditions presenting a risk of death or |
| 19 | | physical, mental or sexual injury and the provider agency has |
| 20 | | reason to believe the eligible adult is unable to consent to |
| 21 | | services which would alleviate that risk. |
| 22 | | (f-1) "Financial exploitation" means the use of an |
| 23 | | eligible adult's resources by another to the disadvantage of |
| 24 | | that adult or the profit or advantage of a person other than |
| 25 | | that adult. |
| 26 | | (f-3) "Investment advisor" means any person required to |
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| 1 | | register as an investment adviser or investment adviser |
| 2 | | representative under Section 8 of the Illinois Securities Law |
| 3 | | of 1953, which for purposes of this Act excludes any bank, |
| 4 | | trust company, savings bank, or credit union, or their |
| 5 | | respective employees. |
| 6 | | (f-5) "Mandated reporter" means any of the following |
| 7 | | persons while engaged in carrying out their professional |
| 8 | | duties: |
| 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 |
| 18 | | provide an eligible adult with or willful withholding from an |
| 19 | | eligible adult the necessities of life including, but not |
| 20 | | limited to, food, clothing, shelter or health care. This |
| 21 | | subsection does not create any new affirmative duty to provide |
| 22 | | support to eligible adults. Nothing in this Act shall be |
| 23 | | construed to mean that an eligible adult is a victim of neglect |
| 24 | | because of health care services provided or not provided by |
| 25 | | licensed health care professionals. |
| 26 | | (h) "Provider agency" means any public or nonprofit agency |
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| 1 | | in a planning and service area that is selected by the |
| 2 | | Department or appointed by the regional administrative agency |
| 3 | | with prior approval by the Department on Aging to receive and |
| 4 | | assess reports of alleged or suspected abuse, abandonment, |
| 5 | | neglect, or financial exploitation. A provider agency is also |
| 6 | | referenced as a "designated agency" in this Act. |
| 7 | | (i) "Regional administrative agency" means any public or |
| 8 | | nonprofit agency in a planning and service area that provides |
| 9 | | regional oversight and performs functions as set forth in |
| 10 | | subsection (b) of Section 3 of this Act. The Department shall |
| 11 | | designate an Area Agency on Aging as the regional |
| 12 | | administrative agency or, in the event the Area Agency on |
| 13 | | Aging in that planning and service area is deemed by the |
| 14 | | Department to be unwilling or unable to provide those |
| 15 | | functions, the Department may serve as the regional |
| 16 | | administrative agency or designate another qualified entity to |
| 17 | | serve as the regional administrative agency; any such |
| 18 | | designation shall be subject to terms set forth by the |
| 19 | | Department. |
| 20 | | (i-5) "Self-neglect" means a condition that is the result |
| 21 | | of an eligible adult's inability, due to physical or mental |
| 22 | | impairments, or both, or a diminished capacity, to perform |
| 23 | | essential self-care tasks that substantially threaten his or |
| 24 | | her own health, including: providing essential food, clothing, |
| 25 | | shelter, and health care; and obtaining goods and services |
| 26 | | necessary to maintain physical health, mental health, |
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| 1 | | emotional well-being, and general safety. The term includes |
| 2 | | compulsive hoarding, which is characterized by the acquisition |
| 3 | | and retention of large quantities of items and materials that |
| 4 | | produce an extensively cluttered living space, which |
| 5 | | significantly impairs the performance of essential self-care |
| 6 | | tasks or otherwise substantially threatens life or safety. |
| 7 | | (j) "Substantiated case" means a reported case of alleged |
| 8 | | or suspected abuse, abandonment, neglect, financial |
| 9 | | exploitation, or self-neglect in which a provider agency, |
| 10 | | after assessment, determines that there is reason to believe |
| 11 | | abuse, abandonment, neglect, or financial exploitation has |
| 12 | | occurred. |
| 13 | | (k) "Verified" means a determination that there is "clear |
| 14 | | and convincing evidence" that the specific injury or harm |
| 15 | | alleged was the result of abuse, abandonment, neglect, or |
| 16 | | financial exploitation. |
| 17 | | (Source: P.A. 102-244, eff. 1-1-22; 102-953, eff. 5-27-22; |
| 18 | | 103-329, 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 |
| 21 | | also be responsible for the following activities, contingent |
| 22 | | upon adequate funding; implementation shall be expanded to |
| 23 | | adults with disabilities upon the effective date of this |
| 24 | | amendatory Act of the 98th General Assembly, except those |
| 25 | | responsibilities under subsection (a), which shall be |
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| 1 | | undertaken 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; |
| 17 | | 102-813, eff. 5-13-22; 103-626, eff. 1-1-25.) |
| 18 | | Section 95. The Mental Health and Developmental |
| 19 | | Disabilities Code is amended by changing Sections 2-103, |
| 20 | | 2-108, 2-109, 2-114, 2-200, 2-201, 3-206, 3-405, 3-805, 3-910, |
| 21 | | 4-201.1, 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 |
| 24 | | recipient who resides in a mental health or developmental |
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| 1 | | disabilities facility shall be permitted unimpeded, private, |
| 2 | | and uncensored communication with persons of his choice by |
| 3 | | mail, telephone and visitation. |
| 4 | | (a) The facility director shall ensure that correspondence |
| 5 | | can be conveniently received and mailed, that telephones are |
| 6 | | reasonably accessible, and that space for visits is available. |
| 7 | | Writing materials, postage and telephone usage funds shall be |
| 8 | | provided in reasonable amounts to recipients who reside in |
| 9 | | Department facilities and who are unable to procure such |
| 10 | | items. |
| 11 | | (b) Reasonable times and places for the use of telephones |
| 12 | | and for visits may be established in writing by the facility |
| 13 | | director. |
| 14 | | (c) Unimpeded, private and uncensored communication by |
| 15 | | mail, telephone, and visitation may be reasonably restricted |
| 16 | | by the facility director only in order to protect the |
| 17 | | recipient or others from harm, harassment or intimidation, |
| 18 | | provided that notice of such restriction shall be given to all |
| 19 | | recipients upon admission. When communications are restricted, |
| 20 | | the facility shall advise the recipient that he has the right |
| 21 | | to require the facility to notify the affected parties of the |
| 22 | | restriction, and to notify such affected party when the |
| 23 | | restrictions are no longer in effect. However, all letters |
| 24 | | addressed by a recipient to the Governor, members of the |
| 25 | | General Assembly, Attorney General, judges, state's attorneys, |
| 26 | | the Department of Disability Advocacy and Guardianship and |
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| 1 | | Advocacy Commission, or the Agency designated pursuant to "An |
| 2 | | Act in relation to the protection and advocacy of the rights of |
| 3 | | persons with developmental disabilities, and amending Acts |
| 4 | | therein named", approved September 20, 1985, officers of the |
| 5 | | Department, or licensed attorneys at law must be forwarded at |
| 6 | | once to the persons to whom they are addressed without |
| 7 | | examination by the facility authorities. Letters in reply from |
| 8 | | the officials and attorneys mentioned above must be delivered |
| 9 | | to the recipient without examination by the facility |
| 10 | | authorities. |
| 11 | | (d) No facility shall prevent any attorney who represents |
| 12 | | a recipient or who has been requested to do so by any relative |
| 13 | | or family member of the recipient, from visiting a recipient |
| 14 | | during normal business hours, unless that recipient refuses to |
| 15 | | meet with the attorney. |
| 16 | | (e) Whenever, as the result of the closing or the |
| 17 | | reduction in the number of units or available beds of any |
| 18 | | mental health facility operated by the Department of Human |
| 19 | | Services, the State determines to enter into a contract with |
| 20 | | any mental health facility to provide hospitalization to |
| 21 | | persons who would otherwise be served by the State-operated |
| 22 | | mental health facility, the resident shall be entitled to the |
| 23 | | same 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 |
| 2 | | as a therapeutic measure to prevent a recipient from causing |
| 3 | | physical harm to himself or physical abuse to others. |
| 4 | | Restraint may only be applied by a person who has been trained |
| 5 | | in the application of the particular type of restraint to be |
| 6 | | utilized. In no event shall restraint be utilized to punish or |
| 7 | | discipline a recipient, nor is restraint to be used as a |
| 8 | | convenience for the staff. |
| 9 | | (a) Except as provided in this Section, restraint shall be |
| 10 | | employed only upon the written order of a physician, clinical |
| 11 | | psychologist, clinical social worker, clinical professional |
| 12 | | counselor, advanced practice psychiatric nurse, or registered |
| 13 | | nurse with supervisory responsibilities. No restraint shall be |
| 14 | | ordered unless the physician, clinical psychologist, clinical |
| 15 | | social worker, clinical professional counselor, advanced |
| 16 | | practice psychiatric nurse, or registered nurse with |
| 17 | | supervisory responsibilities, after personally observing and |
| 18 | | examining the recipient, is clinically satisfied that the use |
| 19 | | of restraint is justified to prevent the recipient from |
| 20 | | causing physical harm to himself or others. In no event may |
| 21 | | restraint continue for longer than 2 hours unless within that |
| 22 | | time period a nurse with supervisory responsibilities, |
| 23 | | advanced practice psychiatric nurse, or a physician confirms, |
| 24 | | in writing, following a personal examination of the recipient, |
| 25 | | that the restraint does not pose an undue risk to the |
| 26 | | recipient's health in light of the recipient's physical or |
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| 1 | | medical condition. The order shall state the events leading up |
| 2 | | to the need for restraint and the purposes for which restraint |
| 3 | | is employed. The order shall also state the length of time |
| 4 | | restraint is to be employed and the clinical justification for |
| 5 | | that length of time. No order for restraint shall be valid for |
| 6 | | more than 16 hours. If further restraint is required, a new |
| 7 | | order must be issued pursuant to the requirements provided in |
| 8 | | this Section. |
| 9 | | (b) In the event there is an emergency requiring the |
| 10 | | immediate use of restraint, it may be ordered temporarily by a |
| 11 | | qualified person only where a physician, clinical |
| 12 | | psychologist, clinical social worker, clinical professional |
| 13 | | counselor, advanced practice psychiatric nurse, or registered |
| 14 | | nurse with supervisory responsibilities is not immediately |
| 15 | | available. In that event, an order by a nurse, clinical |
| 16 | | psychologist, clinical social worker, clinical professional |
| 17 | | counselor, advanced practice psychiatric nurse, or physician |
| 18 | | shall be obtained pursuant to the requirements of this Section |
| 19 | | as quickly as possible, and the recipient shall be examined by |
| 20 | | a physician or supervisory nurse within 2 hours after the |
| 21 | | initial employment of the emergency restraint. Whoever orders |
| 22 | | restraint in emergency situations shall document its necessity |
| 23 | | and place that documentation in the recipient's record. |
| 24 | | (c) The person who orders restraint shall inform the |
| 25 | | facility director or his designee in writing of the use of |
| 26 | | restraint within 24 hours. |
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| 1 | | (d) The facility director shall review all restraint |
| 2 | | orders daily and shall inquire into the reasons for the orders |
| 3 | | for restraint by any person who routinely orders them. |
| 4 | | (e) Restraint may be employed during all or part of one |
| 5 | | 24-hour 24 hour period, the period commencing with the initial |
| 6 | | application of the restraint. However, once restraint has been |
| 7 | | employed during one 24-hour 24 hour period, it shall not be |
| 8 | | used again on the same recipient during the next 48 hours |
| 9 | | without the prior written authorization of the facility |
| 10 | | director. |
| 11 | | (f) Restraint shall be employed in a humane and |
| 12 | | therapeutic manner and the person being restrained shall be |
| 13 | | observed by a qualified person as often as is clinically |
| 14 | | appropriate but in no event less than once every 15 minutes. |
| 15 | | The qualified person shall maintain a record of the |
| 16 | | observations. Specifically, unless there is an immediate |
| 17 | | danger that the recipient will physically harm himself or |
| 18 | | others, restraint shall be loosely applied to permit freedom |
| 19 | | of movement. Further, the recipient shall be permitted to have |
| 20 | | regular meals and toilet privileges free from the restraint, |
| 21 | | except when freedom of action may result in physical harm to |
