State of Illinois
91st General Assembly
Legislation

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91_HB0631ham002

 










                                             LRB9100454SMpram

 1                     AMENDMENT TO HOUSE BILL 631

 2        AMENDMENT NO.     .  Amend House Bill 631, AS AMENDED, by
 3    replacing everything  after  the  enacting  clause  with  the
 4    following:

 5        "Section  5.   The State Finance Act is amended by adding
 6    Section 5.490 as follows:

 7        (30 ILCS 105/5.490 new)
 8        Sec. 5.490.  The Illinois Adoption Registry  and  Medical
 9    Information Exchange Fund.

10        Section  10.  The  Adoption  Act  is  amended  by  adding
11    Sections   18.051,  18.052,  18.053,  18.054, 18.055, 18.056,
12    18.057,  18.058,  18.059,  18.060,  18.061,  and  18.062  and
13    changing Section 18.3a as follows:

14        (750 ILCS 50/18.051 new)
15        Sec. 18.051.  The Illinois Adoption Registry and  Medical
16    Information   Exchange;   legislative  intent.   The  General
17    Assembly recognizes the importance of creating a procedure by
18    which mutually consenting adult members of birth families and
19    adoptive families, as well as legal guardians of  surrendered
20    children,  and  adult  adopted  or  surrendered  persons  may
 
                            -2-              LRB9100454SMpram
 1    voluntarily exchange vital medical information throughout the
 2    life  of  the  adopted  or  surrendered  person.  The General
 3    Assembly further recognizes that it is in the  best  interest
 4    of  adopted  and  surrendered  persons  and  their  birth and
 5    adoptive families that birth family medical histories and the
 6    preferences regarding contact of all parties to  an  adoption
 7    be  compiled,  preserved  and  provided, upon request, to the
 8    adoptive  parents  and  legal   guardians   of   adopted   or
 9    surrendered  children  and  to  adult  adopted or surrendered
10    persons and their birth and adoptive relatives.  The  purpose
11    of  this  amendatory  Act  of the 91st General Assembly is to
12    respond to these concerns  by  redefining  the  function  and
13    operation  of the Illinois Adoption Registry and creating the
14    voluntary Medical Information Exchange.

15        (750 ILCS 50/18.052 new)
16        Sec.  18.052.   Definitions.  When   used   in   Sections
17    beginning  with  Section  18.051  and preceding Section 18.1,
18    unless the context otherwise requires:
19        "Adopted person" means a person who was adopted  pursuant
20    to the laws in effect at the time of the adoption.
21        "Adoptive  parent" means a person who has become a parent
22    through the legal process of adoption.
23        "Adoptive relative" means the  widow  or  widower,  adult
24    child or adoptive parent of a deceased adopted or surrendered
25    person.
26        "Agency"  means  a  public  child  welfare  agency  or  a
27    licensed child welfare agency.
28        "Birth  father" means the biological father of an adopted
29    or  surrendered  person  who  is  named   on   the   original
30    certificate  of live birth, in the agency or court file, on a
31    consent or surrender document, or a notarized statement  duly
32    executed  and  signed  by  the  birth mother, or a biological
33    father whose paternity has been established by a judgment  or
 
                            -3-              LRB9100454SMpram
 1    order of the court.
 2        "Birth  mother" means the biological mother of an adopted
 3    or surrendered person.
 4        "Birth parent" means a parent, by birth, of an adopted or
 5    surrendered person.
 6        "Birth  relative"  means  a  parent,   adult   biological
 7    sibling,  adoptive  child,  or  biological  child who was not
 8    surrendered for adoption of a deceased birth parent.
 9        "Birth sibling" means the adult  adopted  or  surrendered
10    full or half sibling of an adopted or surrendered person.
11        "Denial  of  Information  Exchange"  means  an  affidavit
12    completed  by  an applicant to the Illinois Adoption Registry
13    and Medical Information Exchange denying the release  of  his
14    or her name and address to a specified party or parties.
15        "Identifying  information"  means the surname, given name
16    or names, and address of any interested party.
17        "Illinois  Adoption  Registry  Release  Letter"  means  a
18    document issued by the  Department  of  Public  Health  which
19    entitles  an  adopted person who is the subject of a Registry
20    match to receive copies of his or her original certificate of
21    live birth, judgment for adoption, and certain documents  and
22    records  in the possession of the agency or attorney that was
23    involved in the adoption proceedings or surrender.
24        "Information Exchange Authorization" means  an  affidavit
25    completed  by  an applicant to the Illinois Adoption Registry
26    and Medical Information Exchange authorizing the  release  of
27    his or her name and address to a specified party or parties.
28        "Interested  party"  means  an  adoptive  parent or legal
29    guardian of an adopted or surrendered person under the age of
30    18, an adopted or surrendered person 18 years of age or over,
31    an eligible  adoptive  relative,  a  birth  parent,  a  birth
32    sibling, or an eligible birth relative.
33        "Medical  Information  Exchange  Questionnaire" means the
34    medical history questionnaire completed by applicants to  the
 
                            -4-              LRB9100454SMpram
 1    Illinois Adoption Registry and Medical Information Exchange.
 2        "Proof  of  death"  means  a  death  certificate, a death
 3    notice, or a legal notice  of  death  published  in  a  daily
 4    newspaper.
 5        "Surrendered  person"  means a person who was surrendered
 6    for adoption but not adopted.

