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[ Engrossed ] | [ House Amendment 001 ] |
91_HB0147 LRB9100635ACprA 1 AN ACT concerning respiratory care practitioners. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 5. The Respiratory Care Practice Act is amended 5 by changing Sections 55 and 95 as follows: 6 (225 ILCS 106/55) 7 Sec. 55. Licensure required. Beginning 6 months after 8 January 1, 1996the effective date of this Act, and except as 9 provided in Section 15 of this Act, no individual shall hold 10 himself or herself out as a respiratory care practitioner, 11 unless he or she is licensed under this Act. Beginning 12 January 1, 2000, and except as provided in subsection (j) of 13 Section 15 of this Act, all individuals credentialed as 14 certified respiratory therapy technicians, certified 15 respiratory therapists, and registered respiratory therapists 16 by the National Board for Respiratory Care are required to be 17 licensed under this Act. 18 (Source: P.A. 89-33, eff. 1-1-96.) 19 (225 ILCS 106/95) 20 Sec. 95. Grounds for discipline. 21 (a) The Department may refuse to issue, renew, or may 22 revoke, suspend, place on probation, reprimand, or take other 23 disciplinary action as the Department considers appropriate, 24 including the issuance of fines not to exceed $5,000 for each 25 violation, with regard to any license for any one or more of 26 the following: 27 (1) Material misstatement in furnishing information 28 to the Department or to any other State or federal 29 agency. 30 (2) Violations of this Act, or any of its rules. -2- LRB9100635ACprA 1 (3) Conviction of any crime under the laws of the 2 United States or any state or territory thereof that is a 3 felony or a misdemeanor, an essential element of which is 4 dishonesty, or of any crime that is directly related to 5 the practice of the profession. 6 (4) Making any misrepresentation for the purpose of 7 obtaining a license. 8 (5) Professional incompetence or negligence in the 9 rendering of respiratory care services. 10 (6) Malpractice. 11 (7) Aiding or assisting another person in violating 12 any rules or provisions of this Act. 13 (8) Failing to provide information within 60 days 14 in response to a written request made by the Department. 15 (9) Engaging in dishonorable, unethical, or 16 unprofessional conduct of a character likely to deceive, 17 defraud, or harm the public. 18 (10) Violating the rules of professional conduct 19 adopted by the Department. 20 (11) Discipline by another jurisdiction, if at 21 least one of the grounds for the discipline is the same 22 or substantially equivalent to those set forth in this 23 Act. 24 (12) Directly or indirectly giving to or receiving 25 from any person, firm, corporation, partnership, or 26 association any fee, commission, rebate, or other form of 27 compensation for any professional services not actually 28 rendered. 29 (13) A finding by the Department that the licensee, 30 after having the license placed on probationary status, 31 has violated the terms of the probation. 32 (14) Abandonment of a patient. 33 (15) Willfully filing false reports relating to a 34 licensee's practice including, but not limited to, false -3- LRB9100635ACprA 1 records filed with a federal or State agency or 2 department. 3 (16) Willfully failing to report an instance of 4 suspected child abuse or neglect as required by the 5 Abused and Neglected Child Reporting Act. 6 (17) Providing respiratory care, other than 7 pursuant to the prescription of a licensed physician. 8 (18) Physical or mental disability including, but 9 not limited to, deterioration through the aging process 10 or loss of motor skills that results in the inability to 11 practice the profession with reasonable judgment, skill, 12 or safety. 13 (19) Solicitation of professional services by using 14 false or misleading advertising. 15 (20) Failure to file a tax return, or to pay the 16 tax, penalty, or interest shown in a filed return, or to 17 pay any final assessment of tax penalty, or interest, as 18 required by any tax Act administered by the Illinois 19 Department of Revenue or any successor agency or the 20 Internal Revenue Service or any successor agency. 21 (21) Irregularities in billing a third party for 22 services rendered or in reporting charges for services 23 not rendered. 