| 22 | | the recipient or others. |
| 23 | | (g) Every facility that employs restraint shall provide |
| 24 | | training in the safe and humane application of each type of |
| 25 | | restraint employed. The facility shall not authorize the use |
| 26 | | of any type of restraint by an employee who has not received |
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| 1 | | training in the safe and humane application of that type of |
| 2 | | restraint. Each facility in which restraint is used shall |
| 3 | | maintain records detailing which employees have been trained |
| 4 | | and are authorized to apply restraint, the date of the |
| 5 | | training and the type of restraint that the employee was |
| 6 | | trained to use. |
| 7 | | (h) Whenever restraint is imposed upon any recipient whose |
| 8 | | primary mode of communication is sign language, the recipient |
| 9 | | shall be permitted to have his hands free from restraint for |
| 10 | | brief periods each hour, except when freedom may result in |
| 11 | | physical harm to the recipient or others. |
| 12 | | (i) A recipient who is restrained may only be secluded at |
| 13 | | the same time pursuant to an explicit written authorization as |
| 14 | | provided in Section 2-109 of this Code. Whenever a recipient |
| 15 | | is restrained, a member of the facility staff shall remain |
| 16 | | with the recipient at all times unless the recipient has been |
| 17 | | secluded. A recipient who is restrained and secluded shall be |
| 18 | | observed by a qualified person as often as is clinically |
| 19 | | appropriate but in no event less than every 15 minutes. |
| 20 | | (j) Whenever restraint is used, the recipient shall be |
| 21 | | advised of his right, pursuant to Sections 2-200 and 2-201 of |
| 22 | | this Code, to have any person of his choosing, including the |
| 23 | | Department of Disability Advocacy and Guardianship and |
| 24 | | Advocacy Commission or the agency designated pursuant to the |
| 25 | | Protection and Advocacy for Persons with Developmental |
| 26 | | Disabilities Act notified of the restraint. A recipient who is |
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| 1 | | under guardianship may request that any person of his choosing |
| 2 | | be notified of the restraint whether or not the guardian |
| 3 | | approves of the notice. Whenever the Department of Disability |
| 4 | | Advocacy and Guardianship and Advocacy Commission is notified |
| 5 | | that a recipient has been restrained, it shall contact that |
| 6 | | recipient to determine the circumstances of the restraint and |
| 7 | | whether 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 |
| 11 | | therapeutic measure to prevent a recipient from causing |
| 12 | | physical harm to himself or physical abuse to others. In no |
| 13 | | event shall seclusion be utilized to punish or discipline a |
| 14 | | recipient, nor is seclusion to be used as a convenience for the |
| 15 | | staff. |
| 16 | | (a) Seclusion shall be employed only upon the written |
| 17 | | order of a physician, clinical psychologist, clinical social |
| 18 | | worker, clinical professional counselor, advanced practice |
| 19 | | psychiatric nurse, or registered nurse with supervisory |
| 20 | | responsibilities. No seclusion shall be ordered unless the |
| 21 | | physician, clinical psychologist, clinical social worker, |
| 22 | | clinical professional counselor, advanced practice psychiatric |
| 23 | | nurse, or registered nurse with supervisory responsibilities, |
| 24 | | after personally observing and examining the recipient, is |
| 25 | | clinically satisfied that the use of seclusion is justified to |
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| 1 | | prevent the recipient from causing physical harm to himself or |
| 2 | | others. In no event may seclusion continue for longer than 2 |
| 3 | | hours unless within that time period a nurse with supervisory |
| 4 | | responsibilities, advanced practice psychiatric nurse, or a |
| 5 | | physician confirms in writing, following a personal |
| 6 | | examination of the recipient, that the seclusion does not pose |
| 7 | | an undue risk to the recipient's health in light of the |
| 8 | | recipient's physical or medical condition. The order shall |
| 9 | | state the events leading up to the need for seclusion and the |
| 10 | | purposes for which seclusion is employed. The order shall also |
| 11 | | state the length of time seclusion is to be employed and the |
| 12 | | clinical justification for the length of time. No order for |
| 13 | | seclusion shall be valid for more than 16 hours. If further |
| 14 | | seclusion is required, a new order must be issued pursuant to |
| 15 | | the requirements provided in this Section. |
| 16 | | (b) The person who orders seclusion shall inform the |
| 17 | | facility director or his designee in writing of the use of |
| 18 | | seclusion within 24 hours. |
| 19 | | (c) The facility director shall review all seclusion |
| 20 | | orders daily and shall inquire into the reasons for the orders |
| 21 | | for seclusion by any person who routinely orders them. |
| 22 | | (d) Seclusion may be employed during all or part of one |
| 23 | | 16-hour 16 hour period, that period commencing with the |
| 24 | | initial application of the seclusion. However, once seclusion |
| 25 | | has been employed during one 16-hour 16 hour period, it shall |
| 26 | | not be used again on the same recipient during the next 48 |
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| 1 | | hours without the prior written authorization of the facility |
| 2 | | director. |
| 3 | | (e) The person who ordered the seclusion shall assign a |
| 4 | | qualified person to observe the recipient at all times. A |
| 5 | | recipient who is restrained and secluded shall be observed by |
| 6 | | a qualified person as often as is clinically appropriate but |
| 7 | | in no event less than once every 15 minutes. |
| 8 | | (f) Safety precautions shall be followed to prevent |
| 9 | | injuries to the recipient in the seclusion room. Seclusion |
| 10 | | rooms shall be adequately lighted, heated, and furnished. If a |
| 11 | | door is locked, someone with a key shall be in constant |
| 12 | | attendance nearby. |
| 13 | | (g) Whenever seclusion is used, the recipient shall be |
| 14 | | advised of his right, pursuant to Sections 2-200 and 2-201 of |
| 15 | | this Code, to have any person of his choosing, including the |
| 16 | | Department of Disability Advocacy and Guardianship and |
| 17 | | Advocacy Commission notified of the seclusion. A person who is |
| 18 | | under guardianship may request that any person of his choosing |
| 19 | | be notified of the seclusion whether or not the guardian |
| 20 | | approves of the notice. Whenever the Department of Disability |
| 21 | | Advocacy and Guardianship and Advocacy Commission is notified |
| 22 | | that a recipient has been secluded, it shall contact that |
| 23 | | recipient to determine the circumstances of the seclusion and |
| 24 | | whether 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 |
| 3 | | from the Department of Disability Advocacy and Guardianship |
| 4 | | and Advocacy Commission or the agency designated by the |
| 5 | | Governor under Section 1 of the Protection and Advocacy for |
| 6 | | Persons with Developmental Disabilities Act or any other |
| 7 | | attorney advises a facility in which a recipient is receiving |
| 8 | | inpatient mental health services that he is presently |
| 9 | | representing the recipient, or has been appointed by any court |
| 10 | | or administrative agency to do so or has been requested to |
| 11 | | represent the recipient by a member of the recipient's family, |
| 12 | | the facility shall, subject to the provisions of Section 2-113 |
| 13 | | of this Code, disclose to the attorney or advocate whether the |
| 14 | | recipient is presently residing in the facility and, if so, |
| 15 | | how the attorney or advocate may communicate with the |
| 16 | | recipient. |
| 17 | | (b) The facility may take reasonable precautions to |
| 18 | | identify the attorney or advocate. No further information |
| 19 | | shall be disclosed to the attorney or advocate except in |
| 20 | | conformity with the authorization procedures contained in the |
| 21 | | Mental Health and Developmental Disabilities Confidentiality |
| 22 | | Act. |
| 23 | | (c) Whenever the location of the recipient has been |
| 24 | | disclosed to an attorney or advocate, the facility director |
| 25 | | shall inform the recipient of that fact and shall note this |
| 26 | | disclosure in the recipient's records. |
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| 1 | | (d) An attorney or advocate who receives any information |
| 2 | | under this Section may not disclose this information to anyone |
| 3 | | else without the written consent of the recipient obtained |
| 4 | | pursuant to Section 5 of the Mental Health and Developmental |
| 5 | | Disabilities 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 |
| 9 | | thereafter as the condition of the recipient permits, every |
| 10 | | adult recipient, as well as the recipient's guardian or |
| 11 | | substitute decision maker, and every recipient who is 12 years |
| 12 | | of age or older and the parent or guardian of a minor or person |
| 13 | | under guardianship shall be informed orally and in writing of |
| 14 | | the rights guaranteed by this Chapter which are relevant to |
| 15 | | the nature of the recipient's services program. The notice |
| 16 | | shall include, if applicable, the recipient's right to request |
| 17 | | a transfer to a different Department facility under Section |
| 18 | | 3-908. Every facility shall also post conspicuously in public |
| 19 | | areas a summary of the rights which are relevant to the |
| 20 | | services delivered by that facility as well as contact |
| 21 | | information for the Department of Disability Advocacy and |
| 22 | | Guardianship and Advocacy Commission and the agency designated |
| 23 | | by the Governor under Section 1 of the Protection and Advocacy |
| 24 | | for Persons with Developmental Disabilities Act. |
| 25 | | (b) A recipient who is 12 years of age or older and the |
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| 1 | | parent or guardian of a minor or person under guardianship at |
| 2 | | any time may designate, and upon commencement of services |
| 3 | | shall be informed of the right to designate, a person or agency |
| 4 | | to receive notice under Section 2-201 or to direct that no |
| 5 | | information about the recipient be disclosed to any person or |
| 6 | | agency. |
| 7 | | (c) Upon commencement of services, or as soon thereafter |
| 8 | | as the condition of the recipient permits, the facility shall |
| 9 | | ask the adult recipient or minor recipient admitted pursuant |
| 10 | | to Section 3-502 whether the recipient wants the facility to |
| 11 | | contact the recipient's spouse, parents, guardian, close |
| 12 | | relatives, friends, attorney, advocate from the Department of |
| 13 | | Disability Advocacy and Guardianship and Advocacy Commission |
| 14 | | or the agency designated by the Governor under Section 1 of the |
| 15 | | Protection and Advocacy for Persons with Developmental |
| 16 | | Disabilities Act, or others and inform them of the recipient's |
| 17 | | presence at the facility. The facility shall by phone or by |
| 18 | | mail contact at least two of those people designated by the |
| 19 | | recipient and shall inform them of the recipient's location. |
| 20 | | If the recipient so requests, the facility shall also inform |
| 21 | | them of how to contact the recipient. |
| 22 | | (d) Upon commencement of services, or as soon thereafter |
| 23 | | as the condition of the recipient permits, the facility shall |
| 24 | | advise the recipient as to the circumstances under which the |
| 25 | | law permits the use of emergency forced medication or |
| 26 | | electroconvulsive therapy under subsection (a) of Section |
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| 1 | | 2-107, restraint under Section 2-108, or seclusion under |
| 2 | | Section 2-109. At the same time, the facility shall inquire of |
| 3 | | the recipient which form of intervention the recipient would |
| 4 | | prefer if any of these circumstances should arise. The |
| 5 | | recipient's preference shall be noted in the recipient's |
| 6 | | record and communicated by the facility to the recipient's |
| 7 | | guardian or substitute decision maker, if any, and any other |
| 8 | | individual designated by the recipient. If any such |
| 9 | | circumstances subsequently do arise, the facility shall give |
| 10 | | due consideration to the preferences of the recipient |
| 11 | | regarding which form of intervention to use as communicated to |
| 12 | | the facility by the recipient or as stated in the recipient's |
| 13 | | advance 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 |
| 17 | | services that are specified in this Chapter are restricted, |
| 18 | | the professional responsible for overseeing the implementation |
| 19 | | of the recipient's services plan shall be responsible for |
| 20 | | promptly giving notice of the restriction or use of restraint |
| 21 | | or 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 |
| 11 | | recording such restriction or use of restraint or seclusion |
| 12 | | and the reason therefor in the recipient's record. |
| 13 | | (b) The facility director shall maintain a file of all |
| 14 | | notices of restrictions of rights, or the use of restraint or |
| 15 | | seclusion for the past 3 years. The facility director shall |
| 16 | | allow the Department of Disability Advocacy and Guardianship |
