HB2401 96TH GENERAL ASSEMBLY

LRB096 08410 DRJ 18523 b

96TH GENERAL ASSEMBLY
State of Illinois
2009 and 2010
HB2401

Introduced 2/19/2009, by Rep. Lou Lang

SYNOPSIS AS INTRODUCED:

20 ILCS 1705/10.5
20 ILCS 2310/2310-312
110 ILCS 330/7
210 ILCS 85/6.23

Amends the Mental Health and Developmental Disabilities Administrative Act, the Department of Public Health Powers and Duties Law of the Civil Administrative Code of Illinois, the University of Illinois Hospital Act, and the Hospital Licensing Act. Provides that beginning January 1, 2010, and by January 1 of each year thereafter, the Department of Public Health shall make an annual report regarding the effectiveness of interventions in the prevention and control of Multidrug-Resistant Organisms. Requires that hospitals and the Department of Human Services, with respect to mental health and developmental centers under its jurisdiction, cooperate with the Department of Public Health to provide the information necessary to compile the reports. Effective immediately.

FISCAL NOTE ACT MAY APPLY

A BILL FOR

AN ACT concerning State government.

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

Section 5. The Mental Health and Developmental Disabilities Administrative Act is amended by changing Section 10.5 as follows:

(20 ILCS 1705/10.5)

Sec. 10.5. Prevention and control of Multidrug-Resistant Organisms. The Department, in consultation with the Department of Public Health, shall adopt rules that may require one or more of the facilities described in Section 4 of this Act to implement comprehensive interventions to prevent and control multidrug-resistant organisms (MDROs), including methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant enterococci (VRE), and certain gram-negative bacilli (GNB), pursuant to updated prevention and control interventions recommended by the U.S. Centers for Disease Control and Prevention. The Department shall also require facilities to submit reports to the Department that contain substantially the same information contained in the related infection reports required to be submitted by hospitals to the Department of Public Health under Section 25 of the Hospital Report Card Act. The Department shall provide that information to the Department of Public Health upon the Department of Public Health's request. The Department shall cooperate with the Department of Public Health to provide the information necessary to enable that Department to compile the reports due under paragraph (2.5) of Section 2310-312 of the Department of Public Health Powers and Duties Law of the Civil Administrative Code of Illinois.

(Source: P.A. 95-282, eff. 8-20-07.)

Section 10. The Department of Public Health Powers and Duties Law of the Civil Administrative Code of Illinois is amended by changing Section 2310-312 as follows:

(20 ILCS 2310/2310-312)

Sec. 2310-312. Multidrug-Resistant Organisms. The Department shall perform the following functions in relation to the prevention and control of Multidrug-Resistant Organisms (MDROs), including methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant (VRE) and certain gram-negative bacilli (GNB), as these terms are referenced by the United States Centers for Disease Control and Prevention:

(1) Except with regard to hospitals, for which administrative rules shall be adopted in accordance with Section 6.23 of the Hospital Licensing Act and Section 7 of the University of Illinois Hospital Act, the Department shall adopt administrative rules for health care facilities subject to licensure, certification, registration, or other regulation by the Department that may require one or more types of those facilities to (i) perform an annual infection control risk assessment, (ii) develop infection control policies for MDROs that are based on this assessment and incorporate, as appropriate, updated recommendations of the U.S. Centers for Disease Control and Prevention for the prevention and control of MDROs, and (iii) enforce hand hygiene requirements.

(2) The Department shall:

(A) publicize guidelines for reducing the incidence of MDROs to health care providers, health care facilities, public health departments, prisons, jails, and the general public; and

(B) provide periodic reports and updates to public officials, health professionals, and the general public statewide regarding new developments or procedures concerning prevention and management of infections due to MDROs.

(2.5) Beginning January 1, 2010, and by January 1 of each year thereafter, the Department shall make an annual report to the Governor and the General Assembly regarding the effectiveness of interventions in the prevention and control of MDROs in Illinois. The report shall include the level of compliance by hospitals, and facilities under the jurisdiction of the Department of Human Services described in Section 4 of the Mental Health and Developmental Disabilities Administrative Act, with the requirements of this Section concerning risk assessment and with enforcement of hand hygiene and contact precaution requirements. The report shall also include recommendations concerning additional standards and procedures to improve performance.

(3) The Department shall publish a yearly report regarding MRSA and Clostridium difficile infections based on the Hospital Discharge Dataset. The Department is authorized to require hospitals, based on guidelines developed by the National Center for Health Statistics, after October 1, 2007, to submit data to the Department that is coded as "present on admission" and "occurred during the stay".

(4) Reporting to the Department under the Hospital Report Card Act shall include organisms, including but not limited to MRSA, that are responsible for central venous catheter-associated bloodstream infections and ventilator-associated pneumonia in designated hospital units.

(5) The Department shall implement surveillance for designated cases of community associated MRSA infections for a period of at least 3 years, beginning on or before January 1, 2008.

(Source: P.A. 95-282, eff. 8-20-07.)

Section 15. The University of Illinois Hospital Act is amended by changing Section 7 as follows:

(110 ILCS 330/7)

Sec. 7. Prevention and control for Multidrug-Resistant Organisms. The University of Illinois Hospital shall develop and implement comprehensive interventions to prevent and control multidrug-resistant organisms (MDROs), including methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant enterococci (VRE), and certain gram-negative bacilli (GNB), that take into consideration guidelines of the U.S. Centers for Disease Control and Prevention for the management of MDROs in healthcare settings. The Department of Public Health shall adopt administrative rules that require the University of Illinois Hospital to perform an annual facility-wide infection control risk assessment and enforce hand hygiene and contact precaution requirements. The University of Illinois Hospital shall cooperate with the Department of Public Health to provide the information necessary to enable that Department to compile the reports due under paragraph (2.5) of Section 2310-312 of the Department of Public Health Powers and Duties Law of the Civil Administrative Code of Illinois.

(Source: P.A. 95-282, eff. 8-20-07.)

Section 20. The Hospital Licensing Act is amended by changing Section 6.23 as follows:

(210 ILCS 85/6.23)

Sec. 6.23. Prevention and control of Multidrug-Resistant Organisms. Each hospital shall develop and implement comprehensive interventions to prevent and control multidrug-resistant organisms (MDROs), including methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant enterococci (VRE), and certain gram-negative bacilli (GNB), that take into consideration guidelines of the U.S. Centers for Disease Control and Prevention for the management of MDROs in healthcare settings. The Department shall adopt administrative rules that require hospitals to perform an annual facility-wide infection control risk assessment and enforce hand hygiene and contact precaution requirements. Each hospital shall cooperate with the Department to provide the information necessary to enable the Department to compile the reports due under paragraph (2.5) of Section 2310-312 of the Department of Public Health Powers and Duties Law of the Civil Administrative Code of Illinois.

(Source: P.A. 95-282, eff. 8-20-07; 95-876, eff. 8-21-08.)

Section 99. Effective date. This Act takes effect upon becoming law.