103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB2858 Introduced , by Rep. Katie Stuart SYNOPSIS AS INTRODUCED: 320 ILCS 20/2 from Ch. 23, par. 6602 Amends the Adult Protective Services Act. Excludes from the definition of "mandated reporter" the State Long Term Care Ombudsman and the Ombudsman's representatives or volunteers when such persons are prohibited from making a report under a federal regulation. LRB103 26814 KTG 53178 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB2858 Introduced , by Rep. Katie Stuart SYNOPSIS AS INTRODUCED: 320 ILCS 20/2 from Ch. 23, par. 6602 320 ILCS 20/2 from Ch. 23, par. 6602 Amends the Adult Protective Services Act. Excludes from the definition of "mandated reporter" the State Long Term Care Ombudsman and the Ombudsman's representatives or volunteers when such persons are prohibited from making a report under a federal regulation. LRB103 26814 KTG 53178 b LRB103 26814 KTG 53178 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB2858 Introduced , by Rep. Katie Stuart SYNOPSIS AS INTRODUCED: 320 ILCS 20/2 from Ch. 23, par. 6602 320 ILCS 20/2 from Ch. 23, par. 6602 320 ILCS 20/2 from Ch. 23, par. 6602 Amends the Adult Protective Services Act. Excludes from the definition of "mandated reporter" the State Long Term Care Ombudsman and the Ombudsman's representatives or volunteers when such persons are prohibited from making a report under a federal regulation. LRB103 26814 KTG 53178 b LRB103 26814 KTG 53178 b LRB103 26814 KTG 53178 b A BILL FOR HB2858LRB103 26814 KTG 53178 b HB2858 LRB103 26814 KTG 53178 b HB2858 LRB103 26814 KTG 53178 b 1 AN ACT concerning aging. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 5. The Adult Protective Services Act is amended by 5 changing Section 2 as follows: 6 (320 ILCS 20/2) (from Ch. 23, par. 6602) 7 Sec. 2. Definitions. As used in this Act, unless the 8 context requires otherwise: 9 (a) "Abandonment" means the desertion or willful forsaking 10 of an eligible adult by an individual responsible for the care 11 and custody of that eligible adult under circumstances in 12 which a reasonable person would continue to provide care and 13 custody. Nothing in this Act shall be construed to mean that an 14 eligible adult is a victim of abandonment because of health 15 care services provided or not provided by licensed health care 16 professionals. 17 (a-1) "Abuse" means causing any physical, mental or sexual 18 injury to an eligible adult, including exploitation of such 19 adult's financial resources, and abandonment. 20 Nothing in this Act shall be construed to mean that an 21 eligible adult is a victim of abuse, abandonment, neglect, or 22 self-neglect for the sole reason that he or she is being 23 furnished with or relies upon treatment by spiritual means 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB2858 Introduced , by Rep. Katie Stuart SYNOPSIS AS INTRODUCED: 320 ILCS 20/2 from Ch. 23, par. 6602 320 ILCS 20/2 from Ch. 23, par. 6602 320 ILCS 20/2 from Ch. 23, par. 6602 Amends the Adult Protective Services Act. Excludes from the definition of "mandated reporter" the State Long Term Care Ombudsman and the Ombudsman's representatives or volunteers when such persons are prohibited from making a report under a federal regulation. LRB103 26814 KTG 53178 b LRB103 26814 KTG 53178 b LRB103 26814 KTG 53178 b A BILL FOR 320 ILCS 20/2 from Ch. 23, par. 6602 LRB103 26814 KTG 53178 b HB2858 LRB103 26814 KTG 53178 b HB2858- 2 -LRB103 26814 KTG 53178 b HB2858 - 2 - LRB103 26814 KTG 53178 b HB2858 - 2 - LRB103 26814 KTG 53178 b 1 through prayer alone, in accordance with the tenets and 2 practices of a recognized 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, abandons, 8 neglects, or financially exploits an eligible adult. 9 (a-6) "Adult with disabilities" means a person aged 18 10 through 59 who resides in a domestic living situation and 11 whose disability as defined in subsection (c-5) impairs his or 12 her ability to seek or obtain protection from abuse, 13 abandonment, neglect, or exploitation. 14 (a-7) "Caregiver" means a person who either as a result of 15 a family relationship, voluntarily, or in exchange for 16 compensation has assumed responsibility for all or a portion 17 of the care of an eligible adult who needs assistance with 18 activities of daily living or instrumental activities of daily 19 living. 20 (b) "Department" means the Department on Aging of the 21 State of Illinois. 22 (c) "Director" means the Director of the Department. 