State of Illinois
92nd General Assembly
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92_HB3809

 
                                               LRB9213158REdv

 1        AN ACT concerning emergency health powers.

 2        Be  it  enacted  by  the People of the State of Illinois,
 3    represented in the General Assembly:

 4        ARTICLE 1. TITLE, FINDINGS, PURPOSES, AND DEFINITIONS

 5        Section 1-1. Short title. This Act may be  cited  as  the
 6    Illinois Emergency Health Powers Act.

 7        Section  1-5.  Legislative findings. The General Assembly
 8    finds that:
 9        (1)  The government must do more to protect  the  health,
10    safety, and general well being of its citizens.
11        (2)  New  and  emerging  dangers,  including emergent and
12    resurgent infectious diseases and incidents of civilian  mass
13    casualties, pose serious and immediate threats.
14        (3)  A   renewed  focus  on  the  prevention,  detection,
15    management, and containment of public health  emergencies  is
16    needed.
17        (4)  Emergency  health threats, including those caused by
18    bioterrorism,  may  require  the  exercise  of  extraordinary
19    government functions.
20        (5)  This State must have the ability to respond, rapidly
21    and  effectively,  to  potential  or  actual  public   health
22    emergencies.
23        (6)  The exercise of emergency health powers must promote
24    the common good.
25        (7)  Emergency  health  powers  must  be  grounded  in  a
26    thorough  scientific  understanding  of public health threats
27    and disease transmission.
28        (8)  Guided    by    principles    of     justice     and
29    anti-discrimination, it is the duty of this State to act with
30    fairness and tolerance towards individuals and groups.
 
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 1        (9)  The  rights  of people to liberty, bodily integrity,
 2    and privacy must be respected to the fullest extent  possible
 3    consistent  with  maintaining  and  preserving  the  public's
 4    health and security.
 5        (10)  This  Act  is  necessary  to protect the health and
 6    safety of the citizens of this State.

 7        Section 1-10. Purposes. The purposes of this Act are  the
 8    following:
 9        (0.5)  To require the development of a comprehensive plan
10    to  provide  for  a  coordinated, appropriate response in the
11    event of a public health emergency.
12        (1)  To authorize the collection of data and records, the
13    management of property, the protection of persons, and access
14    to communications.
15        (2)  To  facilitate  the  early  detection  of  a  health
16    emergency, and to allow for immediate investigation  of  such
17    an  emergency  by  granting  access  to  individuals'  health
18    information under specified circumstances.
19        (3)  To  grant  State  officials the authority to use and
20    appropriate property as necessary for  the  care,  treatment,
21    and   housing   of   patients  and  to  destroy  contaminated
22    facilities or materials.
23        (4)  To grant State and local officials the authority  to
24    provide  care,  treatment, and vaccination to persons who are
25    ill or who have been exposed to contagious diseases,  and  to
26    separate affected individuals from the population at large to
27    interrupt disease transmission.
28        (5)  To  ensure  that  the  needs  of infected or exposed
29    persons are addressed to the fullest extent  possible,  given
30    the primary goal of controlling serious health threats.
31        (6)  To  provide  State  officials  with  the  ability to
32    prevent, detect, manage, and contain emergency health threats
33    without unduly interfering with civil rights and liberties.
 
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 1        Section 1-15. Definitions.
 2        (1)  "Bioterrorism"  is  the  intentional  use   of   any
 3    microorganism,  virus,  infectious  substance,  or biological
 4    product that may be engineered as a result of  biotechnology,
 5    or  any naturally occurring or bioengineered component of any
 6    such   microorganism,   virus,   infectious   substance,   or
 7    biological  product,  to  cause  death,  disease,  or   other
 8    biological  malfunction  in  a  human, an animal, a plant, or
 9    another living organism in order to influence the conduct  of
10    government or to intimidate or coerce a civilian population.
11        (2)  "Chain  of  custody"  is the methodology of tracking
12    specimens  for  the  purpose  of  maintaining   control   and
13    accountability  from  initial collection to final disposition
14    of the specimens and providing  for  accountability  at  each
15    stage   of   collecting,   handling,  testing,  storing,  and
16    transporting the specimens and reporting test results.
17        (3)  "Contagious disease" is an infectious  disease  that
18    can be transmitted from person to person.
19        (4)  "Health  care  facility"  means  all  or part of any
20    non-federal institution, building, or agency, whether  public
21    or  private (for-profit or nonprofit) that is used, operated,
22    or designed to provide health services, medical treatment, or
23    nursing, rehabilitative, or preventive care to any person  or
24    persons.  This  includes,  but  is not limited to: ambulatory
25    surgical  facilities,   home   health   agencies,   hospices,
26    hospitals,  infirmaries, intermediate care facilities, kidney
27    treatment  centers,  long-term   care   facilities,   medical
28    assistance  facilities,  mental  health  centers,  outpatient
29    facilities, public health centers, rehabilitation facilities,
30    residential treatment facilities, skilled nursing facilities,
31    and  adult  day-care  centers. This also includes, but is not
32    limited to, the following related property when used  for  or
33    in  connection  with  the  foregoing:  laboratories; research
34    facilities; pharmacies; laundry facilities; health  personnel
 
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 1    training  and  lodging facilities; patient, guest, and health
 2    personnel food service facilities;  and  offices  and  office
 3    buildings  for  persons engaged in health care professions or
 4    services.
 5        (5)  "Health care provider" is any person or entity  that
 6    provides  health care services including, but not limited to,
 7    hospitals,  medical  clinics  and   offices,   special   care
 8    facilities,  medical  laboratories,  physicians, pharmacists,
 9    dentists,   physician   assistants,   nurse    practitioners,
10    registered and other nurses, paramedics, emergency medical or
11    laboratory  technicians,  and ambulance and emergency medical
12    workers.
13        (6)  "Infectious disease" is a disease caused by a living
14    organism or other pathogen,  including  a  fungus,  bacillus,
15    parasite,  protozoan, or virus. An infectious disease may, or
16    may not, be transmissible from person to  person,  animal  to
17    person, or insect to person.
18        (7)  "Infectious waste" is:
19             (a)  "biological  waste",  which  includes blood and
20        blood   products,   excretions,   exudates,   secretions,
21        suctioning and other body  fluids,  and  waste  materials
22        saturated with blood or body fluids;
23             (b)  "cultures  and stocks", which include etiologic
24        agents and  associated  biologicals,  including  specimen
25        cultures   and  dishes  and  devices  used  to  transfer,
26        inoculate, and mix cultures, wastes  from  production  of
27        biologicals and serums, and discarded live and attenuated
28        vaccines;
29             (c)  "pathological  waste",  which  includes  biopsy
30        materials  and  all  human tissues, anatomical parts that
31        emanate from surgery, obstetrical procedures, necropsy or
32        autopsy and laboratory procedures, and  animal  carcasses
33        exposed  to  pathogens  in  research  and the bedding and
34        other waste from those  animals,  but  does  not  include
 
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 1        teeth or formaldehyde or other preservative agents; and
 2             (d)  "sharps",  which  include  needles, I.V. tubing
 3        with needles attached, scalpel blades, lancets, breakable
 4        glass tubes, and syringes that  have  been  removed  from
 5        their original sterile containers.
 6        (8)  "Isolation"   is   the   physical   separation   and
 7    confinement   of  an  individual  or  groups  or  individuals
 8    believed  to  be  infected  with  a  contagious  or  possibly
 9    contagious disease from non-isolated individuals, in order to
10    prevent  or  limit  the  transmission  of  the   disease   to
11    non-isolated individuals.
12        (9)  "Mental  health  support personnel" include, but are
13    not limited to, psychiatrists, psychologists, social workers,
14    and volunteer crisis counseling groups.
15        (9.5)  "Organized militia" includes the Illinois National
16    Guard, the army national guard, the air  national  guard,  or
17    any  other  military  force  organized under the laws of this
18    State.
19        (10)  "Protected health information" is any  information,
20    whether oral, written, electronic, visual, or any other form,
21    that  relates  to  an  individual's  past, present, or future
22    physical  or  mental  health  status,  condition,  treatment,
23    service, products purchased, or provision of care,  and  that
24    reveals  the  identity of the individual whose health care is
25    the  subject  of  the  information,  or  where  there  is   a
26    reasonable  basis  to  believe that information could be used
27    (either alone or with other information that  is,  or  should
28    reasonably   be   known   to  be,  available  to  predictable
29    recipients of that information) to  reveal  the  identity  of
30    that individual.
31        (11)  "Public  health  authority"  is  the  Department of
32    Public  Health;  any  local  government  agency   that   acts
33    principally  to  protect  or preserve the public's health; or
34    any person directly  authorized  to  act  on  behalf  of  the
 
