Illinois workplace violence protection act

Public Act 1051 100TH GENERAL ASSEMBLY

 Public Act 100-1051  
HB4100 EnrolledLRB100 13779 SMS 28501 b
AN ACT concerning regulation. Be it enacted by the People of the State of Illinois, represented in the General Assembly: Section 1. Short title. This Act may be cited as the Health Care Violence Prevention Act. Section 5. Definitions. As used in this Act: "Committed person" means a person who is in the custody of or under the control of a custodial agency, including, but not limited to, a person who is incarcerated, under arrest, detained, or otherwise under the physical control of a custodial agency. "Custodial agency" means the Illinois Department of Corrections, the Illinois State Police, the sheriff of a county, a county jail, a correctional institution, or any other State agency, municipality, or unit of local government that employs personnel designated as police, peace officers, wardens, corrections officers, or guards or that employs personnel vested by law with the power to place or maintain a person in custody. "Health care provider" means a retail health care facility, a hospital subject to the Hospital Licensing Act or the University of Illinois Hospital Act, or a veterans home as defined in the Department of Veterans' Affairs Act.
"Health care worker" means nursing assistants and other
support personnel, any individual licensed under the laws of
this State to provide health services, including but not
limited to: dentists licensed under the Illinois Dental
Practice Act; dental hygienists licensed under the Illinois
Dental Practice Act; nurses and advanced practice registered
nurses licensed under the Nurse Practice Act; occupational
therapists licensed under the Illinois Occupational Therapy
Practice Act; optometrists licensed under the Illinois
Optometric Practice Act of 1987; pharmacists licensed under the
Pharmacy Practice Act; physical therapists licensed under the
Illinois Physical Therapy Act; physicians licensed under the
Medical Practice Act of 1987; physician assistants licensed
under the Physician Assistant Practice Act of 1987; podiatric
physicians licensed under the Podiatric Medical Practice Act of
1987; clinical psychologists licensed under the Clinical
Psychologist Licensing Act; clinical social workers licensed
under the Clinical Social Work and Social Work Practice Act;
speech-language pathologists and audiologists licensed under
the Illinois Speech-Language Pathology and Audiology Practice
Act; or hearing instrument dispensers licensed under the
Hearing Instrument Consumer Protection Act, or any of their
successor Acts.
"Nurse" means a person who is licensed to practice nursing
under the Nurse Practice Act.
"Retail health care facility" means an institution, place,
or building, or any portion thereof, that:
(1) is devoted to the maintenance and operation of a
facility for the performance of health care services and is
located within a retail store at a specific location;
(2) does not provide surgical services or any form of
general anesthesia;
(3) does not provide beds or other accommodations for
either the long-term or overnight stay of patients; and
(4) discharges individual patients in an ambulatory
condition without danger to the continued well-being of the
patients and transfers non-ambulatory patients to
hospitals.
"Retail health care facility" does not include hospitals,
long-term care facilities, ambulatory treatment centers, blood
banks, clinical laboratories, offices of physicians, advanced
practice registered nurses, podiatrists, and physician
assistants, and pharmacies that provide limited health care
services.
Section 10. Application. This Act applies to health care
providers and custodial agencies as defined in Section 5.
This Act does not apply to an owner of an institution,
place, building, or any portion of the institution, place, or
building, who directly or indirectly leases space that is used
by the lessee to operate a retail health care facility.
Section 15. Workplace safety.
(a) A health care worker who contacts law enforcement or
files a report with law enforcement against a patient or
individual because of workplace violence shall provide notice
to management of the health care provider by which he or she is
employed within 3 days after contacting law enforcement or
filing the report.
(b) No management of a health care provider may discourage
a health care worker from exercising his or her right to
contact law enforcement or file a report with law enforcement
because of workplace violence.
(c) A health care provider that employs a health care
worker shall display a notice stating that verbal aggression
will not be tolerated and physical assault will be reported to
law enforcement.
(d) The health care provider shall offer immediate
post-incident services for a health care worker directly
involved in a workplace violence incident caused by patients or
their visitors, including acute treatment and access to
psychological evaluation.
Section 20. Workplace violence prevention program.
