HB4440 EngrossedLRB100 16985 MJP 32132 b

1    AN ACT concerning regulation.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Nursing Home Care Act is amended by changing
5Section 2-213 as follows:
 
6    (210 ILCS 45/2-213)
7    Sec. 2-213. Vaccinations.
8    (a) A facility shall annually administer or arrange for
9administration of a vaccination against influenza to each
10resident, in accordance with the recommendations of the
11Advisory Committee on Immunization Practices of the Centers for
12Disease Control and Prevention that are most recent to the time
13of vaccination, unless the vaccination is medically
14contraindicated or the resident has refused the vaccine.
15Influenza vaccinations for all residents age 65 and over shall
16be completed by November 30 of each year or as soon as
17practicable if vaccine supplies are not available before
18November 1. Residents admitted after November 30, during the
19flu season, and until February 1 shall, as medically
20appropriate, receive an influenza vaccination prior to or upon
21admission or as soon as practicable if vaccine supplies are not
22available at the time of the admission, unless the vaccine is
23medically contraindicated or the resident has refused the

 

 

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1vaccine. In the event that the Advisory Committee on
2Immunization Practices of the Centers for Disease Control and
3Prevention determines that dates of administration other than
4those stated in this Act are optimal to protect the health of
5residents, the Department is authorized to develop rules to
6mandate vaccinations at those times rather than the times
7stated in this Act. A facility shall document in the resident's
8medical record that an annual vaccination against influenza was
9administered, arranged, refused or medically contraindicated.
10    (b) A facility shall administer or arrange for
11administration of a pneumococcal vaccination to each resident,
12in accordance with the recommendations of the Advisory
13Committee on Immunization Practices of the Centers for Disease
14Control and Prevention, who has not received this immunization
15prior to or upon admission to the facility, unless the resident
16refuses the offer for vaccination or the vaccination is
17medically contraindicated. A facility shall document in each
18resident's medical record that a vaccination against
19pneumococcal pneumonia was offered and administered, arranged,
20refused, or medically contraindicated.
21    (c) All persons seeking admission to a nursing facility
22shall be verbally screened for risk factors associated with
23hepatitis B, hepatitis C, and the Human Immunodeficiency Virus
24(HIV) according to guidelines established by the U.S. Centers
25for Disease Control and Prevention. Persons who are identified
26as being at high risk for hepatitis B, hepatitis C, or HIV

 

 

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1shall be offered an opportunity to undergo laboratory testing
2in order to determine infection status if they will be admitted
3to the nursing facility for at least 7 days and are not known
4to be infected with any of the listed viruses. All HIV testing
5shall be conducted in compliance with the AIDS Confidentiality
6Act. All persons determined to be susceptible to the hepatitis
7B virus shall be offered immunization within 10 days of
8admission to any nursing facility. A facility shall document in
9the resident's medical record that he or she was verbally
10screened for risk factors associated with hepatitis B,
11hepatitis C, and HIV, and whether or not the resident was
12immunized against hepatitis B. Nothing in this subsection (c)
13shall apply to a nursing facility licensed or regulated by the
14Illinois Department of Veterans' Affairs.
15    (d) A skilled nursing facility shall designate a person or
16persons as Infection Prevention and Control Professionals to
17develop and implement policies governing control of infections
18and communicable diseases. The Infection Prevention and
19Control Professionals shall be qualified through education,
20training, experience, or certification or a combination of such
21qualifications. The Infection Prevention and Control
22Professional's qualifications shall be documented and shall be
23made available for inspection by the Department.
24    (e) The Department shall provide facilities with
25educational information on all vaccines recommended by the
26Centers for Disease Control and Prevention's Advisory

 

 

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1Committee on Immunization Practices, including, but not
2limited to, the risks associated with shingles and how to
3protect oneself against the varicella-zoster virus. A facility
4shall distribute the information to: (1) each resident who
5requests the information; and (2) each newly admitted resident.
6The facility may distribute the information to residents
7electronically.
8(Source: P.A. 97-107, eff. 1-1-12; 98-271, eff. 1-1-14.)
 
9    Section 99. Effective date. This Act takes effect January
101, 2019.