97TH GENERAL ASSEMBLY
State of Illinois
2011 and 2012
Introduced 2/8/2012, by Rep. William Davis
SYNOPSIS AS INTRODUCED:
Amends the Department of Public Health Powers and Duties Law of the
Civil Administrative Code of Illinois. Makes changes to the provision
concerning hepatitis education, outreach, and prevention (now hepatitis
education and outreach). Deletes language that provides that certain
mandates are subject to appropriation. Provides that by January 1, 2013,
the Department, in consultation with the Advisory Council, shall prepare
the State Hepatitis C Plan to guide screening, referral, and treatment
services to those infected with HCV. Sets forth provisions concerning
public hearings, issues to be included in the Plan's assessment and
recommendations, and a screening strategy. Effective immediately.
|FISCAL NOTE ACT MAY APPLY|
A BILL FOR
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AN ACT concerning public health.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
The Department of Public Health Powers and
Duties Law of the
Civil Administrative Code of Illinois is
amended by changing Section 2310-376 as follows:
(20 ILCS 2310/2310-376)
(a) The Illinois General Assembly finds and declares the
(1) An estimated 4,000,000 individuals in the United
States are infected with hepatitis C virus (HCV), 75% of
these individuals are unaware they are infected.
(2) HCV is the leading cause of liver cancer and liver
failure and the most common reason for liver
transplantation in the United States.
(3) HCV is 4 times more prevalent than HIV/AIDS and has
led to more than 15,000 deaths in the United States in 2007
alone; 350,000 people die each year due to hepatitis
C-related liver disease worldwide.
(4) Two of every 3 people with chronic hepatitis C in
this country are baby boomers born between 1945 and 1965
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who were infected decades ago.
(5) HCV disproportionately affects minorities. African
Americans, who make up 14% of the population, account for
22% of HCV cases in the U.S. The Hispanic community also
bears a heavier burden; chronic HCV is more aggressive and
carries a higher risk of cirrhosis for Hispanics than for
any other ethnic group.
(6) The costs for HCV patients are projected to more
than double over the next 20 years, from $30,000,000,000 to
$85,000,000,000 per year.
(7) It is estimated that over 180,000 people in this
State are infected with hepatitis C.
(8) The percentage of African Americans (19.5%)
reported in Illinois with chronic hepatitis C was higher in
2004 than the percentage of African Americans (14.7%)
within Illinois' population.
(9) Almost one of every 3 persons infected with HIV in
this State is co-infected with hepatitis C.
(10) Forty-five percent of deaths occurring in the
co-infected population in Illinois are caused by liver
damage from chronic hepatitis C infection.
(1) The World Health Organization characterizes
hepatitis as a disease
primary concern to humanity.
(2) Hepatitis is considered a silent killer; no
recognizable signs or
symptoms occur until severe liver
damage has occurred.
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(3) Studies indicate that nearly 4 million Americans
(1.8 percent of the
population) carry the virus HCV that
causes the disease.
(4) 30,000 acute new infections occur each year in the
only 25 to 30 percent are diagnosed.
(5) 8,000 to 10,000 Americans die from the disease each
(6) 200,000 Illinois residents may be carriers and
could develop the
debilitating and potentially deadly
Inmates of correctional facilities have a
higher incidence of
and, upon their release,
present a significant health risk to the general
Illinois members of the armed services are
subject to an increased risk of contracting hepatitis due
to their possible receipt of contaminated blood during a
transfusion occurring for the treatment of wounds and due
to their service in areas of the World where the disease is
more prevalent and healthcare is less capable of detecting
and treating the disease. Many of these service members are
unaware of the danger of hepatitis and their increased risk
of contracting the disease.
Subject to appropriation, the
conduct an education and
outreach campaign, in
addition to its
overall effort to prevent infectious disease in Illinois, in
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raise awareness about and promote prevention of
Subject to appropriation, in
addition to the
education and outreach campaign provided in subsection (b), the
Department shall develop and make available to physicians,
other health care providers, members of the armed services, and
other persons subject to an increased risk of contracting
hepatitis, educational materials, in written and electronic
forms, on the diagnosis, treatment, and prevention of the
disease. These materials shall include the recommendations of
the federal Centers for Disease Control and Prevention and
shall reference the Centers for Disease Control and Prevention
guidelines regarding screening
any other persons or entities
determined by the Department to have particular expertise on
hepatitis, including the American Liver Foundation
materials shall be written in terms that are understandable by
members of the general public.
(d) The Department shall establish an Advisory Council on
Hepatitis to develop a hepatitis prevention plan. The
Department shall specify the membership, members' terms,
provisions for removal of members, chairmen, and purpose of the
Advisory Council. The Advisory Council shall consist of one
representative from each of the following State agencies or
offices, appointed by the head of each agency or office:
(1) The Department of Public Health.
(2) The Department of Public Aid.
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(3) The Department of Corrections.
(4) The Department of Veterans' Affairs.
(5) The Department on Aging.
(6) The Department of Human Services.
(7) The Department of State Police.
(8) The office of the State Fire Marshal.
The Director shall appoint representatives of
organizations and advocates in the State of Illinois,
including, but not limited to, the American Liver Foundation.
The Director shall also appoint interested members of the
public, including consumers and providers of health services
and representatives of local public health agencies, to provide
recommendations and information to the members of the Advisory
Council. Members of the Advisory Council shall serve on a
voluntary, unpaid basis and are not entitled to reimbursement
for mileage or other costs they incur in connection with
performing their duties.
(e) By January 1, 2013, the Department, in consultation
with the Advisory Council, shall prepare the State Hepatitis C
Plan to guide screening, referral, and treatment services to
those infected with HCV. To ensure meaningful input by
stakeholders into the Plan, the Department shall hold 2 public
hearings at locations throughout the State.
The public hearings
shall include various stakeholders, including public health
organizations, patient advocacy organizations, organizations
representing the incarcerated population, as well as
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individuals infected with HCV.
In developing the State Hepatitis C Plan, the Department,
in consultation with the Advisory Council, is directed to
assess the current and future impact of hepatitis C on Illinois
residents, including the cost of the disease to public and
private insurers; examine existing services and access to
services; and assess the resources addressing the needs of
persons with HCV.
The Plan shall include an examination of the following in
its assessment and recommendations:
(1) Trends in the State HCV population, including, but
not limited to, the use of State surveillance data of
persons with HCV for the purpose of having proper estimates
of the number of persons in the State infected with the
hepatitis C virus.
(2) The current economic impact to public and private
insurers of HCV and related disorders, including liver
disease, and those persons co-infected with HIV/AIDS. This
examination shall include the cost of direct and indirect
care paid by Medicaid and other federal-State funded
programs and the impact of the federal Affordable Care Act
on this population.
(3) An assessment of the existing access landscape,
including existing screening programs, education
resources, and treatment options for HCV-infected persons.
(4) The impact of HCV on the prison population in this
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State and efforts to screen and treat HCV-infected inmates
prior to release.
No later than January 1, 2016, the State Hepatitis C Plan
shall include a strategy to screen a targeted sample of persons
born between 1945 and 1965.
(Source: P.A. 93-129, eff. 1-1-04; 94-406, eff. 8-2-05.)
This Act takes effect upon