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 1    Department of Public Health or local public health agency.
 2        (12)  A  "public  health  emergency"  is an occurrence or
 3    imminent threat of an illness or health condition that:
 4             (a)  is  believed  to  be  caused  by  any  of   the
 5        following:
 6                  (i)  bioterrorism;
 7                  (ii)  the  appearance  of a novel or previously
 8             controlled  or  eradicated   infectious   agent   or
 9             biological toxin;
10                  (iii)  a natural disaster;
11                  (iv)  a  chemical attack or accidental release;
12             or
13                  (v)  a nuclear attack or accident; and
14             (b)  poses  a  high  probability  of  any   of   the
15        following harms:
16                  (i)  a  large  number of deaths in the affected
17             population;
18                  (ii)  a large number of  serious  or  long-term
19             disabilities in the affected population; or
20                  (iii)  widespread  exposure to an infectious or
21             toxic  agent  that  poses  a  significant  risk   of
22             substantial  future harm to a large number of people
23             in the affected population.
24        (13)  "Public safety  authority"  is  the  Department  of
25    State   Police;   any   local  government  agency  that  acts
26    principally to protect or preserve the public safety; or  any
27    person directly authorized to act on behalf of the Department
28    of State Police or local agency.
29        (13.5)  "Quarantine"   is  the  physical  separation  and
30    confinement of an individual or groups  of  individuals,  who
31    are  or  may  have  been  exposed to a contagious or possibly
32    contagious disease and who do not show signs or symptoms of a
33    contagious  disease,  from  non-quarantined  individuals,  to
34    prevent  or  limit  the  transmission  of  the   disease   to
 
                            -7-                LRB9213158REdv
 1    non-quarantined individuals.
 2        (14)  "Specimens" include, but are not limited to, blood,
 3    sputum,  urine,  stool, other bodily fluids, wastes, tissues,
 4    and cultures necessary to perform required tests.
 5        (15)  "Tests"  include,  but  are  not  limited  to,  any
 6    diagnostic or investigative analyses necessary to prevent the
 7    spread of disease or protect the public's health, safety, and
 8    welfare.
 9        (16)  "Trial court" is a circuit court in the district in
10    which isolation or quarantine is to occur, a court designated
11    by the Public Health Emergency Plan under Article 3  of  this
12    Act,  or  a  circuit  court in the district in which a public
13    health emergency has been declared.

14          ARTICLE 3. PLANNING FOR A PUBLIC HEALTH EMERGENCY

15        Section 3-5. Public Health Emergency Planning Commission.
16    The Governor shall appoint a Public Health Emergency Planning
17    Commission  ("the  Commission"),  consisting  of  the   State
18    Directors or Secretaries, or their designees, of agencies the
19    Governor   deems   relevant   to   public   health  emergency
20    preparedness, a representative group  of  state  legislators,
21    members of the judiciary, and any other persons chosen by the
22    Governor.  The Governor shall also designate the chair of the
23    Commission.

24        Section 3-10. Public Health Emergency Plan.
25        (a)  Content. The Commission shall, within 6 months after
26    its  appointment,  deliver  to  the  Governor  a   plan   for
27    responding   to  a  public  health  emergency  that  includes
28    provisions or guidelines on the following:
29             (1)  Notifying and communicating with the population
30        during a state of public health emergency  in  compliance
31        with this Act.
 
                            -8-                LRB9213158REdv
 1             (2)  Central  coordination  of  resources, manpower,
 2        and services,  including  coordination  of  responses  by
 3        State, local, tribal, and federal agencies.
 4             (3)  The     location,     procurement,     storage,
 5        transportation,    maintenance,   and   distribution   of
 6        essential materials, including but not limited to medical
 7        supplies, drugs, vaccines, food, shelter,  clothing,  and
 8        beds.
 9             (4)  Compliance  with  the reporting requirements in
10        Section 5-5.
11             (5)  The  continued,  effective  operation  of   the
12        judicial  system  including,  if  deemed  necessary,  the
13        identification  and  training  of  personnel  to serve as
14        emergency  judges  regarding  matters  of  isolation  and
15        quarantine as described in this Act.
16             (6)  The  method  of  evacuating  populations,   and
17        housing and feeding the evacuated populations.
18             (7)  The  identification and training of health care
19        providers to diagnose and treat persons  with  infectious
20        diseases.
21             (8)  The  vaccination of persons, in compliance with
22        the provisions of this Act.
23             (9)  The treatment of persons who have been  exposed
24        to or who are infected with diseases or health conditions
25        that may be the cause of a public health emergency.
26             (10)  The  safe  disposal  of  infectious wastes and
27        human remains in compliance with the provisions  of  this
28        Act.
29             (11)  The  safe  and  effective  control  of persons
30        isolated, quarantined,  vaccinated,  tested,  or  treated
31        during a state of public health emergency.
32             (12)  Tracking  the  source and outcomes of infected
33        persons.
34             (13)  Ensuring that  each  municipality  and  county
 
                            -9-                LRB9213158REdv
 1        within the State identifies the following:
 2                  (i)  sites  where  persons  can  be isolated or
 3             quarantined in compliance  with  the  provisions  of
 4             this  Act  regarding the least restrictive means for
 5             isolation  and  quarantine,  and  requirements   for
 6             maintaining the safety, health, and dignity of those
 7             isolated or quarantined;
 8                  (ii)  sites  where  medical supplies, food, and
 9             other  essentials  can   be   distributed   to   the
10             population;
11                  (iii)  sites  where public health and emergency
12             workers can be housed and fed; and
13                  (iv)  routes and  means  of  transportation  of
14             people and materials.
15             (13.5)  Coordination   with  other  states  and  the
16        federal government.
17             (14)  Cultural norms, values, religious  principles,
18        and traditions that may be relevant.
19             (15)  Other  measures  necessary  to  carry  out the
20        purposes of this Act.
21        (b)  Distribution. The Commission shall  distribute  this
22    plan to those who will be responsible for its implementation,
23    other  interested  persons,  and  the  public, and seek their
24    review and comments.
25        (c)  Review. The Commission  shall  annually  review  its
26    plan for responding to a public health emergency.

27               ARTICLE 5. MEASURES TO DETECT AND TRACK
28                      PUBLIC HEALTH EMERGENCIES

29        Section 5-5. Reporting.
30        (1)  Illness or health condition. A health care provider,
31    coroner,  or  medical  examiner  shall  report  all  cases of
32    persons who harbor any illness or health condition  that  may
 
                            -10-               LRB9213158REdv
 1    be  potential causes of a public health emergency. Reportable
 2    illnesses and health conditions include, but are not  limited
 3    to, the diseases caused by the biological agents listed in 42
 4    C.F.R.  Section 72, App. A (2000) and any illnesses or health
 5    conditions identified by the public health authority.
 6        (2)  Pharmacists.   In   addition   to   the    foregoing
 7    requirements  for  health  care  providers, a pharmacist must
 8    report any unusual or increased prescription  rates,  unusual
 9    types  of prescriptions, or unusual trends in pharmacy visits
10    that may be potential causes of a  public  health  emergency.
11    Prescription-related  events  that  require a report include,
12    but are not limited to:
13             (a)  an  unusual   increase   in   the   number   of
14        prescriptions   or  over-the-counter  pharmaceuticals  to
15        treat  conditions  that  the  public   health   authority
16        identifies through regulations;
17             (b)  an   unusual   increase   in   the   number  of
18        prescriptions for antibiotics; and
19             (c)  any prescription that treats a disease that  is
20        relatively   uncommon   or   may   be   associated   with
21        bioterrorism.
22        (3)  Manner   of  reporting.  The  report  must  be  made
23    electronically or in writing within 24 hours  to  the  public
24    health  authority.  The  report  must  include as much of the
25    following information as is available: the  specific  illness
26    or  health  condition  that is the subject of the report; the
27    patient's name, date of birth,  sex,  race,  occupation,  and
28    current  home and work addresses (including city and county);
29    the name and address of the health care provider, coroner, or
30    medical  examiner  and  of  the  reporting   individual,   if
31    different;  and  any  other  information needed to locate the
32    patient for follow-up. For cases related to animal or  insect
33    bites,  the  suspected  locating  information  of  the biting
34    animal or insect, and the  name  and  address  of  any  known
 
                            -11-               LRB9213158REdv
 1    owner, must be reported.
 2        (4)  Animal   diseases.   Every  veterinarian,  livestock
 3    owner, veterinary diagnostic laboratory  director,  or  other
 4    person  having the care of animals must report animals having
 5    or suspected of having any  disease  that  may  be  potential
 6    causes  of a public health emergency. The report must be made
 7    electronically or in writing within 24 hours  to  the  public
 8    health  authority  and  must include as much of the following
 9    information as is available: the specific illness  or  health
10    condition  that  is  the subject of the report, the suspected
11    locating information of the animal, the name and  address  of
12    any  known  owner,  and the name and address of the reporting
13    individual.
14        (5)  Laboratories. For the purposes of this Section,  the
15    definition  of  "health  care provider" includes out-of-state
16    medical  laboratories  that  have  agreed  to  the  reporting
17    requirements of this State. Results must be reported  by  the
18    laboratory that performs the test, but an in-state laboratory
19    that  sends  specimens  to an out-of-state laboratory is also
20    responsible for reporting results.
21        (6)  Enforcement. The public health authority may enforce
22    the provisions of this Section in  accordance  with  existing
23    enforcement rules and regulations.

