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91_HB4636 LRB9111130STsb 1 AN ACT to amend the Elder Abuse and Neglect Act 2 concerning extending protection of elders against abuse, 3 neglect, and financial exploitation. 4 Be it enacted by the People of the State of Illinois, 5 represented in the General Assembly: 6 Section 5. The Elder Abuse and Neglect Act is amended by 7 changing Sections 2, 3.5, 4, and 7 as follows: 8 (320 ILCS 20/2) (from Ch. 23, par. 6602) 9 Sec. 2. Definitions. As used in this Act, unless the 10 context requires otherwise: 11 (a) "Abuse" means causing any physical, mental or sexual 12 injury to an eligible adult, including exploitation of such 13 adult's financial resources. 14 Nothing in this Act shall be construed to mean that an 15 eligible adult is a victim of abuse or neglect for the sole 16 reason that he or she is being furnished with or relies upon 17 treatment by spiritual means through prayer alone, in 18 accordance with the tenets and practices of a recognized 19 church or religious denomination. 20 Nothing in this Act shall be construed to mean that an 21 eligible adult is a victim of abuse because of health care 22 services provided or not provided by licensed health care 23 professionals. 24 (a-5) "Abuser" means a person who abuses, neglects, or 25 financially exploits an eligible adult. 26 (a-7) "Caregiver" means a person who either as a result 27 of a family relationship, voluntarily, or in exchange for 28 compensation has assumed responsibility for all or a portion 29 of the care of an eligible adult who needs assistance with 30 activities of daily living. 31 (b) "Department" means the Department on Aging of the -2- LRB9111130STsb 1 State of Illinois. 2 (c) "Director" means the Director of the Department. 3 (d) "Domestic living situation" means a residence where 4 the eligible adult lives alone or with his or her family or a 5 caregiver, or others, or a board and care home or other 6 community-based unlicensed facility, but is not: 7 (1) A licensed facility as defined in Section 1-113 8 of the Nursing Home Care Act; 9 (2) A "life care facility" as defined in the Life 10 Care Facilities Act; 11 (3) A home, institution, or other place operated by 12 the federal government or agency thereof or by the State 13 of Illinois; 14 (4) A hospital, sanitarium, or other institution, 15 the principal activity or business of which is the 16 diagnosis, care, and treatment of human illness through 17 the maintenance and operation of organized facilities 18 therefor, which is required to be licensed under the 19 Hospital Licensing Act; 20 (5) A "community living facility" as defined in the 21 Community Living Facilities Licensing Act; 22 (6) A "community residential alternative" as 23 defined in the Community Residential Alternatives 24 Licensing Act; and 25 (7) A "community-integrated living arrangement" as 26 defined in the Community-Integrated Living Arrangements 27 Licensure and Certification Act. 28 (e) "Eligible adult" means a person 60 years of age or 29 older who resides in a domestic living situation and is, or 30 is alleged to be, abused, neglected, or financially exploited 31 by another individual. 32 (f) "Emergency" means a situation in which an eligible 33 adult is living in conditions presenting a risk of death or 34 physical, mental or sexual injury and the provider agency has -3- LRB9111130STsb 1 reason to believe the eligible adult is unable to consent to 2 services which would alleviate that risk. 3 (f-5) "Mandated reporter" means any of the following 4 persons while engaged in carrying out their professional 5 duties: 6 (1) a professional or professional's delegate while 7 engaged in: (i) social services, (ii) law enforcement, 8 (iii) education, (iv) the care of an eligible adult or 9 eligible adults, or (v) any of the occupations required 10 to be licensed under the Clinical Psychologist Licensing 11 Act, the Clinical Social Work and Social Work Practice 12 Act, the Illinois Dental Practice Act, the Dietetic and 13 Nutrition Services Practice Act, the Marriage and Family 14 Therapy Licensing Act, the Medical Practice Act of 1987, 15 the Naprapathic Practice Act, the Nursing and Advanced 16 Practice Nursing Act, the Nursing Home Administrators 17 Licensing and Disciplinary Act, the Illinois 18 Occupational Therapy Practice Act, the Illinois 19 Optometric Practice Act of 1987, the Pharmacy Practice 20 Act of 1987, the Illinois Physical Therapy Act, the 21 Physician Assistant Practice Act of 1987, the Podiatric 22 Medical Practice Act of 1987, the Respiratory Care 23 Practice Act, the Professional Counselor and Clinical 24 Professional Counselor Licensing Act, the Illinois 25 Speech-Language Pathology and Audiology Practice Act, the 26 Veterinary Medicine and Surgery Practice Act of 1994, and 27 the Illinois Public Accounting Act; 28 (2) an employee of a vocational rehabilitation 29 facility prescribed or supervised by the Department of 30 Human Services; 31 (3) an administrator, employee, or person providing 32 services in or through an unlicensed community based 33 facility; 34 (4) a Christian Science Practitioner; -4- LRB9111130STsb 1 (5) field personnel of the Department of Public 2 Aid, Department of Public Health, and