102ND GENERAL ASSEMBLY
State of Illinois
2021 and 2022
HB3053

 

Introduced 2/19/2021, by Rep. Adam Niemerg

 

SYNOPSIS AS INTRODUCED:
 
See Index

     Repeals the Reproductive Health Act. Creates the Illinois Abortion Law of 2021 containing the provisions of the Illinois Abortion Law of 1975 before its repeal by Public Act 101-13. Amends various Acts by restoring the language that existed before the amendment of those Acts by Public Act 101-13. Provides that, subsequent to an abortion, if a child is born alive, the physician required to be in attendance shall exercise the same degree of professional skill, care, and diligence to preserve the life and health of the child as would be required of a physician providing immediate medical care to a child born alive at the same gestational age. Effective immediately.


LRB102 11392 CPF 16725 b

CORRECTIONAL BUDGET AND IMPACT NOTE ACT MAY APPLY

 

 

A BILL FOR

 

HB3053LRB102 11392 CPF 16725 b

1    AN ACT concerning abortion.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4
Article 1.

 
5    Section 1. It is the intention of the General Assembly of
6the State of Illinois to reasonably regulate abortion in
7conformance with the legal standards set forth in the
8decisions of the United States Supreme Court of January 22,
91973.
 
10    Section 2. Unless the language or context clearly
11indicates a different meaning is intended, the following words
12or phrases for the purpose of this Law shall be given the
13meaning ascribed to them:
14    (1) "Viability" means that stage of fetal development
15when, in the medical judgment of the attending physician based
16on the particular facts of the case before him, there is a
17reasonable likelihood of sustained survival of the fetus
18outside the womb, with or without artificial support.
19    (2) "Physician" means any person licensed to practice
20medicine in all its branches under the Illinois Medical
21Practice Act of 1987, as amended.
22    (3) "Department" means the Department of Public Health,

 

 

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1State of Illinois.
2    (4) "Abortion" means the use of any instrument, medicine,
3drug or any other substance or device to terminate the
4pregnancy of a woman known to be pregnant with an intention
5other than to increase the probability of a live birth, to
6preserve the life or health of the child after live birth, or
7to remove a dead fetus.
8    (5) "Fertilization" and "conception" each mean the
9fertilization of a human ovum by a human sperm, which shall be
10deemed to have occurred at the time when it is known a
11spermatozoon has penetrated the cell membrane of the ovum.
12    (6) "Fetus" and "unborn child" each mean an individual
13organism of the species homo sapiens from fertilization until
14live birth.
15    (7) "Abortifacient" means any instrument, medicine, drug,
16or any other substance or device which is known to cause fetal
17death when employed in the usual and customary use for which it
18is manufactured, whether or not the fetus is known to exist
19when such substance or device is employed.
20    (8) "Born alive", "live born", and "live birth", when
21applied to an individual organism of the species homo sapiens,
22each mean he or she was completely expelled or extracted from
23his or her mother and after such separation breathed or showed
24evidence of any of the following: beating of the heart,
25pulsation of the umbilical cord, or definite movement of
26voluntary muscles, irrespective of the duration of pregnancy

 

 

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1and whether or not the umbilical cord has been cut or the
2placenta is attached.
 
3    Section 3.1. Medical Judgment. No abortion shall be
4performed except by a physician after either (a) he determines
5that, in his best clinical judgment, the abortion is
6necessary, or (b) he receives a written statement or oral
7communication by another physician, hereinafter called the
8"referring physician", certifying that in the referring
9physician's best clinical judgment the abortion is necessary.
10Any person who intentionally or knowingly performs an abortion
11contrary to the requirements of Section 3.1 commits a Class 2
12felony.
 
13    Section 5. (1) When the fetus is viable no abortion shall
14be performed unless in the medical judgment of the attending
15or referring physician, based on the particular facts of the
16case before him, it is necessary to preserve the life or health
17of the mother. Intentional, knowing, or reckless failure to
18conform to the requirements of subsection (1) of Section 5 is a
19Class 2 felony.
20    (2) When the fetus is viable the physician shall certify
21in writing, on a form prescribed by the Department under
22Section 10 of this Law, the medical indications which, in his
23medical judgment based on the particular facts of the case
24before him, warrant performance of the abortion to preserve

 

 

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1the life or health of the mother.
 
2    Section 6. (1) (a) Any physician who intentionally
3performs an abortion when, in his medical judgment based on
4the particular facts of the case before him, there is a
5reasonable likelihood of sustained survival of the fetus
6outside the womb, with or without artificial support, shall
7utilize that method of abortion which, of those he knows to be
8available, is in his medical judgment most likely to preserve
9the life and health of the fetus.
10    (b) The physician shall certify in writing, on a form
11prescribed by the Department under Section 10 of this Act, the
12available methods considered and the reasons for choosing the
13method employed.
14    (c) Any physician who intentionally, knowingly, or
15recklessly violates the provisions of Section 6(1)(a) commits
16a Class 3 felony.
17    (2) (a) No abortion shall be performed or induced when the
18fetus is viable unless there is in attendance a physician
19other than the physician performing or inducing the abortion
20who shall take control of and provide immediate medical care
21for any child born alive as a result of the abortion. This
22requirement shall not apply when, in the medical judgment of
23the physician performing or inducing the abortion based on the
24particular facts of the case before him, there exists a
25medical emergency; in such a case, the physician shall

 

 

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1describe the basis of this judgment on the form prescribed by
2Section 10 of this Act. Any physician who intentionally
3performs or induces such an abortion and who intentionally,
4knowingly, or recklessly fails to arrange for the attendance
5of such a second physician in violation of Section 6(2)(a)
6commits a Class 3 felony.
7    (b) Subsequent to the abortion, if a child is born alive,
8the physician required by Section 6(2)(a) to be in attendance
9shall exercise the same degree of professional skill, care and
10diligence to preserve the life and health of the child as would
11be required of a physician providing immediate medical care to
12a child born alive at the same gestational age. Any such
13physician who intentionally, knowingly, or recklessly violates
14Section 6(2)(b) commits a Class 3 felony.
15    (3) The law of this State shall not be construed to imply
16that any living individual organism of the species homo
17sapiens who has been born alive is not an individual under the
18Criminal Code of 1961 or Criminal Code of 2012.
19    (4) (a) Any physician who intentionally performs an
20abortion when, in his medical judgment based on the particular
21facts of the case before him, there is a reasonable
22possibility of sustained survival of the fetus outside the
23womb, with or without artificial support, shall utilize that
24method of abortion which, of those he knows to be available, is
25in his medical judgment most likely to preserve the life and
26health of the fetus.

 

 

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1    (b) The physician shall certify in writing, on a form
2prescribed by the Department under Section 10 of this Act, the
3available methods considered and the reasons for choosing the
4method employed.
5    (c) Any physician who intentionally, knowingly, or
6recklessly violates the provisions of Section 6(4)(a) commits
7a Class 3 felony.
8    (5) Nothing in Section 6 requires a physician to employ a
9method of abortion which, in the medical judgment of the
10physician performing the abortion based on the particular
11facts of the case before him, would increase medical risk to
12the mother.
13    (6) When the fetus is viable and when there exists
14reasonable medical certainty (a) that the particular method of
15abortion to be employed will cause organic pain to the fetus,
16and (b) that use of an anesthetic or analgesic would abolish or
17alleviate organic pain to the fetus caused by the particular
18method of abortion to be employed, then the physician who is to
19perform the abortion or his agent or the referring physician
20or his agent shall inform the woman upon whom the abortion is
21to be performed that such an anesthetic or analgesic is
22available, if he knows it to be available, for use to abolish
23or alleviate organic pain caused to the fetus by the
24particular method of abortion to be employed. Any person who
25performs an abortion with knowledge that any such reasonable
26medical certainty exists and that such an anesthetic or

 

 

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1analgesic is available, and intentionally fails to so inform
2the woman or to ascertain that the woman has been so informed
3commits a Class B misdemeanor. The foregoing requirements of
4subsection (6) of Section 6 shall not apply (a) when in the
5medical judgment of the physician who is to perform the
6abortion or the referring physician based upon the particular
7facts of the case before him: (i) there exists a medical
8emergency, or (ii) the administration of such an anesthetic or
9analgesic would decrease a possibility of sustained survival
10of the fetus apart from the body of the mother, with or without
11artificial support, or (b) when the physician who is to
12perform the abortion administers an anesthetic or an analgesic
13to the woman or the fetus and he knows there exists reasonable
14medical certainty that such use will abolish organic pain
15caused to the fetus during the course of the abortion.
16    (7) No person shall sell or experiment upon a fetus
17produced by the fertilization of a human ovum by a human sperm
18unless such experimentation is therapeutic to the fetus
19thereby produced. Intentional violation of this Section is a
20Class A misdemeanor. Nothing in this subsection (7) is
21intended to prohibit the performance of in vitro
22fertilization.
23    (8) No person shall intentionally perform an abortion with
24knowledge that the pregnant woman is seeking the abortion
25solely on account of the sex of the fetus. Nothing in Section
266(8) shall be construed to proscribe the performance of an

 

 

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1abortion on account of the sex of the fetus because of a
2genetic disorder linked to that sex. If the application of
3Section 6(8) to the period of pregnancy prior to viability is
4held invalid, then such invalidity shall not affect its
5application to the period of pregnancy subsequent to
6viability.
 
7    Section 10. A report of each abortion performed shall be
8made to the Department on forms prescribed by it. Such report
9forms shall not identify the patient by name, but by an
10individual number to be noted in the patient's permanent
11record in the possession of the physician, and shall include
12information concerning:
13        (1) Identification of the physician who performed the
14    abortion and the facility where the abortion was performed
15    and a patient identification number;
16        (2) State in which the patient resides;
17        (3) Patient's date of birth, race and marital status;
18        (4) Number of prior pregnancies;
19        (5) Date of last menstrual period;
20        (6) Type of abortion procedure performed;
21        (7) Complications and whether the abortion resulted in
22    a live birth;
23        (8) The date the abortion was performed;
24        (9) Medical indications for any abortion performed
25    when the fetus was viable;

 

 

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1        (10) The information required by Sections 6(1)(b) and
2    6(4)(b) of this Act, if applicable;
3        (11) Basis for any medical judgment that a medical
4    emergency existed when required under Sections 6(2)(a) and
5    6(6) and when required to be reported in accordance with
6    this Section by any provision of this Law; and
7        (12) The pathologist's test results pursuant to
8    Section 12 of this Act.
9    Such form shall be completed by the hospital or other
10licensed facility, signed by the physician who performed the
11abortion or pregnancy termination, and transmitted to the
12Department not later than 10 days following the end of the
13month in which the abortion was performed.
14    In the event that a complication of an abortion occurs or
15becomes known after submission of such form, a correction
16using the same patient identification number shall be
17submitted to the Department within 10 days of its becoming
18known.
19    The Department may prescribe rules and regulations
20regarding the administration of this Law and shall prescribe
21regulations to secure the confidentiality of the woman's
22identity in the information to be provided under the "Vital
23Records Act". All reports received by the Department shall be
24treated as confidential and the Department shall secure the
25woman's anonymity. Such reports shall be used only for
26statistical purposes.

 

 

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1    Upon 30 days public notice, the Department is empowered to
2require reporting of any additional information which, in the
3sound discretion of the Department, is necessary to develop
4statistical data relating to the protection of maternal or
5fetal life or health, or is necessary to enforce the
6provisions of this Law, or is necessary to develop useful
7criteria for medical decisions. The Department shall annually
8report to the General Assembly all statistical data gathered
9under this Law and its recommendations to further the purpose
10of this Law.
11    The requirement for reporting to the General Assembly
12shall be satisfied by filing copies of the report as required
13by Section 3.1 of the General Assembly Organization Act, and
14filing such additional copies with the State Government Report
15Distribution Center for the General Assembly as is required
16under paragraph (t) of Section 7 of the State Library Act.
 
17    Section 10.1. Any physician who diagnoses a woman as
18having complications resulting from an abortion shall report,
19within a reasonable period of time, the diagnosis and a
20summary of her physical symptoms to the Illinois Department of
21Public Health in accordance with procedures and upon forms
22required by such Department. The Department of Public Health
23shall define the complications required to be reported by
24rule. The complications defined by rule shall be those which,
25according to contemporary medical standards, are manifested by

 

 

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1symptoms with severity equal to or greater than hemorrhaging
2requiring transfusion, infection, incomplete abortion, or
3punctured organs. If the physician making the diagnosis of a
4complication knows the name or location of the facility where
5the abortion was performed, he shall report such information
6to the Department of Public Health.
7    Any physician who intentionally violates this Section
8shall be subject to revocation of his license pursuant to
9paragraph (22) of Section 22 of the Medical Practice Act of
101987.
 
11    Section 11. (1) Any person who intentionally violates any
12provision of this Law commits a Class A misdemeanor unless a
13specific penalty is otherwise provided. Any person who
14intentionally falsifies any writing required by this Law
15commits a Class A misdemeanor.
16    Intentional, knowing, reckless, or negligent violations of
17this Law shall constitute unprofessional conduct which causes
18public harm under Section 22 of the Medical Practice Act of
191987, as amended; Section 70-5 of the Nurse Practice Act, and
20Section 21 of the Physician Assistant Practice Act of 1987, as
21amended.
22    Intentional, knowing, reckless or negligent violations of
23this Law will constitute grounds for refusal, denial,
24revocation, suspension, or withdrawal of license, certificate,
25or permit under Section 30 of the Pharmacy Practice Act, as

 

 

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1amended; Section 7 of the Ambulatory Surgical Treatment Center
2Act, effective July 19, 1973, as amended; and Section 7 of the
3Hospital Licensing Act.
4    (2) Any hospital or licensed facility which, or any
5physician who intentionally, knowingly, or recklessly fails to
6submit a complete report to the Department in accordance with
7the provisions of Section 10 of this Law and any person who
8intentionally, knowingly, recklessly or negligently fails to
9maintain the confidentiality of any reports required under
10this Law or reports required by Sections 10.1 or 12 of this Law
11commits a Class B misdemeanor.
12    (3) Any person who sells any drug, medicine, instrument or
13other substance which he knows to be an abortifacient and
14which is in fact an abortifacient, unless upon prescription of
15a physician, is guilty of a Class B misdemeanor. Any person who
16prescribes or administers any instrument, medicine, drug or
17other substance or device, which he knows to be an
18abortifacient, and which is in fact an abortifacient, and
19intentionally, knowingly or recklessly fails to inform the
20person for whom it is prescribed or upon whom it is
21administered that it is an abortifacient commits a Class C
22misdemeanor.
23    (4) Any person who intentionally, knowingly or recklessly
24performs upon a woman what he represents to that woman to be an
25abortion when he knows or should know that she is not pregnant
26commits a Class 2 felony and shall be answerable in civil

 

 

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1damages equal to 3 times the amount of proved damages.
 
2    Section 11.1. (a) The payment or receipt of a referral fee
3in connection with the performance of an abortion is a Class 4
4felony.
5    (b) For purposes of this Section, "referral fee" means the
6transfer of anything of value between a doctor who performs an
7abortion or an operator or employee of a clinic at which an
8abortion is performed and the person who advised the woman
9receiving the abortion to use the services of that doctor or
10clinic.
 
11    Section 12. The dead fetus and all tissue removed at the
12time of abortion shall be submitted for a gross and
13microscopic analysis and tissue report to a board eligible or
14certified pathologist as a matter of record in all cases. The
15results of the analysis and report shall be given to the
16physician who performed the abortion within 7 days of the
17abortion and such physician shall report any complications
18relevant to the woman's medical condition to his patient
19within 48 hours of receiving a report if possible. Any
20evidence of live birth or of viability shall be reported
21within 7 days, if possible, to the Department by the
22pathologist. Intentional failure of the pathologist to report
23any evidence of live birth or of viability to the Department is
24a Class B misdemeanor.
 

 

 

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1    Section 12.1. Nothing in this Act shall prohibit the use
2of any tissues or cells obtained from a dead fetus or dead
3premature infant whose death did not result from an induced
4abortion, for therapeutic purposes or scientific, research, or
5laboratory experimentation, provided that the written consent
6to such use is obtained from one of the parents of such fetus
7or infant.
 
8    Section 13. No physician, hospital, ambulatory surgical
9center, nor employee thereof, shall be required against his or
10its conscience declared in writing to perform, permit or
11participate in any abortion, and the failure or refusal to do
12so shall not be the basis for any civil, criminal,
13administrative or disciplinary action, proceeding, penalty or
14punishment. If any request for an abortion is denied, the
15patient shall be promptly notified.
 
16    Section 14. (1) If any provision, word, phrase or clause
17of this Act or the application thereof to any person or
18circumstance shall be held invalid, such invalidity shall not
19affect the provisions, words, phrases, clauses or application
20of this Act which can be given effect without the invalid
21provision, word, phrase, clause, or application, and to this
22end the provisions, words, phrases, and clauses of this Act
23are declared to be severable.

 

 

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1    (2) Within 60 days from the time this Section becomes law,
2the Department shall issue regulations pursuant to Section 10.
3Insofar as Section 10 requires registration under the "Vital
4Records Act", it shall not take effect until such regulations
5are issued. The Department shall make available the forms
6required under Section 10 within 30 days of the time this
7Section becomes law. No requirement that any person report
8information to the Department shall become effective until the
9Department has made available the forms required under Section
1010. All other provisions of this amended Law shall take effect
11immediately upon enactment.
 
12    Section 15. This Article shall be known and may be cited as
13the Illinois Abortion Law of 2021. References in this Article
14to "this Act" mean this Article.
 
15
Article 2.

 
16    (775 ILCS 55/Act rep.)
17    Section 205. The Reproductive Health Act is repealed.
 
18
Article 3.

 
19    Section 305. The Ambulatory Surgical Treatment Center Act
20is amended by adding Section 6.2 as follows:
 

 

 

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1    (210 ILCS 5/6.2 new)
2    Sec. 6.2. Notwithstanding any other provision of this Act,
3any corporation operating an Ambulatory Surgical Treatment
4Center devoted primarily to providing facilities for abortion
5must have a physician, who is licensed to practice medicine in
6all of its branches and is actively engaged in the practice of
7medicine at the Center, on the board of directors as a
8condition to licensure of the Center.
 
9    Section 310. The Sexual Assault Survivors Emergency
10Treatment Act is amended by adding Section 9.1 as follows:
 
11    (410 ILCS 70/9.1 new)
12    Sec. 9.1. Nothing in this Act shall be construed to
13require a hospital or an approved pediatric health care
14facility to provide any services which relate to an abortion.
 
15    Section 315. The Code of Civil Procedure is amended by
16adding Section 11-107.1a as follows:
 
17    (735 ILCS 5/11-107.1a new)
18    Sec. 11-107.1a. Injunctive relief for the father of an
19unborn child in an abortion related decision by the mother. In
20any case when a married woman wishes to have an abortion
21performed upon her, and her spouse, who is the father of the
22unborn child, is opposed to the performance of that abortion,

 

 

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1a court may hear testimony from both parties and balance the
2rights and interests of those parties.
3    When the interests of the husband in preventing the
4abortion outweigh those of the wife in having an abortion
5performed after the unborn child is viable, the court may
6issue an injunction against the performance of the abortion
7but only where the court makes a finding that the mother's life
8or physical health are not in danger.
 
9
Article 4.

 
10    Section 405. The State Employees Group Insurance Act of
111971 is amended by changing Section 6.11 as follows:
 
12    (5 ILCS 375/6.11)
13    Sec. 6.11. Required health benefits; Illinois Insurance
14Code requirements. The program of health benefits shall
15provide the post-mastectomy care benefits required to be
16covered by a policy of accident and health insurance under
17Section 356t of the Illinois Insurance Code. The program of
18health benefits shall provide the coverage required under
19Sections 356g, 356g.5, 356g.5-1, 356m, 356u, 356w, 356x,
20356z.2, 356z.4, 356z.4a, 356z.6, 356z.8, 356z.9, 356z.10,
21356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.17, 356z.22,
22356z.25, 356z.26, 356z.29, 356z.30a, 356z.32, 356z.33,
23356z.36, and 356z.41 of the Illinois Insurance Code. The

 

 

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1program of health benefits must comply with Sections 155.22a,
2155.37, 355b, 356z.19, 370c, and 370c.1 and Article XXXIIB of
3the Illinois Insurance Code. The Department of Insurance shall
4enforce the requirements of this Section with respect to
5Sections 370c and 370c.1 of the Illinois Insurance Code; all
6other requirements of this Section shall be enforced by the
7Department of Central Management Services.
8    Rulemaking authority to implement Public Act 95-1045, if
9any, is conditioned on the rules being adopted in accordance
10with all provisions of the Illinois Administrative Procedure
11Act and all rules and procedures of the Joint Committee on
12Administrative Rules; any purported rule not so adopted, for
13whatever reason, is unauthorized.
14(Source: P.A. 100-24, eff. 7-18-17; 100-138, eff. 8-18-17;
15100-863, eff. 8-14-18; 100-1024, eff. 1-1-19; 100-1057, eff.
161-1-19; 100-1102, eff. 1-1-19; 100-1170, eff. 6-1-19; 101-13,
17eff. 6-12-19; 101-281, eff. 1-1-20; 101-393, eff. 1-1-20;
18101-452, eff. 1-1-20; 101-461, eff. 1-1-20; 101-625, eff.
191-1-21.)
 
