Public Act 095-0007
 
SB0929 Enrolled LRB095 05734 DRJ 25824 b

    AN ACT concerning health.
 
    Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
 
    Section 5. The AIDS Confidentiality Act is amended by
changing Sections 2, 3, 4, 5, 6, 7, 8, 11, 13, 15, and 16 and by
adding Section 9.5 as follows:
 
    (410 ILCS 305/2)  (from Ch. 111 1/2, par. 7302)
    Sec. 2. The General Assembly finds that:
    (1) The use of tests designed to reveal a condition
indicative of Human Immunodeficiency Virus (HIV) infection can
be a valuable tool in protecting the public health.
    (2) Despite existing laws, regulations and professional
standards which require or promote the informed, voluntary and
confidential use of tests designed to reveal HIV infection,
many members of the public are deterred from seeking such
testing because they misunderstand the nature of the test or
fear that test results will be disclosed without their consent.
    (3) The public health will be served by facilitating
informed, voluntary and confidential use of tests designed to
reveal HIV infection.
    (4) The public health will also be served by expanding the
availability of informed, voluntary, and confidential HIV
testing and making HIV testing a routine part of general
medical care, as recommended by the United States Centers for
Disease Control and Prevention.
(Source: P.A. 85-677; 85-679.)
 
    (410 ILCS 305/3)  (from Ch. 111 1/2, par. 7303)
    Sec. 3. When used in this Act:
    (a) "Department" means the Illinois Department of Public
Health.
    (b) "AIDS" means acquired immunodeficiency syndrome.
    (c) "HIV" means the Human Immunodeficiency Virus or any
other identified causative agent of AIDS.
    (d) "Informed Written informed consent" means a written or
verbal an agreement in writing executed by the subject of a
test or the subject's legally authorized representative
without undue inducement or any element of force, fraud,
deceit, duress or other form of constraint or coercion, which
entails at least the following pre-test information:
    (1) a fair explanation of the test, including its purpose,
potential uses, limitations and the meaning of its results; and
    (2) a fair explanation of the procedures to be followed,
including the voluntary nature of the test, the right to
withdraw consent to the testing process at any time, the right
to anonymity to the extent provided by law with respect to
participation in the test and disclosure of test results, and
the right to confidential treatment of information identifying
the subject of the test and the results of the test, to the
extent provided by law.
    Pre-test information may be provided in writing, verbally,
or by video, electronic, or other means. The subject must be
offered an opportunity to ask questions about the HIV test and
decline testing. Nothing in this Act shall prohibit a health
care provider from combining a form used to obtain informed
consent for HIV testing with forms used to obtain written
consent for general medical care or any other medical test or
procedure provided that the forms make it clear that the
subject may consent to general medical care, tests, or medical
procedures without being required to consent to HIV testing and
clearly explain how the subject may opt-out of HIV testing.
    (e) "Health facility" means a hospital, nursing home, blood
bank, blood center, sperm bank, or other health care
institution, including any "health facility" as that term is
defined in the Illinois Finance Authority Act.
    (f) "Health care provider" means any health care
professional, nurse, paramedic, psychologist or other person
providing medical, nursing, psychological, or other health
care services of any kind.
    (f-5) "Health care professional" means (i) a licensed
physician, (ii) a physician assistant to whom the physician
assistant's supervising physician has delegated the provision
of AIDS and HIV-related health services, (iii) an advanced
practice registered nurse who has a written collaborative
agreement with a collaborating physician which authorizes the
provision of AIDS and HIV-related health services, (iv) a
licensed dentist, (v) a licensed podiatrist, or (vi) an
individual certified to provide HIV testing and counseling by a
state or local public health department.
    (g) "Test" or "HIV test" means a test to determine the
presence of the antibody or antigen to HIV, or of HIV
infection.
    (h) "Person" includes any natural person, partnership,
association, joint venture, trust, governmental entity, public
or private corporation, health facility or other legal entity.
(Source: P.A. 93-205, eff. 1-1-04; 93-482, eff. 8-8-03; revised
9-12-03.)
 
