State of Illinois
90th General Assembly
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90_SB1351

      New Act
      5 ILCS 80/4.19 new
      30 ILCS 105/5.490 new
          Creates  the  Perfusionist  Licensing  Act  to   regulate
      through   licensing   requirements   persons   who   practice
      perfusion.   Provides   for  exclusive  State  regulation  of
      perfusionists.  Amends the Regulatory Agency  Sunset  Act  to
      repeal  the  new  Act  on  January 1, 2009.  Amends the State
      Finance  Act  to  add  the   Perfusionist   Licensing   Fund.
      Effective January 1, 1999.
                                                     LRB9007773DPcw
                                               LRB9007773DPcw
 1        AN ACT relating to perfusionists, amending named Acts.
 2        Be  it  enacted  by  the People of the State of Illinois,
 3    represented in the General Assembly:
 4        Section 1.  Short title.  This Act may be  cited  as  the
 5    Perfusionist Licensing Act.
 6        Section 5.  Legislative purpose.
 7        (a)  The General Assembly finds and declares that:
 8             (1)  the  citizens  of  Illinois are entitled to the
 9        protection of their health, safety, and welfare from  the
10        unqualified or unprofessional practice of perfusion;
11             (2)  the  practice  of  perfusion  by  unauthorized,
12        unqualified,  unprofessional, or incompetent persons is a
13        threat to the public; and
14             (3)  the practice of  perfusion  is  a  dynamic  and
15        changing  health care field which is continually evolving
16        to include more sophisticated and demanding patient  care
17        activities.
18        (b)  The  purpose  of  this  Act is to protect the public
19    from the dangers  described  under  subsection  (a)  of  this
20    Section by:
21             (1)  establishing    minimum   standards   for   the
22        education, training, and competency of persons engaged in
23        the practice of perfusion and minimum standards  for  the
24        performance  of  perfusion  services  in  a  manner  that
25        provides  for  the continued evolution of the practice of
26        perfusion; and
27             (2)  ensuring that the privilege  of  practicing  in
28        the  field  of  perfusion  is  entrusted  only to persons
29        licensed under this Act.
30        Section 10.  Definitions.  As used in this Act:
                            -2-                LRB9007773DPcw
 1        (a)  "Board" means the State Board of Perfusionists.
 2        (b)  "Department" means the  Department  of  Professional
 3    Regulation.
 4        (c)  "Extracorporeal circulation"  means the diversion of
 5    a  patient's  blood through a heart-lung machine or a similar
 6    device that assumes the functions  of  the  patient's  heart,
 7    lungs, kidney, liver, or other organs.
 8        (d)  "Perfusion"  means  the  functions necessary for the
 9    support, treatment, measurement, or  supplementation  of  the
10    cardiovascular,  circulatory, or respiratory systems or other
11    organs, or a combination of those functions,  and  to  ensure
12    the  safe  management  of physiologic functions by monitoring
13    and analyzing the parameters of the systems  under  an  order
14    and under the supervision of a physician licensed to practice
15    medicine   in  all  its  branches,  including  the  following
16    functions:
17             (1)  the   use   of   extracorporeal    circulation,
18        long-term  cardiopulmonary  support techniques, including
19        extracorporeal carbon dioxide removal and  extracorporeal
20        membrane   oxygenation  and  associated  therapeutic  and
21        diagnostic technologies;
22             (2)  counterpulsation,    ventricular    assistance,
23        autotransfusion,    blood    conservation     techniques,
24        myocardial  and  organ  preservation, extracorporeal life
25        support, and isolated limb perfusion;
26             (3)  the   use   of   techniques   involving   blood
27        management, advanced  life  support,  and  other  related
28        functions; and
29             (4)  in  the  performance  of  the acts described in
30        items (1) through (3):
31                  (A)  the administration of  (i) pharmacological
32             and therapeutic agents and (ii)  blood  products  or
33             anesthetic agents through the extracorporeal circuit
34             or  through  an  intravenous  line  as  ordered by a
                            -3-                LRB9007773DPcw
 1             physician;
 2                  (B)  the   performance   and   use    of    (i)
 3             anticoagulation   monitoring   and   analysis,  (ii)
 4             physiologic monitoring and analysis, (iii) blood gas
 5             and  chemistry   monitoring   and   analysis,   (iv)
 6             hematologic    monitoring    and    analysis,    (v)
 7             hypothermia,      (vi)      hyperthermia,      (vii)
 8             hemoconcentration   and   hemodilution,  and  (viii)
 9             hemodialysis; and
10                  (C)  the  observation  of  signs  and  symptoms
11             related to perfusion services, the determination  of
12             whether  the  signs  and  symptoms  exhibit abnormal
13             characteristics,   and   the    implementation    of
14             appropriate   reporting,   perfusion  protocols,  or
15             changes  in   or   the   initiation   of   emergency
16             procedures.
17        (e)  "Perfusion   protocols"   means   perfusion  related
18    policies and protocols developed or approved  by  a  licensed
19    health  facility  or  a  physician through collaboration with
20    administrators, licensed perfusionists, and other health care
21    professionals.