 7        (750 ILCS 50/18.053 new)
 8        Sec. 18.053. The Illinois Adoption Registry  and  Medical
 9    Information Exchange.
10        (a)  General  function.   Subject  to  appropriation, the
11    Department of Public Health shall redefine  the  function  of
12    the  Illinois  Adoption  Registry,  and  create  the  Medical
13    Information  Exchange  in  the manner outlined in subsections
14    (b)  through  (d)  for  the   purpose  of  facilitating   the
15    voluntary  exchange  of  medical information between mutually
16    consenting birth parents, birth siblings, and eligible  birth
17    relatives  and  the  adoptive  parents and legal guardians of
18    adopted or surrendered minors, adult adopted  or  surrendered
19    persons,  and  adoptive  relatives.    The  Department  shall
20    establish   rules  for  the  confidential  operation  of  the
21    Illinois Adoption Registry and, from July 1, 1999 to July  1,
22    2000,  shall  conduct  a  public information campaign through
23    public  service  announcements  and  other  forms  of   media
24    coverage,  and,  for a minimum of 4 years, through notices on
25    driver's license renewal applications, to inform adopted  and
26    surrendered persons born, surrendered, or adopted in Illinois
27    and  their  adoptive parents, legal guardians, birth parents,
28    and birth relatives of the provisions of this amendatory  Act
29    of the 91st General Assembly.  The Illinois Adoption Registry
30    shall  also  establish  an  informational internet site where
31    interested parties may access a summary of the provisions  of
32    this amendatory Act of the 91st General Assembly and download
33    all   necessary  application  forms.  The  Illinois  Adoption
 
                            -5-              LRB9100454SMpram
 1    Registry shall  maintain  statistical  records,  publish  and
 2    circulate  to  the  public  informational  material about the
 3    function  and  operation  of  the   Registry,   and   provide
 4    interested  parties  with Medical Exchange Questionnaires and
 5    all other Illinois Adoption Registry applications and  forms.
 6    The  Registry  shall forward to each registrant a copy of any
 7    Medical Exchange  Questionnaire  submitted  to  the  Registry
 8    prior  to  the registrant's registration by one of his or her
 9    biological relatives or, if the registrant  is  the  adoptive
10    parent  or legal guardian of an adopted or surrendered person
11    under the age  of  18,  any  Medical  Exchange  Questionnaire
12    submitted  to the Registry by a biological relative of his or
13    her adopted child or the child who is under his or her  legal
14    guardianship.  If  an  adult  adopted  or surrendered person,
15    adoptive parent, legal guardian,  or  adoptive  relative  has
16    registered  with  the  Registry  and  one  of  the adopted or
17    surrendered  person's   biological   relatives   subsequently
18    applies to the Registry, the Illinois Adoption Registry shall
19    forward  a  copy  of  the birth parent's, birth sibling's, or
20    birth relative's Medical Information  Exchange  Questionnaire
21    to  the adopted or surrendered person, adoptive parent, legal
22    guardian, or adoptive relative at the most recent address  on
23    file   with   the  Illinois  Adoption  Registry  and  Medical
24    Information Exchange.
25        (b)  Voluntary birth parent registration at the  time  of
26    surrender  or involuntary termination of parental rights.  On
27    and after January 1, 2000, at the time a child is surrendered
28    or parental rights are involuntarily terminated, the  agency,
29    Department  of Children and Family Services, Court Supportive
30    Services, Juvenile Division of the Circuit  Court,  Probation
31    Officers  of  the  Circuit  Court,  or any other party to the
32    surrender or consent to adoption shall request that the birth
33    parent or parents  voluntarily  register  with  the  Illinois
34    Adoption   Registry  and  Medical  Information  Exchange  and
 
