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| 1 |  AN ACT concerning regulation.
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| 2 |  Be it enacted by the People of the State of Illinois,
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| 3 | represented in the General Assembly:
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| 4 |  Section 1. Short title. This Act may be cited as the  | ||||||||||||||||||||||||
| 5 | Authorized Electronic Monitoring in Long-Term Care Facilities  | ||||||||||||||||||||||||
| 6 | Act.
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| 7 |  Section 5. Definitions.  As used in this Act: | ||||||||||||||||||||||||
| 8 |  "Authorized electronic monitoring" means the placement and  | ||||||||||||||||||||||||
| 9 | use of an electronic monitoring device by a resident in his or  | ||||||||||||||||||||||||
| 10 | her room in accordance with this Act. | ||||||||||||||||||||||||
| 11 |  "Department" means the Department of Public Health. | ||||||||||||||||||||||||
| 12 |  "Electronic monitoring device" means (1) a video  | ||||||||||||||||||||||||
| 13 | surveillance instrument installed in a resident's room under  | ||||||||||||||||||||||||
| 14 | the provisions of this Act that broadcasts, photographs, or  | ||||||||||||||||||||||||
| 15 | records activity occurring in the room or (2) an audio  | ||||||||||||||||||||||||
| 16 | surveillance instrument installed in a resident's room under  | ||||||||||||||||||||||||
| 17 | the provisions of this Act that broadcasts or records sounds  | ||||||||||||||||||||||||
| 18 | occurring in the room. | ||||||||||||||||||||||||
| 19 |  "Facility" means a facility licensed under the ID/DD  | ||||||||||||||||||||||||
| 20 | Community Care Act or the Nursing Home Care Act.
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| 21 |  "Resident" means a person receiving personal or medical  | ||||||||||||||||||||||||
| 22 | care, including, but not limited to, habilitation, mental  | ||||||||||||||||||||||||
| 23 | health treatment, psychiatric rehabilitation, psychiatric  | ||||||||||||||||||||||||
 
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| 1 | services, therapeutic services, physical rehabilitation, or  | ||||||
| 2 | assistance with activities of daily living, from a facility.
 | ||||||
| 3 |  Section 10. Authorized electronic monitoring. A resident  | ||||||
| 4 | shall be permitted to conduct authorized electronic monitoring  | ||||||
| 5 | of the resident's room through the use of electronic monitoring  | ||||||
| 6 | devices placed in the room pursuant to this Act.
 | ||||||
| 7 |  Section 15. Consent.
 | ||||||
| 8 |  (a) Except as otherwise provided in this subsection, a  | ||||||
| 9 | resident must consent in writing to the authorized electronic  | ||||||
| 10 | monitoring in his or her room on a consent form prescribed by  | ||||||
| 11 | the Department. If the resident has not affirmatively objected  | ||||||
| 12 | to the authorized electronic monitoring: | ||||||
| 13 |   (1) a person appointed as a guardian of the person of  | ||||||
| 14 |  the resident under the Probate Act of 1975 may consent on  | ||||||
| 15 |  behalf of the resident to the authorized electronic  | ||||||
| 16 |  monitoring; or | ||||||
| 17 |   (2) a person from the following list, in order of  | ||||||
| 18 |  priority, may consent on behalf of the resident to the  | ||||||
| 19 |  authorized electronic monitoring on a consent form  | ||||||
| 20 |  prescribed by the Department if the resident's physician  | ||||||
| 21 |  determines that the resident does not have the capacity to  | ||||||
| 22 |  consent to authorized electronic monitoring: | ||||||
| 23 |    (A) the health care agent named under the Illinois  | ||||||
| 24 |  Power of Attorney Act, if any;
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| 1 |    (B) the resident's spouse;
 | ||||||
| 2 |    (C) the resident's parent; or
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| 3 |    (D) an adult child of the resident who has the  | ||||||
| 4 |  waiver and consent of all other adult children of the  | ||||||
| 5 |  resident to act as the sole decision maker regarding  | ||||||
| 6 |  authorized electronic monitoring.
