Rep. Kelly M. Cassidy

Filed: 5/15/2024

 

 


 

 


 
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1
AMENDMENT TO HOUSE BILL 582

2    AMENDMENT NO. ______. Amend House Bill 582 by replacing
3everything after the enacting clause with the following:
 
4    "Section 5. The Sexual Assault Survivors Emergency
5Treatment Act is amended by changing Sections 1a, 2, and 2.1 as
6follows:
 
7    (410 ILCS 70/1a)  (from Ch. 111 1/2, par. 87-1a)
8    Sec. 1a. Definitions.
9    (a) In this Act:
10    "Advanced practice registered nurse" has the meaning
11provided in Section 50-10 of the Nurse Practice Act.
12    "Ambulance provider" means an individual or entity that
13owns and operates a business or service using ambulances or
14emergency medical services vehicles to transport emergency
15patients.
16    "Approved pediatric health care facility" means a health

 

 

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1care facility, other than a hospital, with a sexual assault
2treatment plan approved by the Department to provide medical
3forensic services to sexual assault survivors under the age of
418 who present with a complaint of sexual assault within a
5minimum of the last 7 days or who have disclosed past sexual
6assault by a specific individual and were in the care of that
7individual within a minimum of the last 7 days.
8    "Areawide sexual assault treatment plan" means a plan,
9developed by hospitals or by hospitals and approved pediatric
10health care facilities in a community or area to be served,
11which provides for medical forensic services to sexual assault
12survivors that shall be made available by each of the
13participating hospitals and approved pediatric health care
14facilities.
15    "Board-certified child abuse pediatrician" means a
16physician certified by the American Board of Pediatrics in
17child abuse pediatrics.
18    "Board-eligible child abuse pediatrician" means a
19physician who has completed the requirements set forth by the
20American Board of Pediatrics to take the examination for
21certification in child abuse pediatrics.
22    "Department" means the Department of Public Health.
23    "Emergency contraception" means medication as approved by
24the federal Food and Drug Administration (FDA) that can
25significantly reduce the risk of pregnancy if taken within 72
26hours after sexual assault.

 

 

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1    "Follow-up healthcare" means healthcare services related
2to a sexual assault, including laboratory services and
3pharmacy services, rendered within 180 days of the initial
4visit for medical forensic services.
5    "Health care professional" means a physician, a physician
6assistant, a sexual assault forensic examiner, an advanced
7practice registered nurse, a registered professional nurse, a
8licensed practical nurse, or a sexual assault nurse examiner.
9    "Hospital" means a hospital licensed under the Hospital
10Licensing Act or operated under the University of Illinois
11Hospital Act, any outpatient center included in the hospital's
12sexual assault treatment plan where hospital employees provide
13medical forensic services, and an out-of-state hospital that
14has consented to the jurisdiction of the Department under
15Section 2.06.
16    "Illinois State Police Sexual Assault Evidence Collection
17Kit" means a prepackaged set of materials and forms to be used
18for the collection of evidence relating to sexual assault. The
19standardized evidence collection kit for the State of Illinois
20shall be the Illinois State Police Sexual Assault Evidence
21Collection Kit.
22    "Law enforcement agency having jurisdiction" means the law
23enforcement agency in the jurisdiction where an alleged sexual
24assault or sexual abuse occurred.
25    "Licensed practical nurse" has the meaning provided in
26Section 50-10 of the Nurse Practice Act.

 

 

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1    "Medical forensic services" means health care delivered to
2patients within or under the care and supervision of personnel
3working in a designated emergency department of a hospital or
4an approved pediatric health care facility. "Medical forensic
5services" includes, but is not limited to, taking a medical
6history, performing photo documentation, performing a physical
7and anogenital examination, assessing the patient for evidence
8collection, collecting evidence in accordance with a statewide
9sexual assault evidence collection program administered by the
10Illinois State Police using the Illinois State Police Sexual
11Assault Evidence Collection Kit, if appropriate, assessing the
12patient for drug-facilitated or alcohol-facilitated sexual
13assault, providing an evaluation of and care for sexually
14transmitted infection and human immunodeficiency virus (HIV),
15pregnancy risk evaluation and care, and discharge and
16follow-up healthcare planning.
17    "Pediatric health care facility" means a clinic or
18physician's office that provides medical services to patients
19under the age of 18.
20    "Pediatric sexual assault survivor" means a person under
21the age of 13 who presents for medical forensic services in
22relation to injuries or trauma resulting from a sexual
23assault.
24    "Photo documentation" means digital photographs or
25colposcope videos stored and backed up securely in the
26original file format.

