SB0336 EnrolledLRB102 12792 CPF 18131 b

1    AN ACT concerning health.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Civil Administrative Code of Illinois is
5amended by changing Section 5-565 as follows:
 
6    (20 ILCS 5/5-565)  (was 20 ILCS 5/6.06)
7    Sec. 5-565. In the Department of Public Health.
8    (a) The General Assembly declares it to be the public
9policy of this State that all residents of Illinois are
10entitled to lead healthy lives. Governmental public health has
11a specific responsibility to ensure that a public health
12system is in place to allow the public health mission to be
13achieved. The public health system is the collection of
14public, private, and voluntary entities as well as individuals
15and informal associations that contribute to the public's
16health within the State. To develop a public health system
17requires certain core functions to be performed by government.
18The State Board of Health is to assume the leadership role in
19advising the Director in meeting the following functions:
20        (1) Needs assessment.
21        (2) Statewide health objectives.
22        (3) Policy development.
23        (4) Assurance of access to necessary services.

 

 

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1    There shall be a State Board of Health composed of 20
2persons, all of whom shall be appointed by the Governor, with
3the advice and consent of the Senate for those appointed by the
4Governor on and after June 30, 1998, and one of whom shall be a
5senior citizen age 60 or over. Five members shall be
6physicians licensed to practice medicine in all its branches,
7one representing a medical school faculty, one who is board
8certified in preventive medicine, and one who is engaged in
9private practice. One member shall be a chiropractic
10physician. One member shall be a dentist; one an environmental
11health practitioner; one a local public health administrator;
12one a local board of health member; one a registered nurse; one
13a physical therapist; one an optometrist; one a veterinarian;
14one a public health academician; one a health care industry
15representative; one a representative of the business
16community; one a representative of the non-profit public
17interest community; and 2 shall be citizens at large.
18    The terms of Board of Health members shall be 3 years,
19except that members shall continue to serve on the Board of
20Health until a replacement is appointed. Upon the effective
21date of Public Act 93-975 (January 1, 2005), in the
22appointment of the Board of Health members appointed to
23vacancies or positions with terms expiring on or before
24December 31, 2004, the Governor shall appoint up to 6 members
25to serve for terms of 3 years; up to 6 members to serve for
26terms of 2 years; and up to 5 members to serve for a term of

 

 

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1one year, so that the term of no more than 6 members expire in
2the same year. All members shall be legal residents of the
3State of Illinois. The duties of the Board shall include, but
4not be limited to, the following:
5        (1) To advise the Department of ways to encourage
6    public understanding and support of the Department's
7    programs.
8        (2) To evaluate all boards, councils, committees,
9    authorities, and bodies advisory to, or an adjunct of, the
10    Department of Public Health or its Director for the
11    purpose of recommending to the Director one or more of the
12    following:
13            (i) The elimination of bodies whose activities are
14        not consistent with goals and objectives of the
15        Department.
16            (ii) The consolidation of bodies whose activities
17        encompass compatible programmatic subjects.
18            (iii) The restructuring of the relationship
19        between the various bodies and their integration
20        within the organizational structure of the Department.
21            (iv) The establishment of new bodies deemed
22        essential to the functioning of the Department.
23        (3) To serve as an advisory group to the Director for
24    public health emergencies and control of health hazards.
25        (4) To advise the Director regarding public health
26    policy, and to make health policy recommendations

 

 

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1    regarding priorities to the Governor through the Director.
2        (5) To present public health issues to the Director
3    and to make recommendations for the resolution of those
4    issues.
5        (6) To recommend studies to delineate public health
6    problems.
7        (7) To make recommendations to the Governor through
8    the Director regarding the coordination of State public
9    health activities with other State and local public health
10    agencies and organizations.
11        (8) To report on or before February 1 of each year on
12    the health of the residents of Illinois to the Governor,
13    the General Assembly, and the public.
14        (9) To review the final draft of all proposed
15    administrative rules, other than emergency or peremptory
16    rules and those rules that another advisory body must
17    approve or review within a statutorily defined time
18    period, of the Department after September 19, 1991 (the
19    effective date of Public Act 87-633). The Board shall
20    review the proposed rules within 90 days of submission by
21    the Department. The Department shall take into
22    consideration any comments and recommendations of the
23    Board regarding the proposed rules prior to submission to
24    the Secretary of State for initial publication. If the
25    Department disagrees with the recommendations of the
26    Board, it shall submit a written response outlining the

 

 

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1    reasons for not accepting the recommendations.
2        In the case of proposed administrative rules or
3    amendments to administrative rules regarding immunization
4    of children against preventable communicable diseases
5    designated by the Director under the Communicable Disease
6    Prevention Act, after the Immunization Advisory Committee
7    has made its recommendations, the Board shall conduct 3
8    public hearings, geographically distributed throughout the
9    State. At the conclusion of the hearings, the State Board
10    of Health shall issue a report, including its
11    recommendations, to the Director. The Director shall take
12    into consideration any comments or recommendations made by
13    the Board based on these hearings.
14        (10) To deliver to the Governor for presentation to
15    the General Assembly a State Health Assessment (SHA) and a
16    State Health Improvement Plan (SHIP). The first 5 such
17    plans shall be delivered to the Governor on January 1,
18    2006, January 1, 2009, January 1, 2016, January 1, 2021,
19    and December 31, 2022 June 30, 2022, and then every 5 years
20    thereafter.
21        The State Health Assessment and State Health
22    Improvement Plan shall assess and recommend priorities and
23    strategies to improve the public health system, the health
24    status of Illinois residents, reduce health disparities
25    and inequities, and promote health equity. The State
26    Health Assessment and State Health Improvement Plan

 

 

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1    development and implementation shall conform to national
2    Public Health Accreditation Board Standards. The State
3    Health Assessment and State Health Improvement Plan
4    development and implementation process shall be carried
5    out with the administrative and operational support of the
6    Department of Public Health.
7        The State Health Assessment shall include
8    comprehensive, broad-based data and information from a
9    variety of sources on health status and the public health
10    system including:
11            (i) quantitative data, if it is available, on the
12        demographics and health status of the population,
13        including data over time on health by gender identity,
14        sexual orientation, race, ethnicity, age,
15        socio-economic factors, geographic region, disability
16        status, and other indicators of disparity;
17            (ii) quantitative data on social and structural
18        issues affecting health (social and structural
19        determinants of health), including, but not limited
20        to, housing, transportation, educational attainment,
21        employment, and income inequality;
22            (iii) priorities and strategies developed at the
23        community level through the Illinois Project for Local
24        Assessment of Needs (IPLAN) and other local and
25        regional community health needs assessments;
26            (iv) qualitative data representing the

 

 

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1        population's input on health concerns and well-being,
2        including the perceptions of people experiencing
3        disparities and health inequities;
4            (v) information on health disparities and health
5        inequities; and
6            (vi) information on public health system strengths
7        and areas for improvement.
8        The State Health Improvement Plan shall focus on
9    prevention, social determinants of health, and promoting
10    health equity as key strategies for long-term health
11    improvement in Illinois.
12        The State Health Improvement Plan shall identify
13    priority State health issues and social issues affecting
14    health, and shall examine and make recommendations on the
15    contributions and strategies of the public and private
16    sectors for improving health status and the public health
17    system in the State. In addition to recommendations on
18    health status improvement priorities and strategies for
19    the population of the State as a whole, the State Health
20    Improvement Plan shall make recommendations, provided that
21    data exists to support such recommendations, regarding
22    priorities and strategies for reducing and eliminating
23    health disparities and health inequities in Illinois;
24    including racial, ethnic, gender identification, sexual
25    orientation, age, disability, socio-economic, and
26    geographic disparities. The State Health Improvement Plan

 

 

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1    shall make recommendations regarding social determinants
2    of health, such as housing, transportation, educational
3    attainment, employment, and income inequality.
4        The development and implementation of the State Health
5    Assessment and State Health Improvement Plan shall be a
6    collaborative public-private cross-agency effort overseen
7    by the SHA and SHIP Partnership. The Director of Public
8    Health shall consult with the Governor to ensure
9    participation by the head of State agencies with public
10    health responsibilities (or their designees) in the SHA
11    and SHIP Partnership, including, but not limited to, the
12    Department of Public Health, the Department of Human
13    Services, the Department of Healthcare and Family
14    Services, the Department of Children and Family Services,
15    the Environmental Protection Agency, the Illinois State
16    Board of Education, the Department on Aging, the Illinois
17    Housing Development Authority, the Illinois Criminal
18    Justice Information Authority, the Department of
19    Agriculture, the Department of Transportation, the
20    Department of Corrections, the Department of Commerce and
21    Economic Opportunity, and the Chair of the State Board of
22    Health to also serve on the Partnership. A member of the
23    Governor's staff shall participate in the Partnership and
24    serve as a liaison to the Governor's office.
25        The Director of Public Health shall appoint a minimum
26    of 15 other members of the SHA and SHIP Partnership

 

 

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1    representing a range of public, private, and voluntary
2    sector stakeholders and participants in the public health
3    system. For the first SHA and SHIP Partnership after the
4    effective date of this amendatory Act of the 102nd General
5    Assembly, one-half of the members shall be appointed for a
6    3-year term, and one-half of the members shall be
7    appointed for a 5-year term. Subsequently, members shall
8    be appointed to 5-year terms. Should any member not be
9    able to fulfill his or her term, the Director may appoint a
10    replacement to complete that term. The Director, in
11    consultation with the SHA and SHIP Partnership, may engage
12    additional individuals and organizations to serve on
13    subcommittees and ad hoc efforts to conduct the State
14    Health Assessment and develop and implement the State
15    Health Improvement Plan. Members of the SHA and SHIP
16    Partnership shall receive no compensation for serving as
17    members, but may be reimbursed for their necessary
18    expenses if departmental resources allow.
19        The SHA and SHIP Partnership shall include:
20    representatives of local health departments and
21    individuals with expertise who represent an array of
22    organizations and constituencies engaged in public health
23    improvement and prevention, such as non-profit public
24    interest groups, groups serving populations that
25    experience health disparities and health inequities,
26    groups addressing social determinants of health, health

 

 

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1    issue groups, faith community groups, health care
2    providers, businesses and employers, academic
3    institutions, and community-based organizations.
4        The Director shall endeavor to make the membership of
5    the Partnership diverse and inclusive of the racial,
6    ethnic, gender, socio-economic, and geographic diversity
7    of the State. The SHA and SHIP Partnership shall be
8    chaired by the Director of Public Health or his or her
9    designee.
10        The SHA and SHIP Partnership shall develop and
11    implement a community engagement process that facilitates
12    input into the development of the State Health Assessment
13    and State Health Improvement Plan. This engagement process
14    shall ensure that individuals with lived experience in the
15    issues addressed in the State Health Assessment and State
16    Health Improvement Plan are meaningfully engaged in the
17    development and implementation of the State Health
18    Assessment and State Health Improvement Plan.
19        The State Board of Health shall hold at least 3 public
20    hearings addressing a draft of the State Health
21    Improvement Plan in representative geographic areas of the
22    State.
23        Upon the delivery of each State Health Assessment and
24    State Health Improvement Plan, the SHA and SHIP
25    Partnership shall coordinate the efforts and engagement of
26    the public, private, and voluntary sector stakeholders and

 

 

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1    participants in the public health system to implement each
2    SHIP. The Partnership shall serve as a forum for
3    collaborative action; coordinate existing and new
4    initiatives; develop detailed implementation steps, with
5    mechanisms for action; implement specific projects;
6    identify public and private funding sources at the local,
7    State and federal level; promote public awareness of the
8    SHIP; and advocate for the implementation of the SHIP. The
9    SHA and SHIP Partnership shall implement strategies to
10    ensure that individuals and communities affected by health
11    disparities and health inequities are engaged in the
12    process throughout the 5-year cycle. The SHA and SHIP
13    Partnership shall regularly evaluate and update the State
14    Health Assessment and track implementation of the State
15    Health Improvement Plan with revisions as necessary. The
16    SHA and SHIP Partnership shall not have the authority to
17    direct any public or private entity to take specific
18    action to implement the SHIP.
19        The State Board of Health shall submit a report by
20    January 31 of each year on the status of State Health
21    Improvement Plan implementation and community engagement
22    activities to the Governor, General Assembly, and public.
23    In the fifth year, the report may be consolidated into the
24    new State Health Assessment and State Health Improvement
25    Plan.
26        (11) Upon the request of the Governor, to recommend to

 

 

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1    the Governor candidates for Director of Public Health when
2    vacancies occur in the position.
3        (12) To adopt bylaws for the conduct of its own
4    business, including the authority to establish ad hoc
5    committees to address specific public health programs
6    requiring resolution.
7        (13) (Blank).
8    Upon appointment, the Board shall elect a chairperson from
9among its members.
10    Members of the Board shall receive compensation for their
11services at the rate of $150 per day, not to exceed $10,000 per
12year, as designated by the Director for each day required for
13transacting the business of the Board and shall be reimbursed
14for necessary expenses incurred in the performance of their
15duties. The Board shall meet from time to time at the call of
16the Department, at the call of the chairperson, or upon the
17request of 3 of its members, but shall not meet less than 4
18times per year.
19    (b) (Blank).
20    (c) An Advisory Board on Necropsy Service to Coroners,
21which shall counsel and advise with the Director on the
22administration of the Autopsy Act. The Advisory Board shall
23consist of 11 members, including a senior citizen age 60 or
24over, appointed by the Governor, one of whom shall be
25designated as chairman by a majority of the members of the
26Board. In the appointment of the first Board the Governor

 

 

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1shall appoint 3 members to serve for terms of 1 year, 3 for
2terms of 2 years, and 3 for terms of 3 years. The members first
3appointed under Public Act 83-1538 shall serve for a term of 3
4years. All members appointed thereafter shall be appointed for
5terms of 3 years, except that when an appointment is made to
6fill a vacancy, the appointment shall be for the remaining
7term of the position vacant. The members of the Board shall be
8citizens of the State of Illinois. In the appointment of
9members of the Advisory Board the Governor shall appoint 3
10members who shall be persons licensed to practice medicine and
11surgery in the State of Illinois, at least 2 of whom shall have
12received post-graduate training in the field of pathology; 3
13members who are duly elected coroners in this State; and 5
14members who shall have interest and abilities in the field of
15forensic medicine but who shall be neither persons licensed to
16practice any branch of medicine in this State nor coroners. In
17the appointment of medical and coroner members of the Board,
18the Governor shall invite nominations from recognized medical
19and coroners organizations in this State respectively. Board
20members, while serving on business of the Board, shall receive
21actual necessary travel and subsistence expenses while so
22serving away from their places of residence.
23(Source: P.A. 102-4, eff. 4-27-21; 102-558, eff. 8-20-21.)
 
24    Section 10. The Department of Professional Regulation Law
25of the Civil Administrative Code of Illinois is amended by

 

 

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1changing Section 2105-15.7 as follows:
 
2    (20 ILCS 2105/2105-15.7)
3    Sec. 2105-15.7. Implicit bias awareness training.
4    (a) As used in this Section, "health care professional"
5means a person licensed or registered by the Department of
6Financial and Professional Regulation under the following
7Acts: Medical Practice Act of 1987, Nurse Practice Act,
8Clinical Psychologist Licensing Act, Illinois Dental Practice
9Act, Illinois Optometric Practice Act of 1987, Pharmacy
10Practice Act, Illinois Physical Therapy Act, Physician
11Assistant Practice Act of 1987, Acupuncture Practice Act,
12Illinois Athletic Trainers Practice Act, Clinical Social Work
13and Social Work Practice Act, Dietitian Nutritionist Practice
14Act, Home Medical Equipment and Services Provider License Act,
15Naprapathic Practice Act, Nursing Home Administrators
16Licensing and Disciplinary Act, Illinois Occupational Therapy
17Practice Act, Illinois Optometric Practice Act of 1987,
18Podiatric Medical Practice Act of 1987, Respiratory Care
19Practice Act, Professional Counselor and Clinical Professional
20Counselor Licensing and Practice Act, Sex Offender Evaluation
21and Treatment Provider Act, Illinois Speech-Language Pathology
22and Audiology Practice Act, Perfusionist Practice Act,
23Registered Surgical Assistant and Registered Surgical
24Technologist Title Protection Act, and Genetic Counselor
25Licensing Act.

 

 

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1    (b) For license or registration renewals occurring on or
2after January 1, 2023 2022, a health care professional who has
3continuing education requirements must complete at least a
4one-hour course in training on implicit bias awareness per
5renewal period. A health care professional may count this one
6hour for completion of this course toward meeting the minimum
7credit hours required for continuing education. Any training
8on implicit bias awareness applied to meet any other State
9licensure requirement, professional accreditation or
10certification requirement, or health care institutional
11practice agreement may count toward the one-hour requirement
12under this Section.
13    (c) The Department may adopt rules for the implementation
14of this Section.
15(Source: P.A. 102-4, eff. 4-27-21.)
 
16    Section 15. The Special Commission on Gynecologic Cancers
17Act is amended by changing Section 100-5 as follows:
 
18    (20 ILCS 5170/100-5)
19    (Section scheduled to be repealed on January 1, 2023)
20    Sec. 100-5. Creation; members; duties; report.    
21    (a) The Special Commission on Gynecologic Cancers is
22created. Membership of the Commission shall be as follows:
23        (1) A representative of the Illinois Comprehensive
24    Cancer Control Program, appointed by the Director of

 

 

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1    Public Health;
2        (2) The Director of Insurance, or his or her designee;
3    and
4        (3) 20 members who shall be appointed as follows:
5                (A) three members appointed by the Speaker of
6        the House of Representatives, one of whom shall be a
7        survivor of ovarian cancer, one of whom shall be a
8        survivor of cervical, vaginal, vulvar, or uterine
9        cancer, and one of whom shall be a medical specialist
10        in gynecologic cancers;
11                (B) three members appointed by the Senate
12        President, one of whom shall be a survivor of ovarian
13        cancer, one of whom shall be a survivor of cervical,
14        vaginal, vulvar, or uterine cancer, and one of whom
15        shall be a medical specialist in gynecologic cancers;
16                (C) three members appointed by the House
17        Minority Leader, one of whom shall be a survivor of
18        ovarian cancer, one of whom shall be a survivor of
19        cervical, vaginal, vulvar, or uterine cancer, and one
20        of whom shall be a medical specialist in gynecologic
21        cancers;
22                (D) three members appointed by the Senate
23        Minority Leader, one of whom shall be a survivor of
24        ovarian cancer, one of whom shall be a survivor of
25        cervical, vaginal, vulvar, or uterine cancer, and one
26        of whom shall be a medical specialist in gynecologic

 

 

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1        cancers; and
2                (E) eight members appointed by the Governor,
3        one of whom shall be a caregiver of a woman diagnosed
4        with a gynecologic cancer, one of whom shall be a
5        medical specialist in gynecologic cancers, one of whom
6        shall be an individual with expertise in community
7        based health care and issues affecting underserved and
8        vulnerable populations, 2 of whom shall be individuals
9        representing gynecologic cancer awareness and support
10        groups in the State, one of whom shall be a researcher
11        specializing in gynecologic cancers, and 2 of whom
12        shall be members of the public with demonstrated
13        expertise in issues relating to the work of the
14        Commission.
15    (b) Members of the Commission shall serve without
16compensation or reimbursement from the Commission. Members
17shall select a Chair from among themselves and the Chair shall
18set the meeting schedule.
19    (c) The Illinois Department of Public Health shall provide
20administrative support to the Commission.
21    (d) The Commission is charged with the study of the
22following:
23        (1) establishing a mechanism to ascertain the
24    prevalence of gynecologic cancers in the State and, to the
25    extent possible, to collect statistics relative to the
26    timing of diagnosis and risk factors associated with

 

 

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1    gynecologic cancers;
2        (2) determining how to best effectuate early diagnosis
3    and treatment for gynecologic cancer patients;
4        (3) determining best practices for closing disparities
5    in outcomes for gynecologic cancer patients and innovative
6    approaches to reaching underserved and vulnerable
7    populations;
8        (4) determining any unmet needs of persons with
9    gynecologic cancers and those of their families; and
10        (5) providing recommendations for additional
11    legislation, support programs, and resources to meet the
12    unmet needs of persons with gynecologic cancers and their
13    families.
14    (e) The Commission shall file its final report with the
15General Assembly no later than December 31, 2022 2021 and,
16upon the filing of its report, is dissolved.
17(Source: P.A. 102-4, eff. 4-27-21.)
 
18    Section 20. The Anti-Racism Commission Act is amended by
19changing Section 130-10 as follows:
 
20    (20 ILCS 5180/130-10)
21    (Section scheduled to be repealed on January 1, 2023)
22    Sec. 130-10. Anti-Racism Commission.
23    (a) The Anti-Racism Commission is hereby created to
24identify and propose statewide policies to eliminate systemic

 

 

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1racism and advance equitable solutions for Black and Brown
2people in Illinois.
3    (b) The Anti-Racism Commission shall consist of the
4following members, who shall serve without compensation:
5        (1) one member of the House of Representatives,
6    appointed by the Speaker of the House of Representatives,
7    who shall serve as co-chair;
8        (2) one member of the Senate, appointed by the Senate
9    President, who shall serve as co-chair;
10        (3) one member of the House of Representatives,
11    appointed by the Minority Leader of the House of
12    Representatives;
13        (4) one member of the Senate, appointed by the
14    Minority Leader of the Senate;
15        (5) the Director of Public Health, or his or her
16    designee;
17        (6) the Chair of the House Black Caucus;
18        (7) the Chair of the Senate Black Caucus;
19        (8) the Chair of the Joint Legislative Black Caucus;
20        (9) the director of a statewide association
21    representing public health departments, appointed by the
22    Speaker of the House of Representatives;
23        (10) the Chair of the House Latino Caucus;
24        (11) the Chair of the Senate Latino Caucus;
25        (12) one community member appointed by the House Black
26    Caucus Chair;

 

 

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1        (13) one community member appointed by the Senate
2    Black Caucus Chair;
3        (14) one community member appointed by the House
4    Latino Caucus Chair; and
5        (15) one community member appointed by the Senate
6    Latino Caucus Chair.
7    (c) The Department of Public Health shall provide
8administrative support for the Commission.
9    (d) The Commission is charged with, but not limited to,
10the following tasks:
11        (1) Working to create an equity and justice-oriented
12    State government.
13        (2) Assessing the policy and procedures of all State
14    agencies to ensure racial equity is a core element of
15    State government.
16        (3) Developing and incorporating into the
17    organizational structure of State government a plan for
18    educational efforts to understand, address, and dismantle
19    systemic racism in government actions.
20        (4) Recommending and advocating for policies that
21    improve health in Black and Brown people and support
22    local, State, regional, and federal initiatives that
23    advance efforts to dismantle systemic racism.
24        (5) Working to build alliances and partnerships with
25    organizations that are confronting racism and encouraging
26    other local, State, regional, and national entities to

 

 

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1    recognize racism as a public health crisis.
2        (6) Promoting community engagement, actively engaging
3    citizens on issues of racism and assisting in providing
4    tools to engage actively and authentically with Black and
5    Brown people.
6        (7) Reviewing all portions of codified State laws
7    through the lens of racial equity.
8        (8) Working with the Department of Central Management
9    Services to update policies that encourage diversity in
10    human resources, including hiring, board appointments, and
11    vendor selection by agencies, and to review all grant
12    management activities with an eye toward equity and
13    workforce development.
14        (9) Recommending policies that promote racially
15    equitable economic and workforce development practices.
16        (10) Promoting and supporting all policies that
17    prioritize the health of all people, especially people of
18    color, by mitigating exposure to adverse childhood
19    experiences and trauma in childhood and ensuring
20    implementation of health and equity in all policies.
21        (11) Encouraging community partners and stakeholders
22    in the education, employment, housing, criminal justice,
23    and safety arenas to recognize racism as a public health
24    crisis and to implement policy recommendations.
25        (12) Identifying clear goals and objectives, including
26    specific benchmarks, to assess progress.