                            -6-              LRB9100454SMpram
 1    complete Parts I and II of  the  Illinois  Adoption  Registry
 2    Application.   If  desired,  the  birth parent or parents may
 3    also file an Information Exchange Authorization or Denial  of
 4    Information  Exchange  with  the Registry at any time after a
 5    child is surrendered for  adoption  or  parental  rights  are
 6    involuntarily  terminated,  at  any  time during the adoption
 7    proceedings, or at any time thereafter.
 8        (c)  Establishment  of  the  Adoption/Surrender   Records
 9    File.   All records received by the Registry which pertain to
10    an individual adoption or surrender shall be  placed  into  a
11    single Adoption/Surrender Records File. The Illinois Adoption
12    Registry  shall  establish  a  new Adoption/Surrender Records
13    File for any adoption finalized by  a  court  action  in  the
14    State  of Illinois, any adoption of a person born in Illinois
15    finalized by a court action in a state other than Illinois or
16    in a foreign country,  and any surrender taken in  the  State
17    of  Illinois  for which the adopted or surrendered person, or
18    one of his or her birth  parents,  birth  siblings,  eligible
19    birth  or  adoptive  relatives,  adoptive  parents,  or legal
20    guardians has voluntarily registered with  the  Registry  and
21    completed  an  Illinois Adoption Registry Application.  Files
22    may be established for adoptions finalized prior to  as  well
23    as adoptions finalized on or after the effective date of this
24    amendatory Act of the 91st General Assembly.
25        (d)  Contents  of  the  Adoption/Surrender  Records File.
26    The  Adoption/Surrender  Records  File  shall   contain   the
27    following items, to the extent that they are available:
28             (1)  Parts   I  and  II  of  any  Illinois  Adoption
29        Registry Application which has been voluntarily completed
30        by the adopted  or  surrendered  person  or  his  or  her
31        adoptive  parents,  legal guardians, birth parents, birth
32        siblings, adoptive relatives, or birth relatives.
33             (2)  Any written statements,  letters,  photographs,
34        or other items voluntarily provided by any registrant for
 
                            -7-              LRB9100454SMpram
 1        the adopted or surrendered person or any other interested
 2        party at the time of registration or any time thereafter.
 3        All  such  items  and  documents shall be submitted in an
 4        unsealed envelope no larger than 8 1/2" x 11", and  shall
 5        not  include  identifying  information  pertaining to any
 6        person other than the registrant who submitted them.
 7             (3)  Any  Information  Exchange   Authorization   or
 8        Denial  of  Information  Exchange which has been filed by
 9        the adopted or surrendered person or any other interested
10        party at the time of registration or any time thereafter.
11             (4)  For all adoptions finalized  after  January  1,
12        2000,  copies  of the original certificate of live birth,
13        the  consent  or  surrender  to  adoption  or  order   of
14        termination  of  parental  rights,  and  the judgment for
15        adoption as well as the Affidavit of Information.
16             (5)  Any  updated   addresses   submitted   by   any
17        interested party.
18             (6)  Any  non-identifying  information  submitted to
19        the Registry by a confidential intermediary.
20             (7)  Any proof of death which has been submitted by:
21        an adoptive parent, adoptive relative, legal guardian, or
22        friend of an adopted or surrendered person in  the  event
23        of his or her death; a birth relative, legal guardian, or
24        friend  of a deceased birth parent in the event of his or
25        her death; or a confidential intermediary.

26        (750 ILCS 50/18.054 new)
27        Sec. 18.054.  The Illinois Adoption Registry Application.
28    The   Illinois   Adoption    Registry    Application    shall
29    substantially include the following:
30        (a)  Part I:  General Information.  The Illinois Adoption
31    Registry  Application  shall  include  the  following general
32    information subparts:
33             (1)  A subpart for information about the  registrant
 
                            -8-              LRB9100454SMpram
 1        including his or her surname, given name or names, social
 2        security   number   (optional),   mailing  address,  home
 3        telephone number, gender, date and place  of  birth,  and
 4        the  date  of  registration.    This  subpart  shall also
 5        include the address and telephone number of the  Illinois
 6        Adoption Registry.
 7             (2)  A  subpart  for  information to be completed by
 8        the registrant if he or she is an adopted or  surrendered
 9        person  18  years  of age or over, including, if known to
10        the applicant, the state and county where the judgment of
11        adoption was  finalized,  the  surnames,  given  name  or
12        names,  and  birthplaces of the adoptive parents, and the
13        adopted or surrendered person's birth name.
14             (3)  A subpart for information to  be  completed  by
15        the  registrant  if  he  or she is the adoptive parent or
16        legal guardian of an adopted or surrendered person  under
17        the  age  of 18, a birth parent, or the birth or adoptive
18        relative  of  an  adopted  or  surrendered  person.    If
19        applicable  and known to the registrant, this information
20        shall include the maiden surname of the birth mother, any
21        subsequent surnames of the birth mother, the  surname  of
22        the  birth  father,  the given name or names of the birth
23        parents, the dates and  places  of  birth  of  the  birth
24        parents,  the  surname  and  given  name  or names of the
25        adopted person prior to adoption, the gender and date and
26        place of birth of the adopted or surrendered person,  and
27        the  name  of  the  adopted  person  following his or her
28        adoption.
29        (b)  Part    II:     Medical     Information     Exchange
30    Questionnaire.   In  recognition of the importance of medical
31    information and of recent discoveries regarding  the  genetic
32    origin  of  many  medical  conditions  and diseases, with the
33    exception of adoptive parents registering less than one  year
34    after  their  child's  adoption was finalized, all applicants
 
