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92nd General Assembly

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Public Act 92-0701

HB5870 Enrolled                               LRB9213311DJgcB

    AN ACT in relation to public health.

    Be it enacted by the People of  the  State  of  Illinois,
represented in the General Assembly:

    Section 5.  The Phenylketonuria Testing Act is amended by
adding Section 1.5 and changing Section 2 as follows:

    (410 ILCS 240/1.5 new)
    Sec. 1.5. Definitions. In this Act:
    "Accredited laboratory" means any laboratory that holds a
valid   certificate  issued  under  the  Clinical  Laboratory
Improvement Amendments of 1988, 102  Stat.  2903,  42  U.S.C.
263a,  as  amended, and that reports its screening results by
using normal pediatric reference ranges.
    "Expanded screening"  means  screening  for  genetic  and
metabolic  disorders, including but not limited to amino acid
disorders,  organic  acid  disorders,  fatty  acid  oxidation
disorders, and other abnormal profiles,  in  newborn  infants
that  can  be  detected  through  the  use  of  a tandem mass
spectrometer.
    "Tandem mass spectrometer" means an analytical instrument
used to detect numerous genetic and  metabolic  disorders  at
one time.

    (410 ILCS 240/2) (from Ch. 111 1/2, par. 4904)
    Sec. 2.  The Department of Public Health shall administer
the provisions of this Act and shall:
    (a)  Institute  and  carry  on  an  intensive educational
program among physicians, hospitals, public health nurses and
the   public   concerning   the   diseases   phenylketonuria,
hypothyroidism, galactosemia and  other  metabolic  diseases.
This  educational program shall include information about the
nature of the diseases and examinations for the detection  of
the  diseases  in early infancy in order that measures may be
taken to prevent the mental retardation  resulting  from  the
diseases.
    (a-5)  Beginning  July 1, 2002, provide all newborns with
expanded  screening  tests  for  the  presence  of   genetic,
endocrine,    or   other   metabolic   disorders,   including
phenylketonuria,  galactosemia,  hypothyroidism,   congenital
adrenal  hyperplasia,  biotinidase  deficiency,  and sickling
disorders, as well as other  amino  acid  disorders,  organic
acid  disorders,  fatty  acid  oxidation disorders, and other
abnormalities detectable through the use  of  a  tandem  mass
spectrometer. If by July 1, 2002, the Department is unable to
provide  expanded  screening  using  the State Laboratory, it
shall  temporarily  provide   such   screening   through   an
accredited  laboratory  selected  by the Department until the
Department has the capacity to provide screening through  the
State  Laboratory.  If  expanded  screening  is provided on a
temporary  basis  through  an  accredited   laboratory,   the
Department shall substitute the fee charged by the accredited
laboratory,   plus  a  5%  surcharge  for  documentation  and
handling, for the fee authorized in subsection  (e)  of  this
Section.
    (b)  Maintain  a  registry of cases including information
of importance  for  the  purpose  of  follow-up  services  to
prevent mental retardation.
    (c)  Supply   the   necessary   treatment  product  where
practicable for diagnosed cases  for  as  long  as  medically
indicated,  when  the  product is not available through other
State agencies.
    (d)  Arrange  for  or  provide  public  health   nursing,
nutrition  and  social  services and clinical consultation as
indicated.
    (e)  Require that all  specimens  collected  pursuant  to
this  Act  or the rules and regulations promulgated hereunder
be submitted for testing to the nearest Department of  Public
Health  laboratory  designated  to  perform  such tests.  The
Department may develop a reasonable  fee  structure  and  may
levy  fees  according  to such structure to cover the cost of
providing this testing  service.   Fees  collected  from  the
provision  of  this  testing  service  shall  be  placed in a
special fund in the State Treasury, hereafter  known  as  the
Metabolic  Screening  and  Treatment  Fund.   Other State and
federal funds for expenses related  to  metabolic  screening,
follow-up  and  treatment programs may also be placed in such
Fund.  Moneys shall be appropriated from  such  Fund  to  the
Department  of  Public  Health  solely  for  the  purposes of
providing  metabolic  screening,  follow-up   and   treatment
programs.  Nothing in this Act shall be construed to prohibit
any  licensed  medical  facility  from  collecting additional
specimens for testing for metabolic or neonatal  diseases  or
any other diseases or conditions, as it deems fit. Any person
violating  the provisions of this subsection (e) is guilty of
a petty offense.
(Source: P.A. 83-87.)

    Section 99.  Effective date.  This Act takes effect  upon
becoming law.
    Passed in the General Assembly May 08, 2002.
    Approved July 19, 2002.
    Effective July 19, 2002.

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