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Illinois General Assembly· HB 4676Governor Approved

CRIM CD-ELDER ABUSE, the official text

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HB4676 Enrolled                     LRB104 17717 RLC 31148 b

1   AN ACT concerning criminal law.

2   Be it enacted by the People of the State of Illinois,

3 represented in the General Assembly:

4   Section 5. The Criminal Code of 2012 is amended by

5 changing Sections 12-4.4a and 17-56 as follows:

6   (720 ILCS 5/12-4.4a)

7   Sec. 12-4.4a. Abuse or criminal neglect of a long term

8 care facility resident; criminal abuse or neglect of an

9 elderly person or person with a disability.

10  (a) Abuse or criminal neglect of a long term care facility

11 resident.

12  (1) A person or an owner or licensee commits abuse of a

13  long term care facility resident when he or she knowingly

14  causes any physical or mental injury to, or commits any

15  sexual offense in this Code against, a resident.

16  (2) A person or an owner or licensee commits criminal

17  neglect of a long term care facility resident when he or

18  she recklessly:

19            (A) performs acts that cause a resident's life to

20  be endangered, health to be injured, or pre-existing

21  physical or mental condition to deteriorate, or that

22  create the substantial likelihood that a resident's

23  life will be endangered, health will be injured, or
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1   pre-existing physical or mental condition will

2   deteriorate;

3   (B) fails to perform acts that he or she knows or

4   reasonably should know are necessary to maintain or

5   preserve the life or health of a resident, and that

6   failure causes the resident's life to be endangered,

7   health to be injured, or pre-existing physical or

8   mental condition to deteriorate, or that create the

9   substantial likelihood that a resident's life will be

10  endangered, health will be injured, or pre-existing

11  physical or mental condition will deteriorate; or

12  (C) abandons a resident.

13  (3) A person or an owner or licensee commits neglect

14  of a long term care facility resident when he or she

15  negligently fails to provide adequate medical care,

16  personal care, or maintenance to the resident which

17  results in physical or mental injury or deterioration of

18  the resident's physical or mental condition. An owner or

19  licensee is guilty under this subdivision (a)(3), however,

20  only if the owner or licensee failed to exercise

21  reasonable care in the hiring, training, supervising, or

22  providing of staff or other related routine administrative

23  responsibilities.

24  (b) Criminal abuse or neglect of an elderly person or

25 person with a disability.

26  (1) A caregiver commits criminal abuse or neglect of
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1   an elderly person or person with a disability when he or

2   she knowingly does any of the following:

3   (A) performs acts that cause the person's life to

4   be endangered, health to be injured, or pre-existing

5   physical or mental condition to deteriorate;

6   (B) fails to perform acts that he or she knows or

7   reasonably should know are necessary to maintain or

8   preserve the life or health of the person, and that

9   failure causes the person's life to be endangered,

10  health to be injured, or pre-existing physical or

11  mental condition to deteriorate;

12  (C) abandons the person;

13  (D) physically abuses, harasses, intimidates, or

14  interferes with the personal liberty of the person; or

15  (E) exposes the person to willful deprivation; .

16  (F) performs acts that create the substantial

17  likelihood that the person's life will be endangered,

18  health will be injured, or pre-existing physical or

19  mental condition will deteriorate; or

20  (G) fails to perform acts that he or she knows or

21  reasonably should know are necessary to maintain or

22  preserve the life or health of the person and that

23  failure creates a substantial likelihood that the

24  person's life will be endangered, health will be

25  injured, or pre-existing physical or mental condition

26  will deteriorate.
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1   (2) It is not a defense to criminal abuse or neglect of

2   an elderly person or person with a disability that the

3   caregiver reasonably believed that the victim was not an

4   elderly person or person with a disability.

5   (c) Offense not applicable.

6   (1) Nothing in this Section applies to a physician

7   licensed to practice medicine in all its branches or a

8   duly licensed nurse providing care within the scope of his

9   or her professional judgment and within the accepted

10  standards of care within the community.

11  (2) Nothing in this Section imposes criminal liability

12  on a caregiver who made a good faith effort to provide for

13  the health and personal care of an elderly person or

14  person with a disability, but through no fault of his or

15  her own was unable to provide such care.

