103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB2453 Introduced , by Rep. Justin Slaughter SYNOPSIS AS INTRODUCED: 225 ILCS 46/25 225 ILCS 46/65 735 ILCS 5/Art. VIII Pt. 30 heading new735 ILCS 5/8-3001 new Amends the Health Care Worker Background Check Act. Provides that a health care employer or long-term care facility may hire, employ, or retain any individual in a position involving direct care for clients, patients, or residents, or access to the living quarters or the financial, medical, or personal records of residents, who has been convicted of committing or attempting to commit one or more specified offenses, either within 5, 10, or 25 years after the date of conviction, only with a waiver. Provides that the Health Care Worker Task Force shall include: 2 individuals with a criminal record who work with a community organization that works with people with criminal records; an individual from a legal services agency that represents people with criminal records; an individual from an organization that advocates for improved opportunity for people with criminal records; and a representative from a provider that helps connect people with criminal records with employment. Provides that on or before January 1, 2025, the Task Force shall issue recommendations to the Department of Public Health. Provides that beginning January 1, 2024, the Task Force shall make recommendations to the Department regarding connecting people with criminal records to employment with work in the health care industry. Provides that on or before January 1 of each year, the Department shall report to the Task Force, the Governor, and both houses of the General Assembly specified information for the previous fiscal year. Makes conforming changes to the Code of Civil Procedure. LRB103 28583 AMQ 54964 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB2453 Introduced , by Rep. Justin Slaughter SYNOPSIS AS INTRODUCED: 225 ILCS 46/25 225 ILCS 46/65 735 ILCS 5/Art. VIII Pt. 30 heading new735 ILCS 5/8-3001 new 225 ILCS 46/25 225 ILCS 46/65 735 ILCS 5/Art. VIII Pt. 30 heading new 735 ILCS 5/8-3001 new Amends the Health Care Worker Background Check Act. Provides that a health care employer or long-term care facility may hire, employ, or retain any individual in a position involving direct care for clients, patients, or residents, or access to the living quarters or the financial, medical, or personal records of residents, who has been convicted of committing or attempting to commit one or more specified offenses, either within 5, 10, or 25 years after the date of conviction, only with a waiver. Provides that the Health Care Worker Task Force shall include: 2 individuals with a criminal record who work with a community organization that works with people with criminal records; an individual from a legal services agency that represents people with criminal records; an individual from an organization that advocates for improved opportunity for people with criminal records; and a representative from a provider that helps connect people with criminal records with employment. Provides that on or before January 1, 2025, the Task Force shall issue recommendations to the Department of Public Health. Provides that beginning January 1, 2024, the Task Force shall make recommendations to the Department regarding connecting people with criminal records to employment with work in the health care industry. Provides that on or before January 1 of each year, the Department shall report to the Task Force, the Governor, and both houses of the General Assembly specified information for the previous fiscal year. Makes conforming changes to the Code of Civil Procedure. LRB103 28583 AMQ 54964 b LRB103 28583 AMQ 54964 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB2453 Introduced , by Rep. Justin Slaughter SYNOPSIS AS INTRODUCED: 225 ILCS 46/25 225 ILCS 46/65 735 ILCS 5/Art. VIII Pt. 30 heading new735 ILCS 5/8-3001 new 225 ILCS 46/25 225 ILCS 46/65 