Carol Ronen

Filed: 2/18/2004

 

 


 

 


 
09300SB2377sam001 LRB093 19003 AMC 47397 a

1
AMENDMENT TO SENATE BILL 2377

2     AMENDMENT NO. ______. Amend Senate Bill 2377 by replacing
3 everything after the enacting clause with the following:
 
4     "Section 5. The Illinois Occupational Therapy Practice Act
5 is amended by changing Sections 3.1 and 19 as follows:
 
6     (225 ILCS 75/3.1)
7     (Section scheduled to be repealed on January 1, 2014)
8     Sec. 3.1. Referrals. A licensed occupational therapist or
9 licensed occupational therapy assistant may consult with,
10 educate, evaluate, and monitor services for clients concerning
11 non-medical occupational therapy needs. Implementation of
12 direct occupational therapy to individuals for their specific
13 health care conditions shall be based upon a referral from a
14 licensed physician, dentist, podiatrist, advanced practice
15 nurse who has a written collaborative agreement with a
16 collaborative physician that authorizes the provision of or
17 acceptance of referrals from licensed occupational therapists,
18 physician assistant who has been delegated authority to provide
19 or accept referrals from or to licensed occupational
20 therapists, or optometrist.
21     An occupational therapist shall refer to a licensed
22 physician, dentist, optometrist, advanced practice nurse,
23 physician assistant, or podiatrist any patient whose medical
24 condition should, at the time of evaluation or treatment, be

 

 

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1 determined to be beyond the scope of practice of the
2 occupational therapist.
3 (Source: P.A. 92-297, eff. 1-1-02; 93-461, eff. 8-8-03.)
 
4     (225 ILCS 75/19)  (from Ch. 111, par. 3719)
5     (Section scheduled to be repealed on January 1, 2014)
6     Sec. 19. (a) The Department may refuse to issue or renew,
7 or may revoke, suspend, place on probation, reprimand or take
8 other disciplinary action as the Department may deem proper,
9 including fines not to exceed $2,500 for each violation, with
10 regard to any license for any one or combination of the
11 following:
12         (1) Material misstatement in furnishing information to
13     the Department;
14         (2) Wilfully violating this Act, or of the rules
15     promulgated thereunder;
16         (3) Conviction of any crime under the laws of the
17     United States or any state or territory thereof which is a
18     felony or which is a misdemeanor, an essential element of
19     which is dishonesty, or of any crime which is directly
20     related to the practice of occupational therapy;
21         (4) Making any misrepresentation for the purpose of
22     obtaining certification, or violating any provision of
23     this Act or the rules promulgated thereunder pertaining to
24     advertising;
25         (5) Having demonstrated unworthiness, or incompetency
26     to act as an occupational therapist or occupational therapy
27     assistant in such manner as to safeguard the interest of
28     the public;
29         (6) Wilfully aiding or assisting another person, firm,
30     partnership or corporation in violating any provision of
31     this Act or rules;
32         (7) Failing, within 60 days, to provide information in
33     response to a written request made by the Department;

 

 

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1         (8) Engaging in dishonorable, unethical or
2     unprofessional conduct of a character likely to deceive,
3     defraud or harm the public;
4         (9) Habitual intoxication or addiction to the use of
5     drugs;
6         (10) Discipline by another state, the District of
7     Columbia, a territory, or foreign nation, if at least one
8     of the grounds for the discipline is the same or
9     substantially equivalent to those set forth herein;
10         (11) Directly or indirectly giving to or receiving from
11     any person, firm, corporation, partnership or association
12     any fee, commission, rebate or other form of compensation
13     for professional services not actually or personally
14     rendered;
15         (12) A finding by the Department that the license
16     holder, after having his license disciplined, has violated
17     the terms of the discipline;
18         (13) Wilfully making or filing false records or reports
19     in the practice of occupational therapy, including but not
20     limited to false records filed with the State agencies or
21     departments;
22         (14) Physical illness, including but not limited to,
23     deterioration through the aging process, or loss of motor
24     skill which results in the inability to practice the
25     profession with reasonable judgment, skill or safety;
26         (15) Solicitation of professional services other than
27     by permitted advertising;
28         (16) Wilfully exceeding the scope of practice
29     customarily undertaken by persons licensed under this Act,
30     which conduct results in, or may result in, harm to the
31     public;
32         (17) Holding one's self out to practice occupational
33     therapy under any name other than his own or impersonation
34     of any other occupational therapy licensee;

 

 

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1         (18) Gross negligence;
2         (19) Malpractice;
3         (20) Obtaining a fee in money or gift in kind of any
4     other items of value or in the form of financial profit or
5     benefit as personal compensation, or as compensation, or
6     charge, profit or gain for an employer or for any other
7     person or persons, on the fraudulent misrepresentation
8     that a manifestly incurable condition of sickness, disease
9     or injury to any person can be cured;
10         (21) Accepting commissions or rebates or other forms of
11     remuneration for referring persons to other professionals;
12         (22) Failure to file a return, or to pay the tax,
13     penalty or interest shown in a filed return, or to pay any
14     final assessment of tax, penalty or interest, as required
15     by any tax Act administered by the Illinois Department of
16     Revenue, until such time as the requirements of any such
17     tax Act are satisfied;
18         (23) Violating the Health Care Worker Self-Referral
19     Act; and
20         (24) Having treated patients other than by the practice
21     of occupational therapy as defined in this Act, or having
22     treated patients as a licensed occupational therapist
23     independent of a referral from a physician, advanced
24     practice nurse or physician assistant in accordance with
25     Section 3.1, dentist, podiatrist, or optometrist, or
26     having failed to notify the physician, advanced practice
27     nurse, physician assistant, dentist, podiatrist, or
28     optometrist who established a diagnosis that the patient is
29     receiving occupational therapy pursuant to that diagnosis.
30     (b) The determination by a circuit court that a license
31 holder is subject to involuntary admission or judicial
32 admission as provided in the Mental Health and Developmental
33 Disabilities Code, as now or hereafter amended, operates as an
34 automatic suspension. Such suspension will end only upon a

 

 