16  (3) Nothing in this Section applies to the medical

17  supervision, regulation, or control of the remedial care

18  or treatment of residents in a long term care facility

19  conducted for those who rely upon treatment by prayer or

20  spiritual means in accordance with the creed or tenets of

21  any well-recognized church or religious denomination as

22  described in Section 3-803 of the Nursing Home Care Act,

23  Section 1-102 of the Specialized Mental Health

24  Rehabilitation Act of 2013, Section 3-803 of the ID/DD

25  Community Care Act, or Section 3-803 of the MC/DD Act.

26  (4) Nothing in this Section prohibits a caregiver from
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1   providing treatment to an elderly person or person with a

2   disability by spiritual means through prayer alone and

3   care consistent therewith in lieu of medical care and

4   treatment in accordance with the tenets and practices of

5   any church or religious denomination of which the elderly

6   person or person with a disability is a member.

7   (5) Nothing in this Section limits the remedies

8   available to the victim under the Illinois Domestic

9   Violence Act of 1986.

10  (d) Sentence.

11  (1) Long term care facility. Abuse of a long term care

12  facility resident is a Class 3 felony. Criminal neglect of

13  a long term care facility resident is a Class 4 felony,

14  unless it results in the resident's death in which case it

15  is a Class 3 felony. Neglect of a long term care facility

16  resident is a petty offense.

17  (2) Caregiver. Except as provided in paragraph (3) of

18  this subsection, criminal Criminal abuse or neglect of an

19  elderly person or person with a disability is a Class 3

20  felony, unless it results in the person's death in which

21  case it is a Class 2 felony, and if imprisonment is imposed

22  it shall be for a minimum term of 3 years and a maximum

23  term of 14 years.

24  (3) Criminal abuse or neglect of an elderly person or

25  person with a disability under paragraph (F) or (G) of

26  subsection (b) is a Class A misdemeanor.
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1   (e) Definitions. For the purposes of this Section:

2   "Abandon" means to desert or knowingly forsake a resident

3 or an elderly person or person with a disability under

4 circumstances in which a reasonable person would continue to

5 provide care and custody.

6   "Caregiver" means a person who has a duty to provide for an

7 elderly person or person with a disability's health and

8 personal care, at the elderly person or person with a

9 disability's place of residence, including, but not limited

10 to, food and nutrition, shelter, hygiene, prescribed

11 medication, and medical care and treatment, and includes any

12 of the following:

13  (1) A parent, spouse, adult child, or other relative

14  by blood or marriage who resides with or (i) resides in the

15  same building with or regularly visits the elderly person

16  or person with a disability; or (ii) would have reason to

17  believe, as a result of the actions, statements, or

18  behavior of the elderly person or person with a

19  disability, that he or she is being relied upon for

20  providing primary and substantial assistance for physical

21  care; and , knows or reasonably should know of such

22  person's physical or mental impairment, and knows or

23  reasonably should know that such person is unable to

24  adequately provide for his or her own health and personal

25  care.

26  (2) A person who is employed by the elderly person or
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1   person with a disability or by another to reside with or

2   regularly visit the elderly person or person with a

3   disability and provide for such person's health and

4   personal care.

5   (3) A person who has agreed for consideration to

6   reside with or regularly visit the elderly person or

7   person with a disability and provide for such person's

8   health and personal care.

9   (4) A person who has been appointed by a private or

10  public agency or by a court of competent jurisdiction to

11  provide for the elderly person or person with a

12  disability's health and personal care.

13  (5) A person who has voluntarily assumed the

14  responsibility for the care of an elderly person or person

15  with a disability by knowingly providing ongoing primary

16  and substantial assistance for the care of an elderly

17  person or person with a disability if the person's conduct

18  would lead a reasonable person to believe that failure to

19  provide such care would adversely affect the physical

20  health of the elderly person or person with a disability.

21  "Caregiver" does not include a long-term care facility

22 licensed or certified under the Nursing Home Care Act or a

23 facility licensed or certified under the ID/DD Community Care

24 Act, the MC/DD Act, or the Specialized Mental Health

25 Rehabilitation Act of 2013, or any administrative, medical, or

26 other personnel of such a facility, or a health care provider
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1 who is licensed under the Medical Practice Act of 1987 and

2 renders care in the ordinary course of his or her profession.

