103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB2246 Introduced 2/10/2023, by Sen. Kimberly A. Lightford SYNOPSIS AS INTRODUCED: 325 ILCS 5/6 from Ch. 23, par. 2056 325 ILCS 5/7.4 from Ch. 23, par. 2057.4 Sets forth certain protections that must be provided to any subject of an abuse or neglect investigation whenever the Department of Children and Family Services consults with and relies upon the opinion of a medically trained professional as to whether there is evidence of abuse or neglect. Provides that no child or family member of a child who is the subject of an investigation shall be required to submit to additional medical tests, for investigation purposes only, during the investigation. Requires a consulting medical professional who is employed or under contract with the Department to identify himself or herself as a forensic consultant, rather than as a member of the child's treatment team, whenever the individual has direct contact with the child or the family of the child. Provides that the subject of a report shall have the opportunity to submit a second medical opinion as to whether there is evidence of abuse or neglect. Requires the Department to annually prepare and make available on the Department's Reports and Statistics webpage a report on the number of children referred to a consulting medical professional for forensic opinion. Provides that the first report must be posted by March 31, 2024. Sets forth certain data and information that must be contained in the annual report. LRB103 30764 KTG 57248 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB2246 Introduced 2/10/2023, by Sen. Kimberly A. Lightford SYNOPSIS AS INTRODUCED: 325 ILCS 5/6 from Ch. 23, par. 2056 325 ILCS 5/7.4 from Ch. 23, par. 2057.4 325 ILCS 5/6 from Ch. 23, par. 2056 325 ILCS 5/7.4 from Ch. 23, par. 2057.4 Sets forth certain protections that must be provided to any subject of an abuse or neglect investigation whenever the Department of Children and Family Services consults with and relies upon the opinion of a medically trained professional as to whether there is evidence of abuse or neglect. Provides that no child or family member of a child who is the subject of an investigation shall be required to submit to additional medical tests, for investigation purposes only, during the investigation. Requires a consulting medical professional who is employed or under contract with the Department to identify himself or herself as a forensic consultant, rather than as a member of the child's treatment team, whenever the individual has direct contact with the child or the family of the child. Provides that the subject of a report shall have the opportunity to submit a second medical opinion as to whether there is evidence of abuse or neglect. Requires the Department to annually prepare and make available on the Department's Reports and Statistics webpage a report on the number of children referred to a consulting medical professional for forensic opinion. Provides that the first report must be posted by March 31, 2024. Sets forth certain data and information that must be contained in the annual report. LRB103 30764 KTG 57248 b LRB103 30764 KTG 57248 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB2246 Introduced 2/10/2023, by Sen. Kimberly A. Lightford SYNOPSIS AS INTRODUCED: 325 ILCS 5/6 from Ch. 23, par. 2056 325 ILCS 5/7.4 from Ch. 23, par. 2057.4 325 ILCS 5/6 from Ch. 23, par. 2056 325 ILCS 5/7.4 from Ch. 23, par. 2057.4 325 ILCS 5/6 from Ch. 23, par. 2056 325 ILCS 5/7.4 from Ch. 23, par. 2057.4 Sets forth certain protections that must be provided to any subject of an abuse or neglect investigation whenever the Department of Children and Family Services consults with and relies upon the opinion of a medically trained professional as to whether there is evidence of abuse or neglect. Provides that no child or family member of a child who is the subject of an investigation shall be required to submit to additional medical tests, for investigation purposes only, during the investigation. Requires a consulting medical professional who is employed or under contract with the Department to identify himself or herself as a forensic consultant, rather than as a member of the child's treatment team, whenever the individual has direct contact with the child or the family of the child. Provides that the subject of a report shall have the opportunity to submit a second medical opinion as to whether there is evidence of abuse or neglect. Requires the Department to annually prepare and make available on the Department's Reports and Statistics webpage a report on the number of children referred to a consulting medical professional for forensic opinion. Provides that the first report must be posted by March 31, 2024. Sets forth certain data and information that must be contained in the annual report. LRB103 30764 KTG 57248 b LRB103 30764 KTG 57248 b LRB103 30764 KTG 57248 b A BILL FOR SB2246LRB103 30764 KTG 57248 b SB2246 LRB103 30764 KTG 57248 b SB2246 LRB103 30764 KTG 57248 b 1 AN ACT concerning children. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 1. Findings. The General Assembly finds as 5 follows: 6 (1) Any case involving allegations of child abuse or 7 neglect raise the potential for risk of error and trauma if the 8 determination made at the conclusion of the investigation is 9 incorrect. 10 (2) The Department relies on the expertise of medical 11 professional consultants in order to understand and assess the 12 validity of hotline calls reporting abuse or neglect. The 13 Department has established contracts and consultations with 14 doctors and other medical professionals for the purpose of 15 obtaining their opinion during child abuse and neglect 16 investigations conducted throughout Illinois in accordance 17 with this Act. 18 (3) Such contracts and consultations, as currently 19 constituted, include input from law enforcement, county 20 state's attorneys, and other local agencies. A balance of 21 consideration of alternative explanations and information from 22 independent sources has not been developed in Illinois. 23 Consequently, parents, guardians, and others do not have equal 24 access and an ability to contribute potentially dispositive 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB2246 Introduced 2/10/2023, by Sen. Kimberly A. Lightford SYNOPSIS AS INTRODUCED: 325 ILCS 5/6 from Ch. 23, par. 2056 325 ILCS 5/7.4 from Ch. 23, par. 2057.4 325 ILCS 5/6 from Ch. 23, par. 2056 325 ILCS 5/7.4 from Ch. 23, par. 2057.4 325 ILCS 5/6 from Ch. 23, par. 2056 325 ILCS 5/7.4 from Ch. 23, par. 2057.4 Sets forth certain protections that must be provided to any subject of an abuse or neglect investigation whenever the Department of Children and Family Services consults with and relies upon the opinion of a medically trained professional as to whether there is evidence of abuse or neglect. Provides that no child or family member of a child who is the subject of an investigation shall be required to submit to additional medical tests, for investigation purposes only, during the investigation. Requires a consulting medical professional who is employed or under contract with the Department to identify himself or herself as a forensic consultant, rather than as a member of the child's treatment team, whenever the individual has direct contact with the child or the family of the child. Provides that the subject of a report shall have the opportunity to submit a second medical opinion as to whether there is evidence of abuse or neglect. Requires the Department to annually prepare and make available on the Department's Reports and Statistics webpage a report on the number of children referred to a consulting medical professional for forensic opinion. Provides that the first report must be posted by March 31, 2024. Sets forth certain data and information that must be contained in the annual report. LRB103 30764 KTG 57248 b LRB103 30764 KTG 57248 b LRB103 30764 KTG 57248 b A BILL FOR 325 ILCS 5/6 from Ch. 23, par. 2056 325 ILCS 5/7.4 from Ch. 23, par. 2057.4 LRB103 30764 KTG 57248 b SB2246 LRB103 30764 KTG 57248 b SB2246- 2 -LRB103 30764 KTG 57248 b SB2246 - 2 - LRB103 30764 KTG 57248 b SB2246 - 2 - LRB103 30764 KTG 57248 b 1 information during a child abuse or neglect investigations. 2 (4) There is extensive controversy over whether medical 3 conclusions such as "shaken baby syndrome", metaphyseal 4 fractures, Ehlers Danlos syndrome, rickets and Vitamin D 5 deficiency, and Munchausen's Syndrome by Proxy are the causes 6 or contributors to children's reported injuries, symptoms, or 7 conditions. There are many conditions that mimic child abuse. 8 Some common beliefs about child abuse being idiopathic to 9 certain conditions have been shown to be demonstrably false 10 (such as that a triad of conditions necessarily means that a 11 child must have been shaken or that the last person with the 12 child must have been the person who injured the child). 13 (5) Children with rare diseases and disabilities are 14 particularly at risk of having medical conditions overlooked 15 or misunderstood as child abuse. 