    (410 ILCS 305/4)  (from Ch. 111 1/2, par. 7304)
    Sec. 4. No person may order an HIV test without first
receiving the documented written informed consent of the
subject of the test or the subject's legally authorized
representative. A health care facility or provider may offer
opt-out HIV testing where the subject or the subject's legally
authorized representative is informed that the subject will be
tested for HIV unless he or she refuses. The health care
facility or provider must document the provision of informed
consent, including pre-test information, and whether the
subject or the subject's legally authorized representative
declined the offer of HIV testing.
(Source: P.A. 85-1248.)
 
    (410 ILCS 305/5)  (from Ch. 111 1/2, par. 7305)
    Sec. 5. No health care professional may order an HIV test
without making available to the person tested pre-test
information about the meaning of the test results, the
availability of additional or confirmatory testing, if
appropriate, and the availability of referrals for further
information or counseling.
(Source: P.A. 93-482, eff. 8-8-03.)
 
    (410 ILCS 305/6)  (from Ch. 111 1/2, par. 7306)
    Sec. 6. Any individual seeking an HIV test shall have the
right to anonymous testing, unless identification of the test
subject is otherwise required. Anonymous testing shall be
performed after pre-test information is provided and informed
consent is obtained, using a coded system that does not link
individual identity with the request or result. A health care
facility or health care provider that does not provide
anonymous testing shall refer an individual requesting an
anonymous test to a site where it is available. A subject of a
test who wishes to remain anonymous shall have the right to do
so, and to provide written informed consent by using a coded
system that does not link individual identity with the request
or result, except when written informed consent is not required
by law. The Department may, if it deems necessary, promulgate
regulations exempting blood banks, as defined in the Illinois
Blood Bank Act, from the requirements of this Section.
(Source: P.A. 85-1248; 85-1399; 85-1440.)
 
    (410 ILCS 305/7)  (from Ch. 111 1/2, par. 7307)
    Sec. 7. (a) Notwithstanding the provisions of Sections 4, 5
and 6 of this Act, written informed consent is not required for
a health care provider or health facility to perform a test
when the health care provider or health facility procures,
processes, distributes or uses a human body part donated for a
purpose specified under the Illinois Anatomical Gift Act, or
semen provided prior to the effective date of this Act for the
purpose of artificial insemination, and such a test is
necessary to assure medical acceptability of such gift or semen
for the purposes intended.
    (b) Informed Written informed consent is not required for a
health care provider or health facility to perform a test when
a health care provider or employee of a health facility, or a
firefighter or an EMT-A, EMT-I or EMT-P, is involved in an
accidental direct skin or mucous membrane contact with the
blood or bodily fluids of an individual which is of a nature
that may transmit HIV, as determined by a physician in his
medical judgment. Should such test prove to be positive, the
patient and the health care provider, health facility employee,
firefighter, EMT-A, EMT-I, or EMT-P shall be provided
appropriate counseling consistent with this Act.
    (c) Informed Written informed consent is not required for a
health care provider or health facility to perform a test when
a law enforcement officer is involved in the line of duty in a
direct skin or mucous membrane contact with the blood or bodily
fluids of an individual which is of a nature that may transmit
HIV, as determined by a physician in his medical judgment.
Should such test prove to be positive, the patient shall be
provided appropriate counseling consistent with this Act. For
purposes of this subsection (c), "law enforcement officer"
means any person employed by the State, a county or a
municipality as a policeman, peace officer, auxiliary
policeman, correctional officer or in some like position
involving the enforcement of the law and protection of the
public interest at the risk of that person's life.
(Source: P.A. 93-794, eff. 7-22-04.)
 