24        Section 5-10. Tracking. The public health authority shall
25    ascertain  the  existence  of  cases  of an illness or health
26    condition that may be a potential cause of  a  public  health
27    emergency;   investigate   all  such  cases  for  sources  of
28    infection and to ensure  that  they  are  subject  to  proper
29    control  measures; and define the distribution of the illness
30    or health condition. To  fulfill  these  duties,  the  public
31    health   authority  shall  identify  exposed  individuals  as
32    follows:
33        (1)  Identification of individuals. Acting on information
 
                            -12-               LRB9213158REdv
 1    developed in accordance with Section 5-5, or  other  reliable
 2    information,  the  public health authority shall identify all
 3    individuals thought to have been exposed  to  an  illness  or
 4    health  condition  that  may be a potential cause of a public
 5    health emergency.
 6        (2)  Interviewing  of  individuals.  The  public   health
 7    authority  shall  counsel  and  interview such individuals to
 8    assist in the positive identification of exposed  individuals
 9    and  develop information relating to the source and spread of
10    the illness or health condition.  That  information  includes
11    the  name  and address (including municipality and county) of
12    any person from whom the illness or health condition may have
13    been contracted and to whom the illness or  health  condition
14    may have spread.
15        (3)  Examination  of  facilities or materials. The public
16    health authority  shall,  for  examination  purposes,  close,
17    evacuate,  or  decontaminate any facility or decontaminate or
18    destroy any material when the authority  reasonably  suspects
19    that the facility or material may endanger the public health.
20        (4)  Enforcement. The public health authority may enforce
21    the  provisions  of  this Section in accordance with existing
22    enforcement rules and regulations. An  order  of  the  public
23    health  authority  given  to  effectuate the purposes of this
24    Section shall be enforceable immediately by the public safety
25    authority.

26        Section 5-15. Information sharing.
27        (1)  Whenever the public safety authority or other  State
28    or  local  government agency learns of a case of a reportable
29    illness  or  health  condition,  an  unusual  cluster,  or  a
30    suspicious event that may be the  case  of  a  public  health
31    emergency,  it  shall  immediately  notify  the public health
32    authority.
33        (2)  Whenever the public health  authority  learns  of  a
 
                            -13-               LRB9213158REdv
 1    case  of a reportable illness or health condition, an unusual
 2    cluster, or a suspicious event that  it  reasonably  believes
 3    has  the  potential  to  be  caused  by bioterrorism, it must
 4    immediately  notify  the  public  safety  authority,   tribal
 5    authorities,   and   federal   health   and   public   safety
 6    authorities.
 7        (3)  Sharing  of  information  on  reportable  illnesses,
 8    health  conditions,  unusual  clusters,  or suspicious events
 9    between  public  health  and  safety  authorities  shall   be
10    restricted   to  information  necessary  for  the  treatment,
11    control, investigation, and prevention  of  a  public  health
12    emergency.

13       ARTICLE 10. DECLARING STATE OF PUBLIC HEALTH EMERGENCY

14        Section  10-5.  Declaration.  A  state  of  public health
15    emergency may be declared by the Governor upon an  occurrence
16    of  a  public  health  emergency  as defined in Section 1-15.
17    Before making the declaration,  the  Governor  shall  consult
18    with  the  public  health  authority and may consult with any
19    additional public health and other  experts  as  needed.  The
20    Governor may act to declare a public health emergency without
21    consulting  with the public health authority or other experts
22    when the situation calls for prompt and timely action.

23        Section 10-10. Content of declaration. A state of  public
24    health emergency shall be declared by an executive order that
25    specifies:
26        (a)  the nature of the public health emergency;
27        (b)  the   political  subdivisions  or  geographic  areas
28    subject to the declaration;
29        (c)  the conditions that have brought  about  the  public
30    health emergency;
31        (d)  the  duration  of  the  state  of  the public health
 
                            -14-               LRB9213158REdv
 1    emergency, if less than 30 days; and
 2        (e)  the primary public health  authority  responding  to
 3    the emergency.

 4        Section  10-15. Effect of declaration. The declaration of
 5    a  state  of  public  health  emergency  shall  activate  the
 6    disaster response and recovery aspects of the  State,  local,
 7    and  inter-jurisdictional  disaster  emergency  plans  in the
 8    affected political  subdivisions  or  geographic  areas.  The
 9    declaration  authorizes  the deployment and use of any forces
10    to which the plans apply and the use or distribution  of  any
11    supplies,  equipment, and materials and facilities assembled,
12    stockpiled, or available under this Act.
13        (1)  Emergency powers. During a state  of  public  health
14    emergency, the Governor may:
15             (a)  Suspend   the   provisions  of  any  regulatory
16        statute  prescribing  procedures  for  conducting   State
17        business,  or  the  orders, rules, and regulations of any
18        State agency, if strict compliance would prevent, hinder,
19        or delay necessary action (including emergency purchases)
20        by the public health authority to respond to  the  public
21        health  emergency  and  increase the health threat to the
22        population.
23             (b)  Use  all  available  resources  of  the   State
24        government  and its political subdivisions, as reasonably
25        necessary to respond to the public health emergency.
26             (c)  Transfer the direction, personnel, or functions
27        of  State  departments  and  agencies   to   perform   or
28        facilitate  response  and recovery programs regarding the
29        public health emergency.
30             (d)  Mobilize  all  or  any  part  of  the  Illinois
31        National Guard  into  service  of  the  State.  An  order
32        directing  the  Illinois  National  Guard  to  report for
33        active duty shall state  the  purpose  for  which  it  is
 
                            -15-               LRB9213158REdv
 1        mobilized and the objectives to be accomplished.
 2             (e)  Provide  aid  to and seek aid from other states
 3        in accordance with any interstate emergency compact  made
 4        with this State.
 5             (f)  Seek   aid   from  the  federal  government  in
 6        accordance with federal programs or requirements.
 7        (2)  Coordination.  The  public  health  authority  shall
 8    coordinate  all  matters  pertaining  to  the  public  health
 9    emergency response of the State. The public health  authority
10    has primary jurisdiction, responsibility, and authority for:
11             (a)  Planning  and executing public health emergency
12        assessment,  mitigation,   preparedness   response,   and
13        recovery for the State.
14             (b)  Coordinating  public  health emergency response
15        between State and local authorities.
16             (c)  Collaborating with relevant federal  government
17        authorities,   elected  officials  of  other  states,  or
18        private organizations or companies.
19             (d)  Coordinating recovery operations and mitigation
20        initiatives subsequent to public health emergencies.
21             (e)  Organizing   public   information    activities
22        regarding public health emergency response operations.
23        (3)  Identification.  After the declaration of a state of
24    public  health  emergency,  special  identification  for  all
25    public health personnel working during the emergency shall be
26    issued as soon as possible. The identification shall indicate
27    the  authority  of  the  bearer  to  exercise  public  health
28    functions and emergency powers during  the  state  of  public
29    health  emergency.  Public  health  personnel  shall wear the
30    identification in plain view.

31        Section 10-20. Enforcement.  During  a  state  of  public
32    health  emergency,  the  public  health authority may request
33    assistance in enforcing orders under this Act from the public
 
                            -16-               LRB9213158REdv
 1    safety authority. The public  safety  authority  may  request
 2    assistance  from the Illinois National Guard in enforcing the
 3    orders of the public health authority.

