State of Illinois
90th General Assembly
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90_HB0941

      410 ILCS 305/7            from Ch. 111 1/2, par. 7307
      410 ILCS 305/9            from Ch. 111 1/2, par. 7309
          Amends the AIDS Confidentiality  Act.   With  respect  to
      provisions   (i)  exempting  health  care  providers,  health
      facility employees, firefighters, and EMTs  from  requirement
      of  informed  consent  by  test  subject and (ii) authorizing
      disclosure of test results to health care  providers,  health
      facility  employees,  firefighters, EMTs, and law enforcement
      officers:  eliminates requirement that a  physician,  in  his
      medical  judgment,  determine  that a skin or mucous membrane
      contact is of a nature that  may  transmit  HIV.   Authorizes
      disclosure  of  test  results  to  a  referring, treating, or
      consulting physician of the test subject.  Provides  that  no
      civil  or  criminal  liability under the Act shall be imposed
      for disclosure of test results to a health care  provider  by
      another health care provider acting in good faith.
                                                     LRB9003960DJbd
                                               LRB9003960DJbd
 1        AN  ACT to amend the AIDS Confidentiality Act by changing
 2    Sections 7 and 9.
 3        Be it enacted by the People of  the  State  of  Illinois,
 4    represented in the General Assembly:
 5        Section  5.   The  AIDS Confidentiality Act is amended by
 6    changing Sections 7 and 9 as follows:
 7        (410 ILCS 305/7) (from Ch. 111 1/2, par. 7307)
 8        Sec. 7.  (a)  Notwithstanding the provisions of  Sections
 9    4,  5  and  6  of  this  Act, written informed consent is not
10    required for a health care provider  or  health  facility  to
11    perform  a  test  when  the  health  care  provider or health
12    facility procures, processes, distributes  or  uses  a  human
13    body  part  donated for a purpose specified under the Uniform
14    Anatomical Gift Act, or semen provided prior to the effective
15    date of this Act for the purpose of artificial  insemination,
16    and  such a test is necessary to assure medical acceptability
17    of such gift or semen for the purposes intended.
18        (b)  Written informed  consent  is  not  required  for  a
19    health  care  provider  or  health facility to perform a test
20    when a health care provider or employee of a health facility,
21    or a firefighter or an EMT-A or, EMT-I or EMT-P, is  involved
22    in  an accidental direct skin or mucous membrane contact with
23    the blood or bodily fluids of an individual  which  is  of  a
24    nature that may transmit HIV, as determined by a physician in
25    his medical judgment.  Should such test prove to be positive,
26    the  patient  and  the  health care provider, health facility
27    employee,  firefighter,  EMT-A,  EMT-I,  or  EMT-P  shall  be
28    provided appropriate counseling consistent with this Act.
29        (c)  Written informed  consent  is  not  required  for  a
30    health  care  provider  or  health facility to perform a test
31    when a law enforcement officer is involved  in  the  line  of
                            -2-                LRB9003960DJbd
 1    duty  in  a  direct  skin or mucous membrane contact with the
 2    blood or bodily fluids of an individual which is of a  nature
 3    that  may  transmit  HIV, as determined by a physician in his
 4    medical judgment.  Should such test prove to be positive, the
 5    patient shall be provided appropriate  counseling  consistent
 6    with  this  Act.   For  purposes of this subsection (c), "law
 7    enforcement officer" means any person employed by the  State,
 8    a  county  or  a  municipality as a policeman, peace officer,
 9    auxiliary policeman, correctional officer  or  in  some  like
10    position  involving the enforcement of the law and protection
11    of the public interest at the risk of that person's life.
12    (Source: P.A. 86-887; 86-891; 86-1028; 87-459.)
13        (410 ILCS 305/9) (from Ch. 111 1/2, par. 7309)
14        Sec. 9.  No  person  may  disclose  or  be  compelled  to
15    disclose  the  identity  of  any  person  upon whom a test is
16    performed, or the results of such a test in  a  manner  which
17    permits  identification of the subject of the test, except to
18    the following persons:
19        (a)  The subject of the test  or  the  subject's  legally
20    authorized representative.  A physician may notify the spouse
21    of  the  test subject, if the test result is positive and has
22    been confirmed by a Western Blot Assay or more reliable test,
23    provided that the physician has first  sought  unsuccessfully
24    to  persuade  the  patient  to  notify  the spouse or that, a
25    reasonable time after the patient  has  agreed  to  make  the
26    notification,  the  physician  has reason to believe that the
27    patient has not provided  the  notification.  This  paragraph
28    shall not create a duty or obligation under which a physician
29    must  notify  the  spouse of the test results, nor shall such
30    duty or obligation be implied. No civil liability or criminal
31    sanction under this Act shall be imposed for  any  disclosure
32    or non-disclosure of a test result to a spouse by a physician
33    acting  in  good faith under this paragraph.  For the purpose
                            -3-                LRB9003960DJbd
 1    of any proceedings, civil or criminal, the good faith of  any
 2    physician acting under this paragraph shall be presumed.