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1 finding by a court that the patient is no longer subject to
2 involuntary admission or judicial admission, an order by the
3 court so finding and discharging the patient, and the
4 recommendation of the Board to the Director that the license
5 holder be allowed to resume his practice.
6     (c) The Department may refuse to issue or take disciplinary
7 action concerning the license of any person who fails to file a
8 return, to pay the tax, penalty, or interest shown in a filed
9 return, or to pay any final assessment of tax, penalty, or
10 interest as required by any tax Act administered by the
11 Department of Revenue, until such time as the requirements of
12 any such tax Act are satisfied as determined by the Department
13 of Revenue.
14     (d) In enforcing this Section, the Board, upon a showing of
15 a possible violation, may compel a licensee or applicant to
16 submit to a mental or physical examination, or both, as
17 required by and at the expense of the Department. The examining
18 physicians or clinical psychologists shall be those
19 specifically designated by the Board. The Board or the
20 Department may order (i) the examining physician to present
21 testimony concerning the mental or physical examination of a
22 licensee or applicant or (ii) the examining clinical
23 psychologist to present testimony concerning the mental
24 examination of a licensee or applicant. No information shall be
25 excluded by reason of any common law or statutory privilege
26 relating to communications between a licensee or applicant and
27 the examining physician or clinical psychologist. An
28 individual to be examined may have, at his or her own expense,
29 another physician or clinical psychologist of his or her choice
30 present during all aspects of the examination. Failure of an
31 individual to submit to a mental or physical examination, when
32 directed, is grounds for suspension of his or her license. The
33 license must remain suspended until the person submits to the
34 examination or the Board finds, after notice and hearing, that

 

 

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1 the refusal to submit to the examination was with reasonable
2 cause.
3     If the Board finds an individual unable to practice because
4 of the reasons set forth in this Section, the Board must
5 require the individual to submit to care, counseling, or
6 treatment by a physician or clinical psychologist approved by
7 the Board, as a condition, term, or restriction for continued,
8 reinstated, or renewed licensure to practice. In lieu of care,
9 counseling, or treatment, the Board may recommend that the
10 Department file a complaint to immediately suspend or revoke
11 the license of the individual or otherwise discipline the
12 licensee.
13     Any individual whose license was granted, continued,
14 reinstated, or renewed subject to conditions, terms, or
15 restrictions, as provided for in this Section, or any
16 individual who was disciplined or placed on supervision
17 pursuant to this Section must be referred to the Director for a
18 determination as to whether the person shall have his or her
19 license suspended immediately, pending a hearing by the Board.
20 (Source: P.A. 93-461, eff. 8-8-03.)
 
21     Section 10. The Illinois Physical Therapy Act is amended by
22 changing Sections 1 and 17 as follows:
 
23     (225 ILCS 90/1)  (from Ch. 111, par. 4251)
24     (Section scheduled to be repealed on January 1, 2006)
25     Sec. 1. Definitions. As used in this Act:
26     (1) "Physical therapy" means the evaluation or treatment of
27 a person by the use of the effective properties of physical
28 measures and heat, cold, light, water, radiant energy,
29 electricity, sound, and air; and the use of therapeutic
30 massage, therapeutic exercise, mobilization, and the
31 rehabilitative procedures with or without assistive devices
32 for the purposes of preventing, correcting, or alleviating a

 

 

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1 physical or mental disability, or promoting physical fitness
2 and well-being. Physical therapy includes, but is not limited
3 to: (a) performance of specialized tests and measurements, (b)
4 administration of specialized treatment procedures, (c)
5 interpretation of referrals from physicians, dentists,
6 advanced practice nurses, physician assistants, and
7 podiatrists, (d) establishment, and modification of physical
8 therapy treatment programs, (e) administration of topical
9 medication used in generally accepted physical therapy
10 procedures when such medication is prescribed by the patient's
11 physician, licensed to practice medicine in all its branches,
12 the patient's physician licensed to practice podiatric
13 medicine, the patient's advanced practice nurse, the patient's
14 physician assistant, or the patient's dentist, and (f)
15 supervision or teaching of physical therapy. Physical therapy
16 does not include radiology, electrosurgery, chiropractic
17 technique or determination of a differential diagnosis;
18 provided, however, the limitation on determining a
19 differential diagnosis shall not in any manner limit a physical
20 therapist licensed under this Act from performing an evaluation
21 pursuant to such license. Nothing in this Section shall limit a
22 physical therapist from employing appropriate physical therapy
23 techniques that he or she is educated and licensed to perform.
24 A physical therapist shall refer to a licensed physician,
25 dentist, advanced practice nurse, physician assistant, or
26 podiatrist any patient whose medical condition should, at the
27 time of evaluation or treatment, be determined to be beyond the
28 scope of practice of the physical therapist.
29     (2) "Physical therapist" means a person who practices
30 physical therapy and who has met all requirements as provided
31 in this Act.
32     (3) "Department" means the Department of Professional
33 Regulation.
34     (4) "Director" means the Director of Professional

 

 

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1 Regulation.
2     (5) "Committee" means the Physical Therapy Examining
3 Committee approved by the Director.
4     (6) "Referral" for the purpose of this Act means the
5 following of guidance or direction to the physical therapist
6 given by the physician, advanced practice nurse, physician
7 assistant, dentist, or podiatrist who shall maintain
8 supervision of the patient.
9     (7) "Documented current and relevant diagnosis" for the
10 purpose of this Act means a diagnosis, substantiated by
11 signature or oral verification of a physician, dentist,
12 advanced practice nurse, physician assistant, or podiatrist,
13 that a patient's condition is such that it may be treated by
14 physical therapy as defined in this Act, which diagnosis shall
15 remain in effect until changed by the physician, dentist,
16 advanced practice nurse, physician assistant, or podiatrist.
17     (8) "State" includes:
18         (a) the states of the United States of America;
19         (b) the District of Columbia; and
20         (c) the Commonwealth of Puerto Rico.
21     (9) "Physical therapist assistant" means a person licensed
22 to assist a physical therapist and who has met all requirements
23 as provided in this Act and who works under the supervision of
24 a licensed physical therapist to assist in implementing the
25 physical therapy treatment program as established by the
26 licensed physical therapist. The patient care activities
27 provided by the physical therapist assistant shall not include
28 the interpretation of referrals, evaluation procedures, or the
29 planning or major modification of patient programs.
30     (10) "Physical therapy aide" means a person who has
31 received on the job training, specific to the facility in which
32 he is employed, but who has not completed an approved physical
33 therapist assistant program.
34     (11) "Advanced practice nurse" means a person licensed

 

 

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1 under the Nursing and Advanced Practice Nursing Act who has a
2 collaborative agreement with a collaborating physician that
3 authorizes referrals to physical thereapists.
4     (12) "Physician assistant" means a person licensed under
5 the Physician Assistant Practice Act of 1987 who has been
6 delegated authority to make referrals to physical therapists.
7 (Source: P.A. 92-651, eff. 7-11-02.)
 