22        (f)  "Physician" means a physician licensed  to  practice
23    medicine  in  all its branches under the Medical Practice Act
24    of 1987.
25        Section 15.  Application of Act;  exemptions.   This  Act
26    shall not apply to:
27             (1)    a  person  licensed  in  this State under any
28        other Act engaging in the practice for which he or she is
29        licensed;
30             (2)  a student enrolled in an  accredited  perfusion
31        education  program if perfusion services performed by the
32        student:
33                  (A)  are an  integral  part  of  the  student's
                            -4-                LRB9007773DPcw
 1             course of study; and
 2                  (B)  are performed under the direct supervision
 3             of  a  licensed  perfusionist  who  is  assigned  to
 4             supervise  the  student  and  who  is  on  duty  and
 5             immediately  available  in the assigned patient care
 6             area; and
 7             (3)  the  practice  of  perfusion  by  any   legally
 8        qualified  perfusionist  employed  by  the  United States
 9        government while in the discharge of his or her  official
10        duties.
11        Section 20.  Powers and duties of the Department.
12        (a)  The Department may adopt rules not inconsistent with
13    this  Act  as  are  necessary  for  the  governing of its own
14    proceedings, the performance of its duties, the regulation of
15    the practice of perfusion in this State, and the  enforcement
16    of this Act.
17        (b)  The Department shall:
18             (1)  adopt and publish a code of ethics;
19             (2)  establish  the  qualifications  and  fitness of
20        applicants for original and renewal licenses;
21             (3)  revoke,  suspend,  or   deny   a   license   or
22        discipline  a  licensee  for a violation of this Act, the
23        code of ethics, or rules adopted under this Act;
24             (4)  establish reasonable and necessary fees for the
25        administration and implementation of this Act;
26             (5)  develop and implement policies that provide the
27        public with a reasonable opportunity to appear before the
28        Department or Board and to speak on any issue  under  the
29        jurisdiction of the Board;
30             (6)  develop  and  implement  policies  that clearly
31        define the respective responsibilities of the  Board  and
32        the staff of the Board; and
33             (7)  establish   continuing  professional  education
                            -5-                LRB9007773DPcw
 1        requirements for licensed perfusionists  and  provisional
 2        licensed  perfusionists,  the standards of which shall be
 3        at  least  as  stringent  as  the  didactic  requirements
 4        established  by  the  American  Board  of  Cardiovascular
 5        Perfusion or its successor agency, and shall:
 6                  (A)  establish the minimum amount of continuing
 7             education required to renew  a  license  under  this
 8             Act;
 9                  (B)  develop  a process to evaluate and approve
10             continuing education courses;
11                  (C)  identify the  factors  for  the  competent
12             performance   by   a   licensee  of  the  licensee's
13             professional duties; and
14                  (D)  develop a procedure to assess a licensee's
15             participation in continuing education programs.
16        Section 25.  State  Board  of  Perfusionists.   There  is
17    established  the State Board of Perfusionists to be appointed
18    by the Director. The Board shall be composed of 5 persons who
19    shall serve in an advisory capacity to  the  Director.   Four
20    members  shall  be perfusionists who have been engaged in the
21    active practice of perfusion, or engaged in the education and
22    training of students of  perfusion,  for  at  least  5  years
23    immediately  preceding  their  appointment  and who have been
24    licensed as perfusionists under this Act for at least 2 years
25    prior  to  their  appointment.     One  member  shall  be   a
26    representative   of  the  general  public  having  no  direct
27    affiliation or work experience  in the practice of  perfusion
28    and  who  is not an officer, manager, or paid consultant of a
29    trade  association  in  the  field   of   health   care.    A
30    perfusionist  member  of  the  Board  is  not  required to be
31    licensed if the member was  appointed  to  the  Board  before
32    January  1, 1999. However, within 90 days after the Board has
33    issued its first license, a perfusionist member of the  Board
                            -6-                LRB9007773DPcw
 1    must apply for and receive a license.
 2        Of  the  initial Board members appointed, 2 members shall
 3    be appointed to serve 2-year terms, 2 members to serve 3-year
 4    terms,  and  one  member  to  serve  a  4-year  term.   Their
 5    successors shall be appointed to serve 4-year  terms,  except
 6    that  a  person selected to fill a vacancy shall be appointed
 7    to serve only for the unexpired portion of the  term  of  the
 8    member  whom  he or she succeeds.  No member shall serve more
 9    than 2 consecutive 4-year terms.
10        To the extent practical,  the  membership  of  the  Board
11    shall  reflect  the geographical diversity of the inhabitants
12    of this State and shall represent the many varied aspects  of
13    the  profession.   Appointments  to  the  Board shall be made
14    without discrimination based on race, creed,  sex,  religion,
15    or national origin.