3   "Elderly person" means a person 60 years of age or older

4 who is incapable of adequately providing for his or her own

5 health and personal care.

6   "Licensee" means the individual or entity licensed to

7 operate a facility under the Nursing Home Care Act, the

8 Specialized Mental Health Rehabilitation Act of 2013, the

9 ID/DD Community Care Act, the MC/DD Act, or the Assisted

10 Living and Shared Housing Act.

11  "Long term care facility" means a private home,

12 institution, building, residence, or other place, whether

13 operated for profit or not, or a county home for the infirm and

14 chronically ill operated pursuant to Division 5-21 or 5-22 of

15 the Counties Code, or any similar institution operated by the

16 State of Illinois or a political subdivision thereof, which

17 provides, through its ownership or management, personal care,

18 sheltered care, or nursing for 3 or more persons not related to

19 the owner by blood or marriage. The term also includes skilled

20 nursing facilities and intermediate care facilities as defined

21 in Titles XVIII and XIX of the federal Social Security Act and

22 assisted living establishments and shared housing

23 establishments licensed under the Assisted Living and Shared

24 Housing Act.

25  "Owner" means the owner of a long term care facility as

26 provided in the Nursing Home Care Act, the owner of a facility
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1 as provided under the Specialized Mental Health Rehabilitation

2 Act of 2013, the owner of a facility as provided in the ID/DD

3 Community Care Act, the owner of a facility as provided in the

4 MC/DD Act, or the owner of an assisted living or shared housing

5 establishment as provided in the Assisted Living and Shared

6 Housing Act.

7   "Person with a disability" means a person who suffers from

8 a permanent physical or mental impairment, resulting from

9 disease, injury, functional disorder, or congenital condition,

10 which renders the person incapable of adequately providing for

11 his or her own health and personal care.

12  "Resident" means a person residing in a long term care

13 facility.

14  "Willful deprivation" has the meaning ascribed to it in

15 paragraph (15) of Section 103 of the Illinois Domestic

16 Violence Act of 1986.

17 (Source: P.A. 103-293, eff. 1-1-24.)

18  (720 ILCS 5/17-56) (was 720 ILCS 5/16-1.3)

19  Sec. 17-56. Financial exploitation of an elderly person or

20 a person with a disability.

21  (a) A person commits financial exploitation of an elderly

22 person or a person with a disability when he or she stands in a

23 position of trust or confidence with the elderly person or a

24 person with a disability and he or she knowingly:

25  (1) by deception or intimidation obtains control over
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1   the property of an elderly person or a person with a

2   disability; or

3            (2) illegally uses the assets or resources of an

4   elderly person or a person with a disability.

5   (b) Sentence. Financial exploitation of an elderly person

6 or a person with a disability is: (1) a Class 4 felony if the

7 value of the property is $300 or less, (2) a Class 3 felony if

8 the value of the property is more than $300 but less than

9 $5,000, (3) a Class 2 felony if the value of the property is

10 $5,000 or more but less than $50,000, and (4) a Class 1 felony

11 if the value of the property is $50,000 or more or if the

12 elderly person is 70 years of age or older and the value of the

13 property is $15,000 or more or if the elderly person is 80

14 years of age or older and the value of the property is $5,000

15 or more.

16  (c) For purposes of this Section:

17           (1) "Elderly person" means a person 60 years of age or

18  older.

19           (2) "Person with a disability" means a person who

20  suffers from a physical or mental impairment resulting

21  from disease, injury, functional disorder or congenital

22  condition that impairs the individual's mental or physical

23  ability to independently manage his or her property or

24  financial resources, or both.

25           (3) "Intimidation" means the communication to an

26  elderly person or a person with a disability that he or she
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1   shall be deprived of food and nutrition, shelter,

2   prescribed medication or medical care and treatment or

3   conduct as provided in Section 12-6 of this Code.