8     (225 ILCS 90/17)  (from Ch. 111, par. 4267)
9     (Section scheduled to be repealed on January 1, 2006)
10     Sec. 17. (1) The Department may refuse to issue or to
11 renew, or may revoke, suspend, place on probation, reprimand,
12 or take other disciplinary action as the Department deems
13 appropriate, including the issuance of fines not to exceed
14 $5000, with regard to a license for any one or a combination of
15 the following:
16         A. Material misstatement in furnishing information to
17     the Department or otherwise making misleading, deceptive,
18     untrue, or fraudulent representations in violation of this
19     Act or otherwise in the practice of the profession;
20         B. Violations of this Act, or of the rules or
21     regulations promulgated hereunder;
22         C. Conviction of any crime under the laws of the United
23     States or any state or territory thereof which is a felony
24     or which is a misdemeanor, an essential element of which is
25     dishonesty, or of any crime which is directly related to
26     the practice of the profession; conviction, as used in this
27     paragraph, shall include a finding or verdict of guilty, an
28     admission of guilt or a plea of nolo contendere;
29         D. Making any misrepresentation for the purpose of
30     obtaining licenses, or violating any provision of this Act
31     or the rules promulgated thereunder pertaining to
32     advertising;
33         E. A pattern of practice or other behavior which

 

 

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1     demonstrates incapacity or incompetency to practice under
2     this Act;
3         F. Aiding or assisting another person in violating any
4     provision of this Act or Rules;
5         G. Failing, within 60 days, to provide information in
6     response to a written request made by the Department;
7         H. Engaging in dishonorable, unethical or
8     unprofessional conduct of a character likely to deceive,
9     defraud or harm the public. Unprofessional conduct shall
10     include any departure from or the failure to conform to the
11     minimal standards of acceptable and prevailing physical
12     therapy practice, in which proceeding actual injury to a
13     patient need not be established;
14         I. Unlawful distribution of any drug or narcotic, or
15     unlawful conversion of any drug or narcotic not belonging
16     to the person for such person's own use or benefit or for
17     other than medically accepted therapeutic purposes;
18         J. Habitual or excessive use or addiction to alcohol,
19     narcotics, stimulants, or any other chemical agent or drug
20     which results in a physical therapist's or physical
21     therapist assistant's inability to practice with
22     reasonable judgment, skill or safety;
23         K. Revocation or suspension of a license to practice
24     physical therapy as a physical therapist or physical
25     therapist assistant or the taking of other disciplinary
26     action by the proper licensing authority of another state,
27     territory or country;
28         L. Directly or indirectly giving to or receiving from
29     any person, firm, corporation, partnership or association
30     any fee, commission, rebate or other form of compensation
31     for any professional services not actually or personally
32     rendered;
33         M. A finding by the Committee that the licensee after
34     having his or her license placed on probationary status has

 

 

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1     violated the terms of probation;
2         N. Abandonment of a patient;
3         O. Willfully failing to report an instance of suspected
4     child abuse or neglect as required by the Abused and
5     Neglected Child Reporting Act;
6         P. Willfully failing to report an instance of suspected
7     elder abuse or neglect as required by the Elder Abuse
8     Reporting Act;
9         Q. Physical illness, including but not limited to,
10     deterioration through the aging process, or loss of motor
11     skill which results in the inability to practice the
12     profession with reasonable judgement, skill or safety;
13         R. The use of any words (such as physical therapy,
14     physical therapist physiotherapy or physiotherapist),
15     abbreviations, figures or letters with the intention of
16     indicating practice as a licensed physical therapist
17     without a valid license as a physical therapist issued
18     under this Act;
19         S. The use of the term physical therapist assistant, or
20     abbreviations, figures, or letters with the intention of
21     indicating practice as a physical therapist assistant
22     without a valid license as a physical therapist assistant
23     issued under this Act;
24         T. Willfully violating or knowingly assisting in the
25     violation of any law of this State relating to the practice
26     of abortion;
27         U. Continued practice by a person knowingly having an
28     infectious, communicable or contagious disease;
29         V. Having treated ailments of human beings otherwise
30     than by the practice of physical therapy as defined in this
31     Act, or having treated ailments of human beings as a
32     licensed physical therapist independent of a documented
33     referral or a documented current and relevant diagnosis
34     from a physician, dentist, advanced practice nurse,

 

 

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1     physician assistant, or podiatrist, or having failed to
2     notify the physician, dentist, advanced practice nurse,
3     physician assistant, or podiatrist who established a
4     documented current and relevant diagnosis that the patient
5     is receiving physical therapy pursuant to that diagnosis;
6         W. Being named as a perpetrator in an indicated report
7     by the Department of Children and Family Services pursuant
8     to the Abused and Neglected Child Reporting Act, and upon
9     proof by clear and convincing evidence that the licensee
10     has caused a child to be an abused child or neglected child
11     as defined in the Abused and Neglected Child Reporting Act;
12         X. Interpretation of referrals, performance of
13     evaluation procedures, planning or making major
14     modifications of patient programs by a physical therapist
15     assistant;
16         Y. Failure by a physical therapist assistant and
17     supervising physical therapist to maintain continued
18     contact, including periodic personal supervision and
19     instruction, to insure safety and welfare of patients;
20         Z. Violation of the Health Care Worker Self-Referral
21     Act.
22     (2) The determination by a circuit court that a licensee is
23 subject to involuntary admission or judicial admission as
24 provided in the Mental Health and Developmental Disabilities
25 Code operates as an automatic suspension. Such suspension will
26 end only upon a finding by a court that the patient is no
27 longer subject to involuntary admission or judicial admission
28 and the issuance of an order so finding and discharging the
29 patient; and upon the recommendation of the Committee to the
30 Director that the licensee be allowed to resume his practice.
31     (3) The Department may refuse to issue or may suspend the
32 license of any person who fails to file a return, or to pay the
33 tax, penalty or interest shown in a filed return, or to pay any
34 final assessment of tax, penalty or interest, as required by

 

 

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1 any tax Act administered by the Illinois Department of Revenue,
2 until such time as the requirements of any such tax Act are
3 satisfied.
4 (Source: P.A. 89-387, eff. 1-1-96.)
 