16 (6) As a result of these medical misunderstandings and the 17 lack of up-to-date information grounded in science, innocent 18 parents have been targeted as child abusers and child 19 neglectors, and have been imprisoned, fired, or had their 20 children taken into state custody or their rights of access to 21 their children restricted whenever a person with the title 22 "child abuse pediatrician" contends that the parent's child is 23 abused, even when that opinion is erroneous. 24 (7) A right as basic as the right to consent to the release 25 of medical records is not adequately protected in the context 26 of any hotline call investigation. SB2246 - 2 - LRB103 30764 KTG 57248 b SB2246- 3 -LRB103 30764 KTG 57248 b SB2246 - 3 - LRB103 30764 KTG 57248 b SB2246 - 3 - LRB103 30764 KTG 57248 b 1 (8) There is currently no limitation on a medical 2 professional's participation in a child abuse or neglect 3 investigation even when the medical professional, or the 4 medical professional's colleague or employment institution, 5 directly participated in the making of the hotline call that 6 triggered the abuse or neglect investigation. 7 (9) The interest of truth in science, common sense, and 8 justice require that access to objective scientific 9 information should not be the privilege of one side to a 10 reasonable dispute as to medical science. 11 (10) The State of Illinois currently has no system of 12 independent review of the accuracy of the forensic opinions 13 rendered by child abuse pediatricians who hold contracts 14 through child advocacy centers and hospitals. 15 (11) Parents report being blindsided and misinformed as to 16 the role of the child abuse pediatrician in many cases, 17 including ones where no abuse was ultimately found. 18 (12) News reports by NBC News have highlighted cases in 19 which grievous errors in medical opinions rendered by child 20 abuse pediatricians, and relied upon by state agencies during 21 child abuse and neglect investigations, have led to grave 22 injustices that could be remedied with modest procedural 23 protections for the fairness of such investigations. 24 (13) Doctors take an oath to "first do no harm" but there 25 is no system in the State of Illinois for redressing and 26 mitigating the harm to families who have been the victims of SB2246 - 3 - LRB103 30764 KTG 57248 b SB2246- 4 -LRB103 30764 KTG 57248 b SB2246 - 4 - LRB103 30764 KTG 57248 b SB2246 - 4 - LRB103 30764 KTG 57248 b 1 wrongful child abuse or neglect allegations. 2 Section 5. The Abused and Neglected Child Reporting Act is 3 amended by changing Sections 6 and 7.4 as follows: 4 (325 ILCS 5/6) (from Ch. 23, par. 2056) 5 Sec. 6. Any person required to investigate cases of 6 suspected child abuse or neglect may not take or cause to be 7 taken, at Department expense, color photographs and x-rays of 8 the child who is the subject of a report, and color photographs 9 of the physical environment in which the alleged abuse or 10 neglect has taken place, except if there are exigent 11 circumstances, or if there is a need for such photographs or 12 x-rays for emergency treatment of the child, or if the person 13 responsible for the child's welfare gives consent to the 14 taking of such photographs or x-rays. The person seeking to 15 take such photographs or x-rays shall make every reasonable 16 effort to notify the person responsible for the child's 17 welfare. The person required to investigate cases of suspected 18 child abuse or neglect shall not threaten removal of a child or 19 other legal action if the person reasonable for the child's 20 welfare refuses to consent to the taking of photographs or 21 x-rays. 22 (Source: P.A. 84-611.) 23 (325 ILCS 5/7.4) (from Ch. 23, par. 2057.4) SB2246 - 4 - LRB103 30764 KTG 57248 b SB2246- 5 -LRB103 30764 KTG 57248 b SB2246 - 5 - LRB103 30764 KTG 57248 b SB2246 - 5 - LRB103 30764 KTG 57248 b 1 Sec. 7.4. (a) The Department shall be capable of receiving 2 reports of suspected child abuse or neglect 24 hours a day, 7 3 days a week. Whenever the Department receives a report 4 alleging that a child is a truant as defined in Section 26-2a 5 of the School Code, as now or hereafter amended, the 6 Department shall notify the superintendent of the school 7 district in which the child resides and the appropriate 8 superintendent of the educational service region. The 9 notification to the appropriate officials by the Department 10 shall not be considered an allegation of abuse or neglect 11 under this Act. 12 (a-5) The Department of Children and Family Services may 13 implement a "differential response program" in accordance with 14 criteria, standards, and procedures prescribed by rule. The 15 program may provide that, upon receiving a report, the 16 Department shall determine whether to conduct a family 17 assessment or an investigation as appropriate to prevent or 18 provide a remedy for child abuse or neglect. 