 | ||||||
| 7 |   If consent is sought under this paragraph (2), the  | ||||||
| 8 |  resident's physician must document on the consent form his  | ||||||
| 9 |  or her determination that the resident does not have the  | ||||||
| 10 |  capacity to consent to authorized electronic monitoring. | ||||||
| 11 |  (b) Prior to the authorized electronic monitoring, a  | ||||||
| 12 | resident must obtain the written consent of any other resident  | ||||||
| 13 | residing in the room on the consent form prescribed by the  | ||||||
| 14 | Department. A resident may consent to authorized electronic  | ||||||
| 15 | monitoring with conditions that include, but are not limited  | ||||||
| 16 | to:
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| 17 |   (1) prohibiting audio monitoring; or
 | ||||||
| 18 |   (2) limiting the direction a video surveillance  | ||||||
| 19 |  instrument may be pointed.
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| 20 | Consent may be withdrawn at any time. | ||||||
| 21 |  (c) If a resident who is residing in a shared room wants to  | ||||||
| 22 | conduct authorized electronic monitoring and another resident  | ||||||
| 23 | living in the same shared room refuses to consent to the use of  | ||||||
| 24 | an electronic monitoring device, the facility shall  | ||||||
| 25 | accommodate the resident who wants to conduct authorized  | ||||||
| 26 | electronic monitoring by moving him or her to another room.
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| 1 |  (d) If authorized electronic monitoring is being conducted  | ||||||
| 2 | in the room of a resident, another resident may not be moved  | ||||||
| 3 | into that room unless the resident has consented to the  | ||||||
| 4 | existing authorized electronic monitoring.
 | ||||||
| 5 |  Section 20. Notice to the facility. Authorized electronic  | ||||||
| 6 | monitoring may begin only after the required consent form  | ||||||
| 7 | specified in Section 15 of this Act has been completed and  | ||||||
| 8 | submitted to the facility.
 | ||||||
| 9 |  Section 25. Cost and installation.
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| 10 |  (a) A resident choosing to conduct authorized electronic  | ||||||
| 11 | monitoring must do so at his or her own expense.
 | ||||||
| 12 |  (b) If a resident chooses to install an electronic  | ||||||
| 13 | monitoring device that uses Internet technology for visual or  | ||||||
| 14 | audio monitoring, that resident is responsible for contracting  | ||||||
| 15 | with an Internet service provider and the facility shall make a  | ||||||
| 16 | reasonable attempt to accommodate the resident, including, but  | ||||||
| 17 | not limited to, allowing access to the facility's  | ||||||
| 18 | telecommunications or equipment room. A facility has the burden  | ||||||
| 19 | of proving that a requested accommodation is not reasonable.
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| 20 |  (c) The electronic monitoring device must be placed in a  | ||||||
| 21 | conspicuously visible location in the room.
 | ||||||
| 22 |  (d) A facility may not charge the resident a fee for the  | ||||||
| 23 | cost of electricity used by an electronic monitoring device.
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| 1 |  Section 27. Assistance program.  The Department shall  | ||||||
| 2 | establish a program to assist residents receiving medical  | ||||||
| 3 | assistance under Article V of the Illinois Public Aid Code in  | ||||||
| 4 | accessing authorized electronic monitoring. | ||||||
| 5 |   (1) The Department shall distribute up to $50,000 in  | ||||||
| 6 |  funds on an annual basis to residents receiving medical  | ||||||
| 7 |  assistance under Article V of the Illinois Public Aid Code  | ||||||
| 8 |  for the purchase and installation of authorized electronic  | ||||||
| 9 |  monitoring devices.
 | ||||||
| 10 |   (2) Applications for funds must be made in a manner  | ||||||
| 11 |  prescribed by the Department and the funds shall be  | ||||||
| 12 |  disbursed by means of a lottery.
 | ||||||
| 13 |  Section 30. Notice to visitors. A sign, as prescribed by  | ||||||
| 14 | the Department, shall be clearly and conspicuously posted at  | ||||||
| 15 | the main facility entrance. The notice must be entitled  | ||||||
| 16 | "Electronic Monitoring" and must state, in large, easy-to-read  | ||||||
| 17 | type, "The rooms of some residents may be monitored  | ||||||
| 18 | electronically by or on behalf of the residents.".
 | ||||||
| 19 |  Section 35. Prohibited acts.