 

 

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1    "Physician" means a person licensed to practice medicine
2in all its branches.
3    "Physician assistant" has the meaning provided in Section
44 of the Physician Assistant Practice Act of 1987.
5    "Prepubescent sexual assault survivor" means a female who
6is under the age of 18 years and has not had a first menstrual
7cycle or a male who is under the age of 18 years and has not
8started to develop secondary sex characteristics who presents
9for medical forensic services in relation to injuries or
10trauma resulting from a sexual assault.
11    "Qualified medical provider" means a board-certified child
12abuse pediatrician, board-eligible child abuse pediatrician, a
13sexual assault forensic examiner, or a sexual assault nurse
14examiner who has access to photo documentation tools, and who
15participates in peer review.
16    "Registered Professional Nurse" has the meaning provided
17in Section 50-10 of the Nurse Practice Act.
18    "Sexual assault" means:
19        (1) an act of sexual conduct; as used in this
20    paragraph, "sexual conduct" has the meaning provided under
21    Section 11-0.1 of the Criminal Code of 2012; or
22        (2) any act of sexual penetration; as used in this
23    paragraph, "sexual penetration" has the meaning provided
24    under Section 11-0.1 of the Criminal Code of 2012 and
25    includes, without limitation, acts prohibited under
26    Sections 11-1.20 through 11-1.60 of the Criminal Code of

 

 

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1    2012.
2    "Sexual assault forensic examiner" means a physician or
3physician assistant who has completed training that meets or
4is substantially similar to the Sexual Assault Nurse Examiner
5Education Guidelines established by the International
6Association of Forensic Nurses.
7    "Sexual assault nurse examiner" means an advanced practice
8registered nurse or registered professional nurse who has
9completed a sexual assault nurse examiner training program
10that meets the Sexual Assault Nurse Examiner Education
11Guidelines established by the International Association of
12Forensic Nurses.
13    "Sexual assault services voucher" means a document
14generated by a hospital or approved pediatric health care
15facility at the time the sexual assault survivor receives
16outpatient medical forensic services that may be used to seek
17payment for any ambulance services, medical forensic services,
18laboratory services, pharmacy services, and follow-up
19healthcare provided as a result of the sexual assault.
20    "Sexual assault survivor" means a person who presents for
21medical forensic services in relation to injuries or trauma
22resulting from a sexual assault.
23    "Sexual assault transfer plan" means a written plan
24developed by a hospital and approved by the Department, which
25describes the hospital's procedures for transferring sexual
26assault survivors to another hospital, and an approved

 

 

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1pediatric health care facility, if applicable, in order to
2receive medical forensic services.
3    "Sexual assault treatment plan" means a written plan that
4describes the procedures and protocols for providing medical
5forensic services to sexual assault survivors who present
6themselves for such services, either directly or through
7transfer from a hospital or an approved pediatric health care
8facility.
9    "Transfer hospital" means a hospital with a sexual assault
10transfer plan approved by the Department.
11    "Transfer services" means the appropriate medical
12screening examination and necessary stabilizing treatment
13prior to the transfer of a sexual assault survivor to a
14hospital or an approved pediatric health care facility that
15provides medical forensic services to sexual assault survivors
16pursuant to a sexual assault treatment plan or areawide sexual
17assault treatment plan.
18    "Treatment hospital" means a hospital with a sexual
19assault treatment plan approved by the Department to provide
20medical forensic services to all sexual assault survivors who
21present with a complaint of sexual assault within a minimum of
22the last 7 days or who have disclosed past sexual assault by a
23specific individual and were in the care of that individual
24within a minimum of the last 7 days.
25    "Treatment hospital with approved pediatric transfer"
26means a hospital with a treatment plan approved by the

 

 

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1Department to provide medical forensic services to sexual
2assault survivors 13 years old or older who present with a
3complaint of sexual assault within a minimum of the last 7 days
4or who have disclosed past sexual assault by a specific
5individual and were in the care of that individual within a
6minimum of the last 7 days.
7    "Unduly burdensome" means a set of factors that create
8significant hardship on a patient who must be transferred to
9another hospital for treatment under this Act.
10    (b) This Section is effective on and after January 1,
112024.
12(Source: P.A. 102-22, eff. 6-25-21; 102-538, eff. 8-20-21;
13102-674, eff. 11-30-21; 102-813, eff. 5-13-22; 102-1097, eff.
141-1-23; 102-1106, eff. 1-1-23; 103-154, eff. 6-30-23.)
 