(a) A health care provider shall create a workplace
violence prevention program that complies with the
Occupational Safety and Health Administration guidelines for
preventing workplace violence for health care and social
service workers as amended or updated by the Occupational
Safety and Health Administration.
(a-5) In addition, the workplace violence prevention
program shall include:
(1) the following classifications of workplace
violence as one of 4 possible types:
(A) "Type 1 violence" means workplace violence
committed by a person who has no legitimate business at
the work site and includes violent acts by anyone who
enters the workplace with the intent to commit a crime.
(B) "Type 2 violence" means workplace violence
directed at employees by customers, clients, patients,
students, inmates, visitors, or other individuals
accompanying a patient.
(C) "Type 3 violence" means workplace violence
against an employee by a present or former employee,
supervisor, or manager.
(D) "Type 4 violence" means workplace violence
committed in the workplace by someone who does not work
there, but has or is known to have had a personal
relationship with an employee.
(2) management commitment and worker participation,
including, but not limited to, nurses;
(3) worksite analysis and identification of potential
hazards;
(4) hazard prevention and control;
(5) safety and health training with required hours
determined by rule; and
(6) recordkeeping and evaluation of the violence
prevention program.
(b) The Department of Public Health may by rule adopt
additional criteria for workplace violence prevention
programs.
Section 25. Whistleblower protection. The Whistleblower
Act applies to health care providers and their employees with
respect to actions taken to implement or enforce compliance
with this Act.
Section 30. Medical care for committed persons.
(a) If a committed person receives medical care and
treatment at a place other than an institution or facility of
the Department of Corrections, a county, or a municipality,
then the institution or facility shall:
(1) to the greatest extent practicable, notify the
hospital or medical facility that is treating the committed
person prior to the committed person's visit and notify the
hospital or medical facility of any significant medical,
mental health, recent violent actions, or other safety
concerns regarding the patient;
(2) to the greatest extent practicable, ensure the
transferred committed person is accompanied by the most
comprehensive medical records possible;
(3) provide at least one guard trained in custodial
escort and custody of high-risk committed persons to
accompany any committed person. The custodial agency shall
attest to such training for custodial escort and custody of
high-risk committed persons through: (A) the training of
the Department of Corrections or Department of Juvenile
Justice; (B) law enforcement training that is
substantially equivalent to the training of the Department
of Corrections or Department of Juvenile Justice; or (C)
the training described in Section 35. Under no
circumstances may leg irons or shackles or waist shackles
be used on any pregnant female prisoner who is in labor. In
addition, restraint of a pregnant female prisoner in the
custody of the Cook County shall comply with Section
3-15003.6 of the Counties Code. Additionally, restraints
shall not be used on a committed person if medical
personnel determine that the restraints would impede
medical treatment; and
(4) ensure that only medical personnel, Department of
Corrections, county, or municipality personnel, and
visitors on the committed person's approved institutional
visitors list may visit the committed person. Visitation by
a person on the committed person's approved institutional
visitors list shall be subject to the rules and procedures
of the hospital or medical facility and the Department of
Corrections, county, or municipality. In any situation in
which a committed person is being visited:
(A) the name of the visitor must be listed per the
facility's or institution's documentation;
(B) the visitor shall submit to the search of his
or her person or any personal property under his or her
control at any time; and
(C) the custodial agency may deny the committed
person access to a telephone or limit the number of
visitors the committed person may receive for purposes
of safety.
If a committed person receives medical care and treatment
at a place other than an institution or facility of the
Department of Corrections, county, or municipality, then the
custodial agency shall ensure that the committed person is
wearing security restraints in accordance with the custodial
agency's rules and procedures if the custodial agency
determines that restraints are necessary for the following
reasons: (i) to prevent physical harm to the committed person
or another person; (ii) because the committed person has a
history of disruptive behavior that has placed others in
potentially harmful situations or presents a substantial risk
of inflicting physical harm on himself or herself or others as
evidenced by recent behavior; or (iii) there is a well-founded
belief that the committed person presents a substantial risk of
flight. Under no circumstances may leg irons or shackles or
waist shackles be used on any pregnant female prisoner who is
in labor. In addition, restraint of a pregnant female prisoner
in the custody of the Cook County shall comply with Section
3-15003.6 of the Counties Code.