Department of Human 3 Services, and any county or municipal health department; 4 (6) personnel of the Department of Human Services, 5 the Guardianship and Advocacy Commission, the State Fire 6 Marshal, local fire departments, the Department on Aging 7 and its subsidiary Area Agencies on Aging and provider 8 agencies, and the Office of State Long Term Care 9 Ombudsman; 10 (7) any employee of the State of Illinois not 11 otherwise specified herein who is involved in providing 12 services to eligible adults, including professionals 13 providing medical or rehabilitation services and all 14 other persons having direct contact with eligible adults; 15or16 (8) a person who performs the duties of a coroner 17 or medical examiner;.18 (9) a banker or any employee of a banking or 19 financial institution; or 20 (10) a lawyer or any employee or professional 21 engaged in providing legal assistance or advice. 22 (g) "Neglect" means another individual's failure to 23 provide an eligible adult with or willful withholding from an 24 eligible adult the necessities of life including, but not 25 limited to, food, clothing, shelter or medical care. This 26 subsection does not create any new affirmative duty to 27 provide support to eligible adults. Nothing in this Act 28 shall be construed to mean that an eligible adult is a victim 29 of neglect because of health care services provided or not 30 provided by licensed health care professionals. 31 (h) "Provider agency" means any public or nonprofit 32 agency in a planning and service area appointed by the 33 regional administrative agency with prior approval by the 34 Department on Aging to receive and assess reports of alleged -5- LRB9111130STsb 1 or suspected abuse, neglect, or financial exploitation. 2 (i) "Regional administrative agency" means any public or 3 nonprofit agency in a planning and service area so designated 4 by the Department, provided that the designated Area Agency 5 on Aging shall be designated the regional administrative 6 agency if it so requests. The Department shall assume the 7 functions of the regional administrative agency for any 8 planning and service area where another agency is not so 9 designated. 10 (j) "Substantiated case" means a reported case of 11 alleged or suspected abuse, neglect, or financial 12 exploitation in which a provider agency, after assessment, 13 determines that there is reason to believe abuse, neglect, or 14 financial exploitation has occurred. 15 (Source: P.A. 90-628, eff. 1-1-99; 91-259, eff. 1-1-00; 16 91-357, eff. 7-29-99; 91-533, eff. 8-13-99; revised 8-30-99.) 17 (320 ILCS 20/3.5) 18 Sec. 3.5. Other Responsibilities. The Department shall 19 also be responsible for the following activities, contingent 20 upon adequate funding: 21 (a) promotion of a wide range of endeavors for the 22 purpose of preventing elder abuse, neglect, and financial 23 exploitation in both domestic and institutional settings, 24 including, but not limited to, promotion of public and 25 professional education to increase awareness of elder abuse, 26 neglect, and financial exploitation, to increase reports, and 27 to improve response by various legal, financial, social, and 28 health systems; 29 (b) coordination of efforts with other agencies, 30 councils, and like entities, to include but not be limited 31 to, the Office of the Attorney General, the State Police, the 32 Law Enforcement Training and Standards Board, the State 33 Triad, the Criminal Justice Information Authority, the -6- LRB9111130STsb 1 Departments of Public Health, Public Aid, and Human Services, 2 the Family Violence Coordinating Council, the Violence 3 Prevention Authority, and other entities which may impact 4 awareness of, and response to, elder abuse, neglect, and 5 financial exploitation; 6 (c) collection and analysis of data; 7 (d) monitoring of the performance of regional 8 administrative agencies and elder abuse provider agencies; 9and10 (e) promotion of prevention activities;.11 (f) establishment and coordination of an aggressive 12 training program about the unique nature of elder abuse cases 13 with other agencies, councils, and like entities, including 14 but not limited to the Office of the Attorney General, the 15 State Police, the Law Enforcement Training and Standards 16 Board, the State Triad, the Criminal Justice Information 17 Authority, the Departments of Public Health, Public Aid, and 18 Human Services, the Family Violence Coordinating Council, the 19 Violence Prevention Authority, and other entities that may 20 impact awareness of, and response to, elder abuse, neglect, 21 and financial exploitation; 22 (g) coordination of efforts with banks and other 23 financial institutions to educate elders about investing and 24 to warn them about financial exploitation and telemarketing 25 frauds, including: (i) an ombudsman program and (ii) efforts 26 by banks and other financial institutions, in conjunction 27 with the Department on Aging, to send with customers' 28 statements flyers containing this information; and 29 (h) coordination of efforts with utility companies to 30 send notices in utility bills which explain elder rights 31 regarding telemarketing home repair frauds. 32 (Source: P.A. 90-628, eff. 1-1-99.) 