15    (410 ILCS 70/2)  (from Ch. 111 1/2, par. 87-2)
16    Sec. 2. Hospital and approved pediatric health care
17facility requirements for sexual assault plans.
18    (a) Every hospital required to be licensed by the
19Department pursuant to the Hospital Licensing Act, or operated
20under the University of Illinois Hospital Act that provides
21general medical and surgical hospital services shall provide
22either (i) transfer services to all sexual assault survivors,
23(ii) medical forensic services to all sexual assault
24survivors, or (iii) transfer services to pediatric sexual
25assault survivors and medical forensic services to sexual

 

 

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1assault survivors 13 years old or older, in accordance with
2rules adopted by the Department.
3    In addition, every such hospital, regardless of whether or
4not a request is made for reimbursement, shall submit to the
5Department a plan to provide either (i) transfer services to
6all sexual assault survivors, (ii) medical forensic services
7to all sexual assault survivors, or (iii) transfer services to
8pediatric sexual assault survivors and medical forensic
9services to sexual assault survivors 13 years old or older
10within the time frame established by the Department. The
11Department shall approve such plan for either (i) transfer
12services to all sexual assault survivors, (ii) medical
13forensic services to all sexual assault survivors, or (iii)
14transfer services to pediatric sexual assault survivors and
15medical forensic services to sexual assault survivors 13 years
16old or older, if it finds that the implementation of the
17proposed plan would provide (i) transfer services or (ii)
18medical forensic services for sexual assault survivors in
19accordance with the requirements of this Act and provide
20sufficient protections from the risk of pregnancy to sexual
21assault survivors. Notwithstanding anything to the contrary in
22this paragraph, the Department may approve a sexual assault
23transfer plan for the provision of medical forensic services
24if:
25        (1) a treatment hospital with approved pediatric
26    transfer has agreed, as part of an areawide treatment

 

 

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1    plan, to accept sexual assault survivors 13 years of age
2    or older from the proposed transfer hospital, if the
3    treatment hospital with approved pediatric transfer is
4    geographically closer to the transfer hospital than a
5    treatment hospital or another treatment hospital with
6    approved pediatric transfer and such transfer is not
7    unduly burdensome on the sexual assault survivor; and
8        (2) a treatment hospital has agreed, as a part of an
9    areawide treatment plan, to accept sexual assault
10    survivors under 13 years of age from the proposed transfer
11    hospital and transfer to the treatment hospital would not
12    unduly burden the sexual assault survivor.
13    In determining whether a sexual assault transfer plan is
14unduly burdensome under this subsection, the Department shall
15consider the following factors:
16        (1) whether the travel distance to the transfer
17    hospital exceeds 60 miles for rural Critical Access
18    Hospitals and 40 miles for all other rural hospitals;
19        (2) the actual number of full-time equivalent staff
20    that are certified Sexual Assault Nurse Examiners;
21        (3) the number of patients who have presented to the
22    hospital emergency department with a presentation of
23    sexual assault within the previous 2 years;
24        (4) the age group ranges of patients (under age 13,
25    age 13 to 18, and age 18 and older) who presented for
26    treatment of sexual assault within the previous 2 years;

 

 

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1        (5) the average daily, monthly, and annual number of
2    patients who presented and received emergency treatment in
3    the hospital's emergency department;
4        (6) the number of hospitals within a 60-mile radius in
5    which the hospital had considered an areawide transfer
6    agreement; and
7        (7) the existence of any areawide transfer agreements
8    or other arrangements to accommodate patients presenting
9    with sexual assault.
10    The Department may not approve a sexual assault transfer
11plan unless a treatment hospital has agreed, as a part of an
12areawide treatment plan, to accept sexual assault survivors
13from the proposed transfer hospital and a transfer to the
14treatment hospital would not unduly burden the sexual assault
15survivor.
16    In counties with a population of less than 1,000,000, the
17Department may not approve a sexual assault transfer plan for
18a hospital located within a 20-mile radius of a 4-year public
19university, not including community colleges, unless there is
20a treatment hospital with a sexual assault treatment plan
21approved by the Department within a 20-mile radius of the
224-year public university.
23    A transfer must be in accordance with federal and State
24laws and local ordinances.
25    A treatment hospital with approved pediatric transfer must
26submit an areawide treatment plan under Section 3 of this Act

