Sen. Doris Turner

Filed: 3/8/2024

 

 


 

 


 
10300SB3134sam001LRB103 37193 RPS 70768 a

1
AMENDMENT TO SENATE BILL 3134

2    AMENDMENT NO. ______. Amend Senate Bill 3134 by replacing
3everything after the enacting clause with the following:
 
4    "Section 5. The Emergency Medical Services (EMS) Systems
5Act is amended by changing Section 3.40 as follows:
 
6    (210 ILCS 50/3.40)
7    Sec. 3.40. EMS System Participation Suspensions and Due
8Process.
9    (a) An EMS Medical Director may suspend from participation
10within the System any EMS personnel, EMS Lead Instructor (LI),
11individual, individual provider or other participant
12considered not to be meeting the requirements of the Program
13Plan of that approved EMS System. An EMS Medical Director must
14submit a suspension order to the Department describing which
15requirements of the Program Plan were not met and the
16suspension's duration. The Department shall review and confirm

 

 

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1receipt of the suspension order, request additional
2information, or initiate an investigation. The Department
3shall incorporate the duration of that suspension into any
4further action taken by the Department to suspend, revoke, or
5refuse to issue or renew the license of the individual or
6entity for any violation of this Act or the Program Plan
7arising from the same conduct for which the suspension order
8was issued if the suspended party has neither requested a
9Department hearing on the suspension nor worked as a provider
10in any other System during the term of the suspension.
11    (b) Prior to suspending any individual or entity, an EMS
12Medical Director shall provide an opportunity for a hearing
13before the local System review board in accordance with
14subsection (f) and the rules promulgated by the Department.
15        (1) If the local System review board affirms or
16    modifies the EMS Medical Director's suspension order, the
17    individual or entity shall have the opportunity for a
18    review of the local board's decision by the State EMS
19    Disciplinary Review Board, pursuant to Section 3.45 of
20    this Act.
21        (2) If the local System review board reverses or
22    modifies the EMS Medical Director's order, the EMS Medical
23    Director shall have the opportunity for a review of the
24    local board's decision by the State EMS Disciplinary
25    Review Board, pursuant to Section 3.45 of this Act.
26        (3) The suspension shall commence only upon the

 

 

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1    occurrence of one of the following:
2            (A) the individual or entity has waived the
3        opportunity for a hearing before the local System
4        review board;
5            (B) the order has been affirmed or modified by the
6        local system review board and the individual or entity
7        has waived the opportunity for review by the State
8        Board; or
9            (C) the order has been affirmed or modified by the
10        local system review board, and the local board's
11        decision has been affirmed or modified by the State
12        Board.
13    (c) An individual interviewed or investigated by the local
14system review board or the Department shall have the right to a
15union representative and legal counsel of the individual's
16choosing present at any interview. The union representative
17must comply with any confidentiality requirements and
18requirements for the protection of any patient information
19presented during the proceeding.
20    (d) An EMS Medical Director may immediately suspend an
21EMR, EMD, EMT, EMT-I, A-EMT, Paramedic, ECRN, PHRN, LI, PHPA,
22PHAPRN, or other individual or entity if he or she finds that
23the continuation in practice by the individual or entity would
24constitute an imminent danger to the public. The suspended
25individual or entity shall be issued an immediate verbal
26notification followed by a written suspension order by the EMS

 

 

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1Medical Director which states the length, terms and basis for
2the suspension.
3        (1) Within 24 hours following the commencement of the
4    suspension, the EMS Medical Director shall deliver to the
5    Department, by messenger, telefax, or other
6    Department-approved electronic communication, a copy of
7    the suspension order and copies of any written materials
8    which relate to the EMS Medical Director's decision to
9    suspend the individual or entity. All medical and
10    patient-specific information, including Department
11    findings with respect to the quality of care rendered,
12    shall be strictly confidential pursuant to the Medical
13    Studies Act (Part 21 of Article VIII of the Code of Civil
14    Procedure).
15        (2) Within 24 hours following the commencement of the
16    suspension, the suspended individual or entity may deliver
17    to the Department, by messenger, telefax, or other
18    Department-approved electronic communication, a written
19    response to the suspension order and copies of any written
20    materials which the individual or entity feels are
21    appropriate. All medical and patient-specific information,
22    including Department findings with respect to the quality
23    of care rendered, shall be strictly confidential pursuant
24    to the Medical Studies Act.
25        (3) Within 24 hours following receipt of the EMS
26    Medical Director's suspension order or the individual or