16        The  Director  may remove any member of the Board for any
17    cause that,  in  the  opinion  of  the  Director,  reasonably
18    justifies  termination.   The  validity  of  an action of the
19    Board shall not be affected by the removal of a member of the
20    Board.
21        Not later than 60 days  after  the  initial  members  are
22    appointed  by  the  Director, the Board shall meet to elect a
23    chairperson  and  vice-chairperson,  who  shall  hold  office
24    according to rules adopted by the Board.
25        The Board shall hold at least  2  regular  meetings  each
26    year as provided by rules adopted by the Board.
27        A majority of the Board members currently appointed shall
28    constitute   a   quorum.   A   vacancy  in  the membership of
29    the Board shall not impair the right of a quorum to  exercise
30    the right and perform  all  the duties  of  the  Board.
31        Members   of  the  Board shall have no liability  in  any
32    action  based   upon     any    disciplinary  proceeding   or
33    other  activity  performed in good faith as a   member of the
34    Board.
                            -7-                LRB9007773DPcw
 1        Members   of  the  Board  shall  be  reimbursed  for  all
 2    legitimate, necessary, and authorized expenses.
 3        Section  30.  Powers  and  duties  of  the  Board.    The
 4    Department  may  delegate  powers  and  duties  set  forth in
 5    Section 20 to the Board.  In adopting rules, the Board  shall
 6    consider  the  rules  and  procedures  of the Department, and
 7    shall adopt procedural rules not inconsistent  with  existing
 8    rules  and  procedures  of  the  Department.  The Board shall
 9    establish methods by which consumers and  service  recipients
10    are  notified  of  the  name,  mailing address, and telephone
11    number of the Board for directing complaints  to  the  Board.
12    The  Board  may  provide  for  that  notification (1) on each
13    license form, application, or written contract  for  services
14    of   a  person  licensed  under  this  Act,  (2)  on  a  sign
15    prominently displayed in the place of business of each person
16    licensed under this Act,  or  (3)  in  a  bill  for  services
17    provided by a person licensed under this Act. The Board shall
18    request   and   receive   necessary   assistance  from  State
19    educational institutions or other State agencies.
20        Section 35.  License requirement.  No person shall engage
21    in the practice of perfusion without a license issued by  the
22    Department under this Act.
23        Section    40.    Application   for   original   license.
24    Applications  for   original licenses shall be  made  to  the
25    Department  in   writing    on   forms   prescribed   by  the
26    Department  and  shall  be   accompanied  by   the   required
27    fee,   which   shall   not   be   refundable.  An application
28    shall require information that  in     the  judgment  of  the
29    Department  will  enable  the  Department   to    pass on the
30    qualifications of the applicant for a license.  An  applicant
31    shall  supplement  his  or her application, when requested by
                            -8-                LRB9007773DPcw
 1    the Department,  by  providing  additional  documentation  of
 2    education,  including  but  not  limited  to transcripts or a
 3    description of course content,  credentials  of  the  college
 4    granting the required degree, or work experience to allow the
 5    Department to determine the qualifications of the applicant.
 6        Applicants  have  3 years from the date of application to
 7    complete the application process. If the process has not been
 8    completed in 3 years, the application shall  be  denied,  the
 9    fee  shall  be  forfeited, and the applicant must reapply and
10    meet the requirements in effect at the time of reapplication.
11        Section 45.  Qualifications; examination requirement.  To
12    qualify for licensure under this Act, an applicant must:
13             (1)     have   successfully  completed  a  perfusion
14        education program approved by  the  Board.  In  approving
15        perfusion  education programs necessary for qualification
16        for licensing, the Board shall  approve  only  a  program
17        that  has  educational  standards  that  are  at least as
18        stringent  as  those  established  by  the  Accreditation
19        Committee for Perfusion Education  and  approved  by  the
20        Commission  on  Accreditation  of Allied Health Education
21        Programs (CAAHEP) or its successor; and
22             (2)     have   passed   a   competency   examination
23        administered by the Department.   Examinations  shall  be
24        prepared  or  approved by the Department and administered
25        to qualified applicants at least once each calendar year.
26        An examination prescribed by the Department may be or may
27        include the complete certification examinations given  by
28        the  American Board of Cardiovascular Perfusion (ABCP) or
29        its successor or by a state testing service, in  lieu  of
30        an   examination   prepared   by   the  Department.   The
31        Department may  have  the  examination  validated  by  an
32        independent testing professional.  Not later than 90 days
33        after  the  date  on  which  a  licensing  examination is
                            -9-                LRB9007773DPcw
 1        administered under this Act, the approved testing service
 2        shall  notify  each  examinee  of  the  results  of   the
 3        examination.   If  requested  in  writing by a person who
 4        fails  the  licensing  examination,  the  Department   or
 5        approved testing service shall furnish the person with an
 6        analysis  of the person's performance on the examination.
 7        The Department shall by rule establish  a  limit  on  the
 8        number of times an applicant who fails an examination may
 9        retake  the examination and the requirements for retaking
10        an examination.