23 (c-5) "Disability" means a physical or mental disability, 24 including, but not limited to, a developmental disability, an 25 intellectual disability, a mental illness as defined under the 26 Mental Health and Developmental Disabilities Code, or dementia HB2858 - 2 - LRB103 26814 KTG 53178 b HB2858- 3 -LRB103 26814 KTG 53178 b HB2858 - 3 - LRB103 26814 KTG 53178 b HB2858 - 3 - LRB103 26814 KTG 53178 b 1 as defined under the Alzheimer's Disease Assistance Act. 2 (d) "Domestic living situation" means a residence where 3 the eligible adult at the time of the report lives alone or 4 with his or her family or a caregiver, or others, or other 5 community-based unlicensed facility, but is not: 6 (1) A licensed facility as defined in Section 1-113 of 7 the Nursing Home Care Act; 8 (1.5) A facility licensed under the ID/DD Community 9 Care Act; 10 (1.6) A facility licensed under the MC/DD Act; 11 (1.7) A facility licensed under the Specialized Mental 12 Health Rehabilitation Act of 2013; 13 (2) A "life care facility" as defined in the Life Care 14 Facilities Act; 15 (3) A home, institution, or other place operated by 16 the federal government or agency thereof or by the State 17 of Illinois; 18 (4) A hospital, sanitarium, or other institution, the 19 principal activity or business of which is the diagnosis, 20 care, and treatment of human illness through the 21 maintenance and operation of organized facilities 22 therefor, which is required to be licensed under the 23 Hospital Licensing Act; 24 (5) A "community living facility" as defined in the 25 Community Living Facilities Licensing Act; 26 (6) (Blank); HB2858 - 3 - LRB103 26814 KTG 53178 b HB2858- 4 -LRB103 26814 KTG 53178 b HB2858 - 4 - LRB103 26814 KTG 53178 b HB2858 - 4 - LRB103 26814 KTG 53178 b 1 (7) A "community-integrated living arrangement" as 2 defined in the Community-Integrated Living Arrangements 3 Licensure and Certification Act or a "community 4 residential alternative" as licensed under that Act; 5 (8) An assisted living or shared housing establishment 6 as defined in the Assisted Living and Shared Housing Act; 7 or 8 (9) A supportive living facility as described in 9 Section 5-5.01a of the Illinois Public Aid Code. 10 (e) "Eligible adult" means either an adult with 11 disabilities aged 18 through 59 or a person aged 60 or older 12 who resides in a domestic living situation and is, or is 13 alleged to be, abused, abandoned, neglected, or financially 14 exploited by another individual or who neglects himself or 15 herself. "Eligible adult" also includes an adult who resides 16 in any of the facilities that are excluded from the definition 17 of "domestic living situation" under paragraphs (1) through 18 (9) of subsection (d), if either: (i) the alleged abuse, 19 abandonment, or neglect occurs outside of the facility and not 20 under facility supervision and the alleged abuser is a family 21 member, caregiver, or another person who has a continuing 22 relationship with the adult; or (ii) the alleged financial 23 exploitation is perpetrated by a family member, caregiver, or 24 another person who has a continuing relationship with the 25 adult, but who is not an employee of the facility where the 26 adult resides. HB2858 - 4 - LRB103 26814 KTG 53178 b HB2858- 5 -LRB103 26814 KTG 53178 b HB2858 - 5 - LRB103 26814 KTG 53178 b HB2858 - 5 - LRB103 26814 KTG 53178 b 1 (f) "Emergency" means a situation in which an eligible 2 adult is living in conditions presenting a risk of death or 3 physical, mental or sexual injury and the provider agency has 4 reason to believe the eligible adult is unable to consent to 5 services which would alleviate that risk. 6 (f-1) "Financial exploitation" means the use of an 7 eligible adult's resources by another to the disadvantage of 8 that adult or the profit or advantage of a person other than 9 that adult. 10 (f-5) "Mandated reporter" means any of the following 11 persons while engaged in carrying out their professional 12 duties: 13 (1) a professional or professional's delegate while 14 engaged in: (i) social services, (ii) law enforcement, 15 (iii) education, (iv) the care of an eligible adult or 16 eligible adults, or (v) any of the occupations required to 17 be licensed under the Behavior Analyst Licensing Act, the 18 Clinical Psychologist Licensing Act, the Clinical Social 19 Work and Social Work Practice Act, the Illinois Dental 20 Practice Act, the Dietitian Nutritionist Practice Act, the 21 Marriage and Family Therapy Licensing Act, the Medical 22 Practice Act of 1987, the Naprapathic Practice Act, the 23 Nurse Practice Act, the Nursing Home Administrators 24 Licensing and Disciplinary Act, the Illinois Occupational 25 Therapy Practice Act, the Illinois Optometric Practice Act 26 of 1987, the Pharmacy Practice Act, the Illinois Physical HB2858 - 5 - LRB103 26814 KTG 53178 b HB2858- 6 -LRB103 26814 KTG 53178 b HB2858 - 6 - LRB103 26814 KTG 53178 b HB2858 - 6 - LRB103 26814 KTG 53178 b 1 Therapy Act, the Physician Assistant Practice Act of 1987, 2 the Podiatric Medical Practice Act of 1987, the 3 Respiratory Care Practice Act, the Professional Counselor 4 and Clinical Professional Counselor Licensing and Practice 5 Act, the Illinois Speech-Language Pathology and Audiology 6 Practice Act, the Veterinary Medicine and Surgery Practice 7 Act of 2004, and the Illinois Public Accounting Act; 8 (1.5) an employee of an entity providing developmental 9 disabilities services or service coordination funded by 10 the Department of Human Services; 11 (2) an employee of a vocational rehabilitation 12 facility prescribed or supervised by the Department of 13 Human Services; 14 (3) an administrator, employee, or person providing 15 