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4 | 4 | | LCO No. 1560 1 of 5 |
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5 | 5 | | |
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6 | 6 | | General Assembly Raised Bill No. 5208 |
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7 | 7 | | February Session, 2020 |
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8 | 8 | | LCO No. 1560 |
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9 | 9 | | |
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10 | 10 | | |
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11 | 11 | | Referred to Committee on AGING |
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12 | 12 | | |
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13 | 13 | | |
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14 | 14 | | Introduced by: |
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15 | 15 | | (AGE) |
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16 | 16 | | |
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17 | 17 | | |
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18 | 18 | | |
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19 | 19 | | |
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20 | 20 | | AN ACT DETERRING ABU SE IN NURSING HOMES. |
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21 | 21 | | Be it enacted by the Senate and House of Representatives in General |
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22 | 22 | | Assembly convened: |
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23 | 23 | | |
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24 | 24 | | Section 1. (NEW) (Effective October 1, 2020) (a) For purposes of this 1 |
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25 | 25 | | section: (1) "Ombudsman" means the Office of the Long-Term Care 2 |
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26 | 26 | | Ombudsman established pursuant to section 17a-405 of the general 3 |
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27 | 27 | | statutes; (2) "electronic monitoring" means the placement and use of an 4 |
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28 | 28 | | electronic monitoring device by a resident in the resident's room or 5 |
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29 | 29 | | private living unit in accordance with this section; (3) "electronic 6 |
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30 | 30 | | monitoring device" means a camera or other device that captures, 7 |
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31 | 31 | | records, or broadcasts audio, video, or both, that is placed in a resident's 8 |
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32 | 32 | | room or private living unit and is used to monitor the resident or 9 |
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33 | 33 | | activities in the room or private living unit; (4) "nursing home facility" 10 |
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34 | 34 | | has the same meaning as provided in section 19a-490 of the general 11 |
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35 | 35 | | statutes; (5) "resident" means a resident of a nursing home facility; and 12 |
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36 | 36 | | (6) "resident representative" means (A) a court-appointed guardian, (B) 13 |
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37 | 37 | | a health care representative appointed pursuant to section 19a-575a of 14 |
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38 | 38 | | the general statutes, or (C) a person who is not an agent of the nursing 15 |
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39 | 39 | | home facility and who is designated in a written document signed by 16 |
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40 | 40 | | the resident and included in the resident's records on file with the 17 Raised Bill No. 5208 |
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42 | 42 | | |
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43 | 43 | | |
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44 | 44 | | LCO No. 1560 2 of 5 |
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45 | 45 | | |
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46 | 46 | | nursing home facility. 18 |
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47 | 47 | | (b) A resident may install an electronic monitoring device in the 19 |
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48 | 48 | | resident's room or private living unit provided: (1) The purchase, 20 |
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49 | 49 | | installation, maintenance, operation and removal of the device is at the 21 |
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50 | 50 | | expense of the resident, (2) the resident and any roommate of the 22 |
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51 | 51 | | resident sign a written consent form pursuant to subsection (c) of this 23 |
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52 | 52 | | section, and (3) except as provided in subsection (e) of this section, the 24 |
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53 | 53 | | consent form is filed with the nursing home facility not less than 25 |
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54 | 54 | | fourteen days before installation of the electronic monitoring device. 26 |
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55 | 55 | | (c) No electronic monitoring device shall be installed in a resident's 27 |
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56 | 56 | | room or living unit unless the resident and any roommate of the 28 |
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57 | 57 | | resident, or a resident representative, has signed a consent form that 29 |
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58 | 58 | | includes, but is not limited to: 30 |
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59 | 59 | | (1) (A) The signed consent of the resident and any roommate of the 31 |
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60 | 60 | | resident; or (B) the signed consent of a resident representative if the 32 |
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61 | 61 | | resident or roommate lacks the physical capacity to sign the form but 33 |
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62 | 62 | | has verbally consented or a treating health care professional certifies the 34 |
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63 | 63 | | resident lacks the mental capacity to sign the form. If a person other than 35 |
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64 | 64 | | the resident or the resident's roommate signs the consent form, the form 36 |
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65 | 65 | | must document the following: 37 |