| 17 | | and Advocacy Commission, the agency designated by the Governor |
| 18 | | under Section 1 of "An Act in relation to the protection and |
| 19 | | advocacy of the rights of persons with developmental |
| 20 | | disabilities, and amending Acts therein named," approved |
| 21 | | September 20, 1985, and the Department to examine and copy |
| 22 | | such records upon request. Records obtained under this Section |
| 23 | | shall not be further disclosed except pursuant to written |
| 24 | | authorization of the recipient under Section 5 of the Mental |
| 25 | | Health 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 |
| 3 | | admission, and whenever a recipient is notified that his legal |
| 4 | | status is to be changed, the facility director of the mental |
| 5 | | health facility shall provide the person, if he is 12 or older, |
| 6 | | with the address and phone number of the Department of |
| 7 | | Disability Advocacy and Guardianship and Advocacy Commission. |
| 8 | | If the person requests, the facility director shall assist him |
| 9 | | in contacting the Department of Disability Advocacy and |
| 10 | | Guardianship 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 |
| 14 | | mental health facility declines to admit a person seeking |
| 15 | | admission under Articles III or IV of this Chapter, a review of |
| 16 | | the denial may be requested by the person seeking admission |
| 17 | | or, with his consent, by an interested person on his behalf. |
| 18 | | Such a request may be made on behalf of a minor presented for |
| 19 | | admission under Section 3-502, 3-503 or 3-504 by the minor's |
| 20 | | attorney, by the parent, guardian or person in loco parentis |
| 21 | | who executed the application for his admission, or by the |
| 22 | | minor himself if he is 16 years of age or older. Whenever |
| 23 | | admission to a Department facility is denied, the person |
| 24 | | seeking admission shall immediately be given written notice of |
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| 1 | | the right to request review of the denial under this Section |
| 2 | | and shall be provided, if he is 12 or older, with the address |
| 3 | | and phone number of the Department of Disability Advocacy and |
| 4 | | Guardianship and Advocacy Commission. If the person requests, |
| 5 | | the facility director shall assist him in contacting the |
| 6 | | Department of Disability Advocacy and Guardianship Commission. |
| 7 | | A written request for review shall be submitted to the |
| 8 | | director of the facility that denied admission within 14 days |
| 9 | | of the denial. Upon receipt of the request, the facility |
| 10 | | director shall promptly schedule a hearing to be held at the |
| 11 | | denying facility within 7 days pursuant to Section 3-207. |
| 12 | | (b) At the hearing the Department shall have the burden of |
| 13 | | proving that the person denied admission does not meet the |
| 14 | | standard set forth in the Section under which admission is |
| 15 | | sought or that an appropriate alternative community treatment |
| 16 | | program was available to meet the person's needs and was |
| 17 | | offered. If the utilization review committee finds that the |
| 18 | | decision denying admission is based upon substantial evidence, |
| 19 | | it shall recommend that the denial of admission be upheld. |
| 20 | | However, if it finds that the facility to which admission is |
| 21 | | sought can provide adequate and appropriate treatment for the |
| 22 | | person and no appropriate community alternative treatment is |
| 23 | | available, it shall recommend that the person denied admission |
| 24 | | be admitted. If it determines that another facility can |
| 25 | | provide treatment appropriate to the clinical condition and |
| 26 | | needs of the person denied admission, it may recommend that |
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| 1 | | the Department or other agency assist the person in obtaining |
| 2 | | such 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 |
| 6 | | involuntary admission on an inpatient or outpatient basis |
| 7 | | shall be represented by counsel. If the respondent is indigent |
| 8 | | or an appearance has not been entered on his behalf at the time |
| 9 | | the matter is set for hearing, the court shall appoint counsel |
| 10 | | for him. A hearing shall not proceed when a respondent is not |
| 11 | | represented by counsel unless, after conferring with counsel, |
| 12 | | the respondent requests to represent himself and the court is |
| 13 | | satisfied that the respondent has the capacity to make an |
| 14 | | informed waiver of his right to counsel. Counsel shall be |
| 15 | | allowed time for adequate preparation and shall not be |
| 16 | | prevented from conferring with the respondent at reasonable |
| 17 | | times nor from making an investigation of the matters in issue |
| 18 | | and presenting such relevant evidence as he believes is |
| 19 | | necessary. |
| 20 | | 1. If the court determines that the respondent is unable |
| 21 | | to obtain counsel, the court shall appoint as counsel an |
| 22 | | attorney employed by or under contract with the Department of |
| 23 | | Disability Advocacy and Guardianship and Mental Health |
| 24 | | Advocacy Commission, if available. |
| 25 | | 2. If an attorney from the Department of Disability |
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| 1 | | Advocacy and Guardianship and Mental Health Advocacy |
| 2 | | Commission is not available, the court shall appoint as |
| 3 | | counsel the public defender or, only if no public defender is |
| 4 | | available, an attorney licensed to practice law in this State. |
| 5 | | 3. Upon filing with the court of a verified statement of |
| 6 | | legal services rendered by the private attorney appointed |
| 7 | | pursuant to paragraph (2) of this Section, the court shall |
| 8 | | determine a reasonable fee for such services. If the |
| 9 | | respondent is unable to pay the fee, the court shall enter an |
| 10 | | order upon the county to pay the entire fee or such amount as |
| 11 | | the 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 |
| 15 | | Department facility for more than 7 days is to be transferred |
| 16 | | to another facility under Section 3-908, the facility director |
| 17 | | of the facility shall give written notice at least 14 days |
| 18 | | before the transfer to the recipient, his attorney, guardian, |
| 19 | | if any, and responsible relative. In the case of a minor, |
| 20 | | notice shall be given to his attorney, to the parent, |
| 21 | | guardian, or person in loco parentis who executed the |
| 22 | | application for his admission, and to the minor himself if he |
| 23 | | is 12 years of age or older. The notice shall include the |
| 24 | | reasons for transfer, a statement of the right to object and |
| 25 | | the address and phone number of the Department of Disability |
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| 1 | | Advocacy and Guardianship and Advocacy Commission. If the |
| 2 | | recipient requests, the facility director shall assist him in |
| 3 | | contacting the Department of Disability Advocacy and |
| 4 | | Guardianship Commission. |
| 5 | | (b) In an emergency, when the health of the recipient or |
| 6 | | the physical safety of the recipient or others is imminently |
| 7 | | imperiled and appropriate care is not available where the |
| 8 | | recipient is located, a recipient may be immediately |
| 9 | | transferred to another facility provided that notice of the |
| 10 | | transfer is given as soon as possible but not more than 48 |
| 11 | | hours after transfer. The reason for the emergency shall be |
| 12 | | noted in the recipient's record and specified in the notice. |
| 13 | | (c) A recipient may object to his transfer or his |
| 14 | | attorney, guardian, or responsible relative may object on his |
| 15 | | behalf. In the case of a minor, his attorney, the person who |
| 16 | | executed the application for admission, or the minor himself |
| 17 | | if he is 12 years of age or older, may object to the transfer. |
| 18 | | Prior to transfer or within 14 days after an emergency |
| 19 | | transfer, a written objection shall be submitted to the |
| 20 | | facility director of the facility where the recipient is |
| 21 | | located. Upon receipt of an objection, the facility director |
| 22 | | shall promptly schedule a hearing to be held within 7 days |
| 23 | | pursuant to Section 3-207. The hearing shall be held at the |
| 24 | | transferring facility except that when an emergency transfer |
| 25 | | has taken place the hearing may be held at the receiving |
| 26 | | facility. Except in an emergency, no transfer shall proceed |
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| 1 | | pending hearing on an objection. |
| 2 | | (d) At the hearing the Department shall have the burden of |
| 3 | | proving that the standard for transfer under Section 3-908 is |
| 4 | | met. If the transfer is to a facility which is substantially |
| 5 | | more physically restrictive than the transferring facility, |
| 6 | | the Department shall also prove that the transfer is |
| 7 | | reasonably required for the safety of the recipient or others. |
| 8 | | If the utilization review committee finds that the Department |
| 9 | | has sustained its burden and the decision to transfer is based |
| 10 | | upon substantial evidence, it shall recommend that the |
| 11 | | transfer proceed. If it does not so find, it shall recommend |
| 12 | | that 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 |
| 16 | | health facility who is evaluated as having a mild or moderate |
| 17 | | intellectual disability, an attorney or advocate representing |
| 18 | | the person, or a guardian of such person may object to the |
| 19 | | Department facility director's certification required in |
| 20 | | Section 4-201, the treatment and habilitation plan, or |
| 21 | | appropriateness of setting, and obtain an administrative |
| 22 | | decision requiring revision of a treatment or habilitation |
| 23 | | plan or change of setting, by utilization review as provided |
| 24 | | in Sections 3-207 and 4-209 of this Code. As part of this |
| 25 | | utilization review, the Committee shall include as one of its |
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| 1 | | members a qualified intellectual disabilities professional. |
| 2 | | (b) The mental health facility director shall give written |
| 3 | | notice to each person evaluated as having a mild or moderate |
| 4 | | intellectual disability, the person's attorney and guardian, |
| 5 | | if any, or in the case of a minor, to his or her attorney, to |
| 6 | | the parent, guardian or person in loco parentis and to the |
| 7 | | minor if 12 years of age or older, of the person's right to |
| 8 | | request a review of the facility director's initial or |
| 9 | | subsequent determination that such person is appropriately |
| 10 | | placed or is receiving appropriate services. The notice shall |
| 11 | | also provide the address and phone number of the Division of |
| 12 | | Legal Advocacy Service of the Department of Disability |
| 13 | | Advocacy and Guardianship and Advocacy Commission, which the |
| 14 | | person or guardian can contact for legal assistance. If |
| 15 | | requested, the facility director shall assist the person or |
| 16 | | guardian in contacting the Division of Legal Advocacy Service. |
| 17 | | This notice shall be given within 24 hours of Department's |
| 18 | | evaluation by the Department of Human Services that the person |
| 19 | | has a mild or moderate intellectual disability. |
| 20 | | (c) Any recipient of services who successfully challenges |
| 21 | | a final decision of the Secretary of the Department (or his or |
| 22 | | her designee) reviewing an objection to the certification |
| 23 | | required under Section 4-201, the treatment and habilitation |
| 24 | | plan, or the appropriateness of the setting shall be entitled |
| 25 | | to recover reasonable attorney's fees incurred in that |
| 26 | | challenge, unless the Department's position was substantially |
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| 1 | | justified. |
| 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 |
| 5 | | shall maintain adequate records which shall include the |
| 6 | | Section of this Act under which the client was admitted, any |
| 7 | | subsequent change in the client's status, and requisite |
| 8 | | documentation for such admission and status. |
| 9 | | (b) The Department shall ensure that a monthly report is |
| 10 | | maintained for each Department mental health facility, and |
| 11 | | each unit of a Department developmental disability facility |
| 12 | | for dually diagnosed persons, which lists (1) initials of |
| 13 | | persons admitted to, residing at, or discharged from a |
| 14 | | Department mental health facility or unit for dually diagnosed |
| 15 | | persons of Department developmental disability facility during |
| 16 | | that month with a primary or secondary diagnosis of |
| 17 | | intellectual disability, (2) the date and facility and unit of |
| 18 | | admission or continuing, care, (3) the legal admission status, |
| 19 | | (4) the recipient's diagnosis, (5) the date and facility and |
| 20 | | unit of transfer or discharge, (6) whether or not there is a |
| 21 | | public or private guardian, (7) whether the facility director |
| 22 | | has certified that appropriate treatment and habilitation are |
| 23 | | available for and being provided to such person pursuant to |
| 24 | | Section 4-203 of this Chapter, and (8) whether the person or a |
| 25 | | guardian has requested review as provided in Section 4-209 of |