 4        Section 10-25. Termination of declaration.
 5        (1)  Executive order. The Governor  shall  terminate  the
 6    state  of  public  health  emergency  by executive order upon
 7    finding that the occurrence of an illness or health condition
 8    that caused the emergency no longer poses a high  probability
 9    of  a  large  number  of deaths in the affected population, a
10    large  number  of  incidents  of   permanent   or   long-term
11    disability  in the affected population, or a significant risk
12    of substantial future harm to a large number of people in the
13    affected population.
14        (2)  Automatic  termination.  Notwithstanding  any  other
15    provision of this Act, the declaration of a state  of  public
16    health  emergency  shall  be terminated automatically 30 days
17    unless renewed by the Governor under the same  standards  and
18    procedures  set forth in this Article. Any such renewal shall
19    also be terminated automatically after 30 days unless renewed
20    by the Governor under the same standards and  procedures  set
21    forth in this Article.
22        (3)  State legislature. By adopting a joint resolution by
23    a  majority  vote  of both chambers, the General Assembly may
24    terminate a state of public health emergency at any time from
25    the date  of  original  declaration  upon  finding  that  the
26    occurrence  of an illness or health condition that caused the
27    emergency does not or no longer poses a high probability of a
28    large numbers of deaths in the affected population,  a  large
29    number   of  incidents  of  serious  permanent  or  long-term
30    disability in the affected population, or a significant  risk
31    of substantial future harm to a large number of people in the
32    affected  population.  Termination  by  the  General Assembly
33    overrides any renewal by the Governor.
 
                            -17-               LRB9213158REdv
 1        (4)  Content of termination order. All orders terminating
 2    the declaration of a state of public health  emergency  shall
 3    indicate  the  nature  of  the emergency, the areas that were
 4    threatened,  and  the  conditions  that  make  possible   the
 5    termination of the declaration.

 6          ARTICLE 15. SPECIAL POWERS DURING STATE OF PUBLIC
 7              HEALTH EMERGENCY; MANAGEMENT OF PROPERTY

 8        Section  15-5.  Emergency  measures concerning facilities
 9    and materials. The public health authority may exercise,  for
10    such  period  as the state of public health emergency exists,
11    the following powers over facilities or materials:
12        (1)  Facilities.  To  close,  direct   and   compel   the
13    evacuation   of,   or   to   decontaminate  or  cause  to  be
14    decontaminated any facility  of  which  there  is  reasonable
15    cause to believe that it may endanger the public health.
16        (2)  Materials.    To    decontaminate,   cause   to   be
17    decontaminated, or destroy any material  of  which  there  is
18    reasonable  cause  to believe that it may endanger the public
19    health.

20        Section 15-10. Access to and control  of  facilities  and
21    property;   generally.   The   public  health  authority  may
22    exercise, for such period  as  the  state  of  public  health
23    emergency exists, the following powers concerning facilities,
24    materials, roads, or public areas:
25        (1)  Use  of  facilities  and  materials.  To procure, by
26    condemnation (including quick-take under Article VII  of  the
27    Code  of  Civil  Procedure)  or  otherwise, construct, lease,
28    transport, store, maintain, renovate, or distribute materials
29    and facilities as may be reasonable and necessary to  respond
30    to  a  public  health  emergency,  with  the  right  to  take
31    immediate possession. These materials and facilities include,
 
                            -18-               LRB9213158REdv
 1    but are not limited to, communication devices, carriers, real
 2    estate, fuels, food, and clothing.
 3        (2)  Use  of  health care facilities. To require a health
 4    care facility to provide services or the use of its  facility
 5    if  those  services  or  use  are reasonable and necessary to
 6    respond to the public health  emergency  as  a  condition  of
 7    licensure,  authorization,  or  the ability to continue doing
 8    business in the State as a health care facility.  The use  of
 9    the   health  care  facility  may  include  transferring  the
10    management and supervision of the health care facility to the
11    public health authority for a limited or unlimited period  of
12    time, but shall not exceed the termination of the declaration
13    of a state of public health emergency.
14        (3)  Control  of  materials.  To  control,  restrict, and
15    regulate by  rationing  and  using  quotas,  prohibitions  on
16    shipments,   allocation,  or  other  means,  the  use,  sale,
17    dispensing, distribution, or transportation  of  food,  fuel,
18    clothing,  and  other  commodities,  as may be reasonable and
19    necessary to respond to the public health emergency.
20        (4)  Control of roads and public areas.
21             (a)  To prescribe routes, modes  of  transportation,
22        and destinations in connection with evacuation of persons
23        or the provision of emergency services.
24             (b)  To  control  or limit ingress and egress to and
25        from any stricken or threatened public area, the movement
26        of persons within the area, and the occupancy of premises
27        in that area, if that action is reasonable and  necessary
28        to respond to the public health emergency.

29        Section  15-15.  Safe  disposal  of infectious waste. The
30    public health authority may exercise, for such period as  the
31    state of public health emergency exists, the following powers
32    regarding the safe disposal of infectious waste:
33        (1)  Adopt  measures.  To  adopt  and enforce measures to
 
                            -19-               LRB9213158REdv
 1    provide for the safe disposal of infectious waste as  may  be
 2    reasonable  and  necessary  to  respond  to the public health
 3    emergency. These measures may include, but  are  not  limited
 4    to,   the   collection,   storage,   handling,   destruction,
 5    treatment, transportation, and disposal of infectious waste.
 6        (2)  Control  of  facilities.  To require any business or
 7    facility  authorized  to  collect,  store,  handle,  destroy,
 8    treat, transport, and dispose of infectious waste  under  the
 9    laws  of  this State, and any landfill business or other such
10    property, to accept infectious waste, or provide services  or
11    the use of the business, facility, or property if that action
12    is  reasonable  and necessary to respond to the public health
13    emergency as a condition of licensure, authorization, or  the
14    ability  to  continue  doing  business in the State as such a
15    business or facility. The use of the business,  facility,  or
16    property   may   include   transferring  the  management  and
17    supervision of the business, facility,  or  property  to  the
18    public  health authority for a limited or unlimited period of
19    time, but shall not exceed the termination of the declaration
20    of a state of public health emergency.
21        (3)  Use  of  facilities.  To  procure,  by  condemnation
22    (including quick-take under Article VII of the Code of  Civil
23    Procedure)  or otherwise, any business or facility authorized
24    to collect, store, handle,  destroy,  treat,  transport,  and
25    dispose  of infectious waste under the laws of this State and
26    any landfill business or other property as may be  reasonable
27    and necessary to respond to the public health emergency, with
28    the right to take immediate possession.
29        (4)  Identification. All bags, boxes, or other containers
30    for   infectious   waste   shall  be  clearly  identified  as
31    containing infectious  waste  and,  if  known,  the  type  of
32    infectious waste.

33        Section 15-20. Safe disposal of human remains. The public
 
                            -20-               LRB9213158REdv
 1    health  authority  may exercise, for such period as the state
 2    of public  health  emergency  exists,  the  following  powers
 3    regarding the safe disposal of human remains:
 4        (1)  Adopt  measures.  To  adopt  and enforce measures to
 5    provide for the safe disposal of  human  remains  as  may  be
 6    reasonable  and  necessary  to  respond  to the public health
 7    emergency. These measures may include, but  are  not  limited
 8    to,    the    embalming,    burial,   cremation,   interment,
 9    disinterment, transportation, and disposal of human remains.
10        (2)  Possession. To take possession  or  control  of  any
11    human remains.
12        (3)  Disposal. To order the disposal of any human remains
13    of  a  person  who  has  died of a contagious disease through
14    burial or cremation within  24  hours  after  death.  To  the
15    extent  possible, religious, cultural, family, and individual
16    beliefs of the deceased person or his or her family shall  be
17    considered when disposing of any human remains.
18        (4)  Control  of  facilities.  To require any business or
19    facility  authorized  to  embalm,   bury,   cremate,   inter,
20    disinter,  transport,  and dispose of human remains under the
21    laws of this State to accept any human remains or provide the
22    use  of  its  business  or  facility  if  those  actions  are
23    reasonable and  necessary  to  respond  to  a  public  health
24    emergency.  The  use  of the business or facility may include
25    transferring the management and supervision of  the  business
26    or  facility  to the public health authority for a limited or
27    unlimited  period  of  time,  but  shall   not   exceed   the
28    termination  of  the  declaration of a state of public health
29    emergency.
30        (5)  Use  of  facilities.  To  procure,  by  condemnation
31    (including quick-take under Article VII of the Code of  Civil
32    Procedure)  or otherwise, any business or facility authorized
33    to embalm, bury, cremate,  inter,  disinter,  transport,  and
34    dispose  of human remains under the laws of this State as may
 
                            -21-               LRB9213158REdv
 1    be reasonable and necessary to respond  to  a  public  health
 2    emergency, with the right to take immediate possession.
 3        (6)  Labeling.  Every  human  remains  prior  to disposal
 4    shall be clearly labeled with all  available  information  to
 5    identify  the  decedent  and  the circumstances of death. Any
 6    human remains of a deceased person with a contagious  disease
 7    shall  have  an external, clearly visible tag indicating that
 8    the human remains are infected and, if known, the  contagious
 9    disease.
10        (7)  Identification.  Every person in charge of disposing
11    of any human remains shall maintain a written  or  electronic
12    record of each human remains and all available information to
13    identify  the  decedent  and  the  circumstances of death and
14    disposal. If a human  remains  cannot  be  identified  before
15    disposal,  a  qualified person shall, to the extent possible,
16    take fingerprints  and  photographs  of  the  human  remains,
17    obtain  identifying  dental  information,  and  collect a DNA
18    specimen. All information gathered under this paragraph shall
19    be promptly forwarded to the public health authority.