 

 

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1that includes a written agreement with a treatment hospital
2stating that the treatment hospital will provide medical
3forensic services to pediatric sexual assault survivors
4transferred from the treatment hospital with approved
5pediatric transfer. The areawide treatment plan may also
6include an approved pediatric health care facility.
7    A transfer hospital must submit an areawide treatment plan
8under Section 3 of this Act that includes a written agreement
9with a treatment hospital stating that the treatment hospital
10will provide medical forensic services to all sexual assault
11survivors transferred from the transfer hospital. The areawide
12treatment plan may also include an approved pediatric health
13care facility. Notwithstanding anything to the contrary in
14this paragraph, the areawide treatment plan may include a
15written agreement with a treatment hospital with approved
16pediatric transfer that is geographically closer than other
17hospitals providing medical forensic services to sexual
18assault survivors 13 years of age or older stating that the
19treatment hospital with approved pediatric transfer will
20provide medical services to sexual assault survivors 13 years
21of age or older who are transferred from the transfer
22hospital. If the areawide treatment plan includes a written
23agreement with a treatment hospital with approved pediatric
24transfer, it must also include a written agreement with a
25treatment hospital stating that the treatment hospital will
26provide medical forensic services to sexual assault survivors

 

 

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1under 13 years of age who are transferred from the transfer
2hospital.
3    Beginning January 1, 2019, each treatment hospital and
4treatment hospital with approved pediatric transfer shall
5ensure that emergency department attending physicians,
6physician assistants, advanced practice registered nurses, and
7registered professional nurses providing clinical services,
8who do not meet the definition of a qualified medical provider
9in Section 1a of this Act, receive a minimum of 2 hours of
10sexual assault training by July 1, 2020 or until the treatment
11hospital or treatment hospital with approved pediatric
12transfer certifies to the Department, in a form and manner
13prescribed by the Department, that it employs or contracts
14with a qualified medical provider in accordance with
15subsection (a-7) of Section 5, whichever occurs first.
16    After July 1, 2020 or once a treatment hospital or a
17treatment hospital with approved pediatric transfer certifies
18compliance with subsection (a-7) of Section 5, whichever
19occurs first, each treatment hospital and treatment hospital
20with approved pediatric transfer shall ensure that emergency
21department attending physicians, physician assistants,
22advanced practice registered nurses, and registered
23professional nurses providing clinical services, who do not
24meet the definition of a qualified medical provider in Section
251a of this Act, receive a minimum of 2 hours of continuing
26education on responding to sexual assault survivors every 2

 

 

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1years. Protocols for training shall be included in the
2hospital's sexual assault treatment plan.
3    Sexual assault training provided under this subsection may
4be provided in person or online and shall include, but not be
5limited to:
6        (1) information provided on the provision of medical
7    forensic services;
8        (2) information on the use of the Illinois Sexual
9    Assault Evidence Collection Kit;
10        (3) information on sexual assault epidemiology,
11    neurobiology of trauma, drug-facilitated sexual assault,
12    child sexual abuse, and Illinois sexual assault-related
13    laws; and
14        (4) information on the hospital's sexual
15    assault-related policies and procedures.
16    The online training made available by the Office of the
17Attorney General under subsection (b) of Section 10 may be
18used to comply with this subsection.
19    (a-5) A hospital must submit a plan to provide either (i)
20transfer services to all sexual assault survivors, (ii)
21medical forensic services to all sexual assault survivors, or
22(iii) transfer services to pediatric sexual assault survivors
23and medical forensic services to sexual assault survivors 13
24years old or older as required in subsection (a) of this
25Section within 60 days of the Department's request. Failure to
26submit a plan as described in this subsection shall subject a

 

 