24 (22) Being named as a perpetrator in an indicated 25 report by the Department of Children and Family Services 26 under the Abused and Neglected Child Reporting Act, and 27 upon proof by clear and convincing evidence that the 28 licensee has caused a child to be an abused child or 29 neglected child as defined in the Abused and Neglected 30 Child Reporting Act. 31 (23) Habitual or excessive use or addiction to 32 alcohol, narcotics, stimulants, or any other chemical 33 agent or drug that results in an inability to practice 34 with reasonable skill, judgment, or safety. -4- LRB9100635ACprA 1 (24) Being named as a perpetrator in an indicated 2 report by the Department on Aging under the Elder Abuse 3 and Neglect Act, and upon proof by clear and convincing 4 evidence that the licensee has caused an elderly person 5 to be abused or neglected as defined in the Elder Abuse 6 and Neglect Act. 7 (25) Willfully failing to report an instance of 8 suspected elder abuse or neglect as required by the Elder 9 Abuse and Neglect Act. 10 (b) The determination by a court that a licensee is 11 subject to involuntary admission or judicial admission as 12 provided in the Mental Health and Developmental Disabilities 13 Code will result in an automatic suspension of his or her 14 license. The suspension will end upon a finding by a court 15 that the licensee is no longer subject to involuntary 16 admission or judicial admission, the issuance of an order so 17 finding and discharging the patient, and the recommendation 18 of the Board to the Director that the licensee be allowed to 19 resume his or her practice. 20 (Source: P.A. 89-33, eff. 1-1-96; 90-655, eff. 7-30-98.) 21 Section 10. The Elder Abuse and Neglect Act is amended 22 by changing Section 2 as follows: 23 (320 ILCS 20/2) (from Ch. 23, par. 6602) 24 Sec. 2. Definitions. As used in this Act, unless the 25 context requires otherwise: 26 (a) "Abuse" means causing any physical, mental or sexual 27 injury to an eligible adult, including exploitation of such 28 adult's financial resources. 29 Nothing in this Act shall be construed to mean that an 30 eligible adult is a victim of abuse or neglect for the sole 31 reason that he or she is being furnished with or relies upon 32 treatment by spiritual means through prayer alone, in -5- LRB9100635ACprA 1 accordance with the tenets and practices of a recognized 2 church or religious denomination. 3 Nothing in this Act shall be construed to mean that an 4 eligible adult is a victim of abuse because of health care 5 services provided or not provided by licensed health care 6 professionals. 7 (a-5) "Abuser" means a person who abuses, neglects, or 8 financially exploits an eligible adult. 9 (a-7) "Caregiver" means a person who either as a result 10 of a family relationship, voluntarily, or in exchange for 11 compensation has assumed responsibility for all or a portion 12 of the care of an eligible adult who needs assistance with 13 activities of daily living. 14 (b) "Department" means the Department on Aging of the 15 State of Illinois. 16 (c) "Director" means the Director of the Department. 17 (d) "Domestic living situation" means a residence where 18 the eligible adult lives alone or with his or her family or a 19 caregiver, or others, or a board and care home or other 20 community-based unlicensed facility, but is not: 21 (1) A licensed facility as defined in Section 1-113 22 of the Nursing Home Care Act; 23 (2) A "life care facility" as defined in the Life 24 Care Facilities Act; 25 (3) A home, institution, or other place operated by 26 the federal government or agency thereof or by the State 27 of Illinois; 28 (4) A hospital, sanitarium, or other institution, 29 the principal activity or business of which is the 30 diagnosis, care, and treatment of human illness through 31 the maintenance and operation of organized facilities 32 therefor, which is required to be licensed under the 33 Hospital Licensing Act; 34 (5) A "community living facility" as defined in the -6- LRB9100635ACprA 1 Community Living Facilities Licensing Act; 2 (6) A "community residential alternative" as 3 defined in the Community Residential Alternatives 4 Licensing Act; and 5 (7) A "community-integrated living arrangement" as 6 defined in the Community-Integrated Living Arrangements 7 Licensure and Certification Act. 8 (e) "Eligible adult" means a person 60 years of age or 9 older who resides in a domestic living situation and is, or 10 is alleged to be, abused, neglected, or financially exploited 11 by another individual. 