Public Act 099-0712
 
HB5009 EnrolledLRB099 18341 MJP 42716 b


  
    AN ACT concerning regulation.
  
 
    Be it enacted by the People of the State of Illinois,
 
represented in the General Assembly:
  


 
    Section 5. The Illinois Act on the Aging is amended  by 
changing Section 4.04 as follows:
 


    (20 ILCS 105/4.04)  (from Ch. 23, par. 6104.04)



    Sec. 4.04. Long Term Care Ombudsman Program. The purpose of 
the Long Term Care Ombudsman Program is to ensure that older 
persons and persons with disabilities receive quality 
services.  This is accomplished by providing advocacy services 
for residents of long term care facilities and participants 
receiving home care and community-based care. Managed care is 
increasingly becoming the vehicle for delivering health and 
long-term services and supports to seniors and persons with 
disabilities, including dual eligible participants.  The 
additional ombudsman authority will allow advocacy services to 
be provided to Illinois participants for the first time and 
will produce a cost savings for the State of Illinois by 
supporting the rebalancing efforts of the Patient Protection 
and Affordable Care Act. 

    (a) Long Term Care Ombudsman Program. The Department shall

establish a Long Term Care Ombudsman Program, through the 
Office of State
Long Term Care Ombudsman ("the Office"), in 
accordance with the provisions of
the Older Americans Act of 
1965, as now or hereafter amended. The Long Term Care Ombudsman 
Program is authorized, subject to sufficient appropriations, 
to advocate on behalf of older persons and persons with 
disabilities residing in their own homes or community-based 
settings, relating to matters which may adversely affect the 
health, safety, welfare, or rights of such individuals. 

    (b) Definitions. As used in this Section, unless the 
context requires
otherwise:

        (1) "Access" means the right to:

            (i) Enter any long term care facility or assisted 
        living or shared
housing establishment or supportive 
        living facility;

            (ii) Communicate privately and without restriction 
        with any resident, regardless of age,
who consents to 
        the communication;

            (iii) Seek consent to communicate privately and 
        without restriction
with any participant or resident, 
        regardless of age;

            (iv) Inspect the clinical and other records of a 
        participant or resident, regardless of age, with the

        express written consent of the participant or 
        resident;

            (v) Observe all areas of the long term care 
        facility or supportive
living facilities, assisted 
        living or shared housing establishment except the

        living area of any resident who protests the 
        observation; and

            (vi) Subject to permission of the participant or 
        resident requesting services or his or her 
        representative, enter a home or community-based 
        setting. 
        (2) "Long Term Care Facility" means (i) any facility as 
    defined by Section
1-113 of the Nursing Home Care Act, as 
    now or hereafter amended; (ii) any
skilled nursing facility 
    or a nursing facility which meets the
requirements of 
    Section 1819(a), (b), (c), and (d) or Section 1919(a), (b),

    (c), and (d) of the Social Security Act, as now or 
    hereafter amended (42
U.S.C. 1395i-3(a), (b), (c), and (d) 
    and 42 U.S.C. 1396r(a), (b), (c), and
(d)); (iii) any 
    facility as defined by Section 1-113 of the ID/DD Community 
    Care Act, as now or hereafter amended; and (iv) any 
    facility as defined by Section 1-113 of MC/DD Act, as now 
    or hereafter amended; and (v) any facility licensed under 
    Section 4-105 or 4-201 of the Specialized Mental Health 
    Rehabilitation Act of 2013, as now or hereafter amended.

        (2.5) "Assisted living establishment" and "shared 
    housing establishment"
have the meanings given those terms 
    in Section 10 of the Assisted Living and
Shared Housing 
    Act.

        (2.7) "Supportive living facility" means a facility 
    established under
Section 5-5.01a of the Illinois Public 
    Aid Code.

        (2.8) "Community-based setting" means any place of 
    abode other than an individual's private home. 
        (3) "State Long Term Care Ombudsman" means any person 
    employed by the
Department to fulfill
the requirements of 
    the Office of State Long Term Care Ombudsman as
required 
    under the Older Americans Act of 1965, as now or hereafter 
    amended,
and Departmental policy.

        (3.1) "Ombudsman" means any designated representative 
    of the State Long Term Care Ombudsman Program; provided 
    that the representative, whether he is
paid for or 
    volunteers his ombudsman services, shall be qualified and

    designated by the Office to perform the duties of an 
    ombudsman as specified by
the Department in rules and in 
    accordance with the provisions of
the Older Americans Act 
    of 1965, as now or hereafter amended.

