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The Health Care Worker Background Check Act requires health care employers to conduct Illinois State Police criminal history record checks on employees who have responsibility for direct care and who are not otherwise licensed by the Illinois Department of Professional Regulation or the Department of Public Health. In long-term care facilities, the law primarily applies to certified nurse aides. As the result of criminal history record checks, persons with disqualifying convictions in any of 28 areas may not work in a position having direct care responsibilities without a waiver issued by the Department.