19 For purposes of this subsection (a-5), "family assessment" 20 means a comprehensive assessment of child safety, risk of 21 subsequent child maltreatment, and family strengths and needs 22 that is applied to a child maltreatment report that does not 23 allege substantial child endangerment. "Family assessment" 24 does not include a determination as to whether child 25 maltreatment occurred but does determine the need for services 26 to address the safety of family members and the risk of SB2246 - 5 - LRB103 30764 KTG 57248 b SB2246- 6 -LRB103 30764 KTG 57248 b SB2246 - 6 - LRB103 30764 KTG 57248 b SB2246 - 6 - LRB103 30764 KTG 57248 b 1 subsequent maltreatment. 2 For purposes of this subsection (a-5), "investigation" 3 means fact-gathering related to the current safety of a child 4 and the risk of subsequent abuse or neglect that determines 5 whether a report of suspected child abuse or neglect should be 6 indicated or unfounded and whether child protective services 7 are needed. 8 Under the "differential response program" implemented 9 under this subsection (a-5), the Department: 10 (1) Shall conduct an investigation on reports 11 involving substantial child abuse or neglect. 12 (2) Shall begin an immediate investigation if, at any 13 time when it is using a family assessment response, it 14 determines that there is reason to believe that 15 substantial child abuse or neglect or a serious threat to 16 the child's safety exists. 17 (3) May conduct a family assessment for reports that 18 do not allege substantial child endangerment. In 19 determining that a family assessment is appropriate, the 20 Department may consider issues, including, but not limited 21 to, child safety, parental cooperation, and the need for 22 an immediate response. 23 (4) Shall promulgate criteria, standards, and 24 procedures that shall be applied in making this 25 determination, taking into consideration the Child 26 Endangerment Risk Assessment Protocol of the Department. SB2246 - 6 - LRB103 30764 KTG 57248 b SB2246- 7 -LRB103 30764 KTG 57248 b SB2246 - 7 - LRB103 30764 KTG 57248 b SB2246 - 7 - LRB103 30764 KTG 57248 b 1 (5) May conduct a family assessment on a report that 2 was initially screened and assigned for an investigation. 3 In determining that a complete investigation is not 4 required, the Department must document the reason for 5 terminating the investigation and notify the local law 6 enforcement agency or the Illinois State Police if the local 7 law enforcement agency or Illinois State Police is conducting 8 a joint investigation. 9 Once it is determined that a "family assessment" will be 10 implemented, the case shall not be reported to the central 11 register of abuse and neglect reports. 12 During a family assessment, the Department shall collect 13 any available and relevant information to determine child 14 safety, risk of subsequent abuse or neglect, and family 15 strengths. 16 Information collected includes, but is not limited to, 17 when relevant: information with regard to the person reporting 18 the alleged abuse or neglect, including the nature of the 19 reporter's relationship to the child and to the alleged 20 offender, and the basis of the reporter's knowledge for the 21 report; the child allegedly being abused or neglected; the 22 alleged offender; the child's caretaker; and other collateral 23 sources having relevant information related to the alleged 24 abuse or neglect. Information relevant to the assessment must 25 be asked for, and may include: 26 (A) The child's sex and age, prior reports of abuse or SB2246 - 7 - LRB103 30764 KTG 57248 b SB2246- 8 -LRB103 30764 KTG 57248 b SB2246 - 8 - LRB103 30764 KTG 57248 b SB2246 - 8 - LRB103 30764 KTG 57248 b 1 neglect, information relating to developmental 2 functioning, credibility of the child's statement, and 3 whether the information provided under this paragraph (A) 4 is consistent with other information collected during the 5 course of the assessment or investigation. 6 (B) The alleged offender's age, a record check for 7 prior reports of abuse or neglect, and criminal charges 8 and convictions. The alleged offender may submit 9 supporting documentation relevant to the assessment. 10 (C) Collateral source information regarding the 11 alleged abuse or neglect and care of the child. Collateral 12 information includes, when relevant: (i) a medical 13 examination of the child; (ii) prior medical records 14 relating to the alleged maltreatment or care of the child 15 maintained by any facility, clinic, or health care 16 professional, and an interview with the treating 17 professionals; and (iii) interviews with the child's 18 caretakers, including the child's parent, guardian, foster 19 parent, child care provider, teachers, counselors, family 20 members, relatives, and other persons who may have 21 knowledge regarding the alleged maltreatment and the care 22 of the child. 