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| 1 | | this Chapter and, if so, the outcome of the review. The |
| 2 | | Secretary of the Department shall furnish a copy of each |
| 3 | | monthly report upon request to the Department of Disability |
| 4 | | Advocacy and Guardianship and Advocacy Commission and the |
| 5 | | agency designated by the Governor under Section 1 of "An Act in |
| 6 | | relation to the protection and advocacy of the rights of |
| 7 | | persons with developmental disabilities, and amending certain |
| 8 | | Acts therein named", approved September 20, 1985, and under |
| 9 | | Section 1 of "An Act for the protection and advocacy of |
| 10 | | mentally ill persons", approved September 20, 1987. |
| 11 | | (c) Nothing contained in this Chapter shall be construed |
| 12 | | to limit or otherwise affect the power of any developmental |
| 13 | | disabilities facility to determine the qualifications of |
| 14 | | persons permitted to admit clients to such facility. This |
| 15 | | subsection shall not affect or limit the powers of any court to |
| 16 | | order admission to a developmental disabilities facility as |
| 17 | | set 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 |
| 21 | | for judicial admission shall be represented by counsel. If the |
| 22 | | respondent is indigent or an appearance has not been entered |
| 23 | | on his behalf at the time the matter is set for hearing, the |
| 24 | | court shall appoint counsel for him. A hearing shall not |
| 25 | | proceed when a respondent is not represented by counsel |
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| 1 | | unless, after conferring with counsel, the respondent requests |
| 2 | | to represent himself and the court is satisfied that the |
| 3 | | respondent has the capacity to make an informed waiver of his |
| 4 | | right to counsel. Counsel shall be allowed time for adequate |
| 5 | | preparation and shall not be prevented from conferring with |
| 6 | | the respondent at reasonable times nor from making an |
| 7 | | investigation of the matters in issue and presenting such |
| 8 | | relevant evidence as he believes is necessary. |
| 9 | | 1. If the court determines that the respondent is unable |
| 10 | | to obtain counsel, the court shall appoint as counsel an |
| 11 | | attorney employed by or under contract with the Department of |
| 12 | | Disability Advocacy and Guardianship and Advocacy Commission, |
| 13 | | if available. |
| 14 | | 2. If an attorney from the Department of Disability |
| 15 | | Advocacy and Guardianship and Advocacy Commission is not |
| 16 | | available, the court shall appoint as counsel the public |
| 17 | | defender or, only if no public defender is available, an |
| 18 | | attorney licensed to practice law in this State. |
| 19 | | 3. Upon filing with the court of a verified statement of |
| 20 | | legal services rendered by the private attorney appointed |
| 21 | | pursuant to paragraph (2) of this Section, the court shall |
| 22 | | determine a reasonable fee for such services. If the |
| 23 | | respondent is unable to pay the fee, the court shall enter an |
| 24 | | order upon the county to pay the entire fee or such amount as |
| 25 | | the 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 |
| 3 | | services which occurs at a mental health or developmental |
| 4 | | disabilities facility, or the death of a recipient of services |
| 5 | | who has not been discharged from a mental health or |
| 6 | | developmental disabilities facility but whose death occurs |
| 7 | | elsewhere, shall within 10 days of the death of a recipient be |
| 8 | | mailed to the Department of Public Health which, for the |
| 9 | | primary purpose of monitoring patterns of abuse and neglect of |
| 10 | | recipients of services, shall make such notices available to |
| 11 | | the Department of Disability Advocacy and Guardianship and |
| 12 | | Advocacy Commission and to the agency designated by the |
| 13 | | Governor under Section 1 of "An Act in relation to the |
| 14 | | protection and advocacy of the rights of persons with |
| 15 | | developmental disabilities, and amending Acts therein named", |
| 16 | | approved September 20, 1985. Such notice shall include the |
| 17 | | name of the recipient, the name and address of the facility at |
| 18 | | which the death occurred, the recipient's age, the nature of |
| 19 | | the recipient's condition, including any evidence of the |
| 20 | | previous injuries or disabilities, or relevant medical |
| 21 | | conditions or any other information which might be helpful in |
| 22 | | establishing the cause of death. |
| 23 | | Written notice of the death of a recipient of services who |
| 24 | | was admitted by court order, and the cause thereof shall, in |
| 25 | | all cases, be mailed by the facility director to the court |
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| 1 | | entering the original admission order, and if possible, to the |
| 2 | | same judge, and the time, place and alleged cause of such death |
| 3 | | shall be entered upon the docket. Such notice must be mailed |
| 4 | | within 10 days following the death of the recipient. |
| 5 | | In the event of a sudden or mysterious death of any |
| 6 | | recipient of services at any public or private facility, a |
| 7 | | coroner's inquest shall be held as provided by law in other |
| 8 | | cases. |
| 9 | | In cases where the deceased person was a recipient or |
| 10 | | client of any state facility, and the fees for holding an |
| 11 | | inquest cannot be collected out of his estate, such fees shall |
| 12 | | be paid by the Department. |
| 13 | | (Source: P.A. 88-380.) |
| 14 | | Section 100. The Alzheimer's Disease Assistance Act is |
| 15 | | amended 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 |
| 19 | | Committee consisting of 17 voting members appointed by the |
| 20 | | Director of the Department, as well as 5 nonvoting members as |
| 21 | | hereinafter provided in this Section. The Director or his |
| 22 | | designee shall serve as one of the 17 voting members and as the |
| 23 | | Chairman of the Committee. Those appointed as voting members |
| 24 | | shall include persons who are experienced in research and the |
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| 1 | | delivery of services to individuals with Alzheimer's disease |
| 2 | | or a related disorder and their families. Such members shall |
| 3 | | include: |
| 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 |
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| 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 |
| 17 | | the following State agencies or their designees who are |
| 18 | | qualified to represent each Department's programs and services |
| 19 | | for those with Alzheimer's disease or related disorders shall |
| 20 | | serve as nonvoting members: Department on Aging, Department of |
| 21 | | Healthcare and Family Services, Department of Public Health, |
| 22 | | Department of Human Services, and Department of Disability |
| 23 | | Advocacy and Guardianship and Advocacy Commission. |
| 24 | | Each voting member appointed by the Director of Public |
| 25 | | Health shall serve for a term of 2 years, and until his |
| 26 | | successor is appointed and qualified. Members of the Committee |
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| 1 | | shall not be compensated but shall be reimbursed for expenses |
| 2 | | actually incurred in the performance of their duties. |
| 3 | | Vacancies shall be filled in the same manner as original |
| 4 | | appointments. |
| 5 | | The Committee shall review all State programs and services |
| 6 | | provided by State agencies that are directed toward persons |
| 7 | | with Alzheimer's disease and related dementias, and by |
| 8 | | consensus recommend changes to improve the State's response to |
| 9 | | this serious health problem. Such recommendations shall be |
| 10 | | included 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 |
| 13 | | Section 25.2 as follows: |
| 14 | | (410 ILCS 535/25.2) |
| 15 | | Sec. 25.2. Division Office of State Guardian birth record |
| 16 | | request. |
| 17 | | (a) For purposes of this Section, an individual's status |
| 18 | | as a person under guardianship of with the Division Office of |
| 19 | | State Guardian may be verified with a copy of the court order |
| 20 | | placing the individual under the guardianship of the Division |
| 21 | | Office of State Guardian. |
| 22 | | (b) The applicable fees under Section 17 for a new |
| 23 | | certificate of birth and under Section 25 for a search for a |
| 24 | | birth record or certified copy of a birth record shall be |
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| 1 | | waived for requests made by the Division Office of State |
| 2 | | Guardian to the Office of the State Registrar of Vital Records |
| 3 | | in Springfield for an individual under guardianship of the |
| 4 | | Division Office of State Guardian, whose status is verified |
| 5 | | under subsection (a) of this Section. |
| 6 | | (c) The State Registrar of Vital Records shall establish |
| 7 | | standards and procedures consistent with this Section for |
| 8 | | waiver of the applicable fees. |
| 9 | | (d) An individual under guardianship shall be provided no |
| 10 | | more 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 |
| 13 | | changing 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" |
| 17 | | means the guardianship and advocacy services provided by the |
| 18 | | Department of Disability Advocacy and Guardianship and |
| 19 | | Advocacy Commission and defined in the Guardianship and |
| 20 | | Advocacy Act. Viable public guardianship and advocacy |
| 21 | | programs, including the public guardianship programs created |
| 22 | | and supervised in probate proceedings in the Illinois courts, |
| 23 | | are essential to the administration of justice and ensure that |
| 24 | | incapacitated persons and their estates are protected. To |
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| 1 | | defray the expense of maintaining and operating the divisions |
| 2 | | and programs of the Department of Disability Advocacy and |
| 3 | | Guardianship and Advocacy Commission and to support viable |
| 4 | | guardianship and advocacy programs throughout Illinois, each |
| 5 | | circuit court clerk shall charge and collect a fee on all |
| 6 | | matters filed in probate cases in accordance with this |
| 7 | | Section, but no fees shall be assessed against the Division of |
| 8 | | State Guardian, any State agency under the jurisdiction of the |
| 9 | | Governor, any public guardian, or any State's Attorney. |
| 10 | | (b) No fee specified in this Section shall be imposed in |
| 11 | | any minor guardianship established under Article XI of the |
| 12 | | Probate Act of 1975, or against an indigent person. An |
| 13 | | indigent person shall include any person who meets one or more |
| 14 | | of 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 |
| 17 | | this Section, which shall be paid in advance, and managed by |
| 18 | | the clerk as set out in paragraph (2), except that, for good |
| 19 | | cause shown, the court may suspend, reduce, or release the |
| 20 | | costs 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 |
| 10 | | changing 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 |
| 13 | | providers. |
| 14 | | (a) A person commits threatening a public official or |
| 15 | | human 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 |
| 14 | | officer, the threat must contain specific facts indicative of |
| 15 | | a unique threat to the person, family or property of the |
| 16 | | officer and not a generalized threat of harm. |
| 17 | | (a-6) For purposes of a threat to a social worker, |
| 18 | | caseworker, investigator, or human service provider, the |
| 19 | | threat must contain specific facts indicative of a unique |
| 20 | | threat to the person, family or property of the individual and |
| 21 | | not 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 |
| 25 | | provider is a Class 3 felony for a first offense and a Class 2 |
| 26 | | felony 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 |
| 3 | | Disabilities Confidentiality Act is amended by changing |
| 4 | | Sections 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 |
| 7 | | request, to inspect and copy a recipient's record or any part |
| 8 | | thereof: |
| 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 |
| 26 | | without charge and shall be provided if the person inspecting |
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| 1 | | the record is under 18 years of age. However, access may in no |
| 2 | | way be denied or limited if the person inspecting the record |
| 3 | | refuses the assistance. A reasonable fee may be charged for |
| 4 | | duplication of a record. However, when requested to do so in |
| 5 | | writing by any indigent recipient, the custodian of the |
| 6 | | records shall provide at no charge to the recipient, or to the |
| 7 | | Department of Disability Advocacy and Guardianship and |
| 8 | | Advocacy Commission, the agency designated by the Governor |
| 9 | | under Section 1 of the Protection and Advocacy for Persons |
| 10 | | with Developmental Disabilities Act or to any other |
| 11 | | not-for-profit agency whose primary purpose is to provide free |
| 12 | | legal services or advocacy for the indigent and who has |
| 13 | | received written authorization from the recipient under |
| 14 | | Section 5 of this Act to receive his records, one copy of any |
| 15 | | records in its possession whose disclosure is authorized under |
| 16 | | this Act. |
| 17 | | (c) Any person entitled to access to a record under this |
| 18 | | Section may submit a written statement concerning any disputed |