735 ILCS 5/Art. VIII Pt. 30 heading new 735 ILCS 5/8-3001 new 225 ILCS 46/25 225 ILCS 46/65 735 ILCS 5/Art. VIII Pt. 30 heading new 735 ILCS 5/8-3001 new Amends the Health Care Worker Background Check Act. Provides that a health care employer or long-term care facility may hire, employ, or retain any individual in a position involving direct care for clients, patients, or residents, or access to the living quarters or the financial, medical, or personal records of residents, who has been convicted of committing or attempting to commit one or more specified offenses, either within 5, 10, or 25 years after the date of conviction, only with a waiver. Provides that the Health Care Worker Task Force shall include: 2 individuals with a criminal record who work with a community organization that works with people with criminal records; an individual from a legal services agency that represents people with criminal records; an individual from an organization that advocates for improved opportunity for people with criminal records; and a representative from a provider that helps connect people with criminal records with employment. Provides that on or before January 1, 2025, the Task Force shall issue recommendations to the Department of Public Health. Provides that beginning January 1, 2024, the Task Force shall make recommendations to the Department regarding connecting people with criminal records to employment with work in the health care industry. Provides that on or before January 1 of each year, the Department shall report to the Task Force, the Governor, and both houses of the General Assembly specified information for the previous fiscal year. Makes conforming changes to the Code of Civil Procedure. LRB103 28583 AMQ 54964 b LRB103 28583 AMQ 54964 b LRB103 28583 AMQ 54964 b A BILL FOR HB2453LRB103 28583 AMQ 54964 b HB2453 LRB103 28583 AMQ 54964 b HB2453 LRB103 28583 AMQ 54964 b 1 AN ACT concerning regulation. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 5. The Health Care Worker Background Check Act is 5 amended by changing Sections 25 and 65 as follows: 6 (225 ILCS 46/25) 7 Sec. 25. Hiring of people with criminal records by health 8 care employers and long-term care facilities. 9 (a) A health care employer or long-term care facility may 10 hire, employ, or retain any individual in a position involving 11 direct care for clients, patients, or residents, or access to 12 the living quarters or the financial, medical, or personal 13 records of clients, patients, or residents, who has been 14 convicted of committing or attempting to commit one or more of 15 the following offenses described in this subsection, within 5 16 years after the date of conviction, only with a waiver 17 described in Section 40: those defined in Sections 8-1(b), 18 8-1.1, 8-1.2, 9-1, 9-1.2, 9-2, 9-2.1, 9-3, 9-3.1, 9-3.2, 19 9-3.3, 9-3.4, 10-1, 10-2, 10-3, 10-3.1, 10-4, 10-5, 10-7, 20 11-1.20, 11-1.30, 11-1.40, 11-1.50, 11-1.60, 11-6, 11-9.1, 21 11-9.2, 11-9.3, 11-9.4-1, 11-9.5, 11-19.2, 11-20.1, 11-20.1B, 22 11-20.3, 12-1, 12-2, 12-3.05, 12-3.1, 12-3.2, 12-3.3, 12-4, 23 12-4.1, 12-4.2, 12-4.3, 12-4.4, 12-4.5, 12-4.6, 12-4.7, 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB2453 Introduced , by Rep. Justin Slaughter SYNOPSIS AS INTRODUCED: 225 ILCS 46/25 225 ILCS 46/65 735 ILCS 5/Art. VIII Pt. 30 heading new735 ILCS 5/8-3001 new 225 ILCS 46/25 225 ILCS 46/65 735 ILCS 5/Art. VIII Pt. 30 heading new 735 ILCS 5/8-3001 new 225 ILCS 46/25 225 ILCS 46/65 735 ILCS 5/Art. VIII Pt. 30 heading new 735 ILCS 5/8-3001 new Amends the Health Care Worker Background Check Act. Provides that a health care employer or long-term care facility may hire, employ, or retain any individual in a position involving direct care for clients, patients, or residents, or access to the living quarters or the financial, medical, or personal records of residents, who has been convicted of committing or attempting to commit one or more specified offenses, either