20    Section 410. The Children and Family Services Act is
21amended by changing Section 5 as follows:
 
22    (20 ILCS 505/5)  (from Ch. 23, par. 5005)
23    Sec. 5. Direct child welfare services; Department of
24Children and Family Services. To provide direct child welfare

 

 

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1services when not available through other public or private
2child care or program facilities.
3    (a) For purposes of this Section:
4        (1) "Children" means persons found within the State
5    who are under the age of 18 years. The term also includes
6    persons under age 21 who:
7            (A) were committed to the Department pursuant to
8        the Juvenile Court Act or the Juvenile Court Act of
9        1987, as amended, and who continue under the
10        jurisdiction of the court; or
11            (B) were accepted for care, service and training
12        by the Department prior to the age of 18 and whose best
13        interest in the discretion of the Department would be
14        served by continuing that care, service and training
15        because of severe emotional disturbances, physical
16        disability, social adjustment or any combination
17        thereof, or because of the need to complete an
18        educational or vocational training program.
19        (2) "Homeless youth" means persons found within the
20    State who are under the age of 19, are not in a safe and
21    stable living situation and cannot be reunited with their
22    families.
23        (3) "Child welfare services" means public social
24    services which are directed toward the accomplishment of
25    the following purposes:
26            (A) protecting and promoting the health, safety

 

 

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1        and welfare of children, including homeless,
2        dependent, or neglected children;
3            (B) remedying, or assisting in the solution of
4        problems which may result in, the neglect, abuse,
5        exploitation, or delinquency of children;
6            (C) preventing the unnecessary separation of
7        children from their families by identifying family
8        problems, assisting families in resolving their
9        problems, and preventing the breakup of the family
10        where the prevention of child removal is desirable and
11        possible when the child can be cared for at home
12        without endangering the child's health and safety;
13            (D) restoring to their families children who have
14        been removed, by the provision of services to the
15        child and the families when the child can be cared for
16        at home without endangering the child's health and
17        safety;
18            (E) placing children in suitable adoptive homes,
19        in cases where restoration to the biological family is
20        not safe, possible, or appropriate;
21            (F) assuring safe and adequate care of children
22        away from their homes, in cases where the child cannot
23        be returned home or cannot be placed for adoption. At
24        the time of placement, the Department shall consider
25        concurrent planning, as described in subsection (l-1)
26        of this Section so that permanency may occur at the

 

 

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1        earliest opportunity. Consideration should be given so
2        that if reunification fails or is delayed, the
3        placement made is the best available placement to
4        provide permanency for the child;
5            (G) (blank);
6            (H) (blank); and
7            (I) placing and maintaining children in facilities
8        that provide separate living quarters for children
9        under the age of 18 and for children 18 years of age
10        and older, unless a child 18 years of age is in the
11        last year of high school education or vocational
12        training, in an approved individual or group treatment
13        program, in a licensed shelter facility, or secure
14        child care facility. The Department is not required to
15        place or maintain children:
16                (i) who are in a foster home, or
17                (ii) who are persons with a developmental
18            disability, as defined in the Mental Health and
19            Developmental Disabilities Code, or
20                (iii) who are female children who are
21            pregnant, pregnant and parenting, or parenting, or
22                (iv) who are siblings, in facilities that
23            provide separate living quarters for children 18
24            years of age and older and for children under 18
25            years of age.
26    (b) Nothing in this Section shall be construed to

 

 

HB3053- 22 -LRB102 11392 CPF 16725 b

1authorize the expenditure of public funds for the purpose of
2performing abortions. (Blank).
3    (c) The Department shall establish and maintain
4tax-supported child welfare services and extend and seek to
5improve voluntary services throughout the State, to the end
6that services and care shall be available on an equal basis
7throughout the State to children requiring such services.
8    (d) The Director may authorize advance disbursements for
9any new program initiative to any agency contracting with the
10Department. As a prerequisite for an advance disbursement, the
11contractor must post a surety bond in the amount of the advance
12disbursement and have a purchase of service contract approved
13by the Department. The Department may pay up to 2 months
14operational expenses in advance. The amount of the advance
15disbursement shall be prorated over the life of the contract
16or the remaining months of the fiscal year, whichever is less,
17and the installment amount shall then be deducted from future
18bills. Advance disbursement authorizations for new initiatives
19shall not be made to any agency after that agency has operated
20during 2 consecutive fiscal years. The requirements of this
21Section concerning advance disbursements shall not apply with
22respect to the following: payments to local public agencies
23for child day care services as authorized by Section 5a of this
24Act; and youth service programs receiving grant funds under
25Section 17a-4.
26    (e) (Blank).

 

 

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1    (f) (Blank).
2    (g) The Department shall establish rules and regulations
3concerning its operation of programs designed to meet the
4goals of child safety and protection, family preservation,
5family reunification, and adoption, including, but not limited
6to:
7        (1) adoption;
8        (2) foster care;
9        (3) family counseling;
10        (4) protective services;
11        (5) (blank);
12        (6) homemaker service;
13        (7) return of runaway children;
14        (8) (blank);
15        (9) placement under Section 5-7 of the Juvenile Court
16    Act or Section 2-27, 3-28, 4-25, or 5-740 of the Juvenile
17    Court Act of 1987 in accordance with the federal Adoption
18    Assistance and Child Welfare Act of 1980; and
19        (10) interstate services.
20    Rules and regulations established by the Department shall
21include provisions for training Department staff and the staff
22of Department grantees, through contracts with other agencies
23or resources, in screening techniques to identify substance
24use disorders, as defined in the Substance Use Disorder Act,
25approved by the Department of Human Services, as a successor
26to the Department of Alcoholism and Substance Abuse, for the

 

 

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1purpose of identifying children and adults who should be
2referred for an assessment at an organization appropriately
3licensed by the Department of Human Services for substance use
4disorder treatment.
5    (h) If the Department finds that there is no appropriate
6program or facility within or available to the Department for
7a youth in care and that no licensed private facility has an
8adequate and appropriate program or none agrees to accept the
9youth in care, the Department shall create an appropriate
10individualized, program-oriented plan for such youth in care.
11The plan may be developed within the Department or through
12purchase of services by the Department to the extent that it is
13within its statutory authority to do.
14    (i) Service programs shall be available throughout the
15State and shall include but not be limited to the following
16services:
17        (1) case management;
18        (2) homemakers;
19        (3) counseling;
20        (4) parent education;
21        (5) day care; and
22        (6) emergency assistance and advocacy.
23    In addition, the following services may be made available
24to assess and meet the needs of children and families:
25        (1) comprehensive family-based services;
26        (2) assessments;

 

 

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1        (3) respite care; and
2        (4) in-home health services.
3    The Department shall provide transportation for any of the
4services it makes available to children or families or for
5which it refers children or families.
6    (j) The Department may provide categories of financial
7assistance and education assistance grants, and shall
8establish rules and regulations concerning the assistance and
9grants, to persons who adopt children with physical or mental
10disabilities, children who are older, or other hard-to-place
11children who (i) immediately prior to their adoption were
12youth in care or (ii) were determined eligible for financial
13assistance with respect to a prior adoption and who become
14available for adoption because the prior adoption has been
15dissolved and the parental rights of the adoptive parents have
16been terminated or because the child's adoptive parents have
17died. The Department may continue to provide financial
18assistance and education assistance grants for a child who was
19determined eligible for financial assistance under this
20subsection (j) in the interim period beginning when the
21child's adoptive parents died and ending with the finalization
22of the new adoption of the child by another adoptive parent or
23parents. The Department may also provide categories of
24financial assistance and education assistance grants, and
25shall establish rules and regulations for the assistance and
26grants, to persons appointed guardian of the person under

 

 

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1Section 5-7 of the Juvenile Court Act or Section 2-27, 3-28,
24-25, or 5-740 of the Juvenile Court Act of 1987 for children
3who were youth in care for 12 months immediately prior to the
4appointment of the guardian.
5    The amount of assistance may vary, depending upon the
6needs of the child and the adoptive parents, as set forth in
7the annual assistance agreement. Special purpose grants are
8allowed where the child requires special service but such
9costs may not exceed the amounts which similar services would
10cost the Department if it were to provide or secure them as
11guardian of the child.
12    Any financial assistance provided under this subsection is
13inalienable by assignment, sale, execution, attachment,
14garnishment, or any other remedy for recovery or collection of
15a judgment or debt.
16    (j-5) The Department shall not deny or delay the placement
17of a child for adoption if an approved family is available
18either outside of the Department region handling the case, or
19outside of the State of Illinois.
20    (k) The Department shall accept for care and training any
21child who has been adjudicated neglected or abused, or
22dependent committed to it pursuant to the Juvenile Court Act
23or the Juvenile Court Act of 1987.
24    (l) The Department shall offer family preservation
25services, as defined in Section 8.2 of the Abused and
26Neglected Child Reporting Act, to help families, including

 

 

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1adoptive and extended families. Family preservation services
2shall be offered (i) to prevent the placement of children in
3substitute care when the children can be cared for at home or
4in the custody of the person responsible for the children's
5welfare, (ii) to reunite children with their families, or
6(iii) to maintain an adoptive placement. Family preservation
7services shall only be offered when doing so will not endanger
8the children's health or safety. With respect to children who
9are in substitute care pursuant to the Juvenile Court Act of
101987, family preservation services shall not be offered if a
11goal other than those of subdivisions (A), (B), or (B-1) of
12subsection (2) of Section 2-28 of that Act has been set, except
13that reunification services may be offered as provided in
14paragraph (F) of subsection (2) of Section 2-28 of that Act.
15Nothing in this paragraph shall be construed to create a
16private right of action or claim on the part of any individual
17or child welfare agency, except that when a child is the
18subject of an action under Article II of the Juvenile Court Act
19of 1987 and the child's service plan calls for services to
20facilitate achievement of the permanency goal, the court
21hearing the action under Article II of the Juvenile Court Act
22of 1987 may order the Department to provide the services set
23out in the plan, if those services are not provided with
24reasonable promptness and if those services are available.
25    The Department shall notify the child and his family of
26the Department's responsibility to offer and provide family

 

 

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1preservation services as identified in the service plan. The
2child and his family shall be eligible for services as soon as
3the report is determined to be "indicated". The Department may
4offer services to any child or family with respect to whom a
5report of suspected child abuse or neglect has been filed,
6prior to concluding its investigation under Section 7.12 of
7the Abused and Neglected Child Reporting Act. However, the
8child's or family's willingness to accept services shall not
9be considered in the investigation. The Department may also
10provide services to any child or family who is the subject of
11any report of suspected child abuse or neglect or may refer
12such child or family to services available from other agencies
13in the community, even if the report is determined to be
14unfounded, if the conditions in the child's or family's home
15are reasonably likely to subject the child or family to future
16reports of suspected child abuse or neglect. Acceptance of
17such services shall be voluntary. The Department may also
18provide services to any child or family after completion of a
19family assessment, as an alternative to an investigation, as
20provided under the "differential response program" provided
21for in subsection (a-5) of Section 7.4 of the Abused and
22Neglected Child Reporting Act.
23    The Department may, at its discretion except for those
24children also adjudicated neglected or dependent, accept for
25care and training any child who has been adjudicated addicted,
26as a truant minor in need of supervision or as a minor

 

 

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1requiring authoritative intervention, under the Juvenile Court
2Act or the Juvenile Court Act of 1987, but no such child shall
3be committed to the Department by any court without the
4approval of the Department. On and after January 1, 2015 (the
5effective date of Public Act 98-803) and before January 1,
62017, a minor charged with a criminal offense under the
7Criminal Code of 1961 or the Criminal Code of 2012 or
8adjudicated delinquent shall not be placed in the custody of
9or committed to the Department by any court, except (i) a minor
10less than 16 years of age committed to the Department under
11Section 5-710 of the Juvenile Court Act of 1987, (ii) a minor
12for whom an independent basis of abuse, neglect, or dependency
13exists, which must be defined by departmental rule, or (iii) a
14minor for whom the court has granted a supplemental petition
15to reinstate wardship pursuant to subsection (2) of Section
162-33 of the Juvenile Court Act of 1987. On and after January 1,
172017, a minor charged with a criminal offense under the
18Criminal Code of 1961 or the Criminal Code of 2012 or
19adjudicated delinquent shall not be placed in the custody of
20or committed to the Department by any court, except (i) a minor
21less than 15 years of age committed to the Department under
22Section 5-710 of the Juvenile Court Act of 1987, ii) a minor
23for whom an independent basis of abuse, neglect, or dependency
24exists, which must be defined by departmental rule, or (iii) a
25minor for whom the court has granted a supplemental petition
26to reinstate wardship pursuant to subsection (2) of Section

 

 

HB3053- 30 -LRB102 11392 CPF 16725 b

12-33 of the Juvenile Court Act of 1987. An independent basis
2exists when the allegations or adjudication of abuse, neglect,
3or dependency do not arise from the same facts, incident, or
4circumstances which give rise to a charge or adjudication of
5delinquency. The Department shall assign a caseworker to
6attend any hearing involving a youth in the care and custody of
7the Department who is placed on aftercare release, including
8hearings involving sanctions for violation of aftercare
9release conditions and aftercare release revocation hearings.
10    As soon as is possible after August 7, 2009 (the effective
11date of Public Act 96-134), the Department shall develop and
12implement a special program of family preservation services to
13support intact, foster, and adoptive families who are
14experiencing extreme hardships due to the difficulty and
15stress of caring for a child who has been diagnosed with a
16pervasive developmental disorder if the Department determines
17that those services are necessary to ensure the health and
18safety of the child. The Department may offer services to any
19family whether or not a report has been filed under the Abused
20and Neglected Child Reporting Act. The Department may refer
21the child or family to services available from other agencies
22in the community if the conditions in the child's or family's
23home are reasonably likely to subject the child or family to
24future reports of suspected child abuse or neglect. Acceptance
25of these services shall be voluntary. The Department shall
26develop and implement a public information campaign to alert

 

 

HB3053- 31 -LRB102 11392 CPF 16725 b

1health and social service providers and the general public
2about these special family preservation services. The nature
3and scope of the services offered and the number of families
4served under the special program implemented under this
5paragraph shall be determined by the level of funding that the
6Department annually allocates for this purpose. The term
7"pervasive developmental disorder" under this paragraph means
8a neurological condition, including, but not limited to,
9Asperger's Syndrome and autism, as defined in the most recent
10edition of the Diagnostic and Statistical Manual of Mental
11Disorders of the American Psychiatric Association.
12    (l-1) The legislature recognizes that the best interests
13of the child require that the child be placed in the most
14permanent living arrangement as soon as is practically
15possible. To achieve this goal, the legislature directs the
16Department of Children and Family Services to conduct
17concurrent planning so that permanency may occur at the
18earliest opportunity. Permanent living arrangements may
19include prevention of placement of a child outside the home of
20the family when the child can be cared for at home without
21endangering the child's health or safety; reunification with
22the family, when safe and appropriate, if temporary placement
23is necessary; or movement of the child toward the most
24permanent living arrangement and permanent legal status.
25    When determining reasonable efforts to be made with
26respect to a child, as described in this subsection, and in

 

 

HB3053- 32 -LRB102 11392 CPF 16725 b

1making such reasonable efforts, the child's health and safety
2shall be the paramount concern.
3    When a child is placed in foster care, the Department
4shall ensure and document that reasonable efforts were made to
5prevent or eliminate the need to remove the child from the
6child's home. The Department must make reasonable efforts to
7reunify the family when temporary placement of the child
8occurs unless otherwise required, pursuant to the Juvenile
9Court Act of 1987. At any time after the dispositional hearing
10where the Department believes that further reunification
11services would be ineffective, it may request a finding from
12the court that reasonable efforts are no longer appropriate.
13The Department is not required to provide further
14reunification services after such a finding.
15    A decision to place a child in substitute care shall be
16made with considerations of the child's health, safety, and
17best interests. At the time of placement, consideration should
18also be given so that if reunification fails or is delayed, the
19placement made is the best available placement to provide
20permanency for the child.
21    The Department shall adopt rules addressing concurrent
22planning for reunification and permanency. The Department
23shall consider the following factors when determining
24appropriateness of concurrent planning:
25        (1) the likelihood of prompt reunification;
26        (2) the past history of the family;

 

 

HB3053- 33 -LRB102 11392 CPF 16725 b

1        (3) the barriers to reunification being addressed by
2    the family;
3        (4) the level of cooperation of the family;
4        (5) the foster parents' willingness to work with the
5    family to reunite;
6        (6) the willingness and ability of the foster family
7    to provide an adoptive home or long-term placement;
8        (7) the age of the child;
9        (8) placement of siblings.
10    (m) The Department may assume temporary custody of any
11child if:
12        (1) it has received a written consent to such
13    temporary custody signed by the parents of the child or by
14    the parent having custody of the child if the parents are
15    not living together or by the guardian or custodian of the
16    child if the child is not in the custody of either parent,
17    or
18        (2) the child is found in the State and neither a
19    parent, guardian nor custodian of the child can be
20    located.
21If the child is found in his or her residence without a parent,
22guardian, custodian, or responsible caretaker, the Department
23may, instead of removing the child and assuming temporary
24custody, place an authorized representative of the Department
25in that residence until such time as a parent, guardian, or
26custodian enters the home and expresses a willingness and

 

 

HB3053- 34 -LRB102 11392 CPF 16725 b

1apparent ability to ensure the child's health and safety and
2resume permanent charge of the child, or until a relative
3enters the home and is willing and able to ensure the child's
4health and safety and assume charge of the child until a
5parent, guardian, or custodian enters the home and expresses
6such willingness and ability to ensure the child's safety and
7resume permanent charge. After a caretaker has remained in the
8home for a period not to exceed 12 hours, the Department must
9follow those procedures outlined in Section 2-9, 3-11, 4-8, or
105-415 of the Juvenile Court Act of 1987.
11    The Department shall have the authority, responsibilities
12and duties that a legal custodian of the child would have
13pursuant to subsection (9) of Section 1-3 of the Juvenile
14Court Act of 1987. Whenever a child is taken into temporary
15custody pursuant to an investigation under the Abused and
16Neglected Child Reporting Act, or pursuant to a referral and
17acceptance under the Juvenile Court Act of 1987 of a minor in
18limited custody, the Department, during the period of
19temporary custody and before the child is brought before a
20judicial officer as required by Section 2-9, 3-11, 4-8, or
215-415 of the Juvenile Court Act of 1987, shall have the
22authority, responsibilities and duties that a legal custodian
23of the child would have under subsection (9) of Section 1-3 of
24the Juvenile Court Act of 1987.
25    The Department shall ensure that any child taken into
26custody is scheduled for an appointment for a medical

 

 

HB3053- 35 -LRB102 11392 CPF 16725 b

1examination.
2    A parent, guardian, or custodian of a child in the
3temporary custody of the Department who would have custody of
4the child if he were not in the temporary custody of the
5Department may deliver to the Department a signed request that
6the Department surrender the temporary custody of the child.
7The Department may retain temporary custody of the child for
810 days after the receipt of the request, during which period
9the Department may cause to be filed a petition pursuant to the
10Juvenile Court Act of 1987. If a petition is so filed, the
11Department shall retain temporary custody of the child until
12the court orders otherwise. If a petition is not filed within
13the 10-day period, the child shall be surrendered to the
14custody of the requesting parent, guardian, or custodian not
15later than the expiration of the 10-day period, at which time
16the authority and duties of the Department with respect to the
17temporary custody of the child shall terminate.
18    (m-1) The Department may place children under 18 years of
19age in a secure child care facility licensed by the Department
20that cares for children who are in need of secure living
21arrangements for their health, safety, and well-being after a
22determination is made by the facility director and the
23Director or the Director's designate prior to admission to the
24facility subject to Section 2-27.1 of the Juvenile Court Act
25of 1987. This subsection (m-1) does not apply to a child who is
26subject to placement in a correctional facility operated

 

 

HB3053- 36 -LRB102 11392 CPF 16725 b

1pursuant to Section 3-15-2 of the Unified Code of Corrections,
2unless the child is a youth in care who was placed in the care
3of the Department before being subject to placement in a
4correctional facility and a court of competent jurisdiction
5has ordered placement of the child in a secure care facility.
6    (n) The Department may place children under 18 years of
7age in licensed child care facilities when in the opinion of
8the Department, appropriate services aimed at family
9preservation have been unsuccessful and cannot ensure the
10child's health and safety or are unavailable and such
11placement would be for their best interest. Payment for board,
12clothing, care, training and supervision of any child placed
13in a licensed child care facility may be made by the
14Department, by the parents or guardians of the estates of
15those children, or by both the Department and the parents or
16guardians, except that no payments shall be made by the
17Department for any child placed in a licensed child care
18facility for board, clothing, care, training and supervision
19of such a child that exceed the average per capita cost of
20maintaining and of caring for a child in institutions for
21dependent or neglected children operated by the Department.
22However, such restriction on payments does not apply in cases
23where children require specialized care and treatment for
24problems of severe emotional disturbance, physical disability,
25social adjustment, or any combination thereof and suitable
26facilities for the placement of such children are not

 

 

HB3053- 37 -LRB102 11392 CPF 16725 b

1available at payment rates within the limitations set forth in
2this Section. All reimbursements for services delivered shall
3be absolutely inalienable by assignment, sale, attachment, or
4garnishment or otherwise.
5    (n-1) The Department shall provide or authorize child
6welfare services, aimed at assisting minors to achieve
7sustainable self-sufficiency as independent adults, for any
8minor eligible for the reinstatement of wardship pursuant to
9subsection (2) of Section 2-33 of the Juvenile Court Act of
101987, whether or not such reinstatement is sought or allowed,
11provided that the minor consents to such services and has not
12yet attained the age of 21. The Department shall have
13responsibility for the development and delivery of services
14under this Section. An eligible youth may access services
15under this Section through the Department of Children and
16Family Services or by referral from the Department of Human
17Services. Youth participating in services under this Section
18shall cooperate with the assigned case manager in developing
19an agreement identifying the services to be provided and how
20the youth will increase skills to achieve self-sufficiency. A
21homeless shelter is not considered appropriate housing for any
22youth receiving child welfare services under this Section. The
23Department shall continue child welfare services under this
24Section to any eligible minor until the minor becomes 21 years
25of age, no longer consents to participate, or achieves
26self-sufficiency as identified in the minor's service plan.