5     Section 15. The Sexual Assault Survivors Emergency
6 Treatment Act is amended by changing Sections 2.2, 5, and 6.4
7 as follows:
 
8     (410 ILCS 70/2.2)
9     Sec. 2.2. Emergency contraception.
10     (a) The General Assembly finds:
11         (1) Crimes of sexual violence cause significant
12     physical, emotional, and psychological trauma to the
13     victims. This trauma is compounded by a victim's fear of
14     becoming pregnant and bearing a child as a result of the
15     sexual assault.
16         (2) Each year over 32,000 women become pregnant in the
17     United States as the result of rape and approximately 50%
18     of these pregnancies end in abortion.
19         (3) As approved for use by the Federal Food and Drug
20     Administration (FDA), emergency contraception can
21     significantly reduce the risk of pregnancy if taken within
22     72 hours after the sexual assault.
23         (4) By providing emergency contraception to rape
24     victims in a timely manner, the trauma of rape can be
25     significantly reduced.
26     (b) Within 120 days after the effective date of this
27 amendatory Act of the 92nd General Assembly, every hospital
28 providing services to alleged sexual assault survivors in
29 accordance with a plan approved under Section 2 must develop a
30 protocol that ensures that each survivor of sexual assault will
31 receive medically and factually accurate and written and oral
32 information about emergency contraception; the indications and

 

 

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1 counter-indications and risks associated with the use of
2 emergency contraception; and a description of how and when
3 victims may be provided emergency contraception upon the
4 written order of a physician licensed to practice medicine in
5 all its branches, an advanced practice nurse who has a written
6 collaborative agreement with a collaborating physician that
7 authorizes prescription of emergency contraception, or a
8 physician assistant who has been delegated authority to
9 prescribe emergency contraception. The Department shall
10 approve the protocol if it finds that the implementation of the
11 protocol would provide sufficient protection for survivors of
12 an alleged sexual assault.
13     The hospital shall implement the protocol upon approval by
14 the Department. The Department shall adopt rules and
15 regulations establishing one or more safe harbor protocols and
16 setting minimum acceptable protocol standards that hospitals
17 may develop and implement. The Department shall approve any
18 protocol that meets those standards. The Department may provide
19 a sample acceptable protocol upon request.
20 (Source: P.A. 92-156, eff. 1-1-02.)
 
21     (410 ILCS 70/5)  (from Ch. 111 1/2, par. 87-5)
22     Sec. 5. Minimum requirements for hospitals providing
23 emergency service to sexual assault survivors.
24     (a) Every hospital providing emergency hospital services
25 to an alleged sexual assault survivor under this Act shall, as
26 minimum requirements for such services, provide, with the
27 consent of the alleged sexual assault survivor, and as ordered
28 by the attending physician, an advanced practice nurse who has
29 a written collaborative agreement with a collaborating
30 physician that authorizes provision of emergency services, or a
31 physician assistant who has been delegated authority to provide
32 emergency services, the following:
33         (1) appropriate medical examinations and laboratory

 

 

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1     tests required to ensure the health, safety, and welfare of
2     an alleged sexual assault survivor or which may be used as
3     evidence in a criminal proceeding against a person accused
4     of the sexual assault, or both; and records of the results
5     of such examinations and tests shall be maintained by the
6     hospital and made available to law enforcement officials
7     upon the request of the alleged sexual assault survivor;
8         (2) appropriate oral and written information
9     concerning the possibility of infection, sexually
10     transmitted disease and pregnancy resulting from sexual
11     assault;
12         (3) appropriate oral and written information
13     concerning accepted medical procedures, medication, and
14     possible contraindications of such medication available
15     for the prevention or treatment of infection or disease
16     resulting from sexual assault;
17         (4) such medication as deemed appropriate by the
18     attending physician, an advanced practice nurse, or a
19     physician assistant;
20         (5) a blood test to determine the presence or absence
21     of sexually transmitted disease;
22         (6) written and oral instructions indicating the need
23     for a second blood test 6 weeks after the sexual assault to
24     determine the presence or absence of sexually transmitted
25     disease; and
26         (7) appropriate counseling as determined by the
27     hospital, by trained personnel designated by the hospital.
28     (b) Any minor who is an alleged survivor of sexual assault
29 who seeks emergency services under this Act shall be provided
30 such services without the consent of the parent, guardian or
31 custodian of the minor.
32 (Source: P.A. 91-888, eff. 7-6-00.)
 
33     (410 ILCS 70/6.4)  (from Ch. 111 1/2, par. 87-6.4)

 

 

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1     Sec. 6.4. Sexual assault evidence collection program.
2     (a) There is created a statewide sexual assault evidence
3 collection program to facilitate the prosecution of persons
4 accused of sexual assault. This program shall be administered
5 by the Illinois State Police. The program shall consist of the
6 following: (1) distribution of sexual assault evidence
7 collection kits which have been approved by the Illinois State
8 Police to hospitals that request them, or arranging for such
9 distribution by the manufacturer of the kits, (2) collection of
10 the kits from hospitals after the kits have been used to
11 collect evidence, (3) analysis of the collected evidence and
12 conducting of laboratory tests, and (4) maintaining the chain
13 of custody and safekeeping of the evidence for use in a legal
14 proceeding. The standardized evidence collection kit for the
15 State of Illinois shall be the State Police Evidence Collection
16 Kit, also known as "S.P.E.C.K.". A sexual assault evidence
17 collection kit may not be released by a hospital without the
18 written consent of the sexual assault survivor. In the case of
19 a survivor who is a minor 13 years of age or older, evidence
20 and information concerning the alleged sexual assault may be
21 released at the written request of the minor. If the survivor
22 is a minor who is under 13 years of age, evidence and
23 information concerning the alleged sexual assault may be
24 released at the written request of the parent, guardian,
25 investigating law enforcement officer, or Department of
26 Children and Family Services. Any health care professional,
27 including any physician, advanced practice nurse, physician
28 assistant, or nurse, sexual assault nurse examiner, and any
29 health care institution, including any hospital, who provides
30 evidence or information to a law enforcement officer pursuant
31 to a written request as specified in this Section is immune
32 from any civil or professional liability that might arise from
33 those actions, with the exception of willful or wanton
34 misconduct. The immunity provision applies only if all of the