The hospital or medical facility may establish protocols
for the receipt of committed persons in collaboration with the
Department of Corrections, county, or municipality,
specifically with regard to potentially violent persons.
(b) If a committed person receives medical care and
treatment at a place other than an institution or facility of
the Department of Juvenile Justice, then the institution or
facility shall:
(1) to the greatest extent practicable, notify the
hospital or medical facility that is treating the committed
person prior to the committed person's visit, and notify
the hospital or medical facility of any significant
medical, mental health, recent violent actions, or other
safety concerns regarding the patient;
(2) to the greatest extent practicable, ensure the
transferred committed person is accompanied by the most
comprehensive medical records possible;
(3) provide: (A) at least one guard trained in
custodial escort and custody of high-risk committed
persons to accompany any committed person. The custodial
agency shall attest to such training for custodial escort
and custody of high-risk committed persons through: (i) the
training of the Department of Corrections or Department of
Juvenile Justice, (ii) law enforcement training that is
substantially equivalent to the training of the Department
of Corrections or Department of Juvenile Justice, or (iii)
the training described in Section 35; or (B) 2 guards to
accompany the committed person at all times during the
visit to the hospital or medical facility; and
(4) ensure that only medical personnel, Department of
Juvenile Justice personnel, and visitors on the committed
person's approved institutional visitors list may visit
the committed person. Visitation by a person on the
committed person's approved institutional visitors list
shall be subject to the rules and procedures of the
hospital or medical facility and the Department of Juvenile
Justice. In any situation in which a committed person is
being visited:
(A) the name of the visitor must be listed per the
facility's or institution's documentation;
(B) the visitor shall submit to the search of his
or her person or any personal property under his or her
control at any time; and
(C) the custodial agency may deny the committed
person access to a telephone or limit the number of
visitors the committed person may receive for purposes
of safety.
If a committed person receives medical care and treatment
at a place other than an institution or facility of the
Department of Juvenile Justice, then the Department of Juvenile
Justice shall ensure that the committed person is wearing
security restraints on either his or her wrists or ankles in
accordance with the rules and procedures of the Department of
Juvenile Justice if the Department of Juvenile Justice
determines that restraints are necessary for the following
reasons: (i) to prevent physical harm to the committed person
or another person; (ii) because the committed person has a
history of disruptive behavior that has placed others in
potentially harmful situations or presents a substantial risk
of inflicting physical harm on himself or herself or others as
evidenced by recent behavior; or (iii) there is a well-founded
belief that the committed person presents a substantial risk of
flight. Any restraints used on a committed person under this
paragraph shall be the least restrictive restraints necessary
to prevent flight or physical harm to the committed person or
another person. Restraints shall not be used on the committed
person as provided in this paragraph if medical personnel
determine that the restraints would impede medical treatment.
Under no circumstances may leg irons or shackles or waist
shackles be used on any pregnant female prisoner who is in
labor. In addition, restraint of a pregnant female prisoner in
the custody of the Cook County shall comply with Section
3-15003.6 of the Counties Code.
The hospital or medical facility may establish protocols
for the receipt of committed persons in collaboration with the
Department of Juvenile Justice, specifically with regard to
persons recently exhibiting violence.
Section 35. Custodial agency training. The Illinois Law
Enforcement Training Standards Board shall establish a
curriculum for custodial escort and custody of high-risk
committed persons certification, which shall include, but not
be limited to, the following:
(1) handcuffing or shackling of a high-risk committed
person;
(2) mobile transportation of a committed person with
defense from the committed person's attack;
(3) outside facility threat assessment;
(4) hands-on weapons retention training; and
(5) custodial considerations for a high-risk committed
person in outside facilities.
Section 90. The State Police Act is amended by adding
Section 45 as follows:
(20 ILCS 2610/45 new)
Sec. 45. Compliance with the Health Care Violence
Prevention Act. The Department shall comply with the Health
Care Violence Prevention Act.
