Full Text of HB5193 97th General Assembly
HB5193ham002 97TH GENERAL ASSEMBLY | Rep. William Davis Filed: 3/7/2012
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| 1 | | AMENDMENT TO HOUSE BILL 5193
| 2 | | AMENDMENT NO. ______. Amend House Bill 5193, AS AMENDED, by | 3 | | replacing everything after the enacting clause with the | 4 | | following:
| 5 | | "Section 5. The Department of Public Health Powers and | 6 | | Duties Law of the
Civil Administrative Code of Illinois is | 7 | | amended by changing Section 2310-376 as follows:
| 8 | | (20 ILCS 2310/2310-376)
| 9 | | Sec. 2310-376. Hepatitis education , and outreach , and | 10 | | prevention .
| 11 | | (a) The Illinois General Assembly finds and declares the | 12 | | following:
| 13 | | (1) An estimated 5,400,000 individuals in the United | 14 | | States are infected with viral hepatitis B (HBV) and | 15 | | hepatitis C (HCV), 75% of these individuals are unaware | 16 | | they are infected. |
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| 1 | | (2) HBV and HCV are leading causes of liver cancer and | 2 | | liver failure and the most common reasons for liver | 3 | | transplantation in the United States. | 4 | | (3) Viral hepatitis is 5 times more prevalent than | 5 | | HIV/AIDS and has led to nearly 17,000 deaths in the United | 6 | | States in 2007 alone; more than 1,000,000 people die each | 7 | | year due to viral hepatitis B and C-related liver disease | 8 | | worldwide. | 9 | | (4) Two of every 3 people with chronic hepatitis C in | 10 | | this country are baby boomers born between 1945 and 1965 | 11 | | who were infected decades ago. | 12 | | (5) HCV disproportionately affects minorities. African | 13 | | Americans, who make up 14% of the population, account for | 14 | | 22% of HCV cases in the U.S. The Hispanic community also | 15 | | bears a heavier burden; chronic HCV is more aggressive and | 16 | | carries a higher risk of cirrhosis for Hispanics than for | 17 | | any other ethnic group. Immigrants from mainland China and | 18 | | Southeast Asia also have high rates of hepatitis C. | 19 | | (6) HBV also impacts minorities disproportionately. | 20 | | One in 10 to 12 Asian Americans in the U.S. is chronically | 21 | | infected with HBV. Asian Americans make up nearly 50% of | 22 | | the 1,400,000 individuals with chronic HBV infections. In | 23 | | addition, among all racial and ethnic groups, African | 24 | | Americans had the highest new cases of HBV in 2009. | 25 | | (7) The costs for viral hepatitis patients are | 26 | | projected to more than double over the next 20 years, from |
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| 1 | | $30,000,000,000 to $85,000,000,000 per year. | 2 | | (8) It is estimated that over 180,000 people in this | 3 | | State are infected with hepatitis C. | 4 | | (9) The percentage of African Americans (19.5%) | 5 | | reported in Illinois with chronic hepatitis C was higher in | 6 | | 2004 than the percentage of African Americans (14.7%) | 7 | | within Illinois' population. | 8 | | (10) Almost one of every 3 persons infected with HIV in | 9 | | this State is co-infected with hepatitis B or C. | 10 | | (11) Forty-five percent of deaths occurring in the | 11 | | co-infected population in Illinois are caused by liver | 12 | | damage from chronic hepatitis B and C infections.
| 13 | | (1) The World Health Organization characterizes | 14 | | hepatitis as a disease
of
primary concern to humanity.
| 15 | | (2) Hepatitis is considered a silent killer; no | 16 | | recognizable signs or
symptoms occur until severe liver | 17 | | damage has occurred.
| 18 | | (3) Studies indicate that nearly 4 million Americans | 19 | | (1.8 percent of the
population) carry the virus HCV that | 20 | | causes the disease.
| 21 | | (4) 30,000 acute new infections occur each year in the | 22 | | United States,
and
only 25 to 30 percent are diagnosed.
| 23 | | (5) 8,000 to 10,000 Americans die from the disease each | 24 | | year.
| 25 | | (6) 200,000 Illinois residents may be carriers and | 26 | | could develop the
debilitating and potentially deadly |
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| 1 | | liver disease.
| 2 | | (12) (7) Inmates of correctional facilities have a | 3 | | higher incidence of
hepatitis
and, upon their release, | 4 | | present a significant health risk to the general
| 5 | | population.
| 6 | | (13) (8) Illinois members of the armed services are | 7 | | subject to an increased risk of contracting hepatitis due | 8 | | to their possible receipt of contaminated blood during a | 9 | | transfusion occurring for the treatment of wounds and due | 10 | | to their service in areas of the World where the disease is | 11 | | more prevalent and healthcare is less capable of detecting | 12 | | and treating the disease. Many of these service members are | 13 | | unaware of the danger of viral hepatitis and their | 14 | | increased risk of contracting the disease.
| 15 | | (b) Subject to appropriation, the Department shall conduct | 16 | | an education and
outreach campaign, in
addition to its overall | 17 | | effort to prevent infectious disease in Illinois, in
order to
| 18 | | raise awareness about and promote prevention of viral | 19 | | hepatitis.