33 (320 ILCS 20/4) (from Ch. 23, par. 6604) -7- LRB9111130STsb 1 Sec. 4. Reports of abuse or neglect. 2 (a) Any person who suspects the abuse, neglect, or 3 financial exploitation of an eligible adult may report this 4 suspicion to an agency designated to receive such reports 5 under this Act or to the Department. 6 (a-5) If any mandated reporter has reason to believe 7 that an eligible adult, who because of dysfunction is unable 8 to seek assistance for himself or herself, has, within the 9 previous 12 months, been subjected to abuse, neglect, or 10 financial exploitation, the mandated reporter shall, within 11 24 hours after developing such belief, report this suspicion 12 to an agency designated to receive such reports under this 13 Act or to the Department. Whenever a mandated reporter is 14 required to report under this Act in his or her capacity as a 15 member of the staff of a medical or other public or private 16 institution, facility, board and care home, or agency, he or 17 she shall make a report to an agency designated to receive 18 such reports under this Act or to the Department in 19 accordance with the provisions of this Act and may also 20 notify the person in charge of the institution, facility, 21 board and care home, or agency or his or her designated agent 22 that the report has been made. Under no circumstances shall 23 any person in charge of such institution, facility, board and 24 care home, or agency, or his or her designated agent to whom 25 the notification has been made, exercise any control, 26 restraint, modification, or other change in the report or the 27 forwarding of the report to an agency designated to receive 28 such reports under this Act or to the Department. The 29 privileged quality of communication between any professional 30 person required to report and his or her patient or client 31 shall not apply to situations involving abused, neglected, or 32 financially exploited eligible adults and shall not 33 constitute grounds for failure to report as required by this 34 Act. -8- LRB9111130STsb 1 (a-7) A person making a report under this Act in the 2 belief that it is in the alleged victim's best interest shall 3 be immune from criminal or civil liability or professional 4 disciplinary action on account of making the report, 5 notwithstanding any requirements concerning the 6 confidentiality of information with respect to such eligible 7 adult which might otherwise be applicable. 8 (a-9) Law enforcement officers shall continue to report 9 incidents of alleged abuse pursuant to the Illinois Domestic 10 Violence Act of 1986, notwithstanding any requirements under 11 this Act. 12 (b) Any person, institution or agency participating in 13 the making of a report, providing information or records 14 related to a report, assessment, or services, or 15 participating in the investigation of a report under this Act 16 in good faith, or taking photographs or x-rays as a result of 17 an authorized assessment, shall have immunity from any civil, 18 criminal or other liability in any civil, criminal or other 19 proceeding brought in consequence of making such report or 20 assessment or on account of submitting or otherwise 21 disclosing such photographs or x-rays to any agency 22 designated to receive reports of alleged or suspected abuse 23 or neglect. Any person, institution or agency authorized by 24 the Department to provide assessment, intervention, or 25 administrative services under this Act shall, in the good 26 faith performance of those services, have immunity from any 27 civil, criminal or other liability in any civil, criminal, or 28 other proceeding brought as a consequence of the performance 29 of those services. For the purposes of any civil, criminal, 30 or other proceeding, the good faith of any person required to 31 report, permitted to report, or participating in an 32 investigation of a report of alleged or suspected abuse, 33 neglect, or financial exploitation shall be presumed. 34 (c) The identity of a person making a report of alleged -9- LRB9111130STsb 1 or suspected abuse or neglect under this Act may be disclosed 2 by the Department or other agency provided for in this Act 3 only with such person's written consent or by court order. 4 (d) The Department shall by rule establish a system for 5 filing and compiling reports made under this Act. 6 (e) Any professional person who is a mandated reporter 7 who willfully fails to report suspected financial 8 exploitation, abuse, or neglect of an elderly person as 9 required by this Act, as determined by the Department, shall 10 be referred by the Department to the appropriate licensing or 11 disciplinary board for disciplinary action. Any other person 12 required by this Act to report suspected financial 13 exploitation, abuse, or neglect of an elderly person who 14 willfully fails to report shall be guilty of a Class A 15 misdemeanor. 16 (Source: P.A. 90-628, eff. 1-1-99.) 17 (320 ILCS 20/7) (from Ch. 23, par. 6607) 18 Sec. 7. Review. All services provided to an eligible 19 adult shall be reviewed by the provider agency on at least a 20 quarterly basis for up to 2 yearsone yearto determine 21 whether the service care plan should be continued or 22 modified. 23 (Source: P.A. 90-628, eff. 1-1-99.)