services in or through an unlicensed community based 16 facility; 17 (4) any religious practitioner who provides treatment 18 by prayer or spiritual means alone in accordance with the 19 tenets and practices of a recognized church or religious 20 denomination, except as to information received in any 21 confession or sacred communication enjoined by the 22 discipline of the religious denomination to be held 23 confidential; 24 (5) field personnel of the Department of Healthcare 25 and Family Services, Department of Public Health, and 26 Department of Human Services, and any county or municipal HB2858 - 6 - LRB103 26814 KTG 53178 b HB2858- 7 -LRB103 26814 KTG 53178 b HB2858 - 7 - LRB103 26814 KTG 53178 b HB2858 - 7 - LRB103 26814 KTG 53178 b 1 health department; 2 (6) personnel of the Department of Human Services, the 3 Guardianship and Advocacy Commission, the State Fire 4 Marshal, local fire departments, the Department on Aging 5 and its subsidiary Area Agencies on Aging and provider 6 agencies, except the State Long Term Care Ombudsman and 7 any of his or her representatives or volunteers where 8 prohibited from making such a report pursuant to 45 CFR 9 1324.11(e)(3)(iv); and the Office of State Long Term Care 10 Ombudsman; 11 (7) any employee of the State of Illinois not 12 otherwise specified herein who is involved in providing 13 services to eligible adults, including professionals 14 providing medical or rehabilitation services and all other 15 persons having direct contact with eligible adults; 16 (8) a person who performs the duties of a coroner or 17 medical examiner; or 18 (9) a person who performs the duties of a paramedic or 19 an emergency medical technician. 20 (g) "Neglect" means another individual's failure to 21 provide an eligible adult with or willful withholding from an 22 eligible adult the necessities of life including, but not 23 limited to, food, clothing, shelter or health care. This 24 subsection does not create any new affirmative duty to provide 25 support to eligible adults. Nothing in this Act shall be 26 construed to mean that an eligible adult is a victim of neglect HB2858 - 7 - LRB103 26814 KTG 53178 b HB2858- 8 -LRB103 26814 KTG 53178 b HB2858 - 8 - LRB103 26814 KTG 53178 b HB2858 - 8 - LRB103 26814 KTG 53178 b 1 because of health care services provided or not provided by 2 licensed health care professionals. 3 (h) "Provider agency" means any public or nonprofit agency 4 in a planning and service area that is selected by the 5 Department or appointed by the regional administrative agency 6 with prior approval by the Department on Aging to receive and 7 assess reports of alleged or suspected abuse, abandonment, 8 neglect, or financial exploitation. A provider agency is also 9 referenced as a "designated agency" in this Act. 10 (i) "Regional administrative agency" means any public or 11 nonprofit agency in a planning and service area that provides 12 regional oversight and performs functions as set forth in 13 subsection (b) of Section 3 of this Act. The Department shall 14 designate an Area Agency on Aging as the regional 15 administrative agency or, in the event the Area Agency on 16 Aging in that planning and service area is deemed by the 17 Department to be unwilling or unable to provide those 18 functions, the Department may serve as the regional 19 administrative agency or designate another qualified entity to 20 serve as the regional administrative agency; any such 21 designation shall be subject to terms set forth by the 22 Department. 23 (i-5) "Self-neglect" means a condition that is the result 24 of an eligible adult's inability, due to physical or mental 25 impairments, or both, or a diminished capacity, to perform 26 essential self-care tasks that substantially threaten his or HB2858 - 8 - LRB103 26814 KTG 53178 b HB2858- 9 -LRB103 26814 KTG 53178 b HB2858 - 9 - LRB103 26814 KTG 53178 b HB2858 - 9 - LRB103 26814 KTG 53178 b 1 her own health, including: providing essential food, clothing, 2 shelter, and health care; and obtaining goods and services 3 necessary to maintain physical health, mental health, 4 emotional well-being, and general safety. The term includes 5 compulsive hoarding, which is characterized by the acquisition 6 and retention of large quantities of items and materials that 7 produce an extensively cluttered living space, which 8 significantly impairs the performance of essential self-care 9 tasks or otherwise substantially threatens life or safety. 10 (j) "Substantiated case" means a reported case of alleged 11 or suspected abuse, abandonment, neglect, financial 12 exploitation, or self-neglect in which a provider agency, 13 after assessment, determines that there is reason to believe 14 abuse, abandonment, neglect, or financial exploitation has 15 occurred. 16 (k) "Verified" means a determination that there is "clear 17 and convincing evidence" that the specific injury or harm 18 alleged was the result of abuse, abandonment, neglect, or 19 financial exploitation. 20 (Source: P.A. 102-244, eff. 1-1-22; 102-953, eff. 5-27-22.) HB2858 - 9 - LRB103 26814 KTG 53178 b