                            -9-              LRB9100454SMpram
 1    shall be asked to voluntarily complete a Medical  Information
 2    Exchange  Questionnaire.   The  Medical  Information Exchange
 3    Questionnaire shall include  a  comprehensive  check-list  of
 4    genetically-transmitted   medical  conditions  and  diseases.
 5    Birth parents and birth and adoptive relatives shall be asked
 6    to indicate all genetically-inherited diseases and conditions
 7    on this list which are known  to  exist  in  the  adopted  or
 8    surrendered   person's  biological  family  at  the  time  of
 9    registration.
10        Adopted  and  surrendered  persons  and  their   adoptive
11    parents,  legal  guardians,  and  adoptive relatives shall be
12    asked to  indicate  all  genetically-inherited  diseases  and
13    medical  conditions  with  which  the  adopted or surrendered
14    person or, if applicable,  his  or  her  children  have  been
15    diagnosed  since birth.  In addition, all birth parents shall
16    be apprised of  the  Registry's  provisions  for  voluntarily
17    submitting information about their and their family's medical
18    histories on a confidential, ongoing basis.
19        The  form and content of the Medical Information Exchange
20    Questionnaire shall be determined by the Illinois  Department
21    of  Public  Health  and  shall  include a Hereditary Diseases
22    Section  that  allows   the   applicant   to   indicate   any
23    genetically-transmitted  diseases or conditions listed on the
24    medical questionnaire with which the adopted  or  surrendered
25    person  has  been diagnosed since birth, if applicable, which
26    are known to exist in the  adopted  or  surrendered  person's
27    biological  family.  The Medical Exchange Questionnaire shall
28    also include a  disclaimer  informing  registrants  that  the
29    Department  of Public Health cannot guarantee the accuracy of
30    medical information exchanged through the Registry.
31        (c)  Part III:  Written statement.  All registrants shall
32    be given  the  opportunity  to  voluntarily  file  a  written
33    statement  with the Registry.  This statement may include any
34    additional medical data  or  any  known  social,  ethnic,  or
 
                            -10-             LRB9100454SMpram
 1    biographical  information,  and may be submitted on the space
 2    provided on the Information Exchange Authorization  or  in  a
 3    separate,  unsealed envelope no larger than 8 1/2" x 11".  No
 4    written statement submitted to  the  Registry  shall  include
 5    identifying  information  pertaining to any person other than
 6    the registrant who submitted it.
 7        (d)  Part IV.  Contact information.  All registrants  may
 8    indicate  their  wishes  regarding  contact  with  any  other
 9    interested   party  by  completing  an  Information  Exchange
10    Authorization,  a  Denial  of  Information  Exchange,  or  an
11    affidavit authorizing contact  by  a  certified  confidential
12    intermediary.
13             (1)  Information Exchange Authorization.  Adopted or
14        surrendered  persons  18  years  of age or over who would
15        welcome contact with one or more of their birth  parents,
16        birth  siblings,  or  birth relatives; birth parents, and
17        birth relatives who would welcome contact with an adopted
18        or surrendered person, or one  or  more  of  his  or  her
19        adoptive   parents   or   legal   guardians  or  adoptive
20        relatives; and adoptive parents  or  legal  guardians  of
21        adopted  or  surrendered  persons under the age of 18 who
22        would welcome contact with one or more of the adopted  or
23        surrendered  person's  birth  parents, birth siblings, or
24        birth  relatives  may  specify  with   which   biological
25        relative  or  relatives  of  the  adopted  or surrendered
26        person they wish to exchange identifying  information  by
27        filing  an Information Exchange Authorization at the time
28        of the adoption or surrender, or any time thereafter.
29             (2)  Denial of  Information  Exchange.   Adopted  or
30        surrendered  persons  18  years of age or over who do not
31        wish to establish direct contact  with  one  or  more  of
32        their  birth  parents, birth siblings, or birth relatives
33        may specify with which biological relative  or  relatives
34        they  do  not wish to exchange identifying information by
 
                            -11-             LRB9100454SMpram
 1        filing a Denial of Information Exchange.   Birth  parents
 2        and  birth  relatives who do not wish to establish direct
 3        contact with an adopted or surrendered person, or one  or
 4        more  of  his or her adoptive parents or legal guardians,
 5        or his or her adoptive relatives; and adoptive parents or
 6        legal guardians of adopted or surrendered  persons  under
 7        the age of 18 who do not wish to establish direct contact
 8        with  one  or more of the adopted or surrendered person's
 9        birth parents, birth siblings,  or  birth  relatives  may
10        specify  with which biological relative or relatives they
11        do not wish to exchange identifying information by filing
12        a Denial of Information  Exchange  at  the  time  of  the
13        adoption or surrender, or any time thereafter.
14             Upon  receipt of a Denial of Information Exchange or
15        Information Exchange Authorization, the Illinois Adoption
16        Registry shall provide the registrant with a copy of  the
17        appropriate  revocation  form.   A  Denial of Information
18        Exchange or Information  Exchange  Authorization  may  be
19        revoked  at  any  time,  without  charge,  by  filing the
20        appropriate revocation form or by notifying the  Registry
21        in  writing  of  the  desire  to  revoke  the  Denial  of
22        Information   Exchange   or   the   Information  Exchange
23        Authorization.   Denials  of  Information  Exchange   and
24        Information  Exchange Authorizations filed by an adoptive
25        parent or legal guardian  on  behalf  of  an  adopted  or
26        surrendered  person  under  the age of 18 shall expire on
27        the  adopted  or  surrendered  person's  18th   birthday;
28        thereafter,  unless  the  adopted  or  surrendered person
29        files   contact   information    with    the    Registry,
30        registrations  filed  by  his or her birth parents, birth
31        siblings, or birth relatives shall be handled in the same
32        manner as in  cases  where  the  adopted  or  surrendered
33        person    has   not   filed   an   Information   Exchange
34        Authorization or Denial of Information Exchange with  the
 