11        Section 50.  Issuance of license;  display.
12        (a)   The Department shall issue a  perfusionist  license
13    to   a  person  meeting  the  application  and  qualification
14    requirements of Sections 40 and  45.  However,  a  person  is
15    eligible  to  make  application  to  the  Board and receive a
16    license notwithstanding the requirements of Section 45 if the
17    person is actively  engaged  in  the  practice  of  perfusion
18    consistent with applicable law and if the person meets one of
19    the following requirements:
20             (1)    The  person,  as  of  January  1,  1999,  was
21        operating  cardiopulmonary  bypass systems during cardiac
22        surgical cases in a licensed health care facility as  the
23        person's  primary  function  and  had  been operating the
24        system since January 1, 1994.
25             (2)   The person has at least  5  years  experience,
26        since  January  1, 1989, operating cardiopulmonary bypass
27        systems during  cardiac  surgical  cases  in  a  licensed
28        health care facility as the person's primary function.
29        (b) A licensee shall maintain on file at all times during
30    which  the  licensee  provides  services  in  a  health  care
31    facility  a  true and correct copy of the license certificate
32    in the appropriate records of the facility.
                            -10-               LRB9007773DPcw
 1        Section 55.  Provisional license; scope of practice.
 2        (a)    The  Department  shall  issue  a   license  as   a
 3    provisional   licensed  perfusionist  to  a  person  who  has
 4    successfully  completed  an  approved   perfusion   education
 5    program as required under subdivision (1)   of Section 45 and
 6    an application in accordance with Section 40.
 7        (b)  A  provisional  licensed  perfusionist shall perform
 8    perfusion only under  the  supervision  and  direction  of  a
 9    licensed  perfusionist.   Rules  adopted  by  the  Department
10    governing the supervision and direction shall not require the
11    immediate  physical  presence  of  the  supervising  licensed
12    perfusionist.
13        (c)  A provisional license is valid for one year from the
14    date it is issued and may be renewed, subject to rule by  the
15    Department,  according to the same procedures established for
16    renewal under Section 75 of this Act if the  application  for
17    renewal is signed by a supervising licensed perfusionist.
18        (d)  Upon notification by the approved testing service or
19    the Board that a provisional licensee has failed any  portion
20    of  the  licensing examination provided for under Section 45,
21    the  provisional  license  shall  be   surrendered   to   the
22    Department.
23        Section  60.   Licensure  by  endorsement. The Department
24    may, in its discretion, license as  a  perfusionist,  without
25    examination  and on payment of the required fee, an applicant
26    who (1) is licensed as  a  perfusionist  under  the  laws  of
27    another state, territory, or country, if the requirements for
28    licensure  in  that state, territory, or country in which the
29    applicant was licensed were,  at  the  date  of  his  or  her
30    licensure,  substantially  equal to the requirements in force
31    in this State on that date or (2) holds a current certificate
32    as a certified clinical perfusionist issued by  the  American
33    Board  of  Cardiovascular  Perfusion (ABCP), or its successor
                            -11-               LRB9007773DPcw
 1    organization, prior to January 1, 1999.
 2        Section  65.   Unlicensed  practice;  civil  penalty.   A
 3    person   who  practices,  offers  to  practice,  attempts  to
 4    practice,    or     holds   himself   or   herself   out   to
 5    practice  as a licensed   perfusionist without being licensed
 6    under this Act shall, in    addition  to  any  other  penalty
 7    provided by law,  pay  a  civil   penalty  to  the Department
 8    in  an  amount  not  to  exceed  $5,000   for each offense as
 9    determined by the Department.  The  civil penalty  shall   be
10    assessed  by  the  Department  after  a  hearing   is held in
11    accordance with the provisions set  forth   in   this     Act
12    regarding  the provision of a hearing for the discipline of a
13    licensee.
14        Section  70.   Practice by corporations.  Nothing in this
15    Act  shall  restrict  licensees  from  forming   professional
16    service corporations under the provisions of the Professional
17    Service Corporation Act.
18        Section 75. Renewal; restoration; military service.
19        (a)   The  expiration  date  and  renewal period for each
20    license issued under  this  Act,  other  than  a  provisional
21    license,  shall  be  set by rule of the Department. A renewal
22    applicant shall demonstrate compliance  with  the  continuing
23    education  requirements  set  by the Department under Section
24    20.
25        (b)  A person who has permitted his  or  her  license  to
26    expire  or  who has had his or her license on inactive status
27    may have his or her license restored by making application to
28    the Department and filing proof acceptable to the  Department
29    of  his  or  her fitness to have his or her license restored,
30    including but not limited to  sworn  evidence  certifying  to
31    active  practice  in another jurisdiction satisfactory to the
                            -12-               LRB9007773DPcw
 1    Department, and by paying the required  restoration  fee.  If
 2    the  person  has not maintained an active practice in another
 3    jurisdiction satisfactory to the  Department, the Board shall
 4    determine, by an evaluation program established by rule,  his
 5    or  her  fitness  to resume active status and may require the
 6    person to complete a period of evaluated clinical  experience
 7    and   may   require  successful  completion  of  a  practical
 8    examination.