20        Section 15-25. Control of health care supplies.
21        (1)  Procurement.  The  public   health   authority   may
22    purchase   and   distribute  anti-toxins,  serums,  vaccines,
23    immunizing  agents,  antibiotics,  and  other  pharmaceutical
24    agents or medical supplies that it  deems  advisable  in  the
25    interest  of  preparing  for  or  controlling a public health
26    emergency, without any additional legislative authorization.
27        (2)  Rationing. If a state  of  public  health  emergency
28    results  in  a  statewide  or regional shortage or threatened
29    shortage of any product covered by item (1), whether  or  not
30    that   product  has  been  purchased  by  the  public  health
31    authority, the public health authority may control, restrict,
32    and regulate by rationing and using quotas,  prohibitions  on
33    shipments,   allocation,  or  other  means,  the  use,  sale,
 
                            -22-               LRB9213158REdv
 1    dispensing, distribution, or transportation of  the  relevant
 2    product  necessary to protect the health, safety, and welfare
 3    of the people of the State.
 4        (2.5)  Priority.  In making rationing or other supply and
 5    distribution decisions, the public health authority may  give
 6    preference   to  health  care  providers,  disaster  response
 7    personnel, and mortuary staff.
 8        (3)  Distribution.  During  a  state  of  public   health
 9    emergency, the public health authority may procure, store, or
10    distribute  any  anti-toxins,  serums,  vaccines,  immunizing
11    agents,  antibiotics,  and  other  pharmaceutical  agents  or
12    medical   supplies   located  within  the  State  as  may  be
13    reasonable and  necessary  to  respond  to  a  public  health
14    emergency,  with the right to take immediate possession. If a
15    public health emergency simultaneously affects more than  one
16    state,  nothing  in  this Section shall be construed to allow
17    the public health authority to  obtain  anti-toxins,  serums,
18    vaccines,   immunizing   agents,   antibiotics,   and   other
19    pharmaceutical  agents  or  medical  supplies for the primary
20    purpose of hoarding those items or preventing their fair  and
21    equitable distribution among affected states.

22        Section  15-30.  Compensation.  The  State shall pay just
23    compensation to the owner of any facilities or materials that
24    are  lawfully  taken  or  appropriated  by  a  public  health
25    authority for its  temporary  or  permanent  use  under  this
26    Article  according  to the procedures and standards set forth
27    in Section 35-25. Compensation  shall  not  be  provided  for
28    facilities   or   materials   that   are  closed,  evacuated,
29    decontaminated, or destroyed when there is  reasonable  cause
30    to  believe that they may endanger the public health pursuant
31    to Section 15-5.

32        Section 15-35. Destruction of  property.  To  the  extent
 
                            -23-               LRB9213158REdv
 1    practical  and  consistent  with  the  protection  of  public
 2    health,  before  the  destruction  of any property under this
 3    Article,  the  public  health   authority   shall   institute
 4    appropriate  civil  proceedings  against  the  property to be
 5    destroyed in accordance with the existing laws and  rules  of
 6    the  courts  of  this  State  or  any  such rules that may be
 7    developed by the courts for use  during  a  state  of  public
 8    health  emergency. Any property acquired by the public health
 9    authority through those proceedings shall, after entry of the
10    order or decree, be disposed of by destruction as  the  court
11    may direct.

12         ARTICLE 20. SPECIAL POWERS DURING A STATE OF PUBLIC
13               HEALTH EMERGENCY; PROTECTION OF PERSONS

14        Section  20-5.  Protection  of persons. During a state of
15    public health emergency, the public  health  authority  shall
16    use  every  available  means  to  prevent the transmission of
17    infectious disease and to ensure that all cases of contagious
18    disease are subject to proper control and treatment.

19        Section 20-10. Medical examination and testing. During  a
20    state  of public health emergency the public health authority
21    may perform physical examinations and tests as necessary  for
22    the diagnosis or treatment of individuals.
23        (a)  Medical  examinations  or  tests may be performed by
24    any qualified person authorized to do so by the public health
25    authority.
26        (b)  Medical examinations or tests must not  be  such  as
27    are reasonably likely to lead to serious harm to the affected
28    individual.
29        (c)  The   public   health   authority   may  isolate  or
30    quarantine, pursuant  to  Section  20-15,  any  person  whose
31    refusal   of   medical  examination  or  testing  results  in
 
                            -24-               LRB9213158REdv
 1    uncertainty regarding whether he or she has been  exposed  to
 2    or  is  infected  with  a  contagious  or possibly contagious
 3    disease or otherwise poses a danger to public health.

 4        Section 20-12.  Vaccination and treatment. During a state
 5    of public health emergency the public  health  authority  may
 6    exercise  the  following  emergency  powers  over  persons as
 7    necessary to address the public health emergency:
 8        (a)  Vaccination.  To  vaccinate  persons  as  protection
 9    against infectious disease  and  to  prevent  the  spread  of
10    contagious or possibly contagious disease.
11             (1)  Vaccination  may  be performed by any qualified
12        person  authorized  to  do  so  by  the   public   health
13        authority.
14             (2)  A  vaccine  to be administered must not be such
15        as is reasonably likely to lead to serious  harm  to  the
16        affected individual.
17             (3)  To prevent the spread of contagious or possibly
18        contagious   disease  the  public  health  authority  may
19        isolate or quarantine, pursuant to Section 20-15, persons
20        who are  unable  or  unwilling  for  reasons  of  health,
21        religion,  or  conscience to undergo vaccination pursuant
22        to this Section.
23        (b)  Treatment. To treat persons exposed to  or  infected
24    with disease.
25             (1)  Treatment  may be administered by any qualified
26        person  authorized  to  do  so  by  the   public   health
27        authority.
28             (2)  Treatment  must  not  be  such as is reasonably
29        likely  to  lead  to  serious  harm   to   the   affected
30        individual.
31             (3)  To prevent the spread of contagious or possibly
32        contagious   disease  the  public  health  authority  may
33        isolate or quarantine, pursuant to Section 20-15, persons
 
                            -25-               LRB9213158REdv
 1        who are  unable  or  unwilling  for  reasons  of  health,
 2        religion,  or conscience to undergo treatment pursuant to
 3        this Section.

 4        Section 20-15. Isolation and quarantine.
 5        (a)  Authorization. During the public  health  emergency,
 6    the  public health authority may isolate (consistent with the
 7    definition of "isolation"  in  Section  1-15)  or  quarantine
 8    (consistent  with  the  definition  of  quarantine in Section
 9    1-15) an individual or groups of individuals.  This  includes
10    individuals  or groups who have not been vaccinated, treated,
11    tested, or examined pursuant to  Sections  20-10  and  20-12.
12    The  public  health authority may also establish and maintain
13    places of isolation and quarantine, and set  rules  and  make
14    orders.  Failure  to  obey these rules, orders, or provisions
15    shall constitute a Class A misdemeanor.
16        (b)  Conditions  and  principles.   The   public   health
17    authority  shall  adhere  to  the  following  conditions  and
18    principles  when  isolating  or  quarantining  individuals or
19    groups of individuals:
20             (1)  Isolation and quarantine must be by  the  least
21        restrictive  means  necessary  to prevent the spread of a
22        contagious or possibly contagious disease to  others  and
23        may  include,  but  are  not  limited  to, confinement to
24        private homes or other private and public premises.
25             (2)  Isolated   individuals   must    be    confined
26        separately from quarantined individuals.
27             (3)  The  health  status of isolated and quarantined
28        individuals must be monitored regularly to  determine  if
29        they require isolation or quarantine.
30             (4)  If   a   quarantined   individual  subsequently
31        becomes infected or is reasonably believed to have become
32        infected with a contagious or possibly contagious disease
33        he or she must promptly be removed to isolation.
 