                            -12-             LRB9100454SMpram
 1        Registry.
 2        (e)  All   Illinois   Adoption   Registry   Applications,
 3    Information  Exchange  Authorizations, Denials of Information
 4    Exchange,  requests  to  revoke   an   Information   Exchange
 5    Authorization   or   Denial   of  Information  Exchange,  and
 6    affidavits submitted to the Registry shall be accompanied  by
 7    proof of identification.  In addition, applications submitted
 8    by  a  birth  relative  or an adoptive relative shall also be
 9    accompanied by a proof of death for the deceased birth parent
10    or adopted person.

11        (750 ILCS 50/18.055 new)
12        Sec.   18.055.    Effective   date    of    registration.
13    Registration  with the Illinois Adoption Registry and Medical
14    Information Exchange shall become effective as  soon  as  the
15    applicant's  completed Illinois Adoption Registry Application
16    has been filed with the Registry.

17        (750 ILCS 50/18.056 new)
18        Sec. 18.056.  Registry matches.
19        (a)  The Registry shall release  identifying  information
20    to  the  following mutually consenting registered parties and
21    provide them  with  a  copy  of  the  other  party's  Medical
22    Information  Exchange  Questionnaire  as  well as any written
23    statements, letters, photographs, or other items  which  have
24    been  placed  in  the  Adoption/Surrender  Records  File  and
25    specifically intended for the registered parties:
26             (i)  an  adult adopted or surrendered person and one
27        of his or her birth parents or birth  siblings  who  have
28        both   filed   an   Information   Exchange  Authorization
29        specifying the other consenting party with the  Registry,
30        if  information  available  to the Registry confirms that
31        the  consenting  adopted  or  surrendered  person  is   a
32        biological  relative  of  the  consenting birth parent or
 
                            -13-             LRB9100454SMpram
 1        sibling;
 2             (ii)  the adoptive parent or legal  guardian  of  an
 3        adopted or surrendered person under the age of 18 and one
 4        of  his  or  her  birth parents, birth siblings, or birth
 5        relatives who have both  filed  an  Information  Exchange
 6        Authorization  specifying the other consenting party with
 7        the Registry, if information available  to  the  Registry
 8        confirms that the child of the consenting adoptive parent
 9        or  legal  guardian  is  a  biological  relative  of  the
10        consenting   birth   parent,   birth  sibling,  or  birth
11        relative; or
12             (iii)  a  birth  parent,  birth  sibling,  or  birth
13        relative and an adoptive relative who have both filed  an
14        Information  Exchange  Authorization specifying the other
15        consenting  party  with  the  Registry,  if   information
16        available  to  the  Registry  confirms  that the deceased
17        adopted  person  was  a  biological   relative   of   the
18        consenting   birth   parent,   birth  sibling,  or  birth
19        relative; or
20             (iv)  a birth relative and an adopted or surrendered
21        person  who  have  both  filed  an  Information  Exchange
22        Authorization specifying the other consenting party  with
23        the  Registry,  if  information available to the Registry
24        confirms that the adopted or  surrendered  person  was  a
25        biological relative of the deceased birth parent.
26    All eligible adult adopted or surrendered persons who are the
27    subject  of  a  Registry  match  may  be  issued  an Illinois
28    Adoption Registry Release Letter for any documents listed  in
29    subsection  (a)  of  Section 18.059 which are not included in
30    the Adoption/Surrender Records File.
31        (b)  In the event that an interested party is the subject
32    of a Denial of Information Release filed by another party  to
33    the  adoption,  the  Registry  shall  not release identifying
34    information to either registrant.  However, both  registrants
 
                            -14-             LRB9100454SMpram
 1    shall  be  provided  with a copy of the other party's Medical
 2    Denial of Information Exchange Questionnaire as well  as  any
 3    letters, pictures, or documents which have been placed in the
 4    Adoption/Surrender  Records  File by the person who filed the
 5    Denial of Information Release and are  specifically  intended
 6    for them.