        (4) "Participant" means an older person aged 60 or over 
    or an adult with a disability aged 18 through 59 who is 
    eligible for services under any of the following: 
            (i)  A medical assistance waiver administered by 
        the State. 
            (ii) A managed care organization providing care 
        coordination and other services to seniors and persons 
        with disabilities. 
        (5) "Resident" means an older person aged 60 or over or 
    an adult with a disability aged 18 through 59 who resides 
    in a long-term care facility. 
    (c) Ombudsman; rules. The Office of State Long Term Care 
Ombudsman shall
be composed of at least one full-time ombudsman 
and shall include a system of
designated regional long term 
care ombudsman programs. Each regional program
shall be 
designated by the State Long Term Care Ombudsman as a 
subdivision of
the Office and any representative of a regional 
program shall be treated as a
representative of the Office.

    The Department, in consultation with the Office, shall 
promulgate
administrative rules in accordance with the 
provisions of the Older Americans
Act of 1965, as now or 
hereafter amended, to establish the responsibilities of
the 
Department and the Office of State Long Term Care Ombudsman and 
the
designated regional Ombudsman programs. The administrative 
rules shall include
the responsibility of the Office and 
designated regional programs to
investigate and resolve 
complaints made by or on behalf of residents of long
term care 
facilities, supportive living facilities, and assisted living 
and
shared housing establishments, and participants residing 
in their own homes or community-based settings, including the 
option to serve residents and participants under the age of 60, 
relating to actions, inaction, or
decisions of providers, or 
their representatives, of such
facilities and establishments, 
of public agencies, or of social services agencies,
which may 
adversely affect the health, safety, welfare, or rights of such

residents and participants. The Office and designated regional 
programs may represent all residents and participants, but are 
not required by this Act to represent persons under 60 years of 
age, except to the extent required by federal law.
When 
necessary and appropriate, representatives of the Office shall 
refer
complaints to the appropriate regulatory State agency.

The Department, in consultation with the Office, shall 
cooperate with the
Department of Human Services and other State 
agencies in providing information and training to
designated 
regional long term care ombudsman programs about the 
appropriate
assessment and treatment (including information 
about appropriate supportive
services, treatment options, and 
assessment of rehabilitation potential) of the participants 
they serve.
    The State Long Term Care Ombudsman and all other ombudsmen, 
as defined in paragraph (3.1) of subsection (b)  must submit to 
background checks under the Health Care Worker Background Check 
Act and receive training, as prescribed by the Illinois 
Department on Aging, before visiting facilities, private 
homes, or community-based settings.  The training must include 
information specific to assisted living establishments, 
supportive living facilities, shared housing establishments, 
private homes, and community-based settings and to the rights 
of residents and participants guaranteed under the 
corresponding Acts and administrative rules.


    (c-5) Consumer Choice Information Reports. The Office 
shall:
        (1) In collaboration with the Attorney General, create 
    a Consumer Choice Information Report form to be completed 
    by all licensed long term care facilities to aid 
    Illinoisans and their families in making informed choices 
    about long term care.  The Office shall create a Consumer 
    Choice Information Report for each type of licensed long 
    term care facility. The Office shall collaborate with the 
    Attorney General and the Department of Human Services to 
    create a Consumer Choice Information Report form for 
    facilities licensed under the ID/DD Community Care Act or 
    the MC/DD Act. 
        (2) Develop a database of Consumer Choice Information 
    Reports completed by licensed long term care facilities 
    that includes information in the following consumer 
    categories:
            (A) Medical Care, Services, and Treatment.
            (B) Special Services and Amenities.
            (C) Staffing.
            (D) Facility Statistics and Resident Demographics.
            (E) Ownership and Administration.
            (F) Safety and Security.
            (G) Meals and Nutrition.
            (H) Rooms, Furnishings, and Equipment.
            (I) Family, Volunteer, and Visitation Provisions.
        (3) Make this information accessible to the public, 
    including on the Internet by means of a hyperlink labeled 
    "Resident's Right to Know" on the Office's World Wide Web 
    home page. Information about facilities licensed under the 
    ID/DD Community Care Act or the MC/DD Act shall be made 
    accessible to the public by the Department of Human 
    Services, including on the Internet by means of a hyperlink 
    labeled "Resident's and Families' Right to Know" on the 
    Department of Human Services' "For Customers" website. 
        (4) Have the authority, with the Attorney General, to 
    verify that information provided by a facility is accurate.
        (5) Request a new report from any licensed facility 
    whenever it deems necessary.