 9        (c)  A person whose license expired while he or  she  was
10    (1)   in federal Service on active duty with the Armed Forces
11    of  the  United  States or with the State Militia called into
12    service or training or (2) in training or education under the
13    supervision of the United  States  preliminary  to  induction
14    into  the  military  service,  may  have  his  or her license
15    renewed or restored without paying a lapsed renewal  fee  if,
16    within  2 years after termination from the service, training,
17    or education except under conditions other than honorable, he
18    or she furnished the Department with satisfactory evidence to
19    the effect that he or she has been so engaged and that his or
20    her service, training, or education has been so terminated.
21        Section  80.  Elective  inactive  status.  A  person  who
22    notifies the Department in writing on forms prescribed by the
23    Department may elect to  place  his  or  her  license  on  an
24    inactive   status   and   shall,  subject  to  rules  of  the
25    Department, be excused from payment of renewal fees until  he
26    or  she  notifies  the  Department  in  writing of his or her
27    desire  to  resume  active  status.   A   person   requesting
28    restoration from inactive status shall be required to pay the
29    current  renewal  fee and shall be required to restore his or
30    her license  as  provided  in  Section  75  of  this  Act.  A
31    perfusionist  whose  license  is on inactive status shall not
32    perform perfusion in this State.
                            -13-               LRB9007773DPcw
 1        Section 85. Grounds for discipline.
 2        (a)  The Department  may  refuse  to  issue  or  renew  a
 3    license,  may revoke or suspend a license, may suspend, place
 4    on probation, censure, or reprimand a licensee, or  may  take
 5    other   disciplinary   action  with  regard  to  a  licensee,
 6    including the issuance of fines not to exceed $5000 for  each
 7    violation,  for  any  one  or  combination  of  the following
 8    causes:
 9             (1)  Making a material  misstatement  in  furnishing
10        information to the Department or the Board.
11             (2)    Violation  of  or  negligent  or  intentional
12        disregard of this Act or its rules.
13             (3)  Conviction of any crime that, under the laws of
14        the United States or of  a  state  or  territory  of  the
15        United States, is a felony or a misdemeanor, an essential
16        element  of  which  is  dishonesty, or of a crime that is
17        directly related to the practice of the profession.
18             (4)  Making a misrepresentation for the  purpose  of
19        obtaining a license.
20             (5)  Professional incompetence.
21             (6)  Malpractice.
22             (7)  Aiding or assisting another person in violating
23        a provision of this Act or its rules.
24             (8)  Failing, within 60 days, to provide information
25        in response to a written request made by the Department.
26             (9)    Engaging   in   dishonorable,  unethical,  or
27        unprofessional conduct or conduct of a  character  likely
28        to deceive, defraud, or harm the public.
29             (10)   Habitual intoxication or addiction to the use
30        of drugs.
31             (11)  Discipline by another state  or  territory  of
32        the  United  States,  the  federal government, or foreign
33        nation, if at least one of the grounds for the discipline
34        is the same or substantially equivalent to one set  forth
                            -14-               LRB9007773DPcw
 1        in this Section.
 2             (12)   Directly or indirectly giving to or receiving
 3        from  a  person,  firm,  corporation,   partnership,   or
 4        association  a  fee, commission, rebate, or other form of
 5        compensation for professional services  not  actually  or
 6        personally rendered.
 7             (13)   A  finding  by  the  Board that the licensee,
 8        after having his or her license  placed  on  probationary
 9        status, has violated the terms of probation.
10             (14)  Abandonment of a patient or client.
11             (15)   Willfully  making  or filing false records or
12        reports in his or her practice, including but not limited
13        to  false  records   filed   with   State   agencies   or
14        departments.
15             (16)   Willfully  failing  to  report an instance of
16        suspected child abuse  or  neglect  as  required  by  the
17        Abused and Neglected Child Reporting Act.
18             (17)  Physical illness, including but not limited to
19        deterioration  through the aging process or loss of motor
20        skill,  which  results  in  the  inability  to   practice
21        perfusion with reasonable judgment, skill, or safety.
22             (18)   Solicitation  of  professional services using
23        false or misleading advertising.
24        (b)  The determination by a circuit court that a licensee
25    is subject to involuntary admission or judicial admission, as
26    provided in the Mental Health and Developmental  Disabilities
27    Code,  operates  as  an  automatic suspension. The suspension
28    will end only upon (i) a finding by a court that the  patient
29    is  no  longer  subject  to involuntary admission or judicial
30    admission and the  court  issues  an  order  so  finding  and
31    discharging  the  patient and (ii) upon the recommendation of
32    the Board to the Director that the  licensee  be  allowed  to
33    resume  his  or  her  practice.  The Department may refuse to
34    issue or renew  the  license  of  any  person  who  fails  to
                            -15-               LRB9007773DPcw
 1    (i)  file  a  return or to pay the  tax, penalty, or interest
 2    shown in a filed return or (ii)  pay  any  final   assessment
 3    of  the  tax, penalty, or interest as  required  by  any  tax
 4    Act    administered   by   the    Illinois    Department   of
 5    Revenue, until the time that the requirements   of  that  tax
 6    Act are satisfied.
 7        In enforcing this Section, the Department or Board upon a
 8    showing of a possible  violation  may  compel  an  individual
 9    licensed  to  practice under this Act, or who has applied for
10    licensure under this Act, to submit to a mental  or  physical
11    examination,  or  both,  as required by and at the expense of
12    the  Department.  The  Department  or  Board  may  order  the
13    examining  physician  to  present  testimony  concerning  the
14    mental or physical examination of the licensee or  applicant.