Section 95. The Department of Veterans' Affairs Act is
amended by changing Section 2.07 as follows:
(20 ILCS 2805/2.07) (from Ch. 126 1/2, par. 67.07)
Sec. 2.07. The Department shall employ and maintain
sufficient and qualified staff at the veterans' homes (i) to
fill all beds, subject to appropriation, and (ii) to fulfill
the requirements of this Act. The Department shall report to
the General Assembly, by January 1 and July 1 of each year, the
number of staff employed in providing direct patient care at
their veterans' homes, the compliance or noncompliance with
staffing standards established by the United States Department
of Veterans Affairs for such care, and in the event of
noncompliance with such standards, the number of staff required
for compliance. For purposes of this Section, a nurse who has a
license application pending with the State shall not be deemed
unqualified by the Department if the nurse is in compliance
with Section 50-15 of the Nurse Practice Act.
A veterans home is subject to the Health Care Violence
Prevention Act.
(Source: P.A. 96-699, eff. 8-25-09; 97-297, eff. 1-1-12.)
Section 100. The University of Illinois Hospital Act is
amended by adding Section 10 as follows:
(110 ILCS 330/10 new)
Sec. 10. Compliance with the Health Care Violence
Prevention Act. The University of Illinois Hospital shall
comply with the Health Care Violence Prevention Act.
Section 105. The Hospital Licensing Act is amended by
adding Section 9.8 as follows:
(210 ILCS 85/9.8 new)
Sec. 9.8. Compliance with the Health Care Violence
Prevention Act. A hospital licensed under this Act shall comply
with the Health Care Violence Prevention Act.
Section 110. The Unified Code of Corrections is amended by
changing Section 3-6-2 as follows:
(730 ILCS 5/3-6-2) (from Ch. 38, par. 1003-6-2)
Sec. 3-6-2. Institutions and Facility Administration.
(a) Each institution and facility of the Department shall
be administered by a chief administrative officer appointed by
the Director. A chief administrative officer shall be
responsible for all persons assigned to the institution or
facility. The chief administrative officer shall administer
the programs of the Department for the custody and treatment of
such persons.
(b) The chief administrative officer shall have such
assistants as the Department may assign.
(c) The Director or Assistant Director shall have the
emergency powers to temporarily transfer individuals without
formal procedures to any State, county, municipal or regional
correctional or detention institution or facility in the State,
subject to the acceptance of such receiving institution or
facility, or to designate any reasonably secure place in the
State as such an institution or facility and to make transfers
thereto. However, transfers made under emergency powers shall
be reviewed as soon as practicable under Article 8, and shall
be subject to Section 5-905 of the Juvenile Court Act of 1987.
This Section shall not apply to transfers to the Department of
Human Services which are provided for under Section 3-8-5 or
Section 3-10-5.
(d) The Department shall provide educational programs for
all committed persons so that all persons have an opportunity
to attain the achievement level equivalent to the completion of
the twelfth grade in the public school system in this State.
Other higher levels of attainment shall be encouraged and
professional instruction shall be maintained wherever
possible. The Department may establish programs of mandatory
education and may establish rules and regulations for the
administration of such programs. A person committed to the
Department who, during the period of his or her incarceration,
participates in an educational program provided by or through
the Department and through that program is awarded or earns the
number of hours of credit required for the award of an
associate, baccalaureate, or higher degree from a community
college, college, or university located in Illinois shall
reimburse the State, through the Department, for the costs
incurred by the State in providing that person during his or
her incarceration with the education that qualifies him or her
for the award of that degree. The costs for which reimbursement
is required under this subsection shall be determined and
computed by the Department under rules and regulations that it
shall establish for that purpose. However, interest at the rate
of 6% per annum shall be charged on the balance of those costs
from time to time remaining unpaid, from the date of the
person's parole, mandatory supervised release, or release
constituting a final termination of his or her commitment to
the Department until paid.
(d-5) A person committed to the Department is entitled to
confidential testing for infection with human immunodeficiency
virus (HIV) and to counseling in connection with such testing,
with no copay to the committed person. A person committed to
the Department who has tested positive for infection with HIV
is entitled to medical care while incarcerated, counseling, and
referrals to support services, in connection with that positive
test result. Implementation of this subsection (d-5) is subject
to appropriation.