within 5, 10, or 25 years after the date of conviction, only with a waiver. Provides that the Health Care Worker Task Force shall include: 2 individuals with a criminal record who work with a community organization that works with people with criminal records; an individual from a legal services agency that represents people with criminal records; an individual from an organization that advocates for improved opportunity for people with criminal records; and a representative from a provider that helps connect people with criminal records with employment. Provides that on or before January 1, 2025, the Task Force shall issue recommendations to the Department of Public Health. Provides that beginning January 1, 2024, the Task Force shall make recommendations to the Department regarding connecting people with criminal records to employment with work in the health care industry. Provides that on or before January 1 of each year, the Department shall report to the Task Force, the Governor, and both houses of the General Assembly specified information for the previous fiscal year. Makes conforming changes to the Code of Civil Procedure. LRB103 28583 AMQ 54964 b LRB103 28583 AMQ 54964 b LRB103 28583 AMQ 54964 b A BILL FOR 225 ILCS 46/25 225 ILCS 46/65 735 ILCS 5/Art. VIII Pt. 30 heading new 735 ILCS 5/8-3001 new LRB103 28583 AMQ 54964 b HB2453 LRB103 28583 AMQ 54964 b HB2453- 2 -LRB103 28583 AMQ 54964 b HB2453 - 2 - LRB103 28583 AMQ 54964 b HB2453 - 2 - LRB103 28583 AMQ 54964 b 1 12-7.4, 12-11, 12-13, 12-14, 12-14.1, 12-15, 12-16, 12-19, 2 12-20.5, 12-21, 12-21.5, 12-21.6, 12-32, 12-33, 12C-5, 12C-10, 3 16-1, 16-1.3, 16-25, 16A-3, 17-3, 17-56, 18-1, 18-2, 18-3, 4 18-4, 18-5, 19-1, 19-3, 19-4, 19-6, 20-1, 20-1.1, 24-1, 5 24-1.2, 24-1.5, 24-1.8, 24-3.8, or 33A-2, or subdivision 6 (a)(4) of Section 11-14.4, or in subsection (a) of Section 7 12-3 or subsection (a) or (b) of Section 12-4.4a, of the 8 Criminal Code of 1961 or the Criminal Code of 2012; those 9 provided in Section 4 of the Wrongs to Children Act; those 10 provided in Section 53 of the Criminal Jurisprudence Act; 11 those defined in subsection (c), (d), (e), (f), or (g) of 12 Section 5 or Section 5.1, 5.2, 7, or 9 of the Cannabis Control 13 Act; those defined in the Methamphetamine Control and 14 Community Protection Act; those defined in Sections 401, 15 401.1, 404, 405, 405.1, 407, or 407.1 of the Illinois 16 Controlled Substances Act; or subsection (a) of Section 3.01, 17 Section 3.02, or Section 3.03 of the Humane Care for Animals 18 Act. 19 (1) a misdemeanor offense defined in Section 16-1 or 20 16-25 of the Criminal Code of 2012; or 21 (2) an offense defined in Section 16-2, 17-33, 17-34, 22 17-36, 17-44, 19-4, or in subsection (a) of Section 12-3 23 of the Criminal Code of 2012. 24 If more than 5 years have passed since the date of the last 25 conviction for an offense described in this subsection, the 26 applicant shall be deemed eligible for hire without a waiver HB2453 - 2 - LRB103 28583 AMQ 54964 b HB2453- 3 -LRB103 28583 AMQ 54964 b HB2453 - 3 - LRB103 28583 AMQ 54964 b HB2453 - 3 - LRB103 28583 AMQ 54964 b 1 for that offense. 2 (a-1) A health care employer or long-term care facility 3 may hire, employ, or retain any individual in a position 4 involving direct care for clients, patients, or residents, or 5 access to the living quarters or the financial, medical, or 6 personal records of clients, patients, or residents, who has 7 been convicted of committing or attempting to commit one or 8 more of the following offenses described in this subsection, 9 within 10 years after the date of conviction, only with a 10 waiver described in Section 40: those offenses defined in 11 Section 12-3.3, 12-4.2-5, 16-2, 16-30, 16G-15, 16G-20, 17-33, 12 17-34, 17-36, 17-44, 18-5, 20-1.2, 24-1.1, 24-1.2-5, 24-1.6, 13 24-3.2, or 24-3.3, or subsection (b) of Section 17-32, 14 subsection (b) of Section 18-1, or subsection (b) of Section 15 20-1, of the Criminal Code of 