After months of debate, legislation inspired by a Tribune investigation into some Chicago-area hospitals’ questionable use of the state’s guardianship system has advanced from the Illinois House as supporters seek to strengthen court oversight and other protections for the rights of vulnerable adults. 

After months of discussions with opponents, supporters say the amended version of [State Rep. Marti Deuter’s] bill represents a compromise but still would set important safeguards around private guardianship appointments.

For example, the bill would require employees of private guardians to undergo criminal background checks every five years and get the education necessary for national certification. And a private guardian corporation would have to submit to annual independent audits if it manages more than $1 million in assets. 

The hospital association still objects to the part of the bill that would require the private guardian to meet with the hospital patient prior to accepting the appointment, citing concerns that such a requirement may slow the process as well as timing issues concerning medical consent.