12 (f) "Emergency" means a situation in which an eligible 13 adult is living in conditions presenting a risk of death or 14 physical, mental or sexual injury and the provider agency has 15 reason to believe the eligible adult is unable to consent to 16 services which would alleviate that risk. 17 (f-5) "Mandated reporter" means any of the following 18 persons while engaged in carrying out their professional 19 duties: 20 (1) a professional or professional's delegate while 21 engaged in: (i) social services, (ii) law enforcement, 22 (iii) education, (iv) the care of an eligible adult or 23 eligible adults, or (v) any of the occupations required 24 to be licensed under the Clinical Psychologist Licensing 25 Act, the Clinical Social Work and Social Work Practice 26 Act, the Illinois Dental Practice Act, the Dietetic and 27 Nutrition Services Practice Act, the Marriage and Family 28 Therapy Licensing Act, the Medical Practice Act of 1987, 29 the Naprapathic Practice Act, theIllinoisNursing and 30 Advanced Practice Nursing Actof 1987, the Nursing Home 31 Administrators Licensing and Disciplinary Act, the 32 Illinois Occupational Therapy Practice Act, the Illinois 33 Optometric Practice Act of 1987, the Pharmacy Practice 34 Act of 1987, the Illinois Physical Therapy Act, the -7- LRB9100635ACprA 1 Physician Assistant Practice Act of 1987, the Podiatric 2 Medical Practice Act of 1987, the Respiratory Care 3 Practice Act, the Professional Counselor and Clinical 4 Professional Counselor Licensing Act, the Illinois 5 Speech-Language Pathology and Audiology Practice Act, the 6 Veterinary Medicine and Surgery Practice Act of 1994, and 7 the Illinois Public Accounting Act; 8 (2) an employee of a vocational rehabilitation 9 facility prescribed or supervised by the Department of 10 Human Services; 11 (3) an administrator, employee, or person providing 12 services in or through an unlicensed community based 13 facility; 14 (4) a Christian Science Practitioner; 15 (5) field personnel of the Department of Public 16 Aid, Department of Public Health, and Department of Human 17 Services, and any county or municipal health department; 18 (6) personnel of the Department of Human Services, 19 the Guardianship and Advocacy Commission, the State Fire 20 Marshal, local fire departments, the Department on Aging 21 and its subsidiary Area Agencies on Aging and provider 22 agencies, and the Office of State Long Term Care 23 Ombudsman; 24 (7) any employee of the State of Illinois not 25 otherwise specified herein who is involved in providing 26 services to eligible adults, including professionals 27 providing medical or rehabilitation services and all 28 other persons having direct contact with eligible adults; 29 or 30 (9) a person who performs the duties of a coroner 31 or medical examiner. 32 (g) "Neglect" means another individual's failure to 33 provide an eligible adult with or willful withholding from an 34 eligible adult the necessities of life including, but not -8- LRB9100635ACprA 1 limited to, food, clothing, shelter or medical care. This 2 subsection does not create any new affirmative duty to 3 provide support to eligible adults. Nothing in this Act 4 shall be construed to mean that an eligible adult is a victim 5 of neglect because of health care services provided or not 6 provided by licensed health care professionals. 7 (h) "Provider agency" means any public or nonprofit 8 agency in a planning and service area appointed by the 9 regional administrative agency with prior approval by the 10 Department on Aging to receive and assess reports of alleged 11 or suspected abuse, neglect, or financial exploitation. 12 (i) "Regional administrative agency" means any public or 13 nonprofit agency in a planning and service area so designated 14 by the Department, provided that the designated Area Agency 15 on Aging shall be designated the regional administrative 16 agency if it so requests. The Department shall assume the 17 functions of the regional administrative agency for any 18 planning and service area where another agency is not so 19 designated. 20 (j) "Substantiated case" means a reported case of 21 alleged or suspected abuse, neglect, or financial 22 exploitation in which a provider agency, after assessment, 23 determines that there is reason to believe abuse, neglect, or 24 financial exploitation has occurred. 25 (Source: P.A. 90-628, eff. 1-1-99; revised 9-24-98.) 