1961 or the Criminal Code of 16 2012; Section 4, 5, 6, 8, or 17.02 of the Illinois Credit Card 17 and Debit Card Act; or Section 11-9.1A of the Criminal Code of 18 1961 or the Criminal Code of 2012 or Section 5.1 of the Wrongs 19 to Children Act; or (ii) violated Section 50-50 of the Nurse 20 Practice Act. 21 (1) an offense defined in Section 12-1, 12-2, or 22 12-3.2 or a felony offense described in Section 12-2, 23 12-3.2, 16-1, or 16-25 of the Criminal Code of 1961 or the 24 Criminal Code of 2012; or 25 (2) an offense described in Section 12-3.3, 12-4.5, 26 12-7.4, 16-30, 17-3, 18-1, 18-3, 19-1, 19-3, 19-6, 20-1, HB2453 - 3 - LRB103 28583 AMQ 54964 b HB2453- 4 -LRB103 28583 AMQ 54964 b HB2453 - 4 - LRB103 28583 AMQ 54964 b HB2453 - 4 - LRB103 28583 AMQ 54964 b 1 or 20-1.1, or subsection (b) of Section 20-1 of the 2 Criminal Code of 1961 or the Criminal Code of 2012. 3 If more than 10 years have passed since the date of the 4 last conviction for an offense described in this subsection, 5 the applicant shall be deemed eligible for hire without a 6 waiver for that offense. 7 A health care employer is not required to retain an 8 individual in a position with duties involving direct care for 9 clients, patients, or residents, and no long-term care 10 facility is required to retain an individual in a position 11 with duties that involve or may involve contact with residents 12 or access to the living quarters or the financial, medical, or 13 personal records of residents, who has been convicted of 14 committing or attempting to commit one or more of the offenses 15 enumerated in this subsection. 16 (a-2) A health care employer or long-term care facility 17 may hire, employ, or retain any individual in a position 18 involving direct care for clients, patients, or residents, or 19 access to the living quarters or the financial, medical, or 20 personal records of residents, who has been convicted of 21 committing or attempting to commit one or more of the offenses 22 described in this subsection, within 25 years of the date of 23 conviction, only with a waiver described in Section 40: 24 Section 12-3.05 or 12-3.3 of the Criminal Code of 1961 or the 25 Criminal Code of 2012. If more than 25 years have passed since 26 the date of the last conviction for the disqualifying offense, HB2453 - 4 - LRB103 28583 AMQ 54964 b HB2453- 5 -LRB103 28583 AMQ 54964 b HB2453 - 5 - LRB103 28583 AMQ 54964 b HB2453 - 5 - LRB103 28583 AMQ 54964 b 1 the applicant shall be deemed eligible for hire without a 2 waiver for that offense. 3 (b) A health care employer shall not hire, employ, or 4 retain, whether paid or on a volunteer basis, any individual 5 in a position with duties involving direct care of clients, 6 patients, or residents, and no long-term care facility shall 7 knowingly hire, employ, or retain, whether paid or on a 8 volunteer basis, any individual in a position with duties that 9 involve or may involve contact with residents or access to the 10 living quarters or the financial, medical, or personal records 11 of residents, if the health care employer becomes aware that 12 the individual has been convicted in another state of 13 committing or attempting to commit an offense that has the 14 same or similar elements as an offense listed in subsection 15 (a) or (a-1), as verified by court records, records from a 16 state agency, or an FBI criminal history record check, unless 17 the applicant or employee obtains a waiver pursuant to Section 18 40 of this Act. This shall not be construed to mean that a 19 health care employer has an obligation to conduct a criminal 20 history records check in other states in which an employee has 21 resided. 22 (c) A health care employer shall not hire, employ, or 23 retain, whether paid or on a volunteer basis, any individual 24 in a position with duties involving direct care of clients, 25 patients, or residents, who has a finding by the Department of 26 abuse, neglect, misappropriation of property, or theft denoted HB2453 - 5 - LRB103 28583 AMQ 54964 b HB2453- 6 -LRB103 28583 AMQ 54964 b HB2453 - 6 - LRB103 28583 AMQ 54964 b HB2453 - 6 - LRB103 28583 AMQ 54964 b 1 on the Health Care Worker Registry. 