 

 

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1        (13) Holding public hearings across Illinois to
2    continue to explore and to recommend needed action by the
3    General Assembly.
4        (14) Working with the Governor and the General
5    Assembly to identify the necessary funds to support the
6    Anti-Racism Commission and its endeavors.
7        (15) Identifying resources to allocate to Black and
8    Brown communities on an annual basis.
9        (16) Encouraging corporate investment in anti-racism
10    policies in Black and Brown communities.
11    (e) The Commission shall submit its final report to the
12Governor and the General Assembly no later than December 31,
132022 2021. The Commission is dissolved upon the filing of its
14report.
15(Source: P.A. 102-4, eff. 4-27-21.)
 
16    Section 25. The University of Illinois Hospital Act is
17amended by changing Section 8d as follows:
 
18    (110 ILCS 330/8d)
19    (Section scheduled to be repealed on December 31, 2021)
20    Sec. 8d. N95 masks. Pursuant to and in accordance with
21applicable local, State, and federal policies, guidance and
22recommendations of public health and infection control
23authorities, and taking into consideration the limitations on
24access to N95 masks caused by disruptions in local, State,

 

 

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1national, and international supply chains, the University of
2Illinois Hospital shall provide N95 masks to physicians
3licensed under the Medical Practice Act of 1987, registered
4nurses and advanced practice registered nurses licensed under
5the Nurse Licensing Act, and any other employees or
6contractual workers who provide direct patient care and who,
7pursuant to such policies, guidance, and recommendations, are
8recommended to have such a mask to safely provide such direct
9patient care within a hospital setting. Nothing in this
10Section shall be construed to impose any new duty or
11obligation on the University of Illinois Hospital or employee
12that is greater than that imposed under State and federal laws
13in effect on the effective date of this amendatory Act of the
14102nd General Assembly.
15    This Section is repealed on December 31, 2022 2021.
16(Source: P.A. 102-4, eff. 4-27-21.)
 
17    Section 30. The Hospital Licensing Act is amended by
18changing Section 6.28 as follows:
 
19    (210 ILCS 85/6.28)
20    (Section scheduled to be repealed on December 31, 2021)
21    Sec. 6.28. N95 masks. Pursuant to and in accordance with
22applicable local, State, and federal policies, guidance and
23recommendations of public health and infection control
24authorities, and taking into consideration the limitations on

 

 

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1access to N95 masks caused by disruptions in local, State,
2national, and international supply chains, a hospital licensed
3under this Act shall provide N95 masks to physicians licensed
4under the Medical Practice Act of 1987, registered nurses and
5advanced practice registered nurses licensed under the Nurse
6Licensing Act, and any other employees or contractual workers
7who provide direct patient care and who, pursuant to such
8policies, guidance, and recommendations, are recommended to
9have such a mask to safely provide such direct patient care
10within a hospital setting. Nothing in this Section shall be
11construed to impose any new duty or obligation on the hospital
12or employee that is greater than that imposed under State and
13federal laws in effect on the effective date of this
14amendatory Act of the 102nd General Assembly.
15    This Section is repealed on December 31, 2022 2021.
16(Source: P.A. 102-4, eff. 4-27-21.)
 
17    Section 33. The Illinois Public Aid Code is amended by
18changing Section 5-5.05 as follows:
 
19    (305 ILCS 5/5-5.05)
20    Sec. 5-5.05. Hospitals; psychiatric services.
21    (a) On and after July 1, 2008, the inpatient, per diem rate
22to be paid to a hospital for inpatient psychiatric services
23shall be $363.77.
24    (b) For purposes of this Section, "hospital" means the

 

 

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1following:
2        (1) Advocate Christ Hospital, Oak Lawn, Illinois.
3        (2) Barnes-Jewish Hospital, St. Louis, Missouri.
4        (3) BroMenn Healthcare, Bloomington, Illinois.
5        (4) Jackson Park Hospital, Chicago, Illinois.
6        (5) Katherine Shaw Bethea Hospital, Dixon, Illinois.
7        (6) Lawrence County Memorial Hospital, Lawrenceville,
8    Illinois.
9        (7) Advocate Lutheran General Hospital, Park Ridge,
10    Illinois.
11        (8) Mercy Hospital and Medical Center, Chicago,
12    Illinois.
13        (9) Methodist Medical Center of Illinois, Peoria,
14    Illinois.
15        (10) Provena United Samaritans Medical Center,
16    Danville, Illinois.
17        (11) Rockford Memorial Hospital, Rockford, Illinois.
18        (12) Sarah Bush Lincoln Health Center, Mattoon,
19    Illinois.
20        (13) Provena Covenant Medical Center, Urbana,
21    Illinois.
22        (14) Rush-Presbyterian-St. Luke's Medical Center,
23    Chicago, Illinois.
24        (15) Mt. Sinai Hospital, Chicago, Illinois.
25        (16) Gateway Regional Medical Center, Granite City,
26    Illinois.

 

 

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1        (17) St. Mary of Nazareth Hospital, Chicago, Illinois.
2        (18) Provena St. Mary's Hospital, Kankakee, Illinois.
3        (19) St. Mary's Hospital, Decatur, Illinois.
4        (20) Memorial Hospital, Belleville, Illinois.
5        (21) Swedish Covenant Hospital, Chicago, Illinois.
6        (22) Trinity Medical Center, Rock Island, Illinois.
7        (23) St. Elizabeth Hospital, Chicago, Illinois.
8        (24) Richland Memorial Hospital, Olney, Illinois.
9        (25) St. Elizabeth's Hospital, Belleville, Illinois.
10        (26) Samaritan Health System, Clinton, Iowa.
11        (27) St. John's Hospital, Springfield, Illinois.
12        (28) St. Mary's Hospital, Centralia, Illinois.
13        (29) Loretto Hospital, Chicago, Illinois.
14        (30) Kenneth Hall Regional Hospital, East St. Louis,
15    Illinois.
16        (31) Hinsdale Hospital, Hinsdale, Illinois.
17        (32) Pekin Hospital, Pekin, Illinois.
18        (33) University of Chicago Medical Center, Chicago,
19    Illinois.
20        (34) St. Anthony's Health Center, Alton, Illinois.
21        (35) OSF St. Francis Medical Center, Peoria, Illinois.
22        (36) Memorial Medical Center, Springfield, Illinois.
23        (37) A hospital with a distinct part unit for
24    psychiatric services that begins operating on or after
25    July 1, 2008.
26    For purposes of this Section, "inpatient psychiatric

 

 

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1services" means those services provided to patients who are in
2need of short-term acute inpatient hospitalization for active
3treatment of an emotional or mental disorder.
4    (b-5) Notwithstanding any other provision of this Section,
5and subject to appropriation, the inpatient, per diem rate to
6be paid to all safety-net hospitals for inpatient psychiatric
7services on and after January 1, 2021 shall be at least $630.
8    (b-10) Notwithstanding any other provision of this
9Section, effective with dates of service on and after January
101, 2022, any general acute care hospital with more than 9,500
11inpatient psychiatric Medicaid days in any calendar year shall
12be paid the inpatient per diem rate of no less than $630.
13    (c) No rules shall be promulgated to implement this
14Section. For purposes of this Section, "rules" is given the
15meaning contained in Section 1-70 of the Illinois
16Administrative Procedure Act.
17    (d) This Section shall not be in effect during any period
18of time that the State has in place a fully operational
19hospital assessment plan that has been approved by the Centers
20for Medicare and Medicaid Services of the U.S. Department of
21Health and Human Services.
22    (e) On and after July 1, 2012, the Department shall reduce
23any rate of reimbursement for services or other payments or
24alter any methodologies authorized by this Code to reduce any
25rate of reimbursement for services or other payments in
26accordance with Section 5-5e.

 

 

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1(Source: P.A. 102-4, eff. 4-27-21.)
 
2    Section 35. The Community Health Worker Certification and
3Reimbursement Act is amended by adding Section 5-17 as
4follows:
 
5    (410 ILCS 67/5-17 new)
6    Sec. 5-17. Community Health Workers Review Board.
7    (a) A Community Health Workers Review Board shall be
8established to advise the Department of Public Health as it
9seeks to develop an Illinois Community Health Worker
10Certification Program. The scope includes rules certifying
11both individuals, including those being grandfathered in, and
12academic and community-based training programs.
13    The Board shall recommend standards, review proposed
14regulations, and provide feedback about training programs and
15reimbursement schedules.
16    The Board shall submit an annual report to the Office of
17the Governor and the General Assembly about the progress of
18the Program.
19    The Board shall be co-chaired by a representative of the
20Department of Public Health and a representative from a
21statewide association of community health workers. Other
22members of the Board shall include:
23        (1) The Director of Public Health or his or her
24    designee.

 

 

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1        (2) The Director of Healthcare and Family Services or
2    his or her designee.
3        (3) The Secretary of Human Services or his or her
4    designee.
5        (4) The Secretary of Financial and Professional
6    Regulation or his or her designee.
7        (5) A member from the Governor's Office appointed by
8    the Governor.
9        (6) Three members appointed by the Senate President.
10        (7) A member appointed by the Senate Minority Leader.
11        (8) Three members appointed by the Speaker of the
12    House of Representatives.
13        (9) A member appointed by the Minority Leader of the
14    House of Representatives.
15        (10) A member from a statewide association of
16    community health workers appointed by the Speaker of the
17    House of Representatives.
18        (11) A member from a statewide association of
19    community health workers appointed by the Senate
20    President.
21    As appointed by the Director of Public Health, in addition
22to the members specified in this subsection, the Board shall
23have balanced representation from the community health workers
24workforce, community health worker employers, community health
25workers training and educational institutions, and community
26members who are recipients of services.

 

 

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1    The Board shall meet quarterly and may do so either in
2person or remotely.
3    The Department of Public Health shall provide
4administrative support.
5    The first annual report of the Board shall be submitted to
6the Governor and the General Assembly one year after the
7Board's first meeting. A report shall be submitted to the
8Governor and the General Assembly every year thereafter for
9each year the Board remains active.
10    (b) There is created within the Department of Public
11Health the Illinois Community Health Worker Certification
12Program. The Department shall serve as the Program's
13regulatory body with the advice and recommendation of the
14Community Health Workers Review Board. This includes the
15development and oversight of initial community health worker
16certification and certification renewals for both individuals
17and community-based and academic training programs. The Board
18shall advise on a certification process and may advise on
19training from community-based organizations, in conjunction
20with a statewide association of community health workers, and
21academic institutions, in consultation with the Illinois State
22Board of Education, the Illinois Community College Board, and
23the Illinois Board of Higher Education. The Department shall
24provide administrative support to the Board.
25    (c) The Board shall advise and recommend a certification
26process for and be authorized to approve training from

 

 

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1community-based organizations, in conjunction with a statewide
2association of community health workers, and academic
3institutions, in consultation with the Illinois State Board of
4Education, the Illinois Community College Board, and the
5Illinois Board of Higher Education. The Program shall base
6training approval on core competencies, best practices, and
7affordability. In addition, the Program shall maintain a
8registry of certification records for individually certified
9community health workers and a registry of certified training
10and educational programs. All training programs that are
11deemed certifiable shall undergo a renewal process, which
12shall be determined by administrative rule. The Program shall
13establish criteria to grandfather in any community health
14workers who were practicing prior to the establishment of the
15Program.
16    (d) To ensure high-quality service, the Program may
17examine and consider for adoption best practices from other
18states that have implemented policies to allow for alternative
19opportunities to demonstrate competency in core skills and
20knowledge in addition to certification.
21    (e) The Department of Public Health, with the advice and
22recommendation of the Board, shall set fees by administrative
23rule for Illinois Community Health Worker Program
24certification, community health worker certification, and
25certification renewals.
26    (f) The Department of Public Health, with the advice and

 

 

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1recommendation of the Board, shall have administrative
2authority to adopt rules and establish administrative
3procedures for denying, granting, suspending, and revoking any
4certification issued pursuant to this Act.
5    (g) The Director of Public Health, after notice and
6opportunity for hearing, may deny, suspend, or revoke a
7certification or fine a certificate holder or any other person
8who has violated this Act or the rules adopted under this Act.
9Notice shall be provided by certified mail, return receipt
10requested, or by personal service, fixing a date, not less
11than 15 days from the date of such mailing or service, at which
12time the person shall be given an opportunity to request a
13hearing. Failure to request a hearing within that time period
14constitutes a waiver of the right to a hearing. The hearing
15shall be conducted by the Director or by an individual
16designated in writing by the Director as a hearing officer to
17conduct the hearing. On the basis of any such hearing or upon
18default of the respondent, the Director shall make a
19determination specifying his or her findings and conclusions.
20A copy of the determination shall be sent by certified mail,
21return receipt requested, or served personally upon the
22respondent.
23    (h) The procedure governing hearings authorized by this
24Section shall be in accordance with rules adopted by the
25Department of Public Health. A full and complete record shall
26be kept of all proceedings, including the notice of hearing,

 

 

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1complaint, and all other documents in the nature of pleadings,
2written motions filed in the proceedings, and the report and
3orders of the Director of Public Health and hearing officer.
4All testimony shall be reported, but need not be transcribed
5unless the decision is sought to be reviewed under the
6Administrative Review Law of the Code of Civil Procedure. A
7copy or copies of the transcript shall be provided to the Board
8by request, and others interested in a copy or copies of the
9transcript may be obtained on payment of the cost of preparing
10the copy or copies. The Director or hearing officer shall,
11upon his or her own motion or on the written request of any
12party to the proceeding, issue subpoenas requiring the
13attendance and the giving of testimony by witnesses and
14subpoenas duces tecum requiring the production of books,
15papers, records, or memoranda. All subpoenas and subpoenas
16duces tecum issued under this Act may be served by any person
17of legal age. The fees of witnesses for attendance and travel
18shall be the same as the fees of witnesses before the courts of
19this State, such fees to be paid when the witness is excused
20from further attendance. When the witness is subpoenaed at the
21instance of the Director or hearing officer, the fees shall be
22paid in the same manner as other expenses of the Department,
23and when the witness is subpoenaed at the instance of any other
24party to any such proceeding the Department may require that
25the cost of service of the subpoena or subpoena duces tecum and
26the fee of the witness be borne by the party at whose instance

 

 

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1the witness is summoned. In such case, the Department in its
2discretion may require a deposit to cover the cost of such
3service and witness fees. A subpoena or subpoena duces tecum
4so issued pursuant to this subsection shall be served in the
5same manner as a subpoena issued by a circuit court.
6    (i) Any circuit court of this State, upon the application
7of the Director of Public Health or upon the application of any
8other party to the proceeding, may, in its discretion, compel
9the attendance of witnesses, the production of books, papers,
10records, or memoranda, and the giving of testimony before the
11Director or hearing officer conducting an investigation or
12holding a hearing authorized by this Act, by an attachment for
13contempt or otherwise, in the same manner as production of
14evidence may be compelled before the court.
15    (j) All final administrative decisions of the Department
16of Public Health under this Act shall be subject to judicial
17review pursuant to the provisions of the Administrative Review
18Law of the Code of Civil Procedure and the rules adopted under
19it. "Administrative decision" has the meaning ascribed to it
20in Section 3-101 of the Code of Civil Procedure. The
21Department is not required to certify any record or file any
22answer or otherwise appear in any proceeding for judicial
23review unless the party filing the complaint deposits with the
24clerk of the court the sum of $2 per page representing the
25costs of the certification. Failure on the part of the
26plaintiff to make such deposit shall be grounds for dismissal

 

 

SB0336 Enrolled- 35 -LRB102 12792 CPF 18131 b

1of the action.
2    (k) The State's Attorney of the county in which the
3violation occurred or the Attorney General shall bring such
4actions in the name of the people of the State of Illinois and
5may, in addition to other remedies provided in this Act, bring
6action for an injunction to restrain such violation, impose
7civil penalties, and enjoin the operation of any such person
8or establishment.
9    (l) The State's Attorney of the county in which the
10violation occurred or the Attorney General shall bring such
11actions in the name of the people of the State of Illinois and
12may, in addition to other remedies provided in this Act, bring
13action for an injunction to restrain such violation, impose
14civil penalties, and enjoin the operation of any such person
15or establishment.
16    (m) The provisions of the Illinois Administrative
17Procedure Act are adopted and shall apply to all
18administrative rules and procedures of the Department of
19Public Health under this Act, except that in cases of conflict
20between the Illinois Administrative Procedure Act and this
21Act, the provisions of this Act shall control. Section 5-35 of
22the Illinois Administrative Procedure Act relating to
23procedures for rulemaking does not apply to the adoption of
24any rule required by federal law in connection with which the
25Department is precluded by law from exercising any discretion.
26    (n) Subject to appropriation, the Department of Public

 

 

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1Health shall waive or pay for any administrative fees charged
2to a community health worker certificate holder under this
3Act.
4    (o) The Board may explore ways to compensate members of
5the Board.
6    (p) The Department is authorized to adopt rules for the
7implementation of this Section.
 
8    (410 ILCS 67/5-15 rep.)
9    Section 40. The Community Health Worker Certification and
10Reimbursement Act is amended by repealing Section 5-15.
 
11    Section 43. The Sexual Assault Survivors Emergency
12Treatment Act is amended by changing Sections 1a, 1a-1, 2,
132-1, 2.05, 2.05-1, 2.06, 2.06-1, 2.1, 2.1-1, 2.2, 2.2-1, 3,
143-1, 5, 5-1, 5.1, 5.1-1, 5.2, 5.2-1, 5.3, 5.3-1, 5.5, 5.5-1,
156.1, 6.1-1, 6.2, 6.2-1, 6.4, 6.4-1, 6.5, 6.5-1, 6.6, 6.6-1, 7,
167-1, 7.5, 7.5-1, 8, 8-1, 10, and 10-1 as follows:
 
17    (410 ILCS 70/1a)  (from Ch. 111 1/2, par. 87-1a)
18    Sec. 1a. Definitions.
19    (a) In this Act:
20    "Advanced practice registered nurse" has the meaning
21provided in Section 50-10 of the Nurse Practice Act.
22    "Ambulance provider" means an individual or entity that
23owns and operates a business or service using ambulances or

 

 

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1emergency medical services vehicles to transport emergency
2patients.
3    "Approved pediatric health care facility" means a health
4care facility, other than a hospital, with a sexual assault
5treatment plan approved by the Department to provide medical
6forensic services to pediatric sexual assault survivors who
7present with a complaint of sexual assault within a minimum of
8the last 7 days or who have disclosed past sexual assault by a
9specific individual and were in the care of that individual
10within a minimum of the last 7 days.
11    "Areawide sexual assault treatment plan" means a plan,
12developed by hospitals or by hospitals and approved pediatric
13health care facilities in a community or area to be served,
14which provides for medical forensic services to sexual assault
15survivors that shall be made available by each of the
16participating hospitals and approved pediatric health care
17facilities.
18    "Board-certified child abuse pediatrician" means a
19physician certified by the American Board of Pediatrics in
20child abuse pediatrics.
21    "Board-eligible child abuse pediatrician" means a
22physician who has completed the requirements set forth by the
23American Board of Pediatrics to take the examination for
24certification in child abuse pediatrics.
25    "Department" means the Department of Public Health.
26    "Emergency contraception" means medication as approved by

 

 

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1the federal Food and Drug Administration (FDA) that can
2significantly reduce the risk of pregnancy if taken within 72
3hours after sexual assault.
4    "Follow-up healthcare" means healthcare services related
5to a sexual assault, including laboratory services and
6pharmacy services, rendered within 90 days of the initial
7visit for medical forensic services.
8    "Health care professional" means a physician, a physician
9assistant, a sexual assault forensic examiner, an advanced
10practice registered nurse, a registered professional nurse, a
11licensed practical nurse, or a sexual assault nurse examiner.
12    "Hospital" means a hospital licensed under the Hospital
13Licensing Act or operated under the University of Illinois
14Hospital Act, any outpatient center included in the hospital's
15sexual assault treatment plan where hospital employees provide
16medical forensic services, and an out-of-state hospital that
17has consented to the jurisdiction of the Department under
18Section 2.06.
19    "Illinois State Police Sexual Assault Evidence Collection
20Kit" means a prepackaged set of materials and forms to be used
21for the collection of evidence relating to sexual assault. The
22standardized evidence collection kit for the State of Illinois
23shall be the Illinois State Police Sexual Assault Evidence
24Collection Kit.
25    "Law enforcement agency having jurisdiction" means the law
26enforcement agency in the jurisdiction where an alleged sexual

 

 

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1assault or sexual abuse occurred.
2    "Licensed practical nurse" has the meaning provided in
3Section 50-10 of the Nurse Practice Act.
4    "Medical forensic services" means health care delivered to
5patients within or under the care and supervision of personnel
6working in a designated emergency department of a hospital or
7an approved pediatric health care facility. "Medical forensic
8services" includes, but is not limited to, taking a medical
9history, performing photo documentation, performing a physical
10and anogenital examination, assessing the patient for evidence
11collection, collecting evidence in accordance with a statewide
12sexual assault evidence collection program administered by the
13Department of State Police using the Illinois State Police
14Sexual Assault Evidence Collection Kit, if appropriate,
15assessing the patient for drug-facilitated or
16alcohol-facilitated sexual assault, providing an evaluation of
17and care for sexually transmitted infection and human
18immunodeficiency virus (HIV), pregnancy risk evaluation and
19care, and discharge and follow-up healthcare planning.
20    "Pediatric health care facility" means a clinic or
21physician's office that provides medical services to pediatric
22patients.
23    "Pediatric sexual assault survivor" means a person under
24the age of 13 who presents for medical forensic services in
25relation to injuries or trauma resulting from a sexual
26assault.