 7        (750 ILCS 50/18.057 new)
 8        Sec. 18.057.  Illinois Adoption Registry Authorization.
 9        In  the  event  of  a  Registry  match,  adult adopted or
10    surrendered persons,  under  certain  circumstances,  may  be
11    issued an Illinois Adoption Registry Release Letter to access
12    any  of  the  documents  listed in this Section which are not
13    included  in  their  Adoption/Surrender  Records  File.   The
14    Illinois Adoption Registry Release Letter shall  entitle  the
15    adopted or surrendered person to receive a copy of his or her
16    original  certificate  of  live  birth from the Department of
17    Public Health; if applicable, a  copy  of  the  judgment  for
18    adoption  from the court of the county where the adoption was
19    finalized; any written statements, letters,  photographs,  or
20    other  items   which  have  been  submitted  to any agency or
21    attorney that was involved in  the  adoption  proceedings  or
22    surrender  and  are  specifically intended for the adopted or
23    surrendered  person;  and  any  medical  or  nursery  records
24    pertaining to the adopted or surrendered person and histories
25    of prior placement which are in the possession of any  agency
26    or  attorney that was involved in the adoption proceedings or
27    surrender.
28             (1)  If only  the  birth  mother  is  named  on  the
29        original  certificate  of  live birth and, if applicable,
30        the judgment for adoption, and the adopted or surrendered
31        person  is  the  subject  of   an   Information   Release
32        Authorization  filed  with  the  Registry  by  this birth
33        parent, the Illinois Adoption Registry shall provide  the
 
                            -15-             LRB9100454SMpram
 1        adopted  or  surrendered person with an unaltered copy of
 2        his or her original certificate of  live  birth  and,  if
 3        applicable,  judgment  for adoption, or issue an Illinois
 4        Adoption Registry Release Letter which  entitles  him  or
 5        her   to   receive   unaltered  copies  of  the  original
 6        certificate  of  live  birth  and,  if  applicable,   the
 7        judgment for adoption and other specified documents.
 8             (2)  If  only  the  birth  mother  is  named  on the
 9        original certificate of live birth  and,  if  applicable,
10        the  judgment for adoption, and there is a proof of death
11        on file with  the  Registry  indicating  that  the  birth
12        mother  has  been  deceased  for  at  least  2 years, the
13        Illinois Adoption Registry shall provide the  adopted  or
14        surrendered  person  with  an  Illinois Adoption Registry
15        Release Letter entitling him or her to receive  unaltered
16        copies  of the original certificate of live birth and, if
17        applicable, the judgment for adoption and other specified
18        documents.
19             (3)  If both the birth mother and birth  father  are
20        named  on  the  original certificate of live birth or, if
21        applicable, the judgment for  adoption,  and  both  birth
22        parents  have  filed an Information Release Authorization
23        with the Registry, the Illinois Adoption  Registry  shall
24        provide   the  adopted  or  surrendered  person  with  an
25        unaltered copy of his or her original certificate of live
26        birth  and, if applicable, judgment for adoption or issue
27        an  Illinois  Adoption  Registry  Release  Letter   which
28        entitles  him  or  her to receive unaltered copies of the
29        original certificate of live birth  and,  if  applicable,
30        the judgment for adoption and other specified documents.
31             (4)  If  both  the birth mother and birth father are
32        named on the original certificate of live  birth  or,  if
33        applicable,  the  judgment  for adoption, and only one of
34        the  birth  parents  has  filed  an  Information  Release
 
                            -16-             LRB9100454SMpram
 1        Authorization  with  the   Registry,   the   adopted   or
 2        surrendered person may either:
 3                  (A)  Request  that the name of the birth parent
 4             who   has   not   filed   an   Information   Release
 5             Authorization with the Illinois Adoption Registry be
 6             deleted from any copies of the original  certificate
 7             of  live  birth and, if applicable, the judgment for
 8             adoption and other specified documents issued to the
 9             adopted or surrendered person and that this deletion
10             be  specified  on  any  Illinois  Adoption  Registry
11             Release Letter issued to the adopted or  surrendered
12             person; or
13                  (B)  Provide  a  proof  of  death for the birth
14             parent who has  not  filed  an  Information  Release
15             Authorization  with the Registry.  Upon receipt of a
16             proof of death  indicating  that  the  nonconsenting
17             birth parent has been deceased for at least 2 years,
18             the  Illinois  Adoption  Registry  shall provide the
19             adopted  or  surrendered  person  with  an  Illinois
20             Adoption Registry Release Letter  entitling  him  or
21             her  to  receive  unaltered  copies  of the original
22             certificate of live birth and,  if  applicable,  the
23             judgment for adoption and other specified documents.
24             (5)  If the biological relative who has been matched
25        with  an  adopted or surrendered person is not one of his
26        or her birth parents,  the  release  of  the  adopted  or
27        surrendered  person's  original certificate of live birth
28        or, if applicable, judgment for adoption and the issuance
29        of his or her Illinois Adoption Registry  Release  Letter
30        shall be contingent upon the registrant providing a proof
31        of  death  or  Information  Release Authorization for all
32        birth parents named on the original certificate  of  live
33        birth  or,  if  applicable,  judgment  for  adoption,  as
34        specified in subsections (1) through (4).
 