| 19 | | or new information, which statement shall be entered into the |
| 20 | | record. Whenever any disputed part of a record is disclosed, |
| 21 | | any submitted statement relating thereto shall accompany the |
| 22 | | disclosed part. Additionally, any person entitled to access |
| 23 | | may request modification of any part of the record which he |
| 24 | | believes is incorrect or misleading. If the request is |
| 25 | | refused, the person may seek a court order to compel |
| 26 | | modification. |
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| 1 | | (d) Whenever access or modification is requested, the |
| 2 | | request and any action taken thereon shall be noted in the |
| 3 | | recipient's record. |
| 4 | | (e) Nothing in this Section shall be construed to affect |
| 5 | | the protection of or access to records under the Illinois |
| 6 | | School Student Records Act or the federal Individuals with |
| 7 | | Disabilities 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 |
| 11 | | of monitoring issues concerning the rights of recipients or |
| 12 | | the services provided to recipients as authorized by |
| 13 | | subsection (l) of Section 5 of the Guardianship and Advocacy |
| 14 | | Act, the Division of Disability Rights and Protections a |
| 15 | | regional human rights authority of the Department of |
| 16 | | Disability Advocacy and Guardianship and Advocacy Commission |
| 17 | | created by the Guardianship and Advocacy Act may inspect and |
| 18 | | copy any recipient's records in the possession of a therapist, |
| 19 | | agency, department, Department or facility which provides |
| 20 | | services to a recipient, including reports of suspected abuse |
| 21 | | or neglect of a recipient and information regarding the |
| 22 | | disposition of such reports. However, the Division of |
| 23 | | Disability Rights and Protections a regional authority may not |
| 24 | | inspect or copy records containing personally identifiable |
| 25 | | data which cannot be removed without imposing an unreasonable |
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| 1 | | burden on the therapist, agency, department, Department or |
| 2 | | facility which provides services, except as provided herein. |
| 3 | | The Division of Disability Rights and Protections regional |
| 4 | | authority shall give written notice to the person entitled to |
| 5 | | give consent for the identifiable recipient of services under |
| 6 | | Section 4 that it is conducting an investigation or monitoring |
| 7 | | and indicating the nature and purpose of the investigation or |
| 8 | | monitoring and the need to inspect and copy the recipient's |
| 9 | | record. If the person notified objects in writing to such |
| 10 | | inspection and copying, the Division of Disability Rights and |
| 11 | | Protections regional authority may not inspect or copy the |
| 12 | | record. The therapist, agency, department, Department or |
| 13 | | facility which provides services may not object on behalf of a |
| 14 | | recipient. |
| 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 |
| 18 | | Section 1 of "An Act in relation to the protection and advocacy |
| 19 | | of the rights of persons with developmental disabilities, and |
| 20 | | amending Acts therein named", approved September 20, 1985, as |
| 21 | | now or hereafter amended, shall have access, for the purpose |
| 22 | | of inspection and copying, to the records of a person with |
| 23 | | developmental disabilities who resides in a developmental |
| 24 | | disability facility or mental health facility, as defined in |
| 25 | | Sections 1-107 and 1-114, respectively, of the Mental Health |
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| 1 | | and Developmental Disabilities Code, as now or hereafter |
| 2 | | amended, if (a) a complaint is received by such agency from or |
| 3 | | on behalf of the person with a developmental disability, and |
| 4 | | (b) such person does not have a guardian of the person or the |
| 5 | | State or the designee of the State is his or her guardian of |
| 6 | | the person. The designated agency shall provide written notice |
| 7 | | of the receipt of a complaint to the custodian of the records |
| 8 | | of the person from whom or on whose behalf a complaint is |
| 9 | | received. The designated agency shall provide to the person |
| 10 | | with developmental disabilities and to the Division of his or |
| 11 | | her State Guardian guardian, if appointed, written notice of |
| 12 | | the nature of the complaint based upon which the designated |
| 13 | | agency has gained access to the records. No record or the |
| 14 | | contents of any record shall be redisclosed by the designated |
| 15 | | agency unless the person with developmental disabilities and |
| 16 | | the Division of State Guardian guardian are provided 7 days |
| 17 | | advance written notice, except in emergency situations, of the |
| 18 | | designated agency's intent to redisclose such record, during |
| 19 | | which time the person with developmental disabilities or the |
| 20 | | Division of State Guardian guardian may seek to judicially |
| 21 | | enjoin the designated agency's redisclosure of such record on |
| 22 | | the grounds that such redisclosure is contrary to the |
| 23 | | interests of the person with developmental disabilities. If a |
| 24 | | person with developmental disabilities resides in a |
| 25 | | developmental disability or mental health facility and has a |
| 26 | | guardian other than the State or the designee of the State, the |
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| 1 | | facility director shall disclose the guardian's name, address |
| 2 | | and telephone number to the designated agency at the agency's |
| 3 | | request. |
| 4 | | Upon written request and after the provision of written |
| 5 | | notice to the agency, facility or other body from which |
| 6 | | records and other materials are sought of the designated |
| 7 | | agency's investigation of problems affecting numbers of |
| 8 | | persons with developmental disabilities, the designated agency |
| 9 | | shall be entitled to inspect and copy any records or other |
| 10 | | materials which may further the agency's investigation of |
| 11 | | problems affecting numbers of persons with developmental |
| 12 | | disabilities. When required by law any personally identifiable |
| 13 | | information of persons with developmental disabilities shall |
| 14 | | be removed from the records. However, the designated agency |
| 15 | | may not inspect or copy records or other materials when the |
| 16 | | removal of personally identifiable information imposes an |
| 17 | | unreasonable burden on mental health and developmental |
| 18 | | disabilities facilities. |
| 19 | | For the purposes of this Section, "developmental |
| 20 | | disability" means a severe, chronic disability of a person |
| 21 | | which - |
| 22 | | (A) is attributable to a mental or physical impairment or |
| 23 | | combination 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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| 1 | | more of the following areas of major life activity: (i) |
| 2 | | self-care, (ii) receptive and expressive language, (iii) |
| 3 | | learning, (iv) mobility, (v) self-direction, (vi) capacity for |
| 4 | | independent living, and (vii) economic self-sufficiency; and |
| 5 | | (E) reflects the person's need for a combination and |
| 6 | | sequence of special, interdisciplinary or generic care, |
| 7 | | treatment or other services which are of lifelong or extended |
| 8 | | duration and are individually planned and coordinated. |
| 9 | | (Source: P.A. 88-380.) |
| 10 | | Section 120. The Adoption Act is amended by changing |
| 11 | | Section 13 as follows: |
| 12 | | (750 ILCS 50/13) (from Ch. 40, par. 1516) |
| 13 | | Sec. 13. Interim order. As soon as practicable after the |
| 14 | | filing of a petition for adoption the court shall hold a |
| 15 | | hearing for the following purposes: |
| 16 | | A. In other than an adoption of a related child or an |
| 17 | | adoption 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 |
| 6 | | a territory thereof, if the petitioners have previously been |
| 7 | | appointed guardians of such child by a court of competent |
| 8 | | jurisdiction in a country other than the United States or a |
| 9 | | territory thereof, the court may order that the petitioners |
| 10 | | continue 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 |
| 11 | | changing Sections 11a-3.1, 11a-3.2, 11a-5, 11a-5.1, 11a-8.1, |
| 12 | | 11a-9, 11a-12, 11a-13, 11a-14.1, 11a-17, 12-4, 13-1, and |
| 13 | | 13-1.2 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 |
| 17 | | designate in any writing, including a will, a person qualified |
| 18 | | to act under Section 11a-5 to be appointed as standby guardian |
| 19 | | of the person or estate, or both, of the person with a |
| 20 | | disability. The guardian may designate in any writing, |
| 21 | | including a will, a person qualified to act under Section |
| 22 | | 11a-5 to be appointed as successor standby guardian of the |
| 23 | | person or estate of the person with a disability, or both. The |
| 24 | | designation must be witnessed by 2 or more credible witnesses |
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| 1 | | at least 18 years of age, neither of whom is the person |
| 2 | | designated as the standby guardian. The designation may be |
| 3 | | proved by any competent evidence. If the designation is |
| 4 | | executed and attested in the same manner as a will, it shall |
| 5 | | have prima facie validity. Prior to designating a proposed |
| 6 | | standby guardian, the guardian shall consult with the person |
| 7 | | with a disability to determine the preference of the person |
| 8 | | with a disability as to the person who will serve as standby |
| 9 | | guardian. The guardian shall give due consideration to the |
| 10 | | preference of the person with a disability in selecting a |
| 11 | | standby guardian. |
| 12 | | (b) Upon the filing of a petition for the appointment of a |
| 13 | | standby guardian, the court may appoint a standby guardian of |
| 14 | | the person or estate, or both, of the person with a disability |
| 15 | | as the court finds to be in the best interests of the person |
| 16 | | with a disability. The court shall apply the same standards |
| 17 | | used in determining the suitability of a plenary or limited |
| 18 | | guardian in determining the suitability of a standby guardian, |
| 19 | | giving due consideration to the preference of the person with |
| 20 | | a disability as to a standby guardian. The court may not |
| 21 | | appoint the Division Office of State Guardian, pursuant to |
| 22 | | Section 30 of the Guardianship and Advocacy Act, or a public |
| 23 | | guardian, pursuant to Section 13-5 of this Act, as a standby |
| 24 | | guardian, without the written consent of the Division of State |
| 25 | | Guardian or public guardian or an authorized representative of |
| 26 | | the Division of State Guardian or public guardian. |
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| 1 | | (c) The standby guardian shall take and file an oath or |
| 2 | | affirmation that the standby guardian will faithfully |
| 3 | | discharge the duties of the office of standby guardian |
| 4 | | according to law, and shall file in and have approved by the |
| 5 | | court a bond binding the standby guardian so to do, but shall |
| 6 | | not be required to file a bond until the standby guardian |
| 7 | | assumes all duties as guardian of the person with a disability |
| 8 | | under Section 11a-18.2. |
| 9 | | (d) The designation of a standby guardian may, but need |
| 10 | | not, 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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| 1 | | in writing, without court approval, a short-term guardian of |
| 2 | | the person with a disability to take over the guardian's |
| 3 | | duties, to the extent provided in Section 11a-18.3, each time |
| 4 | | the guardian is unavailable or unable to carry out those |
| 5 | | duties. The guardian shall consult with the person with a |
| 6 | | disability to determine the preference of the person with a |
| 7 | | disability concerning the person to be appointed as short-term |
| 8 | | guardian and the guardian shall give due consideration to the |
| 9 | | preference of the person with a disability in choosing a |
| 10 | | short-term guardian. The written instrument appointing a |
| 11 | | short-term guardian shall be dated and shall identify the |
| 12 | | appointing guardian, the person with a disability, the person |
| 13 | | appointed to be the short-term guardian, and the termination |
| 14 | | date of the appointment. The written instrument shall be |
| 15 | | signed by, or at the direction of, the appointing guardian in |
| 16 | | the presence of at least 2 credible witnesses at least 18 years |
| 17 | | of age, neither of whom is the person appointed as the |
| 18 | | short-term guardian. The person appointed as the short-term |
| 19 | | guardian shall also sign the written instrument, but need not |
| 20 | | sign at the same time as the appointing guardian. A guardian |
| 21 | | may not appoint the Division Office of State Guardian or a |
| 22 | | public guardian as a short-term guardian, without the written |
| 23 | | consent of the Division of State Guardian or public guardian |
| 24 | | or an authorized representative of the State Guardian or |
| 25 | | public guardian. |
| 26 | | (b) The appointment of the short-term guardian is |
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| 1 | | effective immediately upon the date the written instrument is |
| 2 | | executed, unless the written instrument provides for the |