 

 

SB0336 Enrolled- 40 -LRB102 12792 CPF 18131 b

1    "Photo documentation" means digital photographs or
2colposcope videos stored and backed up securely in the
3original file format.
4    "Physician" means a person licensed to practice medicine
5in all its branches.
6    "Physician assistant" has the meaning provided in Section
74 of the Physician Assistant Practice Act of 1987.
8    "Prepubescent sexual assault survivor" means a female who
9is under the age of 18 years and has not had a first menstrual
10cycle or a male who is under the age of 18 years and has not
11started to develop secondary sex characteristics who presents
12for medical forensic services in relation to injuries or
13trauma resulting from a sexual assault.
14    "Qualified medical provider" means a board-certified child
15abuse pediatrician, board-eligible child abuse pediatrician, a
16sexual assault forensic examiner, or a sexual assault nurse
17examiner who has access to photo documentation tools, and who
18participates in peer review.
19    "Registered Professional Nurse" has the meaning provided
20in Section 50-10 of the Nurse Practice Act.
21    "Sexual assault" means:
22        (1) an act of sexual conduct; as used in this
23    paragraph, "sexual conduct" has the meaning provided under
24    Section 11-0.1 of the Criminal Code of 2012; or
25        (2) any act of sexual penetration; as used in this
26    paragraph, "sexual penetration" has the meaning provided

 

 

SB0336 Enrolled- 41 -LRB102 12792 CPF 18131 b

1    under Section 11-0.1 of the Criminal Code of 2012 and
2    includes, without limitation, acts prohibited under
3    Sections 11-1.20 through 11-1.60 of the Criminal Code of
4    2012.
5    "Sexual assault forensic examiner" means a physician or
6physician assistant who has completed training that meets or
7is substantially similar to the Sexual Assault Nurse Examiner
8Education Guidelines established by the International
9Association of Forensic Nurses.
10    "Sexual assault nurse examiner" means an advanced practice
11registered nurse or registered professional nurse who has
12completed a sexual assault nurse examiner training program
13that meets the Sexual Assault Nurse Examiner Education
14Guidelines established by the International Association of
15Forensic Nurses.
16    "Sexual assault services voucher" means a document
17generated by a hospital or approved pediatric health care
18facility at the time the sexual assault survivor receives
19outpatient medical forensic services that may be used to seek
20payment for any ambulance services, medical forensic services,
21laboratory services, pharmacy services, and follow-up
22healthcare provided as a result of the sexual assault.
23    "Sexual assault survivor" means a person who presents for
24medical forensic services in relation to injuries or trauma
25resulting from a sexual assault.
26    "Sexual assault transfer plan" means a written plan

 

 

SB0336 Enrolled- 42 -LRB102 12792 CPF 18131 b

1developed by a hospital and approved by the Department, which
2describes the hospital's procedures for transferring sexual
3assault survivors to another hospital, and an approved
4pediatric health care facility, if applicable, in order to
5receive medical forensic services.
6    "Sexual assault treatment plan" means a written plan that
7describes the procedures and protocols for providing medical
8forensic services to sexual assault survivors who present
9themselves for such services, either directly or through
10transfer from a hospital or an approved pediatric health care
11facility.
12    "Transfer hospital" means a hospital with a sexual assault
13transfer plan approved by the Department.
14    "Transfer services" means the appropriate medical
15screening examination and necessary stabilizing treatment
16prior to the transfer of a sexual assault survivor to a
17hospital or an approved pediatric health care facility that
18provides medical forensic services to sexual assault survivors
19pursuant to a sexual assault treatment plan or areawide sexual
20assault treatment plan.
21    "Treatment hospital" means a hospital with a sexual
22assault treatment plan approved by the Department to provide
23medical forensic services to all sexual assault survivors who
24present with a complaint of sexual assault within a minimum of
25the last 7 days or who have disclosed past sexual assault by a
26specific individual and were in the care of that individual

 

 

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1within a minimum of the last 7 days.
2    "Treatment hospital with approved pediatric transfer"
3means a hospital with a treatment plan approved by the
4Department to provide medical forensic services to sexual
5assault survivors 13 years old or older who present with a
6complaint of sexual assault within a minimum of the last 7 days
7or who have disclosed past sexual assault by a specific
8individual and were in the care of that individual within a
9minimum of the last 7 days.
10    (b) This Section is effective on and after January 1, 2024
11July 1, 2021.
12(Source: P.A. 100-513, eff. 1-1-18; 100-775, eff. 1-1-19;
13101-81, eff. 7-12-19; 101-634, eff. 6-5-20.)
 
14    (410 ILCS 70/1a-1)
15    (Section scheduled to be repealed on December 31, 2021)
16    Sec. 1a-1. Definitions.
17    (a) In this Act:
18    "Advanced practice registered nurse" has the meaning
19provided in Section 50-10 of the Nurse Practice Act.
20    "Ambulance provider" means an individual or entity that
21owns and operates a business or service using ambulances or
22emergency medical services vehicles to transport emergency
23patients.
24    "Approved pediatric health care facility" means a health
25care facility, other than a hospital, with a sexual assault

 

 

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1treatment plan approved by the Department to provide medical
2forensic services to pediatric sexual assault survivors who
3present with a complaint of sexual assault within a minimum of
4the last 7 days or who have disclosed past sexual assault by a
5specific individual and were in the care of that individual
6within a minimum of the last 7 days.
7    "Approved federally qualified health center" means a
8facility as defined in Section 1905(l)(2)(B) of the federal
9Social Security Act with a sexual assault treatment plan
10approved by the Department to provide medical forensic
11services to sexual assault survivors 13 years old or older who
12present with a complaint of sexual assault within a minimum of
13the last 7 days or who have disclosed past sexual assault by a
14specific individual and were in the care of that individual
15within a minimum of the last 7 days.
16    "Areawide sexual assault treatment plan" means a plan,
17developed by hospitals or by hospitals, approved pediatric
18health care facilities, and approved federally qualified
19health centers in a community or area to be served, which
20provides for medical forensic services to sexual assault
21survivors that shall be made available by each of the
22participating hospitals and approved pediatric health care
23facilities.
24    "Board-certified child abuse pediatrician" means a
25physician certified by the American Board of Pediatrics in
26child abuse pediatrics.

 

 

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1    "Board-eligible child abuse pediatrician" means a
2physician who has completed the requirements set forth by the
3American Board of Pediatrics to take the examination for
4certification in child abuse pediatrics.
5    "Department" means the Department of Public Health.
6    "Emergency contraception" means medication as approved by
7the federal Food and Drug Administration (FDA) that can
8significantly reduce the risk of pregnancy if taken within 72
9hours after sexual assault.
10    "Federally qualified health center" means a facility as
11defined in Section 1905(l)(2)(B) of the federal Social
12Security Act that provides primary care or sexual health
13services.
14    "Follow-up healthcare" means healthcare services related
15to a sexual assault, including laboratory services and
16pharmacy services, rendered within 90 days of the initial
17visit for medical forensic services.
18    "Health care professional" means a physician, a physician
19assistant, a sexual assault forensic examiner, an advanced
20practice registered nurse, a registered professional nurse, a
21licensed practical nurse, or a sexual assault nurse examiner.
22    "Hospital" means a hospital licensed under the Hospital
23Licensing Act or operated under the University of Illinois
24Hospital Act, any outpatient center included in the hospital's
25sexual assault treatment plan where hospital employees provide
26medical forensic services, and an out-of-state hospital that

 

 

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1has consented to the jurisdiction of the Department under
2Section 2.06-1.
3    "Illinois State Police Sexual Assault Evidence Collection
4Kit" means a prepackaged set of materials and forms to be used
5for the collection of evidence relating to sexual assault. The
6standardized evidence collection kit for the State of Illinois
7shall be the Illinois State Police Sexual Assault Evidence
8Collection Kit.
9    "Law enforcement agency having jurisdiction" means the law
10enforcement agency in the jurisdiction where an alleged sexual
11assault or sexual abuse occurred.
12    "Licensed practical nurse" has the meaning provided in
13Section 50-10 of the Nurse Practice Act.
14    "Medical forensic services" means health care delivered to
15patients within or under the care and supervision of personnel
16working in a designated emergency department of a hospital,
17approved pediatric health care facility, or an approved
18federally qualified health centers.
19    "Medical forensic services" includes, but is not limited
20to, taking a medical history, performing photo documentation,
21performing a physical and anogenital examination, assessing
22the patient for evidence collection, collecting evidence in
23accordance with a statewide sexual assault evidence collection
24program administered by the Department of State Police using
25the Illinois State Police Sexual Assault Evidence Collection
26Kit, if appropriate, assessing the patient for

 

 

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1drug-facilitated or alcohol-facilitated sexual assault,
2providing an evaluation of and care for sexually transmitted
3infection and human immunodeficiency virus (HIV), pregnancy
4risk evaluation and care, and discharge and follow-up
5healthcare planning.
6    "Pediatric health care facility" means a clinic or
7physician's office that provides medical services to pediatric
8patients.
9    "Pediatric sexual assault survivor" means a person under
10the age of 13 who presents for medical forensic services in
11relation to injuries or trauma resulting from a sexual
12assault.
13    "Photo documentation" means digital photographs or
14colposcope videos stored and backed up securely in the
15original file format.
16    "Physician" means a person licensed to practice medicine
17in all its branches.
18    "Physician assistant" has the meaning provided in Section
194 of the Physician Assistant Practice Act of 1987.
20    "Prepubescent sexual assault survivor" means a female who
21is under the age of 18 years and has not had a first menstrual
22cycle or a male who is under the age of 18 years and has not
23started to develop secondary sex characteristics who presents
24for medical forensic services in relation to injuries or
25trauma resulting from a sexual assault.
26    "Qualified medical provider" means a board-certified child

 

 

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1abuse pediatrician, board-eligible child abuse pediatrician, a
2sexual assault forensic examiner, or a sexual assault nurse
3examiner who has access to photo documentation tools, and who
4participates in peer review.
5    "Registered Professional Nurse" has the meaning provided
6in Section 50-10 of the Nurse Practice Act.
7    "Sexual assault" means:
8        (1) an act of sexual conduct; as used in this
9    paragraph, "sexual conduct" has the meaning provided under
10    Section 11-0.1 of the Criminal Code of 2012; or
11        (2) any act of sexual penetration; as used in this
12    paragraph, "sexual penetration" has the meaning provided
13    under Section 11-0.1 of the Criminal Code of 2012 and
14    includes, without limitation, acts prohibited under
15    Sections 11-1.20 through 11-1.60 of the Criminal Code of
16    2012.
17    "Sexual assault forensic examiner" means a physician or
18physician assistant who has completed training that meets or
19is substantially similar to the Sexual Assault Nurse Examiner
20Education Guidelines established by the International
21Association of Forensic Nurses.
22    "Sexual assault nurse examiner" means an advanced practice
23registered nurse or registered professional nurse who has
24completed a sexual assault nurse examiner training program
25that meets the Sexual Assault Nurse Examiner Education
26Guidelines established by the International Association of

 

 

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1Forensic Nurses.
2    "Sexual assault services voucher" means a document
3generated by a hospital or approved pediatric health care
4facility at the time the sexual assault survivor receives
5outpatient medical forensic services that may be used to seek
6payment for any ambulance services, medical forensic services,
7laboratory services, pharmacy services, and follow-up
8healthcare provided as a result of the sexual assault.
9    "Sexual assault survivor" means a person who presents for
10medical forensic services in relation to injuries or trauma
11resulting from a sexual assault.
12    "Sexual assault transfer plan" means a written plan
13developed by a hospital and approved by the Department, which
14describes the hospital's procedures for transferring sexual
15assault survivors to another hospital, and an approved
16pediatric health care facility, if applicable, in order to
17receive medical forensic services.
18    "Sexual assault treatment plan" means a written plan that
19describes the procedures and protocols for providing medical
20forensic services to sexual assault survivors who present
21themselves for such services, either directly or through
22transfer from a hospital or an approved pediatric health care
23facility.
24    "Transfer hospital" means a hospital with a sexual assault
25transfer plan approved by the Department.
26    "Transfer services" means the appropriate medical

 

 

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1screening examination and necessary stabilizing treatment
2prior to the transfer of a sexual assault survivor to a
3hospital or an approved pediatric health care facility that
4provides medical forensic services to sexual assault survivors
5pursuant to a sexual assault treatment plan or areawide sexual
6assault treatment plan.
7    "Treatment hospital" means a hospital with a sexual
8assault treatment plan approved by the Department to provide
9medical forensic services to all sexual assault survivors who
10present with a complaint of sexual assault within a minimum of
11the last 7 days or who have disclosed past sexual assault by a
12specific individual and were in the care of that individual
13within a minimum of the last 7 days.
14    "Treatment hospital with approved pediatric transfer"
15means a hospital with a treatment plan approved by the
16Department to provide medical forensic services to sexual
17assault survivors 13 years old or older who present with a
18complaint of sexual assault within a minimum of the last 7 days
19or who have disclosed past sexual assault by a specific
20individual and were in the care of that individual within a
21minimum of the last 7 days.
22    (b) This Section is repealed on December 31, 2023 2021.
23(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21.)
 
24    (410 ILCS 70/2)  (from Ch. 111 1/2, par. 87-2)
25    Sec. 2. Hospital and approved pediatric health care

 

 

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1facility requirements for sexual assault plans.
2    (a) Every hospital required to be licensed by the
3Department pursuant to the Hospital Licensing Act, or operated
4under the University of Illinois Hospital Act that provides
5general medical and surgical hospital services shall provide
6either (i) transfer services to all sexual assault survivors,
7(ii) medical forensic services to all sexual assault
8survivors, or (iii) transfer services to pediatric sexual
9assault survivors and medical forensic services to sexual
10assault survivors 13 years old or older, in accordance with
11rules adopted by the Department.
12    In addition, every such hospital, regardless of whether or
13not a request is made for reimbursement, shall submit to the
14Department a plan to provide either (i) transfer services to
15all sexual assault survivors, (ii) medical forensic services
16to all sexual assault survivors, or (iii) transfer services to
17pediatric sexual assault survivors and medical forensic
18services to sexual assault survivors 13 years old or older.
19The Department shall approve such plan for either (i) transfer
20services to all sexual assault survivors, (ii) medical
21forensic services to all sexual assault survivors, or (iii)
22transfer services to pediatric sexual assault survivors and
23medical forensic services to sexual assault survivors 13 years
24old or older, if it finds that the implementation of the
25proposed plan would provide (i) transfer services or (ii)
26medical forensic services for sexual assault survivors in

 

 

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1accordance with the requirements of this Act and provide
2sufficient protections from the risk of pregnancy to sexual
3assault survivors. Notwithstanding anything to the contrary in
4this paragraph, the Department may approve a sexual assault
5transfer plan for the provision of medical forensic services
6if:
7        (1) a treatment hospital with approved pediatric
8    transfer has agreed, as part of an areawide treatment
9    plan, to accept sexual assault survivors 13 years of age
10    or older from the proposed transfer hospital, if the
11    treatment hospital with approved pediatric transfer is
12    geographically closer to the transfer hospital than a
13    treatment hospital or another treatment hospital with
14    approved pediatric transfer and such transfer is not
15    unduly burdensome on the sexual assault survivor; and
16        (2) a treatment hospital has agreed, as a part of an
17    areawide treatment plan, to accept sexual assault
18    survivors under 13 years of age from the proposed transfer
19    hospital and transfer to the treatment hospital would not
20    unduly burden the sexual assault survivor.
21    The Department may not approve a sexual assault transfer
22plan unless a treatment hospital has agreed, as a part of an
23areawide treatment plan, to accept sexual assault survivors
24from the proposed transfer hospital and a transfer to the
25treatment hospital would not unduly burden the sexual assault
26survivor.

 

 

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1    In counties with a population of less than 1,000,000, the
2Department may not approve a sexual assault transfer plan for
3a hospital located within a 20-mile radius of a 4-year public
4university, not including community colleges, unless there is
5a treatment hospital with a sexual assault treatment plan
6approved by the Department within a 20-mile radius of the
74-year public university.
8    A transfer must be in accordance with federal and State
9laws and local ordinances.
10    A treatment hospital with approved pediatric transfer must
11submit an areawide treatment plan under Section 3 of this Act
12that includes a written agreement with a treatment hospital
13stating that the treatment hospital will provide medical
14forensic services to pediatric sexual assault survivors
15transferred from the treatment hospital with approved
16pediatric transfer. The areawide treatment plan may also
17include an approved pediatric health care facility.
18    A transfer hospital must submit an areawide treatment plan
19under Section 3 of this Act that includes a written agreement
20with a treatment hospital stating that the treatment hospital
21will provide medical forensic services to all sexual assault
22survivors transferred from the transfer hospital. The areawide
23treatment plan may also include an approved pediatric health
24care facility. Notwithstanding anything to the contrary in
25this paragraph, the areawide treatment plan may include a
26written agreement with a treatment hospital with approved

 

 

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1pediatric transfer that is geographically closer than other
2hospitals providing medical forensic services to sexual
3assault survivors 13 years of age or older stating that the
4treatment hospital with approved pediatric transfer will
5provide medical services to sexual assault survivors 13 years
6of age or older who are transferred from the transfer
7hospital. If the areawide treatment plan includes a written
8agreement with a treatment hospital with approved pediatric
9transfer, it must also include a written agreement with a
10treatment hospital stating that the treatment hospital will
11provide medical forensic services to sexual assault survivors
12under 13 years of age who are transferred from the transfer
13hospital.
14    Beginning January 1, 2019, each treatment hospital and
15treatment hospital with approved pediatric transfer shall
16ensure that emergency department attending physicians,
17physician assistants, advanced practice registered nurses, and
18registered professional nurses providing clinical services,
19who do not meet the definition of a qualified medical provider
20in Section 1a of this Act, receive a minimum of 2 hours of
21sexual assault training by July 1, 2020 or until the treatment
22hospital or treatment hospital with approved pediatric
23transfer certifies to the Department, in a form and manner
24prescribed by the Department, that it employs or contracts
25with a qualified medical provider in accordance with
26subsection (a-7) of Section 5, whichever occurs first.

 

 

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1    After July 1, 2020 or once a treatment hospital or a
2treatment hospital with approved pediatric transfer certifies
3compliance with subsection (a-7) of Section 5, whichever
4occurs first, each treatment hospital and treatment hospital
5with approved pediatric transfer shall ensure that emergency
6department attending physicians, physician assistants,
7advanced practice registered nurses, and registered
8professional nurses providing clinical services, who do not
9meet the definition of a qualified medical provider in Section
101a of this Act, receive a minimum of 2 hours of continuing
11education on responding to sexual assault survivors every 2
12years. Protocols for training shall be included in the
13hospital's sexual assault treatment plan.
14    Sexual assault training provided under this subsection may
15be provided in person or online and shall include, but not be
16limited to:
17        (1) information provided on the provision of medical
18    forensic services;
19        (2) information on the use of the Illinois Sexual
20    Assault Evidence Collection Kit;
21        (3) information on sexual assault epidemiology,
22    neurobiology of trauma, drug-facilitated sexual assault,
23    child sexual abuse, and Illinois sexual assault-related
24    laws; and
25        (4) information on the hospital's sexual
26    assault-related policies and procedures.

 

 

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1    The online training made available by the Office of the
2Attorney General under subsection (b) of Section 10 may be
3used to comply with this subsection.
4    (b) An approved pediatric health care facility may provide
5medical forensic services, in accordance with rules adopted by
6the Department, to all pediatric sexual assault survivors who
7present for medical forensic services in relation to injuries
8or trauma resulting from a sexual assault. These services
9shall be provided by a qualified medical provider.
10    A pediatric health care facility must participate in or
11submit an areawide treatment plan under Section 3 of this Act
12that includes a treatment hospital. If a pediatric health care
13facility does not provide certain medical or surgical services
14that are provided by hospitals, the areawide sexual assault
15treatment plan must include a procedure for ensuring a sexual
16assault survivor in need of such medical or surgical services
17receives the services at the treatment hospital. The areawide
18treatment plan may also include a treatment hospital with
19approved pediatric transfer.
20    The Department shall review a proposed sexual assault
21treatment plan submitted by a pediatric health care facility
22within 60 days after receipt of the plan. If the Department
23finds that the proposed plan meets the minimum requirements
24set forth in Section 5 of this Act and that implementation of
25the proposed plan would provide medical forensic services for
26pediatric sexual assault survivors, then the Department shall

 

 

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1approve the plan. If the Department does not approve a plan,
2then the Department shall notify the pediatric health care
3facility that the proposed plan has not been approved. The
4pediatric health care facility shall have 30 days to submit a
5revised plan. The Department shall review the revised plan
6within 30 days after receipt of the plan and notify the
7pediatric health care facility whether the revised plan is
8approved or rejected. A pediatric health care facility may not
9provide medical forensic services to pediatric sexual assault
10survivors who present with a complaint of sexual assault
11within a minimum of the last 7 days or who have disclosed past
12sexual assault by a specific individual and were in the care of
13that individual within a minimum of the last 7 days until the
14Department has approved a treatment plan.
15    If an approved pediatric health care facility is not open
1624 hours a day, 7 days a week, it shall post signage at each
17public entrance to its facility that:
18        (1) is at least 14 inches by 14 inches in size;
19        (2) directs those seeking services as follows: "If
20    closed, call 911 for services or go to the closest
21    hospital emergency department, (insert name) located at
22    (insert address).";
23        (3) lists the approved pediatric health care
24    facility's hours of operation;
25        (4) lists the street address of the building;
26        (5) has a black background with white bold capital

 

 

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1    lettering in a clear and easy to read font that is at least
2    72-point type, and with "call 911" in at least 125-point
3    type;
4        (6) is posted clearly and conspicuously on or adjacent
5    to the door at each entrance and, if building materials
6    allow, is posted internally for viewing through glass; if
7    posted externally, the sign shall be made of
8    weather-resistant and theft-resistant materials,
9    non-removable, and adhered permanently to the building;
10    and
11        (7) has lighting that is part of the sign itself or is
12    lit with a dedicated light that fully illuminates the
13    sign.
14    A copy of the proposed sign must be submitted to the
15Department and approved as part of the approved pediatric
16health care facility's sexual assault treatment plan.
17    (c) Each treatment hospital, treatment hospital with
18approved pediatric transfer, and approved pediatric health
19care facility must enter into a memorandum of understanding
20with a rape crisis center for medical advocacy services, if
21these services are available to the treatment hospital,
22treatment hospital with approved pediatric transfer, or
23approved pediatric health care facility. With the consent of
24the sexual assault survivor, a rape crisis counselor shall
25remain in the exam room during the collection for forensic
26evidence.