 

 

HB3053- 38 -LRB102 11392 CPF 16725 b

1The Department of Children and Family Services shall create
2clear, readable notice of the rights of former foster youth to
3child welfare services under this Section and how such
4services may be obtained. The Department of Children and
5Family Services and the Department of Human Services shall
6disseminate this information statewide. The Department shall
7adopt regulations describing services intended to assist
8minors in achieving sustainable self-sufficiency as
9independent adults.
10    (o) The Department shall establish an administrative
11review and appeal process for children and families who
12request or receive child welfare services from the Department.
13Youth in care who are placed by private child welfare
14agencies, and foster families with whom those youth are
15placed, shall be afforded the same procedural and appeal
16rights as children and families in the case of placement by the
17Department, including the right to an initial review of a
18private agency decision by that agency. The Department shall
19ensure that any private child welfare agency, which accepts
20youth in care for placement, affords those rights to children
21and foster families. The Department shall accept for
22administrative review and an appeal hearing a complaint made
23by (i) a child or foster family concerning a decision
24following an initial review by a private child welfare agency
25or (ii) a prospective adoptive parent who alleges a violation
26of subsection (j-5) of this Section. An appeal of a decision

 

 

HB3053- 39 -LRB102 11392 CPF 16725 b

1concerning a change in the placement of a child shall be
2conducted in an expedited manner. A court determination that a
3current foster home placement is necessary and appropriate
4under Section 2-28 of the Juvenile Court Act of 1987 does not
5constitute a judicial determination on the merits of an
6administrative appeal, filed by a former foster parent,
7involving a change of placement decision.
8    (p) (Blank).
9    (q) The Department may receive and use, in their entirety,
10for the benefit of children any gift, donation, or bequest of
11money or other property which is received on behalf of such
12children, or any financial benefits to which such children are
13or may become entitled while under the jurisdiction or care of
14the Department.
15    The Department shall set up and administer no-cost,
16interest-bearing accounts in appropriate financial
17institutions for children for whom the Department is legally
18responsible and who have been determined eligible for
19Veterans' Benefits, Social Security benefits, assistance
20allotments from the armed forces, court ordered payments,
21parental voluntary payments, Supplemental Security Income,
22Railroad Retirement payments, Black Lung benefits, or other
23miscellaneous payments. Interest earned by each account shall
24be credited to the account, unless disbursed in accordance
25with this subsection.
26    In disbursing funds from children's accounts, the

 

 

HB3053- 40 -LRB102 11392 CPF 16725 b

1Department shall:
2        (1) Establish standards in accordance with State and
3    federal laws for disbursing money from children's
4    accounts. In all circumstances, the Department's
5    "Guardianship Administrator" or his or her designee must
6    approve disbursements from children's accounts. The
7    Department shall be responsible for keeping complete
8    records of all disbursements for each account for any
9    purpose.
10        (2) Calculate on a monthly basis the amounts paid from
11    State funds for the child's board and care, medical care
12    not covered under Medicaid, and social services; and
13    utilize funds from the child's account, as covered by
14    regulation, to reimburse those costs. Monthly,
15    disbursements from all children's accounts, up to 1/12 of
16    $13,000,000, shall be deposited by the Department into the
17    General Revenue Fund and the balance over 1/12 of
18    $13,000,000 into the DCFS Children's Services Fund.
19        (3) Maintain any balance remaining after reimbursing
20    for the child's costs of care, as specified in item (2).
21    The balance shall accumulate in accordance with relevant
22    State and federal laws and shall be disbursed to the child
23    or his or her guardian, or to the issuing agency.
24    (r) The Department shall promulgate regulations
25encouraging all adoption agencies to voluntarily forward to
26the Department or its agent names and addresses of all persons

 

 

HB3053- 41 -LRB102 11392 CPF 16725 b

1who have applied for and have been approved for adoption of a
2hard-to-place child or child with a disability and the names
3of such children who have not been placed for adoption. A list
4of such names and addresses shall be maintained by the
5Department or its agent, and coded lists which maintain the
6confidentiality of the person seeking to adopt the child and
7of the child shall be made available, without charge, to every
8adoption agency in the State to assist the agencies in placing
9such children for adoption. The Department may delegate to an
10agent its duty to maintain and make available such lists. The
11Department shall ensure that such agent maintains the
12confidentiality of the person seeking to adopt the child and
13of the child.
14    (s) The Department of Children and Family Services may
15establish and implement a program to reimburse Department and
16private child welfare agency foster parents licensed by the
17Department of Children and Family Services for damages
18sustained by the foster parents as a result of the malicious or
19negligent acts of foster children, as well as providing third
20party coverage for such foster parents with regard to actions
21of foster children to other individuals. Such coverage will be
22secondary to the foster parent liability insurance policy, if
23applicable. The program shall be funded through appropriations
24from the General Revenue Fund, specifically designated for
25such purposes.
26    (t) The Department shall perform home studies and

 

 

HB3053- 42 -LRB102 11392 CPF 16725 b

1investigations and shall exercise supervision over visitation
2as ordered by a court pursuant to the Illinois Marriage and
3Dissolution of Marriage Act or the Adoption Act only if:
4        (1) an order entered by an Illinois court specifically
5    directs the Department to perform such services; and
6        (2) the court has ordered one or both of the parties to
7    the proceeding to reimburse the Department for its
8    reasonable costs for providing such services in accordance
9    with Department rules, or has determined that neither
10    party is financially able to pay.
11    The Department shall provide written notification to the
12court of the specific arrangements for supervised visitation
13and projected monthly costs within 60 days of the court order.
14The Department shall send to the court information related to
15the costs incurred except in cases where the court has
16determined the parties are financially unable to pay. The
17court may order additional periodic reports as appropriate.
18    (u) In addition to other information that must be
19provided, whenever the Department places a child with a
20prospective adoptive parent or parents, or in a licensed
21foster home, group home, or child care institution, or in a
22relative home, the Department shall provide to the prospective
23adoptive parent or parents or other caretaker:
24        (1) available detailed information concerning the
25    child's educational and health history, copies of
26    immunization records (including insurance and medical card

 

 

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1    information), a history of the child's previous
2    placements, if any, and reasons for placement changes
3    excluding any information that identifies or reveals the
4    location of any previous caretaker;
5        (2) a copy of the child's portion of the client
6    service plan, including any visitation arrangement, and
7    all amendments or revisions to it as related to the child;
8    and
9        (3) information containing details of the child's
10    individualized educational plan when the child is
11    receiving special education services.
12    The caretaker shall be informed of any known social or
13behavioral information (including, but not limited to,
14criminal background, fire setting, perpetuation of sexual
15abuse, destructive behavior, and substance abuse) necessary to
16care for and safeguard the children to be placed or currently
17in the home. The Department may prepare a written summary of
18the information required by this paragraph, which may be
19provided to the foster or prospective adoptive parent in
20advance of a placement. The foster or prospective adoptive
21parent may review the supporting documents in the child's file
22in the presence of casework staff. In the case of an emergency
23placement, casework staff shall at least provide known
24information verbally, if necessary, and must subsequently
25provide the information in writing as required by this
26subsection.

 

 

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1    The information described in this subsection shall be
2provided in writing. In the case of emergency placements when
3time does not allow prior review, preparation, and collection
4of written information, the Department shall provide such
5information as it becomes available. Within 10 business days
6after placement, the Department shall obtain from the
7prospective adoptive parent or parents or other caretaker a
8signed verification of receipt of the information provided.
9Within 10 business days after placement, the Department shall
10provide to the child's guardian ad litem a copy of the
11information provided to the prospective adoptive parent or
12parents or other caretaker. The information provided to the
13prospective adoptive parent or parents or other caretaker
14shall be reviewed and approved regarding accuracy at the
15supervisory level.
16    (u-5) Effective July 1, 1995, only foster care placements
17licensed as foster family homes pursuant to the Child Care Act
18of 1969 shall be eligible to receive foster care payments from
19the Department. Relative caregivers who, as of July 1, 1995,
20were approved pursuant to approved relative placement rules
21previously promulgated by the Department at 89 Ill. Adm. Code
22335 and had submitted an application for licensure as a foster
23family home may continue to receive foster care payments only
24until the Department determines that they may be licensed as a
25foster family home or that their application for licensure is
26denied or until September 30, 1995, whichever occurs first.

 

 

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1    (v) The Department shall access criminal history record
2information as defined in the Illinois Uniform Conviction
3Information Act and information maintained in the adjudicatory
4and dispositional record system as defined in Section 2605-355
5of the Department of State Police Law (20 ILCS 2605/2605-355)
6if the Department determines the information is necessary to
7perform its duties under the Abused and Neglected Child
8Reporting Act, the Child Care Act of 1969, and the Children and
9Family Services Act. The Department shall provide for
10interactive computerized communication and processing
11equipment that permits direct on-line communication with the
12Department of State Police's central criminal history data
13repository. The Department shall comply with all certification
14requirements and provide certified operators who have been
15trained by personnel from the Department of State Police. In
16addition, one Office of the Inspector General investigator
17shall have training in the use of the criminal history
18information access system and have access to the terminal. The
19Department of Children and Family Services and its employees
20shall abide by rules and regulations established by the
21Department of State Police relating to the access and
22dissemination of this information.
23    (v-1) Prior to final approval for placement of a child,
24the Department shall conduct a criminal records background
25check of the prospective foster or adoptive parent, including
26fingerprint-based checks of national crime information

 

 

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1databases. Final approval for placement shall not be granted
2if the record check reveals a felony conviction for child
3abuse or neglect, for spousal abuse, for a crime against
4children, or for a crime involving violence, including rape,
5sexual assault, or homicide, but not including other physical
6assault or battery, or if there is a felony conviction for
7physical assault, battery, or a drug-related offense committed
8within the past 5 years.
9    (v-2) Prior to final approval for placement of a child,
10the Department shall check its child abuse and neglect
11registry for information concerning prospective foster and
12adoptive parents, and any adult living in the home. If any
13prospective foster or adoptive parent or other adult living in
14the home has resided in another state in the preceding 5 years,
15the Department shall request a check of that other state's
16child abuse and neglect registry.
17    (w) Within 120 days of August 20, 1995 (the effective date
18of Public Act 89-392), the Department shall prepare and submit
19to the Governor and the General Assembly, a written plan for
20the development of in-state licensed secure child care
21facilities that care for children who are in need of secure
22living arrangements for their health, safety, and well-being.
23For purposes of this subsection, secure care facility shall
24mean a facility that is designed and operated to ensure that
25all entrances and exits from the facility, a building or a
26distinct part of the building, are under the exclusive control

 

 

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1of the staff of the facility, whether or not the child has the
2freedom of movement within the perimeter of the facility,
3building, or distinct part of the building. The plan shall
4include descriptions of the types of facilities that are
5needed in Illinois; the cost of developing these secure care
6facilities; the estimated number of placements; the potential
7cost savings resulting from the movement of children currently
8out-of-state who are projected to be returned to Illinois; the
9necessary geographic distribution of these facilities in
10Illinois; and a proposed timetable for development of such
11facilities.
12    (x) The Department shall conduct annual credit history
13checks to determine the financial history of children placed
14under its guardianship pursuant to the Juvenile Court Act of
151987. The Department shall conduct such credit checks starting
16when a youth in care turns 12 years old and each year
17thereafter for the duration of the guardianship as terminated
18pursuant to the Juvenile Court Act of 1987. The Department
19shall determine if financial exploitation of the child's
20personal information has occurred. If financial exploitation
21appears to have taken place or is presently ongoing, the
22Department shall notify the proper law enforcement agency, the
23proper State's Attorney, or the Attorney General.
24    (y) Beginning on July 22, 2010 (the effective date of
25Public Act 96-1189), a child with a disability who receives
26residential and educational services from the Department shall

 

 

HB3053- 48 -LRB102 11392 CPF 16725 b

1be eligible to receive transition services in accordance with
2Article 14 of the School Code from the age of 14.5 through age
321, inclusive, notwithstanding the child's residential
4services arrangement. For purposes of this subsection, "child
5with a disability" means a child with a disability as defined
6by the federal Individuals with Disabilities Education
7Improvement Act of 2004.
8    (z) The Department shall access criminal history record
9information as defined as "background information" in this
10subsection and criminal history record information as defined
11in the Illinois Uniform Conviction Information Act for each
12Department employee or Department applicant. Each Department
13employee or Department applicant shall submit his or her
14fingerprints to the Department of State Police in the form and
15manner prescribed by the Department of State Police. These
16fingerprints shall be checked against the fingerprint records
17now and hereafter filed in the Department of State Police and
18the Federal Bureau of Investigation criminal history records
19databases. The Department of State Police shall charge a fee
20for conducting the criminal history record check, which shall
21be deposited into the State Police Services Fund and shall not
22exceed the actual cost of the record check. The Department of
23State Police shall furnish, pursuant to positive
24identification, all Illinois conviction information to the
25Department of Children and Family Services.
26    For purposes of this subsection:

 

 

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1    "Background information" means all of the following:
2        (i) Upon the request of the Department of Children and
3    Family Services, conviction information obtained from the
4    Department of State Police as a result of a
5    fingerprint-based criminal history records check of the
6    Illinois criminal history records database and the Federal
7    Bureau of Investigation criminal history records database
8    concerning a Department employee or Department applicant.
9        (ii) Information obtained by the Department of
10    Children and Family Services after performing a check of
11    the Department of State Police's Sex Offender Database, as
12    authorized by Section 120 of the Sex Offender Community
13    Notification Law, concerning a Department employee or
14    Department applicant.
15        (iii) Information obtained by the Department of
16    Children and Family Services after performing a check of
17    the Child Abuse and Neglect Tracking System (CANTS)
18    operated and maintained by the Department.
19    "Department employee" means a full-time or temporary
20employee coded or certified within the State of Illinois
21Personnel System.
22    "Department applicant" means an individual who has
23conditional Department full-time or part-time work, a
24contractor, an individual used to replace or supplement staff,
25an academic intern, a volunteer in Department offices or on
26Department contracts, a work-study student, an individual or

 

 

HB3053- 50 -LRB102 11392 CPF 16725 b

1entity licensed by the Department, or an unlicensed service
2provider who works as a condition of a contract or an agreement
3and whose work may bring the unlicensed service provider into
4contact with Department clients or client records.
5(Source: P.A. 100-159, eff. 8-18-17; 100-522, eff. 9-22-17;
6100-759, eff. 1-1-19; 100-863, eff. 8-14-18; 100-978, eff.
78-19-18; 101-13, eff. 6-12-19; 101-79, eff. 7-12-19; 101-81,
8eff. 7-12-19; revised 8-1-19.)
 
9    Section 415. The Freedom of Information Act is amended by
10changing Section 7.5 as follows:
 
11    (5 ILCS 140/7.5)
12    Sec. 7.5. Statutory exemptions. To the extent provided for
13by the statutes referenced below, the following shall be
14exempt from inspection and copying:
15        (a) All information determined to be confidential
16    under Section 4002 of the Technology Advancement and
17    Development Act.
18        (b) Library circulation and order records identifying
19    library users with specific materials under the Library
20    Records Confidentiality Act.
21        (c) Applications, related documents, and medical
22    records received by the Experimental Organ Transplantation
23    Procedures Board and any and all documents or other
24    records prepared by the Experimental Organ Transplantation

 

 

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1    Procedures Board or its staff relating to applications it
2    has received.
3        (d) Information and records held by the Department of
4    Public Health and its authorized representatives relating
5    to known or suspected cases of sexually transmissible
6    disease or any information the disclosure of which is
7    restricted under the Illinois Sexually Transmissible
8    Disease Control Act.
9        (e) Information the disclosure of which is exempted
10    under Section 30 of the Radon Industry Licensing Act.
11        (f) Firm performance evaluations under Section 55 of
12    the Architectural, Engineering, and Land Surveying
13    Qualifications Based Selection Act.
14        (g) Information the disclosure of which is restricted
15    and exempted under Section 50 of the Illinois Prepaid
16    Tuition Act.
17        (h) Information the disclosure of which is exempted
18    under the State Officials and Employees Ethics Act, and
19    records of any lawfully created State or local inspector
20    general's office that would be exempt if created or
21    obtained by an Executive Inspector General's office under
22    that Act.
23        (i) Information contained in a local emergency energy
24    plan submitted to a municipality in accordance with a
25    local emergency energy plan ordinance that is adopted
26    under Section 11-21.5-5 of the Illinois Municipal Code.

 

 

HB3053- 52 -LRB102 11392 CPF 16725 b

1        (j) Information and data concerning the distribution
2    of surcharge moneys collected and remitted by carriers
3    under the Emergency Telephone System Act.
4        (k) Law enforcement officer identification information
5    or driver identification information compiled by a law
6    enforcement agency or the Department of Transportation
7    under Section 11-212 of the Illinois Vehicle Code.
8        (l) Records and information provided to a residential
9    health care facility resident sexual assault and death
10    review team or the Executive Council under the Abuse
11    Prevention Review Team Act.
12        (m) Information provided to the predatory lending
13    database created pursuant to Article 3 of the Residential
14    Real Property Disclosure Act, except to the extent
15    authorized under that Article.
16        (n) Defense budgets and petitions for certification of
17    compensation and expenses for court appointed trial
18    counsel as provided under Sections 10 and 15 of the
19    Capital Crimes Litigation Act. This subsection (n) shall
20    apply until the conclusion of the trial of the case, even
21    if the prosecution chooses not to pursue the death penalty
22    prior to trial or sentencing.
23        (o) Information that is prohibited from being
24    disclosed under Section 4 of the Illinois Health and
25    Hazardous Substances Registry Act.
26        (p) Security portions of system safety program plans,

 

 

HB3053- 53 -LRB102 11392 CPF 16725 b

1    investigation reports, surveys, schedules, lists, data, or
2    information compiled, collected, or prepared by or for the
3    Regional Transportation Authority under Section 2.11 of
4    the Regional Transportation Authority Act or the St. Clair
5    County Transit District under the Bi-State Transit Safety
6    Act.
7        (q) Information prohibited from being disclosed by the
8    Personnel Records Record Review Act.
9        (r) Information prohibited from being disclosed by the
10    Illinois School Student Records Act.
11        (s) Information the disclosure of which is restricted
12    under Section 5-108 of the Public Utilities Act.
13        (t) All identified or deidentified health information
14    in the form of health data or medical records contained
15    in, stored in, submitted to, transferred by, or released
16    from the Illinois Health Information Exchange, and
17    identified or deidentified health information in the form
18    of health data and medical records of the Illinois Health
19    Information Exchange in the possession of the Illinois
20    Health Information Exchange Office due to its
21    administration of the Illinois Health Information
22    Exchange. The terms "identified" and "deidentified" shall
23    be given the same meaning as in the Health Insurance
24    Portability and Accountability Act of 1996, Public Law
25    104-191, or any subsequent amendments thereto, and any
26    regulations promulgated thereunder.