| 3 | | appointment to become effective upon a later specified date or |
| 4 | | event. A short-term guardian appointed by the guardian shall |
| 5 | | have authority to act as guardian of the person with a |
| 6 | | disability for a cumulative total of 60 days during any |
| 7 | | 12-month period. Only one written instrument appointing a |
| 8 | | short-term guardian may be in force at any given time. |
| 9 | | (c) Every appointment of a short-term guardian may be |
| 10 | | amended or revoked by the appointing guardian at any time and |
| 11 | | in any manner communicated to the short-term guardian or to |
| 12 | | any other person. Any person other than the short-term |
| 13 | | guardian to whom a revocation or amendment is communicated or |
| 14 | | delivered shall make all reasonable efforts to inform the |
| 15 | | short-term guardian of that fact as promptly as possible. |
| 16 | | (d) The appointment of a short-term guardian or successor |
| 17 | | short-term guardian does not affect the rights in the person |
| 18 | | with a disability of any guardian other than the appointing |
| 19 | | guardian. |
| 20 | | (e) The written instrument appointing a short-term |
| 21 | | guardian 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, |
| 20 | | the guardian shall: (i) provide the person with a disability |
| 21 | | with the name, address, and telephone number of the short-term |
| 22 | | guardian; (ii) advise the person with a disability that he has |
| 23 | | the right to object to the appointment of the short-term |
| 24 | | guardian by filing a petition in court; and (iii) notify the |
| 25 | | person with a disability when the short-term guardian will be |
| 26 | | taking over guardianship duties and the length of time that |
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| 1 | | the 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 |
| 6 | | and as guardian of the estate of a person with a disability if |
| 7 | | the court finds that the proposed guardian is capable of |
| 8 | | providing an active and suitable program of guardianship for |
| 9 | | the 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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| 1 | | capable by the court of providing an active and suitable |
| 2 | | program of guardianship for the person with a disability, |
| 3 | | taking into consideration the nature of such person's |
| 4 | | disability and the nature of such organization's services, may |
| 5 | | be appointed guardian of the person or of the estate, or both, |
| 6 | | of the person with a disability. The court shall not appoint as |
| 7 | | guardian an agency or employee of an agency that is directly |
| 8 | | providing residential services to the ward. One person or |
| 9 | | agency may be appointed guardian of the person and another |
| 10 | | person or agency appointed guardian of the estate. |
| 11 | | (b-5)(1) The court may appoint separate individuals or |
| 12 | | entities to act as the guardian of the person and the guardian |
| 13 | | of the estate of a person with a disability if the court finds |
| 14 | | it is in the best interests of the person with a disability |
| 15 | | that separate guardians be appointed. The court shall not |
| 16 | | appoint a separate person or entity to act as guardian of the |
| 17 | | person or guardian of the estate with a public guardian or the |
| 18 | | Division Office of State Guardian unless the public guardian |
| 19 | | or the Division Office of State Guardian agrees to such an |
| 20 | | appointment. |
| 21 | | (2) The court may appoint co-guardians to act as guardian |
| 22 | | of the person, guardian of the estate, or both the guardian of |
| 23 | | the person and the guardian of the estate if the court finds it |
| 24 | | is in the best interests of the person with a disability. When |
| 25 | | considering appointing co-guardians, the court shall consider |
| 26 | | the proposed co-guardians' history of cooperating and working |
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| 1 | | together on behalf of the person with a disability. The court |
| 2 | | shall appoint only co-guardians who agree to serve together. |
| 3 | | The court shall not appoint a public guardian or the Division |
| 4 | | Office of State Guardian as a co-guardian for a person with a |
| 5 | | disability. |
| 6 | | (c) Any corporation qualified to accept and execute trusts |
| 7 | | in this State may be appointed guardian or limited guardian of |
| 8 | | the 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 |
| 12 | | appoint an individual the guardian of the person or estate of |
| 13 | | an adult with disabilities before the individual has disclosed |
| 14 | | to the court the number of adults with disabilities over which |
| 15 | | the individual is currently appointed as guardian. If the |
| 16 | | court determines that an individual is appointed guardian over |
| 17 | | more than 5 adults with disabilities, then the court shall |
| 18 | | issue an order directing the circuit court clerk to notify the |
| 19 | | Department of Disability Advocacy and Guardianship and |
| 20 | | Advocacy Commission, in a form and manner prescribed by the |
| 21 | | Department of Disability Advocacy and Guardianship and |
| 22 | | Advocacy Commission. The clerk shall notify the Department of |
| 23 | | Disability Advocacy and Guardianship and Advocacy Commission |
| 24 | | no later than 7 days after the entry of the order. The |
| 25 | | Department of Disability Advocacy and Guardianship and |
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| 1 | | Advocacy Commission shall maintain a list of all notifications |
| 2 | | it receives under this Section for reference by other agencies |
| 3 | | or units of government or the public. This Section does not |
| 4 | | apply to the Division Office of the State Guardian or a public |
| 5 | | guardian. |
| 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 |
| 9 | | with a disability. The petition for appointment of a standby |
| 10 | | guardian of the person or the estate, or both, of a person with |
| 11 | | a disability must state, if known: (a) the name, date of birth, |
| 12 | | and residence of the person with a disability; (b) the names |
| 13 | | and post office addresses of the nearest relatives of the |
| 14 | | person with a disability in the following order: (1) the |
| 15 | | spouse and adult children, parents and adult brothers and |
| 16 | | sisters, if any; if none, (2) nearest adult kindred known to |
| 17 | | the petitioner; (c) the name and post office address of the |
| 18 | | person having guardianship of the person with a disability, |
| 19 | | and of any person or persons acting as agents of the person |
| 20 | | with a disability under the Illinois Power of Attorney Act; |
| 21 | | (d) the name, post office address, and, in case of any |
| 22 | | individual, the age and occupation of the proposed standby |
| 23 | | guardian; (e) the preference of the person with a disability |
| 24 | | as to the choice of standby guardian; (f) the facts concerning |
| 25 | | the consent of the guardian of the person with a disability to |
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| 1 | | the appointment of the standby guardian, or the willingness |
| 2 | | and ability of the guardian of the person with a disability to |
| 3 | | make and carry out day-to-day care decisions concerning the |
| 4 | | person with a disability; (g) the facts concerning the |
| 5 | | execution or admission to probate of the written designation |
| 6 | | of the standby guardian, if any, a copy of which shall be |
| 7 | | attached to or filed with the petition; (h) the facts |
| 8 | | concerning any guardianship court actions pending concerning |
| 9 | | the person with a disability; and (i) the facts concerning the |
| 10 | | willingness of the proposed standby guardian to serve, and in |
| 11 | | the case of the Division Office of State Guardian and any |
| 12 | | public guardian, evidence of a written acceptance to serve |
| 13 | | signed by the Division of State Guardian or public guardian or |
| 14 | | an authorized representative of the Division of State Guardian |
| 15 | | or public guardian, consistent with subsection (b) of Section |
| 16 | | 11a-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 |
| 21 | | appointment of a guardian should be accompanied by a report |
| 22 | | which contains (1) a description of the nature and type of the |
| 23 | | respondent's disability and an assessment of how the |
| 24 | | disability impacts on the ability of the respondent to make |
| 25 | | decisions or to function independently; (2) an analysis and |
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| 1 | | results of evaluations of the respondent's mental and physical |
| 2 | | condition and, where appropriate, educational condition, |
| 3 | | adaptive behavior and social skills, which have been performed |
| 4 | | within 3 months of the date of the filing of the petition, or, |
| 5 | | in the case of an intellectual disability, a psychological |
| 6 | | evaluation of the respondent that has been performed by a |
| 7 | | clinical psychologist licensed under the Clinical Psychologist |
| 8 | | Licensing Act, within one year of the date of the filing of the |
| 9 | | petition; (3) an opinion as to whether guardianship is needed, |
| 10 | | the type and scope of the guardianship needed, and the reasons |
| 11 | | therefor; (4) a recommendation as to the most suitable living |
| 12 | | arrangement and, where appropriate, treatment or habilitation |
| 13 | | plan for the respondent and the reasons therefor; (5) the |
| 14 | | name, business address, business telephone number, and |
| 15 | | signatures of all persons who performed the evaluations upon |
| 16 | | which the report is based, one of whom shall be a licensed |
| 17 | | physician, or may, in the case of an intellectual disability, |
| 18 | | be a clinical psychologist licensed under the Clinical |
| 19 | | Psychologist Licensing Act, and a statement of the |
| 20 | | certification, license, or other credentials that qualify the |
| 21 | | evaluators who prepared the report. |
| 22 | | (b) If for any reason no report accompanies the petition, |
| 23 | | the court shall order appropriate evaluations to be performed |
| 24 | | by a qualified person or persons and a report prepared and |
| 25 | | filed 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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| 1 | | guardian ad litem or upon the court's own motion, the court |
| 2 | | shall appoint one or more independent experts to examine the |
| 3 | | respondent. Upon the filing with the court of a verified |
| 4 | | statement of services rendered by the expert or experts, the |
| 5 | | court shall determine a reasonable fee for the services |
| 6 | | performed. If the respondent is unable to pay the fee, the |
| 7 | | court may enter an order upon the petitioner to pay the entire |
| 8 | | fee or such amount as the respondent is unable to pay. However, |
| 9 | | in cases where the Division Office of State Guardian is the |
| 10 | | petitioner, consistent with Section 30 of the Guardianship and |
| 11 | | Advocacy Act, no expert services fees shall be assessed |
| 12 | | against the Division Office of the State Guardian. |
| 13 | | (c) Unless the court otherwise directs, any report |
| 14 | | prepared pursuant to this Section shall not be made part of the |
| 15 | | public record of the proceedings but shall be available to the |
| 16 | | court or an appellate court in which the proceedings are |
| 17 | | subject to review, to the respondent, the petitioner, the |
| 18 | | guardian, and their attorneys, to the respondent's guardian ad |
| 19 | | litem, and to such other persons as the court may direct. |
| 20 | | Accessibility to a report prepared pursuant to this |
| 21 | | Section shall be in accordance with Section 5 of the Court |
| 22 | | Record 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 |
| 2 | | specified in Section 11a-3 is not found, the court shall |
| 3 | | dismiss the petition. |
| 4 | | (b) If the respondent is adjudged to be a person with a |
| 5 | | disability and to lack some but not all of the capacity as |
| 6 | | specified in Section 11a-3, and if the court finds that |
| 7 | | guardianship is necessary for the protection of the person |
| 8 | | with a disability, his or her estate, or both, the court shall |
| 9 | | appoint a limited guardian for the respondent's person or |
| 10 | | estate or both. The court shall enter a written order stating |
| 11 | | the factual basis for its findings and specifying the duties |
| 12 | | and powers of the guardian and the legal disabilities to which |
| 13 | | the respondent is subject. |
| 14 | | (c) If the respondent is adjudged to be a person with a |
| 15 | | disability and to be totally without capacity as specified in |
| 16 | | Section 11a-3, and if the court finds that limited |
| 17 | | guardianship will not provide sufficient protection for the |
| 18 | | person with a disability, his or her estate, or both, the court |
| 19 | | shall appoint a plenary guardian for the respondent's person |
| 20 | | or estate or both. The court shall enter a written order |
| 21 | | stating the factual basis for its findings. |
| 22 | | (d) The selection of the guardian shall be in the |
| 23 | | discretion of the court, which shall give due consideration to |
| 24 | | the preference of the person with a disability as to a |
| 25 | | guardian, as well as the qualifications of the proposed |
| 26 | | guardian, in making its appointment. However, the paramount |
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| 1 | | concern in the selection of the guardian is the best interests |