23 (D) Information on the existence of domestic abuse and 24 violence in the home of the child, and substance abuse. 25 Nothing in this subsection (a-5) precludes the Department 26 from collecting other relevant information necessary to SB2246 - 8 - LRB103 30764 KTG 57248 b SB2246- 9 -LRB103 30764 KTG 57248 b SB2246 - 9 - LRB103 30764 KTG 57248 b SB2246 - 9 - LRB103 30764 KTG 57248 b 1 conduct the assessment or investigation. Nothing in this 2 subsection (a-5) shall be construed to allow the name or 3 identity of a reporter to be disclosed in violation of the 4 protections afforded under Section 7.19 of this Act. 5 After conducting the family assessment, the Department 6 shall determine whether services are needed to address the 7 safety of the child and other family members and the risk of 8 subsequent abuse or neglect. 9 Upon completion of the family assessment, if the 10 Department concludes that no services shall be offered, then 11 the case shall be closed. If the Department concludes that 12 services shall be offered, the Department shall develop a 13 family preservation plan and offer or refer services to the 14 family. 15 At any time during a family assessment, if the Department 16 believes there is any reason to stop the assessment and 17 conduct an investigation based on the information discovered, 18 the Department shall do so. 19 The procedures available to the Department in conducting 20 investigations under this Act shall be followed as appropriate 21 during a family assessment. 22 If the Department implements a differential response 23 program authorized under this subsection (a-5), the Department 24 shall arrange for an independent evaluation of the program for 25 at least the first 3 years of implementation to determine 26 whether it is meeting the goals in accordance with Section 2 of SB2246 - 9 - LRB103 30764 KTG 57248 b SB2246- 10 -LRB103 30764 KTG 57248 b SB2246 - 10 - LRB103 30764 KTG 57248 b SB2246 - 10 - LRB103 30764 KTG 57248 b 1 this Act. 2 The Department may adopt administrative rules necessary 3 for the execution of this Section, in accordance with Section 4 4 of the Children and Family Services Act. 5 The Department shall submit a report to the General 6 Assembly by January 15, 2018 on the implementation progress 7 and recommendations for additional needed legislative changes. 8 (b)(1) The following procedures shall be followed in the 9 investigation of all reports of suspected abuse or neglect of 10 a child, except as provided in subsection (c) of this Section. 11 (2) If, during a family assessment authorized by 12 subsection (a-5) or an investigation, it appears that the 13 immediate safety or well-being of a child is endangered, that 14 the family may flee or the child disappear, or that the facts 15 otherwise so warrant, the Child Protective Service Unit shall 16 commence an investigation immediately, regardless of the time 17 of day or night. All other investigations shall be commenced 18 within 24 hours of receipt of the report. Upon receipt of a 19 report, the Child Protective Service Unit shall conduct a 20 family assessment authorized by subsection (a-5) or begin an 21 initial investigation and make an initial determination 22 whether the report is a good faith indication of alleged child 23 abuse or neglect. 24 (3) Based on an initial investigation, if the Unit 25 determines the report is a good faith indication of alleged 26 child abuse or neglect, then a formal investigation shall SB2246 - 10 - LRB103 30764 KTG 57248 b SB2246- 11 -LRB103 30764 KTG 57248 b SB2246 - 11 - LRB103 30764 KTG 57248 b SB2246 - 11 - LRB103 30764 KTG 57248 b 1 commence and, pursuant to Section 7.12 of this Act, may or may 2 not result in an indicated report. The formal investigation 3 shall include: direct contact with the subject or subjects of 4 the report as soon as possible after the report is received; an 5 evaluation of the environment of the child named in the report 6 and any other children in the same environment; a 7 determination of the risk to such children if they continue to 8 remain in the existing environments, as well as a 9 determination of the nature, extent and cause of any condition 10 enumerated in such report; the name, age and condition of 11 other children in the environment; and an evaluation as to 12 whether there would be an immediate and urgent necessity to 13 remove the child from the environment if appropriate family 14 preservation services were provided. After seeing to the 15 safety of the child or children, the Department shall 16 forthwith notify the subjects of the report in writing, of the 17 existence of the report and their rights existing under this 18 Act in regard to amendment or expungement. To fulfill the 19 requirements of this Section, the Child Protective Service 20 Unit shall have the capability of providing or arranging for 21 comprehensive emergency services to children and families at 22 all times of the day or night. 