        (6) Include in the Office's Consumer Choice
    
    Information Report for each type of licensed long term care
    
    facility additional information on each licensed long term
    
    care facility in the State of Illinois, including
    
    information regarding each facility's compliance with the
    
    relevant State and federal statutes, rules, and standards;
    
    customer satisfaction surveys; and information generated
    
    from quality measures developed by the Centers for Medicare
    
    and Medicaid Services.
    (d) Access and visitation rights.

        (1) In accordance with subparagraphs (A) and (E) of 
    paragraph (3) of
subsection (c) of Section 1819
and 
    subparagraphs (A) and (E) of paragraph (3) of subsection 
    (c) of Section
1919 of the Social Security Act, as now or 
    hereafter amended (42 U.S.C.
1395i-3 (c)(3)(A) and (E) and 
    42 U.S.C. 1396r (c)(3)(A) and (E)), and
Section
712 of the 
    Older Americans Act of 1965, as now or hereafter
amended 
    (42 U.S.C. 3058f), a long term care facility, supportive 
    living
facility, assisted living
establishment, and shared 
    housing establishment must:

            (i) permit immediate access to any resident, 
        regardless of age, by a designated
ombudsman;

            (ii) permit representatives of the Office, with 
        the permission of the
resident's legal representative 
        or legal guardian, to examine a resident's
clinical and 
        other records, regardless of the age of the resident, 
        and if a resident is unable to consent to such
review, 
        and has no legal guardian, permit representatives of 
        the Office
appropriate access, as defined by the 
        Department, in consultation with the
Office, in 
        administrative rules, to the resident's records; and

            (iii) permit a representative of the Program to 
        communicate privately and without restriction with any 
        participant who consents to the communication 
        regardless of the consent of, or withholding of consent 
        by, a legal guardian or an agent named in a power of 
        attorney executed by the participant.
        (2) Each long term care facility, supportive living 
    facility, assisted
living establishment, and
shared 
    housing establishment shall display, in multiple, 
    conspicuous
public places within the facility accessible 
    to both visitors and residents and
in an easily readable 
    format, the address and phone number of the Office of the

    Long Term Care Ombudsman, in a manner prescribed by the 
    Office.

    (e) Immunity. An ombudsman or any representative of the 
Office participating
in the good faith performance of his or 
her official duties
shall have immunity from any liability 
(civil, criminal or otherwise) in
any proceedings (civil, 
criminal or otherwise) brought as a consequence of
the 
performance of his official duties.

    (f) Business offenses.

        (1) No person shall:

            (i) Intentionally prevent, interfere with, or 
        attempt to impede in any
way any representative of the 
        Office in the performance of his
official
duties under 
        this Act and the Older Americans Act of 1965; or

            (ii) Intentionally retaliate, discriminate 
        against, or effect reprisals
against any long term care 
        facility resident or employee for contacting or

        providing information to any representative of the 
        Office.

        (2) A violation of this Section is a business offense, 
    punishable by a
fine not to exceed $501.

        (3) The State Long Term Care Ombudsman shall
notify the 
    State's Attorney of the
county in which the long term care 
    facility, supportive living facility, or
assisted living 
    or shared housing establishment is located,
or the Attorney 
    General, of any violations of this Section.

    (g) Confidentiality of records and identities. The 
Department shall
establish procedures for the disclosure by the 
State Ombudsman or the regional
ombudsmen
entities of files 
maintained by the program. The procedures shall provide that

the files and records may be disclosed only at the discretion 
of the State Long
Term Care
Ombudsman or the person designated 
by the State Ombudsman to disclose the files
and records, and 
the procedures shall prohibit the disclosure of the identity
of 
any complainant, resident, participant, witness, or employee 
of a long term care provider
unless:

        (1) the complainant, resident, participant, witness, 
    or employee of a long term care
provider or his or her 
    legal representative consents to the disclosure and the

    consent is in writing;

        (2) the complainant, resident, participant, witness, 
    or employee of a long term care
provider gives consent 
    orally; and the consent is documented contemporaneously
in 
    writing in
accordance with such requirements as the 
    Department shall establish; or

        (3) the disclosure is required by court order.

    (h) Legal representation. The Attorney General shall

provide legal representation to any representative of the 
Office
against
whom suit or other legal action is brought in 
connection with the
performance of the representative's 
official duties, in accordance with the
State Employee 
Indemnification Act.

    (i) Treatment by prayer and spiritual means. Nothing in 
this Act shall
be construed to authorize or require the medical 
supervision, regulation
or control of remedial care or 
treatment of any resident in a long term
care facility operated 
exclusively by and for members or adherents of any
church or 
religious denomination the tenets and practices of which 
include
reliance solely upon spiritual means through prayer for 
healing.