26 Section 15. The Abused and Neglected Child Reporting Act 27 is amended by changing Section 4 as follows: 28 (325 ILCS 5/4) (from Ch. 23, par. 2054) 29 Sec. 4. Persons required to report; privileged 30 communications; transmitting false report. Any physician, 31 resident, intern, hospital, hospital administrator and 32 personnel engaged in examination, care and treatment of -9- LRB9100635ACprA 1 persons, surgeon, dentist, dentist hygienist, osteopath, 2 chiropractor, podiatrist, physician assistant, substance 3 abuse treatment personnel, Christian Science practitioner, 4 funeral home director or employee, coroner, medical examiner, 5 emergency medical technician, acupuncturist, crisis line or 6 hotline personnel, school personnel, educational advocate 7 assigned to a child pursuant to the School Code, truant 8 officers, social worker, social services administrator, 9 domestic violence program personnel, registered nurse, 10 licensed practical nurse, respiratory care practitioner, 11 director or staff assistant of a nursery school or a child 12 day care center, recreational program or facility personnel, 13 law enforcement officer, registered psychologist and 14 assistants working under the direct supervision of a 15 psychologist, psychiatrist, or field personnel of the 16 Illinois Department of Public Aid, Public Health, Human 17 Services (acting as successor to the Department of Mental 18 Health and Developmental Disabilities, Rehabilitation 19 Services, or Public Aid), Corrections, Human Rights, or 20 Children and Family Services, supervisor and administrator of 21 general assistance under the Illinois Public Aid Code, 22 probation officer, or any other foster parent, homemaker or 23 child care worker having reasonable cause to believe a child 24 known to them in their professional or official capacity may 25 be an abused child or a neglected child shall immediately 26 report or cause a report to be made to the Department. 27 Whenever such person is required to report under this Act in 28 his capacity as a member of the staff of a medical or other 29 public or private institution, school, facility or agency, he 30 shall make report immediately to the Department in accordance 31 with the provisions of this Act and may also notify the 32 person in charge of such institution, school, facility or 33 agency or his designated agent that such report has been 34 made. Under no circumstances shall any person in charge of -10- LRB9100635ACprA 1 such institution, school, facility or agency, or his 2 designated agent to whom such notification has been made, 3 exercise any control, restraint, modification or other change 4 in the report or the forwarding of such report to the 5 Department. The privileged quality of communication between 6 any professional person required to report and his patient or 7 client shall not apply to situations involving abused or 8 neglected children and shall not constitute grounds for 9 failure to report as required by this Act. In addition to 10 the above persons required to report suspected cases of 11 abused or neglected children, any other person may make a 12 report if such person has reasonable cause to believe a child 13 may be an abused child or a neglected child. Any person who 14 enters into employment on and after July 1, 1986 and is 15 mandated by virtue of that employment to report under this 16 Act, shall sign a statement on a form prescribed by the 17 Department, to the effect that the employee has knowledge and 18 understanding of the reporting requirements of this Act. The 19 statement shall be signed prior to commencement of the 20 employment. The signed statement shall be retained by the 21 employer. The cost of printing, distribution, and filing of 22 the statement shall be borne by the employer. The Department 23 shall provide copies of this Act, upon request, to all 24 employers employing persons who shall be required under the 25 provisions of this Section to report under this Act. 26 Any person who knowingly transmits a false report to the 27 Department commits the offense of disorderly conduct under 28 subsection (a)(7) of Section 26-1 of the "Criminal Code of 29 1961". Any person who violates this provision a second or 30 subsequent time shall be guilty of a Class 4 felony. 31 Any person who knowingly and willfully violates any 32 provision of this Section other than a second or subsequent 33 violation of transmitting a false report as described in the 34 preceding paragraph, shall be guilty of a Class A -11- LRB9100635ACprA 1 misdemeanor. 2 A child whose parent, guardian or custodian in good faith 3 selects and depends upon spiritual means through prayer 4 alone for the treatment or cure of disease or remedial care 5 may be considered neglected or abused, but not for the sole 6 reason that his parent, guardian or custodian accepts and 7 practices such beliefs. 8 A child shall not be considered neglected or abused 9 solely because the child is not attending school in 10 accordance with the requirements of Article 26 of the School 11 Code, as amended. 12 (Source: P.A. 89-363, eff. 1-1-96; 89-507, eff. 7-1-97; 13 89-706, eff. 1-31-97; 90-116, eff. 7-14-97.) 14 Section 99. Effective date. This Act takes effect 15 January 1, 2000.