 

 

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1    (d) Every treatment hospital, treatment hospital with
2approved pediatric transfer, and approved pediatric health
3care facility's sexual assault treatment plan shall include
4procedures for complying with mandatory reporting requirements
5pursuant to (1) the Abused and Neglected Child Reporting Act;
6(2) the Abused and Neglected Long Term Care Facility Residents
7Reporting Act; (3) the Adult Protective Services Act; and (iv)
8the Criminal Identification Act.
9    (e) Each treatment hospital, treatment hospital with
10approved pediatric transfer, and approved pediatric health
11care facility shall submit to the Department every 6 months,
12in a manner prescribed by the Department, the following
13information:
14        (1) The total number of patients who presented with a
15    complaint of sexual assault.
16        (2) The total number of Illinois Sexual Assault
17    Evidence Collection Kits:
18            (A) offered to (i) all sexual assault survivors
19        and (ii) pediatric sexual assault survivors pursuant
20        to paragraph (1.5) of subsection (a-5) of Section 5;
21            (B) completed for (i) all sexual assault survivors
22        and (ii) pediatric sexual assault survivors; and
23            (C) declined by (i) all sexual assault survivors
24        and (ii) pediatric sexual assault survivors.
25    This information shall be made available on the
26Department's website.

 

 

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1    (f) This Section is effective on and after January 1, 2024
22022.
3(Source: P.A. 101-73, eff. 7-12-19; 101-634, eff. 6-5-20;
4102-22, eff. 6-25-21.)
 
5    (410 ILCS 70/2-1)
6    (Section scheduled to be repealed on December 31, 2021)
7    Sec. 2-1. Hospital, approved pediatric health care
8facility, and approved federally qualified health center
9requirements for sexual assault plans.
10    (a) Every hospital required to be licensed by the
11Department pursuant to the Hospital Licensing Act, or operated
12under the University of Illinois Hospital Act that provides
13general medical and surgical hospital services shall provide
14either (i) transfer services to all sexual assault survivors,
15(ii) medical forensic services to all sexual assault
16survivors, or (iii) transfer services to pediatric sexual
17assault survivors and medical forensic services to sexual
18assault survivors 13 years old or older, in accordance with
19rules adopted by the Department.
20    In addition, every such hospital, regardless of whether or
21not a request is made for reimbursement, shall submit to the
22Department a plan to provide either (i) transfer services to
23all sexual assault survivors, (ii) medical forensic services
24to all sexual assault survivors, or (iii) transfer services to
25pediatric sexual assault survivors and medical forensic

 

 

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1services to sexual assault survivors 13 years old or older.
2The Department shall approve such plan for either (i) transfer
3services to all sexual assault survivors, (ii) medical
4forensic services to all sexual assault survivors, or (iii)
5transfer services to pediatric sexual assault survivors and
6medical forensic services to sexual assault survivors 13 years
7old or older, if it finds that the implementation of the
8proposed plan would provide (i) transfer services or (ii)
9medical forensic services for sexual assault survivors in
10accordance with the requirements of this Act and provide
11sufficient protections from the risk of pregnancy to sexual
12assault survivors. Notwithstanding anything to the contrary in
13this paragraph, the Department may approve a sexual assault
14transfer plan for the provision of medical forensic services
15if:
16        (1) a treatment hospital with approved pediatric
17    transfer has agreed, as part of an areawide treatment
18    plan, to accept sexual assault survivors 13 years of age
19    or older from the proposed transfer hospital, if the
20    treatment hospital with approved pediatric transfer is
21    geographically closer to the transfer hospital than a
22    treatment hospital or another treatment hospital with
23    approved pediatric transfer and such transfer is not
24    unduly burdensome on the sexual assault survivor; and
25        (2) a treatment hospital has agreed, as a part of an
26    areawide treatment plan, to accept sexual assault

 

 

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1    survivors under 13 years of age from the proposed transfer
2    hospital and transfer to the treatment hospital would not
3    unduly burden the sexual assault survivor.
4    The Department may not approve a sexual assault transfer
5plan unless a treatment hospital has agreed, as a part of an
6areawide treatment plan, to accept sexual assault survivors
7from the proposed transfer hospital and a transfer to the
8treatment hospital would not unduly burden the sexual assault
9survivor.
10    In counties with a population of less than 1,000,000, the
11Department may not approve a sexual assault transfer plan for
12a hospital located within a 20-mile radius of a 4-year public
13university, not including community colleges, unless there is
14a treatment hospital with a sexual assault treatment plan
15approved by the Department within a 20-mile radius of the
164-year public university.
17    A transfer must be in accordance with federal and State
18laws and local ordinances.
19    A treatment hospital with approved pediatric transfer must
20submit an areawide treatment plan under Section 3-1 of this
21Act that includes a written agreement with a treatment
22hospital stating that the treatment hospital will provide
23medical forensic services to pediatric sexual assault
24survivors transferred from the treatment hospital with
25approved pediatric transfer. The areawide treatment plan may
26also include an approved pediatric health care facility.

 

 

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1    A transfer hospital must submit an areawide treatment plan
2under Section 3-1 of this Act that includes a written
3agreement with a treatment hospital stating that the treatment
4hospital will provide medical forensic services to all sexual
5assault survivors transferred from the transfer hospital. The
6areawide treatment plan may also include an approved pediatric
7health care facility. Notwithstanding anything to the contrary
8in this paragraph, the areawide treatment plan may include a
9written agreement with a treatment hospital with approved
10pediatric transfer that is geographically closer than other
11hospitals providing medical forensic services to sexual
12assault survivors 13 years of age or older stating that the
13treatment hospital with approved pediatric transfer will
14provide medical services to sexual assault survivors 13 years
15of age or older who are transferred from the transfer
16hospital. If the areawide treatment plan includes a written
17agreement with a treatment hospital with approved pediatric
18transfer, it must also include a written agreement with a
19treatment hospital stating that the treatment hospital will
20provide medical forensic services to sexual assault survivors
21under 13 years of age who are transferred from the transfer
22hospital.
23    Beginning January 1, 2019, each treatment hospital and
24treatment hospital with approved pediatric transfer shall
25ensure that emergency department attending physicians,
26physician assistants, advanced practice registered nurses, and

 

 

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1registered professional nurses providing clinical services,
2who do not meet the definition of a qualified medical provider
3in Section 1a-1 of this Act, receive a minimum of 2 hours of
4sexual assault training by July 1, 2020 or until the treatment
5hospital or treatment hospital with approved pediatric
6transfer certifies to the Department, in a form and manner
7prescribed by the Department, that it employs or contracts
8with a qualified medical provider in accordance with
9subsection (a-7) of Section 5-1, whichever occurs first.
10    After July 1, 2020 or once a treatment hospital or a
11treatment hospital with approved pediatric transfer certifies
12compliance with subsection (a-7) of Section 5-1, whichever
13occurs first, each treatment hospital and treatment hospital
14with approved pediatric transfer shall ensure that emergency
15department attending physicians, physician assistants,
16advanced practice registered nurses, and registered
17professional nurses providing clinical services, who do not
18meet the definition of a qualified medical provider in Section
191a-1 of this Act, receive a minimum of 2 hours of continuing
20education on responding to sexual assault survivors every 2
21years. Protocols for training shall be included in the
22hospital's sexual assault treatment plan.
23    Sexual assault training provided under this subsection may
24be provided in person or online and shall include, but not be
25limited to:
26        (1) information provided on the provision of medical

 

 

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1    forensic services;
2        (2) information on the use of the Illinois Sexual
3    Assault Evidence Collection Kit;
4        (3) information on sexual assault epidemiology,
5    neurobiology of trauma, drug-facilitated sexual assault,
6    child sexual abuse, and Illinois sexual assault-related
7    laws; and
8        (4) information on the hospital's sexual
9    assault-related policies and procedures.
10    The online training made available by the Office of the
11Attorney General under subsection (b) of Section 10-1 may be
12used to comply with this subsection.
13    (b) An approved pediatric health care facility may provide
14medical forensic services, in accordance with rules adopted by
15the Department, to all pediatric sexual assault survivors who
16present for medical forensic services in relation to injuries
17or trauma resulting from a sexual assault. These services
18shall be provided by a qualified medical provider.
19    A pediatric health care facility must participate in or
20submit an areawide treatment plan under Section 3-1 of this
21Act that includes a treatment hospital. If a pediatric health
22care facility does not provide certain medical or surgical
23services that are provided by hospitals, the areawide sexual
24assault treatment plan must include a procedure for ensuring a
25sexual assault survivor in need of such medical or surgical
26services receives the services at the treatment hospital. The

 

 

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1areawide treatment plan may also include a treatment hospital
2with approved pediatric transfer.
3    The Department shall review a proposed sexual assault
4treatment plan submitted by a pediatric health care facility
5within 60 days after receipt of the plan. If the Department
6finds that the proposed plan meets the minimum requirements
7set forth in Section 5-1 of this Act and that implementation of
8the proposed plan would provide medical forensic services for
9pediatric sexual assault survivors, then the Department shall
10approve the plan. If the Department does not approve a plan,
11then the Department shall notify the pediatric health care
12facility that the proposed plan has not been approved. The
13pediatric health care facility shall have 30 days to submit a
14revised plan. The Department shall review the revised plan
15within 30 days after receipt of the plan and notify the
16pediatric health care facility whether the revised plan is
17approved or rejected. A pediatric health care facility may not
18provide medical forensic services to pediatric sexual assault
19survivors who present with a complaint of sexual assault
20within a minimum of the last 7 days or who have disclosed past
21sexual assault by a specific individual and were in the care of
22that individual within a minimum of the last 7 days until the
23Department has approved a treatment plan.
24    If an approved pediatric health care facility is not open
2524 hours a day, 7 days a week, it shall post signage at each
26public entrance to its facility that:

 

 

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1        (1) is at least 14 inches by 14 inches in size;
2        (2) directs those seeking services as follows: "If
3    closed, call 911 for services or go to the closest
4    hospital emergency department, (insert name) located at
5    (insert address).";
6        (3) lists the approved pediatric health care
7    facility's hours of operation;
8        (4) lists the street address of the building;
9        (5) has a black background with white bold capital
10    lettering in a clear and easy to read font that is at least
11    72-point type, and with "call 911" in at least 125-point
12    type;
13        (6) is posted clearly and conspicuously on or adjacent
14    to the door at each entrance and, if building materials
15    allow, is posted internally for viewing through glass; if
16    posted externally, the sign shall be made of
17    weather-resistant and theft-resistant materials,
18    non-removable, and adhered permanently to the building;
19    and
20        (7) has lighting that is part of the sign itself or is
21    lit with a dedicated light that fully illuminates the
22    sign.
23    (b-5) An approved federally qualified health center may
24provide medical forensic services, in accordance with rules
25adopted by the Department, to all sexual assault survivors 13
26years old or older who present for medical forensic services

 

 

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1in relation to injuries or trauma resulting from a sexual
2assault during the duration, and 90 days thereafter, of a
3proclamation issued by the Governor declaring a disaster, or a
4successive proclamation regarding the same disaster, in all
5102 counties due to a public health emergency. These services
6shall be provided by (i) a qualified medical provider,
7physician, physician assistant, or advanced practice
8registered nurse who has received a minimum of 10 hours of
9sexual assault training provided by a qualified medical
10provider on current Illinois legislation, how to properly
11perform a medical forensic examination, evidence collection,
12drug and alcohol facilitated sexual assault, and forensic
13photography and has all documentation and photos peer reviewed
14by a qualified medical provider or (ii) until the federally
15qualified health care center certifies to the Department, in a
16form and manner prescribed by the Department, that it employs
17or contracts with a qualified medical provider in accordance
18with subsection (a-7) of Section 5-1, whichever occurs first.
19    A federally qualified health center must participate in or
20submit an areawide treatment plan under Section 3-1 of this
21Act that includes a treatment hospital. If a federally
22qualified health center does not provide certain medical or
23surgical services that are provided by hospitals, the areawide
24sexual assault treatment plan must include a procedure for
25ensuring a sexual assault survivor in need of such medical or
26surgical services receives the services at the treatment

 

 

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1hospital. The areawide treatment plan may also include a
2treatment hospital with approved pediatric transfer or an
3approved pediatric health care facility.
4    The Department shall review a proposed sexual assault
5treatment plan submitted by a federally qualified health
6center within 14 days after receipt of the plan. If the
7Department finds that the proposed plan meets the minimum
8requirements set forth in Section 5-1 and that implementation
9of the proposed plan would provide medical forensic services
10for sexual assault survivors 13 years old or older, then the
11Department shall approve the plan. If the Department does not
12approve a plan, then the Department shall notify the federally
13qualified health center that the proposed plan has not been
14approved. The federally qualified health center shall have 14
15days to submit a revised plan. The Department shall review the
16revised plan within 14 days after receipt of the plan and
17notify the federally qualified health center whether the
18revised plan is approved or rejected. A federally qualified
19health center may not (i) provide medical forensic services to
20sexual assault survivors 13 years old or older who present
21with a complaint of sexual assault within a minimum of the
22previous 7 days or (ii) who have disclosed past sexual assault
23by a specific individual and were in the care of that
24individual within a minimum of the previous 7 days until the
25Department has approved a treatment plan.
26    If an approved federally qualified health center is not

 

 

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1open 24 hours a day, 7 days a week, it shall post signage at
2each public entrance to its facility that:
3        (1) is at least 14 inches by 14 inches in size;
4        (2) directs those seeking services as follows: "If
5    closed, call 911 for services or go to the closest
6    hospital emergency department, (insert name) located at
7    (insert address).";
8        (3) lists the approved federally qualified health
9    center's hours of operation;
10        (4) lists the street address of the building;
11        (5) has a black background with white bold capital
12    lettering in a clear and easy to read font that is at least
13    72-point type, and with "call 911" in at least 125-point
14    type;
15        (6) is posted clearly and conspicuously on or adjacent
16    to the door at each entrance and, if building materials
17    allow, is posted internally for viewing through glass; if
18    posted externally, the sign shall be made of
19    weather-resistant and theft-resistant materials,
20    non-removable, and adhered permanently to the building;
21    and
22        (7) has lighting that is part of the sign itself or is
23    lit with a dedicated light that fully illuminates the
24    sign.
25    A copy of the proposed sign must be submitted to the
26Department and approved as part of the approved federally

 

 

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1qualified health center's sexual assault treatment plan.
2    (c) Each treatment hospital, treatment hospital with
3approved pediatric transfer, approved pediatric health care
4facility, and approved federally qualified health center must
5enter into a memorandum of understanding with a rape crisis
6center for medical advocacy services, if these services are
7available to the treatment hospital, treatment hospital with
8approved pediatric transfer, approved pediatric health care
9facility, or approved federally qualified health center. With
10the consent of the sexual assault survivor, a rape crisis
11counselor shall remain in the exam room during the collection
12for forensic evidence.
13    (d) Every treatment hospital, treatment hospital with
14approved pediatric transfer, approved pediatric health care
15facility, and approved federally qualified health center's
16sexual assault treatment plan shall include procedures for
17complying with mandatory reporting requirements pursuant to
18(1) the Abused and Neglected Child Reporting Act; (2) the
19Abused and Neglected Long Term Care Facility Residents
20Reporting Act; (3) the Adult Protective Services Act; and (iv)
21the Criminal Identification Act.
22    (e) Each treatment hospital, treatment hospital with
23approved pediatric transfer, approved pediatric health care
24facility, and approved federally qualified health center shall
25submit to the Department every 6 months, in a manner
26prescribed by the Department, the following information:

 

 

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1        (1) The total number of patients who presented with a
2    complaint of sexual assault.
3        (2) The total number of Illinois Sexual Assault
4    Evidence Collection Kits:
5            (A) offered to (i) all sexual assault survivors
6        and (ii) pediatric sexual assault survivors pursuant
7        to paragraph (1.5) of subsection (a-5) of Section 5-1;
8            (B) completed for (i) all sexual assault survivors
9        and (ii) pediatric sexual assault survivors; and
10            (C) declined by (i) all sexual assault survivors
11        and (ii) pediatric sexual assault survivors.
12    This information shall be made available on the
13Department's website.
14    (f) This Section is repealed on December 31, 2023 2021.
15(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21.)
 
16    (410 ILCS 70/2.05)
17    Sec. 2.05. Department requirements.
18    (a) The Department shall periodically conduct on-site
19reviews of approved sexual assault treatment plans with
20hospital and approved pediatric health care facility personnel
21to ensure that the established procedures are being followed.
22Department personnel conducting the on-site reviews shall
23attend 4 hours of sexual assault training conducted by a
24qualified medical provider that includes, but is not limited
25to, forensic evidence collection provided to sexual assault

 

 

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1survivors of any age and Illinois sexual assault-related laws
2and administrative rules.
3    (b) On July 1, 2019 and each July 1 thereafter, the
4Department shall submit a report to the General Assembly
5containing information on the hospitals and pediatric health
6care facilities in this State that have submitted a plan to
7provide: (i) transfer services to all sexual assault
8survivors, (ii) medical forensic services to all sexual
9assault survivors, (iii) transfer services to pediatric sexual
10assault survivors and medical forensic services to sexual
11assault survivors 13 years old or older, or (iv) medical
12forensic services to pediatric sexual assault survivors. The
13Department shall post the report on its Internet website on or
14before October 1, 2019 and, except as otherwise provided in
15this Section, update the report every quarter thereafter. The
16report shall include all of the following:
17        (1) Each hospital and pediatric care facility that has
18    submitted a plan, including the submission date of the
19    plan, type of plan submitted, and the date the plan was
20    approved or denied. If a pediatric health care facility
21    withdraws its plan, the Department shall immediately
22    update the report on its Internet website to remove the
23    pediatric health care facility's name and information.
24        (2) Each hospital that has failed to submit a plan as
25    required in subsection (a) of Section 2.
26        (3) Each hospital and approved pediatric care facility

 

 

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1    that has to submit an acceptable Plan of Correction within
2    the time required by Section 2.1, including the date the
3    Plan of Correction was required to be submitted. Once a
4    hospital or approved pediatric health care facility
5    submits and implements the required Plan of Correction,
6    the Department shall immediately update the report on its
7    Internet website to reflect that hospital or approved
8    pediatric health care facility's compliance.
9        (4) Each hospital and approved pediatric care facility
10    at which the periodic on-site review required by Section
11    2.05 of this Act has been conducted, including the date of
12    the on-site review and whether the hospital or approved
13    pediatric care facility was found to be in compliance with
14    its approved plan.
15        (5) Each areawide treatment plan submitted to the
16    Department pursuant to Section 3 of this Act, including
17    which treatment hospitals, treatment hospitals with
18    approved pediatric transfer, transfer hospitals and
19    approved pediatric health care facilities are identified
20    in each areawide treatment plan.
21    (c) The Department, in consultation with the Office of the
22Attorney General, shall adopt administrative rules by January
231, 2020 establishing a process for physicians and physician
24assistants to provide documentation of training and clinical
25experience that meets or is substantially similar to the
26Sexual Assault Nurse Examiner Education Guidelines established

 

 

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1by the International Association of Forensic Nurses in order
2to qualify as a sexual assault forensic examiner.
3    (d) This Section is effective on and after January 1, 2024
42022.
5(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21.)
 
6    (410 ILCS 70/2.05-1)
7    (Section scheduled to be repealed on December 31, 2021)
8    Sec. 2.05-1. Department requirements.
9    (a) The Department shall periodically conduct on-site
10reviews of approved sexual assault treatment plans with
11hospital, approved pediatric health care facility, and
12approved federally qualified health care personnel to ensure
13that the established procedures are being followed. Department
14personnel conducting the on-site reviews shall attend 4 hours
15of sexual assault training conducted by a qualified medical
16provider that includes, but is not limited to, forensic
17evidence collection provided to sexual assault survivors of
18any age and Illinois sexual assault-related laws and
19administrative rules.
20    (b) On July 1, 2019 and each July 1 thereafter, the
21Department shall submit a report to the General Assembly
22containing information on the hospitals, pediatric health care
23facilities, and federally qualified health centers in this
24State that have submitted a plan to provide: (i) transfer
25services to all sexual assault survivors, (ii) medical

 

 

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1forensic services to all sexual assault survivors, (iii)
2transfer services to pediatric sexual assault survivors and
3medical forensic services to sexual assault survivors 13 years
4old or older, or (iv) medical forensic services to pediatric
5sexual assault survivors. The Department shall post the report
6on its Internet website on or before October 1, 2019 and,
7except as otherwise provided in this Section, update the
8report every quarter thereafter. The report shall include all
9of the following:
10        (1) Each hospital, pediatric care facility, and
11    federally qualified health center that has submitted a
12    plan, including the submission date of the plan, type of
13    plan submitted, and the date the plan was approved or
14    denied. If a pediatric health care facility withdraws its
15    plan, the Department shall immediately update the report
16    on its Internet website to remove the pediatric health
17    care facility's name and information.
18        (2) Each hospital that has failed to submit a plan as
19    required in subsection (a) of Section 2-1.
20        (3) Each hospital, approved pediatric care facility,
21    and federally qualified health center that has to submit
22    an acceptable Plan of Correction within the time required
23    by Section 2.1-1, including the date the Plan of
24    Correction was required to be submitted. Once a hospital,
25    approved pediatric health care facility, or approved
26    federally qualified health center submits and implements

 

 

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1    the required Plan of Correction, the Department shall
2    immediately update the report on its Internet website to
3    reflect that hospital, approved pediatric health care
4    facility, or federally qualified health center's
5    compliance.
6        (4) Each hospital, approved pediatric care facility,
7    and federally qualified health center at which the
8    periodic on-site review required by Section 2.05-1 of this
9    Act has been conducted, including the date of the on-site
10    review and whether the hospital, approved pediatric care
11    facility, and federally qualified health center was found
12    to be in compliance with its approved plan.
13        (5) Each areawide treatment plan submitted to the
14    Department pursuant to Section 3-1 of this Act, including
15    which treatment hospitals, treatment hospitals with
16    approved pediatric transfer, transfer hospitals, approved
17    pediatric health care facilities, and approved federally
18    qualified health centers are identified in each areawide
19    treatment plan.
20        (6) During the duration, and 90 days thereafter, of a
21    proclamation issued by the Governor declaring a disaster,
22    or a successive proclamation regarding the same disaster,
23    in all 102 counties due to a public health emergency, the
24    Department shall immediately update the report on its
25    website to reflect each federally qualified health center
26    that has submitted a plan, including the submission date

 

 

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1    of the plan, type of plan submitted, and the date the plan
2    was approved.
3    (c) The Department, in consultation with the Office of the
4Attorney General, shall adopt administrative rules by January
51, 2020 establishing a process for physicians and physician
6assistants to provide documentation of training and clinical
7experience that meets or is substantially similar to the
8Sexual Assault Nurse Examiner Education Guidelines established
9by the International Association of Forensic Nurses in order
10to qualify as a sexual assault forensic examiner.
11    (d) This Section is repealed on December 31, 2023 2021.
12(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21.)
 