    (j) The Long Term Care Ombudsman Fund is created as a 
special fund in the State treasury to receive moneys for the 
express purposes of this Section. All interest earned on moneys 
in the fund shall be credited to the fund.  Moneys contained in 
the fund shall be used to support the purposes of this Section. 
    (k) Each Regional Ombudsman may, in accordance with rules 
promulgated by the Office, establish a multi-disciplinary team 
to act in an advisory role for the purpose of providing 
professional knowledge and expertise in handling complex 
abuse, neglect, and advocacy issues involving participants.  
Each multi-disciplinary team may consist of one or more 
volunteer representatives from any combination of at least 7 
members from the following professions: banking or finance; 
disability care; health care; pharmacology; law; law 
enforcement; emergency responder; mental health care; clergy; 
coroner or medical examiner; substance abuse; domestic 
violence; sexual assault; or other related fields. To support 
multi-disciplinary teams in this role, law enforcement 
agencies and coroners or medical examiners shall supply records 
as may be requested in particular cases.  The Regional 
Ombudsman, or his or her designee, of the area in which the 
multi-disciplinary team is created shall be the facilitator of 
the multi-disciplinary team. 
(Source: P.A. 98-380, eff. 8-16-13; 98-989, eff. 1-1-15; 
99-180, eff. 7-29-15.)



 
    Section 10. The Specialized Mental Health Rehabilitation 
Act of 2013 is amended  by changing Sections 4-103, 4-105, and 
4-201 as follows:
 
    (210 ILCS 49/4-103)

    Sec. 4-103. Provisional licensure emergency rules.   The 
Department, in consultation with the Division of Mental Health 
of the Department of Human Services and the Department of 
Healthcare and Family Services, is granted the authority under 
this Act to establish provisional licensure and licensing 
procedures by emergency rule.  The Department shall file 
emergency rules concerning provisional licensure under this 
Act within 120 days after the effective date of this Act.  The 
rules to be filed for provisional licensure shall be for a 
period of 3 years, beginning with the adoption date of the 
emergency rules establishing the provisional license, and 
shall not be extended beyond the date of 3 years after the 
effective date of the emergency rules creating the provisional 
license and licensing process.  Rules governing the provisional 
license and licensing process shall contain rules for the 
different levels of care offered by the facilities authorized 
under this Act and shall address each type of care hereafter 
enumerated:
        (1) triage centers;
        (2)   crisis stabilization;
        (3)   recovery and rehabilitation supports;
        (4) transitional living units; or
        (5)  other intensive treatment and stabilization 
    programs designed and developed in collaboration with the 
    Department.

(Source: P.A. 98-104, eff. 7-22-13.)
 
    (210 ILCS 49/4-105)

    Sec. 4-105. Provisional licensure duration. A provisional 
license shall be valid upon fulfilling the requirements 
established by the Department by emergency rule.  The license 
shall remain valid as long as a facility remains in compliance 
with the licensure provisions established in rule. Provisional 
licenses issued upon initial licensure as a specialized mental 
health rehabilitation facility shall expire at the end of a 
3-year period, which commences on the date the provisional 
license is issued. Issuance of a provisional license for any 
reason other than initial licensure (including, but not limited 
to, change of ownership, location, number of beds, or services) 
shall not extend the maximum 3-year period, at the end of which 
a facility must be licensed pursuant to Section 4-201.  The 
provisional license shall expire when the administrative rule 
established by the Department for provisional licensure 
expires at the end of a 3-year period.

(Source: P.A. 98-104, eff. 7-22-13.)
 
    (210 ILCS 49/4-201)

    Sec. 4-201. Accreditation and licensure. At the end of the 
provisional licensure period established in Article 3, Part 1 
of this Article 4 Act, the Department shall license a facility 
as a specialized mental health rehabilitation facility under 
this Act that successfully completes and obtains valid national 
accreditation in behavioral health from a recognized national 
accreditation entity and complies with licensure standards as 
established by the Department of Public Health in 
administrative rule. Rules governing licensure standards shall 
include, but not be limited to, appropriate fines and sanctions 
associated with violations of laws or regulations. The 
following shall be considered to be valid national 
accreditation in behavioral health from an national 
accreditation entity:
        (1)   the Joint Commission;
        (2) the Commission on Accreditation of Rehabilitation 
    Facilities; 
        (3)     the Healthcare Facilities Accreditation Program; 
    or
        (4) any other national standards of care as approved by 
    the Department.

(Source: P.A. 98-104, eff. 7-22-13.)
 

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