 

 

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1 requirements of this Section are met.
2     (b) The Illinois State Police shall administer a program to
3 train hospitals and hospital personnel participating in the
4 sexual assault evidence collection program, in the correct use
5 and application of the sexual assault evidence collection kits.
6 A sexual assault nurse examiner may conduct examinations using
7 the sexual assault evidence collection kits, without the
8 presence or participation of a physician. The Department of
9 Public Health shall cooperate with the Illinois State Police in
10 this program as it pertains to medical aspects of the evidence
11 collection.
12     (c) In this Section, "sexual assault nurse examiner" means
13 a registered nurse who has completed a sexual assault nurse
14 examiner (SANE) training program that meets the Forensic Sexual
15 Assault Nurse Examiner Education Guidelines established by the
16 International Association of Forensic Nurses.
17 (Source: P.A. 91-888, eff. 7-6-00; 92-514, eff. 1-1-02.)
 
18     Section 20. The Prenatal and Newborn Care Act is amended by
19 changing Sections 2 and 6 as follows:
 
20     (410 ILCS 225/2)  (from Ch. 111 1/2, par. 7022)
21     Sec. 2. Definitions. As used in this Act, unless the
22 context otherwise requires:
23     "Advanced practice nurse" or "APN" means an advanced
24 practice nurse licensed under the Nursing and Advanced Practice
25 Nursing Act who has a written collaborative agreement with a
26 collaborating physician that authorizes the provision of
27 prenatal and newborn care.
28      (a) "Department" means the Illinois Department of Human
29 Services.
30      (b) "Early and Periodic Screening, Diagnosis and Treatment
31 (EPSDT)" means the provision of preventative health care under
32 42 C.F.R. 441.50 et seq., including medical and dental

 

 

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1 services, needed to assess growth and development and detect
2 and treat health problems.
3      (c) "Hospital" means a hospital as defined under the
4 Hospital Licensing Act.
5      (d) "Local health authority" means the full-time official
6 health department or board of health, as recognized by the
7 Illinois Department of Public Health, having jurisdiction over
8 a particular area.
9      (e) "Nurse" means a nurse licensed under the Nursing and
10 Advanced Practice Nursing Act.
11      (f) "Physician" means a physician licensed to practice
12 medicine in all of its branches.
13     "Physician assistant" means a physician assistant licensed
14 under the Physician Assistant Practice Act of 1987 who has been
15 delegated authority to provide prenatal and newborn care.
16      (g) "Postnatal visit" means a visit occurring after birth,
17 with reference to the newborn.
18      (h) "Prenatal visit" means a visit occurring before birth.
19      (i) "Program" means the Prenatal and Newborn Care Program
20 established pursuant to this Act.
21 (Source: P.A. 89-507, eff. 7-1-97; 90-742, eff. 8-13-98.)
 
22     (410 ILCS 225/6)  (from Ch. 111 1/2, par. 7026)
23     Sec. 6. Covered services.
24     (a) Covered services under the program may include, but are
25 not necessarily limited to, the following:
26         (1) Laboratory services related to a recipient's
27     pregnancy, performed or ordered by a physician, advanced
28     practice nurse, or physician assistant.
29         (2) Screening and treatment for sexually transmitted
30     disease.
31         (3) Prenatal visits to a physician in the physician's
32     office, an advanced practice nurse in the advanced practice
33     nurse's office, a physician assistant in the physician

 

 

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1     assistant's office, or to a hospital outpatient prenatal
2     clinic, local health department maternity clinic, or
3     community health center.
4         (4) Radiology services which are directly related to
5     the pregnancy, are determined to be medically necessary and
6     are ordered by a physician, an advanced practice nurse, or
7     a physician assistant.
8         (5) Pharmacy services related to the pregnancy.
9         (6) Other medical consultations related to the
10     pregnancy.
11         (7) Physician, advanced practice nurse, physician
12     assistant, or nurse services associated with delivery.
13         (8) One postnatal office visit within 60 days after
14     delivery.
15         (9) Two EPSDT-equivalent screenings for the infant
16     within 90 days after birth.
17         (10) Social and support services.
18         (11) Nutrition services.
19         (12) Case management services.
20     (b) The following services shall not be covered under the
21 program:
22         (1) Services determined by the Department not to be
23     medically necessary.
24         (2) Services not directly related to the pregnancy,
25     except for the 2 covered EPSDT-equivalent screenings.
26         (3) Hospital inpatient services.
27         (4) Anesthesiologist and radiologist services during a
28     period of hospital inpatient care.
29         (5) Physician, advanced practice nurse, and physician
30     assistant hospital visits.
31         (6) Services considered investigational or
32     experimental.
33 (Source: P.A. 89-187, eff. 7-19-95.)
 

 

 

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1     Section 25. The AIDS Confidentiality Act is amended by
2 changing Sections 7, 8, and 9 as follows:
 
3     (410 ILCS 305/7)  (from Ch. 111 1/2, par. 7307)
4     Sec. 7. (a) Notwithstanding the provisions of Sections 4, 5
5 and 6 of this Act, written informed consent is not required for
6 a health care provider or health facility to perform a test
7 when the health care provider or health facility procures,
8 processes, distributes or uses a human body part donated for a
9 purpose specified under the Uniform Anatomical Gift Act, or
10 semen provided prior to the effective date of this Act for the
11 purpose of artificial insemination, and such a test is
12 necessary to assure medical acceptability of such gift or semen
13 for the purposes intended.
14     (b) Written informed consent is not required for a health
15 care provider or health facility to perform a test when a
16 health care provider or employee of a health facility, or a
17 firefighter or an EMT-A, EMT-I or EMT-P, is involved in an
18 accidental direct skin or mucous membrane contact with the
19 blood or bodily fluids of an individual which is of a nature
20 that may transmit HIV, as determined by a physician, by an
21 advanced practice nurse as defined in item (iii) of subsection
22 (f-5) of Section 3, or by a physician assistant as defined in
23 item (ii) of subsection (f-5) of Section 3 in his medical
24 judgment. Should such test prove to be positive, the patient
25 and the health care provider, health facility employee,
26 firefighter, EMT-A, EMT-I, or EMT-P shall be provided
27 appropriate counseling consistent with this Act.
28     (c) Written informed consent is not required for a health
29 care provider or health facility to perform a test when a law
30 enforcement officer is involved in the line of duty in a direct
31 skin or mucous membrane contact with the blood or bodily fluids
32 of an individual which is of a nature that may transmit HIV, as
33 determined by a physician, by an advanced practice nurse as