13    (410 ILCS 70/2.06)
14    Sec. 2.06. Consent to jurisdiction.
15    (a) A pediatric health care facility that submits a plan
16to the Department for approval under Section 2 or an
17out-of-state hospital that submits an areawide treatment plan
18in accordance with subsection (b) of Section 5.4 consents to
19the jurisdiction and oversight of the Department, including,
20but not limited to, inspections, investigations, and
21evaluations arising out of complaints relevant to this Act
22made to the Department. A pediatric health care facility that
23submits a plan to the Department for approval under Section 2
24or an out-of-state hospital that submits an areawide treatment
25plan in accordance with subsection (b) of Section 5.4 shall be

 

 

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1deemed to have given consent to annual inspections, surveys,
2or evaluations relevant to this Act by properly identified
3personnel of the Department or by such other properly
4identified persons, including local health department staff,
5as the Department may designate. In addition, representatives
6of the Department shall have access to and may reproduce or
7photocopy any books, records, and other documents maintained
8by the pediatric health care facility or the facility's
9representatives or the out-of-state hospital or the
10out-of-state hospital's representative to the extent necessary
11to carry out this Act. No representative, agent, or person
12acting on behalf of the pediatric health care facility or
13out-of-state hospital in any manner shall intentionally
14prevent, interfere with, or attempt to impede in any way any
15duly authorized investigation and enforcement of this Act. The
16Department shall have the power to adopt rules to carry out the
17purpose of regulating a pediatric health care facility or
18out-of-state hospital. In carrying out oversight of a
19pediatric health care facility or an out-of-state hospital,
20the Department shall respect the confidentiality of all
21patient records, including by complying with the patient
22record confidentiality requirements set out in Section 6.14b
23of the Hospital Licensing Act.
24    (b) This Section is effective on and after January 1, 2024
252022.
26(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21.)
 

 

 

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1    (410 ILCS 70/2.06-1)
2    (Section scheduled to be repealed on December 31, 2021)
3    Sec. 2.06-1. Consent to jurisdiction.
4    (a) A pediatric health care facility or federally
5qualified health center that submits a plan to the Department
6for approval under Section 2-1 or an out-of-state hospital
7that submits an areawide treatment plan in accordance with
8subsection (b) of Section 5.4 consents to the jurisdiction and
9oversight of the Department, including, but not limited to,
10inspections, investigations, and evaluations arising out of
11complaints relevant to this Act made to the Department. A
12pediatric health care facility or federally qualified health
13center that submits a plan to the Department for approval
14under Section 2-1 or an out-of-state hospital that submits an
15areawide treatment plan in accordance with subsection (b) of
16Section 5.4 shall be deemed to have given consent to annual
17inspections, surveys, or evaluations relevant to this Act by
18properly identified personnel of the Department or by such
19other properly identified persons, including local health
20department staff, as the Department may designate. In
21addition, representatives of the Department shall have access
22to and may reproduce or photocopy any books, records, and
23other documents maintained by the pediatric health care
24facility or the facility's representatives or the out-of-state
25hospital or the out-of-state hospital's representative to the

 

 

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1extent necessary to carry out this Act. No representative,
2agent, or person acting on behalf of the pediatric health care
3facility, federally qualified health center, or out-of-state
4hospital in any manner shall intentionally prevent, interfere
5with, or attempt to impede in any way any duly authorized
6investigation and enforcement of this Act. The Department
7shall have the power to adopt rules to carry out the purpose of
8regulating a pediatric health care facility or out-of-state
9hospital. In carrying out oversight of a pediatric health care
10facility, federally qualified health center, or an
11out-of-state hospital, the Department shall respect the
12confidentiality of all patient records, including by complying
13with the patient record confidentiality requirements set out
14in Section 6.14b of the Hospital Licensing Act.
15    (b) This Section is repealed on December 31, 2023 2021.
16(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21.)
 
17    (410 ILCS 70/2.1)  (from Ch. 111 1/2, par. 87-2.1)
18    Sec. 2.1. Plan of correction; penalties.
19    (a) If the Department surveyor determines that the
20hospital or approved pediatric health care facility is not in
21compliance with its approved plan, the surveyor shall provide
22the hospital or approved pediatric health care facility with a
23written list of the specific items of noncompliance within 10
24working days after the conclusion of the on-site review. The
25hospital shall have 10 working days to submit to the

 

 

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1Department a plan of correction which contains the hospital's
2or approved pediatric health care facility's specific
3proposals for correcting the items of noncompliance. The
4Department shall review the plan of correction and notify the
5hospital in writing within 10 working days as to whether the
6plan is acceptable or unacceptable.
7    If the Department finds the Plan of Correction
8unacceptable, the hospital or approved pediatric health care
9facility shall have 10 working days to resubmit an acceptable
10Plan of Correction. Upon notification that its Plan of
11Correction is acceptable, a hospital or approved pediatric
12health care facility shall implement the Plan of Correction
13within 60 days.
14    (b) The failure of a hospital to submit an acceptable Plan
15of Correction or to implement the Plan of Correction, within
16the time frames required in this Section, will subject a
17hospital to the imposition of a fine by the Department. The
18Department may impose a fine of up to $500 per day until a
19hospital complies with the requirements of this Section.
20    If an approved pediatric health care facility fails to
21submit an acceptable Plan of Correction or to implement the
22Plan of Correction within the time frames required in this
23Section, then the Department shall notify the approved
24pediatric health care facility that the approved pediatric
25health care facility may not provide medical forensic services
26under this Act. The Department may impose a fine of up to $500

 

 

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1per patient provided services in violation of this Act.
2    (c) Before imposing a fine pursuant to this Section, the
3Department shall provide the hospital or approved pediatric
4health care facility via certified mail with written notice
5and an opportunity for an administrative hearing. Such hearing
6must be requested within 10 working days after receipt of the
7Department's Notice. All hearings shall be conducted in
8accordance with the Department's rules in administrative
9hearings.
10    (d) This Section is effective on and after January 1, 2024
112022.
12(Source: P.A. 101-81, eff. 7-12-19; 101-634, eff. 6-5-20;
13102-22, eff. 6-25-21.)
 
14    (410 ILCS 70/2.1-1)
15    (Section scheduled to be repealed on December 31, 2021)
16    Sec. 2.1-1. Plan of correction; penalties.
17    (a) If the Department surveyor determines that the
18hospital, approved pediatric health care facility, or approved
19federally qualified health center is not in compliance with
20its approved plan, the surveyor shall provide the hospital,
21approved pediatric health care facility, or approved federally
22qualified health center with a written list of the specific
23items of noncompliance within 10 working days after the
24conclusion of the on-site review. The hospital, approved
25pediatric health care facility, or approved federally

 

 

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1qualified health center shall have 10 working days to submit
2to the Department a plan of correction which contains the
3hospital's, approved pediatric health care facility's, or
4approved federally qualified health center's specific
5proposals for correcting the items of noncompliance. The
6Department shall review the plan of correction and notify the
7hospital, approved pediatric health care facility, or approved
8federally qualified health center in writing within 10 working
9days as to whether the plan is acceptable or unacceptable.
10    If the Department finds the Plan of Correction
11unacceptable, the hospital, approved pediatric health care
12facility, or approved federally qualified health center shall
13have 10 working days to resubmit an acceptable Plan of
14Correction. Upon notification that its Plan of Correction is
15acceptable, a hospital, approved pediatric health care
16facility, or approved federally qualified health center shall
17implement the Plan of Correction within 60 days.
18    (b) The failure of a hospital to submit an acceptable Plan
19of Correction or to implement the Plan of Correction, within
20the time frames required in this Section, will subject a
21hospital to the imposition of a fine by the Department. The
22Department may impose a fine of up to $500 per day until a
23hospital complies with the requirements of this Section.
24    If an approved pediatric health care facility or approved
25federally qualified health center fails to submit an
26acceptable Plan of Correction or to implement the Plan of

 

 

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1Correction within the time frames required in this Section,
2then the Department shall notify the approved pediatric health
3care facility or approved federally qualified health center
4that the approved pediatric health care facility or approved
5federally qualified health center may not provide medical
6forensic services under this Act. The Department may impose a
7fine of up to $500 per patient provided services in violation
8of this Act.
9    (c) Before imposing a fine pursuant to this Section, the
10Department shall provide the hospital, or approved pediatric
11health care facility, or approved federally qualified health
12center via certified mail with written notice and an
13opportunity for an administrative hearing. Such hearing must
14be requested within 10 working days after receipt of the
15Department's Notice. All hearings shall be conducted in
16accordance with the Department's rules in administrative
17hearings.
18    (d) This Section is repealed on December 31, 2023 2021.
19(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21.)
 
20    (410 ILCS 70/2.2)
21    Sec. 2.2. Emergency contraception.
22    (a) The General Assembly finds:
23        (1) Crimes of sexual assault and sexual abuse cause
24    significant physical, emotional, and psychological trauma
25    to the victims. This trauma is compounded by a victim's

 

 

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1    fear of becoming pregnant and bearing a child as a result
2    of the sexual assault.
3        (2) Each year over 32,000 women become pregnant in the
4    United States as the result of rape and approximately 50%
5    of these pregnancies end in abortion.
6        (3) As approved for use by the Federal Food and Drug
7    Administration (FDA), emergency contraception can
8    significantly reduce the risk of pregnancy if taken within
9    72 hours after the sexual assault.
10        (4) By providing emergency contraception to rape
11    victims in a timely manner, the trauma of rape can be
12    significantly reduced.
13    (b) Every hospital or approved pediatric health care
14facility providing services to sexual assault survivors in
15accordance with a plan approved under Section 2 must develop a
16protocol that ensures that each survivor of sexual assault
17will receive medically and factually accurate and written and
18oral information about emergency contraception; the
19indications and contraindications and risks associated with
20the use of emergency contraception; and a description of how
21and when victims may be provided emergency contraception at no
22cost upon the written order of a physician licensed to
23practice medicine in all its branches, a licensed advanced
24practice registered nurse, or a licensed physician assistant.
25The Department shall approve the protocol if it finds that the
26implementation of the protocol would provide sufficient

 

 

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1protection for survivors of sexual assault.
2    The hospital or approved pediatric health care facility
3shall implement the protocol upon approval by the Department.
4The Department shall adopt rules and regulations establishing
5one or more safe harbor protocols and setting minimum
6acceptable protocol standards that hospitals may develop and
7implement. The Department shall approve any protocol that
8meets those standards. The Department may provide a sample
9acceptable protocol upon request.
10    (c) This Section is effective on and after January 1, 2024
112022.
12(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21.)
 
13    (410 ILCS 70/2.2-1)
14    (Section scheduled to be repealed on December 31, 2021)
15    Sec. 2.2-1. Emergency contraception.
16    (a) The General Assembly finds:
17        (1) Crimes of sexual assault and sexual abuse cause
18    significant physical, emotional, and psychological trauma
19    to the victims. This trauma is compounded by a victim's
20    fear of becoming pregnant and bearing a child as a result
21    of the sexual assault.
22        (2) Each year over 32,000 women become pregnant in the
23    United States as the result of rape and approximately 50%
24    of these pregnancies end in abortion.
25        (3) As approved for use by the Federal Food and Drug

 

 

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1    Administration (FDA), emergency contraception can
2    significantly reduce the risk of pregnancy if taken within
3    72 hours after the sexual assault.
4        (4) By providing emergency contraception to rape
5    victims in a timely manner, the trauma of rape can be
6    significantly reduced.
7    (b) Every hospital, approved pediatric health care
8facility, or approved federally qualified health center
9providing services to sexual assault survivors in accordance
10with a plan approved under Section 2-1 must develop a protocol
11that ensures that each survivor of sexual assault will receive
12medically and factually accurate and written and oral
13information about emergency contraception; the indications and
14contraindications and risks associated with the use of
15emergency contraception; and a description of how and when
16victims may be provided emergency contraception at no cost
17upon the written order of a physician licensed to practice
18medicine in all its branches, a licensed advanced practice
19registered nurse, or a licensed physician assistant. The
20Department shall approve the protocol if it finds that the
21implementation of the protocol would provide sufficient
22protection for survivors of sexual assault.
23    The hospital, approved pediatric health care facility, or
24approved federally qualified health center shall implement the
25protocol upon approval by the Department. The Department shall
26adopt rules and regulations establishing one or more safe

 

 

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1harbor protocols and setting minimum acceptable protocol
2standards that hospitals may develop and implement. The
3Department shall approve any protocol that meets those
4standards. The Department may provide a sample acceptable
5protocol upon request.
6    (c) This Section is repealed on December 31, 2023 2021.
7(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21.)
 
8    (410 ILCS 70/3)  (from Ch. 111 1/2, par. 87-3)
9    Sec. 3. Areawide sexual assault treatment plans;
10submission.
11    (a) Hospitals and approved pediatric health care
12facilities in the area to be served may develop and
13participate in areawide plans that shall describe the medical
14forensic services to sexual assault survivors that each
15participating hospital and approved pediatric health care
16facility has agreed to make available. Each hospital and
17approved pediatric health care facility participating in such
18a plan shall provide such services as it is designated to
19provide in the plan agreed upon by the participants. An
20areawide plan may include treatment hospitals, treatment
21hospitals with approved pediatric transfer, transfer
22hospitals, approved pediatric health care facilities, or
23out-of-state hospitals as provided in Section 5.4. All
24areawide plans shall be submitted to the Department for
25approval, prior to becoming effective. The Department shall

 

 

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1approve a proposed plan if it finds that the minimum
2requirements set forth in Section 5 and implementation of the
3plan would provide for appropriate medical forensic services
4for the people of the area to be served.
5    (b) This Section is effective on and after January 1, 2024
62022.
7(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21.)
 
8    (410 ILCS 70/3-1)
9    (Section scheduled to be repealed on December 31, 2021)
10    Sec. 3-1. Areawide sexual assault treatment plans;
11submission.
12    (a) Hospitals, approved pediatric health care facilities,
13and approved federally qualified health centers in the area to
14be served may develop and participate in areawide plans that
15shall describe the medical forensic services to sexual assault
16survivors that each participating hospital, approved pediatric
17health care facility, and approved federally qualified health
18centers has agreed to make available. Each hospital, approved
19pediatric health care facility, and approved federally
20qualified health center participating in such a plan shall
21provide such services as it is designated to provide in the
22plan agreed upon by the participants. An areawide plan may
23include treatment hospitals, treatment hospitals with approved
24pediatric transfer, transfer hospitals, approved pediatric
25health care facilities, approved federally qualified health

 

 

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1centers, or out-of-state hospitals as provided in Section 5.4.
2All areawide plans shall be submitted to the Department for
3approval, prior to becoming effective. The Department shall
4approve a proposed plan if it finds that the minimum
5requirements set forth in Section 5-1 and implementation of
6the plan would provide for appropriate medical forensic
7services for the people of the area to be served.
8    (b) This Section is repealed on December 31, 2023 2021.
9(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21.)
 
10    (410 ILCS 70/5)  (from Ch. 111 1/2, par. 87-5)
11    Sec. 5. Minimum requirements for medical forensic services
12provided to sexual assault survivors by hospitals and approved
13pediatric health care facilities.
14    (a) Every hospital and approved pediatric health care
15facility providing medical forensic services to sexual assault
16survivors under this Act shall, as minimum requirements for
17such services, provide, with the consent of the sexual assault
18survivor, and as ordered by the attending physician, an
19advanced practice registered nurse, or a physician assistant,
20the services set forth in subsection (a-5).
21    Beginning January 1, 2022, a qualified medical provider
22must provide the services set forth in subsection (a-5).
23    (a-5) A treatment hospital, a treatment hospital with
24approved pediatric transfer, or an approved pediatric health
25care facility shall provide the following services in

 

 

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1accordance with subsection (a):
2        (1) Appropriate medical forensic services without
3    delay, in a private, age-appropriate or
4    developmentally-appropriate space, required to ensure the
5    health, safety, and welfare of a sexual assault survivor
6    and which may be used as evidence in a criminal proceeding
7    against a person accused of the sexual assault, in a
8    proceeding under the Juvenile Court Act of 1987, or in an
9    investigation under the Abused and Neglected Child
10    Reporting Act.
11        Records of medical forensic services, including
12    results of examinations and tests, the Illinois State
13    Police Medical Forensic Documentation Forms, the Illinois
14    State Police Patient Discharge Materials, and the Illinois
15    State Police Patient Consent: Collect and Test Evidence or
16    Collect and Hold Evidence Form, shall be maintained by the
17    hospital or approved pediatric health care facility as
18    part of the patient's electronic medical record.
19        Records of medical forensic services of sexual assault
20    survivors under the age of 18 shall be retained by the
21    hospital for a period of 60 years after the sexual assault
22    survivor reaches the age of 18. Records of medical
23    forensic services of sexual assault survivors 18 years of
24    age or older shall be retained by the hospital for a period
25    of 20 years after the date the record was created.
26        Records of medical forensic services may only be

 

 

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1    disseminated in accordance with Section 6.5 of this Act
2    and other State and federal law.
3        (1.5) An offer to complete the Illinois Sexual Assault
4    Evidence Collection Kit for any sexual assault survivor
5    who presents within a minimum of the last 7 days of the
6    assault or who has disclosed past sexual assault by a
7    specific individual and was in the care of that individual
8    within a minimum of the last 7 days.
9            (A) Appropriate oral and written information
10        concerning evidence-based guidelines for the
11        appropriateness of evidence collection depending on
12        the sexual development of the sexual assault survivor,
13        the type of sexual assault, and the timing of the
14        sexual assault shall be provided to the sexual assault
15        survivor. Evidence collection is encouraged for
16        prepubescent sexual assault survivors who present to a
17        hospital or approved pediatric health care facility
18        with a complaint of sexual assault within a minimum of
19        96 hours after the sexual assault.
20            Before January 1, 2022, the information required
21        under this subparagraph shall be provided in person by
22        the health care professional providing medical
23        forensic services directly to the sexual assault
24        survivor.
25            On and after January 1, 2022, the information
26        required under this subparagraph shall be provided in

 

 

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1        person by the qualified medical provider providing
2        medical forensic services directly to the sexual
3        assault survivor.
4            The written information provided shall be the
5        information created in accordance with Section 10 of
6        this Act.
7            (B) Following the discussion regarding the
8        evidence-based guidelines for evidence collection in
9        accordance with subparagraph (A), evidence collection
10        must be completed at the sexual assault survivor's
11        request. A sexual assault nurse examiner conducting an
12        examination using the Illinois State Police Sexual
13        Assault Evidence Collection Kit may do so without the
14        presence or participation of a physician.
15        (2) Appropriate oral and written information
16    concerning the possibility of infection, sexually
17    transmitted infection, including an evaluation of the
18    sexual assault survivor's risk of contracting human
19    immunodeficiency virus (HIV) from sexual assault, and
20    pregnancy resulting from sexual assault.
21        (3) Appropriate oral and written information
22    concerning accepted medical procedures, laboratory tests,
23    medication, and possible contraindications of such
24    medication available for the prevention or treatment of
25    infection or disease resulting from sexual assault.
26        (3.5) After a medical evidentiary or physical

 

 

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1    examination, access to a shower at no cost, unless
2    showering facilities are unavailable.
3        (4) An amount of medication, including HIV
4    prophylaxis, for treatment at the hospital or approved
5    pediatric health care facility and after discharge as is
6    deemed appropriate by the attending physician, an advanced
7    practice registered nurse, or a physician assistant in
8    accordance with the Centers for Disease Control and
9    Prevention guidelines and consistent with the hospital's
10    or approved pediatric health care facility's current
11    approved protocol for sexual assault survivors.
12        (5) Photo documentation of the sexual assault
13    survivor's injuries, anatomy involved in the assault, or
14    other visible evidence on the sexual assault survivor's
15    body to supplement the medical forensic history and
16    written documentation of physical findings and evidence
17    beginning July 1, 2019. Photo documentation does not
18    replace written documentation of the injury.
19        (6) Written and oral instructions indicating the need
20    for follow-up examinations and laboratory tests after the
21    sexual assault to determine the presence or absence of
22    sexually transmitted infection.
23        (7) Referral by hospital or approved pediatric health
24    care facility personnel for appropriate counseling.
25        (8) Medical advocacy services provided by a rape
26    crisis counselor whose communications are protected under

 

 

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1    Section 8-802.1 of the Code of Civil Procedure, if there
2    is a memorandum of understanding between the hospital or
3    approved pediatric health care facility and a rape crisis
4    center. With the consent of the sexual assault survivor, a
5    rape crisis counselor shall remain in the exam room during
6    the medical forensic examination.
7        (9) Written information regarding services provided by
8    a Children's Advocacy Center and rape crisis center, if
9    applicable.
10        (10) A treatment hospital, a treatment hospital with
11    approved pediatric transfer, an out-of-state hospital as
12    defined in Section 5.4, or an approved pediatric health
13    care facility shall comply with the rules relating to the
14    collection and tracking of sexual assault evidence adopted
15    by the Department of State Police under Section 50 of the
16    Sexual Assault Evidence Submission Act.
17    (a-7) By January 1, 2022, every hospital with a treatment
18plan approved by the Department shall employ or contract with
19a qualified medical provider to initiate medical forensic
20services to a sexual assault survivor within 90 minutes of the
21patient presenting to the treatment hospital or treatment
22hospital with approved pediatric transfer. The provision of
23medical forensic services by a qualified medical provider
24shall not delay the provision of life-saving medical care.
25    (b) Any person who is a sexual assault survivor who seeks
26medical forensic services or follow-up healthcare under this

 

 

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1Act shall be provided such services without the consent of any
2parent, guardian, custodian, surrogate, or agent. If a sexual
3assault survivor is unable to consent to medical forensic
4services, the services may be provided under the Consent by
5Minors to Medical Procedures Act, the Health Care Surrogate
6Act, or other applicable State and federal laws.
7    (b-5) Every hospital or approved pediatric health care
8facility providing medical forensic services to sexual assault
9survivors shall issue a voucher to any sexual assault survivor
10who is eligible to receive one in accordance with Section 5.2
11of this Act. The hospital shall make a copy of the voucher and
12place it in the medical record of the sexual assault survivor.
13The hospital shall provide a copy of the voucher to the sexual
14assault survivor after discharge upon request.
15    (c) Nothing in this Section creates a physician-patient
16relationship that extends beyond discharge from the hospital
17or approved pediatric health care facility.
18    (d) This Section is effective on and after January 1, 2024
19July 1, 2021.
20(Source: P.A. 100-513, eff. 1-1-18; 100-775, eff. 1-1-19;
21100-1087, eff. 1-1-19; 101-81, eff. 7-12-19; 101-377, eff.
228-16-19; 101-634, eff. 6-5-20.)
 