15    No  information shall be excluded by reason of any common law
16    or statutory privilege relating to communications between the
17    licensee  or  applicant  and  the  examining  physician.  The
18    examining physicians shall be specifically designated by  the
19    Board  or Department. The individual to be examined may have,
20    at his or her own expense, another physician of  his  or  her
21    choice  present  during  all  aspects  of  this  examination.
22    Failure  of  an  individual to submit to a mental or physical
23    examination, when directed, shall be grounds  for  suspension
24    of  his  or  her  license until the individual submits to the
25    examination  if  the  Department  finds,  after  notice   and
26    hearing,  that  the  refusal to submit to the examination was
27    without reasonable cause.
28        If the Department or Board finds an individual unable  to
29    practice  because  of  the reasons set forth in this Section,
30    the Department or Board may require that individual to submit
31    to care, counseling, or treatment by physicians  approved  or
32    designated  by the Department or Board, as a condition, term,
33    or   restriction  for   continued,  reinstated,   or  renewed
34    licensure  to  practice;  or, in lieu of care, counseling, or
                            -16-               LRB9007773DPcw
 1    treatment,  the  Department  may  file,  or  the  Board   may
 2    recommend   to   the  Department  to  file,  a  complaint  to
 3    immediately suspend,  revoke,  or  otherwise  discipline  the
 4    license  of  the  individual. An individual whose license was
 5    granted,  continued,  reinstated,  renewed,  disciplined   or
 6    supervised    subject   to   such   terms,   conditions,   or
 7    restrictions, and  who  fails  to  comply  with  such  terms,
 8    conditions,   or  restrictions,  shall  be  referred  to  the
 9    Director for a determination as  to  whether  the  individual
10    shall  have his or her license suspended immediately, pending
11    a hearing by the Department.
12        In instances in which the Director immediately suspends a
13    person's license  under  this  Section,  a  hearing  on  that
14    person's license must be convened by the Department within 15
15    days  after  the suspension and completed without appreciable
16    delay. The Department and Board shall have the  authority  to
17    review  the  subject  individual's  record  of  treatment and
18    counseling regarding the impairment to the  extent  permitted
19    by  applicable  federal statutes and regulations safeguarding
20    the confidentiality of medical records.
21        An individual licensed under this Act and affected  under
22    this  Section shall be afforded an opportunity to demonstrate
23    to the Department or Board that he or she can resume practice
24    in compliance with acceptable and prevailing standards  under
25    the provisions of his or her license.
26        Section 90. Injunction; cease and desist order.
27        (a)  If any person violates a provision of this Act,  the
28    Director  may,  in  the  name  of  the People of the State of
29    Illinois and through the Attorney General of   the  State  of
30    Illinois,  petition  for  an order enjoining the violation or
31    for an order enforcing compliance with this  Act.   Upon  the
32    filing of a verified petition in court, the court may issue a
33    temporary  restraining order, without notice or bond, and may
                            -17-               LRB9007773DPcw
 1    preliminarily and permanently enjoin the violation, and if it
 2    is established that the person has violated or  is  violating
 3    the  injunction,  the  court  may  punish  the  offender  for
 4    contempt of court. Proceedings under this Section shall be in
 5    addition  to,  and  not  in  lieu  of, all other remedies and
 6    penalties provided by this Act.
 7        (b)  If a person practices as a  perfusionist,  or  holds
 8    himself  or  herself  out  as  a  perfusionist, without being
 9    licensed  under   this   Act,   then   any   other   licensed
10    perfusionist,  any interested party, or any person injured by
11    the person may, in addition to  the  Director,  petition  for
12    relief as provided in subsection (a) of this Section.
13        (c)   Whenever  in the opinion of the Department a person
14    violates a provision of this Act, the Department may issue  a
15    rule  to  show  cause why an order to cease and desist should
16    not be entered against him or her. The rule shall clearly set
17    forth the grounds relied upon by  the  Department  and  shall
18    provide  a period of 7 days from the date of the rule to file
19    an answer to the satisfaction of the Department.  Failure  to
20    answer  to  the satisfaction of the Department shall cause an
21    order to cease and desist to be issued immediately.
22        Section 95.  Investigations;  notice  and  hearing.   The
23    Department  may investigate the actions of an applicant or of
24    a person or persons holding or claiming to  hold  a  license.