 

 

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1 defined in item (iii) of subsection (f-5) of Section 3 by a
2 physician assistant as defined in item (ii) of subsection (f-5)
3 of Section 3 in his medical judgment. Should such test prove to
4 be positive, the patient shall be provided appropriate
5 counseling consistent with this Act. For purposes of this
6 subsection (c), "law enforcement officer" means any person
7 employed by the State, a county or a municipality as a
8 policeman, peace officer, auxiliary policeman, correctional
9 officer or in some like position involving the enforcement of
10 the law and protection of the public interest at the risk of
11 that person's life.
12 (Source: P.A. 86-887; 86-891; 86-1028; 87-459.)
 
13     (410 ILCS 305/8)  (from Ch. 111 1/2, par. 7308)
14     Sec. 8. Notwithstanding the provisions of Sections 4 and 5
15 of this Act, written informed consent, information and
16 counseling are not required for the performance of an HIV test:
17 (a) for the purpose of research, if the testing is performed in
18 such a way that the identity of the test subject is not known
19 and may not be retrieved by the researcher, and in such a way
20 that the test subject is not informed of the results of the
21 testing, or (b) when in the judgment of the physician, advanced
22 practice nurse, or physician assistant, such testing is
23 medically indicated to provide appropriate diagnosis and
24 treatment to the subject of the test, provided that the subject
25 of the test has otherwise provided his or her consent to such
26 physician, advanced practice nurse, or physician assistant for
27 medical treatment.
28 (Source: P.A. 85-1399.)
 
29     (410 ILCS 305/9)  (from Ch. 111 1/2, par. 7309)
30     Sec. 9. No person may disclose or be compelled to disclose
31 the identity of any person upon whom a test is performed, or
32 the results of such a test in a manner which permits

 

 

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1 identification of the subject of the test, except to the
2 following persons:
3     (a) The subject of the test or the subject's legally
4 authorized representative. A physician, advanced practice
5 nurse, or physician assistant may notify the spouse of the test
6 subject, if the test result is positive and has been confirmed
7 pursuant to rules adopted by the Department, provided that the
8 physician, advanced practice nurse, or physician assistant has
9 first sought unsuccessfully to persuade the patient to notify
10 the spouse or that, a reasonable time after the patient has
11 agreed to make the notification, the physician, advanced
12 practice nurse, or physician assistant has reason to believe
13 that the patient has not provided the notification. This
14 paragraph shall not create a duty or obligation under which a
15 physician, advanced practice nurse, or physician assistant
16 must notify the spouse of the test results, nor shall such duty
17 or obligation be implied. No civil liability or criminal
18 sanction under this Act shall be imposed for any disclosure or
19 non-disclosure of a test result to a spouse by a physician,
20 advanced practice nurse, or physician assistant acting in good
21 faith under this paragraph. For the purpose of any proceedings,
22 civil or criminal, the good faith of any physician, advanced
23 practice nurse, or physician assistant acting under this
24 paragraph shall be presumed.
25     (b) Any person designated in a legally effective release of
26 the test results executed by the subject of the test or the
27 subject's legally authorized representative.
28     (c) An authorized agent or employee of a health facility or
29 health care provider if the health facility or health care
30 provider itself is authorized to obtain the test results, the
31 agent or employee provides patient care or handles or processes
32 specimens of body fluids or tissues, and the agent or employee
33 has a need to know such information.
34     (d) The Department, in accordance with rules for reporting

 

 

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1 and controlling the spread of disease, as otherwise provided by
2 State law. Neither the Department nor its authorized
3 representatives shall disclose information and records held by
4 them relating to known or suspected cases of AIDS or HIV
5 infection, publicly or in any action of any kind in any court
6 or before any tribunal, board, or agency. AIDS and HIV
7 infection data shall be protected from disclosure in accordance
8 with the provisions of Sections 8-2101 through 8-2105 of the
9 Code of Civil Procedure.
10     (e) A health facility or health care provider which
11 procures, processes, distributes or uses: (i) a human body part
12 from a deceased person with respect to medical information
13 regarding that person; or (ii) semen provided prior to the
14 effective date of this Act for the purpose of artificial
15 insemination.
16     (f) Health facility staff committees for the purposes of
17 conducting program monitoring, program evaluation or service
18 reviews.
19     (g) (Blank).
20     (h) Any health care provider or employee of a health
21 facility, and any firefighter or EMT-A, EMT-P, or EMT-I,
22 involved in an accidental direct skin or mucous membrane
23 contact with the blood or bodily fluids of an individual which
24 is of a nature that may transmit HIV, as determined by a
25 physician, by an advanced practice nurse as defined in item
26 (iii) of subsection (f-5) of Section 3, or by a physician
27 assistant as defined in item (ii) of subsection (f-5) of
28 Section 3 in his medical judgment.
29     (i) Any law enforcement officer, as defined in subsection
30 (c) of Section 7, involved in the line of duty in a direct skin
31 or mucous membrane contact with the blood or bodily fluids of
32 an individual which is of a nature that may transmit HIV, as
33 determined by a physician in his medical judgment, by an
34 advanced practice nurse as defined in item (iii) of subsection

 

 