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1hospital to the imposition of a fine by the Department. The
2Department may impose a fine of up to $500 for submissions up
3to 7 days late and $2,500 for submissions 8 or more days late
4per day until the hospital submits a plan as described in this
5subsection.
6    (a-10) Upon receipt of a plan as described in subsection
7(a-5), the Department shall notify the hospital whether or not
8the plan is acceptable. If the Department determines that the
9plan is unacceptable, the hospital must submit a modified plan
10within 10 days of service of the notification. If the
11Department determines that the modified plan is unacceptable,
12or if the hospital fails to submit a modified plan within 10
13days, the Department may impose a fine of up to $500 for
14submission up to 7 days late or an unacceptable plan and $2,500
15for submission 8 or more days late per day until an acceptable
16plan has been submitted, as determined by the Department.
17    (b) An approved pediatric health care facility may provide
18medical forensic services, in accordance with rules adopted by
19the Department, to all sexual assault survivors under the age
20of 18 who present for medical forensic services in relation to
21injuries or trauma resulting from a sexual assault. These
22services shall be provided by a qualified medical provider.
23    A pediatric health care facility must participate in or
24submit an areawide treatment plan under Section 3 of this Act
25that includes a treatment hospital. If a pediatric health care
26facility does not provide certain medical or surgical services

 

 

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1that are provided by hospitals, the areawide sexual assault
2treatment plan must include a procedure for ensuring a sexual
3assault survivor in need of such medical or surgical services
4receives the services at the treatment hospital. The areawide
5treatment plan may also include a treatment hospital with
6approved pediatric transfer.
7    The Department shall review a proposed sexual assault
8treatment plan submitted by a pediatric health care facility
9within 60 days after receipt of the plan. If the Department
10finds that the proposed plan meets the minimum requirements
11set forth in Section 5 of this Act and that implementation of
12the proposed plan would provide medical forensic services for
13sexual assault survivors under the age of 18, then the
14Department shall approve the plan. If the Department does not
15approve a plan, then the Department shall notify the pediatric
16health care facility that the proposed plan has not been
17approved. The pediatric health care facility shall have 30
18days to submit a revised plan. The Department shall review the
19revised plan within 30 days after receipt of the plan and
20notify the pediatric health care facility whether the revised
21plan is approved or rejected. A pediatric health care facility
22may not provide medical forensic services to sexual assault
23survivors under the age of 18 who present with a complaint of
24sexual assault within a minimum of the last 7 days or who have
25disclosed past sexual assault by a specific individual and
26were in the care of that individual within a minimum of the

 

 

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1last 7 days until the Department has approved a treatment
2plan.
3    If an approved pediatric health care facility is not open
424 hours a day, 7 days a week, it shall post signage at each
5public entrance to its facility that:
6        (1) is at least 14 inches by 14 inches in size;
7        (2) directs those seeking services as follows: "If
8    closed, call 911 for services or go to the closest
9    hospital emergency department, (insert name) located at
10    (insert address).";
11        (3) lists the approved pediatric health care
12    facility's hours of operation;
13        (4) lists the street address of the building;
14        (5) has a black background with white bold capital
15    lettering in a clear and easy to read font that is at least
16    72-point type, and with "call 911" in at least 125-point
17    type;
18        (6) is posted clearly and conspicuously on or adjacent
19    to the door at each entrance and, if building materials
20    allow, is posted internally for viewing through glass; if
21    posted externally, the sign shall be made of
22    weather-resistant and theft-resistant materials,
23    non-removable, and adhered permanently to the building;
24    and
25        (7) has lighting that is part of the sign itself or is
26    lit with a dedicated light that fully illuminates the

 

 

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1    sign.
2    A copy of the proposed sign must be submitted to the
3Department and approved as part of the approved pediatric
4health care facility's sexual assault treatment plan.
5    (c) Each treatment hospital, treatment hospital with
6approved pediatric transfer, and approved pediatric health
7care facility must enter into a memorandum of understanding
8with a rape crisis center for medical advocacy services, if
9these services are available to the treatment hospital,
10treatment hospital with approved pediatric transfer, or
11approved pediatric health care facility. With the consent of
12the sexual assault survivor, a rape crisis counselor shall
13remain in the exam room during the collection for forensic
14evidence.
15    (d) Every treatment hospital, treatment hospital with
16approved pediatric transfer, and approved pediatric health
17care facility's sexual assault treatment plan shall include
18procedures for complying with mandatory reporting requirements
19pursuant to (1) the Abused and Neglected Child Reporting Act;
20(2) the Abused and Neglected Long Term Care Facility Residents
21Reporting Act; (3) the Adult Protective Services Act; and (iv)
22the Criminal Identification Act.
23    (e) Each treatment hospital, treatment hospital with
24approved pediatric transfer, and approved pediatric health
25care facility shall submit to the Department every 6 months,
26in a manner prescribed by the Department, the following

 

 