 

 

HB3053- 54 -LRB102 11392 CPF 16725 b

1        (u) Records and information provided to an independent
2    team of experts under the Developmental Disability and
3    Mental Health Safety Act (also known as Brian's Law).
4        (v) Names and information of people who have applied
5    for or received Firearm Owner's Identification Cards under
6    the Firearm Owners Identification Card Act or applied for
7    or received a concealed carry license under the Firearm
8    Concealed Carry Act, unless otherwise authorized by the
9    Firearm Concealed Carry Act; and databases under the
10    Firearm Concealed Carry Act, records of the Concealed
11    Carry Licensing Review Board under the Firearm Concealed
12    Carry Act, and law enforcement agency objections under the
13    Firearm Concealed Carry Act.
14        (w) Personally identifiable information which is
15    exempted from disclosure under subsection (g) of Section
16    19.1 of the Toll Highway Act.
17        (x) Information which is exempted from disclosure
18    under Section 5-1014.3 of the Counties Code or Section
19    8-11-21 of the Illinois Municipal Code.
20        (y) Confidential information under the Adult
21    Protective Services Act and its predecessor enabling
22    statute, the Elder Abuse and Neglect Act, including
23    information about the identity and administrative finding
24    against any caregiver of a verified and substantiated
25    decision of abuse, neglect, or financial exploitation of
26    an eligible adult maintained in the Registry established

 

 

HB3053- 55 -LRB102 11392 CPF 16725 b

1    under Section 7.5 of the Adult Protective Services Act.
2        (z) Records and information provided to a fatality
3    review team or the Illinois Fatality Review Team Advisory
4    Council under Section 15 of the Adult Protective Services
5    Act.
6        (aa) Information which is exempted from disclosure
7    under Section 2.37 of the Wildlife Code.
8        (bb) Information which is or was prohibited from
9    disclosure by the Juvenile Court Act of 1987.
10        (cc) Recordings made under the Law Enforcement
11    Officer-Worn Body Camera Act, except to the extent
12    authorized under that Act.
13        (dd) Information that is prohibited from being
14    disclosed under Section 45 of the Condominium and Common
15    Interest Community Ombudsperson Act.
16        (ee) Information that is exempted from disclosure
17    under Section 30.1 of the Pharmacy Practice Act.
18        (ff) Information that is exempted from disclosure
19    under the Revised Uniform Unclaimed Property Act.
20        (gg) Information that is prohibited from being
21    disclosed under Section 7-603.5 of the Illinois Vehicle
22    Code.
23        (hh) Records that are exempt from disclosure under
24    Section 1A-16.7 of the Election Code.
25        (ii) Information which is exempted from disclosure
26    under Section 2505-800 of the Department of Revenue Law of

 

 

HB3053- 56 -LRB102 11392 CPF 16725 b

1    the Civil Administrative Code of Illinois.
2        (jj) Information and reports that are required to be
3    submitted to the Department of Labor by registering day
4    and temporary labor service agencies but are exempt from
5    disclosure under subsection (a-1) of Section 45 of the Day
6    and Temporary Labor Services Act.
7        (kk) Information prohibited from disclosure under the
8    Seizure and Forfeiture Reporting Act.
9        (ll) Information the disclosure of which is restricted
10    and exempted under Section 5-30.8 of the Illinois Public
11    Aid Code.
12        (mm) Records that are exempt from disclosure under
13    Section 4.2 of the Crime Victims Compensation Act.
14        (nn) Information that is exempt from disclosure under
15    Section 70 of the Higher Education Student Assistance Act.
16        (oo) Communications, notes, records, and reports
17    arising out of a peer support counseling session
18    prohibited from disclosure under the First Responders
19    Suicide Prevention Act.
20        (pp) Names and all identifying information relating to
21    an employee of an emergency services provider or law
22    enforcement agency under the First Responders Suicide
23    Prevention Act.
24        (qq) (Blank). Information and records held by the
25    Department of Public Health and its authorized
26    representatives collected under the Reproductive Health

 

 

HB3053- 57 -LRB102 11392 CPF 16725 b

1    Act.
2        (rr) Information that is exempt from disclosure under
3    the Cannabis Regulation and Tax Act.
4        (ss) Data reported by an employer to the Department of
5    Human Rights pursuant to Section 2-108 of the Illinois
6    Human Rights Act.
7        (tt) Recordings made under the Children's Advocacy
8    Center Act, except to the extent authorized under that
9    Act.
10        (uu) Information that is exempt from disclosure under
11    Section 50 of the Sexual Assault Evidence Submission Act.
12        (vv) Information that is exempt from disclosure under
13    subsections (f) and (j) of Section 5-36 of the Illinois
14    Public Aid Code.
15        (ww) Information that is exempt from disclosure under
16    Section 16.8 of the State Treasurer Act.
17        (xx) Information that is exempt from disclosure or
18    information that shall not be made public under the
19    Illinois Insurance Code.
20        (yy) Information prohibited from being disclosed under
21    the Illinois Educational Labor Relations Act.
22        (zz) Information prohibited from being disclosed under
23    the Illinois Public Labor Relations Act.
24        (aaa) Information prohibited from being disclosed
25    under Section 1-167 of the Illinois Pension Code.
26(Source: P.A. 100-20, eff. 7-1-17; 100-22, eff. 1-1-18;

 

 

HB3053- 58 -LRB102 11392 CPF 16725 b

1100-201, eff. 8-18-17; 100-373, eff. 1-1-18; 100-464, eff.
28-28-17; 100-465, eff. 8-31-17; 100-512, eff. 7-1-18; 100-517,
3eff. 6-1-18; 100-646, eff. 7-27-18; 100-690, eff. 1-1-19;
4100-863, eff. 8-14-18; 100-887, eff. 8-14-18; 101-13, eff.
56-12-19; 101-27, eff. 6-25-19; 101-81, eff. 7-12-19; 101-221,
6eff. 1-1-20; 101-236, eff. 1-1-20; 101-375, eff. 8-16-19;
7101-377, eff. 8-16-19; 101-452, eff. 1-1-20; 101-466, eff.
81-1-20; 101-600, eff. 12-6-19; 101-620, eff 12-20-19; 101-649,
9eff. 7-7-20.)
 
10    Section 420. The Counties Code is amended by changing
11Section 3-3013 as follows:
 
12    (55 ILCS 5/3-3013)  (from Ch. 34, par. 3-3013)
13    Sec. 3-3013. Preliminary investigations; blood and urine
14analysis; summoning jury; reports. Every coroner, whenever,
15as soon as he knows or is informed that the dead body of any
16person is found, or lying within his county, whose death is
17suspected of being:
18        (a) A sudden or violent death, whether apparently
19    suicidal, homicidal or accidental, including but not
20    limited to deaths apparently caused or contributed to by
21    thermal, traumatic, chemical, electrical or radiational
22    injury, or a complication of any of them, or by drowning or
23    suffocation, or as a result of domestic violence as
24    defined in the Illinois Domestic Violence Act of 1986;

 

 

HB3053- 59 -LRB102 11392 CPF 16725 b

1        (b) A maternal or fetal death due to abortion, or any
2    death due to a sex crime or a crime against nature;
3        (c) A death where the circumstances are suspicious,
4    obscure, mysterious or otherwise unexplained or where, in
5    the written opinion of the attending physician, the cause
6    of death is not determined;
7        (d) A death where addiction to alcohol or to any drug
8    may have been a contributory cause; or
9        (e) A death where the decedent was not attended by a
10    licensed physician;
11shall go to the place where the dead body is, and take charge
12of the same and shall make a preliminary investigation into
13the circumstances of the death. In the case of death without
14attendance by a licensed physician the body may be moved with
15the coroner's consent from the place of death to a mortuary in
16the same county. Coroners in their discretion shall notify
17such physician as is designated in accordance with Section
183-3014 to attempt to ascertain the cause of death, either by
19autopsy or otherwise.
20    In cases of accidental death involving a motor vehicle in
21which the decedent was (1) the operator or a suspected
22operator of a motor vehicle, or (2) a pedestrian 16 years of
23age or older, the coroner shall require that a blood specimen
24of at least 30 cc., and if medically possible a urine specimen
25of at least 30 cc. or as much as possible up to 30 cc., be
26withdrawn from the body of the decedent in a timely fashion

 

 

HB3053- 60 -LRB102 11392 CPF 16725 b

1after the accident causing his death, by such physician as has
2been designated in accordance with Section 3-3014, or by the
3coroner or deputy coroner or a qualified person designated by
4such physician, coroner, or deputy coroner. If the county does
5not maintain laboratory facilities for making such analysis,
6the blood and urine so drawn shall be sent to the Department of
7State Police or any other accredited or State-certified
8laboratory for analysis of the alcohol, carbon monoxide, and
9dangerous or narcotic drug content of such blood and urine
10specimens. Each specimen submitted shall be accompanied by
11pertinent information concerning the decedent upon a form
12prescribed by such laboratory. Any person drawing blood and
13urine and any person making any examination of the blood and
14urine under the terms of this Division shall be immune from all
15liability, civil or criminal, that might otherwise be incurred
16or imposed.
17    In all other cases coming within the jurisdiction of the
18coroner and referred to in subparagraphs (a) through (e)
19above, blood, and whenever possible, urine samples shall be
20analyzed for the presence of alcohol and other drugs. When the
21coroner suspects that drugs may have been involved in the
22death, either directly or indirectly, a toxicological
23examination shall be performed which may include analyses of
24blood, urine, bile, gastric contents and other tissues. When
25the coroner suspects a death is due to toxic substances, other
26than drugs, the coroner shall consult with the toxicologist

 

 

HB3053- 61 -LRB102 11392 CPF 16725 b

1prior to collection of samples. Information submitted to the
2toxicologist shall include information as to height, weight,
3age, sex and race of the decedent as well as medical history,
4medications used by and the manner of death of decedent.
5    When the coroner or medical examiner finds that the cause
6of death is due to homicidal means, the coroner or medical
7examiner shall cause blood and buccal specimens (tissue may be
8submitted if no uncontaminated blood or buccal specimen can be
9obtained), whenever possible, to be withdrawn from the body of
10the decedent in a timely fashion. For proper preservation of
11the specimens, collected blood and buccal specimens shall be
12dried and tissue specimens shall be frozen if available
13equipment exists. As soon as possible, but no later than 30
14days after the collection of the specimens, the coroner or
15medical examiner shall release those specimens to the police
16agency responsible for investigating the death. As soon as
17possible, but no later than 30 days after the receipt from the
18coroner or medical examiner, the police agency shall submit
19the specimens using the agency case number to a National DNA
20Index System (NDIS) participating laboratory within this
21State, such as the Illinois Department of State Police,
22Division of Forensic Services, for analysis and categorizing
23into genetic marker groupings. The results of the analysis and
24categorizing into genetic marker groupings shall be provided
25to the Illinois Department of State Police and shall be
26maintained by the Illinois Department of State Police in the

 

 

HB3053- 62 -LRB102 11392 CPF 16725 b

1State central repository in the same manner, and subject to
2the same conditions, as provided in Section 5-4-3 of the
3Unified Code of Corrections. The requirements of this
4paragraph are in addition to any other findings, specimens, or
5information that the coroner or medical examiner is required
6to provide during the conduct of a criminal investigation.
7    In all counties, in cases of apparent suicide, homicide,
8or accidental death or in other cases, within the discretion
9of the coroner, the coroner may summon 8 persons of lawful age
10from those persons drawn for petit jurors in the county. The
11summons shall command these persons to present themselves
12personally at such a place and time as the coroner shall
13determine, and may be in any form which the coroner shall
14determine and may incorporate any reasonable form of request
15for acknowledgement which the coroner deems practical and
16provides a reliable proof of service. The summons may be
17served by first class mail. From the 8 persons so summoned, the
18coroner shall select 6 to serve as the jury for the inquest.
19Inquests may be continued from time to time, as the coroner may
20deem necessary. The 6 jurors selected in a given case may view
21the body of the deceased. If at any continuation of an inquest
22one or more of the original jurors shall be unable to continue
23to serve, the coroner shall fill the vacancy or vacancies. A
24juror serving pursuant to this paragraph shall receive
25compensation from the county at the same rate as the rate of
26compensation that is paid to petit or grand jurors in the

 

 

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1county. The coroner shall furnish to each juror without fee at
2the time of his discharge a certificate of the number of days
3in attendance at an inquest, and, upon being presented with
4such certificate, the county treasurer shall pay to the juror
5the sum provided for his services.
6    In counties which have a jury commission, in cases of
7apparent suicide or homicide or of accidental death, the
8coroner may conduct an inquest. The jury commission shall
9provide at least 8 jurors to the coroner, from whom the coroner
10shall select any 6 to serve as the jury for the inquest.
11Inquests may be continued from time to time as the coroner may
12deem necessary. The 6 jurors originally chosen in a given case
13may view the body of the deceased. If at any continuation of an
14inquest one or more of the 6 jurors originally chosen shall be
15unable to continue to serve, the coroner shall fill the
16vacancy or vacancies. At the coroner's discretion, additional
17jurors to fill such vacancies shall be supplied by the jury
18commission. A juror serving pursuant to this paragraph in such
19county shall receive compensation from the county at the same
20rate as the rate of compensation that is paid to petit or grand
21jurors in the county.
22    In every case in which a fire is determined to be a
23contributing factor in a death, the coroner shall report the
24death to the Office of the State Fire Marshal. The coroner
25shall provide a copy of the death certificate (i) within 30
26days after filing the permanent death certificate and (ii) in

 

 

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1a manner that is agreed upon by the coroner and the State Fire
2Marshal.
3    In every case in which a drug overdose is determined to be
4the cause or a contributing factor in the death, the coroner or
5medical examiner shall report the death to the Department of
6Public Health. The Department of Public Health shall adopt
7rules regarding specific information that must be reported in
8the event of such a death. If possible, the coroner shall
9report the cause of the overdose. As used in this Section,
10"overdose" has the same meaning as it does in Section 414 of
11the Illinois Controlled Substances Act. The Department of
12Public Health shall issue a semiannual report to the General
13Assembly summarizing the reports received. The Department
14shall also provide on its website a monthly report of overdose
15death figures organized by location, age, and any other
16factors, the Department deems appropriate.
17    In addition, in every case in which domestic violence is
18determined to be a contributing factor in a death, the coroner
19shall report the death to the Department of State Police.
20    All deaths in State institutions and all deaths of wards
21of the State or youth in care as defined in Section 4d of the
22Children and Family Services Act in private care facilities or
23in programs funded by the Department of Human Services under
24its powers relating to mental health and developmental
25disabilities or alcoholism and substance abuse or funded by
26the Department of Children and Family Services shall be

 

 

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1reported to the coroner of the county in which the facility is
2located. If the coroner has reason to believe that an
3investigation is needed to determine whether the death was
4caused by maltreatment or negligent care of the ward of the
5State or youth in care as defined in Section 4d of the Children
6and Family Services Act, the coroner may conduct a preliminary
7investigation of the circumstances of such death as in cases
8of death under circumstances set forth in paragraphs (a)
9through (e) of this Section.
10(Source: P.A. 100-159, eff. 8-18-17; 101-13, eff. 6-12-19.)
 
11    Section 425. The Ambulatory Surgical Treatment Center Act
12is amended by changing Section 2, and 3 as follows:
 
13    (210 ILCS 5/2)  (from Ch. 111 1/2, par. 157-8.2)
14    Sec. 2. It is declared to be the public policy that the
15State has a legitimate interest in assuring that all medical
16procedures, including abortions, are performed under
17circumstances that insure maximum safety. Therefore, the
18purpose of this Act is to provide for the better protection of
19the public health through the development, establishment, and
20enforcement of standards (1) for the care of individuals in
21ambulatory surgical treatment centers, and (2) for the
22construction, maintenance and operation of ambulatory surgical
23treatment centers, which, in light of advancing knowledge,
24will promote safe and adequate treatment of such individuals

 

 

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1in ambulatory surgical treatment centers.
2(Source: P.A. 101-13, eff. 6-12-19.)
 
3    (210 ILCS 5/3)  (from Ch. 111 1/2, par. 157-8.3)
4    Sec. 3. As used in this Act, unless the context otherwise
5requires, the following words and phrases shall have the
6meanings ascribed to them:
7    (A) "Ambulatory surgical treatment center" means any
8institution, place or building devoted primarily to the
9maintenance and operation of facilities for the performance of
10surgical procedures. "Ambulatory surgical treatment center"
11includes any place that meets and complies with the definition
12of an ambulatory surgical treatment center under the rules
13adopted by the Department or any facility in which a medical or
14surgical procedure is utilized to terminate a pregnancy,
15irrespective of whether the facility is devoted primarily to
16this purpose. Such facility shall not provide beds or other
17accommodations for the overnight stay of patients; however,
18facilities devoted exclusively to the treatment of children
19may provide accommodations and beds for their patients for up
20to 23 hours following admission. Individual patients shall be
21discharged in an ambulatory condition without danger to the
22continued well being of the patients or shall be transferred
23to a hospital.
24    The term "ambulatory surgical treatment center" does not
25include any of the following:

 

 

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1        (1) Any institution, place, building or agency
2    required to be licensed pursuant to the "Hospital
3    Licensing Act", approved July 1, 1953, as amended.
4        (2) Any person or institution required to be licensed
5    pursuant to the Nursing Home Care Act, the Specialized
6    Mental Health Rehabilitation Act of 2013, the ID/DD
7    Community Care Act, or the MC/DD Act.
8        (3) Hospitals or ambulatory surgical treatment centers
9    maintained by the State or any department or agency
10    thereof, where such department or agency has authority
11    under law to establish and enforce standards for the
12    hospitals or ambulatory surgical treatment centers under
13    its management and control.
14        (4) Hospitals or ambulatory surgical treatment centers
15    maintained by the Federal Government or agencies thereof.
16        (5) Any place, agency, clinic, or practice, public or
17    private, whether organized for profit or not, devoted
18    exclusively to the performance of dental or oral surgical
19    procedures.
20        (6) Any facility in which the performance of abortion
21    procedures, including procedures to terminate a pregnancy
22    or to manage pregnancy loss, is limited to those performed
23    without general, epidural, or spinal anesthesia, and which
24    is not otherwise required to be an ambulatory surgical
25    treatment center. For purposes of this paragraph,
26    "general, epidural, or spinal anesthesia" does not include

 

 

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1    local anesthesia or intravenous sedation. Nothing in this
2    paragraph shall be construed to limit any such facility
3    from voluntarily electing to apply for licensure as an
4    ambulatory surgical treatment center.
5    (B) "Person" means any individual, firm, partnership,
6corporation, company, association, or joint stock association,
7or the legal successor thereof.
8    (C) "Department" means the Department of Public Health of
9the State of Illinois.
10    (D) "Director" means the Director of the Department of
11Public Health of the State of Illinois.
12    (E) "Physician" means a person licensed to practice
13medicine in all of its branches in the State of Illinois.
14    (F) "Dentist" means a person licensed to practice
15dentistry under the Illinois Dental Practice Act.
16    (G) "Podiatric physician" means a person licensed to
17practice podiatry under the Podiatric Medical Practice Act of
181987.
19(Source: P.A. 101-13, eff. 6-12-19.)
 