                            -26-               LRB9213158REdv
 1             (5)  Isolated and quarantined  individuals  must  be
 2        immediately  released  when they pose no substantial risk
 3        of  transmitting  a  contagious  or  possibly  contagious
 4        disease to others.
 5             (6)  The needs of persons isolated  and  quarantined
 6        shall be addressed in a systematic and competent fashion,
 7        including,  but  not limited to, providing adequate food,
 8        clothing, shelter, means of communication with  those  in
 9        isolation  or  quarantine  and  outside  these  settings,
10        medication, and competent medical care.
11             (7)  Premises  used  for  isolation  and  quarantine
12        shall  be maintained in a safe and hygienic manner and be
13        designed  to   minimize   the   likelihood   of   further
14        transmission  of  infection  or  other  harms  to persons
15        isolated and quarantined.
16             (8)  To the extent possible, cultural and  religious
17        beliefs  should  be considered in addressing the needs of
18        individuals and in establishing and maintaining isolation
19        and quarantine premises.
20        (c)  Cooperation.  Persons  subject   to   isolation   or
21    quarantine shall obey the public health authority's rules and
22    orders  and  shall  not go beyond the isolation or quarantine
23    premises. Failure to obey these provisions shall constitute a
24    Class A misdemeanor.
25        (d)  Entry into isolation or quarantine premises.
26             (1)  Authorized entry. The public  health  authority
27        may  authorize physicians, health care workers, or others
28        access to  individuals  in  isolation  or  quarantine  as
29        necessary  to  meet  the needs of isolated or quarantined
30        individuals.
31             (2)  Unauthorized entry. No  person,  other  than  a
32        person  authorized  by the public health authority, shall
33        enter isolation or quarantine premises. Failure  to  obey
34        this provision shall constitute a Class A misdemeanor.
 
                            -27-               LRB9213158REdv
 1             (3)  Potential  isolation  or quarantine. Any person
 2        entering an isolation  or  quarantine  premises  with  or
 3        without  authorization of the public health authority may
 4        be isolated or quarantined pursuant to this Section.

 5        Section 20-20. Procedures for isolation  and  quarantine.
 6    During   a   public   health  emergency,  the  isolation  and
 7    quarantine of an individual or groups of individuals shall be
 8    undertaken in accordance with the following procedures.
 9        (a)  Temporary isolation and quarantine without notice.
10             (1)  Authorization. The public health authority  may
11        temporarily isolate or quarantine an individual or groups
12        of  individuals  through  a written directive if delay in
13        imposing the isolation or quarantine would  significantly
14        jeopardize  the  public  health  authority's  ability  to
15        prevent  or  limit  the  transmission  of a contagious or
16        possibly contagious disease to others.
17             (2)  Content of  directive.  The  written  directive
18        shall  specify  the  following:  (i)  the identity of the
19        individuals or groups of individuals subject to isolation
20        or quarantine; (ii) the premises subject to isolation  or
21        quarantine; (iii) the date and time at which isolation or
22        quarantine   commences;  (iv)  the  suspected  contagious
23        disease if known;  and  (v)  a  copy  of  Article  6  and
24        relevant definitions of this Act.
25             (3)  Copies.  A  copy of the written directive shall
26        be given to the individual to be isolated or  quarantined
27        or, if the order applies to a group of individuals and it
28        is  impractical  to  provide individual copies, it may be
29        posted  in  a  conspicuous  place  in  the  isolation  or
30        quarantine premises.
31             (4)  Petition for continued isolation or quarantine.
32        Within 10 days after issuing the written  directive,  the
33        public health authority shall file a petition pursuant to
 
                            -28-               LRB9213158REdv
 1        subsection   (b)   for  a  court  order  authorizing  the
 2        continued isolation or  quarantine  of  the  isolated  or
 3        quarantined individual or groups of individuals.
 4        (b)  Isolation or quarantine with notice.
 5             (1)  Authorization.  The public health authority may
 6        make a written petition to the trial court for  an  order
 7        authorizing  the isolation or quarantine of an individual
 8        or groups of individuals.
 9             (2)  Content   of   petition.   A   petition   under
10        subsection (b)(1) shall specify the  following:  (i)  the
11        identity  of  the  individuals  or  groups of individuals
12        subject to isolation or  quarantine;  (ii)  the  premises
13        subject  to  isolation  or quarantine; (iii) the date and
14        time at which isolation or quarantine commences; (iv) the
15        suspected contagious disease if known; (v) a statement of
16        compliance  with  the  conditions  and   principles   for
17        isolation  and  quarantine  of  Section 20-15; and (vi) a
18        statement of the basis upon which isolation or quarantine
19        is  justified  in  compliance  with  this  Article.   The
20        petition  shall  be accompanied by the sworn affidavit of
21        the  public  health  authority  attesting  to  the  facts
22        asserted in  the  petition,  together  with  any  further
23        information  that  may  be  relevant  and material to the
24        court's consideration.
25             (3)  Notice. Notice to the individuals or groups  of
26        individuals   identified   in   the   petition  shall  be
27        accomplished within 24 hours in accordance with the rules
28        of civil procedure.
29             (4)  Hearing. A hearing must be held on any petition
30        filed pursuant to this subsection  within  5  days  after
31        filing  of  the  petition. In extraordinary circumstances
32        and for good cause shown the public health authority  may
33        apply  to  continue  the hearing date on a petition filed
34        pursuant to  this  Section  for  up  to  10  days,  which
 
                            -29-               LRB9213158REdv
 1        continuance  the court may grant in its discretion giving
 2        due regard to the rights of the affected individuals, the
 3        protection of the public's health, the  severity  of  the
 4        emergency,  and  the  availability of necessary witnesses
 5        and evidence.
 6             (5)  Order. The court shall grant the  petition  if,
 7        by   a   preponderance  of  the  evidence,  isolation  or
 8        quarantine is shown to be reasonably necessary to prevent
 9        or limit the transmission of  a  contagious  or  possibly
10        contagious disease to others.
11                  (i)  An    order   authorizing   isolation   or
12             quarantine may do so for a period not to  exceed  30
13             days.
14                  (ii)  The order shall (a) identify the isolated
15             or  quarantined individuals or groups of individuals
16             by name or  shared  or  similar  characteristics  or
17             circumstances;    (b)   specify   factual   findings
18             warranting isolation or quarantine pursuant to  this
19             Act;  (c) include any conditions necessary to ensure
20             that isolation or quarantine is carried  out  within
21             the  stated  purposes  and restrictions of this Act;
22             and (d) be served on affected individuals or  groups
23             of individuals in accordance with the rules of civil
24             procedure.
25             (6)  Continuances.  Prior  to  the  expiration of an
26        order issued pursuant to subsection  (b)(5),  the  public
27        health  authority  may  move  to  continue  isolation  or
28        quarantine  for  additional periods not to exceed 30 days
29        each. The court shall consider the motion  in  accordance
30        with standards set forth in subsection (b)(5).
31        (c)  Relief from isolation and quarantine.
32             (1)  Release.  An individual or group of individuals
33        isolated or quarantined pursuant to this Act may apply to
34        the trial court for  an  order  to  show  cause  why  the
 
                            -30-               LRB9213158REdv
 1        individual   or   group  of  individuals  should  not  be
 2        released. The court shall rule on the application to show
 3        cause within 48 hours of its filing. If the court  grants
 4        the  application,  the  court shall schedule a hearing on
 5        the order to show cause within 24 hours from issuance  of
 6        the order to show cause. The issuance of an order to show
 7        cause shall not stay or enjoin an isolation or quarantine
 8        order.
 9             (2)  Remedies   for   breach   of   conditions.   An
10        individual   or   groups   of   individuals  isolated  or
11        quarantined pursuant to this Act may request a hearing in
12        the trial court for remedies regarding  breaches  to  the
13        conditions  of  isolation  or quarantine. A request for a
14        hearing  shall  not  stay  or  enjoin  an  isolation   or
15        quarantine order.
16                  (i)  Upon  receipt  of  a  request  under  this
17             subsection   alleging   extraordinary  circumstances
18             justifying the immediate  granting  of  relief,  the
19             court  shall  fix  a date for hearing on the matters
20             alleged not more than 24 hours from receipt  of  the
21             request.
22                  (ii)  Otherwise,  upon  receipt  of  a  request
23             under this subsection the court shall fix a date for
24             hearing  on  the  matters alleged within 5 days from
25             receipt of the request.
26             (3)  Extensions.  In  any  proceedings  brought  for
27        relief   under   this   subsection,   in    extraordinary
28        circumstances  and for good cause shown the public health
29        authority may move the court to extend  the  time  for  a
30        hearing,  which extension the court in its discretion may
31        grant giving due regard to the  rights  of  the  affected
32        individuals,  the  protection of the public's health, the
33        severity  of  the  emergency,  and  the  availability  of
34        necessary witnesses and evidence.
 