25    The  Department  shall,  before  refusing to issue or renew a
26    license, at least 10 days prior  to  the  date  set  for  the
27    hearing,  notify  in writing the applicant for or holder of a
28    license of the nature of the charges and that a hearing  will
29    be  held  on  the date designated.  The written notice may be
30    served by personal delivery or  by  certified  or  registered
31    mail  to  the   respondent  at the address of his or her last
32    notification to the Department.  At the time and place  fixed
33    in  the  notice,  the Board shall proceed to hear the charges
                            -18-               LRB9007773DPcw
 1    and the parties or their  counsel  shall  be  afforded  ample
 2    opportunity  to  present statements, testimony, evidence, and
 3    argument that may be pertinent  to  the  charges  or  to  the
 4    defense  to  the  charges. The Board may continue the hearing
 5    from time to time.
 6        Section 100. Transcript.  The Department, at its expense,
 7    shall preserve a record of  all  proceedings  at  the  formal
 8    hearing  of  a case involving the refusal to issue or renew a
 9    license.  The notice of hearing,  complaint,  and  all  other
10    documents  in  the  nature  of  pleadings and written motions
11    filed in the proceedings, the transcript  of  testimony,  the
12    report of the Board, and orders of the Department shall be in
13    the record of the proceeding.
14        Section  105.  Compelling testimony. A circuit court may,
15    upon application of the Director or his or her designee or of
16    the applicant or  licensee  against  whom  proceedings  under
17    Section  95 of this Act are pending, enter an order requiring
18    the attendance of witnesses and their testimony and requiring
19    the  production  of  documents,  papers,  files,  books,  and
20    records in connection with a hearing or  investigation.   The
21    court  may  compel  obedience  to  its order through contempt
22    proceedings.
23        Section 110. Board findings and recommendations.  At  the
24    conclusion  of  the  hearing  the  Board shall present to the
25    Director   a   written   report   of   its    findings    and
26    recommendations.  The report shall  contain a finding whether
27    or  not  the  accused  person  violated this Act or failed to
28    comply with the conditions required in this Act.   The  Board
29    shall  specify  the  nature  of  the  violation or failure to
30    comply and shall make its recommendations  to  the  Director.
31    The report of findings and recommendations of the Board shall
                            -19-               LRB9007773DPcw
 1    be  the  basis  for the Department's order for the refusal or
 2    for the granting of a  license,  unless  the  Director  shall
 3    determine  that  the Board report is contrary to the manifest
 4    weight of the evidence, in which case the Director may  issue
 5    an  order  in contravention to the Board report.  The finding
 6    is not  admissible  in  evidence  against  the  person  in  a
 7    criminal prosecution brought for a violation of this Act, but
 8    the  hearing  and  finding  are  not  a  bar  to  a  criminal
 9    prosecution brought for a violation of this Act.
10        Section 115. Motion for rehearing.  In any case involving
11    the  refusal to issue or renew a license or the discipline of
12    a licensee, a copy of the Board's report shall be served upon
13    the respondent by the Department,  either  personally  or  as
14    provided  in  this  Act  for  the  service  of  the notice of
15    hearing.  Within 20 days after service,  the  respondent  may
16    present   to  the  Department  a  motion  in  writing  for  a
17    rehearing, which shall specify  the  particular  grounds  for
18    rehearing. If no motion for rehearing is filed, then upon the
19    expiration of the time specified for filing the motion, or if
20    a  motion  for rehearing is denied, then upon the denial, the
21    Director   may   enter   an   order   in   accordance    with
22    recommendations  of  the  Board except as provided in Section
23    110 of this Act.  If the  respondent  shall  order  from  the
24    reporting  service,  and  pay  for a transcript of the record
25    within the time for filing a motion for rehearing the  20-day
26    period  within  which the motion may be filed  shall commence
27    upon the delivery of the transcript to the respondent.
28        Section 120.  Rehearing on order of  Director.   Whenever
29    the  Director  is  not satisfied that substantial justice has
30    been done in the revocation, suspension, or refusal to  issue
31    or renew a license, the Director may order a rehearing by the
32    same or other examiners.
                            -20-               LRB9007773DPcw
 1        Section   125.   Appointment  of  hearing  officer.   The
 2    Director shall have the  authority  to  appoint  an  attorney
 3    licensed to practice law in the State of Illinois to serve as
 4    a  hearing officer in an action for refusal to issue or renew
 5    a license or to discipline a licensee.  The  hearing  officer
 6    shall  have  full  authority  to  conduct  the  hearing.  The
 7    hearing  officer  shall  report  his  or  her  findings   and
 8    recommendations  to  the   Board and the Director.  The Board
 9    shall have 60 days from receipt of the report to  review  the
10    report  of  the  hearing  officer and present its findings of
11    fact,  conclusions  of  law,   and  recommendations  to   the
12    Director.   If  the  Board fails to present its report within
13    the 60-day period, the Director shall issue an order based on
14    the  report  of  the  hearing  officer.   If   the   Director
15    determines  that  the  Board's  report  is  contrary  to  the
16    manifest weight of the evidence, he or she may issue an order
17    in contravention of the Board's report.