 3        (b)  Any person designated in a legally effective release
 4    of  the  test  results executed by the subject of the test or
 5    the subject's legally authorized representative.
 6        (c)  An authorized agent or employee of a health facility
 7    or health care provider or referring, treating, or consulting
 8    physician of the test subject,  if  the  health  facility  or
 9    health  care provider itself is authorized to obtain the test
10    results, the agent or employee  or  referring,  treating,  or
11    consulting  physician  of  the  test subject provides patient
12    care or handles or processes  specimens  of  body  fluids  or
13    tissues, and the agent or employee or referring, treating, or
14    consulting  physician  of the test subject has a need to know
15    such information. An authorized agent or employee of a health
16    facility or health care provider or a referring, treating, or
17    consulting physician has a need to know the identity  of  the
18    patient  or  the  test  results revealing the identity of the
19    patient under the following circumstances:
20             (1)  When  involved  in  direct  patient   care   or
21        processing blood or body fluids.
22             (2)  As  necessary  in order to meet the health care
23        needs of the client.
24             (3)  When involved in an accidental direct  skin  or
25        mucous  membrane contact with the blood or body fluids of
26        a patient which is of a nature likely  to  transmit  HIV,
27        such as a needle stick or percutaneous exposure.
28        No  civil  liability  or criminal sanction under this Act
29    shall be imposed for any disclosure of a  test  result  to  a
30    health  care  provider by another health care provider acting
31    in good faith under this subsection.  For the purpose of  any
32    civil  or  criminal proceeding, the good faith  of any health
33    care provider acting under this subsection shall be presumed.
34        (d)  The  Department,  in  accordance  with   rules   for
                            -4-                LRB9003960DJbd
 1    reporting and controlling the spread of disease, as otherwise
 2    provided  by  State  law.  Neither  the  Department  nor  its
 3    authorized  representatives  shall  disclose  information and
 4    records held by them relating to known or suspected cases  of
 5    AIDS  or HIV infection, publicly or in any action of any kind
 6    in any court or before any tribunal, board, or agency.   AIDS
 7    and  HIV infection data shall be protected from disclosure in
 8    accordance with the provisions  of  Sections  8-2101  through
 9    8-2105 of the Code of Civil Procedure.
10        (e)  A  health  facility  or  health  care provider which
11    procures, processes, distributes or uses: (i)  a  human  body
12    part   from   a  deceased  person  with  respect  to  medical
13    information regarding that person;  or  (ii)  semen  provided
14    prior  to  the  effective date of this Act for the purpose of
15    artificial insemination.
16        (f)  Health facility staff committees for the purposes of
17    conducting program monitoring, program evaluation or  service
18    reviews.
19        (g)  (Blank).
20        (h)  Any  health  care  provider  or employee of a health
21    facility, and any firefighter  or  EMT-A,  EMT-P,  or  EMT-I,
22    involved  in  an  accidental  direct  skin or mucous membrane
23    contact with the blood or  bodily  fluids  of  an  individual
24    which  is of a nature that may transmit HIV, as determined by
25    a physician in his medical judgment.
26        (i)  Any  law  enforcement   officer,   as   defined   in
27    subsection  (c) of Section 7, involved in the line of duty in
28    a direct skin or mucous membrane contact with  the  blood  or
29    bodily  fluids of an individual which is of a nature that may
30    transmit HIV, as determined by a  physician  in  his  medical
31    judgment.
32        (j)  A   temporary   caretaker  of  a  child  taken  into
33    temporary protective custody by the  Department  of  Children
34    and  Family  Services pursuant to Section 5 of the Abused and
                            -5-                LRB9003960DJbd
 1    Neglected Child Reporting Act, as now or hereafter amended.
 2        (k)  In the case of a minor under 18 years of  age  whose
 3    test  result  is positive and has been confirmed by a Western
 4    Blot Assay or a more reliable test, the health care  provider
 5    who ordered the test shall make a reasonable effort to notify
 6    the  minor's parent or legal guardian if, in the professional
 7    judgement of the health care provider, notification would  be
 8    in  the  best  interest  of  the  child  and  the health care
 9    provider has first  sought  unsuccessfully  to  persuade  the
10    minor  to notify the parent or legal guardian or a reasonable
11    time after the minor has agreed to notify the parent or legal
12    guardian, the health care provider has reason to believe that
13    the minor has not made  the  notification.   This  subsection
14    shall  not  create  a duty or obligation under which a health
15    care  provider  must  notify  the  minor's  parent  or  legal
16    guardian of the test results, nor shall a duty or  obligation
17    be  implied.   No  civil liability or criminal sanction under
18    this  Act  shall  be  imposed   for   any   notification   or
19    non-notification  of  a  minor's test result by a health care
20    provider acting in good faith under this subsection.  For the
21    purpose of any proceeding, civil or criminal, the good  faith
22    of  any  health  care  provider  acting under this subsection
23    shall be presumed.
24    (Source: P.A. 88-45; 89-381, eff. 8-18-95.)

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