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91_SB1113eng SB1113 Engrossed LRB9102894DHmg 1 AN ACT to amend the Illinois Act on the Aging by changing 2 Section 4.04. 3 Be it enacted by the People of the State of Illinois, 4 represented in the General Assembly: 5 Section 5. The Illinois Act on the Aging is amended by 6 changing Section 4.04 as follows: 7 (20 ILCS 105/4.04) (from Ch. 23, par. 6104.04) 8 Sec. 4.04. Long Term Care Ombudsman Program. 9 (a) Long Term Care Ombudsman Program. The Department 10 shall establish a Long Term Care Ombudsman Program, through 11 the Office of State Long Term Care Ombudsman ("the Office"), 12 in accordance with the provisions of the Older Americans Act 13 of 1965, as now or hereafter amended. 14 (b) Definitions. As used in this Section, unless the 15 context requires otherwise: 16 (1) "Access" has the same meaning as in Section 17 1-104 of the Nursing Home Care Act, as now or hereafter 18 amended; that is, it means the right to: 19 (i) Enter any long term care facility; 20 (ii) Communicate privately and without 21 restriction with any resident who consents to the 22 communication; 23 (iii) Seek consent to communicate privately 24 and without restriction with any resident; 25 (iv) Inspect the clinical and other records of 26 a resident with the express written consent of the 27 resident; 28 (v) Observe all areas of the long term care 29 facility except the living area of any resident who 30 protests the observation. 31 (2) "Long Term Care Facility" means (i) any SB1113 Engrossed -2- LRB9102894DHmg 1 facility as defined by Section 1-113 of the Nursing Home 2 Care Act, as now or hereafter amended; and (ii) any 3 skilled nursing facility or a nursing facility which 4 meets the requirements of Section 1819(a), (b), (c), and 5 (d) or Section 1919(a), (b), (c), and (d) of the Social 6 Security Act, as now or hereafter amended (42 U.S.C. 7 1395i-3(a), (b), (c), and (d) and 42 U.S.C. 1396r(a), 8 (b), (c), and (d)). 9 (3) "Ombudsman" means any person employed by the 10 Department to fulfill the requirements of the Office, or 11 any representative of a sub-State long term care 12 ombudsman program; provided that the representative, 13 whether he is paid for or volunteers his ombudsman 14 services, shall be qualified and authorized by the 15 Department to perform the duties of an ombudsman as 16 specified by the Department in rules. 17 (c) Ombudsman; rules. The Office of State Long Term Care 18 Ombudsman shall be composed of at least one full-time 19 ombudsman within the Department and shall include a system of 20 designated sub-State long term care ombudsman programs. Each 21 sub-State program shall be designated by the Department as a 22 subdivision of the Office and any representative of a 23 sub-State program shall be treated as a representative of the 24 Office. 25 The Department shall promulgate administrative rules to 26 establish the responsibilities of the Department and the 27 Office of State Long Term Care Ombudsman. The administrative 28 rules shall include the responsibility of the Office to 29 investigate and resolve complaints made by or on behalf of 30 residents of long term care facilities relating to actions, 31 inaction, or decisions of providers, or their 32 representatives, of long term care facilities, of public 33 agencies, or of social services agencies, which may adversely 34 affect the health, safety, welfare, or rights of such SB1113 Engrossed -3- LRB9102894DHmg 1 residents. When necessary and appropriate, representatives of 2 the Office shall refer complaints to the appropriate 3 regulatory State agency. 4 (d) Access and visitation rights. 5 (1) In accordance with subparagraphs (A) and (E) of 6 paragraph (3) of subsection (c) of Section 1819 and 7 subparagraphs (A) and (E) of paragraph (3) of subsection 8 (c) of Section 1919 of the Social Security Act, as now or 9 hereafter amended (42 U.S.C. 1395i-3 (c)(3)(A) and (E) 10 and 42 U.S.C. 1396r-3(c)(3)(A) and (E)), and Section 712 11307(a)(12)of the Older Americans Act of 1965, as now or 12 hereafter amended (42 U.S.C. 3058f), a long term care 13 facility must: 14 (i) permit immediate access to any resident by 15 an ombudsman; and 16 (ii) permit representatives of the Office, 17 with the permission of the resident's legal 18 representative or legal guardian, to examine a 19 resident's clinical and other records, and if a 20 resident is unable to consent to such review, and 21 has no legal guardian, permit representatives of the 22 Office appropriate access, as defined by the 23 Department in administrative rules, to the 24 resident's records. 25 (2) Each long term care facility shall display, in 26 multiple, conspicuous public places within the facility 27 accessible to both visitors and patients and in an easily 28 readable format, the address and phone number of the 29 Office, in a manner prescribed by the Office. 30 (e) Immunity. An ombudsman or any other representative 31 of the Office participating in the good faith performance of 32 his or her official duties shall have immunity from any 33 liability (civil, criminal or otherwise) in any proceedings 34 (civil, criminal or otherwise) brought as a consequence of SB1113 Engrossed -4- LRB9102894DHmg 1 the performance of his official duties. 2 (f) Business offenses. 3 (1) No person shall: 4 (i) Intentionally prevent, interfere with, or 5 attempt to impede in any way any representative of 6 the Office in the performance of his official duties 7 under this Act and the Older Americans Act of 1965; 8 or 9 (ii) Intentionally retaliate, discriminate 10 against, or effect reprisals against any long term 11 care facility resident or employee for contacting or 12 providing information to any representative of the 13 Office. 14 (2) A violation of this Section is a business 15 offense, punishable by a fine not to exceed $501. 16 (3) The Director of Aging shall notify the State's 17 Attorney of the county in which the long term care 18 facility is located, or the Attorney General, of any 19 violations of this Section. 20 (g) Confidentiality of records and identities. No files 21 or records maintained by the Office of State Long Term Care 22 Ombudsman shall be disclosed unless the State Ombudsman or 23 the ombudsman having the authority over the disposition of 24 such files authorizes the disclosure in writing. The 25 ombudsman shall not disclose the identity of any complainant, 26 resident, witness or employee of a long term care provider 27 involved in a complaint or report unless such person or such 28 person's guardian or legal representative consents in writing 29 to the disclosure, or the disclosure is required by court 30 order. 31 (h) Legal representation. The Attorney General shall 32 provide legal representation to any representative of the 33 Office against whom suit or other legal action is brought in 34 connection with the performance of the representative's SB1113 Engrossed -5- LRB9102894DHmg 1 official duties, in accordance with "An Act to provide for 2 representation and indemnification in certain civil law 3 suits", approved December 3, 1977, as now or hereafter 4 amended. 5 (i) Treatment by prayer and spiritual means. Nothing in 6 this Act shall be construed to authorize or require the 7 medical supervision, regulation or control of remedial care 8 or treatment of any resident in a long term care facility 9 operated exclusively by and for members or adherents of any 10 church or religious denomination the tenets and practices of 11 which include reliance solely upon spiritual means through 12 prayer for healing. 13 (Source: P.A. 90-639, eff. 1-1-99.) 14 Section 99. Effective date. This Act takes effect upon 15 becoming law.