2 (d) A health care employer shall not hire, employ, or 3 retain, whether paid or on a volunteer basis, any individual 4 in a position with duties involving direct care of clients, 5 patients, or residents if the individual has a verified and 6 substantiated finding of abuse, neglect, or financial 7 exploitation, as identified within the Adult Protective 8 Service Registry established under Section 7.5 of the Adult 9 Protective Services Act. 10 (e) A health care employer shall not hire, employ, or 11 retain, whether paid or on a volunteer basis, any individual 12 in a position with duties involving direct care of clients, 13 patients, or residents who has a finding by the Department of 14 Human Services of physical or sexual abuse, financial 15 exploitation, or egregious neglect of an individual denoted on 16 the Health Care Worker Registry. 17 (Source: P.A. 99-872, eff. 1-1-17; 100-432, eff. 8-25-17.) 18 (225 ILCS 46/65) 19 Sec. 65. Health Care Worker Task Force. A Health Care 20 Worker Task Force shall be appointed to study and make 21 recommendations on statutory and regulatory changes to this 22 Act and implementation of this Act. 23 (a) The Task Force shall monitor the status of the 24 implementation of this Act and monitor complaint 25 investigations relating to this Act by the Department on HB2453 - 6 - LRB103 28583 AMQ 54964 b HB2453- 7 -LRB103 28583 AMQ 54964 b HB2453 - 7 - LRB103 28583 AMQ 54964 b HB2453 - 7 - LRB103 28583 AMQ 54964 b 1 Aging, Department of Public Health, Department of Professional 2 Regulation, and the Department of Human Services to determine 3 the criminal background, if any, of health care workers who 4 have had findings of abuse, theft, or exploitation. 5 (b) The Task Force shall make recommendations concerning 6 modifications to the list of offenses enumerated in Section 7 25, including time limits on all or some of the disqualifying 8 offenses, and any other necessary or desirable changes to the 9 Act. 10 (c) In the event that proposed rules or changes are 11 properly submitted to the Task Force and the Task Force fails 12 to advise the Department within 90 days after receipt of the 13 proposed rules or changes, final action shall be deemed to 14 have been taken by the Task Force concerning the proposed 15 rules or changes. 16 (d) The Task Force shall be composed of the following 17 members, who shall serve without pay: 18 (1) a chairman knowledgeable about health care issues, 19 who shall be appointed by the Governor; 20 (2) the Director of Public Health or his or her 21 designee; 22 (3) the Director of the Illinois State Police or his 23 or her designee; 24 (3.5) the Director of Healthcare and Family Services 25 or his or her designee; 26 (3.6) the Secretary of Human Services or his or her HB2453 - 7 - LRB103 28583 AMQ 54964 b HB2453- 8 -LRB103 28583 AMQ 54964 b HB2453 - 8 - LRB103 28583 AMQ 54964 b HB2453 - 8 - LRB103 28583 AMQ 54964 b 1 designee; 2 (3.7) the Director of Aging or his or her designee; 3 (4) 2 representatives of health care providers, who 4 shall be appointed by the Governor; 5 (5) 2 representatives of health care employees, who 6 shall be appointed by the Governor; 7 (5.5) a representative of a Community Care homemaker 8 program, who shall be appointed by the Governor; 9 (5.10) 2 individuals with a criminal record who work 10 with a community organization that works with people with 11 criminal records; 12 (5.15) an individual from a legal services agency that 13 represents people with criminal records; 14 (5.20) an individual from an organization that 15 advocates for improved opportunity for people with 16 criminal records; 17 (5.25) a representative from a provider that helps 18 connect people with criminal records with employment; 19 (6) a representative of the general public who has an 20 interest in health care, who shall be appointed by the 21 Governor; and 22 (7) 4 members of the General Assembly, one appointed 23 by the Speaker of the House, one appointed by the House 24 Minority Leader, one appointed by the President of the 25 Senate, and one appointed by the Senate Minority Leader. 