                            -17-             LRB9100454SMpram
 1        (750 ILCS 50/18.058 new)
 2        Sec.  18.058.   Registration  fee.    A  $40 fee shall be
 3    charged for registering with the Illinois  Adoption  Registry
 4    and  Medical Information Exchange.  However this fee shall be
 5    waived for all adult adopted or surrendered persons, adoptive
 6    parents, adoptive relatives, legal guardians, birth  parents,
 7    and  birth  relatives  who  complete  Part II of the Illinois
 8    Adoption Registry Application at the time of registration, as
 9    well as for adoptive parents registering within 12 months  of
10    the  finalization  of  the  adoption.   All  persons who were
11    registered with the Illinois Adoption Registry prior  to  the
12    effective  date  of  this  amendatory Act of the 91st General
13    Assembly and who wish to update their registration may do  so
14    without charge.

15        (750 ILCS 50/18.059 new)
16        Sec.  18.059.   Exemption  from  liability.  No liability
17    shall accrue to the State, any agency  or  employee  thereof,
18    any  private agency, or any attorney for acts or efforts made
19    within the scope of this amendatory Act of the  91st  General
20    Assembly and pursuant to its provisions.

21        (750 ILCS 50/18.060 new)
22        Sec.   18.060.    Effective  date  of  entitlement.   The
23    effective date of entitlement of any person  to  an  Illinois
24    Adoption Registry Release Letter shall be March 1, 2000.

25        (750 ILCS 50/18.061 new)
26        Sec.  18.061.   Illinois  Adoption  Registry  and Medical
27    Information Exchange Fund.  There is hereby  created  in  the
28    State  treasury  a  special  fund to be known as the Illinois
29    Adoption Registry and Medical Information Exchange Fund.  All
30    fees collected by the Illinois Adoption Registry  under  this
31    amendatory   Act  of  the  91st  General  Assembly  shall  be
 
                            -18-             LRB9100454SMpram
 1    deposited into  the  Fund.   Subject  to  appropriation,  the
 2    amounts in the Fund shall be used by the Department of Public
 3    Health  to  conduct  activities  related  to  maintaining the
 4    Illinois Adoption Registry and Medical  Information  Exchange
 5    and   issuing   any  documents  and  forms  related  to  this
 6    amendatory Act of the 91st General Assembly.

 7        (750 ILCS 50/18.062 new)
 8        Sec.  18.062.    Improper   disclosure   of   identifying
 9    information.   All  information  submitted to the Registry is
10    confidential and gathered by the State solely for the purpose
11    of facilitating the exchange  of  updated  medical  data  and
12    contact  information  between adopted and surrendered persons
13    and other interested parties.  Information exchanged  through
14    the   Registry  shall  not  be  admissible  as  evidence  nor
15    discoverable in any action of any kind in any court or before
16    any tribunal, board, agency, or  commission.   Disclosure  of
17    identifying  information  in violation of this Act shall be a
18    Class C misdemeanor.

19        (750 ILCS 50/18.3a) (from Ch. 40, par. 1522.3a)
20        Sec. 18.3a.  Confidential intermediary.
21        (a)  General   purposes.    Notwithstanding   any   other
22    provision of this Act, any adoptee over the age of 18 or  any
23    adoptive parent or legal guardian of an adoptee under the age
24    of   18   may   petition  the  court  for  appointment  of  a
25    confidential intermediary as provided in this Section for the
26    purpose of obtaining from one or both biological parents or a
27    sibling or siblings of the adoptee information concerning the
28    background of a psychological  or  genetically-based  medical
29    problem   experienced   or   which  may  be  expected  to  be
30    experienced  in  the  future  by  the  adoptee  or  obtaining
31    assistance in treating such a problem.
32        (b)  Petition.  The court shall  appoint  a  confidential
 
                            -19-             LRB9100454SMpram
 1    intermediary  for the purposes described in subsection (f) if
 2    the petitioner shows the following:
 3             (1)  the adoptee is suffering or may be expected  to
 4        suffer   in   the   future  from  a  life-threatening  or
 5        substantially  incapacitating  physical  illness  of  any
 6        nature,  or  a   psychological   disturbance   which   is
 7        substantially incapacitating but not life-threatening, or
 8        a  mental  illness  which,  in the opinion of a physician
 9        licensed to practice medicine in all its branches, is  or
10        could be genetically based to a significant degree;
11             (2)  the treatment of the adoptee, in the opinion of
12        a  physician  licensed to practice medicine in all of its
13        branches, would be  materially  assisted  by  information
14        obtainable  from  the biological parents or might benefit
15        from the provision of organs  or  other  bodily  tissues,
16        materials,  or  fluids by the biological parents or other
17        close biological relatives; and
18             (3)  there  is  neither  an   Information   Exchange
19        Authorization  nor a Denial of Information Exchange filed
20        in the Registry as provided in Section 18.054 18.1.
21        The affidavit or  testimony  of  the  treating  physician
22    shall  be  conclusive  on the issue of the utility of contact
23    with the biological parents unless the court finds  that  the
24    relationship  between  the  illness  to  be  treated  and the
25    alleged need for contact is totally without foundation.
26        (c)  Fees and expenses.  The court  shall  condition  the
27    appointment  of  the confidential intermediary on the payment
28    of the intermediary's fees and expenses  in  advance,  unless
29    the  intermediary waives the right to full advance payment or
30    to any reimbursement at all.
31        (d)  Eligibility of intermediary.  The court may  appoint
32    as  confidential  intermediary  either  an  employee  of  the
33    Illinois   Department   of   Children   and  Family  Services
34    designated by the Department to  serve  as  such,  any  other
 