09300SB2377sam001 - 24 - LRB093 19003 AMC 47397 a

1 (f-5) of Section 3, or by a physician assistant as defined in
2 item (ii) of subsection (f-5) of Section 3.
3     (j) A temporary caretaker of a child taken into temporary
4 protective custody by the Department of Children and Family
5 Services pursuant to Section 5 of the Abused and Neglected
6 Child Reporting Act, as now or hereafter amended.
7     (k) In the case of a minor under 18 years of age whose test
8 result is positive and has been confirmed pursuant to rules
9 adopted by the Department, the health care provider who ordered
10 the test shall make a reasonable effort to notify the minor's
11 parent or legal guardian if, in the professional judgement of
12 the health care provider, notification would be in the best
13 interest of the child and the health care provider has first
14 sought unsuccessfully to persuade the minor to notify the
15 parent or legal guardian or a reasonable time after the minor
16 has agreed to notify the parent or legal guardian, the health
17 care provider has reason to believe that the minor has not made
18 the notification. This subsection shall not create a duty or
19 obligation under which a health care provider must notify the
20 minor's parent or legal guardian of the test results, nor shall
21 a duty or obligation be implied. No civil liability or criminal
22 sanction under this Act shall be imposed for any notification
23 or non-notification of a minor's test result by a health care
24 provider acting in good faith under this subsection. For the
25 purpose of any proceeding, civil or criminal, the good faith of
26 any health care provider acting under this subsection shall be
27 presumed.
28 (Source: P.A. 93-482, eff. 8-8-03.)
 
29     Section 30. The Illinois Sexually Transmissible Disease
30 Control Act is amended by changing Sections 4 and 5.5 as
31 follows:
 
32     (410 ILCS 325/4)  (from Ch. 111 1/2, par. 7404)

 

 

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1     Sec. 4. Reporting required.
2     (a) A physician licensed under the provisions of the
3 Medical Practice Act of 1987, an advanced practice nurse
4 licensed under the provisions of the Nursing and Advanced
5 Practice Nursing Act who has a written collaborative agreement
6 with a collaborating physician that authorizes the provision of
7 services for a sexually transmissible disease, or a physician
8 assistant licensed under the provisions of the Physician
9 Assistant Practice Act of 1987 who has been delegated authority
10 to provide services for a sexually transmissible disease who
11 makes a diagnosis of or treats a person with a sexually
12 transmissible disease and each laboratory that performs a test
13 for a sexually transmissible disease which concludes with a
14 positive result shall report such facts as may be required by
15 the Department by rule, within such time period as the
16 Department may require by rule, but in no case to exceed 2
17 weeks.
18     (b) The Department shall adopt rules specifying the
19 information required in reporting a sexually transmissible
20 disease, the method of reporting and specifying a minimum time
21 period for reporting. In adopting such rules, the Department
22 shall consider the need for information, protections for the
23 privacy and confidentiality of the patient, and the practical
24 abilities of persons and laboratories to report in a reasonable
25 fashion.
26     (c) Any person who knowingly or maliciously disseminates
27 any false information or report concerning the existence of any
28 sexually transmissible disease under this Section is guilty of
29 a Class A misdemeanor.
30     (d) Any person who violates the provisions of this Section
31 or the rules adopted hereunder may be fined by the Department
32 up to $500 for each violation. The Department shall report each
33 violation of this Section to the regulatory agency responsible
34 for licensing a health care professional or a laboratory to

 

 

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1 which these provisions apply.
2 (Source: P.A. 90-14, eff. 7-1-97.)
 
3     (410 ILCS 325/5.5)  (from Ch. 111 1/2, par. 7405.5)
4     Sec. 5.5. Risk assessment.
5     (a) Whenever the Department receives a report of HIV
6 infection or AIDS pursuant to this Act and the Department
7 determines that the subject of the report may present or may
8 have presented a possible risk of HIV transmission, the
9 Department shall, when medically appropriate, investigate the
10 subject of the report and that person's contacts as defined in
11 subsection (c), to assess the potential risks of transmission.
12 Any investigation and action shall be conducted in a timely
13 fashion. All contacts other than those defined in subsection
14 (c) shall be investigated in accordance with Section 5 of this
15 Act.
16     (b) If the Department determines that there is or may have
17 been potential risks of HIV transmission from the subject of
18 the report to other persons, the Department shall afford the
19 subject the opportunity to submit any information and comment
20 on proposed actions the Department intends to take with respect
21 to the subject's contacts who are at potential risk of
22 transmission of HIV prior to notification of the subject's
23 contacts. The Department shall also afford the subject of the
24 report the opportunity to notify the subject's contacts in a
25 timely fashion who are at potential risk of transmission of HIV
26 prior to the Department taking any steps to notify such
27 contacts. If the subject declines to notify such contacts or if
28 the Department determines the notices to be inadequate or
29 incomplete, the Department shall endeavor to notify such other
30 persons of the potential risk, and offer testing and counseling
31 services to these individuals. When the contacts are notified,
32 they shall be informed of the disclosure provisions of the AIDS
33 Confidentiality Act and the penalties therein and this Section.

 

 

09300SB2377sam001 - 27 - LRB093 19003 AMC 47397 a

1     (c) Contacts investigated under this Section shall in the
2 case of HIV infection include (i) individuals who have
3 undergone invasive procedures performed by an HIV infected
4 health care provider and (ii) health care providers who have
5 performed invasive procedures for persons infected with HIV,
6 provided the Department has determined that there is or may
7 have been potential risk of HIV transmission from the health
8 care provider to those individuals or from infected persons to
9 health care providers. The Department shall have access to the
10 subject's records to review for the identity of contacts. The
11 subject's records shall not be copied or seized by the
12 Department.
13     For purposes of this subsection, the term "invasive
14 procedures" means those procedures termed invasive by the
15 Centers for Disease Control in current guidelines or
16 recommendations for the prevention of HIV transmission in
17 health care settings, and the term "health care provider" means
18 any physician, dentist, podiatrist, advanced practice nurse,
19 physician assistant, nurse, or other person providing health
20 care services of any kind.
21     (d) All information and records held by the Department and
22 local health authorities pertaining to activities conducted
23 pursuant to this Section shall be strictly confidential and
24 exempt from copying and inspection under the Freedom of
25 Information Act. Such information and records shall not be
26 released or made public by the Department or local health
27 authorities, and shall not be admissible as evidence, nor
28 discoverable in any action of any kind in any court or before
29 any tribunal, board, agency or person and shall be treated in
30 the same manner as the information and those records subject to
31 the provisions of Part 21 of the Code of Civil Procedure except
32 under the following circumstances:
33         (1) When made with the written consent of all persons
34     to whom this information pertains;

 

 

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1         (2) When authorized under Section 8 to be released
2     under court order or subpoena pursuant to Section 12-16.2
3     of the Criminal Code of 1961; or
4         (3) When made by the Department for the purpose of
5     seeking a warrant authorized by Sections 6 and 7 of this
6     Act. Such disclosure shall conform to the requirements of
7     subsection (a) of Section 8 of this Act.
8     (e) Any person who knowingly or maliciously disseminates
9 any information or report concerning the existence of any
10 disease under this Section is guilty of a Class A misdemeanor.
11 (Source: P.A. 87-763.)
 