23 (4) If (i) at the conclusion of the Unit's initial 24 investigation of a report, the Unit determines the report to 25 be a good faith indication of alleged child abuse or neglect 26 that warrants a formal investigation by the Unit, the SB2246 - 11 - LRB103 30764 KTG 57248 b SB2246- 12 -LRB103 30764 KTG 57248 b SB2246 - 12 - LRB103 30764 KTG 57248 b SB2246 - 12 - LRB103 30764 KTG 57248 b 1 Department, any law enforcement agency or any other 2 responsible agency and (ii) the person who is alleged to have 3 caused the abuse or neglect is employed or otherwise engaged 4 in an activity resulting in frequent contact with children and 5 the alleged abuse or neglect are in the course of such 6 employment or activity, then the Department shall, except in 7 investigations where the Director determines that such 8 notification would be detrimental to the Department's 9 investigation, inform the appropriate supervisor or 10 administrator of that employment or activity that the Unit has 11 commenced a formal investigation pursuant to this Act, which 12 may or may not result in an indicated report. The Department 13 shall also notify the person being investigated, unless the 14 Director determines that such notification would be 15 detrimental to the Department's investigation. 16 (c) In an investigation of a report of suspected abuse or 17 neglect of a child by a school employee at a school or on 18 school grounds, the Department shall make reasonable efforts 19 to follow the following procedures: 20 (1) Investigations involving teachers shall not, to 21 the extent possible, be conducted when the teacher is 22 scheduled to conduct classes. Investigations involving 23 other school employees shall be conducted so as to 24 minimize disruption of the school day. The school employee 25 accused of child abuse or neglect may have his superior, 26 his association or union representative and his attorney SB2246 - 12 - LRB103 30764 KTG 57248 b SB2246- 13 -LRB103 30764 KTG 57248 b SB2246 - 13 - LRB103 30764 KTG 57248 b SB2246 - 13 - LRB103 30764 KTG 57248 b 1 present at any interview or meeting at which the teacher 2 or administrator is present. The accused school employee 3 shall be informed by a representative of the Department, 4 at any interview or meeting, of the accused school 5 employee's due process rights and of the steps in the 6 investigation process. These due process rights shall also 7 include the right of the school employee to present 8 countervailing evidence regarding the accusations. In an 9 investigation in which the alleged perpetrator of abuse or 10 neglect is a school employee, including, but not limited 11 to, a school teacher or administrator, and the 12 recommendation is to determine the report to be indicated, 13 in addition to other procedures as set forth and defined 14 in Department rules and procedures, the employee's due 15 process rights shall also include: (i) the right to a copy 16 of the investigation summary; (ii) the right to review the 17 specific allegations which gave rise to the investigation; 18 and (iii) the right to an administrator's teleconference 19 which shall be convened to provide the school employee 20 with the opportunity to present documentary evidence or 21 other information that supports his or her position and to 22 provide information before a final finding is entered. 23 (2) If a report of neglect or abuse of a child by a 24 teacher or administrator does not involve allegations of 25 sexual abuse or extreme physical abuse, the Child 26 Protective Service Unit shall make reasonable efforts to SB2246 - 13 - LRB103 30764 KTG 57248 b SB2246- 14 -LRB103 30764 KTG 57248 b SB2246 - 14 - LRB103 30764 KTG 57248 b SB2246 - 14 - LRB103 30764 KTG 57248 b 1 conduct the initial investigation in coordination with the 2 employee's supervisor. 3 If the Unit determines that the report is a good faith 4 indication of potential child abuse or neglect, it shall 5 then commence a formal investigation under paragraph (3) 6 of subsection (b) of this Section. 