(e) A person committed to the Department who becomes in
need of medical or surgical treatment but is incapable of
giving consent thereto shall receive such medical or surgical
treatment by the chief administrative officer consenting on the
person's behalf. Before the chief administrative officer
consents, he or she shall obtain the advice of one or more
physicians licensed to practice medicine in all its branches in
this State. If such physician or physicians advise:
(1) that immediate medical or surgical treatment is
required relative to a condition threatening to cause
death, damage or impairment to bodily functions, or
disfigurement; and
(2) that the person is not capable of giving consent to
such treatment; the chief administrative officer may give
consent for such medical or surgical treatment, and such
consent shall be deemed to be the consent of the person for
all purposes, including, but not limited to, the authority
of a physician to give such treatment.
(e-5) If a physician providing medical care to a committed
person on behalf of the Department advises the chief
administrative officer that the committed person's mental or
physical health has deteriorated as a result of the cessation
of ingestion of food or liquid to the point where medical or
surgical treatment is required to prevent death, damage, or
impairment to bodily functions, the chief administrative
officer may authorize such medical or surgical treatment.
(f) In the event that the person requires medical care and
treatment at a place other than the institution or facility,
the person may be removed therefrom under conditions prescribed
by the Department. The Department shall require the committed
person receiving medical or dental services on a non-emergency
basis to pay a $5 co-payment to the Department for each visit
for medical or dental services. The amount of each co-payment
shall be deducted from the committed person's individual
account. A committed person who has a chronic illness, as
defined by Department rules and regulations, shall be exempt
from the $5 co-payment for treatment of the chronic illness. A
committed person shall not be subject to a $5 co-payment for
follow-up visits ordered by a physician, who is employed by, or
contracts with, the Department. A committed person who is
indigent is exempt from the $5 co-payment and is entitled to
receive medical or dental services on the same basis as a
committed person who is financially able to afford the
co-payment. For purposes of this Section only, "indigent" means
a committed person who has $20 or less in his or her Inmate
Trust Fund at the time of such services and for the 30 days
prior to such services. Notwithstanding any other provision in
this subsection (f) to the contrary, any person committed to
any facility operated by the Department of Juvenile Justice, as
set forth in Section 3-2.5-15 of this Code, is exempt from the
co-payment requirement for the duration of confinement in those
facilities.
(f-5) The Department shall comply with the Health Care
Violence Prevention Act.
(g) Any person having sole custody of a child at the time
of commitment or any woman giving birth to a child after her
commitment, may arrange through the Department of Children and
Family Services for suitable placement of the child outside of
the Department of Corrections. The Director of the Department
of Corrections may determine that there are special reasons why
the child should continue in the custody of the mother until
the child is 6 years old.
(h) The Department may provide Family Responsibility
Services which may consist of, but not be limited to the
following:
(1) family advocacy counseling;
(2) parent self-help group;
(3) parenting skills training;
(4) parent and child overnight program;
(5) parent and child reunification counseling, either
separately or together, preceding the inmate's release;
and
(6) a prerelease reunification staffing involving the
family advocate, the inmate and the child's counselor, or
both and the inmate.
(i) (Blank).
(j) Any person convicted of a sex offense as defined in the
Sex Offender Management Board Act shall be required to receive
a sex offender evaluation prior to release into the community
from the Department of Corrections. The sex offender evaluation
shall be conducted in conformance with the standards and
guidelines developed under the Sex Offender Management Board
Act and by an evaluator approved by the Board.
(k) Any minor committed to the Department of Juvenile
Justice for a sex offense as defined by the Sex Offender
Management Board Act shall be required to undergo sex offender
treatment by a treatment provider approved by the Board and
conducted in conformance with the Sex Offender Management Board
Act.