| 2 | | and well-being of the person with a disability. |
| 3 | | One person or agency may be appointed a limited or plenary |
| 4 | | guardian of the person and another person or corporate trustee |
| 5 | | appointed as a limited or plenary guardian of the estate. If |
| 6 | | different persons are appointed, the court shall consider the |
| 7 | | factors set forth in subsection (b-5) of Section 11a-5. The |
| 8 | | court shall enter a written order stating the factual basis |
| 9 | | for its findings. |
| 10 | | (e) The order of appointment of a guardian shall include |
| 11 | | the requirement that the guardian complete the training |
| 12 | | program as provided in Section 33.5 of the Guardianship and |
| 13 | | Advocacy Act that outlines the responsibilities of the |
| 14 | | guardian of the person and the rights of the person under |
| 15 | | guardianship and file with the court a certificate of |
| 16 | | completion within one year from the date of issuance of the |
| 17 | | letters of guardianship, except that: (1) the chief judge of |
| 18 | | any circuit may order implementation of another training |
| 19 | | program by a suitable provider containing substantially |
| 20 | | similar content; (2) employees of the Division Office of the |
| 21 | | State Guardian, public guardians, attorneys currently |
| 22 | | authorized to practice law, corporate fiduciaries, and persons |
| 23 | | certified by the Center for Guardianship Certification are |
| 24 | | exempt from this training requirement; and (3) the court may, |
| 25 | | for good cause shown, exempt from this requirement an |
| 26 | | individual not otherwise listed in item (2). For the purposes |
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| 1 | | of this subsection (e), good cause may be proven by affidavit. |
| 2 | | If the court finds good cause to exempt an individual from the |
| 3 | | training 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 |
| 8 | | in any proceeding for the appointment of a guardian or for any |
| 9 | | subsequent proceeding or report made in pursuance of the |
| 10 | | appointment when the primary purpose of the appointment is as |
| 11 | | set forth in Section 11-11 or is the management of the estate |
| 12 | | of a person with a mental disability who resides in a state |
| 13 | | mental health or developmental disabilities facility when the |
| 14 | | value of the personal estate does not exceed $1,000. |
| 15 | | (b) No costs shall be taxed or charged against the |
| 16 | | Division Office of the State Guardian by any public officer in |
| 17 | | any proceeding for the appointment of a guardian or for any |
| 18 | | subsequent proceeding or report made in pursuance of the |
| 19 | | appointment. |
| 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 |
| 23 | | appointed under this Article, except for duly appointed Public |
| 24 | | Guardians and the Division Office of State Guardian, shall |
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| 1 | | have the power, unless specified by court order, to place his |
| 2 | | ward in a residential facility. The guardianship order may |
| 3 | | specify the conditions on which the guardian may admit the |
| 4 | | ward to a residential facility without further court order. In |
| 5 | | making residential placement decisions, the guardian shall |
| 6 | | make decisions in conformity with the preferences of the ward |
| 7 | | unless the guardian is reasonably certain that the decisions |
| 8 | | will result in substantial harm to the ward or to the ward's |
| 9 | | estate. When the preferences of the ward cannot be ascertained |
| 10 | | or where they will result in substantial harm to the ward or to |
| 11 | | the ward's estate, the guardian shall make decisions with |
| 12 | | respect to the ward's placement which are in the best |
| 13 | | interests of the ward. The guardian shall not remove the ward |
| 14 | | from his or her home or separate the ward from family and |
| 15 | | friends unless such removal is necessary to prevent |
| 16 | | substantial harm to the ward or to the ward's estate. The |
| 17 | | guardian shall have a duty to investigate the availability of |
| 18 | | reasonable residential alternatives. The guardian shall |
| 19 | | monitor the placement of the ward on an on-going basis to |
| 20 | | ensure its continued appropriateness, and shall pursue |
| 21 | | appropriate 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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| 1 | | direction of the court, the guardian of the person shall have |
| 2 | | custody of the ward and the ward's minor and adult dependent |
| 3 | | children and shall procure for them and shall make provision |
| 4 | | for their support, care, comfort, health, education and |
| 5 | | maintenance, and professional services as are appropriate, but |
| 6 | | the ward's spouse may not be deprived of the custody and |
| 7 | | education of the ward's minor and adult dependent children, |
| 8 | | without the consent of the spouse, unless the court finds that |
| 9 | | the spouse is not a fit and competent person to have that |
| 10 | | custody and education. The guardian shall assist the ward in |
| 11 | | the development of maximum self-reliance and independence. The |
| 12 | | guardian of the person may petition the court for an order |
| 13 | | directing the guardian of the estate to pay an amount |
| 14 | | periodically for the provision of the services specified by |
| 15 | | the court order. If the ward's estate is insufficient to |
| 16 | | provide for education and the guardian of the ward's person |
| 17 | | fails to provide education, the court may award the custody of |
| 18 | | the ward to some other person for the purpose of providing |
| 19 | | education. If a person makes a settlement upon or provision |
| 20 | | for the support or education of a ward, the court may make an |
| 21 | | order for the visitation of the ward by the person making the |
| 22 | | settlement or provision as the court deems proper. A guardian |
| 23 | | of the person may not admit a ward to a mental health facility |
| 24 | | except at the ward's request as provided in Article IV of the |
| 25 | | Mental Health and Developmental Disabilities Code and unless |
| 26 | | the ward has the capacity to consent to such admission as |
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| 1 | | provided in Article IV of the Mental Health and Developmental |
| 2 | | Disabilities Code. |
| 3 | | (a-3) If a guardian of an estate has not been appointed, |
| 4 | | the guardian of the person may, without an order of court, |
| 5 | | open, maintain, and transfer funds to an ABLE account on |
| 6 | | behalf of the ward and the ward's minor and adult dependent |
| 7 | | children as specified under Section 16.6 of the State |
| 8 | | Treasurer Act. |
| 9 | | (a-5) If the ward filed a petition for dissolution of |
| 10 | | marriage under the Illinois Marriage and Dissolution of |
| 11 | | Marriage Act before the ward was adjudicated a person with a |
| 12 | | disability under this Article, the guardian of the ward's |
| 13 | | person and estate may maintain that action for dissolution of |
| 14 | | marriage on behalf of the ward. Upon petition by the guardian |
| 15 | | of the ward's person or estate, the court may authorize and |
| 16 | | direct a guardian of the ward's person or estate to file a |
| 17 | | petition for dissolution of marriage or to file a petition for |
| 18 | | legal separation or declaration of invalidity of marriage |
| 19 | | under the Illinois Marriage and Dissolution of Marriage Act on |
| 20 | | behalf of the ward if the court finds by clear and convincing |
| 21 | | evidence that the relief sought is in the ward's best |
| 22 | | interests. In making its determination, the court shall |
| 23 | | consider the standards set forth in subsection (e) of this |
| 24 | | Section. |
| 25 | | (a-10) Upon petition by the guardian of the ward's person |
| 26 | | or estate, the court may authorize and direct a guardian of the |
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| 1 | | ward's person or estate to consent, on behalf of the ward, to |
| 2 | | the ward's marriage pursuant to Part II of the Illinois |
| 3 | | Marriage and Dissolution of Marriage Act if the court finds by |
| 4 | | clear and convincing evidence that the marriage is in the |
| 5 | | ward's best interests. In making its determination, the court |
| 6 | | shall consider the standards set forth in subsection (e) of |
| 7 | | this Section. Upon presentation of a court order authorizing |
| 8 | | and directing a guardian of the ward's person and estate to |
| 9 | | consent to the ward's marriage, the county clerk shall accept |
| 10 | | the guardian's application, appearance, and signature on |
| 11 | | behalf of the ward for purposes of issuing a license to marry |
| 12 | | under Section 203 of the Illinois Marriage and Dissolution of |
| 13 | | Marriage Act. |
| 14 | | (b) If the court directs, the guardian of the person shall |
| 15 | | file with the court at intervals indicated by the court, a |
| 16 | | report that shall state briefly: (1) the current mental, |
| 17 | | physical, and social condition of the ward and the ward's |
| 18 | | minor and adult dependent children; (2) their present living |
| 19 | | arrangement, and a description and the address of every |
| 20 | | residence where they lived during the reporting period and the |
| 21 | | length of stay at each place; (3) a summary of the medical, |
| 22 | | educational, vocational, and other professional services given |
| 23 | | to them; (4) a resume of the guardian's visits with and |
| 24 | | activities on behalf of the ward and the ward's minor and adult |
| 25 | | dependent children; (5) a recommendation as to the need for |
| 26 | | continued guardianship; (6) any other information requested by |
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| 1 | | the court or useful in the opinion of the guardian. The |
| 2 | | Division Office of the State Guardian shall assist the |
| 3 | | guardian in filing the report when requested by the guardian. |
| 4 | | The court may take such action as it deems appropriate |
| 5 | | pursuant to the report. |
| 6 | | (c) Absent court order pursuant to the Illinois Power of |
| 7 | | Attorney Act directing a guardian to exercise powers of the |
| 8 | | principal under an agency that survives disability, the |
| 9 | | guardian has no power, duty, or liability with respect to any |
| 10 | | personal or health care matters covered by the agency. This |
| 11 | | subsection (c) applies to all agencies, whenever and wherever |
| 12 | | executed. |
| 13 | | (d) A guardian acting as a surrogate decision maker under |
| 14 | | the Health Care Surrogate Act shall have all the rights of a |
| 15 | | surrogate under that Act without court order including the |
| 16 | | right to make medical treatment decisions such as decisions to |
| 17 | | forgo or withdraw life-sustaining treatment. Any decisions by |
| 18 | | the guardian to forgo or withdraw life-sustaining treatment |
| 19 | | that are not authorized under the Health Care Surrogate Act |
| 20 | | shall require a court order. Nothing in this Section shall |
| 21 | | prevent an agent acting under a power of attorney for health |
| 22 | | care from exercising his or her authority under the Illinois |
| 23 | | Power of Attorney Act without further court order, unless a |
| 24 | | court has acted under Section 2-10 of the Illinois Power of |
| 25 | | Attorney Act. If a guardian is also a health care agent for the |
| 26 | | ward under a valid power of attorney for health care, the |
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| 1 | | guardian acting as agent may execute his or her authority |
| 2 | | under that act without further court order. |
| 3 | | (e) Decisions made by a guardian on behalf of a ward shall |
| 4 | | be made in accordance with the following standards for |
| 5 | | decision making. The guardian shall consider the ward's |
| 6 | | current preferences to the extent the ward has the ability to |
| 7 | | participate in decision making when those preferences are |
| 8 | | known or reasonably ascertainable by the guardian. Decisions |
| 9 | | by the guardian shall conform to the ward's current |
| 10 | | preferences: (1) unless the guardian reasonably believes that |
| 11 | | doing so would result in substantial harm to the ward's |
| 12 | | welfare or personal or financial interests; and (2) so long as |
| 13 | | such decisions give substantial weight to what the ward, if |
| 14 | | competent, would have done or intended under the |
| 15 | | circumstances, taking into account evidence that includes, but |
| 16 | | is not limited to, the ward's personal, philosophical, |
| 17 | | religious and moral beliefs, and ethical values relative to |
| 18 | | the decision to be made by the guardian. Where possible, the |
| 19 | | guardian shall determine how the ward would have made a |
| 20 | | decision based on the ward's previously expressed preferences, |
| 21 | | and make decisions in accordance with the preferences of the |
| 22 | | ward. If the ward's wishes are unknown and remain unknown |
| 23 | | after reasonable efforts to discern them, or if the guardian |
| 24 | | reasonably believes that a decision made in conformity with |
| 25 | | the ward's preferences would result in substantial harm to the |
| 26 | | ward's welfare or personal or financial interests, the |
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| 1 | | decision shall be made on the basis of the ward's best |
| 2 | | interests as determined by the guardian. In determining the |
| 3 | | ward's best interests, the guardian shall weigh the reason for |