20    Section 430. The Illinois Insurance Code is amended by
21changing Section 356z.4 and adding 356z.4a as follows:
 
22    (215 ILCS 5/356z.4)
23    Sec. 356z.4. Coverage for contraceptives.
24    (a)(1) The General Assembly hereby finds and declares all

 

 

HB3053- 69 -LRB102 11392 CPF 16725 b

1of the following:
2        (A) Illinois has a long history of expanding timely
3    access to birth control to prevent unintended pregnancy.
4        (B) The federal Patient Protection and Affordable Care
5    Act includes a contraceptive coverage guarantee as part of
6    a broader requirement for health insurance to cover key
7    preventive care services without out-of-pocket costs for
8    patients.
9        (C) The General Assembly intends to build on existing
10    State and federal law to promote gender equity and women's
11    health and to ensure greater contraceptive coverage equity
12    and timely access to all federal Food and Drug
13    Administration approved methods of birth control for all
14    individuals covered by an individual or group health
15    insurance policy in Illinois.
16        (D) Medical management techniques such as denials,
17    step therapy, or prior authorization in public and private
18    health care coverage can impede access to the most
19    effective contraceptive methods.
20    (2) As used in this subsection (a):
21    "Contraceptive services" includes consultations,
22examinations, procedures, and medical services related to the
23use of contraceptive methods (including natural family
24planning) to prevent an unintended pregnancy.
25    "Medical necessity", for the purposes of this subsection
26(a), includes, but is not limited to, considerations such as

 

 

HB3053- 70 -LRB102 11392 CPF 16725 b

1severity of side effects, differences in permanence and
2reversibility of contraceptive, and ability to adhere to the
3appropriate use of the item or service, as determined by the
4attending provider.
5    "Therapeutic equivalent version" means drugs, devices, or
6products that can be expected to have the same clinical effect
7and safety profile when administered to patients under the
8conditions specified in the labeling and satisfy the following
9general criteria:
10        (i) they are approved as safe and effective;
11        (ii) they are pharmaceutical equivalents in that they
12    (A) contain identical amounts of the same active drug
13    ingredient in the same dosage form and route of
14    administration and (B) meet compendial or other applicable
15    standards of strength, quality, purity, and identity;
16        (iii) they are bioequivalent in that (A) they do not
17    present a known or potential bioequivalence problem and
18    they meet an acceptable in vitro standard or (B) if they do
19    present such a known or potential problem, they are shown
20    to meet an appropriate bioequivalence standard;
21        (iv) they are adequately labeled; and
22        (v) they are manufactured in compliance with Current
23    Good Manufacturing Practice regulations.
24    (3) An individual or group policy of accident and health
25insurance amended, delivered, issued, or renewed in this State
26after the effective date of this amendatory Act of the 99th

 

 

HB3053- 71 -LRB102 11392 CPF 16725 b

1General Assembly shall provide coverage for all of the
2following services and contraceptive methods:
3        (A) All contraceptive drugs, devices, and other
4    products approved by the United States Food and Drug
5    Administration. This includes all over-the-counter
6    contraceptive drugs, devices, and products approved by the
7    United States Food and Drug Administration, excluding male
8    condoms. The following apply:
9            (i) If the United States Food and Drug
10        Administration has approved one or more therapeutic
11        equivalent versions of a contraceptive drug, device,
12        or product, a policy is not required to include all
13        such therapeutic equivalent versions in its formulary,
14        so long as at least one is included and covered without
15        cost-sharing and in accordance with this Section.
16            (ii) If an individual's attending provider
17        recommends a particular service or item approved by
18        the United States Food and Drug Administration based
19        on a determination of medical necessity with respect
20        to that individual, the plan or issuer must cover that
21        service or item without cost sharing. The plan or
22        issuer must defer to the determination of the
23        attending provider.
24            (iii) If a drug, device, or product is not
25        covered, plans and issuers must have an easily
26        accessible, transparent, and sufficiently expedient

 

 

HB3053- 72 -LRB102 11392 CPF 16725 b

1        process that is not unduly burdensome on the
2        individual or a provider or other individual acting as
3        a patient's authorized representative to ensure
4        coverage without cost sharing.
5            (iv) This coverage must provide for the dispensing
6        of 12 months' worth of contraception at one time.
7        (B) Voluntary sterilization procedures.
8        (C) Contraceptive services, patient education, and
9    counseling on contraception.
10        (D) Follow-up services related to the drugs, devices,
11    products, and procedures covered under this Section,
12    including, but not limited to, management of side effects,
13    counseling for continued adherence, and device insertion
14    and removal.
15    (4) Except as otherwise provided in this subsection (a), a
16policy subject to this subsection (a) shall not impose a
17deductible, coinsurance, copayment, or any other cost-sharing
18requirement on the coverage provided. The provisions of this
19paragraph do not apply to coverage of voluntary male
20sterilization procedures to the extent such coverage would
21disqualify a high-deductible health plan from eligibility for
22a health savings account pursuant to the federal Internal
23Revenue Code, 26 U.S.C. 223.
24    (5) Except as otherwise authorized under this subsection
25(a), a policy shall not impose any restrictions or delays on
26the coverage required under this subsection (a).

 

 

HB3053- 73 -LRB102 11392 CPF 16725 b

1    (6) If, at any time, the Secretary of the United States
2Department of Health and Human Services, or its successor
3agency, promulgates rules or regulations to be published in
4the Federal Register or publishes a comment in the Federal
5Register or issues an opinion, guidance, or other action that
6would require the State, pursuant to any provision of the
7Patient Protection and Affordable Care Act (Public Law
8111-148), including, but not limited to, 42 U.S.C.
918031(d)(3)(B) or any successor provision, to defray the cost
10of any coverage outlined in this subsection (a), then this
11subsection (a) is inoperative with respect to all coverage
12outlined in this subsection (a) other than that authorized
13under Section 1902 of the Social Security Act, 42 U.S.C.
141396a, and the State shall not assume any obligation for the
15cost of the coverage set forth in this subsection (a).
16    (b) This subsection (b) shall become operative if and only
17if subsection (a) becomes inoperative.
18    An individual or group policy of accident and health
19insurance amended, delivered, issued, or renewed in this State
20after the date this subsection (b) becomes operative that
21provides coverage for outpatient services and outpatient
22prescription drugs or devices must provide coverage for the
23insured and any dependent of the insured covered by the policy
24for all outpatient contraceptive services and all outpatient
25contraceptive drugs and devices approved by the Food and Drug
26Administration. Coverage required under this Section may not

 

 

HB3053- 74 -LRB102 11392 CPF 16725 b

1impose any deductible, coinsurance, waiting period, or other
2cost-sharing or limitation that is greater than that required
3for any outpatient service or outpatient prescription drug or
4device otherwise covered by the policy.
5    Nothing in this subsection (b) shall be construed to
6require an insurance company to cover services related to
7permanent sterilization that requires a surgical procedure.
8    As used in this subsection (b), "outpatient contraceptive
9service" means consultations, examinations, procedures, and
10medical services, provided on an outpatient basis and related
11to the use of contraceptive methods (including natural family
12planning) to prevent an unintended pregnancy.
13    (c) Nothing in this Section shall be construed to require
14an insurance company to cover services related to an abortion
15as the term "abortion" is defined in the Illinois Abortion Law
16of 2021. (Blank).
17    (d) If a plan or issuer utilizes a network of providers,
18nothing in this Section shall be construed to require coverage
19or to prohibit the plan or issuer from imposing cost-sharing
20for items or services described in this Section that are
21provided or delivered by an out-of-network provider, unless
22the plan or issuer does not have in its network a provider who
23is able to or is willing to provide the applicable items or
24services.
25(Source: P.A. 100-1102, eff. 1-1-19; 101-13, eff. 6-12-19.)
 

 

 

HB3053- 75 -LRB102 11392 CPF 16725 b

1    (215 ILCS 5/356z.4a rep.)
2    Section 432. The Illinois Insurance Code is amended by
3repealing Section 356z.4a.
 
4    Section 435. The Health Maintenance Organization Act is
5amended by changing Section 5-3 as follows:
 
6    (215 ILCS 125/5-3)  (from Ch. 111 1/2, par. 1411.2)
7    Sec. 5-3. Insurance Code provisions.
8    (a) Health Maintenance Organizations shall be subject to
9the provisions of Sections 133, 134, 136, 137, 139, 140,
10141.1, 141.2, 141.3, 143, 143c, 147, 148, 149, 151, 152, 153,
11154, 154.5, 154.6, 154.7, 154.8, 155.04, 155.22a, 355.2,
12355.3, 355b, 356g.5-1, 356m, 356v, 356w, 356x, 356y, 356z.2,
13356z.4, 356z.4a, 356z.5, 356z.6, 356z.8, 356z.9, 356z.10,
14356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.17, 356z.18,
15356z.19, 356z.21, 356z.22, 356z.25, 356z.26, 356z.29, 356z.30,
16356z.30a, 356z.32, 356z.33, 356z.35, 356z.36, 356z.41, 364,
17364.01, 367.2, 367.2-5, 367i, 368a, 368b, 368c, 368d, 368e,
18370c, 370c.1, 401, 401.1, 402, 403, 403A, 408, 408.2, 409,
19412, 444, and 444.1, paragraph (c) of subsection (2) of
20Section 367, and Articles IIA, VIII 1/2, XII, XII 1/2, XIII,
21XIII 1/2, XXV, XXVI, and XXXIIB of the Illinois Insurance
22Code.
23    (b) For purposes of the Illinois Insurance Code, except
24for Sections 444 and 444.1 and Articles XIII and XIII 1/2,

 

 

HB3053- 76 -LRB102 11392 CPF 16725 b

1Health Maintenance Organizations in the following categories
2are deemed to be "domestic companies":
3        (1) a corporation authorized under the Dental Service
4    Plan Act or the Voluntary Health Services Plans Act;
5        (2) a corporation organized under the laws of this
6    State; or
7        (3) a corporation organized under the laws of another
8    state, 30% or more of the enrollees of which are residents
9    of this State, except a corporation subject to
10    substantially the same requirements in its state of
11    organization as is a "domestic company" under Article VIII
12    1/2 of the Illinois Insurance Code.
13    (c) In considering the merger, consolidation, or other
14acquisition of control of a Health Maintenance Organization
15pursuant to Article VIII 1/2 of the Illinois Insurance Code,
16        (1) the Director shall give primary consideration to
17    the continuation of benefits to enrollees and the
18    financial conditions of the acquired Health Maintenance
19    Organization after the merger, consolidation, or other
20    acquisition of control takes effect;
21        (2)(i) the criteria specified in subsection (1)(b) of
22    Section 131.8 of the Illinois Insurance Code shall not
23    apply and (ii) the Director, in making his determination
24    with respect to the merger, consolidation, or other
25    acquisition of control, need not take into account the
26    effect on competition of the merger, consolidation, or

 

 

HB3053- 77 -LRB102 11392 CPF 16725 b

1    other acquisition of control;
2        (3) the Director shall have the power to require the
3    following information:
4            (A) certification by an independent actuary of the
5        adequacy of the reserves of the Health Maintenance
6        Organization sought to be acquired;
7            (B) pro forma financial statements reflecting the
8        combined balance sheets of the acquiring company and
9        the Health Maintenance Organization sought to be
10        acquired as of the end of the preceding year and as of
11        a date 90 days prior to the acquisition, as well as pro
12        forma financial statements reflecting projected
13        combined operation for a period of 2 years;
14            (C) a pro forma business plan detailing an
15        acquiring party's plans with respect to the operation
16        of the Health Maintenance Organization sought to be
17        acquired for a period of not less than 3 years; and
18            (D) such other information as the Director shall
19        require.
20    (d) The provisions of Article VIII 1/2 of the Illinois
21Insurance Code and this Section 5-3 shall apply to the sale by
22any health maintenance organization of greater than 10% of its
23enrollee population (including without limitation the health
24maintenance organization's right, title, and interest in and
25to its health care certificates).
26    (e) In considering any management contract or service

 

 

HB3053- 78 -LRB102 11392 CPF 16725 b

1agreement subject to Section 141.1 of the Illinois Insurance
2Code, the Director (i) shall, in addition to the criteria
3specified in Section 141.2 of the Illinois Insurance Code,
4take into account the effect of the management contract or
5service agreement on the continuation of benefits to enrollees
6and the financial condition of the health maintenance
7organization to be managed or serviced, and (ii) need not take
8into account the effect of the management contract or service
9agreement on competition.
10    (f) Except for small employer groups as defined in the
11Small Employer Rating, Renewability and Portability Health
12Insurance Act and except for medicare supplement policies as
13defined in Section 363 of the Illinois Insurance Code, a
14Health Maintenance Organization may by contract agree with a
15group or other enrollment unit to effect refunds or charge
16additional premiums under the following terms and conditions:
17        (i) the amount of, and other terms and conditions with
18    respect to, the refund or additional premium are set forth
19    in the group or enrollment unit contract agreed in advance
20    of the period for which a refund is to be paid or
21    additional premium is to be charged (which period shall
22    not be less than one year); and
23        (ii) the amount of the refund or additional premium
24    shall not exceed 20% of the Health Maintenance
25    Organization's profitable or unprofitable experience with
26    respect to the group or other enrollment unit for the

 

 

HB3053- 79 -LRB102 11392 CPF 16725 b

1    period (and, for purposes of a refund or additional
2    premium, the profitable or unprofitable experience shall
3    be calculated taking into account a pro rata share of the
4    Health Maintenance Organization's administrative and
5    marketing expenses, but shall not include any refund to be
6    made or additional premium to be paid pursuant to this
7    subsection (f)). The Health Maintenance Organization and
8    the group or enrollment unit may agree that the profitable
9    or unprofitable experience may be calculated taking into
10    account the refund period and the immediately preceding 2
11    plan years.
12    The Health Maintenance Organization shall include a
13statement in the evidence of coverage issued to each enrollee
14describing the possibility of a refund or additional premium,
15and upon request of any group or enrollment unit, provide to
16the group or enrollment unit a description of the method used
17to calculate (1) the Health Maintenance Organization's
18profitable experience with respect to the group or enrollment
19unit and the resulting refund to the group or enrollment unit
20or (2) the Health Maintenance Organization's unprofitable
21experience with respect to the group or enrollment unit and
22the resulting additional premium to be paid by the group or
23enrollment unit.
24    In no event shall the Illinois Health Maintenance
25Organization Guaranty Association be liable to pay any
26contractual obligation of an insolvent organization to pay any

 

 

HB3053- 80 -LRB102 11392 CPF 16725 b

1refund authorized under this Section.
2    (g) Rulemaking authority to implement Public Act 95-1045,
3if any, is conditioned on the rules being adopted in
4accordance with all provisions of the Illinois Administrative
5Procedure Act and all rules and procedures of the Joint
6Committee on Administrative Rules; any purported rule not so
7adopted, for whatever reason, is unauthorized.
8(Source: P.A. 100-24, eff. 7-18-17; 100-138, eff. 8-18-17;
9100-863, eff. 8-14-18; 100-1026, eff. 8-22-18; 100-1057, eff.
101-1-19; 100-1102, eff. 1-1-19; 101-13, eff. 6-12-19; 101-81,
11eff. 7-12-19; 101-281, eff. 1-1-20; 101-371, eff. 1-1-20;
12101-393, eff. 1-1-20; 101-452, eff. 1-1-20; 101-461, eff.
131-1-20; 101-625, eff. 1-1-21.)
 
14    Section 440. The Voluntary Health Services Plans Act is
15amended by changing Section 10 as follows:
 
16    (215 ILCS 165/10)  (from Ch. 32, par. 604)
17    Sec. 10. Application of Insurance Code provisions. Health
18services plan corporations and all persons interested therein
19or dealing therewith shall be subject to the provisions of
20Articles IIA and XII 1/2 and Sections 3.1, 133, 136, 139, 140,
21143, 143c, 149, 155.22a, 155.37, 354, 355.2, 355.3, 355b,
22356g, 356g.5, 356g.5-1, 356r, 356t, 356u, 356v, 356w, 356x,
23356y, 356z.1, 356z.2, 356z.4, 356z.4a, 356z.5, 356z.6, 356z.8,
24356z.9, 356z.10, 356z.11, 356z.12, 356z.13, 356z.14, 356z.15,

 

 

HB3053- 81 -LRB102 11392 CPF 16725 b

1356z.18, 356z.19, 356z.21, 356z.22, 356z.25, 356z.26, 356z.29,
2356z.30, 356z.30a, 356z.32, 356z.33, 356z.41, 364.01, 367.2,
3368a, 401, 401.1, 402, 403, 403A, 408, 408.2, and 412, and
4paragraphs (7) and (15) of Section 367 of the Illinois
5Insurance Code.
6    Rulemaking authority to implement Public Act 95-1045, if
7any, is conditioned on the rules being adopted in accordance
8with all provisions of the Illinois Administrative Procedure
9Act and all rules and procedures of the Joint Committee on
10Administrative Rules; any purported rule not so adopted, for
11whatever reason, is unauthorized.
12(Source: P.A. 100-24, eff. 7-18-17; 100-138, eff. 8-18-17;
13100-863, eff. 8-14-18; 100-1026, eff. 8-22-18; 100-1057, eff.
141-1-19; 100-1102, eff. 1-1-19; 101-13, eff. 6-12-19; 101-81,
15eff. 7-12-19; 101-281, eff. 1-1-20; 101-393, eff. 1-1-20;
16101-625, eff. 1-1-21.)
 
17    Section 445. The Medical Practice Act of 1987 is amended
18by changing Section 22 and 36 as follows:
 
19    (225 ILCS 60/22)  (from Ch. 111, par. 4400-22)
20    (Section scheduled to be repealed on January 1, 2022)
21    Sec. 22. Disciplinary action.
22    (A) The Department may revoke, suspend, place on
23probation, reprimand, refuse to issue or renew, or take any
24other disciplinary or non-disciplinary action as the

 

 

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1Department may deem proper with regard to the license or
2permit of any person issued under this Act, including imposing
3fines not to exceed $10,000 for each violation, upon any of the
4following grounds:
5        (1) Performance of an elective abortion in any place,
6    locale, facility, or institution other than: (Blank).
7            (a) a facility licensed pursuant to the Ambulatory
8        Surgical Treatment Center Act;
9            (b) an institution licensed under the Hospital
10        Licensing Act;
11            (c) an ambulatory surgical treatment center or
12        hospitalization or care facility maintained by the
13        State or any agency thereof, where such department or
14        agency has authority under law to establish and
15        enforce standards for the ambulatory surgical
16        treatment centers, hospitalization, or care facilities
17        under its management and control;
18            (d) ambulatory surgical treatment centers,
19        hospitalization or care facilities maintained by the
20        Federal Government; or
21            (e) ambulatory surgical treatment centers,
22        hospitalization or care facilities maintained by any
23        university or college established under the laws of
24        this State and supported principally by public funds
25        raised by taxation.
26        (2) Performance of an abortion procedure in a willful

 

 

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1    and wanton manner on a woman who was not pregnant at the
2    time the abortion procedure was performed. (Blank).
3        (3) A plea of guilty or nolo contendere, finding of
4    guilt, jury verdict, or entry of judgment or sentencing,
5    including, but not limited to, convictions, preceding
6    sentences of supervision, conditional discharge, or first
7    offender probation, under the laws of any jurisdiction of
8    the United States of any crime that is a felony.
9        (4) Gross negligence in practice under this Act.
10        (5) Engaging in dishonorable, unethical, or
11    unprofessional conduct of a character likely to deceive,
12    defraud or harm the public.
13        (6) Obtaining any fee by fraud, deceit, or
14    misrepresentation.
15        (7) Habitual or excessive use or abuse of drugs
16    defined in law as controlled substances, of alcohol, or of
17    any other substances which results in the inability to
18    practice with reasonable judgment, skill, or safety.
19        (8) Practicing under a false or, except as provided by
20    law, an assumed name.
21        (9) Fraud or misrepresentation in applying for, or
22    procuring, a license under this Act or in connection with
23    applying for renewal of a license under this Act.
24        (10) Making a false or misleading statement regarding
25    their skill or the efficacy or value of the medicine,
26    treatment, or remedy prescribed by them at their direction

 

 

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1    in the treatment of any disease or other condition of the
2    body or mind.
3        (11) Allowing another person or organization to use
4    their license, procured under this Act, to practice.
5        (12) Adverse action taken by another state or
6    jurisdiction against a license or other authorization to
7    practice as a medical doctor, doctor of osteopathy, doctor
8    of osteopathic medicine or doctor of chiropractic, a
9    certified copy of the record of the action taken by the
10    other state or jurisdiction being prima facie evidence
11    thereof. This includes any adverse action taken by a State
12    or federal agency that prohibits a medical doctor, doctor
13    of osteopathy, doctor of osteopathic medicine, or doctor
14    of chiropractic from providing services to the agency's
15    participants.
16        (13) Violation of any provision of this Act or of the
17    Medical Practice Act prior to the repeal of that Act, or
18    violation of the rules, or a final administrative action
19    of the Secretary, after consideration of the
20    recommendation of the Disciplinary Board.
21        (14) Violation of the prohibition against fee
22    splitting in Section 22.2 of this Act.
23        (15) A finding by the Disciplinary Board that the
24    registrant after having his or her license placed on
25    probationary status or subjected to conditions or
26    restrictions violated the terms of the probation or failed

 

 

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1    to comply with such terms or conditions.
2        (16) Abandonment of a patient.
3        (17) Prescribing, selling, administering,
4    distributing, giving, or self-administering any drug
5    classified as a controlled substance (designated product)
6    or narcotic for other than medically accepted therapeutic
7    purposes.
8        (18) Promotion of the sale of drugs, devices,
9    appliances, or goods provided for a patient in such manner
10    as to exploit the patient for financial gain of the
11    physician.
12        (19) Offering, undertaking, or agreeing to cure or
13    treat disease by a secret method, procedure, treatment, or
14    medicine, or the treating, operating, or prescribing for
15    any human condition by a method, means, or procedure which
16    the licensee refuses to divulge upon demand of the
17    Department.
18        (20) Immoral conduct in the commission of any act
19    including, but not limited to, commission of an act of
20    sexual misconduct related to the licensee's practice.
21        (21) Willfully making or filing false records or
22    reports in his or her practice as a physician, including,
23    but not limited to, false records to support claims
24    against the medical assistance program of the Department
25    of Healthcare and Family Services (formerly Department of
26    Public Aid) under the Illinois Public Aid Code.