12     Section 35. The Consent by Minors to Medical Procedures Act
13 is amended by changing Sections 1, 2, 3, and 5 as follows:
 
14     (410 ILCS 210/1)  (from Ch. 111, par. 4501)
15     Sec. 1. Consent by minor. The consent to the performance of
16 a medical or surgical procedure by a physician licensed to
17 practice medicine and surgery, an advanced practice nurse who
18 has a written collaborative agreement with a collaborating
19 physician that authorizes provision of services for minors, or
20 a physician assistant who has been delegated authority to
21 provide services for minors executed by a married person who is
22 a minor, by a parent who is a minor, by a pregnant woman who is
23 a minor, or by any person 18 years of age or older, is not
24 voidable because of such minority, and, for such purpose, a
25 married person who is a minor, a parent who is a minor, a
26 pregnant woman who is a minor, or any person 18 years of age or
27 older, is deemed to have the same legal capacity to act and has
28 the same powers and obligations as has a person of legal age.
29 (Source: P.A. 89-187, eff. 7-19-95.)
 
30     (410 ILCS 210/2)  (from Ch. 111, par. 4502)
31     Sec. 2. Any parent, including a parent who is a minor, may

 

 

09300SB2377sam001 - 29 - LRB093 19003 AMC 47397 a

1 consent to the performance upon his or her child of a medical
2 or surgical procedure by a physician licensed to practice
3 medicine and surgery, an advanced practice nurse who has a
4 written collaborative agreement with a collaborating physician
5 that authorizes provision of services for minors, or a
6 physician assistant who has been delegated authority to provide
7 services for minors or a dental procedure by a licensed
8 dentist. The consent of a parent who is a minor shall not be
9 voidable because of such minority, but, for such purpose, a
10 parent who is a minor shall be deemed to have the same legal
11 capacity to act and shall have the same powers and obligations
12 as has a person of legal age.
13 (Source: P.A. 77-1661.)
 
14     (410 ILCS 210/3)  (from Ch. 111, par. 4503)
15     Sec. 3. (a) Where a hospital, or a physician, licensed to
16 practice medicine or surgery, an advanced practice nurse who
17 has a written collaborative agreement with a collaborating
18 physician that authorizes provision of services for minors, or
19 a physician assistant who has been delegated authority to
20 provide services for minors renders emergency treatment or
21 first aid or a licensed dentist renders emergency dental
22 treatment to a minor, consent of the minor's parent or legal
23 guardian need not be obtained if, in the sole opinion of the
24 physician, advanced practice nurse, physician assistant,
25 dentist, or hospital, the obtaining of consent is not
26 reasonably feasible under the circumstances without adversely
27 affecting the condition of such minor's health.
28     (b) Where a minor is the victim of a predatory criminal
29 sexual assault of a child, aggravated criminal sexual assault,
30 criminal sexual assault, aggravated criminal sexual abuse or
31 criminal sexual abuse, as provided in Sections 12-13 through
32 12-16 of the Criminal Code of 1961, as now or hereafter
33 amended, the consent of the minor's parent or legal guardian

 

 

09300SB2377sam001 - 30 - LRB093 19003 AMC 47397 a

1 need not be obtained to authorize a hospital, physician,
2 advanced practice nurse, physician assistant, or other medical
3 personnel to furnish medical care or counseling related to the
4 diagnosis or treatment of any disease or injury arising from
5 such offense. The minor may consent to such counseling,
6 diagnosis or treatment as if the minor had reached his or her
7 age of majority. Such consent shall not be voidable, nor
8 subject to later disaffirmance, because of minority.
9 (Source: P.A. 89-428, eff. 12-13-95; 89-462, eff. 5-29-96.)
 
10     (410 ILCS 210/5)  (from Ch. 111, par. 4505)
11     Sec. 5. Counseling; informing parent or guardian. Any
12 physician, advanced practice nurse, or physician assistant,
13 who provides diagnosis or treatment or any licensed clinical
14 psychologist or professionally trained social worker with a
15 master's degree or any qualified person employed (i) by an
16 organization licensed or funded by the Department of Human
17 Services, (ii) by units of local government, or (iii) by
18 agencies or organizations operating drug abuse programs funded
19 or licensed by the Federal Government or the State of Illinois
20 or any qualified person employed by or associated with any
21 public or private alcoholism or drug abuse program licensed by
22 the State of Illinois who provides counseling to a minor
23 patient who has come into contact with any sexually transmitted
24 disease referred to in Section 4 of this Act may, but shall not
25 be obligated to, inform the parent, parents, or guardian of the
26 minor as to the treatment given or needed. Any person described
27 in this Section who provides counseling to a minor who abuses
28 drugs or alcohol or has a family member who abuses drugs or
29 alcohol shall not inform the parent, parents, guardian, or
30 other responsible adult of the minor's condition or treatment
31 without the minor's consent unless that action is, in the
32 person's judgment, necessary to protect the safety of the
33 minor, a family member, or another individual.

 

 

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1     Any such person shall, upon the minor's consent, make
2 reasonable efforts to involve the family of the minor in his or
3 her treatment, if the person furnishing the treatment believes
4 that the involvement of the family will not be detrimental to
5 the progress and care of the minor. Reasonable effort shall be
6 extended to assist the minor in accepting the involvement of
7 his or her family in the care and treatment being given.
8 (Source: P.A. 89-187, eff. 7-19-95; 89-507, eff. 7-1-97.)
 
9     Section 99. Effective date. This Act takes effect upon
10 becoming law.".