| 4 | | and nature of the proposed action, the benefit or necessity of |
| 5 | | the action, the possible risks and other consequences of the |
| 6 | | proposed action, and any available alternatives and their |
| 7 | | risks, consequences and benefits, and shall take into account |
| 8 | | any other information, including the views of family and |
| 9 | | friends, that the guardian believes the ward would have |
| 10 | | considered if able to act for herself or himself. |
| 11 | | (f) Upon petition by any interested person (including the |
| 12 | | standby or short-term guardian), with such notice to |
| 13 | | interested persons as the court directs and a finding by the |
| 14 | | court that it is in the best interests of the person with a |
| 15 | | disability, the court may terminate or limit the authority of |
| 16 | | a standby or short-term guardian or may enter such other |
| 17 | | orders as the court deems necessary to provide for the best |
| 18 | | interests of the person with a disability. The petition for |
| 19 | | termination or limitation of the authority of a standby or |
| 20 | | short-term guardian may, but need not, be combined with a |
| 21 | | petition to have another guardian appointed for the person |
| 22 | | with a disability. |
| 23 | | (g)(1) Unless there is a court order to the contrary, the |
| 24 | | guardian, consistent with the standards set forth in |
| 25 | | subsection (e) of this Section, shall use reasonable efforts |
| 26 | | to notify the ward's known adult children, who have requested |
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| 1 | | notification and provided contact information, of the ward's |
| 2 | | admission to a hospital, hospice, or palliative care program, |
| 3 | | the ward's death, and the arrangements for the disposition of |
| 4 | | the ward's remains. |
| 5 | | (2) If a guardian unreasonably prevents an adult child, |
| 6 | | spouse, adult grandchild, parent, or adult sibling of the ward |
| 7 | | from visiting the ward, the court, upon a verified petition, |
| 8 | | may order the guardian to permit visitation between the ward |
| 9 | | and the adult child, spouse, adult grandchild, parent, or |
| 10 | | adult sibling. In making its determination, the court shall |
| 11 | | consider the standards set forth in subsection (e) of this |
| 12 | | Section. The court shall not allow visitation if the court |
| 13 | | finds that the ward has capacity to evaluate and communicate |
| 14 | | decisions regarding visitation and expresses a desire not to |
| 15 | | have visitation with the petitioner. This subsection (g) does |
| 16 | | not apply to duly appointed public guardians or the Division |
| 17 | | Office of State Guardian. |
| 18 | | (Source: P.A. 101-329, eff. 8-9-19; 102-72, eff. 1-1-22; |
| 19 | | 102-258, 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 |
| 23 | | with respect to a nonresident executor, no security is |
| 24 | | required of a person who is excused by the will from giving |
| 25 | | bond or security and no greater security than is specified by |
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| 1 | | the will is required, unless in either case the court, from its |
| 2 | | own knowledge or the suggestion of any interested person, has |
| 3 | | cause to suspect the representative of fraud or incompetence |
| 4 | | or believes that the estate of the decedent will not be |
| 5 | | sufficient to discharge all the claims against the estate, or |
| 6 | | in the case of a testamentary guardian of the estate, that the |
| 7 | | rights of the ward will be prejudiced by failure to give |
| 8 | | security. |
| 9 | | (b) If a person designates a guardian of his person or |
| 10 | | estate or both to be appointed in the event he is adjudged a |
| 11 | | person with a disability as provided in Section 11a-6 and |
| 12 | | excuses the guardian from giving bond or security, or if the |
| 13 | | guardian is the Division Office of State Guardian, the |
| 14 | | guardian's bond in the amount from time to time required under |
| 15 | | this Article shall be in full force and effect without |
| 16 | | writing, unless the court requires the filing of a written |
| 17 | | bond. |
| 18 | | (c) The Division Office of State Guardian shall not be |
| 19 | | required to have sureties or surety companies as security on |
| 20 | | its bonds. The oath and bond of the representative without |
| 21 | | surety 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 |
| 25 | | and public guardian. |
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| 1 | | (a) Except as provided in Section 13-1.1, before the first |
| 2 | | Monday of December, 1977 and every 4 years thereafter, and as |
| 3 | | often as vacancies occur, the Governor, by and with the advice |
| 4 | | and consent of the Senate, shall appoint in each county a |
| 5 | | suitable person to serve as public administrator and a |
| 6 | | suitable person to serve as public guardian of the county. The |
| 7 | | Governor may designate, without the advice and consent of the |
| 8 | | Senate, the Division Office of State Guardian as an interim |
| 9 | | public guardian to fill a vacancy in one or more counties |
| 10 | | having 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 |
| 22 | | of State Guardian will perform the powers and duties assigned |
| 23 | | to it under the Guardianship and Advocacy Act. |
| 24 | | The Governor may appoint the same person to serve as |
| 25 | | public guardian and public administrator in one or more |
| 26 | | counties. In considering the number of counties of service for |
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| 1 | | any prospective public guardian or public administrator the |
| 2 | | Governor may consider the population of the county and the |
| 3 | | ability of the prospective public guardian or public |
| 4 | | administrator to travel to multiple counties and manage |
| 5 | | estates in multiple counties. Each person so appointed holds |
| 6 | | his office for 4 years from the first Monday of December, 1977 |
| 7 | | and every 4 years thereafter or until his successor is |
| 8 | | appointed and qualified. |
| 9 | | (b) Within 14 days of notification to the current public |
| 10 | | guardian of the appointment by the Governor of a new public |
| 11 | | guardian pursuant to this Section, the outgoing public |
| 12 | | guardian shall provide the incoming successor public guardian |
| 13 | | with a list of current guardianships. Within 60 days of |
| 14 | | receipt of the list of guardianships, the incoming public |
| 15 | | guardian may petition the court for a transfer of a |
| 16 | | guardianship to the incoming public guardian. The transfer of |
| 17 | | a guardianship of the person, estate, or both shall be made if |
| 18 | | it is in the best interests of the ward as determined by the |
| 19 | | court on a case-by-case basis. |
| 20 | | Factors for the court to consider include, but are not |
| 21 | | limited 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 |
| 18 | | guardian, the outgoing public guardian shall file a final |
| 19 | | account of his or her activities on behalf of the ward within |
| 20 | | 30 days or within such other time that the court may allow. The |
| 21 | | outgoing public guardian may file a petition for final fees |
| 22 | | pursuant 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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| 1 | | appointed as a public guardian by the Governor shall be |
| 2 | | certified as a National Certified Guardian by the Center for |
| 3 | | Guardianship Certification within 6 months after his or her |
| 4 | | appointment. The Department of Disability Advocacy and |
| 5 | | Guardianship and Advocacy Commission shall provide public |
| 6 | | guardians with information about certification requirements |
| 7 | | and procedures for testing and certification offered by the |
| 8 | | Center for Guardianship Certification. The cost of |
| 9 | | certification shall be considered an expense connected with |
| 10 | | the operation of the public guardian's office within the |
| 11 | | meaning of subsection (b) of Section 13-3.1 of this Article. |
| 12 | | A public guardian shall additionally complete a one-hour |
| 13 | | course regarding Alzheimer's disease and dementia within 6 |
| 14 | | months of appointment and annually thereafter. The training |
| 15 | | program shall include, but not be limited to, the following |
| 16 | | topics: effective communication strategies; best practices for |
| 17 | | interacting with people with Alzheimer's disease and related |
| 18 | | forms of dementia; and strategies for supporting people living |
| 19 | | with Alzheimer's disease or related forms of dementia in |
| 20 | | exercising their rights. |
| 21 | | (Source: P.A. 103-64, eff. 1-1-24.) |
| 22 | | Section 130. The Supported Decision-Making Agreement Act |
| 23 | | is 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 |
| 3 | | decision-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 |
| 26 | | diligence ordinarily exercised by an individual in a similar |
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| 1 | | circumstance, with due regard to the possession of, or lack |
| 2 | | of, special skills or expertise. |
| 3 | | (c) A supporter shall seek training and education |
| 4 | | regarding the responsibilities and limitations of the |
| 5 | | supporter role. The Department of Disability Advocacy and |
| 6 | | Guardianship and Advocacy Commission shall provide public |
| 7 | | information about this Act and the supporter role, |
| 8 | | responsibilities, and limitations. |
| 9 | | The Department of Disability Advocacy and Guardianship and |
| 10 | | Advocacy Commission shall develop training and education |
| 11 | | materials for both principals and supporters, including, but |
| 12 | | not limited to, sample agreements that will be posted on the |
| 13 | | website of the Department Commission along with public |
| 14 | | awareness materials. |
| 15 | | (Source: P.A. 102-614, eff. 2-27-22.) |
| 16 | | Section 135. The Illinois Power of Attorney Act is amended |
| 17 | | by 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 - |
| 20 | | exoneration. |
| 21 | | (a) The agent shall be under no duty to exercise the powers |
| 22 | | granted by the agency or to assume control of or |
| 23 | | responsibility for any of the principal's property, care or |
| 24 | | affairs, regardless of the principal's physical or mental |
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| 1 | | condition. Whenever a power is exercised, the agent shall act |
| 2 | | in good faith for the benefit of the principal using due care, |
| 3 | | competence, and diligence in accordance with the terms of the |
| 4 | | agency and shall be liable for negligent exercise. An agent |
| 5 | | who acts with due care for the benefit of the principal shall |
| 6 | | not be liable or limited merely because the agent also |
| 7 | | benefits from the act, has individual or conflicting interests |
| 8 | | in relation to the property, care or affairs of the principal |
| 9 | | or acts in a different manner with respect to the agency and |
| 10 | | the agent's individual interests. The agent shall not be |
| 11 | | affected by any amendment or termination of the agency until |
| 12 | | the agent has actual knowledge thereof. The agent shall not be |
| 13 | | liable for any loss due to error of judgment nor for the act or |
| 14 | | default of any other person. |
| 15 | | (b) An agent that has accepted appointment must act in |
| 16 | | accordance with the principal's expectations to the extent |
| 17 | | actually known to the agent and otherwise in the principal's |
| 18 | | best interests. |
| 19 | | (c) An agent shall keep a record of all receipts, |
| 20 | | disbursements, and significant actions taken under the |
| 21 | | authority of the agency and shall provide a copy of this record |
| 22 | | when 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 |
| 24 | | receipts, disbursements, and significant actions within 21 |
| 25 | | days after a request under subsection (c), the adult abuse |
| 26 | | provider agency, the Division of State Guardian, the public |
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| 1 | | guardian, or a representative of the Office of the State Long |
| 2 | | Term Care Ombudsman may petition the court for an order |
| 3 | | requiring the agent to produce his or her record of receipts, |
| 4 | | disbursements, and significant actions. If the court finds |
| 5 | | that the agent's failure to provide his or her record in a |
| 6 | | timely manner to the adult abuse provider agency, the Division |
| 7 | | of State Guardian, the public guardian, or a representative of |
| 8 | | the Office of the State Long Term Care Ombudsman was without |
| 9 | | good cause, the court may assess reasonable costs and |
| 10 | | attorney's fees against the agent, and order such other relief |
| 11 | | as is appropriate. |
| 12 | | (e) An agent is not required to disclose receipts, |
| 13 | | disbursements, or other significant actions conducted on |
| 14 | | behalf of the principal except as otherwise provided in the |
| 15 | | power of attorney or as required under subsection (c). |
| 16 | | (f) An agent that violates this Act is liable to the |
| 17 | | principal or the principal's successors in interest for the |
| 18 | | amount required (i) to restore the value of the principal's |
| 19 | | property to what it would have been had the violation not |
| 20 | | occurred, and (ii) to reimburse the principal or the |
| 21 | | principal's successors in interest for the attorney's fees and |
| 22 | | costs paid on the agent's behalf. This subsection does not |
| 23 | | limit 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, |