 

 

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1        (22) Willful omission to file or record, or willfully
2    impeding the filing or recording, or inducing another
3    person to omit to file or record, medical reports as
4    required by law, or willfully failing to report an
5    instance of suspected abuse or neglect as required by law.
6        (23) Being named as a perpetrator in an indicated
7    report by the Department of Children and Family Services
8    under the Abused and Neglected Child Reporting Act, and
9    upon proof by clear and convincing evidence that the
10    licensee has caused a child to be an abused child or
11    neglected child as defined in the Abused and Neglected
12    Child Reporting Act.
13        (24) Solicitation of professional patronage by any
14    corporation, agents or persons, or profiting from those
15    representing themselves to be agents of the licensee.
16        (25) Gross and willful and continued overcharging for
17    professional services, including filing false statements
18    for collection of fees for which services are not
19    rendered, including, but not limited to, filing such false
20    statements for collection of monies for services not
21    rendered from the medical assistance program of the
22    Department of Healthcare and Family Services (formerly
23    Department of Public Aid) under the Illinois Public Aid
24    Code.
25        (26) A pattern of practice or other behavior which
26    demonstrates incapacity or incompetence to practice under

 

 

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1    this Act.
2        (27) Mental illness or disability which results in the
3    inability to practice under this Act with reasonable
4    judgment, skill, or safety.
5        (28) Physical illness, including, but not limited to,
6    deterioration through the aging process, or loss of motor
7    skill which results in a physician's inability to practice
8    under this Act with reasonable judgment, skill, or safety.
9        (29) Cheating on or attempt to subvert the licensing
10    examinations administered under this Act.
11        (30) Willfully or negligently violating the
12    confidentiality between physician and patient except as
13    required by law.
14        (31) The use of any false, fraudulent, or deceptive
15    statement in any document connected with practice under
16    this Act.
17        (32) Aiding and abetting an individual not licensed
18    under this Act in the practice of a profession licensed
19    under this Act.
20        (33) Violating state or federal laws or regulations
21    relating to controlled substances, legend drugs, or
22    ephedra as defined in the Ephedra Prohibition Act.
23        (34) Failure to report to the Department any adverse
24    final action taken against them by another licensing
25    jurisdiction (any other state or any territory of the
26    United States or any foreign state or country), by any

 

 

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1    peer review body, by any health care institution, by any
2    professional society or association related to practice
3    under this Act, by any governmental agency, by any law
4    enforcement agency, or by any court for acts or conduct
5    similar to acts or conduct which would constitute grounds
6    for action as defined in this Section.
7        (35) Failure to report to the Department surrender of
8    a license or authorization to practice as a medical
9    doctor, a doctor of osteopathy, a doctor of osteopathic
10    medicine, or doctor of chiropractic in another state or
11    jurisdiction, or surrender of membership on any medical
12    staff or in any medical or professional association or
13    society, while under disciplinary investigation by any of
14    those authorities or bodies, for acts or conduct similar
15    to acts or conduct which would constitute grounds for
16    action as defined in this Section.
17        (36) Failure to report to the Department any adverse
18    judgment, settlement, or award arising from a liability
19    claim related to acts or conduct similar to acts or
20    conduct which would constitute grounds for action as
21    defined in this Section.
22        (37) Failure to provide copies of medical records as
23    required by law.
24        (38) Failure to furnish the Department, its
25    investigators or representatives, relevant information,
26    legally requested by the Department after consultation

 

 

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1    with the Chief Medical Coordinator or the Deputy Medical
2    Coordinator.
3        (39) Violating the Health Care Worker Self-Referral
4    Act.
5        (40) Willful failure to provide notice when notice is
6    required under the Parental Notice of Abortion Act of
7    1995.
8        (41) Failure to establish and maintain records of
9    patient care and treatment as required by this law.
10        (42) Entering into an excessive number of written
11    collaborative agreements with licensed advanced practice
12    registered nurses resulting in an inability to adequately
13    collaborate.
14        (43) Repeated failure to adequately collaborate with a
15    licensed advanced practice registered nurse.
16        (44) Violating the Compassionate Use of Medical
17    Cannabis Program Act.
18        (45) Entering into an excessive number of written
19    collaborative agreements with licensed prescribing
20    psychologists resulting in an inability to adequately
21    collaborate.
22        (46) Repeated failure to adequately collaborate with a
23    licensed prescribing psychologist.
24        (47) Willfully failing to report an instance of
25    suspected abuse, neglect, financial exploitation, or
26    self-neglect of an eligible adult as defined in and

 

 

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1    required by the Adult Protective Services Act.
2        (48) Being named as an abuser in a verified report by
3    the Department on Aging under the Adult Protective
4    Services Act, and upon proof by clear and convincing
5    evidence that the licensee abused, neglected, or
6    financially exploited an eligible adult as defined in the
7    Adult Protective Services Act.
8        (49) Entering into an excessive number of written
9    collaborative agreements with licensed physician
10    assistants resulting in an inability to adequately
11    collaborate.
12        (50) Repeated failure to adequately collaborate with a
13    physician assistant.
14    Except for actions involving the ground numbered (26), all
15proceedings to suspend, revoke, place on probationary status,
16or take any other disciplinary action as the Department may
17deem proper, with regard to a license on any of the foregoing
18grounds, must be commenced within 5 years next after receipt
19by the Department of a complaint alleging the commission of or
20notice of the conviction order for any of the acts described
21herein. Except for the grounds numbered (8), (9), (26), and
22(29), no action shall be commenced more than 10 years after the
23date of the incident or act alleged to have violated this
24Section. For actions involving the ground numbered (26), a
25pattern of practice or other behavior includes all incidents
26alleged to be part of the pattern of practice or other behavior

 

 

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1that occurred, or a report pursuant to Section 23 of this Act
2received, within the 10-year period preceding the filing of
3the complaint. In the event of the settlement of any claim or
4cause of action in favor of the claimant or the reduction to
5final judgment of any civil action in favor of the plaintiff,
6such claim, cause of action, or civil action being grounded on
7the allegation that a person licensed under this Act was
8negligent in providing care, the Department shall have an
9additional period of 2 years from the date of notification to
10the Department under Section 23 of this Act of such settlement
11or final judgment in which to investigate and commence formal
12disciplinary proceedings under Section 36 of this Act, except
13as otherwise provided by law. The time during which the holder
14of the license was outside the State of Illinois shall not be
15included within any period of time limiting the commencement
16of disciplinary action by the Department.
17    The entry of an order or judgment by any circuit court
18establishing that any person holding a license under this Act
19is a person in need of mental treatment operates as a
20suspension of that license. That person may resume his or her
21their practice only upon the entry of a Departmental order
22based upon a finding by the Disciplinary Board that the person
23has they have been determined to be recovered from mental
24illness by the court and upon the Disciplinary Board's
25recommendation that the person they be permitted to resume his
26or her their practice.

 

 

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1    The Department may refuse to issue or take disciplinary
2action concerning the license of any person who fails to file a
3return, or to pay the tax, penalty, or interest shown in a
4filed return, or to pay any final assessment of tax, penalty,
5or interest, as required by any tax Act administered by the
6Illinois Department of Revenue, until such time as the
7requirements of any such tax Act are satisfied as determined
8by the Illinois Department of Revenue.
9    The Department, upon the recommendation of the
10Disciplinary Board, shall adopt rules which set forth
11standards to be used in determining:
12        (a) when a person will be deemed sufficiently
13    rehabilitated to warrant the public trust;
14        (b) what constitutes dishonorable, unethical, or
15    unprofessional conduct of a character likely to deceive,
16    defraud, or harm the public;
17        (c) what constitutes immoral conduct in the commission
18    of any act, including, but not limited to, commission of
19    an act of sexual misconduct related to the licensee's
20    practice; and
21        (d) what constitutes gross negligence in the practice
22    of medicine.
23    However, no such rule shall be admissible into evidence in
24any civil action except for review of a licensing or other
25disciplinary action under this Act.
26    In enforcing this Section, the Disciplinary Board or the

 

 

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1Licensing Board, upon a showing of a possible violation, may
2compel, in the case of the Disciplinary Board, any individual
3who is licensed to practice under this Act or holds a permit to
4practice under this Act, or, in the case of the Licensing
5Board, any individual who has applied for licensure or a
6permit pursuant to this Act, to submit to a mental or physical
7examination and evaluation, or both, which may include a
8substance abuse or sexual offender evaluation, as required by
9the Licensing Board or Disciplinary Board and at the expense
10of the Department. The Disciplinary Board or Licensing Board
11shall specifically designate the examining physician licensed
12to practice medicine in all of its branches or, if applicable,
13the multidisciplinary team involved in providing the mental or
14physical examination and evaluation, or both. The
15multidisciplinary team shall be led by a physician licensed to
16practice medicine in all of its branches and may consist of one
17or more or a combination of physicians licensed to practice
18medicine in all of its branches, licensed chiropractic
19physicians, licensed clinical psychologists, licensed clinical
20social workers, licensed clinical professional counselors, and
21other professional and administrative staff. Any examining
22physician or member of the multidisciplinary team may require
23any person ordered to submit to an examination and evaluation
24pursuant to this Section to submit to any additional
25supplemental testing deemed necessary to complete any
26examination or evaluation process, including, but not limited

 

 

HB3053- 94 -LRB102 11392 CPF 16725 b

1to, blood testing, urinalysis, psychological testing, or
2neuropsychological testing. The Disciplinary Board, the
3Licensing Board, or the Department may order the examining
4physician or any member of the multidisciplinary team to
5provide to the Department, the Disciplinary Board, or the
6Licensing Board any and all records, including business
7records, that relate to the examination and evaluation,
8including any supplemental testing performed. The Disciplinary
9Board, the Licensing Board, or the Department may order the
10examining physician or any member of the multidisciplinary
11team to present testimony concerning this examination and
12evaluation of the licensee, permit holder, or applicant,
13including testimony concerning any supplemental testing or
14documents relating to the examination and evaluation. No
15information, report, record, or other documents in any way
16related to the examination and evaluation shall be excluded by
17reason of any common law or statutory privilege relating to
18communication between the licensee, permit holder, or
19applicant and the examining physician or any member of the
20multidisciplinary team. No authorization is necessary from the
21licensee, permit holder, or applicant ordered to undergo an
22evaluation and examination for the examining physician or any
23member of the multidisciplinary team to provide information,
24reports, records, or other documents or to provide any
25testimony regarding the examination and evaluation. The
26individual to be examined may have, at his or her own expense,

 

 

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1another physician of his or her choice present during all
2aspects of the examination. Failure of any individual to
3submit to mental or physical examination and evaluation, or
4both, when directed, shall result in an automatic suspension,
5without hearing, until such time as the individual submits to
6the examination. If the Disciplinary Board or Licensing Board
7finds a physician unable to practice following an examination
8and evaluation because of the reasons set forth in this
9Section, the Disciplinary Board or Licensing Board shall
10require such physician to submit to care, counseling, or
11treatment by physicians, or other health care professionals,
12approved or designated by the Disciplinary Board, as a
13condition for issued, continued, reinstated, or renewed
14licensure to practice. Any physician, whose license was
15granted pursuant to Sections 9, 17, or 19 of this Act, or,
16continued, reinstated, renewed, disciplined or supervised,
17subject to such terms, conditions, or restrictions who shall
18fail to comply with such terms, conditions, or restrictions,
19or to complete a required program of care, counseling, or
20treatment, as determined by the Chief Medical Coordinator or
21Deputy Medical Coordinators, shall be referred to the
22Secretary for a determination as to whether the licensee shall
23have his or her their license suspended immediately, pending a
24hearing by the Disciplinary Board. In instances in which the
25Secretary immediately suspends a license under this Section, a
26hearing upon such person's license must be convened by the

 

 

HB3053- 96 -LRB102 11392 CPF 16725 b

1Disciplinary Board within 15 days after such suspension and
2completed without appreciable delay. The Disciplinary Board
3shall have the authority to review the subject physician's
4record of treatment and counseling regarding the impairment,
5to the extent permitted by applicable federal statutes and
6regulations safeguarding the confidentiality of medical
7records.
8    An individual licensed under this Act, affected under this
9Section, shall be afforded an opportunity to demonstrate to
10the Disciplinary Board that he or she they can resume practice
11in compliance with acceptable and prevailing standards under
12the provisions of his or her their license.
13    The Department may promulgate rules for the imposition of
14fines in disciplinary cases, not to exceed $10,000 for each
15violation of this Act. Fines may be imposed in conjunction
16with other forms of disciplinary action, but shall not be the
17exclusive disposition of any disciplinary action arising out
18of conduct resulting in death or injury to a patient. Any funds
19collected from such fines shall be deposited in the Illinois
20State Medical Disciplinary Fund.
21    All fines imposed under this Section shall be paid within
2260 days after the effective date of the order imposing the fine
23or in accordance with the terms set forth in the order imposing
24the fine.
25    (B) The Department shall revoke the license or permit
26issued under this Act to practice medicine or a chiropractic

 

 

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1physician who has been convicted a second time of committing
2any felony under the Illinois Controlled Substances Act or the
3Methamphetamine Control and Community Protection Act, or who
4has been convicted a second time of committing a Class 1 felony
5under Sections 8A-3 and 8A-6 of the Illinois Public Aid Code. A
6person whose license or permit is revoked under this
7subsection B shall be prohibited from practicing medicine or
8treating human ailments without the use of drugs and without
9operative surgery.
10    (C) The Department shall not revoke, suspend, place on
11probation, reprimand, refuse to issue or renew, or take any
12other disciplinary or non-disciplinary action against the
13license or permit issued under this Act to practice medicine
14to a physician:
15        (1) based solely upon the recommendation of the
16    physician to an eligible patient regarding, or
17    prescription for, or treatment with, an investigational
18    drug, biological product, or device; or
19        (2) for experimental treatment for Lyme disease or
20    other tick-borne diseases, including, but not limited to,
21    the prescription of or treatment with long-term
22    antibiotics.
23    (D) The Disciplinary Board shall recommend to the
24Department civil penalties and any other appropriate
25discipline in disciplinary cases when the Board finds that a
26physician willfully performed an abortion with actual

 

 

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1knowledge that the person upon whom the abortion has been
2performed is a minor or an incompetent person without notice
3as required under the Parental Notice of Abortion Act of 1995.
4Upon the Board's recommendation, the Department shall impose,
5for the first violation, a civil penalty of $1,000 and for a
6second or subsequent violation, a civil penalty of $5,000.
7(Source: P.A. 100-429, eff. 8-25-17; 100-513, eff. 1-1-18;
8100-605, eff. 1-1-19; 100-863, eff. 8-14-18; 100-1137, eff.
91-1-19; 101-13, eff. 6-12-19; 101-81, eff. 7-12-19; 101-363,
10eff. 8-9-19; revised 9-20-19.)
 
11    (225 ILCS 60/36)  (from Ch. 111, par. 4400-36)
12    (Section scheduled to be repealed on January 1, 2022)
13    Sec. 36. Investigation; notice.
14    (a) Upon the motion of either the Department or the
15Disciplinary Board or upon the verified complaint in writing
16of any person setting forth facts which, if proven, would
17constitute grounds for suspension or revocation under Section
1822 of this Act, the Department shall investigate the actions
19of any person, so accused, who holds or represents that he or
20she holds a license. Such person is hereinafter called the
21accused.
22    (b) The Department shall, before suspending, revoking,
23placing on probationary status, or taking any other
24disciplinary action as the Department may deem proper with
25regard to any license at least 30 days prior to the date set

 

 

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1for the hearing, notify the accused in writing of any charges
2made and the time and place for a hearing of the charges before
3the Disciplinary Board, direct him or her to file his or her
4written answer thereto to the Disciplinary Board under oath
5within 20 days after the service on him or her of such notice
6and inform him or her that if he or she fails to file such
7answer default will be taken against him or her and his or her
8license may be suspended, revoked, placed on probationary
9status, or have other disciplinary action, including limiting
10the scope, nature or extent of his or her practice, as the
11Department may deem proper taken with regard thereto. The
12Department shall, at least 14 days prior to the date set for
13the hearing, notify in writing any person who filed a
14complaint against the accused of the time and place for the
15hearing of the charges against the accused before the
16Disciplinary Board and inform such person whether he or she
17may provide testimony at the hearing.
18    (c) Where a physician has been found, upon complaint and
19investigation of the Department, and after hearing, to have
20performed an abortion procedure in a wilful and wanton manner
21upon a woman who was not pregnant at the time such abortion
22procedure was performed, the Department shall automatically
23revoke the license of such physician to practice medicine in
24Illinois. (Blank).
25    (d) Such written notice and any notice in such proceedings
26thereafter may be served by personal delivery, email to the

 

 

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1respondent's email address of record, or mail to the
2respondent's address of record.
3    (e) All information gathered by the Department during its
4investigation including information subpoenaed under Section
523 or 38 of this Act and the investigative file shall be kept
6for the confidential use of the Secretary, Disciplinary Board,
7the Medical Coordinators, persons employed by contract to
8advise the Medical Coordinator or the Department, the
9Disciplinary Board's attorneys, the medical investigative
10staff, and authorized clerical staff, as provided in this Act
11and shall be afforded the same status as is provided
12information concerning medical studies in Part 21 of Article
13VIII of the Code of Civil Procedure, except that the
14Department may disclose information and documents to a
15federal, State, or local law enforcement agency pursuant to a
16subpoena in an ongoing criminal investigation to a health care
17licensing body of this State or another state or jurisdiction
18pursuant to an official request made by that licensing body.
19Furthermore, information and documents disclosed to a federal,
20State, or local law enforcement agency may be used by that
21agency only for the investigation and prosecution of a
22criminal offense or, in the case of disclosure to a health care
23licensing body, only for investigations and disciplinary
24action proceedings with regard to a license issued by that
25licensing body.
26(Source: P.A. 101-13, eff. 6-12-19; 101-316, eff. 8-9-19;

 

 

HB3053- 101 -LRB102 11392 CPF 16725 b

1revised 9-20-19.)
 