23    (410 ILCS 70/5-1)
24    (Section scheduled to be repealed on December 31, 2021)
25    Sec. 5-1. Minimum requirements for medical forensic

 

 

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1services provided to sexual assault survivors by hospitals,
2approved pediatric health care facilities, and approved
3federally qualified health centers.
4    (a) Every hospital, approved pediatric health care
5facility, and approved federally qualified health center
6providing medical forensic services to sexual assault
7survivors under this Act shall, as minimum requirements for
8such services, provide, with the consent of the sexual assault
9survivor, and as ordered by the attending physician, an
10advanced practice registered nurse, or a physician assistant,
11the services set forth in subsection (a-5).
12    Beginning January 1, 2023, a qualified medical provider
13must provide the services set forth in subsection (a-5).
14    (a-5) A treatment hospital, a treatment hospital with
15approved pediatric transfer, or an approved pediatric health
16care facility, or an approved federally qualified health
17center shall provide the following services in accordance with
18subsection (a):
19        (1) Appropriate medical forensic services without
20    delay, in a private, age-appropriate or
21    developmentally-appropriate space, required to ensure the
22    health, safety, and welfare of a sexual assault survivor
23    and which may be used as evidence in a criminal proceeding
24    against a person accused of the sexual assault, in a
25    proceeding under the Juvenile Court Act of 1987, or in an
26    investigation under the Abused and Neglected Child

 

 

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1    Reporting Act.
2        Records of medical forensic services, including
3    results of examinations and tests, the Illinois State
4    Police Medical Forensic Documentation Forms, the Illinois
5    State Police Patient Discharge Materials, and the Illinois
6    State Police Patient Consent: Collect and Test Evidence or
7    Collect and Hold Evidence Form, shall be maintained by the
8    hospital or approved pediatric health care facility as
9    part of the patient's electronic medical record.
10        Records of medical forensic services of sexual assault
11    survivors under the age of 18 shall be retained by the
12    hospital for a period of 60 years after the sexual assault
13    survivor reaches the age of 18. Records of medical
14    forensic services of sexual assault survivors 18 years of
15    age or older shall be retained by the hospital for a period
16    of 20 years after the date the record was created.
17        Records of medical forensic services may only be
18    disseminated in accordance with Section 6.5-1 of this Act
19    and other State and federal law.
20        (1.5) An offer to complete the Illinois Sexual Assault
21    Evidence Collection Kit for any sexual assault survivor
22    who presents within a minimum of the last 7 days of the
23    assault or who has disclosed past sexual assault by a
24    specific individual and was in the care of that individual
25    within a minimum of the last 7 days.
26            (A) Appropriate oral and written information

 

 

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1        concerning evidence-based guidelines for the
2        appropriateness of evidence collection depending on
3        the sexual development of the sexual assault survivor,
4        the type of sexual assault, and the timing of the
5        sexual assault shall be provided to the sexual assault
6        survivor. Evidence collection is encouraged for
7        prepubescent sexual assault survivors who present to a
8        hospital or approved pediatric health care facility
9        with a complaint of sexual assault within a minimum of
10        96 hours after the sexual assault.
11            Before January 1, 2023, the information required
12        under this subparagraph shall be provided in person by
13        the health care professional providing medical
14        forensic services directly to the sexual assault
15        survivor.
16            On and after January 1, 2023, the information
17        required under this subparagraph shall be provided in
18        person by the qualified medical provider providing
19        medical forensic services directly to the sexual
20        assault survivor.
21            The written information provided shall be the
22        information created in accordance with Section 10-1 of
23        this Act.
24            (B) Following the discussion regarding the
25        evidence-based guidelines for evidence collection in
26        accordance with subparagraph (A), evidence collection

 

 

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1        must be completed at the sexual assault survivor's
2        request. A sexual assault nurse examiner conducting an
3        examination using the Illinois State Police Sexual
4        Assault Evidence Collection Kit may do so without the
5        presence or participation of a physician.
6        (2) Appropriate oral and written information
7    concerning the possibility of infection, sexually
8    transmitted infection, including an evaluation of the
9    sexual assault survivor's risk of contracting human
10    immunodeficiency virus (HIV) from sexual assault, and
11    pregnancy resulting from sexual assault.
12        (3) Appropriate oral and written information
13    concerning accepted medical procedures, laboratory tests,
14    medication, and possible contraindications of such
15    medication available for the prevention or treatment of
16    infection or disease resulting from sexual assault.
17        (3.5) After a medical evidentiary or physical
18    examination, access to a shower at no cost, unless
19    showering facilities are unavailable.
20        (4) An amount of medication, including HIV
21    prophylaxis, for treatment at the hospital or approved
22    pediatric health care facility and after discharge as is
23    deemed appropriate by the attending physician, an advanced
24    practice registered nurse, or a physician assistant in
25    accordance with the Centers for Disease Control and
26    Prevention guidelines and consistent with the hospital's

 

 

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1    or approved pediatric health care facility's current
2    approved protocol for sexual assault survivors.
3        (5) Photo documentation of the sexual assault
4    survivor's injuries, anatomy involved in the assault, or
5    other visible evidence on the sexual assault survivor's
6    body to supplement the medical forensic history and
7    written documentation of physical findings and evidence
8    beginning July 1, 2019. Photo documentation does not
9    replace written documentation of the injury.
10        (6) Written and oral instructions indicating the need
11    for follow-up examinations and laboratory tests after the
12    sexual assault to determine the presence or absence of
13    sexually transmitted infection.
14        (7) Referral by hospital or approved pediatric health
15    care facility personnel for appropriate counseling.
16        (8) Medical advocacy services provided by a rape
17    crisis counselor whose communications are protected under
18    Section 8-802.1 of the Code of Civil Procedure, if there
19    is a memorandum of understanding between the hospital or
20    approved pediatric health care facility and a rape crisis
21    center. With the consent of the sexual assault survivor, a
22    rape crisis counselor shall remain in the exam room during
23    the medical forensic examination.
24        (9) Written information regarding services provided by
25    a Children's Advocacy Center and rape crisis center, if
26    applicable.

 

 

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1        (10) A treatment hospital, a treatment hospital with
2    approved pediatric transfer, an out-of-state hospital as
3    defined in Section 5.4, or an approved pediatric health
4    care facility shall comply with the rules relating to the
5    collection and tracking of sexual assault evidence adopted
6    by the Department of State Police under Section 50 of the
7    Sexual Assault Evidence Submission Act.
8        (11) Written information regarding the Illinois State
9    Police sexual assault evidence tracking system.
10    (a-7) By January 1, 2023, every hospital with a treatment
11plan approved by the Department shall employ or contract with
12a qualified medical provider to initiate medical forensic
13services to a sexual assault survivor within 90 minutes of the
14patient presenting to the treatment hospital or treatment
15hospital with approved pediatric transfer. The provision of
16medical forensic services by a qualified medical provider
17shall not delay the provision of life-saving medical care.
18    (b) Any person who is a sexual assault survivor who seeks
19medical forensic services or follow-up healthcare under this
20Act shall be provided such services without the consent of any
21parent, guardian, custodian, surrogate, or agent. If a sexual
22assault survivor is unable to consent to medical forensic
23services, the services may be provided under the Consent by
24Minors to Medical Procedures Act, the Health Care Surrogate
25Act, or other applicable State and federal laws.
26    (b-5) Every hospital, approved pediatric health care

 

 

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1facility, or approved federally qualified health center
2providing medical forensic services to sexual assault
3survivors shall issue a voucher to any sexual assault survivor
4who is eligible to receive one in accordance with Section
55.2-1 of this Act. The hospital, approved pediatric health
6care facility, or approved federally qualified health center
7shall make a copy of the voucher and place it in the medical
8record of the sexual assault survivor. The hospital, approved
9pediatric health care facility, or approved federally
10qualified health center shall provide a copy of the voucher to
11the sexual assault survivor after discharge upon request.
12    (c) Nothing in this Section creates a physician-patient
13relationship that extends beyond discharge from the hospital,
14or approved pediatric health care facility, or approved
15federally qualified health center.
16    (d) This Section is repealed on December 31, 2023 2021.
17(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21.)
 
18    (410 ILCS 70/5.1)
19    Sec. 5.1. Storage, retention, and dissemination of photo
20documentation relating to medical forensic services.
21    (a) Photo documentation taken during a medical forensic
22examination shall be maintained by the hospital or approved
23pediatric health care facility as part of the patient's
24medical record.
25    Photo documentation shall be stored and backed up securely

 

 

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1in its original file format in accordance with facility
2protocol. The facility protocol shall require limited access
3to the images and be included in the sexual assault treatment
4plan submitted to the Department.
5    Photo documentation of a sexual assault survivor under the
6age of 18 shall be retained for a period of 60 years after the
7sexual assault survivor reaches the age of 18. Photo
8documentation of a sexual assault survivor 18 years of age or
9older shall be retained for a period of 20 years after the
10record was created.
11    Photo documentation of the sexual assault survivor's
12injuries, anatomy involved in the assault, or other visible
13evidence on the sexual assault survivor's body may be used for
14peer review, expert second opinion, or in a criminal
15proceeding against a person accused of sexual assault, a
16proceeding under the Juvenile Court Act of 1987, or in an
17investigation under the Abused and Neglected Child Reporting
18Act. Any dissemination of photo documentation, including for
19peer review, an expert second opinion, or in any court or
20administrative proceeding or investigation, must be in
21accordance with State and federal law.
22    (b) This Section is effective on and after January 1, 2024
232022.
24(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21.)
 
25    (410 ILCS 70/5.1-1)

 

 

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1    (Section scheduled to be repealed on December 31, 2021)
2    Sec. 5.1-1. Storage, retention, and dissemination of photo
3documentation relating to medical forensic services.
4    (a) Photo documentation taken during a medical forensic
5examination shall be maintained by the hospital, approved
6pediatric health care facility, or approved federally
7qualified health center as part of the patient's medical
8record.
9    Photo documentation shall be stored and backed up securely
10in its original file format in accordance with facility
11protocol. The facility protocol shall require limited access
12to the images and be included in the sexual assault treatment
13plan submitted to the Department.
14    Photo documentation of a sexual assault survivor under the
15age of 18 shall be retained for a period of 60 years after the
16sexual assault survivor reaches the age of 18. Photo
17documentation of a sexual assault survivor 18 years of age or
18older shall be retained for a period of 20 years after the
19record was created.
20    Photo documentation of the sexual assault survivor's
21injuries, anatomy involved in the assault, or other visible
22evidence on the sexual assault survivor's body may be used for
23peer review, expert second opinion, or in a criminal
24proceeding against a person accused of sexual assault, a
25proceeding under the Juvenile Court Act of 1987, or in an
26investigation under the Abused and Neglected Child Reporting

 

 

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1Act. Any dissemination of photo documentation, including for
2peer review, an expert second opinion, or in any court or
3administrative proceeding or investigation, must be in
4accordance with State and federal law.
5    (b) This Section is repealed on December 31, 2023 2021.
6(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21.)
 
7    (410 ILCS 70/5.2)
8    Sec. 5.2. Sexual assault services voucher.
9    (a) A sexual assault services voucher shall be issued by a
10treatment hospital, treatment hospital with approved pediatric
11transfer, or approved pediatric health care facility at the
12time a sexual assault survivor receives medical forensic
13services.
14    (b) Each treatment hospital, treatment hospital with
15approved pediatric transfer, and approved pediatric health
16care facility must include in its sexual assault treatment
17plan submitted to the Department in accordance with Section 2
18of this Act a protocol for issuing sexual assault services
19vouchers. The protocol shall, at a minimum, include the
20following:
21        (1) Identification of employee positions responsible
22    for issuing sexual assault services vouchers.
23        (2) Identification of employee positions with access
24    to the Medical Electronic Data Interchange or successor
25    system.

 

 

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1        (3) A statement to be signed by each employee of an
2    approved pediatric health care facility with access to the
3    Medical Electronic Data Interchange or successor system
4    affirming that the Medical Electronic Data Interchange or
5    successor system will only be used for the purpose of
6    issuing sexual assault services vouchers.
7    (c) A sexual assault services voucher may be used to seek
8payment for any ambulance services, medical forensic services,
9laboratory services, pharmacy services, and follow-up
10healthcare provided as a result of the sexual assault.
11    (d) Any treatment hospital, treatment hospital with
12approved pediatric transfer, approved pediatric health care
13facility, health care professional, ambulance provider,
14laboratory, or pharmacy may submit a bill for services
15provided to a sexual assault survivor as a result of a sexual
16assault to the Department of Healthcare and Family Services
17Sexual Assault Emergency Treatment Program. The bill shall
18include:
19        (1) the name and date of birth of the sexual assault
20    survivor;
21        (2) the service provided;
22        (3) the charge of service;
23        (4) the date the service was provided; and
24        (5) the recipient identification number, if known.
25    A health care professional, ambulance provider,
26laboratory, or pharmacy is not required to submit a copy of the

 

 

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1sexual assault services voucher.
2    The Department of Healthcare and Family Services Sexual
3Assault Emergency Treatment Program shall electronically
4verify, using the Medical Electronic Data Interchange or a
5successor system, that a sexual assault services voucher was
6issued to a sexual assault survivor prior to issuing payment
7for the services.
8    If a sexual assault services voucher was not issued to a
9sexual assault survivor by the treatment hospital, treatment
10hospital with approved pediatric transfer, or approved
11pediatric health care facility, then a health care
12professional, ambulance provider, laboratory, or pharmacy may
13submit a request to the Department of Healthcare and Family
14Services Sexual Assault Emergency Treatment Program to issue a
15sexual assault services voucher.
16    (e) This Section is effective on and after January 1, 2024
172022.
18(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21.)
 
19    (410 ILCS 70/5.2-1)
20    (Section scheduled to be repealed on December 31, 2021)
21    Sec. 5.2-1. Sexual assault services voucher.
22    (a) A sexual assault services voucher shall be issued by a
23treatment hospital, treatment hospital with approved pediatric
24transfer, approved pediatric health care facility, or approved
25federally qualified health center at the time a sexual assault

 

 

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1survivor receives medical forensic services.
2    (b) Each treatment hospital, treatment hospital with
3approved pediatric transfer, approved pediatric health care
4facility, and approved federally qualified health center must
5include in its sexual assault treatment plan submitted to the
6Department in accordance with Section 2-1 of this Act a
7protocol for issuing sexual assault services vouchers. The
8protocol shall, at a minimum, include the following:
9        (1) Identification of employee positions responsible
10    for issuing sexual assault services vouchers.
11        (2) Identification of employee positions with access
12    to the Medical Electronic Data Interchange or successor
13    system.
14        (3) A statement to be signed by each employee of an
15    approved pediatric health care facility or approved
16    federally qualified health center with access to the
17    Medical Electronic Data Interchange or successor system
18    affirming that the Medical Electronic Data Interchange or
19    successor system will only be used for the purpose of
20    issuing sexual assault services vouchers.
21    (c) A sexual assault services voucher may be used to seek
22payment for any ambulance services, medical forensic services,
23laboratory services, pharmacy services, and follow-up
24healthcare provided as a result of the sexual assault.
25    (d) Any treatment hospital, treatment hospital with
26approved pediatric transfer, approved pediatric health care

 

 

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1facility, approved federally qualified health center, health
2care professional, ambulance provider, laboratory, or pharmacy
3may submit a bill for services provided to a sexual assault
4survivor as a result of a sexual assault to the Department of
5Healthcare and Family Services Sexual Assault Emergency
6Treatment Program. The bill shall include:
7        (1) the name and date of birth of the sexual assault
8    survivor;
9        (2) the service provided;
10        (3) the charge of service;
11        (4) the date the service was provided; and
12        (5) the recipient identification number, if known.
13    A health care professional, ambulance provider,
14laboratory, or pharmacy is not required to submit a copy of the
15sexual assault services voucher.
16    The Department of Healthcare and Family Services Sexual
17Assault Emergency Treatment Program shall electronically
18verify, using the Medical Electronic Data Interchange or a
19successor system, that a sexual assault services voucher was
20issued to a sexual assault survivor prior to issuing payment
21for the services.
22    If a sexual assault services voucher was not issued to a
23sexual assault survivor by the treatment hospital, treatment
24hospital with approved pediatric transfer, approved pediatric
25health care facility, or approved federally qualified health
26center, then a health care professional, ambulance provider,

 

 

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1laboratory, or pharmacy may submit a request to the Department
2of Healthcare and Family Services Sexual Assault Emergency
3Treatment Program to issue a sexual assault services voucher.
4    (e) This Section is repealed on December 31, 2023 2021.
5(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21.)
 
6    (410 ILCS 70/5.3)
7    Sec. 5.3. Pediatric sexual assault care.
8    (a) The General Assembly finds:
9        (1) Pediatric sexual assault survivors can suffer from
10    a wide range of health problems across their life span. In
11    addition to immediate health issues, such as sexually
12    transmitted infections, physical injuries, and
13    psychological trauma, child sexual abuse victims are at
14    greater risk for a plethora of adverse psychological and
15    somatic problems into adulthood in contrast to those who
16    were not sexually abused.
17        (2) Sexual abuse against the pediatric population is
18    distinct, particularly due to their dependence on their
19    caregivers and the ability of perpetrators to manipulate
20    and silence them (especially when the perpetrators are
21    family members or other adults trusted by, or with power
22    over, children). Sexual abuse is often hidden by
23    perpetrators, unwitnessed by others, and may leave no
24    obvious physical signs on child victims.
25        (3) Pediatric sexual assault survivors throughout the

 

 

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1    State should have access to qualified medical providers
2    who have received specialized training regarding the care
3    of pediatric sexual assault survivors within a reasonable
4    distance from their home.
5        (4) There is a need in Illinois to increase the number
6    of qualified medical providers available to provide
7    medical forensic services to pediatric sexual assault
8    survivors.
9    (b) If a medically stable pediatric sexual assault
10survivor presents at a transfer hospital or treatment hospital
11with approved pediatric transfer that has a plan approved by
12the Department requesting medical forensic services, then the
13hospital emergency department staff shall contact an approved
14pediatric health care facility, if one is designated in the
15hospital's plan.
16    If the transferring hospital confirms that medical
17forensic services can be initiated within 90 minutes of the
18patient's arrival at the approved pediatric health care
19facility following an immediate transfer, then the hospital
20emergency department staff shall notify the patient and
21non-offending parent or legal guardian that the patient will
22be transferred for medical forensic services and shall provide
23the patient and non-offending parent or legal guardian the
24option of being transferred to the approved pediatric health
25care facility or the treatment hospital designated in the
26hospital's plan. The pediatric sexual assault survivor may be

 

 

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1transported by ambulance, law enforcement, or personal
2vehicle.
3    If medical forensic services cannot be initiated within 90
4minutes of the patient's arrival at the approved pediatric
5health care facility, there is no approved pediatric health
6care facility designated in the hospital's plan, or the
7patient or non-offending parent or legal guardian chooses to
8be transferred to a treatment hospital, the hospital emergency
9department staff shall contact a treatment hospital designated
10in the hospital's plan to arrange for the transfer of the
11patient to the treatment hospital for medical forensic
12services, which are to be initiated within 90 minutes of the
13patient's arrival at the treatment hospital. The treatment
14hospital shall provide medical forensic services and may not
15transfer the patient to another facility. The pediatric sexual
16assault survivor may be transported by ambulance, law
17enforcement, or personal vehicle.
18    (c) If a medically stable pediatric sexual assault
19survivor presents at a treatment hospital that has a plan
20approved by the Department requesting medical forensic
21services, then the hospital emergency department staff shall
22contact an approved pediatric health care facility, if one is
23designated in the treatment hospital's areawide treatment
24plan.
25    If medical forensic services can be initiated within 90
26minutes after the patient's arrival at the approved pediatric

 

 

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1health care facility following an immediate transfer, the
2hospital emergency department staff shall provide the patient
3and non-offending parent or legal guardian the option of
4having medical forensic services performed at the treatment
5hospital or at the approved pediatric health care facility. If
6the patient or non-offending parent or legal guardian chooses
7to be transferred, the pediatric sexual assault survivor may
8be transported by ambulance, law enforcement, or personal
9vehicle.
10    If medical forensic services cannot be initiated within 90
11minutes after the patient's arrival to the approved pediatric
12health care facility, there is no approved pediatric health
13care facility designated in the hospital's plan, or the
14patient or non-offending parent or legal guardian chooses not
15to be transferred, the hospital shall provide medical forensic
16services to the patient.
17    (d) If a pediatric sexual assault survivor presents at an
18approved pediatric health care facility requesting medical
19forensic services or the facility is contacted by law
20enforcement or the Department of Children and Family Services
21requesting medical forensic services for a pediatric sexual
22assault survivor, the services shall be provided at the
23facility if the medical forensic services can be initiated
24within 90 minutes after the patient's arrival at the facility.
25If medical forensic services cannot be initiated within 90
26minutes after the patient's arrival at the facility, then the

 

 

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1patient shall be transferred to a treatment hospital
2designated in the approved pediatric health care facility's
3plan for medical forensic services. The pediatric sexual
4assault survivor may be transported by ambulance, law
5enforcement, or personal vehicle.
6    (e) This Section is effective on and after January 1, 2024
72022.
8(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21.)
 