7 (3) If a report of neglect or abuse of a child by a 8 teacher or administrator involves an allegation of sexual 9 abuse or extreme physical abuse, the Child Protective Unit 10 shall commence an investigation under paragraph (2) of 11 subsection (b) of this Section. 12 (c-5) In any instance in which a report is made or caused 13 to made by a school district employee involving the conduct of 14 a person employed by the school district, at the time the 15 report was made, as required under Section 4 of this Act, the 16 Child Protective Service Unit shall send a copy of its final 17 finding report to the general superintendent of that school 18 district. 19 (c-10) The Department may recommend that a school district 20 remove a school employee who is the subject of an 21 investigation from his or her employment position pending the 22 outcome of the investigation; however, all employment 23 decisions regarding school personnel shall be the sole 24 responsibility of the school district or employer. The 25 Department may not require a school district to remove a 26 school employee from his or her employment position or limit SB2246 - 14 - LRB103 30764 KTG 57248 b SB2246- 15 -LRB103 30764 KTG 57248 b SB2246 - 15 - LRB103 30764 KTG 57248 b SB2246 - 15 - LRB103 30764 KTG 57248 b 1 the school employee's duties pending the outcome of an 2 investigation. 3 (d) If the Department has contact with an employer, or 4 with a religious institution or religious official having 5 supervisory or hierarchical authority over a member of the 6 clergy accused of the abuse of a child, in the course of its 7 investigation, the Department shall notify the employer or the 8 religious institution or religious official, in writing, when 9 a report is unfounded so that any record of the investigation 10 can be expunged from the employee's or member of the clergy's 11 personnel or other records. The Department shall also notify 12 the employee or the member of the clergy, in writing, that 13 notification has been sent to the employer or to the 14 appropriate religious institution or religious official 15 informing the employer or religious institution or religious 16 official that the Department's investigation has resulted in 17 an unfounded report. 18 (d-1) Whenever a report alleges that a child was abused or 19 neglected while receiving care in a hospital, including a 20 freestanding psychiatric hospital licensed by the Department 21 of Public Health, the Department shall send a copy of its final 22 finding to the Director of Public Health and the Director of 23 Healthcare and Family Services. 24 (d-2) In any investigation conducted in accordance with 25 this Act during which the Department consults with and relies 26 upon a medically trained professional as to whether abuse or SB2246 - 15 - LRB103 30764 KTG 57248 b SB2246- 16 -LRB103 30764 KTG 57248 b SB2246 - 16 - LRB103 30764 KTG 57248 b SB2246 - 16 - LRB103 30764 KTG 57248 b 1 neglect is considered likely, to a reasonable degree of 2 medical certainty, the following protections shall be provided 3 to any subject of the investigation: 4 (A) No child or family member of a child who is the 5 subject of an investigation shall be required to submit to 6 additional medical tests, for investigation purposes only, 7 during the investigation. The risks associated with any 8 recommended test must be fully disclosed to the child's 9 custodial parent or guardian during the investigation. 10 Nothing in this paragraph shall be read to preclude those 11 medical tests that are medically necessary for the child's 12 treatment. 13 (B) If a consulting medical professional is employed, 14 in whole or in part, by the Department or receives 15 referrals in the course of an investigation pursuant to 16 any contract, memorandum of understanding, or direct 17 request by an investigator, such individual must identify 18 himself or herself as a forensic consultant, rather than 19 as a member of the child's treatment team, whenever the 20 individual has direct contact with the child or the family 21 of the child. The individual must also provide the child's 22 guardian with accurate information about the medical 23 specialties that the individual holds. 24 (C) The subject of the investigation shall be afforded 25 the opportunity to identify all medical professionals who 26 have examined or treated the child during the previous SB2246 - 16 - LRB103 30764 KTG 57248 b SB2246- 17 -LRB103 30764 KTG 57248 b SB2246 - 17 - LRB103 30764 KTG 57248 b SB2246 - 17 - LRB103 30764 KTG 57248 b 1 12-month period prior to the hotline call and, with the 2 subject's consent, such medical professionals shall be 3 afforded the opportunity to submit information for 4 consideration by the Department prior to the conclusion of 5 the investigation. 