    (410 ILCS 305/8)  (from Ch. 111 1/2, par. 7308)
    Sec. 8. Notwithstanding the provisions of Sections 4 and 5
of this Act, written informed consent, and pre-test
information and counseling are not required for the performance
of an HIV test: (a) for the purpose of research, if the testing
is performed in such a way that the identity of the test
subject is not known and may not be retrieved by the
researcher, and in such a way that the test subject is not
informed of the results of the testing, or (b) when in the
judgment of the physician, such testing is medically indicated
to provide appropriate diagnosis and treatment to the subject
of the test, provided that the subject of the test has
otherwise provided his or her consent to such physician for
medical treatment.
(Source: P.A. 85-1399.)
 
    (410 ILCS 305/9.5 new)
    Sec. 9.5. Delivery of test results.
    (a) The Department shall develop rules regarding the
delivery of HIV test results to patients.
    (b) The subject of the test or the subject's legally
authorized representative shall be notified by personal
contact whenever possible of the confirmed positive result of
an HIV test. When the subject or the subject's legally
authorized representative is notified of a confirmed positive
test result, the health care provider or professional shall
provide the subject or the subject's legally authorized
representative with a referral to counseling in connection with
the confirmed positive test result and a referral to an
appropriate medical facility for the treatment and management
of HIV.
    (c) A health care provider shall not be in violation of
this Section when an attempt to contact the test subject or the
subject's legally authorized representative at the address or
telephone number provided by the test subject or the test
subject's legally authorized representative does not result in
contact and notification or where an attempt to deliver results
by personal contact has not been successful.
 
    (410 ILCS 305/11)  (from Ch. 111 1/2, par. 7311)
    Sec. 11. Notwithstanding the provisions of Section 4 of
this Act, written informed consent is not required for the
performance of an HIV test upon a person who is specifically
required by law to be so tested.
(Source: P.A. 85-677; 85-679.)
 
    (410 ILCS 305/13)  (from Ch. 111 1/2, par. 7313)
    Sec. 13. Any person aggrieved by a violation of this Act or
of a regulation promulgated hereunder shall have a right of
action in the circuit court and may recover for each violation:
    (1) Against any person who negligently violates a provision
of this Act or the regulations promulgated hereunder,
liquidated damages of $2,000 $1000 or actual damages, whichever
is greater.
    (2) Against any person who intentionally or recklessly
violates a provision of this Act or the regulations promulgated
hereunder, liquidated damages of $10,000 $5000 or actual
damages, whichever is greater.
    (3) Reasonable attorney fees.
    (4) Such other relief, including an injunction, as the
court may deem appropriate.
(Source: P.A. 85-677; 85-679.)
 
    (410 ILCS 305/15)  (from Ch. 111 1/2, par. 7315)
    Sec. 15. Nothing in this Act shall be construed to impose
civil liability or criminal sanction for disclosure of a test
result in accordance with any reporting requirement of the
Department for a diagnosed case of HIV infection, AIDS or a
related condition.
    Nothing in this Act shall be construed to impose civil
liability or criminal sanction for performing a test without
written informed consent pursuant to the provisions of
subsection (b) or (c) of Section 7 of this Act.
(Source: P.A. 86-887.)
 
    (410 ILCS 305/16)  (from Ch. 111 1/2, par. 7316)
    Sec. 16. The Department shall promulgate rules and
regulations concerning implementation and enforcement of this
Act. The rules and regulations promulgated by the Department
pursuant to this Act may include procedures for taking
appropriate action with regard to health care facilities or
health care providers which violate this Act or the regulations
promulgated hereunder. The provisions of The Illinois
Administrative Procedure Act shall apply to all administrative
rules and procedures of the Department pursuant to this Act,
except that in case of conflict between The Illinois
Administrative Procedure Act and this Act, the provisions of
this Act shall control. The Department shall conduct training,
technical assistance, and outreach activities, as needed, to
implement routine HIV testing in healthcare medical settings.
(Source: P.A. 85-677; 85-679.)

Effective Date: 6/1/2008