                            -31-               LRB9213158REdv
 1        (d)  Proceedings. A record of the proceedings pursuant to
 2    this Section shall be made and retained. In the  event  that,
 3    given  a  state  of  public health emergency, parties can not
 4    personally  appear  before  the  court,  proceedings  may  be
 5    conducted by their authorized representatives and be held via
 6    any means that allows all parties to fully participate.
 7        (e)  Court to appoint counsel and consolidate claims.
 8             (1)  Appointment. The court shall appoint counsel at
 9        State expense  to  represent  individuals  or  groups  of
10        individuals  who  are  or who are about to be isolated or
11        quarantined pursuant to the provisions of  this  Act  and
12        who   are   not   otherwise   represented   by   counsel.
13        Appointments   shall  be  made  in  accordance  with  the
14        procedures to be specified in the Public Health Emergency
15        Plan and  shall  last  throughout  the  duration  of  the
16        isolation  or  quarantine  of the individual or groups of
17        individuals. The public  health  authority  must  provide
18        adequate means of communication between those individuals
19        or groups and their counsel.
20             (2)  Consolidation.   In   any  proceedings  brought
21        pursuant  to  this  Section,  to  promote  the  fair  and
22        efficient operation  of  justice  and  having  given  due
23        regard  to  the  rights  of the affected individuals, the
24        protection of the public's health, the  severity  of  the
25        emergency,  and  the  availability of necessary witnesses
26        and evidence, the court may order  the  consolidation  of
27        individual claims into group or claims where:
28                  (i)  the  number  of individuals involved or to
29             be affected is so  large  as  to  render  individual
30             participation impractical;
31                  (ii)  there are questions of law or fact common
32             to the individual claims or rights to be determined;
33                  (iii)  the   group   claims  or  rights  to  be
34             determined are typical of the affected  individuals'
 
                            -32-               LRB9213158REdv
 1             claims or rights; and
 2                  (iv)  the   entire  group  will  be  adequately
 3             represented in the consolidation.

 4        Section  20-25.  Collection  of   laboratory   specimens;
 5    performance  of  tests.  The public health authority may, for
 6    such period as the state of public health  emergency  exists,
 7    collect  specimens  and  perform  tests  on living persons as
 8    provided in Section 20-10 and also upon deceased persons  and
 9    any  animal,  living  or deceased, and acquire any previously
10    collected specimens or test results that are  reasonable  and
11    necessary to respond to a public health emergency.
12        (1)  Marking. All specimens shall be clearly marked.
13        (2)  Contamination.    Specimen   collection,   handling,
14    storage, and transport to the testing site shall be performed
15    in  a  manner  that   will   reasonably   preclude   specimen
16    contamination  or  adulteration  and  provide  for  the  safe
17    collection, storage, handling, and transport of the specimen.
18        (3)  Chain  of  custody. Any person authorized to collect
19    specimens  or  perform  tests  shall  use  chain  of  custody
20    procedures  to  ensure  proper  record   keeping,   handling,
21    labeling,  and identification of specimens to be tested. This
22    requirement applies to  all  specimens,  including  specimens
23    collected using on-site testing kits.
24        (4)  Criminal  investigation.  Recognizing that, during a
25    state of public health emergency, any specimen  collected  or
26    test  performed  may be evidence in a criminal investigation,
27    any business,  facility,  or  agency  authorized  to  collect
28    specimens  or  perform tests shall provide such support as is
29    reasonable and  necessary  to  aid  in  a  relevant  criminal
30    investigation.

31        Section  20-30. Access and disclosure of protected health
32    information.
 
                            -33-               LRB9213158REdv
 1        (1)  Access. Access to protected  health  information  of
 2    persons  who have participated in medical testing, treatment,
 3    vaccination, isolation, or quarantine programs or efforts  by
 4    the  public health authority during a public health emergency
 5    shall be limited to those persons having a legitimate need to
 6    acquire or use the information to:
 7             (1)  provide treatment to the individual who is  the
 8        subject of the health information;
 9             (2)  conduct epidemiologic research; or
10             (3)  investigate the causes of transmission.
11        (2)  Disclosure. Protected health information held by the
12    public  health  authority  shall  not  be disclosed to others
13    without individual written, specific informed consent, except
14    for disclosures made:
15             (a)  directly to the individual;
16             (b)  to the individual's immediate family members or
17        personal representative;
18             (c)  to appropriate federal agencies or  authorities
19        pursuant to federal law;
20             (d)  pursuant  to  a  court  order  to avert a clear
21        danger to an individual or the public health; or
22             (e)  to identify a deceased individual or  determine
23        the manner or cause of death.

24        Section   20-35.  Licensing  and  appointment  of  health
25    personnel. The public health authority may exercise, for such
26    period as the state of public health  emergency  exists,  the
27    following    emergency   powers   regarding   licensing   and
28    appointment of health personnel:
29        (0.5)  Health care providers. To require in-state  health
30    care  providers  to assist in the performance of vaccination,
31    treatment, examination, or testing of  any  individual  as  a
32    condition  of  licensure,  authorization,  or  the ability to
33    continue to function as a health care provider in this State.
 
                            -34-               LRB9213158REdv
 1        (1)  Health care providers from other  jurisdictions.  To
 2    appoint   and  prescribe  the  duties  of  such  out-of-state
 3    emergency health care providers  as  may  be  reasonable  and
 4    necessary to respond to a public health emergency.
 5             (a)  The   appointment   of  out-of-state  emergency
 6        health care providers may be for a limited  or  unlimited
 7        time,  but  shall  not  exceed  the  termination  of  the
 8        declaration  of  a  state of public health emergency. The
 9        public health authority may  terminate  the  out-of-state
10        appointments  at  any  time  or  for  any  reason  if the
11        termination will not jeopardize the health,  safety,  and
12        welfare of the people of this State.
13             (b)  The  public  health  authority may waive any or
14        all licensing requirements, permits, or fees required  by
15        State   statutes   and   applicable   orders,  rules,  or
16        regulations  for  health  care   providers   from   other
17        jurisdictions to practice in this State.
18             (c)  Any out-of-state emergency health care provider
19        appointed under this Section shall not be held liable for
20        any  civil  damages  as  a  result  of  medical  care  or
21        treatment  related  to  the emergency response unless the
22        damages result from providing,  or  failing  to  provide,
23        medical    care    or   treatment   under   circumstances
24        demonstrating a reckless disregard for  the  consequences
25        so as to affect the life or health of the patient.
26        (2)  Personnel  to  perform duties of medical examiner or
27    coroner. To authorize the  medical  examiner  or  coroner  to
28    appoint  and  prescribe  the  duties  of  emergency assistant
29    medical examiners or coroners as  may  be  required  for  the
30    proper performance of the duties of the office.
31             (a)  The  appointment of emergency assistant medical
32        examiners or coroners under this Section  may  be  for  a
33        limited  or  unlimited  time,  but  shall  not exceed the
34        termination of the  declaration  of  a  state  of  public
 
                            -35-               LRB9213158REdv
 1        health  emergency.  The  medical  examiner or coroner may
 2        terminate emergency appointments at any time or  for  any
 3        reason if the termination will not impede the performance
 4        of the duties of the office.
 5             (b)  The  medical  examiner  or  coroner  may  waive
 6        licensing  requirements, permits, or fees required by the
 7        State  statutes  and   applicable   orders,   rules,   or
 8        regulations for the performance of these duties.
 9             (c)  Any  emergency  assistant  medical  examiner or
10        coroner appointed under this Section and  acting  without
11        malice  and  within the scope of the prescribed duties is
12        immune from civil liability in the performance  of  those
13        duties.

14           ARTICLE 25. PUBLIC INFORMATION REGARDING PUBLIC
15                          HEALTH EMERGENCY

16        Section  25-5.  Dissemination  of information. The public
17    health authority shall inform the people of the State when  a
18    state  of  public  health  emergency  has  been  declared  or
19    terminated,  how  to  protect  themselves  during  a state of
20    public health emergency, and what actions are being taken  to
21    control the emergency.
22        (1)  Means  of dissemination. The public health authority
23    shall provide information by  all  available  and  reasonable
24    means  calculated  to  bring  the information promptly to the
25    attention of the general public.
26        (2)  Languages. If the public health authority has reason
27    to believe there are large numbers of people of the State who
28    lack  sufficient  skills  in  English   to   understand   the
29    information,   the   public   health   authority  shall  make
30    reasonable efforts to provide the information in the  primary
31    languages of those people as well as in English.
32        (3)  Accessibility. The provision of information shall be
 
                            -36-               LRB9213158REdv
 1    made in a manner accessible to individuals with disabilities.