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66 | 66 | | (i) The date the resident or any roommate was asked if the resident 38 |
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67 | 67 | | or roommate wants electronic monitoring to be conducted, 39 |
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68 | 68 | | (ii) Who was present when the resident or roommate was asked if he 40 |
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69 | 69 | | or she consented to electronic monitoring, 41 |
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70 | 70 | | (iii) An acknowledgment that the resident or roommate did not 42 |
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71 | 71 | | affirmatively object to electronic monitoring, and 43 |
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72 | 72 | | (iv) The source of the authority allowing the resident representative 44 |
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73 | 73 | | of the resident or roommate of the resident to sign the consent form on 45 |
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74 | 74 | | behalf of the roommate or resident. 46 |
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75 | 75 | | (2) A waiver of liability for the nursing home facility for any breach 47 Raised Bill No. 5208 |
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76 | 76 | | |
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77 | 77 | | |
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78 | 78 | | |
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79 | 79 | | LCO No. 1560 3 of 5 |
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80 | 80 | | |
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81 | 81 | | of privacy involving the resident's use of an electronic monitoring 48 |
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82 | 82 | | device unless such breach of privacy occurred because of unauthorized 49 |
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83 | 83 | | use of the device or a recording made by the device by nursing home 50 |
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84 | 84 | | facility staff. 51 |
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85 | 85 | | (3) The type of electronic monitoring device to be used. 52 |
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86 | 86 | | (4) A list of conditions or restrictions that the resident or any 53 |
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87 | 87 | | roommate of the resident may elect to place on the use of the electronic 54 |
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88 | 88 | | monitoring device, including, but not limited to: (A) Prohibiting audio 55 |
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89 | 89 | | recording, (B) prohibiting video recording, (C) prohibiting broadcasting 56 |
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90 | 90 | | of audio or video, (D) turning off the electronic monitoring device or 57 |
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91 | 91 | | blocking the visual recording component of the electronic monitoring 58 |
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92 | 92 | | device for the duration of an exam or procedure by a health care 59 |
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93 | 93 | | professional, (E) turning off the electronic monitoring device or blocking 60 |
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94 | 94 | | the visual recording component of the electronic monitoring device 61 |
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95 | 95 | | while the resident or any roommate of the resident is dressing or 62 |
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96 | 96 | | bathing, and (F) turning off the electronic monitoring device for the 63 |
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97 | 97 | | duration of a visit with a spiritual advisor, ombudsman, attorney, 64 |
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98 | 98 | | financial planner, intimate partner or other visitor. 65 |
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99 | 99 | | (5) A statement of the circumstances under which a recording may be 66 |
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100 | 100 | | disseminated. 67 |
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101 | 101 | | (6) A signature box for documenting that the resident or roommate 68 |
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102 | 102 | | has consented or withdrawn consent to electronic monitoring. 69 |
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103 | 103 | | (d) The ombudsman, within available appropriations, shall make 70 |
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104 | 104 | | available on the ombudsman's Internet web site a downloadable copy 71 |
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105 | 105 | | of a standard form containing all of the provisions required in 72 |
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106 | 106 | | subsection (c) of this section. Nursing home facilities shall (1) make the 73 |
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107 | 107 | | consent form available to residents and inform residents of their option 74 |
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108 | 108 | | to conduct electronic monitoring of their rooms or private living units, 75 |
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109 | 109 | | (2) maintain a copy of the consent form in the resident's records, and (3) 76 |
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110 | 110 | | place a notice in a conspicuous place near the entry to the nursing home 77 |
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111 | 111 | | facility stating that some rooms and living areas may be subject to 78 |
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112 | 112 | | electronic monitoring. 79 Raised Bill No. 5208 |
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113 | 113 | | |
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114 | 114 | | |
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115 | 115 | | |
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116 | 116 | | LCO No. 1560 4 of 5 |
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117 | 117 | | |
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118 | 118 | | (e) Notwithstanding subdivision (3) of subsection (b) of this section, 80 |
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119 | 119 | | a resident or resident representative may install an electronic 81 |
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120 | 120 | | monitoring device without submitting the consent form to a nursing 82 |
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121 | 121 | | home facility if: (1) The resident or the resident representative 83 |
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122 | 122 | | reasonably fears retaliation against the resident by the nursing home 84 |
