SB1909sam001 101ST GENERAL ASSEMBLY

Sen. Cristina Castro

Filed: 3/1/2019

10100SB1909sam001 LRB101 09278 KTG 56901 a

AMENDMENT TO SENATE BILL 1909

AMENDMENT NO. ______. Amend Senate Bill 1909 on page 3, by replacing line 16 with the following:

"by adding Sections 10-23 and 10-24 as follows:

(20 ILCS 1305/10-23 new)

Sec. 10-23. High Risk Infant Follow-Up program. The Department's High Risk Infant Follow-Up program shall be expanded to serve any pregnant or postpartum woman identified as high-risk by a Level I, Level II, or Level III hospital. The services shall be provided by registered nurses.

The Department, in conjunction with the Department of Public Health, a statewide organization representing registered nurses, and a statewide organization representing obstetricians and gynecologists, shall develop rules and appropriate revisions to the High Risk Infant Follow-Up program to expand existing services provided by registered nurses to pregnant and postpartum women. Such rules shall be adopted no later than January 1, 2021."; and

on page 77, immediately below line 22, by inserting the following:

"Section 57. The Medical Patient Rights Act is amended by changing Section 3 as follows:

(410 ILCS 50/3) (from Ch. 111 1/2, par. 5403)

Sec. 3. The following rights are hereby established:

(a) The right of each patient to care consistent with sound nursing and medical practices, to be informed of the name of the physician responsible for coordinating his or her care, to receive information concerning his or her condition and proposed treatment, to refuse any treatment to the extent permitted by law, and to privacy and confidentiality of records except as otherwise provided by law.

(b) The right of each patient, regardless of source of payment, to examine and receive a reasonable explanation of his total bill for services rendered by his physician or health care provider, including the itemized charges for specific services received. Each physician or health care provider shall be responsible only for a reasonable explanation of those specific services provided by such physician or health care provider.

(c) In the event an insurance company or health services corporation cancels or refuses to renew an individual policy or plan, the insured patient shall be entitled to timely, prior notice of the termination of such policy or plan.

An insurance company or health services corporation that requires any insured patient or applicant for new or continued insurance or coverage to be tested for infection with human immunodeficiency virus (HIV) or any other identified causative agent of acquired immunodeficiency syndrome (AIDS) shall (1) give the patient or applicant prior written notice of such requirement, (2) proceed with such testing only upon the written authorization of the applicant or patient, and (3) keep the results of such testing confidential. Notice of an adverse underwriting or coverage decision may be given to any appropriately interested party, but the insurer may only disclose the test result itself to a physician designated by the applicant or patient, and any such disclosure shall be in a manner that assures confidentiality.

The Department of Insurance shall enforce the provisions of this subsection.

(d) The right of each patient to privacy and confidentiality in health care. Each physician, health care provider, health services corporation and insurance company shall refrain from disclosing the nature or details of services provided to patients, except that such information may be disclosed: (1) to the patient, (2) to the party making treatment decisions if the patient is incapable of making decisions regarding the health services provided, (3) for treatment in accordance with 45 CFR 164.501 and 164.506, (4) for payment in accordance with 45 CFR 164.501 and 164.506, (5) to those parties responsible for peer review, utilization review, and quality assurance, (6) for health care operations in accordance with 45 CFR 164.501 and 164.506, (7) to those parties required to be notified under the Abused and Neglected Child Reporting Act or the Illinois Sexually Transmissible Disease Control Act, or (8) as otherwise permitted, authorized, or required by State or federal law. This right may be waived in writing by the patient or the patient's guardian or legal representative, but a physician or other health care provider may not condition the provision of services on the patient's, guardian's, or legal representative's agreement to sign such a waiver. In the interest of public health, safety, and welfare, patient information, including, but not limited to, health information, demographic information, and information about the services provided to patients, may be transmitted to or through a health information exchange, as that term is defined in Section 2 of the Mental Health and Developmental Disabilities Confidentiality Act, in accordance with the disclosures permitted pursuant to this Section. Patients shall be provided the opportunity to opt out of their health information being transmitted to or through a health information exchange in accordance with the regulations, standards, or contractual obligations adopted by the Illinois Health Information Exchange Authority in accordance with Section 9.6 of the Mental Health and Developmental Disabilities Confidentiality Act, Section 9.6 of the AIDS Confidentiality Act, or Section 31.8 of the Genetic Information Privacy Act, as applicable. In the case of a patient choosing to opt out of having his or her information available on an HIE, nothing in this Act shall cause the physician or health care provider to be liable for the release of a patient's health information by other entities that may possess such information, including, but not limited to, other health professionals, providers, laboratories, pharmacies, hospitals, ambulatory surgical centers, and nursing homes.

(e) With the exception of medical emergencies with inadequate time to obtain consent, the right of each patient, or patient's representative, to specific informed consent, or informed permission in the case of an infant, including information regarding the health and legal benefits and risks regarding biochemical testing for controlled substances. Health care providers shall provide to patients, or patients' representatives, in writing, the following:

(1) foreseeable health and legal risks and benefits of biochemical testing for controlled substances;

(2) reasonable alternatives to biochemical testing for controlled substances;

(3) information on how to obtain answers to questions about substance abuse treatment;

(4) information on the applicability of federal safe harbor protections; and

(5) an explanation of the extent of confidentiality and the voluntariness of agreement to biochemical testing for controlled substances.

(Source: P.A. 98-1046, eff. 1-1-15.)".