 

 

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1    entity's written response, whichever is later, the
2    Director or the Director's designee shall determine
3    whether the suspension should be stayed pending an
4    opportunity for a hearing or review in accordance with
5    this Act, or whether the suspension should continue during
6    the course of that hearing or review. When an immediate
7    suspension order is not stayed, the Director or the
8    Director's designee within the Department shall identify
9    if that suspension shall immediately apply to statewide
10    participation only in situations when a licensee has been
11    charged with a crime while performing the licensee's
12    official duties as an EMR, EMD, EMT, EMT-I, A-EMT,
13    Paramedic, ECRN, TNS, PHRN, LI, PHPA, or PHAPRN and the
14    licensee's continuation to practice poses the possibility
15    of imminent harm to the public based off factual evidence
16    provided to the Department. The determination to issue an
17    immediate statewide suspension shall not deny the right to
18    due process to a licensee. The Director or the Director's
19    designee shall issue this determination to the EMS Medical
20    Director, who shall immediately notify the suspended
21    individual or entity. The suspension shall remain in
22    effect during this period of review by the Director or the
23    Director's designee.
24    (e) Upon issuance of a suspension order for reasons
25directly related to medical care, the EMS Medical Director
26shall also provide the individual or entity with the

 

 

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1opportunity for a hearing before the local System review
2board, in accordance with subsection (f) and the rules
3promulgated by the Department.
4        (1) If the local System review board affirms or
5    modifies the EMS Medical Director's suspension order, the
6    individual or entity shall have the opportunity for a
7    review of the local board's decision by the State EMS
8    Disciplinary Review Board, pursuant to Section 3.45 of
9    this Act.
10        (2) If the local System review board reverses or
11    modifies the EMS Medical Director's suspension order, the
12    EMS Medical Director shall have the opportunity for a
13    review of the local board's decision by the State EMS
14    Disciplinary Review Board, pursuant to Section 3.45 of
15    this Act.
16        (3) The suspended individual or entity may elect to
17    bypass the local System review board and seek direct
18    review of the EMS Medical Director's suspension order by
19    the State EMS Disciplinary Review Board.
20    (f) The Resource Hospital shall designate a local System
21review board in accordance with the rules of the Department,
22for the purpose of providing a hearing to any individual or
23entity participating within the System who is suspended from
24participation by the EMS Medical Director. The EMS Medical
25Director shall arrange for a certified shorthand reporter to
26make a stenographic record of that hearing and thereafter

 

 

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1prepare a transcript of the proceedings. The EMS Medical
2Director shall inform the individual of the individual's right
3to have a union representative and legal counsel of the
4individual's choosing present at any interview. The union
5representative must comply with any confidentiality
6requirements and requirements for the protection of any
7patient information presented during the proceeding. The
8transcript, all documents or materials received as evidence
9during the hearing and the local System review board's written
10decision shall be retained in the custody of the EMS system.
11The System shall implement a decision of the local System
12review board unless that decision has been appealed to the
13State Emergency Medical Services Disciplinary Review Board in
14accordance with this Act and the rules of the Department.
15    (g) The Resource Hospital shall implement a decision of
16the State Emergency Medical Services Disciplinary Review Board
17which has been rendered in accordance with this Act and the
18rules of the Department.
19(Source: P.A. 103-521, eff. 1-1-24.)
 
20    Section 99. Effective date. This Act takes effect upon
21becoming law.".