6 (D) The subject of the investigation shall be afforded 7 the reasonable opportunity to submit a second medical 8 opinion to the Department or to request that the 9 Department allow time for the subject to obtain and submit 10 second independent opinions from medical professionals. A 11 request for a second medical opinion shall be considered 12 good cause to toll deadlines for completion of an 13 investigation. 14 (E) Except if there are exigent circumstances, the 15 subject of the investigation shall be provided the 16 identity, credentials, and opinions of other professionals 17 the consulted medical professional relies upon in 18 rendering an opinion as to the likelihood of abuse or 19 neglect, and the written opinion of such person shall be 20 provided, upon the conclusion of the investigation (with 21 due allowance for redactions as otherwise provided under 22 this Act). 23 (F) The Department shall annually prepare and make 24 available on the Department's Reports and Statistics 25 webpage a report on the number of children referred to a 26 consulting medical professional for forensic opinion. The SB2246 - 17 - LRB103 30764 KTG 57248 b SB2246- 18 -LRB103 30764 KTG 57248 b SB2246 - 18 - LRB103 30764 KTG 57248 b SB2246 - 18 - LRB103 30764 KTG 57248 b 1 first report must be posted by March 31, 2024. The report 2 shall contain the following information: 3 (i) Total number of abuse or neglect cases that 4 were substantiated by the court. 5 (ii) Total number of abuse or neglect cases that 6 the Department determined were unfounded. 7 (iii) Total number of abuse or neglect cases that 8 the Department determined were indicated, but were not 9 sent to the court. 10 (I) Data on the subset of those indicated 11 cases that were appealed and the outcomes of those 12 appeals. 13 (II) Data on the subset of those cases that 14 the Department determined were indicated but with 15 an unknown perpetrator. 16 (iv) Compile the information collected under items 17 (i) through (iii) by individual provider. 18 (v) Compile the information collected under items 19 (i) through (iii) by medical diagnosis. 20 (vi) Compile the information collected under items 21 (i) through (iii) by county. 22 (vii) Compile the information collected under 23 items (i) through (iii) by race. 24 (viii) Compile the information collected under 25 items (i) through (iii) by gender (of the child). 26 (ix) Compile the information collected under items SB2246 - 18 - LRB103 30764 KTG 57248 b SB2246- 19 -LRB103 30764 KTG 57248 b SB2246 - 19 - LRB103 30764 KTG 57248 b SB2246 - 19 - LRB103 30764 KTG 57248 b 1 (i) through (iii) by children with safety plans and 2 children put in protective custody. 3 (e) Upon request by the Department, the Illinois State 4 Police and law enforcement agencies are authorized to provide 5 criminal history record information as defined in the Illinois 6 Uniform Conviction Information Act and information maintained 7 in the adjudicatory and dispositional record system as defined 8 in Section 2605-355 of the Illinois State Police Law to 9 properly designated employees of the Department of Children 10 and Family Services if the Department determines the 11 information is necessary to perform its duties under the 12 Abused and Neglected Child Reporting Act, the Child Care Act 13 of 1969, and the Children and Family Services Act. The request 14 shall be in the form and manner required by the Illinois State 15 Police. Any information obtained by the Department of Children 16 and Family Services under this Section is confidential and may 17 not be transmitted outside the Department of Children and 18 Family Services other than to a court of competent 19 jurisdiction or unless otherwise authorized by law. Any 20 employee of the Department of Children and Family Services who 21 transmits confidential information in violation of this 22 Section or causes the information to be transmitted in 23 violation of this Section is guilty of a Class A misdemeanor 24 unless the transmittal of the information is authorized by 25 this Section or otherwise authorized by law. 26 (f) For purposes of this Section, "child abuse or neglect" SB2246 - 19 - LRB103 30764 KTG 57248 b SB2246- 20 -LRB103 30764 KTG 57248 b SB2246 - 20 - LRB103 30764 KTG 57248 b SB2246 - 20 - LRB103 30764 KTG 57248 b 1 includes abuse or neglect of an adult resident as defined in 2 this Act. 3 (Source: P.A. 101-43, eff. 1-1-20; 102-538, eff. 8-20-21.) SB2246 - 20 - LRB103 30764 KTG 57248 b