2    Section 450. The Nurse Practice Act is amended by changing
3Section 65-35 and 65-43 as follows:
 
4    (225 ILCS 65/65-35)   (was 225 ILCS 65/15-15)
5    (Section scheduled to be repealed on January 1, 2028)
6    Sec. 65-35. Written collaborative agreements.
7    (a) A written collaborative agreement is required for all
8advanced practice registered nurses engaged in clinical
9practice prior to meeting the requirements of Section 65-43,
10except for advanced practice registered nurses who are
11privileged to practice in a hospital, hospital affiliate, or
12ambulatory surgical treatment center.
13    (a-5) If an advanced practice registered nurse engages in
14clinical practice outside of a hospital, hospital affiliate,
15or ambulatory surgical treatment center in which he or she is
16privileged to practice, the advanced practice registered nurse
17must have a written collaborative agreement, except as set
18forth in Section 65-43.
19    (b) A written collaborative agreement shall describe the
20relationship of the advanced practice registered nurse with
21the collaborating physician and shall describe the categories
22of care, treatment, or procedures to be provided by the
23advanced practice registered nurse. A collaborative agreement
24with a podiatric physician must be in accordance with

 

 

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1subsection (c-5) or (c-15) of this Section. A collaborative
2agreement with a dentist must be in accordance with subsection
3(c-10) of this Section. A collaborative agreement with a
4podiatric physician must be in accordance with subsection
5(c-5) of this Section. Collaboration does not require an
6employment relationship between the collaborating physician
7and the advanced practice registered nurse.
8    The collaborative relationship under an agreement shall
9not be construed to require the personal presence of a
10collaborating physician at the place where services are
11rendered. Methods of communication shall be available for
12consultation with the collaborating physician in person or by
13telecommunications or electronic communications as set forth
14in the written agreement.
15    (b-5) Absent an employment relationship, a written
16collaborative agreement may not (1) restrict the categories of
17patients of an advanced practice registered nurse within the
18scope of the advanced practice registered nurses training and
19experience, (2) limit third party payors or government health
20programs, such as the medical assistance program or Medicare
21with which the advanced practice registered nurse contracts,
22or (3) limit the geographic area or practice location of the
23advanced practice registered nurse in this State.
24    (c) In the case of anesthesia services provided by a
25certified registered nurse anesthetist, an anesthesiologist, a
26physician, a dentist, or a podiatric physician must

 

 

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1participate through discussion of and agreement with the
2anesthesia plan and remain physically present and available on
3the premises during the delivery of anesthesia services for
4diagnosis, consultation, and treatment of emergency medical
5conditions.
6    (c-5) A certified registered nurse anesthetist, who
7provides anesthesia services outside of a hospital or
8ambulatory surgical treatment center shall enter into a
9written collaborative agreement with an anesthesiologist or
10the physician licensed to practice medicine in all its
11branches or the podiatric physician performing the procedure.
12Outside of a hospital or ambulatory surgical treatment center,
13the certified registered nurse anesthetist may provide only
14those services that the collaborating podiatric physician is
15authorized to provide pursuant to the Podiatric Medical
16Practice Act of 1987 and rules adopted thereunder. A certified
17registered nurse anesthetist may select, order, and administer
18medication, including controlled substances, and apply
19appropriate medical devices for delivery of anesthesia
20services under the anesthesia plan agreed with by the
21anesthesiologist or the operating physician or operating
22podiatric physician.
23    (c-10) A certified registered nurse anesthetist who
24provides anesthesia services in a dental office shall enter
25into a written collaborative agreement with an
26anesthesiologist or the physician licensed to practice

 

 

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1medicine in all its branches or the operating dentist
2performing the procedure. The agreement shall describe the
3working relationship of the certified registered nurse
4anesthetist and dentist and shall authorize the categories of
5care, treatment, or procedures to be performed by the
6certified registered nurse anesthetist. In a collaborating
7dentist's office, the certified registered nurse anesthetist
8may only provide those services that the operating dentist
9with the appropriate permit is authorized to provide pursuant
10to the Illinois Dental Practice Act and rules adopted
11thereunder. For anesthesia services, an anesthesiologist,
12physician, or operating dentist shall participate through
13discussion of and agreement with the anesthesia plan and shall
14remain physically present and be available on the premises
15during the delivery of anesthesia services for diagnosis,
16consultation, and treatment of emergency medical conditions. A
17certified registered nurse anesthetist may select, order, and
18administer medication, including controlled substances, and
19apply appropriate medical devices for delivery of anesthesia
20services under the anesthesia plan agreed with by the
21operating dentist.
22    (c-15) An advanced practice registered nurse who had a
23written collaborative agreement with a podiatric physician
24immediately before the effective date of Public Act 100-513
25may continue in that collaborative relationship or enter into
26a new written collaborative relationship with a podiatric

 

 

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1physician under the requirements of this Section and Section
265-40, as those Sections existed immediately before the
3amendment of those Sections by Public Act 100-513 with regard
4to a written collaborative agreement between an advanced
5practice registered nurse and a podiatric physician.
6    (d) A copy of the signed, written collaborative agreement
7must be available to the Department upon request from both the
8advanced practice registered nurse and the collaborating
9physician, dentist, or podiatric physician.
10    (e) Nothing in this Act shall be construed to limit the
11delegation of tasks or duties by a physician to a licensed
12practical nurse, a registered professional nurse, or other
13persons in accordance with Section 54.2 of the Medical
14Practice Act of 1987. Nothing in this Act shall be construed to
15limit the method of delegation that may be authorized by any
16means, including, but not limited to, oral, written,
17electronic, standing orders, protocols, guidelines, or verbal
18orders.
19    (e-5) Nothing in this Act shall be construed to authorize
20an advanced practice registered nurse to provide health care
21services required by law or rule to be performed by a
22physician, including those acts to be performed by a physician
23in Section 3.1 of the Illinois Abortion Law of 2021. The scope
24of practice of an advanced practice registered nurse does not
25include operative surgery. Nothing in this Section shall be
26construed to preclude an advanced practice registered nurse

 

 

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1from assisting in surgery.
2    (f) An advanced practice registered nurse shall inform
3each collaborating physician, dentist, or podiatric physician
4of all collaborative agreements he or she has signed and
5provide a copy of these to any collaborating physician,
6dentist, or podiatric physician upon request.
7    (g) (Blank).
8(Source: P.A. 100-513, eff. 1-1-18; 100-577, eff. 1-26-18;
9100-1096, eff. 8-26-18; 101-13, eff. 6-12-19.)
 
10    (225 ILCS 65/65-43)
11    (Section scheduled to be repealed on January 1, 2028)
12    Sec. 65-43. Full practice authority.
13    (a) An Illinois-licensed advanced practice registered
14nurse certified as a nurse practitioner, nurse midwife, or
15clinical nurse specialist shall be deemed by law to possess
16the ability to practice without a written collaborative
17agreement as set forth in this Section.
18    (b) An advanced practice registered nurse certified as a
19nurse midwife, clinical nurse specialist, or nurse
20practitioner who files with the Department a notarized
21attestation of completion of at least 250 hours of continuing
22education or training and at least 4,000 hours of clinical
23experience after first attaining national certification shall
24not require a written collaborative agreement, except as
25specified in subsection (c). Documentation of successful

 

 

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1completion shall be provided to the Department upon request.
2    Continuing education or training hours required by
3subsection (b) shall be in the advanced practice registered
4nurse's area of certification as set forth by Department rule.
5    The clinical experience must be in the advanced practice
6registered nurse's area of certification. The clinical
7experience shall be in collaboration with a physician or
8physicians. Completion of the clinical experience must be
9attested to by the collaborating physician or physicians and
10the advanced practice registered nurse.
11    (c) The scope of practice of an advanced practice
12registered nurse with full practice authority includes:
13        (1) all matters included in subsection (c) of Section
14    65-30 of this Act;
15        (2) practicing without a written collaborative
16    agreement in all practice settings consistent with
17    national certification;
18        (3) authority to prescribe both legend drugs and
19    Schedule II through V controlled substances; this
20    authority includes prescription of, selection of, orders
21    for, administration of, storage of, acceptance of samples
22    of, and dispensing over the counter medications, legend
23    drugs, and controlled substances categorized as any
24    Schedule II through V controlled substances, as defined in
25    Article II of the Illinois Controlled Substances Act, and
26    other preparations, including, but not limited to,

 

 

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1    botanical and herbal remedies;
2        (4) prescribing benzodiazepines or Schedule II
3    narcotic drugs, such as opioids, only in a consultation
4    relationship with a physician; this consultation
5    relationship shall be recorded in the Prescription
6    Monitoring Program website, pursuant to Section 316 of the
7    Illinois Controlled Substances Act, by the physician and
8    advanced practice registered nurse with full practice
9    authority and is not required to be filed with the
10    Department; the specific Schedule II narcotic drug must be
11    identified by either brand name or generic name; the
12    specific Schedule II narcotic drug, such as an opioid, may
13    be administered by oral dosage or topical or transdermal
14    application; delivery by injection or other route of
15    administration is not permitted; at least monthly, the
16    advanced practice registered nurse and the physician must
17    discuss the condition of any patients for whom a
18    benzodiazepine or opioid is prescribed; nothing in this
19    subsection shall be construed to require a prescription by
20    an advanced practice registered nurse with full practice
21    authority to require a physician name;
22        (5) authority to obtain an Illinois controlled
23    substance license and a federal Drug Enforcement
24    Administration number; and
25        (6) use of only local anesthetic.
26    The scope of practice of an advanced practice registered

 

 

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1nurse does not include operative surgery. Nothing in this
2Section shall be construed to preclude an advanced practice
3registered nurse from assisting in surgery.
4    (d) The Department may adopt rules necessary to administer
5this Section, including, but not limited to, requiring the
6completion of forms and the payment of fees.
7    (e) Nothing in this Act shall be construed to authorize an
8advanced practice registered nurse with full practice
9authority to provide health care services required by law or
10rule to be performed by a physician, including, but not
11limited to, those acts to be performed by a physician in
12Section 3.1 of the Illinois Abortion Law of 2021.
13(Source: P.A. 100-513, eff. 1-1-18; 101-13, eff. 6-12-19.)
 
14    Section 453. The Physician Assistant Practice Act of 1987
15is amended by changing Section 7.5 as follows:
 
16    (225 ILCS 95/7.5)
17    (Section scheduled to be repealed on January 1, 2028)
18    Sec. 7.5. Written collaborative agreements; prescriptive
19authority.
20    (a) A written collaborative agreement is required for all
21physician assistants to practice in the State, except as
22provided in Section 7.7 of this Act.
23        (1) A written collaborative agreement shall describe
24    the working relationship of the physician assistant with

 

 

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1    the collaborating physician and shall describe the
2    categories of care, treatment, or procedures to be
3    provided by the physician assistant. The written
4    collaborative agreement shall promote the exercise of
5    professional judgment by the physician assistant
6    commensurate with his or her education and experience. The
7    services to be provided by the physician assistant shall
8    be services that the collaborating physician is authorized
9    to and generally provides to his or her patients in the
10    normal course of his or her clinical medical practice. The
11    written collaborative agreement need not describe the
12    exact steps that a physician assistant must take with
13    respect to each specific condition, disease, or symptom
14    but must specify which authorized procedures require the
15    presence of the collaborating physician as the procedures
16    are being performed. The relationship under a written
17    collaborative agreement shall not be construed to require
18    the personal presence of a physician at the place where
19    services are rendered. Methods of communication shall be
20    available for consultation with the collaborating
21    physician in person or by telecommunications or electronic
22    communications as set forth in the written collaborative
23    agreement. For the purposes of this Act, "generally
24    provides to his or her patients in the normal course of his
25    or her clinical medical practice" means services, not
26    specific tasks or duties, the collaborating physician

 

 

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1    routinely provides individually or through delegation to
2    other persons so that the physician has the experience and
3    ability to collaborate and provide consultation.
4        (2) The written collaborative agreement shall be
5    adequate if a physician does each of the following:
6            (A) Participates in the joint formulation and
7        joint approval of orders or guidelines with the
8        physician assistant and he or she periodically reviews
9        such orders and the services provided patients under
10        such orders in accordance with accepted standards of
11        medical practice and physician assistant practice.
12            (B) Provides consultation at least once a month.
13        (3) A copy of the signed, written collaborative
14    agreement must be available to the Department upon request
15    from both the physician assistant and the collaborating
16    physician.
17        (4) A physician assistant shall inform each
18    collaborating physician of all written collaborative
19    agreements he or she has signed and provide a copy of these
20    to any collaborating physician upon request.
21    (b) A collaborating physician may, but is not required to,
22delegate prescriptive authority to a physician assistant as
23part of a written collaborative agreement. This authority may,
24but is not required to, include prescription of, selection of,
25orders for, administration of, storage of, acceptance of
26samples of, and dispensing medical devices, over the counter

 

 

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1medications, legend drugs, medical gases, and controlled
2substances categorized as Schedule II through V controlled
3substances, as defined in Article II of the Illinois
4Controlled Substances Act, and other preparations, including,
5but not limited to, botanical and herbal remedies. The
6collaborating physician must have a valid, current Illinois
7controlled substance license and federal registration with the
8Drug Enforcement Administration Agency to delegate the
9authority to prescribe controlled substances.
10        (1) To prescribe Schedule II, III, IV, or V controlled
11    substances under this Section, a physician assistant must
12    obtain a mid-level practitioner controlled substances
13    license. Medication orders issued by a physician assistant
14    shall be reviewed periodically by the collaborating
15    physician.
16        (2) The collaborating physician shall file with the
17    Department notice of delegation of prescriptive authority
18    to a physician assistant and termination of delegation,
19    specifying the authority delegated or terminated. Upon
20    receipt of this notice delegating authority to prescribe
21    controlled substances, the physician assistant shall be
22    eligible to register for a mid-level practitioner
23    controlled substances license under Section 303.05 of the
24    Illinois Controlled Substances Act. Nothing in this Act
25    shall be construed to limit the delegation of tasks or
26    duties by the collaborating physician to a nurse or other

 

 

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1    appropriately trained persons in accordance with Section
2    54.2 of the Medical Practice Act of 1987.
3        (3) In addition to the requirements of this subsection
4    (b), a collaborating physician may, but is not required
5    to, delegate authority to a physician assistant to
6    prescribe Schedule II controlled substances, if all of the
7    following conditions apply:
8            (A) Specific Schedule II controlled substances by
9        oral dosage or topical or transdermal application may
10        be delegated, provided that the delegated Schedule II
11        controlled substances are routinely prescribed by the
12        collaborating physician. This delegation must identify
13        the specific Schedule II controlled substances by
14        either brand name or generic name. Schedule II
15        controlled substances to be delivered by injection or
16        other route of administration may not be delegated.
17            (B) (Blank).
18            (C) Any prescription must be limited to no more
19        than a 30-day supply, with any continuation authorized
20        only after prior approval of the collaborating
21        physician.
22            (D) The physician assistant must discuss the
23        condition of any patients for whom a controlled
24        substance is prescribed monthly with the collaborating
25        physician.
26            (E) The physician assistant meets the education

 

 

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1        requirements of Section 303.05 of the Illinois
2        Controlled Substances Act.
3    (c) Nothing in this Act shall be construed to limit the
4delegation of tasks or duties by a physician to a licensed
5practical nurse, a registered professional nurse, or other
6persons. Nothing in this Act shall be construed to limit the
7method of delegation that may be authorized by any means,
8including, but not limited to, oral, written, electronic,
9standing orders, protocols, guidelines, or verbal orders.
10Nothing in this Act shall be construed to authorize a
11physician assistant to provide health care services required
12by law or rule to be performed by a physician. Nothing in this
13Act shall be construed to authorize the delegation or
14performance of operative surgery. Nothing in this Section
15shall be construed to preclude a physician assistant from
16assisting in surgery.
17    (c-5) Nothing in this Section shall be construed to apply
18to any medication authority, including Schedule II controlled
19substances of a licensed physician assistant for care provided
20in a hospital, hospital affiliate, or ambulatory surgical
21treatment center pursuant to Section 7.7 of this Act.
22    (d) (Blank).
23    (e) Nothing in this Section shall be construed to prohibit
24generic substitution.
25(Source: P.A. 100-453, eff. 8-25-17; 101-13, eff. 6-12-19;
26revised 8-24-20.)
 

 

 

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1    Section 455. The Vital Records Act is amended by changing
2Section 1 as follows:
 
3    (410 ILCS 535/1)  (from Ch. 111 1/2, par. 73-1)
4    Sec. 1. As used in this Act, unless the context otherwise
5requires:
6    (1) "Vital records" means records of births, deaths, fetal
7deaths, marriages, dissolution of marriages, and data related
8thereto.
9    (2) "System of vital records" includes the registration,
10collection, preservation, amendment, and certification of
11vital records, and activities related thereto.
12    (3) "Filing" means the presentation of a certificate,
13report, or other record provided for in this Act, of a birth,
14death, fetal death, adoption, marriage, or dissolution of
15marriage, for registration by the Office of Vital Records.
16    (4) "Registration" means the acceptance by the Office of
17Vital Records and the incorporation in its official records of
18certificates, reports, or other records provided for in this
19Act, of births, deaths, fetal deaths, adoptions, marriages, or
20dissolution of marriages.
21    (5) "Live birth" means the complete expulsion or
22extraction from its mother of a product of human conception,
23irrespective of the duration of pregnancy, which after such
24separation breathes or shows any other evidence of life such

 

 

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1as beating of the heart, pulsation of the umbilical cord, or
2definite movement of voluntary muscles, whether or not the
3umbilical cord has been cut or the placenta is attached.
4    (6) "Fetal death" means death prior to the complete
5expulsion or extraction from the uterus its mother of a
6product of human conception, irrespective of the duration of
7pregnancy, and which is not due to an abortion as defined in
8Section 1-10 of the Reproductive Health Act. ; The the death is
9indicated by the fact that after such separation the fetus
10does not breathe or show any other evidence of life such as
11beating of the heart, pulsation of the umbilical cord, or
12definite movement of voluntary muscles.
13    (7) "Dead body" means a lifeless human body or parts of
14such body or bones thereof from the state of which it may
15reasonably be concluded that death has occurred.
16    (8) "Final disposition" means the burial, cremation, or
17other disposition of a dead human body or fetus or parts
18thereof.
19    (9) "Physician" means a person licensed to practice
20medicine in Illinois or any other state.
21    (10) "Institution" means any establishment, public or
22private, which provides in-patient medical, surgical, or
23diagnostic care or treatment, or nursing, custodial, or
24domiciliary care to 2 or more unrelated individuals, or to
25which persons are committed by law.
26    (11) "Department" means the Department of Public Health of

 

 

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1the State of Illinois.
2    (12) "Director" means the Director of the Illinois
3Department of Public Health.
4    (13) "Licensed health care professional" means a person
5licensed to practice as a physician, advanced practice
6registered nurse, or physician assistant in Illinois or any
7other state.
8    (14) "Licensed mental health professional" means a person
9who is licensed or registered to provide mental health
10services by the Department of Financial and Professional
11Regulation or a board of registration duly authorized to
12register or grant licenses to persons engaged in the practice
13of providing mental health services in Illinois or any other
14state.
15    (15) "Intersex condition" means a condition in which a
16person is born with a reproductive or sexual anatomy or
17chromosome pattern that does not fit typical definitions of
18male or female.
19    (16) "Homeless person" means an individual who meets the
20definition of "homeless" under Section 103 of the federal
21McKinney-Vento Homeless Assistance Act (42 U.S.C. 11302) or an
22individual residing in any of the living situations described
23in 42 U.S.C. 11434a(2).
24(Source: P.A. 100-360, eff. 1-1-18; 100-506, eff. 1-1-18;
25100-863, eff. 8-14-18; 101-13, eff. 6-12-19.)
 

 

 

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1    Section 460. The Environmental Protection Act is amended
2by changing Section 56.1 as follows:
 
3    (415 ILCS 5/56.1)  (from Ch. 111 1/2, par. 1056.1)
4    Sec. 56.1. Acts prohibited.
5    (A) No person shall:
6        (a) Cause or allow the disposal of any potentially
7    infectious medical waste. Sharps may be disposed in any
8    landfill permitted by the Agency under Section 21 of this
9    Act to accept municipal waste for disposal, if both:
10            (1) the infectious potential has been eliminated
11        from the sharps by treatment; and
12            (2) the sharps are packaged in accordance with
13        Board regulations.
14        (b) Cause or allow the delivery of any potentially
15    infectious medical waste for transport, storage,
16    treatment, or transfer except in accordance with Board
17    regulations.
18        (c) Beginning July 1, 1992, cause or allow the
19    delivery of any potentially infectious medical waste to a
20    person or facility for storage, treatment, or transfer
21    that does not have a permit issued by the agency to receive
22    potentially infectious medical waste, unless no permit is
23    required under subsection (g)(1).
24        (d) Beginning July 1, 1992, cause or allow the
25    delivery or transfer of any potentially infectious medical

 

 

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1    waste for transport unless:
2            (1) the transporter has a permit issued by the
3        Agency to transport potentially infectious medical
4        waste, or the transporter is exempt from the permit
5        requirement set forth in subsection (f)(l).
6            (2) a potentially infectious medical waste
7        manifest is completed for the waste if a manifest is
8        required under subsection (h).
9        (e) Cause or allow the acceptance of any potentially
10    infectious medical waste for purposes of transport,
11    storage, treatment, or transfer except in accordance with
12    Board regulations.
13        (f) Beginning July 1, 1992, conduct any potentially
14    infectious medical waste transportation operation:
15            (1) Without a permit issued by the Agency to
16        transport potentially infectious medical waste. No
17        permit is required under this provision (f)(1) for:
18                (A) a person transporting potentially
19            infectious medical waste generated solely by that
20            person's activities;
21                (B) noncommercial transportation of less than
22            50 pounds of potentially infectious medical waste
23            at any one time; or
24                (C) the U.S. Postal Service.
25            (2) In violation of any condition of any permit
26        issued by the Agency under this Act.