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123 | 123 | | facility for recording or reporting alleged maltreatment of the resident 85 |
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124 | 124 | | by nursing home facility staff, submits a completed consent form to the 86 |
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125 | 125 | | ombudsman and submits a report to the ombudsman, the 87 |
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126 | 126 | | Commissioner of Social Services or police, with evidence from an 88 |
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127 | 127 | | electronic monitoring device that suspected maltreatment has occurred; 89 |
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128 | 128 | | (2) the nursing home facility has failed to respond for more than two 90 |
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129 | 129 | | business days to a written communication from the resident or resident 91 |
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130 | 130 | | representative about a concern that prompted the resident's desire for 92 |
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131 | 131 | | installation of an electronic monitoring device and the resident or a 93 |
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132 | 132 | | resident representative has submitted a consent form to the 94 |
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133 | 133 | | ombudsman; or (3) the resident or resident representative has already 95 |
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134 | 134 | | submitted a report to the ombudsman, Commissioner of Social Services 96 |
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135 | 135 | | or police regarding concerns about the resident's safety or well-being 97 |
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136 | 136 | | that prompted the resident's desire for electronic monitoring and the 98 |
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137 | 137 | | resident or resident representative has submitted a consent form to the 99 |
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138 | 138 | | ombudsman. 100 |
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139 | 139 | | (f) If a resident is conducting electronic monitoring and a new 101 |
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140 | 140 | | roommate moves into the room or living unit, the resident shall cease 102 |
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141 | 141 | | use of the electronic monitoring device unless and until the new 103 |
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142 | 142 | | roommate signs the consent form and the resident or resident 104 |
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143 | 143 | | representative files the completed form with the roommate's consent to 105 |
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144 | 144 | | electronic monitoring with the nursing home facility. If any roommate 106 |
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145 | 145 | | of a resident wishing to use electronic monitoring refuses to sign the 107 |
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146 | 146 | | consent form, the nursing home facility shall reasonably accommodate 108 |
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147 | 147 | | the resident's request to move into a private room or a room with a 109 |
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148 | 148 | | roommate who will consent to such monitoring. The resident requesting 110 |
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149 | 149 | | the accommodation shall pay any difference in price if the new room is 111 |
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150 | 150 | | more costly than the resident's previous room. 112 |
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151 | 151 | | (g) Subject to applicable rules of evidence and procedure, any video 113 Raised Bill No. 5208 |
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152 | 152 | | |
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153 | 153 | | |
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154 | 154 | | |
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155 | 155 | | LCO No. 1560 5 of 5 |
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156 | 156 | | |
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157 | 157 | | or audio recording created through electronic monitoring under this 114 |
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158 | 158 | | section may be admitted into evidence in a civil, criminal or 115 |
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159 | 159 | | administrative proceeding. For purposes of section 1-210 of the general 116 |
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160 | 160 | | statutes, (1) a consent form signed by a resident or a resident's 117 |
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161 | 161 | | representative requesting electronic monitoring, or (2) a recording from 118 |
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162 | 162 | | a resident's electronic monitoring device shall not be considered a public 119 |
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163 | 163 | | record. 120 |
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164 | 164 | | This act shall take effect as follows and shall amend the following |
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165 | 165 | | sections: |
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166 | 166 | | |
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167 | 167 | | Section 1 October 1, 2020 New section |
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168 | 168 | | |
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169 | 169 | | Statement of Purpose: |
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170 | 170 | | To allow nursing home residents or their representatives to install |
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171 | 171 | | electronic monitoring devices in their rooms, provided any roommates |
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172 | 172 | | agree in writing to the use of such devices and liability for any breach of |
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173 | 173 | | privacy related to the resident's use of such device is waived for nursing |
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174 | 174 | | homes. |
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175 | 175 | | [Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except |
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176 | 176 | | that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not |
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177 | 177 | | underlined.] |
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178 | 178 | | |
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