 2        Section 25-10. Access to mental health support personnel.
 3    During  and after the declaration of a state of public health
 4    emergency,  the  public  health   authority   shall   provide
 5    information  about  and  referrals  to  mental health support
 6    personnel to address psychological responses  to  the  public
 7    health emergency.

 8                      ARTICLE 35. MISCELLANEOUS

 9        Section  35-5.  Titles.  For  the  purposes  of this Act,
10    titles and subtitles of Articles, Sections,  and  subsections
11    are instructive, but not binding.

12        Section  35-10.  Rules.  The  public health authority and
13    other affected agencies must adopt rules that are  reasonable
14    and  necessary  to  implement  and  effectuate  this Act. The
15    public health  authority  and  other  affected  agencies  may
16    enforce  the provisions of this Act through the imposition of
17    fines and penalties, the issuance of orders, and  such  other
18    remedies  as are provided by law, but nothing in this Section
19    shall be  construed  to  limit  specific  enforcement  powers
20    enumerated in this Act.

21        Section 35-15. Financing and expenses.
22        (1)  Transfer  of  funds.  The Governor may transfer from
23    any fund available to the Governor in the State treasury such
24    sums as may be necessary during a public health emergency.
25        (2)  Repayment. Moneys so transferred shall be repaid  to
26    the  fund from which they were transferred when moneys become
27    available for that purpose, by legislative  appropriation  or
28    otherwise.
29        (3)  Conditions.  A  transfer  of  funds  by the Governor
 
                            -37-               LRB9213158REdv
 1    under the provisions of this Section may be  made  only  when
 2    one or more of the following conditions exist:
 3             (a)  No  appropriation  or  other  authorization  is
 4        available to meet the public health emergency.
 5             (b)  An  appropriation  is  insufficient to meet the
 6        public health emergency.
 7             (c)  Federal moneys  available  for  such  a  public
 8        health emergency require the use of State or other public
 9        moneys.
10        (4)  Expenses.  All expenses incurred by the State during
11    a state of public health emergency shall be  subject  to  the
12    following limitations:
13             (a)  No expense shall be incurred against the moneys
14        authorized  under  this  Section, without the approval of
15        the Governor.
16             (b)  The aggregate amount of all  expenses  incurred
17        under  the  provisions  of  this Section shall not exceed
18        $50,000,000 for any fiscal year.
19             (c)  Moneys authorized for a state of public  health
20        emergency in prior fiscal years may be used in subsequent
21        fiscal  years  only  for  the public health emergency for
22        which they  were  authorized.  Moneys  authorized  for  a
23        public  health  emergency  in  prior  fiscal  years,  and
24        expended in subsequent fiscal years for the public health
25        emergency  for  which  they were authorized, apply toward
26        the $50,000,000 expense limit  for  the  fiscal  year  in
27        which they were authorized.

28        Section 35-20. Liability.
29        (1)  State  immunity.  Neither  the  State, its political
30    subdivisions, nor, except in cases  of  gross  negligence  or
31    willful   misconduct,   the   Governor,   the  public  health
32    authority, or any other State or local official referenced in
33    this Act, is liable  for  the  death  of  or  any  injury  to
 
                            -38-               LRB9213158REdv
 1    persons, or damage to property, as a result of complying with
 2    or  attempting  to  comply  with this Act or any rule adopted
 3    under this Act during a state of public health emergency.
 4        (2)  Private liability.
 5             (a)  During a state of public health emergency,  any
 6        person   owning  or  controlling  real  estate  or  other
 7        premises who voluntarily and without compensation  grants
 8        a   license   or  privilege,  or  otherwise  permits  the
 9        designation or use of the whole or any part or  parts  of
10        that   real   estate  or  premises  for  the  purpose  of
11        sheltering   persons,   together   with   that   person's
12        successors in interest, if any, is not civilly liable for
13        negligently causing the  death  of,  or  injury  to,  any
14        person  on or about the real estate or premises under the
15        license,  privilege,  or   other   permission,   or   for
16        negligently  causing  loss of, or damage to, the property
17        of that person.
18             (b)  During a state of public health emergency,  any
19        private  person,  firm,  or corporation and employees and
20        agents of  that  person,  firm,  or  corporation  in  the
21        performance  of  a contract with, and under the direction
22        of, the State or its political  subdivisions  under  this
23        Act  is  not  civilly liable for causing the death of, or
24        injury to, any person or damage to any property except in
25        the event of gross negligence or willful misconduct.
26             (c)  During a state of public health emergency,  any
27        private  person,  firm,  or corporation and employees and
28        agents of that person, firm, or corporation, who  renders
29        assistance  or  advice at the request of the State or its
30        political subdivisions under  this  Act  is  not  civilly
31        liable for causing the death of, or injury to, any person
32        or  damage  to  any property except in the event of gross
33        negligence or willful misconduct.
34             (d)  The immunities provided in this Section do  not
 
                            -39-               LRB9213158REdv
 1        apply  to  any  private  person,  firm, or corporation or
 2        employees and agents of that person, firm, or corporation
 3        whose act or omission caused in  whole  or  in  part  the
 4        public health emergency and who would otherwise be liable
 5        for that act or omission.

 6        Section 35-25. Compensation.
 7        (1)  Taking. Compensation for property shall be made only
 8    if  private  property  is lawfully taken or appropriated by a
 9    public health authority for its temporary  or  permanent  use
10    during  a  state  of  public health emergency declared by the
11    Governor under this Act.
12        (2)  Actions. Any action against the State with regard to
13    the payment of compensation shall be brought in the courts of
14    this State in accordance with existing court laws and  rules,
15    or any such rules that may be developed by the courts for use
16    during a state of public health emergency.
17        (3)  Amount.   The   amount   of  compensation  shall  be
18    calculated in the same manner as compensation due for  taking
19    of   property   pursuant   to  non-emergency  eminent  domain
20    procedures, as provided in Article VII of the Code  of  Civil
21    Procedure,  except that the amount of compensation calculated
22    for items obtained under Section 15-25 shall  be  limited  to
23    the costs incurred to produce the item.

24        Section  35-30.  Severability. The provisions of this Act
25    are severable under Section 1.31 of the Statute on Statutes.

26        Section  35-35.  Saving  clause.  This   Act   does   not
27    explicitly preempt other laws or regulations that preserve to
28    a  greater degree the powers of the Governor or public health
29    authority, provided such laws or regulations are  consistent,
30    and   do  not  otherwise  restrict  or  interfere,  with  the
31    operation or enforcement of the provisions of this Act.
 
                            -40-               LRB9213158REdv
 1        Section 35-40. Conflicting laws.
 2        (1)  Federal supremacy. This Act does  not  restrict  any
 3    person from complying with federal law or regulations.
 4        (2)  Prior   conflicting  acts.  To  the  extent  of  any
 5    conflict between this Act and  other  State  or  local  laws,
 6    rules,  or  regulations  concerning public health powers, the
 7    provisions of this Act apply.

 8        Section 35-50. Home rule. All units of local  government,
 9    including  home  rule units, and school districts must comply
10    with  the  provisions  of  this  Act.  All  units  of   local
11    government,  including  home rule units, and school districts
12    must act in a manner consistent with the provisions  of  this
13    Act.  This Act is a denial and limitation of home rule powers
14    and functions under subsection (i) of Section  6  of  Article
15    VII of the Illinois Constitution.

16                  ARTICLE 90. AMENDATORY PROVISIONS

17        Section  90-5.   The  State  Mandates  Act  is amended by
18    adding Section 8.26 as follows:

19        (30 ILCS 805/8.26 new)
20        Sec. 8.26. Exempt mandate.   Notwithstanding  Sections  6
21    and  8 of this Act, no reimbursement by the State is required
22    for the implementation of any mandate created by the Illinois
23    Emergency Health Powers Act.

24        Section 90-10.  The Code of Civil Procedure is amended by
25    adding Section 7-103.139 as follows:

26        (735 ILCS 5/7-103.139 new)
27        Sec. 7-103.139. Quick-take;  public  health  emergencies.
28    Quick-take  proceedings  under  Section  7-103 may be used as
 
                            -41-               LRB9213158REdv
 1    provided in the Illinois Emergency Health Powers Act.

 2                     ARTICLE 99. EFFECTIVE DATE

 3        Section 99-1. Effective date. This Act takes effect  upon
 4    becoming law.

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