26 (e) The Task Force shall meet at least quarterly, and more HB2453 - 8 - LRB103 28583 AMQ 54964 b HB2453- 9 -LRB103 28583 AMQ 54964 b HB2453 - 9 - LRB103 28583 AMQ 54964 b HB2453 - 9 - LRB103 28583 AMQ 54964 b 1 frequently at the discretion of the chairperson. Task Force 2 members shall serve until a replacement is sworn and 3 qualified. Nine members appointed to the Task Force 4 constitutes a quorum. 5 (f) On or before January 1, 2025, the Task Force shall 6 issue recommendations to the Department of Public Health. In 7 making its recommendations, the Task Force shall (i) examine 8 whether the relevant rules must be amended to reflect changes 9 in State law and (ii) determine whether the waiver procedures 10 are effective in providing opportunity for persons with 11 criminal records to gain employment in health care and 12 long-term care facilities while also meeting the needs of 13 residents of those facilities. The procedures to be examined 14 include the timeframes regarding when an applicant may seek a 15 waiver, the information provided on the health care worker 16 registry, the factors considered by the Department in 17 determining whether to grant a waiver, and the waiver 18 application procedures and materials themselves. 19 (g) Beginning January 1, 2024, the Task Force shall make 20 recommendations to the Department of Public Health regarding 21 connecting people with criminal records to employment with 22 work in the health care industry. 23 (h) On or before January 1 of each year, the Department of 24 Public Health shall report to the Task Force, the Governor, 25 and the General Assembly the following information for the 26 previous fiscal year: HB2453 - 9 - LRB103 28583 AMQ 54964 b HB2453- 10 -LRB103 28583 AMQ 54964 b HB2453 - 10 - LRB103 28583 AMQ 54964 b HB2453 - 10 - LRB103 28583 AMQ 54964 b 1 (1) the number of waiver petitions filed; 2 (2) the number of waiver petitions granted; 3 (3) the number of waiver petitions denied; and 4 (4) the number of individuals with a waiver who are 5 employed by a health care employer or long-term care 6 facility. 7 The information reported under this Section shall be made 8 available to the public at the time it is reported on the 9 official website of the Department of Public Health. 10 (Source: P.A. 102-538, eff. 8-20-21.) 11 Section 10. The Code of Civil Procedure is amended by 12 adding the heading of Article VIII Pt. 30 and Section 8-3001 as 13 follows: 14 (735 ILCS 5/Art. VIII Pt. 30 heading new) 15 Part 30. Waivers under the Health Care Worker 16 Background Check Act 17 (735 ILCS 5/8-3001 new) 18 Sec. 8-3001. Admissibility of evidence of a disqualifying 19 defense under the Health Care Worker Background Check Act. 20 Evidence that an employee (i) has been granted a waiver or 21 similar relief pursuant to the Health Care Worker Background 22 Check Act or (i) has been convicted of a disqualifying 23 offense, as defined under the Health Care Worker Background HB2453 - 10 - LRB103 28583 AMQ 54964 b HB2453- 11 -LRB103 28583 AMQ 54964 b HB2453 - 11 - LRB103 28583 AMQ 54964 b HB2453 - 11 - LRB103 28583 AMQ 54964 b 1 Check Act, is not admissible for the purpose of proving that an 2 employer subject to the Health Care Worker Background Check 3 Act was negligent or otherwise liable for hiring the employee 4 if the employee has received a waiver or has otherwise been 5 determined eligible for hire pursuant to the Health Care 6 Worker Background Check Act. This Section does not bar 7 admission of such evidence for another lawful purpose, 8 including, but not limited to, impeachment. HB2453 - 11 - LRB103 28583 AMQ 54964 b