9    (410 ILCS 70/5.3-1)
10    (Section scheduled to be repealed on December 31, 2021)
11    Sec. 5.3-1. Pediatric sexual assault care.
12    (a) The General Assembly finds:
13        (1) Pediatric sexual assault survivors can suffer from
14    a wide range of health problems across their life span. In
15    addition to immediate health issues, such as sexually
16    transmitted infections, physical injuries, and
17    psychological trauma, child sexual abuse victims are at
18    greater risk for a plethora of adverse psychological and
19    somatic problems into adulthood in contrast to those who
20    were not sexually abused.
21        (2) Sexual abuse against the pediatric population is
22    distinct, particularly due to their dependence on their
23    caregivers and the ability of perpetrators to manipulate
24    and silence them (especially when the perpetrators are
25    family members or other adults trusted by, or with power

 

 

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1    over, children). Sexual abuse is often hidden by
2    perpetrators, unwitnessed by others, and may leave no
3    obvious physical signs on child victims.
4        (3) Pediatric sexual assault survivors throughout the
5    State should have access to qualified medical providers
6    who have received specialized training regarding the care
7    of pediatric sexual assault survivors within a reasonable
8    distance from their home.
9        (4) There is a need in Illinois to increase the number
10    of qualified medical providers available to provide
11    medical forensic services to pediatric sexual assault
12    survivors.
13    (b) If a medically stable pediatric sexual assault
14survivor presents at a transfer hospital, treatment hospital
15with approved pediatric transfer, or an approved federally
16qualified health center that has a plan approved by the
17Department requesting medical forensic services, then the
18hospital emergency department staff or approved federally
19qualified health center staff shall contact an approved
20pediatric health care facility, if one is designated in the
21hospital's or an approved federally qualified health center's
22plan.
23    If the transferring hospital or approved federally
24qualified health center confirms that medical forensic
25services can be initiated within 90 minutes of the patient's
26arrival at the approved pediatric health care facility

 

 

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1following an immediate transfer, then the hospital emergency
2department or approved federally qualified health center staff
3shall notify the patient and non-offending parent or legal
4guardian that the patient will be transferred for medical
5forensic services and shall provide the patient and
6non-offending parent or legal guardian the option of being
7transferred to the approved pediatric health care facility or
8the treatment hospital designated in the hospital's or
9approved federally qualified health center's plan. The
10pediatric sexual assault survivor may be transported by
11ambulance, law enforcement, or personal vehicle.
12    If medical forensic services cannot be initiated within 90
13minutes of the patient's arrival at the approved pediatric
14health care facility, there is no approved pediatric health
15care facility designated in the hospital's or approved
16federally qualified health center's plan, or the patient or
17non-offending parent or legal guardian chooses to be
18transferred to a treatment hospital, the hospital emergency
19department or approved federally qualified health center staff
20shall contact a treatment hospital designated in the
21hospital's or approved federally qualified health center's
22plan to arrange for the transfer of the patient to the
23treatment hospital for medical forensic services, which are to
24be initiated within 90 minutes of the patient's arrival at the
25treatment hospital. The treatment hospital shall provide
26medical forensic services and may not transfer the patient to

 

 

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1another facility. The pediatric sexual assault survivor may be
2transported by ambulance, law enforcement, or personal
3vehicle.
4    (c) If a medically stable pediatric sexual assault
5survivor presents at a treatment hospital that has a plan
6approved by the Department requesting medical forensic
7services, then the hospital emergency department staff shall
8contact an approved pediatric health care facility, if one is
9designated in the treatment hospital's areawide treatment
10plan.
11    If medical forensic services can be initiated within 90
12minutes after the patient's arrival at the approved pediatric
13health care facility following an immediate transfer, the
14hospital emergency department staff shall provide the patient
15and non-offending parent or legal guardian the option of
16having medical forensic services performed at the treatment
17hospital or at the approved pediatric health care facility. If
18the patient or non-offending parent or legal guardian chooses
19to be transferred, the pediatric sexual assault survivor may
20be transported by ambulance, law enforcement, or personal
21vehicle.
22    If medical forensic services cannot be initiated within 90
23minutes after the patient's arrival to the approved pediatric
24health care facility, there is no approved pediatric health
25care facility designated in the hospital's plan, or the
26patient or non-offending parent or legal guardian chooses not

 

 

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1to be transferred, the hospital shall provide medical forensic
2services to the patient.
3    (d) If a pediatric sexual assault survivor presents at an
4approved pediatric health care facility requesting medical
5forensic services or the facility is contacted by law
6enforcement or the Department of Children and Family Services
7requesting medical forensic services for a pediatric sexual
8assault survivor, the services shall be provided at the
9facility if the medical forensic services can be initiated
10within 90 minutes after the patient's arrival at the facility.
11If medical forensic services cannot be initiated within 90
12minutes after the patient's arrival at the facility, then the
13patient shall be transferred to a treatment hospital
14designated in the approved pediatric health care facility's
15plan for medical forensic services. The pediatric sexual
16assault survivor may be transported by ambulance, law
17enforcement, or personal vehicle.
18    (e) This Section is repealed on December 31, 2023 2021.
19(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21.)
 
20    (410 ILCS 70/5.5)
21    Sec. 5.5. Minimum reimbursement requirements for follow-up
22healthcare.
23    (a) Every hospital, pediatric health care facility, health
24care professional, laboratory, or pharmacy that provides
25follow-up healthcare to a sexual assault survivor, with the

 

 

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1consent of the sexual assault survivor and as ordered by the
2attending physician, an advanced practice registered nurse, or
3physician assistant shall be reimbursed for the follow-up
4healthcare services provided. Follow-up healthcare services
5include, but are not limited to, the following:
6        (1) a physical examination;
7        (2) laboratory tests to determine the presence or
8    absence of sexually transmitted infection; and
9        (3) appropriate medications, including HIV
10    prophylaxis, in accordance with the Centers for Disease
11    Control and Prevention's guidelines.
12    (b) Reimbursable follow-up healthcare is limited to office
13visits with a physician, advanced practice registered nurse,
14or physician assistant within 90 days after an initial visit
15for hospital medical forensic services.
16    (c) Nothing in this Section requires a hospital, pediatric
17health care facility, health care professional, laboratory, or
18pharmacy to provide follow-up healthcare to a sexual assault
19survivor.
20    (d) This Section is effective on and after January 1, 2024
212022.
22(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21.)
 
23    (410 ILCS 70/5.5-1)
24    (Section scheduled to be repealed on December 31, 2021)
25    Sec. 5.5-1. Minimum reimbursement requirements for

 

 

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1follow-up healthcare.
2    (a) Every hospital, pediatric health care facility,
3federally qualified health center, health care professional,
4laboratory, or pharmacy that provides follow-up healthcare to
5a sexual assault survivor, with the consent of the sexual
6assault survivor and as ordered by the attending physician, an
7advanced practice registered nurse, or physician assistant
8shall be reimbursed for the follow-up healthcare services
9provided. Follow-up healthcare services include, but are not
10limited to, the following:
11        (1) a physical examination;
12        (2) laboratory tests to determine the presence or
13    absence of sexually transmitted infection; and
14        (3) appropriate medications, including HIV
15    prophylaxis, in accordance with the Centers for Disease
16    Control and Prevention's guidelines.
17    (b) Reimbursable follow-up healthcare is limited to office
18visits with a physician, advanced practice registered nurse,
19or physician assistant within 90 days after an initial visit
20for hospital medical forensic services.
21    (c) Nothing in this Section requires a hospital, pediatric
22health care facility, federally qualified health center,
23health care professional, laboratory, or pharmacy to provide
24follow-up healthcare to a sexual assault survivor.
25    (d) This Section is repealed on December 31, 2023 2021.
26(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21.)
 

 

 

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1    (410 ILCS 70/6.1)  (from Ch. 111 1/2, par. 87-6.1)
2    Sec. 6.1. Minimum standards.
3    (a) The Department shall prescribe minimum standards,
4rules, and regulations necessary to implement this Act and the
5changes made by this amendatory Act of the 100th General
6Assembly, which shall apply to every hospital required to be
7licensed by the Department that provides general medical and
8surgical hospital services and to every approved pediatric
9health care facility. Such standards shall include, but not be
10limited to, a uniform system for recording results of medical
11examinations and all diagnostic tests performed in connection
12therewith to determine the condition and necessary treatment
13of sexual assault survivors, which results shall be preserved
14in a confidential manner as part of the hospital's or approved
15pediatric health care facility's record of the sexual assault
16survivor.
17    (b) This Section is effective on and after January 1, 2024
182022.
19(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21.)
 
20    (410 ILCS 70/6.1-1)
21    (Section scheduled to be repealed on December 31, 2021)
22    Sec. 6.1-1. Minimum standards.
23    (a) The Department shall prescribe minimum standards,
24rules, and regulations necessary to implement this Act and the

 

 

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1changes made by this amendatory Act of the 101st General
2Assembly, which shall apply to every hospital required to be
3licensed by the Department that provides general medical and
4surgical hospital services and to every approved pediatric
5health care facility and approved federally qualified health
6center. Such standards shall include, but not be limited to, a
7uniform system for recording results of medical examinations
8and all diagnostic tests performed in connection therewith to
9determine the condition and necessary treatment of sexual
10assault survivors, which results shall be preserved in a
11confidential manner as part of the hospital's, approved
12pediatric health care facility's, or approved federally
13qualified health center's record of the sexual assault
14survivor.
15    (b) This Section is repealed on December 31, 2023 2021.
16(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21.)
 
17    (410 ILCS 70/6.2)  (from Ch. 111 1/2, par. 87-6.2)
18    Sec. 6.2. Assistance and grants.
19    (a) The Department shall assist in the development and
20operation of programs which provide medical forensic services
21to sexual assault survivors, and, where necessary, to provide
22grants to hospitals and approved pediatric health care
23facilities for this purpose.
24    (b) This Section is effective on and after January 1, 2024
252022.

 

 

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1(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21.)
 
2    (410 ILCS 70/6.2-1)
3    (Section scheduled to be repealed on December 31, 2021)
4    Sec. 6.2-1. Assistance and grants.
5    (a) The Department shall assist in the development and
6operation of programs which provide medical forensic services
7to sexual assault survivors, and, where necessary, to provide
8grants to hospitals, approved pediatric health care
9facilities, and approved federally qualified health centers
10for this purpose.
11    (b) This Section is repealed on December 31, 2023 2021.
12(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21.)
 
13    (410 ILCS 70/6.4)  (from Ch. 111 1/2, par. 87-6.4)
14    Sec. 6.4. Sexual assault evidence collection program.
15    (a) There is created a statewide sexual assault evidence
16collection program to facilitate the prosecution of persons
17accused of sexual assault. This program shall be administered
18by the Illinois State Police. The program shall consist of the
19following: (1) distribution of sexual assault evidence
20collection kits which have been approved by the Illinois State
21Police to hospitals and approved pediatric health care
22facilities that request them, or arranging for such
23distribution by the manufacturer of the kits, (2) collection
24of the kits from hospitals and approved pediatric health care

 

 

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1facilities after the kits have been used to collect evidence,
2(3) analysis of the collected evidence and conducting of
3laboratory tests, (4) maintaining the chain of custody and
4safekeeping of the evidence for use in a legal proceeding, and
5(5) the comparison of the collected evidence with the genetic
6marker grouping analysis information maintained by the
7Department of State Police under Section 5-4-3 of the Unified
8Code of Corrections and with the information contained in the
9Federal Bureau of Investigation's National DNA database;
10provided the amount and quality of genetic marker grouping
11results obtained from the evidence in the sexual assault case
12meets the requirements of both the Department of State Police
13and the Federal Bureau of Investigation's Combined DNA Index
14System (CODIS) policies. The standardized evidence collection
15kit for the State of Illinois shall be the Illinois State
16Police Sexual Assault Evidence Kit and shall include a written
17consent form authorizing law enforcement to test the sexual
18assault evidence and to provide law enforcement with details
19of the sexual assault.
20    (a-5) (Blank).
21    (b) The Illinois State Police shall administer a program
22to train hospital and approved pediatric health care facility
23personnel participating in the sexual assault evidence
24collection program, in the correct use and application of the
25sexual assault evidence collection kits. The Department shall
26cooperate with the Illinois State Police in this program as it

 

 

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1pertains to medical aspects of the evidence collection.
2    (c) (Blank).
3    (d) This Section is effective on and after January 1, 2024
4July 1, 2021.
5(Source: P.A. 100-775, eff. 1-1-19; 101-634, eff. 6-5-20.)
 
6    (410 ILCS 70/6.4-1)
7    (Section scheduled to be repealed on December 31, 2021)
8    Sec. 6.4-1. Sexual assault evidence collection program.
9    (a) There is created a statewide sexual assault evidence
10collection program to facilitate the prosecution of persons
11accused of sexual assault. This program shall be administered
12by the Illinois State Police. The program shall consist of the
13following: (1) distribution of sexual assault evidence
14collection kits which have been approved by the Illinois State
15Police to hospitals, approved pediatric health care
16facilities, and approved federally qualified health centers
17that request them, or arranging for such distribution by the
18manufacturer of the kits, (2) collection of the kits from
19hospitals and approved pediatric health care facilities after
20the kits have been used to collect evidence, (3) analysis of
21the collected evidence and conducting of laboratory tests, (4)
22maintaining the chain of custody and safekeeping of the
23evidence for use in a legal proceeding, and (5) the comparison
24of the collected evidence with the genetic marker grouping
25analysis information maintained by the Department of State

 

 

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1Police under Section 5-4-3 of the Unified Code of Corrections
2and with the information contained in the Federal Bureau of
3Investigation's National DNA database; provided the amount and
4quality of genetic marker grouping results obtained from the
5evidence in the sexual assault case meets the requirements of
6both the Department of State Police and the Federal Bureau of
7Investigation's Combined DNA Index System (CODIS) policies.
8The standardized evidence collection kit for the State of
9Illinois shall be the Illinois State Police Sexual Assault
10Evidence Kit and shall include a written consent form
11authorizing law enforcement to test the sexual assault
12evidence and to provide law enforcement with details of the
13sexual assault.
14    (a-5) (Blank).
15    (b) The Illinois State Police shall administer a program
16to train hospital, and approved pediatric health care
17facility, and approved federally qualified health center
18personnel participating in the sexual assault evidence
19collection program, in the correct use and application of the
20sexual assault evidence collection kits. The Department shall
21cooperate with the Illinois State Police in this program as it
22pertains to medical aspects of the evidence collection.
23    (c) (Blank).
24    (d) This Section is repealed on December 31, 2023 2021.
25(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21.)
 

 

 

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1    (410 ILCS 70/6.5)
2    Sec. 6.5. Written consent to the release of sexual assault
3evidence for testing.
4    (a) Upon the completion of medical forensic services, the
5health care professional providing the medical forensic
6services shall provide the patient the opportunity to sign a
7written consent to allow law enforcement to submit the sexual
8assault evidence for testing, if collected. The written
9consent shall be on a form included in the sexual assault
10evidence collection kit and posted on the Illinois State
11Police website. The consent form shall include whether the
12survivor consents to the release of information about the
13sexual assault to law enforcement.
14        (1) A survivor 13 years of age or older may sign the
15    written consent to release the evidence for testing.
16        (2) If the survivor is a minor who is under 13 years of
17    age, the written consent to release the sexual assault
18    evidence for testing may be signed by the parent,
19    guardian, investigating law enforcement officer, or
20    Department of Children and Family Services.
21        (3) If the survivor is an adult who has a guardian of
22    the person, a health care surrogate, or an agent acting
23    under a health care power of attorney, the consent of the
24    guardian, surrogate, or agent is not required to release
25    evidence and information concerning the sexual assault or
26    sexual abuse. If the adult is unable to provide consent

 

 

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1    for the release of evidence and information and a
2    guardian, surrogate, or agent under a health care power of
3    attorney is unavailable or unwilling to release the
4    information, then an investigating law enforcement officer
5    may authorize the release.
6        (4) Any health care professional or health care
7    institution, including any hospital or approved pediatric
8    health care facility, who provides evidence or information
9    to a law enforcement officer under a written consent as
10    specified in this Section is immune from any civil or
11    professional liability that might arise from those
12    actions, with the exception of willful or wanton
13    misconduct. The immunity provision applies only if all of
14    the requirements of this Section are met.
15    (b) The hospital or approved pediatric health care
16facility shall keep a copy of a signed or unsigned written
17consent form in the patient's medical record.
18    (c) If a written consent to allow law enforcement to hold
19the sexual assault evidence is signed at the completion of
20medical forensic services, the hospital or approved pediatric
21health care facility shall include the following information
22in its discharge instructions:
23        (1) the sexual assault evidence will be stored for 10
24    years from the completion of an Illinois State Police
25    Sexual Assault Evidence Collection Kit, or 10 years from
26    the age of 18 years, whichever is longer;

 

 

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1        (2) a person authorized to consent to the testing of
2    the sexual assault evidence may sign a written consent to
3    allow law enforcement to test the sexual assault evidence
4    at any time during that 10-year period for an adult
5    victim, or until a minor victim turns 28 years of age by
6    (A) contacting the law enforcement agency having
7    jurisdiction, or if unknown, the law enforcement agency
8    contacted by the hospital or approved pediatric health
9    care facility under Section 3.2 of the Criminal
10    Identification Act; or (B) by working with an advocate at
11    a rape crisis center;
12        (3) the name, address, and phone number of the law
13    enforcement agency having jurisdiction, or if unknown the
14    name, address, and phone number of the law enforcement
15    agency contacted by the hospital or approved pediatric
16    health care facility under Section 3.2 of the Criminal
17    Identification Act; and
18        (4) the name and phone number of a local rape crisis
19    center.
20    (d) This Section is effective on and after January 1, 2024
212022.
22(Source: P.A. 101-81, eff. 7-12-19; 101-634, eff. 6-5-20;
23102-22, eff. 6-25-21.)
 
24    (410 ILCS 70/6.5-1)
25    (Section scheduled to be repealed on December 31, 2021)

 

 

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1    Sec. 6.5-1. Written consent to the release of sexual
2assault evidence for testing.
3    (a) Upon the completion of medical forensic services, the
4health care professional providing the medical forensic
5services shall provide the patient the opportunity to sign a
6written consent to allow law enforcement to submit the sexual
7assault evidence for testing, if collected. The written
8consent shall be on a form included in the sexual assault
9evidence collection kit and posted on the Illinois State
10Police website. The consent form shall include whether the
11survivor consents to the release of information about the
12sexual assault to law enforcement.
13        (1) A survivor 13 years of age or older may sign the
14    written consent to release the evidence for testing.
15        (2) If the survivor is a minor who is under 13 years of
16    age, the written consent to release the sexual assault
17    evidence for testing may be signed by the parent,
18    guardian, investigating law enforcement officer, or
19    Department of Children and Family Services.
20        (3) If the survivor is an adult who has a guardian of
21    the person, a health care surrogate, or an agent acting
22    under a health care power of attorney, the consent of the
23    guardian, surrogate, or agent is not required to release
24    evidence and information concerning the sexual assault or
25    sexual abuse. If the adult is unable to provide consent
26    for the release of evidence and information and a

 

 

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1    guardian, surrogate, or agent under a health care power of
2    attorney is unavailable or unwilling to release the
3    information, then an investigating law enforcement officer
4    may authorize the release.
5        (4) Any health care professional or health care
6    institution, including any hospital, approved pediatric
7    health care facility, or approved federally qualified
8    health center, who provides evidence or information to a
9    law enforcement officer under a written consent as
10    specified in this Section is immune from any civil or
11    professional liability that might arise from those
12    actions, with the exception of willful or wanton
13    misconduct. The immunity provision applies only if all of
14    the requirements of this Section are met.
15    (b) The hospital, approved pediatric health care facility,
16or approved federally qualified health center shall keep a
17copy of a signed or unsigned written consent form in the
18patient's medical record.
19    (c) If a written consent to allow law enforcement to hold
20the sexual assault evidence is signed at the completion of
21medical forensic services, the hospital, approved pediatric
22health care facility, or approved federally qualified health
23center shall include the following information in its
24discharge instructions:
25        (1) the sexual assault evidence will be stored for 10
26    years from the completion of an Illinois State Police

 

 

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1    Sexual Assault Evidence Collection Kit, or 10 years from
2    the age of 18 years, whichever is longer;
3        (2) A person authorized to consent to the testing of
4    the sexual assault evidence may sign a written consent to
5    allow law enforcement to test the sexual assault evidence
6    at any time during that 10-year period for an adult
7    victim, or until a minor victim turns 28 years of age by
8    (A) contacting the law enforcement agency having
9    jurisdiction, or if unknown, the law enforcement agency
10    contacted by the hospital, approved pediatric health care
11    facility, or approved federally qualified health center
12    under Section 3.2 of the Criminal Identification Act; or
13    (B) by working with an advocate at a rape crisis center;
14        (3) the name, address, and phone number of the law
15    enforcement agency having jurisdiction, or if unknown the
16    name, address, and phone number of the law enforcement
17    agency contacted by the hospital or approved pediatric
18    health care facility under Section 3.2 of the Criminal
19    Identification Act; and
20        (4) the name and phone number of a local rape crisis
21    center.
22    (d) This Section is repealed on December 31, 2023 2021.
23(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21.)
 
24    (410 ILCS 70/6.6)
25    Sec. 6.6. Submission of sexual assault evidence.

 

 

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1    (a) As soon as practicable, but in no event more than 4
2hours after the completion of medical forensic services, the
3hospital or approved pediatric health care facility shall make
4reasonable efforts to determine the law enforcement agency
5having jurisdiction where the sexual assault occurred, if
6sexual assault evidence was collected. The hospital or
7approved pediatric health care facility may obtain the name of
8the law enforcement agency with jurisdiction from the local
9law enforcement agency.
10    (b) Within 4 hours after the completion of medical
11forensic services, the hospital or approved pediatric health
12care facility shall notify the law enforcement agency having
13jurisdiction that the hospital or approved pediatric health
14care facility is in possession of sexual assault evidence and
15the date and time the collection of evidence was completed.
16The hospital or approved pediatric health care facility shall
17document the notification in the patient's medical records and
18shall include the agency notified, the date and time of the
19notification and the name of the person who received the
20notification. This notification to the law enforcement agency
21having jurisdiction satisfies the hospital's or approved
22pediatric health care facility's requirement to contact its
23local law enforcement agency under Section 3.2 of the Criminal
24Identification Act.
25    (c) If the law enforcement agency having jurisdiction has
26not taken physical custody of sexual assault evidence within 5

 

 

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1days of the first contact by the hospital or approved
2pediatric health care facility, the hospital or approved
3pediatric health care facility shall renotify the law
4enforcement agency having jurisdiction that the hospital or
5approved pediatric health care facility is in possession of
6sexual assault evidence and the date the sexual assault
7evidence was collected. The hospital or approved pediatric
8health care facility shall document the renotification in the
9patient's medical records and shall include the agency
10notified, the date and time of the notification and the name of
11the person who received the notification.
12    (d) If the law enforcement agency having jurisdiction has
13not taken physical custody of the sexual assault evidence
14within 10 days of the first contact by the hospital or approved
15pediatric health care facility and the hospital or approved
16pediatric health care facility has provided renotification
17under subsection (c) of this Section, the hospital or approved
18pediatric health care facility shall contact the State's
19Attorney of the county where the law enforcement agency having
20jurisdiction is located. The hospital or approved pediatric
21health care facility shall inform the State's Attorney that
22the hospital or approved pediatric health care facility is in
23possession of sexual assault evidence, the date the sexual
24assault evidence was collected, the law enforcement agency
25having jurisdiction, the dates, times and names of persons
26notified under subsections (b) and (c) of this Section. The

 

 

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1notification shall be made within 14 days of the collection of
2the sexual assault evidence.
3    (e) This Section is effective on and after January 1, 2024
42022.
5(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21.)
 