| 20 | | (c) Subject to appropriation, in addition to the education | 21 | | and outreach campaign provided in subsection (b), the | 22 | | Department shall develop and make available to physicians, | 23 | | other health care providers, members of the armed services, and | 24 | | other persons subject to an increased risk of contracting | 25 | | hepatitis, educational materials, in written and electronic | 26 | | forms, on the diagnosis, treatment, and prevention of the |
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| 1 | | disease. These materials shall include the recommendations of | 2 | | the federal Centers for Disease Control and Prevention and | 3 | | shall reference the Centers for Disease Control and Prevention | 4 | | guidelines regarding screening any other persons or entities | 5 | | determined by the Department to have particular expertise on | 6 | | hepatitis, including the American Liver Foundation . These | 7 | | materials shall be written in terms that are understandable by | 8 | | members of the general public.
| 9 | | (d) The Department shall establish an Advisory Council on | 10 | | Viral Hepatitis to develop a hepatitis prevention plan. The | 11 | | Department shall specify the membership, members' terms, | 12 | | provisions for removal of members, chairmen, and purpose of the | 13 | | Advisory Council. The Advisory Council shall consist of one | 14 | | representative from each of the following State agencies or | 15 | | offices, appointed by the head of each agency or office:
| 16 | | (1) The Department of Public Health.
| 17 | | (2) The Department of Public Aid.
| 18 | | (3) The Department of Corrections.
| 19 | | (4) The Department of Veterans' Affairs.
| 20 | | (5) The Department on Aging.
| 21 | | (6) The Department of Human Services.
| 22 | | (7) The Department of State Police.
| 23 | | (8) The office of the State Fire Marshal.
| 24 | | The Director shall appoint representatives of | 25 | | organizations and advocates in the State of Illinois, | 26 | | including, but not limited to, the American Liver Foundation , |
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| 1 | | an organization focused on health advocacy for the | 2 | | Asian-American community, and an organization focused on | 3 | | promoting prison reform and advocating for the incarcerated | 4 | | population . The Director shall also appoint interested members | 5 | | of the public, including consumers and providers of health | 6 | | services and representatives of local public health agencies, | 7 | | to provide recommendations and information to the members of | 8 | | the Advisory Council. Members of the Advisory Council shall | 9 | | serve on a voluntary, unpaid basis and are not entitled to | 10 | | reimbursement for mileage or other costs they incur in | 11 | | connection with performing their duties.
| 12 | | (e) By January 1, 2013, the Department, in consultation | 13 | | with the Advisory Council, shall prepare the State Viral | 14 | | Hepatitis Plan to guide screening and immunization, referral, | 15 | | and treatment services to those infected with HBV and HCV. To | 16 | | ensure meaningful input by stakeholders into the Plan, the | 17 | | Department shall hold 2 public hearings at locations throughout | 18 | | the State.
The public hearings shall include various | 19 | | stakeholders, including public health organizations, patient | 20 | | advocacy organizations, organizations representing the | 21 | | incarcerated population, as well as individuals infected with | 22 | | HBV and HCV. | 23 | | In developing the State Viral Hepatitis Plan, the | 24 | | Department, in consultation with the Advisory Council, is | 25 | | directed to assess the current and future impact of hepatitis B | 26 | | and C on Illinois residents, including the cost of the disease |
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| 1 | | to public and private insurers; examine existing services and | 2 | | access to services; and assess the resources addressing the | 3 | | needs of persons with HBV and HCV. | 4 | | The Plan shall include an examination of the following in | 5 | | its assessment and recommendations: | 6 | | (1) Trends in the State HBV and HCV population, | 7 | | including, but not limited to, the use of State | 8 | | surveillance data of persons with HBV and HCV for the | 9 | | purpose of having proper estimates of the number of persons | 10 | | in the State infected with HBV and HCV. | 11 | | (2) The current economic impact to public and private | 12 | | insurers of HBV and HCV and related disorders, including | 13 | | liver disease, and those persons co-infected with | 14 | | HIV/AIDS. This examination shall include the cost of direct | 15 | | and indirect care paid by Medicaid and other federal-State | 16 | | funded programs and the impact of the federal Affordable | 17 | | Care Act on this population. | 18 | | (3) An assessment of the existing access landscape, | 19 | | including existing screening and immunization programs, | 20 | | education resources, and treatment options for | 21 | | HBV-infected and HCV-infected persons. | 22 | | (4) The impact of HBV and HCV on the prison population | 23 | | in this State and efforts to screen and treat HBV-infected | 24 | | and HCV-infected inmates prior to release. | 25 | | No later than January 1, 2016, the State Viral Hepatitis | 26 | | Plan shall include a strategy to screen a targeted sample of |
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| 1 | | persons born between 1945 and 1965 for HCV, and a strategy to | 2 | | screen a targeted sample of high risk individuals for HBV. | 3 | | (Source: P.A. 93-129, eff. 1-1-04; 94-406, eff. 8-2-05.)
| 4 | | Section 99. Effective date. This Act takes effect upon | 5 | | becoming law.".
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