                            -20-             LRB9100454SMpram
 1    person certified by the Department as qualified to serve as a
 2    confidential  intermediary,  or  any  employee  of a licensed
 3    child welfare agency certified by the agency as qualified  to
 4    serve as a confidential intermediary.
 5        (e)  Access.  Notwithstanding any other provision of law,
 6    the  confidential  intermediary  shall  have  access  to  all
 7    records  of the court or any agency, public or private, which
 8    relate to the adoption or the identity and  location  of  any
 9    biological parent.
10        (f)  Purposes  of contact.  The confidential intermediary
11    has only the following powers and duties:
12             (1)  To contact  one  or  both  biological  parents,
13        inform the parent or parents of the basic medical problem
14        of  the  adoptee  and  the  nature  of the information or
15        assistance sought from the biological parent, and  inform
16        the parent or parents of the following options:
17                  (A)  The  biological  parent may totally reject
18             the request for assistance or information, or  both,
19             and  no  disclosure of identity or location shall be
20             made to the petitioner.
21                  (B)  The  biological   parent   may   file   an
22             Information  Exchange  Authorization  as provided in
23             Section 18.054 18.1. The  confidential  intermediary
24             shall   explain   to   the   biological  parent  the
25             consequences of such a filing,  including  that  the
26             biological  parent's  identity will be available for
27             discovery by the adoptee. If the  biological  parent
28             agrees to this option, the confidential intermediary
29             shall  supply the parent with the appropriate forms,
30             shall be responsible for their immediate filing with
31             the Registry, and shall  inform  the  petitioner  of
32             their filing.
33                  (C)  If the biological parent wishes to provide
34             the  information  or  assistance sought but does not
 
                            -21-             LRB9100454SMpram
 1             wish his or her identity disclosed, the confidential
 2             intermediary shall arrange for the disclosure of the
 3             information or the provision  of  assistance  in  as
 4             confidential  a  manner as possible so as to protect
 5             the privacy of the biological  parent  and  minimize
 6             the  likelihood  of  disclosure  of  the  biological
 7             parent's identity.
 8             (2)  If  a  biological parent so desires, to arrange
 9        for  a  confidential  communication  with  the   treating
10        physician   to   discuss   the  need  for  the  requested
11        information or assistance.
12             (3)  If a biological parent agrees  to  provide  the
13        information  or  assistance sought but wishes to maintain
14        his or her privacy, to arrange for the provision  of  the
15        information   or   assistance  to  the  physician  in  as
16        confidential a manner as possible so as  to  protect  the
17        privacy   of  the  biological  parent  and  minimize  the
18        likelihood  of  disclosure  of  the  biological  parent's
19        identity.
20        (g)  Oath.  The confidential intermediary shall  sign  an
21    oath of confidentiality substantially as follows:
22             "I, .........., being duly sworn, on oath depose and
23        say:   As  a  condition  of appointment as a confidential
24        intermediary, I affirm that:
25             (1)  I will not disclose to the petitioner, directly
26        or indirectly, any  information  about  the  identity  or
27        location  of  the  biological  parent whose assistance is
28        being sought for  medical  reasons  except  in  a  manner
29        consistent with the law.
30             (2)  I   recognize   that  violation  of  this  oath
31        subjects me to civil liability  and  to  being  found  in
32        contempt of court.
33                                 ................................

34             SUBSCRIBED AND SWORN to before me, a Notary Public,
 
                            -22-             LRB9100454SMpram
 1        on (insert date). this ..... day of .........., 19...
 2                                ................................"
 3        (h)  Sanctions.
 4             (1)  Any  confidential  intermediary  who improperly
 5        discloses information  identifying  a  biological  parent
 6        shall  be liable to the biological parent for damages and
 7        may also be found in contempt of court.
 8             (2)  Any physician or  other  person  who  learns  a
 9        biological  parent's  identity,  directly  or indirectly,
10        through the use of procedures provided  in  this  Section
11        and  who improperly discloses information identifying the
12        biological parent  shall  be  liable  to  the  biological
13        parent  for  actual damages plus minimum punitive damages
14        of $10,000.
15        (i)  Death  of  biological  parent.  Notwithstanding  any
16    other provision of this Act, if the confidential intermediary
17    discovers that the person  whose  assistance  is  sought  has
18    died,  he  or  she shall report this fact to the court, along
19    with a copy of the death certificate if possible.
20    (Source: P.A. 86-1451; revised 10-20-98.)

21        (750 ILCS 50/18.1 rep.)
22        (750 ILCS 50/18.3 rep.)
23        (750 ILCS 50/18.5 rep.)
24        (750 ILCS 50/18.6 rep.)
25        Section 15.  The Adoption Act  is  amended  by  repealing
26    Sections 18.1, 18.3, 18.5, and 18.6.

27        Section  99.  Effective date.  This Act takes effect upon
28    becoming law.".

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