 

 

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1            (3) In violation of any regulation adopted by the
2        Board.
3            (4) In violation of any order adopted by the Board
4        under this Act.
5        (g) Beginning July 1, 1992, conduct any potentially
6    infectious medical waste treatment, storage, or transfer
7    operation:
8            (1) without a permit issued by the Agency that
9        specifically authorizes the treatment, storage, or
10        transfer of potentially infectious medical waste. No
11        permit is required under this subsection (g) or
12        subsection (d)(1) of Section 21 for any:
13                (A) Person conducting a potentially infectious
14            medical waste treatment, storage, or transfer
15            operation for potentially infectious medical waste
16            generated by the person's own activities that are
17            treated, stored, or transferred within the site
18            where the potentially infectious medical waste is
19            generated.
20                (B) Hospital that treats, stores, or transfers
21            only potentially infectious medical waste
22            generated by its own activities or by members of
23            its medical staff.
24                (C) Sharps collection station that is operated
25            in accordance with Section 56.7.
26            (2) in violation of any condition of any permit

 

 

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1        issued by the Agency under this Act.
2            (3) in violation of any regulation adopted by the
3        Board.
4            (4) In violation of any order adopted by the Board
5        under this Act.
6        (h) Transport potentially infectious medical waste
7    unless the transporter carries a completed potentially
8    infectious medical waste manifest. No manifest is required
9    for the transportation of:
10            (1) potentially infectious medical waste being
11        transported by generators who generated the waste by
12        their own activities, when the potentially infectious
13        medical waste is transported within or between sites
14        or facilities owned, controlled, or operated by that
15        person;
16            (2) less than 50 pounds of potentially infectious
17        medical waste at any one time for a noncommercial
18        transportation activity; or
19            (3) potentially infectious medical waste by the
20        U.S. Postal Service.
21        (i) Offer for transportation, transport, deliver,
22    receive or accept potentially infectious medical waste for
23    which a manifest is required, unless the manifest
24    indicates that the fee required under Section 56.4 of this
25    Act has been paid.
26        (j) Beginning January 1, 1994, conduct a potentially

 

 

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1    infectious medical waste treatment operation at an
2    incinerator in existence on the effective date of this
3    Title in violation of emission standards established for
4    these incinerators under Section 129 of the Clean Air Act
5    (42 USC 7429), as amended.
6        (k) Beginning July 1, 2015, knowingly mix household
7    sharps, including, but not limited to, hypodermic,
8    intravenous, or other medical needles or syringes or other
9    medical household waste containing used or unused sharps,
10    including, but not limited to, hypodermic, intravenous, or
11    other medical needles or syringes or other sharps, with
12    any other material intended for collection as a recyclable
13    material by a residential hauler.
14        (l) Beginning on July 1, 2015, knowingly place
15    household sharps into a container intended for collection
16    by a residential hauler for processing at a recycling
17    center.
18    (B) In making its orders and determinations relative to
19penalties, if any, to be imposed for violating subdivision
20(A)(a) of this Section, the Board, in addition to the factors
21in Sections 33(c) and 42(h) of this Act, or the Court shall
22take into consideration whether the owner or operator of the
23landfill reasonably relied on written statements from the
24person generating or treating the waste that the waste is not
25potentially infectious medical waste.
26    (C) Notwithstanding subsection (A) or any other provision

 

 

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1of law, including the Vital Records Act, tissue and products
2from an abortion, as defined in Section 1-10 of the
3Reproductive Health Act, or a miscarriage may be buried,
4entombed, or cremated.
5(Source: P.A. 101-13, eff. 6-12-19.)
 
6    Section 465. The Criminal Code of 2012 is amended by
7changing Section 9-1.2, 9-2.1, 9-3.2, and 12-3.1 as follows:
 
8    (720 ILCS 5/9-1.2)  (from Ch. 38, par. 9-1.2)
9    Sec. 9-1.2. Intentional Homicide of an Unborn Child.
10    (a) A person commits the offense of intentional homicide
11of an unborn child if, in performing acts which cause the death
12of an unborn child, he without lawful justification:
13        (1) either intended to cause the death of or do great
14    bodily harm to the pregnant individual woman or her unborn
15    child or knew that such acts would cause death or great
16    bodily harm to the pregnant individual woman or her unborn
17    child; or
18        (2) knew that his acts created a strong probability of
19    death or great bodily harm to the pregnant individual
20    woman or her unborn child; and
21        (3) knew that the individual woman was pregnant.
22    (b) For purposes of this Section, (1) "unborn child" shall
23mean any individual of the human species from the implantation
24of an embryo fertilization until birth, and (2) "person" shall

 

 

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1not include the pregnant woman whose unborn child is killed.
2    (c) This Section shall not apply to acts which cause the
3death of an unborn child if those acts were committed during
4any abortion, as defined in Section 1-10 of the Reproductive
5Health Act, Section 2 of the Illinois Abortion Law of 2021, as
6amended, to which the pregnant individual woman has consented.
7This Section shall not apply to acts which were committed
8pursuant to usual and customary standards of medical practice
9during diagnostic testing or therapeutic treatment.
10    (d) Penalty. The sentence for intentional homicide of an
11unborn child shall be the same as for first degree murder,
12except that:
13        (1) the death penalty may not be imposed;
14        (2) if the person committed the offense while armed
15    with a firearm, 15 years shall be added to the term of
16    imprisonment imposed by the court;
17        (3) if, during the commission of the offense, the
18    person personally discharged a firearm, 20 years shall be
19    added to the term of imprisonment imposed by the court;
20        (4) if, during the commission of the offense, the
21    person personally discharged a firearm that proximately
22    caused great bodily harm, permanent disability, permanent
23    disfigurement, or death to another person, 25 years or up
24    to a term of natural life shall be added to the term of
25    imprisonment imposed by the court.
26    (e) The provisions of this Act shall not be construed to

 

 

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1prohibit the prosecution of any person under any other
2provision of law.
3(Source: P.A. 101-13, eff. 6-12-19.)
 
4    (720 ILCS 5/9-2.1)  (from Ch. 38, par. 9-2.1)
5    Sec. 9-2.1. Voluntary Manslaughter of an Unborn Child. (a)
6A person who kills an unborn child without lawful
7justification commits voluntary manslaughter of an unborn
8child if at the time of the killing he is acting under a sudden
9and intense passion resulting from serious provocation by
10another whom the offender endeavors to kill, but he
11negligently or accidentally causes the death of the unborn
12child.
13    Serious provocation is conduct sufficient to excite an
14intense passion in a reasonable person.
15    (b) A person who intentionally or knowingly kills an
16unborn child commits voluntary manslaughter of an unborn child
17if at the time of the killing he believes the circumstances to
18be such that, if they existed, would justify or exonerate the
19killing under the principles stated in Article 7 of this Code,
20but his belief is unreasonable.
21    (c) Sentence. Voluntary Manslaughter of an unborn child is
22a Class 1 felony.
23    (d) For purposes of this Section, (1) "unborn child" shall
24mean any individual of the human species from the implantation
25of an embryo fertilization until birth, and (2) "person" shall

 

 

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1not include the pregnant individual woman whose unborn child
2is killed.
3    (e) This Section shall not apply to acts which cause the
4death of an unborn child if those acts were committed during
5any abortion, as defined in Section 1-10 of the Reproductive
6Health Act, Section 2 of the Illinois Abortion Law of 2021, as
7amended, to which the pregnant individual woman has consented.
8This Section shall not apply to acts which were committed
9pursuant to usual and customary standards of medical practice
10during diagnostic testing or therapeutic treatment.
11(Source: P.A. 101-13, eff. 6-12-19.)
 
12    (720 ILCS 5/9-3.2)  (from Ch. 38, par. 9-3.2)
13    Sec. 9-3.2. Involuntary manslaughter and reckless homicide
14of an unborn child.
15    (a) A person who unintentionally kills an unborn child
16without lawful justification commits involuntary manslaughter
17of an unborn child if his acts whether lawful or unlawful which
18cause the death are such as are likely to cause death or great
19bodily harm to some individual, and he performs them
20recklessly, except in cases in which the cause of death
21consists of the driving of a motor vehicle, in which case the
22person commits reckless homicide of an unborn child.
23    (b) Sentence.
24        (1) Involuntary manslaughter of an unborn child is a
25    Class 3 felony.

 

 

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1        (2) Reckless homicide of an unborn child is a Class 3
2    felony.
3    (c) For purposes of this Section, (1) "unborn child" shall
4mean any individual of the human species from fertilization
5the implantation of an embryo until birth, and (2) "person"
6shall not include the pregnant woman individual whose unborn
7child is killed.
8    (d) This Section shall not apply to acts which cause the
9death of an unborn child if those acts were committed during
10any abortion, as defined in Section 2 of the Illinois Abortion
11Law of 2021, as amended Section 1-10 of the Reproductive
12Health Act,, to which the pregnant woman individual has
13consented. This Section shall not apply to acts which were
14committed pursuant to usual and customary standards of medical
15practice during diagnostic testing or therapeutic treatment.
16    (e) The provisions of this Section shall not be construed
17to prohibit the prosecution of any person under any other
18provision of law, nor shall it be construed to preclude any
19civil cause of action.
20(Source: P.A. 101-13, eff. 6-12-19; revised 7-23-19.)
 
21    (720 ILCS 5/12-3.1)  (from Ch. 38, par. 12-3.1)
22    Sec. 12-3.1. Battery of an unborn child; aggravated
23battery of an unborn child.
24    (a) A person commits battery of an unborn child if he or
25she knowingly without legal justification and by any means

 

 

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1causes bodily harm to an unborn child.
2    (a-5) A person commits aggravated battery of an unborn
3child when, in committing a battery of an unborn child, he or
4she knowingly causes great bodily harm or permanent disability
5or disfigurement to an unborn child.
6    (b) For purposes of this Section, (1) "unborn child" shall
7mean any individual of the human species from the implantation
8of an embryo fertilization until birth, and (2) "person" shall
9not include the pregnant individual woman whose unborn child
10is harmed.
11    (c) Sentence. Battery of an unborn child is a Class A
12misdemeanor. Aggravated battery of an unborn child is a Class
132 felony.
14    (d) This Section shall not apply to acts which cause
15bodily harm to an unborn child if those acts were committed
16during any abortion, as defined in Section 1-10 of the
17Reproductive Health Act, Section 2 of the Illinois Abortion
18Law of 2021, as amended, to which the pregnant individual
19woman has consented. This Section shall not apply to acts
20which were committed pursuant to usual and customary standards
21of medical practice during diagnostic testing or therapeutic
22treatment.
23(Source: P.A. 101-13, eff. 6-12-19.)
 
24    Section 470. The Code of Civil Procedure is amended by
25changing Section 8-802 as follows:
 

 

 

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1    (735 ILCS 5/8-802)  (from Ch. 110, par. 8-802)
2    Sec. 8-802. Physician and patient. No physician or surgeon
3shall be permitted to disclose any information he or she may
4have acquired in attending any patient in a professional
5character, necessary to enable him or her professionally to
6serve the patient, except only (1) in trials for homicide when
7the disclosure relates directly to the fact or immediate
8circumstances of the homicide, (2) in actions, civil or
9criminal, against the physician for malpractice, (3) with the
10expressed consent of the patient, or in case of his or her
11death or disability, of his or her personal representative or
12other person authorized to sue for personal injury or of the
13beneficiary of an insurance policy on his or her life, health,
14or physical condition, or as authorized by Section 8-2001.5,
15(4) in all actions brought by or against the patient, his or
16her personal representative, a beneficiary under a policy of
17insurance, or the executor or administrator of his or her
18estate wherein the patient's physical or mental condition is
19an issue, (5) upon an issue as to the validity of a document as
20a will of the patient, (6) (blank) in any criminal action where
21the charge is either first degree murder by abortion,
22attempted abortion or abortion, (7) in actions, civil or
23criminal, arising from the filing of a report in compliance
24with the Abused and Neglected Child Reporting Act, (8) to any
25department, agency, institution or facility which has custody

 

 

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1of the patient pursuant to State statute or any court order of
2commitment, (9) in prosecutions where written results of blood
3alcohol tests are admissible pursuant to Section 11-501.4 of
4the Illinois Vehicle Code, (10) in prosecutions where written
5results of blood alcohol tests are admissible under Section
65-11a of the Boat Registration and Safety Act, (11) in
7criminal actions arising from the filing of a report of
8suspected terrorist offense in compliance with Section
929D-10(p)(7) of the Criminal Code of 2012, (12) upon the
10issuance of a subpoena pursuant to Section 38 of the Medical
11Practice Act of 1987; the issuance of a subpoena pursuant to
12Section 25.1 of the Illinois Dental Practice Act; the issuance
13of a subpoena pursuant to Section 22 of the Nursing Home
14Administrators Licensing and Disciplinary Act; or the issuance
15of a subpoena pursuant to Section 25.5 of the Workers'
16Compensation Act, (13) upon the issuance of a grand jury
17subpoena pursuant to Article 112 of the Code of Criminal
18Procedure of 1963, or (14) to or through a health information
19exchange, as that term is defined in Section 2 of the Mental
20Health and Developmental Disabilities Confidentiality Act, in
21accordance with State or federal law.
22    Upon disclosure under item (13) of this Section, in any
23criminal action where the charge is domestic battery,
24aggravated domestic battery, or an offense under Article 11 of
25the Criminal Code of 2012 or where the patient is under the age
26of 18 years or upon the request of the patient, the State's

 

 

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1Attorney shall petition the court for a protective order
2pursuant to Supreme Court Rule 415.
3    In the event of a conflict between the application of this
4Section and the Mental Health and Developmental Disabilities
5Confidentiality Act to a specific situation, the provisions of
6the Mental Health and Developmental Disabilities
7Confidentiality Act shall control.
8(Source: P.A. 101-13, eff. 6-12-19.)
 
9    Section 483. The Health Care Right of Conscience Act is
10amended by changing Section 3 as follows:
 
11    (745 ILCS 70/3)  (from Ch. 111 1/2, par. 5303)
12    Sec. 3. Definitions. As used in this Act, unless the
13context clearly otherwise requires:
14        (a) "Health care" means any phase of patient care,
15    including but not limited to, testing; diagnosis;
16    prognosis; ancillary research; instructions; family
17    planning, counselling, referrals, or any other advice in
18    connection with the use or procurement of contraceptives
19    and sterilization or abortion procedures; medication; or
20    surgery or other care or treatment rendered by a physician
21    or physicians, nurses, paraprofessionals or health care
22    facility, intended for the physical, emotional, and mental
23    well-being of persons; or an abortion as defined by the
24    Reproductive Health Act;

 

 

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1        (b) "Physician" means any person who is licensed by
2    the State of Illinois under the Medical Practice Act of
3    1987;
4        (c) "Health care personnel" means any nurse, nurses'
5    aide, medical school student, professional,
6    paraprofessional or any other person who furnishes, or
7    assists in the furnishing of, health care services;
8        (d) "Health care facility" means any public or private
9    hospital, clinic, center, medical school, medical training
10    institution, laboratory or diagnostic facility,
11    physician's office, infirmary, dispensary, ambulatory
12    surgical treatment center or other institution or location
13    wherein health care services are provided to any person,
14    including physician organizations and associations,
15    networks, joint ventures, and all other combinations of
16    those organizations;
17        (e) "Conscience" means a sincerely held set of moral
18    convictions arising from belief in and relation to God, or
19    which, though not so derived, arises from a place in the
20    life of its possessor parallel to that filled by God among
21    adherents to religious faiths;
22        (f) "Health care payer" means a health maintenance
23    organization, insurance company, management services
24    organization, or any other entity that pays for or
25    arranges for the payment of any health care or medical
26    care service, procedure, or product; and

 

 

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1        (g) "Undue delay" means unreasonable delay that causes
2    impairment of the patient's health.
3    The above definitions include not only the traditional
4combinations and forms of these persons and organizations but
5also all new and emerging forms and combinations of these
6persons and organizations.
7(Source: P.A. 101-13, eff. 6-12-19.)
 
8    Section 485. The Rights of Married Persons Act is amended
9by changing Section 15 as follows:
 
10    (750 ILCS 65/15)  (from Ch. 40, par. 1015)
11    Sec. 15. (a)(1) The expenses of the family and of the
12education of the children shall be chargeable upon the
13property of both husband and wife, or of either of them, in
14favor of creditors therefor, and in relation thereto they may
15be sued jointly or separately.
16    (2) No creditor, who has a claim against a spouse or former
17spouse for an expense incurred by that spouse or former spouse
18which is not a family expense, shall maintain an action
19against the other spouse or former spouse for that expense
20except:
21    (A) an expense for which the other spouse or former spouse
22agreed, in writing, to be liable; or
23    (B) an expense for goods or merchandise purchased by or in
24the possession of the other spouse or former spouse, or for

 

 

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1services ordered by the other spouse or former spouse.
2    (3) Any creditor who maintains an action in violation of
3this subsection (a) for an expense other than a family expense
4against a spouse or former spouse other than the spouse or
5former spouse who incurred the expense, shall be liable to the
6other spouse or former spouse for his or her costs, expenses
7and attorney's fees incurred in defending the action.
8    (4) No creditor shall, with respect to any claim against a
9spouse or former spouse for which the creditor is prohibited
10under this subsection (a) from maintaining an action against
11the other spouse or former spouse, engage in any collection
12efforts against the other spouse or former spouse, including,
13but not limited to, informal or formal collection attempts,
14referral of the claim to a collector or collection agency for
15collection from the other spouse or former spouse, or making
16any representation to a credit reporting agency that the other
17spouse or former spouse is any way liable for payment of the
18claim.
19    (b) (Blank). No spouse shall be liable for any expense
20incurred by the other spouse when an abortion is performed on
21such spouse, without the consent of such other spouse, unless
22the physician who performed the abortion certifies that such
23abortion is necessary to preserve the life of the spouse who
24obtained such abortion.
25    (c) (Blank). No parent shall be liable for any expense
26incurred by his or her minor child when an abortion is

 

 

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1performed on such minor child without the consent of both
2parents of such child, if they both have custody, or the parent
3having custody, or legal guardian of such child, unless the
4physician who performed the abortion certifies that such
5abortion is necessary to preserve the life of the minor child
6who obtained such abortion.
7(Source: P.A. 101-13, eff. 6-12-19.)
 
8
Article 99.

 
9    Section 9999. Effective date. This Act takes effect upon
10becoming law.

 

 

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1 INDEX
2 Statutes amended in order of appearance
3    New Act
4    775 ILCS 55/Act rep.
5    210 ILCS 5/6.2 new
6    410 ILCS 70/9.1 new
7    735 ILCS 5/11-107.1a new
8    5 ILCS 375/6.11
9    20 ILCS 505/5from Ch. 23, par. 5005
10    5 ILCS 140/7.5
11    55 ILCS 5/3-3013from Ch. 34, par. 3-3013
12    210 ILCS 5/2from Ch. 111 1/2, par. 157-8.2
13    210 ILCS 5/3from Ch. 111 1/2, par. 157-8.3
14    215 ILCS 5/356z.4
15    215 ILCS 5/356z.4a rep.
16    215 ILCS 125/5-3from Ch. 111 1/2, par. 1411.2
17    215 ILCS 165/10from Ch. 32, par. 604
18    225 ILCS 60/22from Ch. 111, par. 4400-22
19    225 ILCS 60/36from Ch. 111, par. 4400-36
20    225 ILCS 65/65-35was 225 ILCS 65/15-15
21    225 ILCS 65/65-43
22    225 ILCS 95/7.5
23    410 ILCS 535/1from Ch. 111 1/2, par. 73-1
24    415 ILCS 5/56.1from Ch. 111 1/2, par. 1056.1
25    720 ILCS 5/9-1.2from Ch. 38, par. 9-1.2

 

 

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1    720 ILCS 5/9-2.1from Ch. 38, par. 9-2.1
2    720 ILCS 5/9-3.2from Ch. 38, par. 9-3.2
3    720 ILCS 5/12-3.1from Ch. 38, par. 12-3.1
4    735 ILCS 5/8-802from Ch. 110, par. 8-802
5    745 ILCS 70/3from Ch. 111 1/2, par. 5303
6    750 ILCS 65/15from Ch. 40, par. 1015