4   (4) "Deception" means, in addition to its meaning as

5   defined in Section 15-4 of this Code, a misrepresentation

6   or concealment of material fact relating to the terms of a

7   contract or agreement entered into with the elderly person

8   or person with a disability or to the existing or

9   pre-existing condition of any of the property involved in

10  such contract or agreement; or the use or employment of

11  any misrepresentation, false pretense or false promise in

12  order to induce, encourage or solicit the elderly person

13  or person with a disability to enter into a contract or

14  agreement.

15  The illegal use of the assets or resources of an elderly

16 person or a person with a disability includes, but is not

17 limited to, the misappropriation of those assets or resources

18 by undue influence, breach of a fiduciary relationship, fraud,

19 deception, extortion, or use of the assets or resources

20 contrary to law.

21  "Undue influence" occurs when a person:

22                   (i) uses influence to take advantage of an

23  elderly person or person with a disability's

24  mental or physical impairment; or

25                   (ii) uses the person's role, relationship, or

26  power:
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1   (A) to exploit, or knowingly assist or cause another

2   to exploit, the trust, dependency, or fear of an elderly

3   person or person with a disability; or

4   (B) to gain control deceptively over the decision

5   making of the elderly person or person with a disability.

6   A person stands in a position of trust and confidence with

7 an elderly person or person with a disability when he (i) is a

8 parent, spouse, adult child or other relative by blood or

9 marriage of the elderly person or person with a disability,

10 (ii) is a joint tenant or tenant in common with the elderly

11 person or person with a disability, (iii) has a legal or

12 fiduciary relationship with the elderly person or person with

13 a disability, (iv) is a financial planning or investment

14 professional, (v) is a paid or unpaid caregiver for the

15 elderly person or person with a disability, or (vi) is a friend

16 or acquaintance in a position of trust.

17  (d) Limitations. Nothing in this Section shall be

18 construed to limit the remedies available to the victim under

19 the Illinois Domestic Violence Act of 1986.

20  (e) Good faith efforts. Nothing in this Section shall be

21 construed to impose criminal liability on a person who has

22 made a good faith effort to assist the elderly person or person

23 with a disability in the management of his or her property, but

24 through no fault of his or her own has been unable to provide

25 such assistance.

26  (f) Not a defense. It shall not be a defense to financial
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1 exploitation of an elderly person or person with a disability

2 that the accused reasonably believed that the victim was not

3 an elderly person or person with a disability. Consent is not a

4 defense to financial exploitation of an elderly person or a

5 person with a disability if the accused knew or had reason to

6 know that the elderly person or a person with a disability

7 lacked capacity to consent.

8  (g) Civil Liability. A civil cause of action exists for

9 financial exploitation of an elderly person or a person with a

10 disability as described in subsection (a) of this Section. A

11 person against whom a civil judgment has been entered for

12 financial exploitation of an elderly person or person with a

13 disability shall be liable to the victim or to the estate of

14 the victim in damages of treble the amount of the value of the

15 property obtained, plus reasonable attorney fees and court

16 costs. In a civil action under this subsection, the burden of

17 proof that the defendant committed financial exploitation of

18 an elderly person or a person with a disability as described in

19 subsection (a) of this Section shall be by a preponderance of

20 the evidence. This subsection shall be operative whether or

21 not the defendant has been charged or convicted of the

22 criminal offense as described in subsection (a) of this

23 Section. This subsection (g) shall not limit or affect the

24 right of any person to bring any cause of action or seek any

25 remedy available under the common law, or other applicable

26 law, arising out of the financial exploitation of an elderly
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1 person or a person with a disability.

2  (h) If a person is charged with financial exploitation of

3 an elderly person or a person with a disability that involves

4 the taking or loss of property valued at more than $5,000, a

5 prosecuting attorney may file a petition with the circuit

6 court of the county in which the defendant has been charged to

7 freeze the assets of the defendant in an amount equal to but

8 not greater than the alleged value of lost or stolen property

9 in the defendant's pending criminal proceeding for purposes of

10 restitution to the victim. The burden of proof required to

11 freeze the defendant's assets shall be by a preponderance of

12 the evidence.

13 (Source: P.A. 102-244, eff. 1-1-22; 103-293, eff. 1-1-24.)
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