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| 20 |  (a) A prospective resident or resident shall not be denied  | ||||||
| 21 | admission to or discharged from a facility or be otherwise  | ||||||
| 22 | discriminated against or retaliated against for consenting to  | ||||||
| 23 | authorized electronic monitoring. A violation of this  | ||||||
| 24 | subsection is a business offense punishable by a fine not to  | ||||||
 
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| 1 | exceed $10,000. The State's Attorney of the county in which the  | ||||||
| 2 | facility is located, or the Attorney General, shall be notified  | ||||||
| 3 | by the Director of Public Health of any violations of this  | ||||||
| 4 | subsection.
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| 5 |  (b) A facility shall not prevent the installation of an  | ||||||
| 6 | electronic monitoring device by a resident who has provided the  | ||||||
| 7 | facility with consent as required in Section 15 of this Act. A  | ||||||
| 8 | violation of this subsection is a petty offense punishable by a  | ||||||
| 9 | fine not to exceed $1,000. The State's Attorney of the county  | ||||||
| 10 | in which the facility is located, or the Attorney General,  | ||||||
| 11 | shall be notified by the Director of Public Health of any  | ||||||
| 12 | violations of this subsection.
 | ||||||
| 13 |  Section 40. Obstruction of electronic monitoring devices.  | ||||||
| 14 | A person or entity is prohibited from knowingly hampering,  | ||||||
| 15 | obstructing, tampering with, or destroying an electronic  | ||||||
| 16 | monitoring device installed in a resident's room or a video or  | ||||||
| 17 | audio recording obtained in accordance with this Act. A person  | ||||||
| 18 | or entity that violates this Section is guilty of a Class B  | ||||||
| 19 | misdemeanor. A person or entity that violates this Section in  | ||||||
| 20 | the commission of or to conceal a misdemeanor offense is guilty  | ||||||
| 21 | of a Class A misdemeanor. A person or entity that violates this  | ||||||
| 22 | Section in the commission of or to conceal a felony offense is  | ||||||
| 23 | guilty of a Class 4 felony. 
 | ||||||
| 24 |  Section 45. Access to recordings or photographs. Any video  | ||||||
 
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| 1 | or audio recording or photograph created through authorized  | ||||||
| 2 | electronic monitoring shall be considered the personal  | ||||||
| 3 | property of the resident, and the facility shall not access  | ||||||
| 4 | such recordings or photographs without the written consent of  | ||||||
| 5 | the resident or the person who consented on behalf of the  | ||||||
| 6 | resident in accordance with Section 15 of this Act.
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| 7 |  Section 50. Admissibility of evidence. Any video or audio  | ||||||
| 8 | recording or photograph created through authorized electronic  | ||||||
| 9 | monitoring in accordance with this Act may be admitted into  | ||||||
| 10 | evidence in a civil, criminal, or administrative proceeding if  | ||||||
| 11 | the contents of the recording or photograph have not been  | ||||||
| 12 | edited or artificially enhanced and the video recording or  | ||||||
| 13 | photograph includes the date and time the events occurred.
 | ||||||
| 14 |  Section 55. Report. Each facility shall report to the  | ||||||
| 15 | Department, in a manner prescribed by the Department, the  | ||||||
| 16 | number of authorized electronic monitoring consent forms  | ||||||
| 17 | received annually. The Department shall report the total number  | ||||||
| 18 | of authorized electronic monitoring consent forms received by  | ||||||
| 19 | facilities to the Office of the Attorney General annually. 
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| 20 |  Section 60. Rules. The Department shall adopt rules  | ||||||
| 21 | necessary to implement this Act.
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