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1information:
2        (1) The total number of patients who presented with a
3    complaint of sexual assault.
4        (2) The total number of Illinois Sexual Assault
5    Evidence Collection Kits:
6            (A) offered to (i) all sexual assault survivors
7        and (ii) pediatric sexual assault survivors pursuant
8        to paragraph (1.5) of subsection (a-5) of Section 5;
9            (B) completed for (i) all sexual assault survivors
10        and (ii) pediatric sexual assault survivors; and
11            (C) declined by (i) all sexual assault survivors
12        and (ii) pediatric sexual assault survivors.
13    This information shall be made available on the
14Department's website.
15    (f) This Section is effective on and after January 1,
162024.
17(Source: P.A. 101-73, eff. 7-12-19; 101-634, eff. 6-5-20;
18102-22, eff. 6-25-21; 102-674, eff. 11-30-21; 102-1106, eff.
191-1-23.)
 
20    (410 ILCS 70/2.1)  (from Ch. 111 1/2, par. 87-2.1)
21    Sec. 2.1. Plan of correction; penalties.
22    (a) If the Department surveyor determines that the
23hospital or approved pediatric health care facility is not in
24compliance with its approved plan and rules adopted under this
25Act, the surveyor shall provide the hospital or approved

 

 

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1pediatric health care facility with a written warning of
2violation and a statement of deficiencies listing the list of
3the specific items of noncompliance within 10 working days
4after the conclusion of the on-site review. The hospital shall
5have 10 working days to submit to the Department a plan of
6correction which contains the hospital's or approved pediatric
7health care facility's specific proposals for correcting the
8items of noncompliance. The Department shall review the plan
9of correction and notify the hospital in writing within 10
10working days as to whether the plan is acceptable or
11unacceptable.
12    If the Department finds the Plan of Correction
13unacceptable, the hospital or approved pediatric health care
14facility shall have 10 working days to resubmit an acceptable
15Plan of Correction. Upon notification that its Plan of
16Correction is acceptable, a hospital or approved pediatric
17health care facility shall implement the Plan of Correction
18within 60 days.
19    (b) The failure of a hospital to submit an acceptable Plan
20of Correction or to implement the Plan of Correction, within
21the time frames required in this Section, will subject a
22hospital to the imposition of a $500 fine by the Department.
23The Department may impose a fine of up to $500 per day until a
24hospital complies with the requirements of this Section. If a
25hospital submits 2 Plans of Correction that are found to not be
26acceptable by the Department, the hospital shall become

 

 

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1subject to the imposition of a $2,500 fine by the Department.
2    If an approved pediatric health care facility fails to
3submit an acceptable Plan of Correction or to implement the
4Plan of Correction within the time frames required in this
5Section, then the Department shall notify the approved
6pediatric health care facility that the approved pediatric
7health care facility may not provide medical forensic services
8under this Act. The Department may impose a fine of up to $500
9per patient provided services in violation of this Act. If an
10approved pediatric facility submits 2 Plans of Correction that
11are found to not be acceptable by the Department, the approved
12pediatric health care facility shall become subject to the
13imposition of a fine by the Department and the termination of
14its approved sexual assault treatment plan.
15    (c) Before imposing a fine pursuant to this Section, the
16Department shall provide the hospital or approved pediatric
17health care facility via certified mail with written notice
18and an opportunity for an administrative hearing. Such hearing
19must be requested within 10 working days after receipt of the
20Department's Notice. All hearings shall be conducted in
21accordance with the Department's rules in administrative
22hearings.
23    (c-5) The Department shall find a hospital in violation of
24this subsection if, after the issuance of a written warning to
25the hospital as described in subsection (a), the Department's
26investigation finds that the hospital committed one or more of

 

 

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1the following violations:
2        (1) allowing a nonqualified medical provider to
3    perform and complete the medical forensic service
4    examination;
5        (2) refusing to offer a medical forensic service
6    examination to the sexual assault survivor;
7        (3) failing to provide medical management for sexually
8    transmitted infections, medical management for HIV, and
9    emergency contraception; or
10        (4) failing to offer photographic evidence, failing to
11    secure photographic evidence, or releasing photographic
12    evidence without a court order.
13    The Department shall impose a fine of $3,000 for an
14initial violation of this subsection and a fine of $5,000 for
15each subsequent violation.
16    (d) This Section is effective on and after January 1,
172024.
18(Source: P.A. 101-81, eff. 7-12-19; 101-634, eff. 6-5-20;
19102-22, eff. 6-25-21; 102-674, eff. 11-30-21; 102-1106, eff.
201-1-23.)".