18        Section  130.  Order  or  certified  copy.  An order or a
19    certified copy of an order, over the seal of  the  Department
20    and  purporting  to be signed by the Director, shall be prima
21    facie proof:
22             (1)  that the signature is the genuine signature  of
23        the Director;
24             (2)    that  the  Director  is  duly  appointed  and
25        qualified; and
26             (3)  that the Board and its members are qualified to
27        act.
28        Section 135. Restoration of suspended or revoked license.
29    At any  time  after  the  suspension  or  revocation  of  any
30    license,  the  Department  may  restore  the  license  to the
31    accused person upon the written recommendation of  the  Board
32    unless,  after  an  investigation  and  a  hearing, the Board
                            -21-               LRB9007773DPcw
 1    determines that restoration is not in the public interest.
 2        Section 140. Surrender of license.  Upon  the  revocation
 3    or  suspension  of  a license, the licensee shall immediately
 4    surrender the license to the Department and if  the  licensee
 5    fails to do so, the  Department shall have the right to seize
 6    the license.
 7        Section  145.  Temporary  suspension  of  a license.  The
 8    Director  may  temporarily   suspend   the   license   of   a
 9    perfusionist  without  a  hearing,  simultaneously  with  the
10    institution  of  proceedings  for  a  hearing provided for in
11    Section 95 of this Act, if the Director finds  that  evidence
12    in   his  or  her  possession  indicates  that  a  licensee's
13    continuation in practice would constitute an imminent  danger
14    to the public. If the Director temporarily suspends a license
15    without a hearing, a hearing by the Board must be held within
16    30 days after the suspension has occurred.
17        Section 150. Administrative Review Law; venue.  All final
18    administrative  decisions  of  the  Department are subject to
19    judicial review under the Administrative Review Law  and  its
20    rules.  The  term  "administrative decision" is defined as in
21    Section   3-101   of   the   Administrative    Review    Law.
22    Proceedings  for  judicial  review  shall be commenced in the
23    circuit court of the county in which the party  applying  for
24    review  resides,  but  if the party is not a resident of this
25    State, the venue shall be in Sangamon County.
26        Section  155.  Certifications  of  record;  costs.    The
27    Department shall not be required to certify any record to the
28    Court  or file any answer in court or otherwise appear in any
29    court in a judicial review proceeding unless there  is  filed
30    in  the  court,  with  the  complaint,  a  receipt  from  the
                            -22-               LRB9007773DPcw
 1    Department  acknowledging  payment of the costs of furnishing
 2    and certifying the record, which shall  be  computed  at  the
 3    rate of 20 cents per page of the record.  Failure on the part
 4    of  a  plaintiff  to file a receipt in court shall be grounds
 5    for dismissal of the action.
 6        Section 160. Criminal penalties. A person who is found to
 7    have violated a provision of this Act is guilty of a Class  A
 8    misdemeanor  for  a  first offense and is guilty of a Class 4
 9    felony for a second or subsequent offense.
10        Section 165. Illinois Administrative Procedure  Act.  The
11    Illinois  Administrative  Procedure  Act  is hereby expressly
12    adopted and incorporated  in  this  Act  as  if  all  of  the
13    provisions  of  that  Act  were included in this  Act, except
14    that the notice required under Section  10  of  that  Act  is
15    deemed  sufficient when mailed to the last known address of a
16    party.
17        Section 170. Roster of licensees.  The  Department  shall
18    maintain  a  current roster of the names and addresses of all
19    licensees and all persons whose licenses have been  suspended
20    or  revoked  within  the previous year.  This roster shall be
21    available upon written request and payment  of  the  required
22    fee.
23        Section  175.   Home rule preemption.  The regulation and
24    licensing of perfusionists are exclusive powers and functions
25    of the State.  A home rule unit may not regulate  or  license
26    perfusionists.   This  Section  is a denial and limitation of
27    home rule  powers  and  functions  under  subsection  (h)  of
28    Section 6 of Article VII of the Illinois Constitution.
29        Section  180.   Perfusionist  Licensing Fund.  All moneys
                            -23-               LRB9007773DPcw
 1    collected  under  this  Act  shall  be  deposited  into   the
 2    Perfusionist  Licensing  Fund,  a special fund created in the
 3    State Treasury.  Subject to appropriation,  moneys  deposited
 4    into the Fund shall be used by the Department exclusively for
 5    the administration and enforcement of this Act.
 6        Section 300.  The Regulatory Agency Sunset Act is amended
 7    by adding Section 4.19 as follows:
 8        (5 ILCS 80/4.19 new)
 9        Sec.  4.19.   Act  repealed  on  January  1,  2009.   The
10    following Act is repealed on January 1, 2009:
11        The Perfusionist Licensing Act.
12        Section  400.  The State Finance Act is amended by adding
13    Section 5.490 as follows:
14        (30 ILCS 105/5.490 new)
15        Sec. 5.490.  The Perfusionist Licensing Fund.
16        Section 999.  Effective  date.   This  Act  takes  effect
17    January 1, 1999.

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