(l) Prior to the release of any inmate committed to a
facility of the Department or the Department of Juvenile
Justice, the Department must provide the inmate with
appropriate information verbally, in writing, by video, or
other electronic means, concerning HIV and AIDS. The Department
shall develop the informational materials in consultation with
the Department of Public Health. At the same time, the
Department must also offer the committed person the option of
testing for infection with human immunodeficiency virus (HIV),
with no copayment for the test. Pre-test information shall be
provided to the committed person and informed consent obtained
as required in subsection (d) of Section 3 and Section 5 of the
AIDS Confidentiality Act. The Department may conduct opt-out
HIV testing as defined in Section 4 of the AIDS Confidentiality
Act. If the Department conducts opt-out HIV testing, the
Department shall place signs in English, Spanish and other
languages as needed in multiple, highly visible locations in
the area where HIV testing is conducted informing inmates that
they will be tested for HIV unless they refuse, and refusal or
acceptance of testing shall be documented in the inmate's
medical record. The Department shall follow procedures
established by the Department of Public Health to conduct HIV
testing and testing to confirm positive HIV test results. All
testing must be conducted by medical personnel, but pre-test
and other information may be provided by committed persons who
have received appropriate training. The Department, in
conjunction with the Department of Public Health, shall develop
a plan that complies with the AIDS Confidentiality Act to
deliver confidentially all positive or negative HIV test
results to inmates or former inmates. Nothing in this Section
shall require the Department to offer HIV testing to an inmate
who is known to be infected with HIV, or who has been tested
for HIV within the previous 180 days and whose documented HIV
test result is available to the Department electronically. The
testing provided under this subsection (l) shall consist of a
test approved by the Illinois Department of Public Health to
determine the presence of HIV infection, based upon
recommendations of the United States Centers for Disease
Control and Prevention. If the test result is positive, a
reliable supplemental test based upon recommendations of the
United States Centers for Disease Control and Prevention shall
be administered.
Prior to the release of an inmate who the Department knows
has tested positive for infection with HIV, the Department in a
timely manner shall offer the inmate transitional case
management, including referrals to other support services.
(m) The chief administrative officer of each institution or
facility of the Department shall make a room in the institution
or facility available for addiction recovery services to be
provided to committed persons on a voluntary basis. The
services shall be provided for one hour once a week at a time
specified by the chief administrative officer of the
institution or facility if the following conditions are met:
(1) the addiction recovery service contacts the chief
administrative officer to arrange the meeting;
(2) the committed person may attend the meeting for
addiction recovery services only if the committed person
uses pre-existing free time already available to the
committed person;
(3) all disciplinary and other rules of the institution
or facility remain in effect;
(4) the committed person is not given any additional
privileges to attend addiction recovery services;
(5) if the addiction recovery service does not arrange
for scheduling a meeting for that week, no addiction
recovery services shall be provided to the committed person
in the institution or facility for that week;
(6) the number of committed persons who may attend an
addiction recovery meeting shall not exceed 40 during any
session held at the correctional institution or facility;
(7) a volunteer seeking to provide addiction recovery
services under this subsection (m) must submit an
application to the Department of Corrections under
existing Department rules and the Department must review
the application within 60 days after submission of the
application to the Department; and
(8) each institution and facility of the Department
shall manage the addiction recovery services program
according to its own processes and procedures.
For the purposes of this subsection (m), "addiction
recovery services" means recovery services for alcoholics and
addicts provided by volunteers of recovery support services
recognized by the Department of Human Services.
(Source: P.A. 96-284, eff. 1-1-10; 97-244, eff. 8-4-11; 97-323,
eff. 8-12-11; 97-562, eff. 1-1-12; 97-802, eff. 7-13-12;
97-813, eff. 7-13-12.)
Section 115. The County Jail Act is amended by changing
Section 17.5 and by adding Section 17.15 as follows:
(730 ILCS 125/17.5)
Sec. 17.5. Pregnant female prisoners. Notwithstanding any
other statute, directive, or administrative regulation, when a
pregnant female prisoner is brought to a hospital from a county
jail for the purpose of delivering her baby, no handcuffs,
shackles, or restraints of any kind may be used during her
transport to a medical facility for the purpose of delivering
her baby. Under no circumstances may leg irons or shackles or
waist shackles be used on any pregnant female prisoner who is
in labor. In addition, restraint of a pregnant female prisoner
in the custody of the Cook County shall comply with Section
3-15003.6 of the Counties Code. Upon the pregnant female
prisoner's entry to the hospital delivery room, 2 a county
correctional officers officer must be posted immediately
outside the delivery room. The Sheriff must provide for
adequate personnel to monitor the pregnant female prisoner
during her transport to and from the hospital and during her
stay at the hospital.
(Source: P.A. 91-253, eff. 1-1-00.)
(730 ILCS 125/17.15 new)
Sec. 17.15. Compliance with the Health Care Violence
Prevention Act. The sheriff or warden of the jail shall comply
with the Health Care Violence Prevention Act.