6    (410 ILCS 70/6.6-1)
7    (Section scheduled to be repealed on December 31, 2021)
8    Sec. 6.6-1. Submission of sexual assault evidence.
9    (a) As soon as practicable, but in no event more than 4
10hours after the completion of medical forensic services, the
11hospital, approved pediatric health care facility, or approved
12federally qualified health center shall make reasonable
13efforts to determine the law enforcement agency having
14jurisdiction where the sexual assault occurred, if sexual
15assault evidence was collected. The hospital, approved
16pediatric health care facility, or approved federally
17qualified health center may obtain the name of the law
18enforcement agency with jurisdiction from the local law
19enforcement agency.
20    (b) Within 4 hours after the completion of medical
21forensic services, the hospital, approved pediatric health
22care facility, or approved federally qualified health center
23shall notify the law enforcement agency having jurisdiction
24that the hospital, approved pediatric health care facility, or
25approved federally qualified health center is in possession of

 

 

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1sexual assault evidence and the date and time the collection
2of evidence was completed. The hospital, approved pediatric
3health care facility, or approved federally qualified health
4center shall document the notification in the patient's
5medical records and shall include the agency notified, the
6date and time of the notification and the name of the person
7who received the notification. This notification to the law
8enforcement agency having jurisdiction satisfies the
9hospital's, approved pediatric health care facility's, or
10approved federally qualified health center's requirement to
11contact its local law enforcement agency under Section 3.2 of
12the Criminal Identification Act.
13    (c) If the law enforcement agency having jurisdiction has
14not taken physical custody of sexual assault evidence within 5
15days of the first contact by the hospital, approved pediatric
16health care facility, or approved federally qualified health
17center, the hospital, approved pediatric health care facility,
18or approved federally qualified health center shall renotify
19the law enforcement agency having jurisdiction that the
20hospital, approved pediatric health care facility, or approved
21federally qualified health center is in possession of sexual
22assault evidence and the date the sexual assault evidence was
23collected. The hospital, approved pediatric health care
24facility, or approved federally qualified health center shall
25document the renotification in the patient's medical records
26and shall include the agency notified, the date and time of the

 

 

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1notification and the name of the person who received the
2notification.
3    (d) If the law enforcement agency having jurisdiction has
4not taken physical custody of the sexual assault evidence
5within 10 days of the first contact by the hospital, approved
6pediatric health care facility, or approved federally
7qualified health center and the hospital, approved pediatric
8health care facility, or approved federally qualified health
9center has provided renotification under subsection (c) of
10this Section, the hospital, approved pediatric health care
11facility, or approved federally qualified health center shall
12contact the State's Attorney of the county where the law
13enforcement agency having jurisdiction is located. The
14hospital, approved pediatric health care facility shall inform
15the State's Attorney that the hospital, approved pediatric
16health care facility, or approved federally qualified health
17center is in possession of sexual assault evidence, the date
18the sexual assault evidence was collected, the law enforcement
19agency having jurisdiction, the dates, times and names of
20persons notified under subsections (b) and (c)of this Section.
21The notification shall be made within 14 days of the
22collection of the sexual assault evidence.
23    (e) This Section is repealed on December 31, 2023 2021.
24(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21.)
 
25    (410 ILCS 70/7)  (from Ch. 111 1/2, par. 87-7)

 

 

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1    Sec. 7. Reimbursement.
2    (a) A hospital, approved pediatric health care facility,
3or health care professional furnishing medical forensic
4services, an ambulance provider furnishing transportation to a
5sexual assault survivor, a hospital, health care professional,
6or laboratory providing follow-up healthcare, or a pharmacy
7dispensing prescribed medications to any sexual assault
8survivor shall furnish such services or medications to that
9person without charge and shall seek payment as follows:
10        (1) If a sexual assault survivor is eligible to
11    receive benefits under the medical assistance program
12    under Article V of the Illinois Public Aid Code, the
13    ambulance provider, hospital, approved pediatric health
14    care facility, health care professional, laboratory, or
15    pharmacy must submit the bill to the Department of
16    Healthcare and Family Services or the appropriate Medicaid
17    managed care organization and accept the amount paid as
18    full payment.
19        (2) If a sexual assault survivor is covered by one or
20    more policies of health insurance or is a beneficiary
21    under a public or private health coverage program, the
22    ambulance provider, hospital, approved pediatric health
23    care facility, health care professional, laboratory, or
24    pharmacy shall bill the insurance company or program. With
25    respect to such insured patients, applicable deductible,
26    co-pay, co-insurance, denial of claim, or any other

 

 

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1    out-of-pocket insurance-related expense may be submitted
2    to the Illinois Sexual Assault Emergency Treatment Program
3    of the Department of Healthcare and Family Services in
4    accordance with 89 Ill. Adm. Code 148.510 for payment at
5    the Department of Healthcare and Family Services'
6    allowable rates under the Illinois Public Aid Code. The
7    ambulance provider, hospital, approved pediatric health
8    care facility, health care professional, laboratory, or
9    pharmacy shall accept the amounts paid by the insurance
10    company or health coverage program and the Illinois Sexual
11    Assault Treatment Program as full payment.
12        (3) If a sexual assault survivor is neither eligible
13    to receive benefits under the medical assistance program
14    under Article V of the Illinois Public Aid Code nor
15    covered by a policy of insurance or a public or private
16    health coverage program, the ambulance provider, hospital,
17    approved pediatric health care facility, health care
18    professional, laboratory, or pharmacy shall submit the
19    request for reimbursement to the Illinois Sexual Assault
20    Emergency Treatment Program under the Department of
21    Healthcare and Family Services in accordance with 89 Ill.
22    Adm. Code 148.510 at the Department of Healthcare and
23    Family Services' allowable rates under the Illinois Public
24    Aid Code.
25        (4) If a sexual assault survivor presents a sexual
26    assault services voucher for follow-up healthcare, the

 

 

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1    healthcare professional, pediatric health care facility,
2    or laboratory that provides follow-up healthcare or the
3    pharmacy that dispenses prescribed medications to a sexual
4    assault survivor shall submit the request for
5    reimbursement for follow-up healthcare, pediatric health
6    care facility, laboratory, or pharmacy services to the
7    Illinois Sexual Assault Emergency Treatment Program under
8    the Department of Healthcare and Family Services in
9    accordance with 89 Ill. Adm. Code 148.510 at the
10    Department of Healthcare and Family Services' allowable
11    rates under the Illinois Public Aid Code. Nothing in this
12    subsection (a) precludes hospitals or approved pediatric
13    health care facilities from providing follow-up healthcare
14    and receiving reimbursement under this Section.
15    (b) Nothing in this Section precludes a hospital, health
16care provider, ambulance provider, laboratory, or pharmacy
17from billing the sexual assault survivor or any applicable
18health insurance or coverage for inpatient services.
19    (c) (Blank).
20    (d) On and after July 1, 2012, the Department shall reduce
21any rate of reimbursement for services or other payments or
22alter any methodologies authorized by this Act or the Illinois
23Public Aid Code to reduce any rate of reimbursement for
24services or other payments in accordance with Section 5-5e of
25the Illinois Public Aid Code.
26    (e) The Department of Healthcare and Family Services shall

 

 

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1establish standards, rules, and regulations to implement this
2Section.
3    (f) This Section is effective on and after January 1, 2024
42022.
5(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21.)
 
6    (410 ILCS 70/7-1)
7    (Section scheduled to be repealed on December 31, 2021)
8    Sec. 7-1. Reimbursement
9    (a) A hospital, approved pediatric health care facility,
10approved federally qualified health center, or health care
11professional furnishing medical forensic services, an
12ambulance provider furnishing transportation to a sexual
13assault survivor, a hospital, health care professional, or
14laboratory providing follow-up healthcare, or a pharmacy
15dispensing prescribed medications to any sexual assault
16survivor shall furnish such services or medications to that
17person without charge and shall seek payment as follows:
18        (1) If a sexual assault survivor is eligible to
19    receive benefits under the medical assistance program
20    under Article V of the Illinois Public Aid Code, the
21    ambulance provider, hospital, approved pediatric health
22    care facility, approved federally qualified health center,
23    health care professional, laboratory, or pharmacy must
24    submit the bill to the Department of Healthcare and Family
25    Services or the appropriate Medicaid managed care

 

 

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1    organization and accept the amount paid as full payment.
2        (2) If a sexual assault survivor is covered by one or
3    more policies of health insurance or is a beneficiary
4    under a public or private health coverage program, the
5    ambulance provider, hospital, approved pediatric health
6    care facility, approved federally qualified health center,
7    health care professional, laboratory, or pharmacy shall
8    bill the insurance company or program. With respect to
9    such insured patients, applicable deductible, co-pay,
10    co-insurance, denial of claim, or any other out-of-pocket
11    insurance-related expense may be submitted to the Illinois
12    Sexual Assault Emergency Treatment Program of the
13    Department of Healthcare and Family Services in accordance
14    with 89 Ill. Adm. Code 148.510 for payment at the
15    Department of Healthcare and Family Services' allowable
16    rates under the Illinois Public Aid Code. The ambulance
17    provider, hospital, approved pediatric health care
18    facility, approved federally qualified health center,
19    health care professional, laboratory, or pharmacy shall
20    accept the amounts paid by the insurance company or health
21    coverage program and the Illinois Sexual Assault Treatment
22    Program as full payment.
23        (3) If a sexual assault survivor is neither eligible
24    to receive benefits under the medical assistance program
25    under Article V of the Illinois Public Aid Code nor
26    covered by a policy of insurance or a public or private

 

 

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1    health coverage program, the ambulance provider, hospital,
2    approved pediatric health care facility, approved
3    federally qualified health center, health care
4    professional, laboratory, or pharmacy shall submit the
5    request for reimbursement to the Illinois Sexual Assault
6    Emergency Treatment Program under the Department of
7    Healthcare and Family Services in accordance with 89 Ill.
8    Adm. Code 148.510 at the Department of Healthcare and
9    Family Services' allowable rates under the Illinois Public
10    Aid Code.
11        (4) If a sexual assault survivor presents a sexual
12    assault services voucher for follow-up healthcare, the
13    healthcare professional, pediatric health care facility,
14    federally qualified health center, or laboratory that
15    provides follow-up healthcare or the pharmacy that
16    dispenses prescribed medications to a sexual assault
17    survivor shall submit the request for reimbursement for
18    follow-up healthcare, pediatric health care facility,
19    laboratory, or pharmacy services to the Illinois Sexual
20    Assault Emergency Treatment Program under the Department
21    of Healthcare and Family Services in accordance with 89
22    Ill. Adm. Code 148.510 at the Department of Healthcare and
23    Family Services' allowable rates under the Illinois Public
24    Aid Code. Nothing in this subsection (a) precludes
25    hospitals, or approved pediatric health care facilities or
26    approved federally qualified health centers from providing

 

 

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1    follow-up healthcare and receiving reimbursement under
2    this Section.
3    (b) Nothing in this Section precludes a hospital, health
4care provider, ambulance provider, laboratory, or pharmacy
5from billing the sexual assault survivor or any applicable
6health insurance or coverage for inpatient services.
7    (c) (Blank).
8    (d) On and after July 1, 2012, the Department shall reduce
9any rate of reimbursement for services or other payments or
10alter any methodologies authorized by this Act or the Illinois
11Public Aid Code to reduce any rate of reimbursement for
12services or other payments in accordance with Section 5-5e of
13the Illinois Public Aid Code.
14    (e) The Department of Healthcare and Family Services shall
15establish standards, rules, and regulations to implement this
16Section.
17    (f) This Section is repealed on December 31, 2023 2021.
18(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21.)
 
19    (410 ILCS 70/7.5)
20    Sec. 7.5. Prohibition on billing sexual assault survivors
21directly for certain services; written notice; billing
22protocols.
23    (a) A hospital, approved pediatric health care facility,
24health care professional, ambulance provider, laboratory, or
25pharmacy furnishing medical forensic services, transportation,

 

 

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1follow-up healthcare, or medication to a sexual assault
2survivor shall not:
3        (1) charge or submit a bill for any portion of the
4    costs of the services, transportation, or medications to
5    the sexual assault survivor, including any insurance
6    deductible, co-pay, co-insurance, denial of claim by an
7    insurer, spenddown, or any other out-of-pocket expense;
8        (2) communicate with, harass, or intimidate the sexual
9    assault survivor for payment of services, including, but
10    not limited to, repeatedly calling or writing to the
11    sexual assault survivor and threatening to refer the
12    matter to a debt collection agency or to an attorney for
13    collection, enforcement, or filing of other process;
14        (3) refer a bill to a collection agency or attorney
15    for collection action against the sexual assault survivor;
16        (4) contact or distribute information to affect the
17    sexual assault survivor's credit rating; or
18        (5) take any other action adverse to the sexual
19    assault survivor or his or her family on account of
20    providing services to the sexual assault survivor.
21    (b) Nothing in this Section precludes a hospital, health
22care provider, ambulance provider, laboratory, or pharmacy
23from billing the sexual assault survivor or any applicable
24health insurance or coverage for inpatient services.
25    (c) Every hospital and approved pediatric health care
26facility providing treatment services to sexual assault

 

 

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1survivors in accordance with a plan approved under Section 2
2of this Act shall provide a written notice to a sexual assault
3survivor. The written notice must include, but is not limited
4to, the following:
5        (1) a statement that the sexual assault survivor
6    should not be directly billed by any ambulance provider
7    providing transportation services, or by any hospital,
8    approved pediatric health care facility, health care
9    professional, laboratory, or pharmacy for the services the
10    sexual assault survivor received as an outpatient at the
11    hospital or approved pediatric health care facility;
12        (2) a statement that a sexual assault survivor who is
13    admitted to a hospital may be billed for inpatient
14    services provided by a hospital, health care professional,
15    laboratory, or pharmacy;
16        (3) a statement that prior to leaving the hospital or
17    approved pediatric health care facility, the hospital or
18    approved pediatric health care facility will give the
19    sexual assault survivor a sexual assault services voucher
20    for follow-up healthcare if the sexual assault survivor is
21    eligible to receive a sexual assault services voucher;
22        (4) the definition of "follow-up healthcare" as set
23    forth in Section 1a of this Act;
24        (5) a phone number the sexual assault survivor may
25    call should the sexual assault survivor receive a bill
26    from the hospital or approved pediatric health care

 

 

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1    facility for medical forensic services;
2        (6) the toll-free phone number of the Office of the
3    Illinois Attorney General, which the sexual assault
4    survivor may call should the sexual assault survivor
5    receive a bill from an ambulance provider, approved
6    pediatric health care facility, a health care
7    professional, a laboratory, or a pharmacy.
8    This subsection (c) shall not apply to hospitals that
9provide transfer services as defined under Section 1a of this
10Act.
11    (d) Within 60 days after the effective date of this
12amendatory Act of the 99th General Assembly, every health care
13professional, except for those employed by a hospital or
14hospital affiliate, as defined in the Hospital Licensing Act,
15or those employed by a hospital operated under the University
16of Illinois Hospital Act, who bills separately for medical or
17forensic services must develop a billing protocol that ensures
18that no survivor of sexual assault will be sent a bill for any
19medical forensic services and submit the billing protocol to
20the Office of the Attorney General for approval. Within 60
21days after the commencement of the provision of medical
22forensic services, every health care professional, except for
23those employed by a hospital or hospital affiliate, as defined
24in the Hospital Licensing Act, or those employed by a hospital
25operated under the University of Illinois Hospital Act, who
26bills separately for medical or forensic services must develop

 

 

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1a billing protocol that ensures that no survivor of sexual
2assault is sent a bill for any medical forensic services and
3submit the billing protocol to the Attorney General for
4approval. Health care professionals who bill as a legal entity
5may submit a single billing protocol for the billing entity.
6    Within 60 days after the Department's approval of a
7treatment plan, an approved pediatric health care facility and
8any health care professional employed by an approved pediatric
9health care facility must develop a billing protocol that
10ensures that no survivor of sexual assault is sent a bill for
11any medical forensic services and submit the billing protocol
12to the Office of the Attorney General for approval.
13     The billing protocol must include at a minimum:
14        (1) a description of training for persons who prepare
15    bills for medical and forensic services;
16        (2) a written acknowledgement signed by a person who
17    has completed the training that the person will not bill
18    survivors of sexual assault;
19        (3) prohibitions on submitting any bill for any
20    portion of medical forensic services provided to a
21    survivor of sexual assault to a collection agency;
22        (4) prohibitions on taking any action that would
23    adversely affect the credit of the survivor of sexual
24    assault;
25        (5) the termination of all collection activities if
26    the protocol is violated; and

 

 

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1        (6) the actions to be taken if a bill is sent to a
2    collection agency or the failure to pay is reported to any
3    credit reporting agency.
4    The Office of the Attorney General may provide a sample
5acceptable billing protocol upon request.
6    The Office of the Attorney General shall approve a
7proposed protocol if it finds that the implementation of the
8protocol would result in no survivor of sexual assault being
9billed or sent a bill for medical forensic services.
10    If the Office of the Attorney General determines that
11implementation of the protocol could result in the billing of
12a survivor of sexual assault for medical forensic services,
13the Office of the Attorney General shall provide the health
14care professional or approved pediatric health care facility
15with a written statement of the deficiencies in the protocol.
16The health care professional or approved pediatric health care
17facility shall have 30 days to submit a revised billing
18protocol addressing the deficiencies to the Office of the
19Attorney General. The health care professional or approved
20pediatric health care facility shall implement the protocol
21upon approval by the Office of the Attorney General.
22    The health care professional or approved pediatric health
23care facility shall submit any proposed revision to or
24modification of an approved billing protocol to the Office of
25the Attorney General for approval. The health care
26professional or approved pediatric health care facility shall

 

 

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1implement the revised or modified billing protocol upon
2approval by the Office of the Illinois Attorney General.
3    (e) This Section is effective on and after January 1, 2024
42022.
5(Source: P.A. 101-634, eff. 6-5-20; 101-652, eff. 7-1-21;
6102-22, eff. 6-25-21.)
 
7    (410 ILCS 70/7.5-1)
8    (Section scheduled to be repealed on December 31, 2021)
9    Sec. 7.5-1. Prohibition on billing sexual assault
10survivors directly for certain services; written notice;
11billing protocols.
12    (a) A hospital, approved pediatric health care facility,
13approved federally qualified health center, health care
14professional, ambulance provider, laboratory, or pharmacy
15furnishing medical forensic services, transportation,
16follow-up healthcare, or medication to a sexual assault
17survivor shall not:
18        (1) charge or submit a bill for any portion of the
19    costs of the services, transportation, or medications to
20    the sexual assault survivor, including any insurance
21    deductible, co-pay, co-insurance, denial of claim by an
22    insurer, spenddown, or any other out-of-pocket expense;
23        (2) communicate with, harass, or intimidate the sexual
24    assault survivor for payment of services, including, but
25    not limited to, repeatedly calling or writing to the

 

 

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1    sexual assault survivor and threatening to refer the
2    matter to a debt collection agency or to an attorney for
3    collection, enforcement, or filing of other process;
4        (3) refer a bill to a collection agency or attorney
5    for collection action against the sexual assault survivor;
6        (4) contact or distribute information to affect the
7    sexual assault survivor's credit rating; or
8        (5) take any other action adverse to the sexual
9    assault survivor or his or her family on account of
10    providing services to the sexual assault survivor.
11    (b) Nothing in this Section precludes a hospital, health
12care provider, ambulance provider, laboratory, or pharmacy
13from billing the sexual assault survivor or any applicable
14health insurance or coverage for inpatient services.
15    (c) Every hospital, approved pediatric health care
16facility, and approved federally qualified health center
17providing treatment services to sexual assault survivors in
18accordance with a plan approved under Section 2-1 of this Act
19shall provide a written notice to a sexual assault survivor.
20The written notice must include, but is not limited to, the
21following:
22        (1) a statement that the sexual assault survivor
23    should not be directly billed by any ambulance provider
24    providing transportation services, or by any hospital,
25    approved pediatric health care facility, approved
26    federally qualified health center, health care

 

 

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1    professional, laboratory, or pharmacy for the services the
2    sexual assault survivor received as an outpatient at the
3    hospital, approved pediatric health care facility, or
4    approved federally qualified health center;
5        (2) a statement that a sexual assault survivor who is
6    admitted to a hospital may be billed for inpatient
7    services provided by a hospital, health care professional,
8    laboratory, or pharmacy;
9        (3) a statement that prior to leaving the hospital,
10    approved pediatric health care facility, or approved
11    federally qualified health center, the hospital, approved
12    pediatric health care facility, or approved federally
13    qualified health center will give the sexual assault
14    survivor a sexual assault services voucher for follow-up
15    healthcare if the sexual assault survivor is eligible to
16    receive a sexual assault services voucher;
17        (4) the definition of "follow-up healthcare" as set
18    forth in Section 1a-1 of this Act;
19        (5) a phone number the sexual assault survivor may
20    call should the sexual assault survivor receive a bill
21    from the hospital, approved pediatric health care
22    facility, or approved federally qualified health center
23    for medical forensic services;
24        (6) the toll-free phone number of the Office of the
25    Illinois Attorney General, Crime Victim Services Division,
26    which the sexual assault survivor may call should the

 

 

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1    sexual assault survivor receive a bill from an ambulance
2    provider, approved pediatric health care facility,
3    approved federally qualified health center, a health care
4    professional, a laboratory, or a pharmacy.
5    This subsection (c) shall not apply to hospitals that
6provide transfer services as defined under Section 1a-1 of
7this Act.
8    (d) Within 60 days after the effective date of this
9amendatory Act of the 101st General Assembly, every health
10care professional, except for those employed by a hospital or
11hospital affiliate, as defined in the Hospital Licensing Act,
12or those employed by a hospital operated under the University
13of Illinois Hospital Act, who bills separately for medical or
14forensic services must develop a billing protocol that ensures
15that no survivor of sexual assault will be sent a bill for any
16medical forensic services and submit the billing protocol to
17the Crime Victim Services Division of the Office of the
18Attorney General for approval. Within 60 days after the
19commencement of the provision of medical forensic services,
20every health care professional, except for those employed by a
21hospital or hospital affiliate, as defined in the Hospital
22Licensing Act, or those employed by a hospital operated under
23the University of Illinois Hospital Act, who bills separately
24for medical or forensic services must develop a billing
25protocol that ensures that no survivor of sexual assault is
26sent a bill for any medical forensic services and submit the

 

 

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1billing protocol to the Crime Victim Services Division of the
2Office of the Attorney General for approval. Health care
3professionals who bill as a legal entity may submit a single
4billing protocol for the billing entity.
5    Within 60 days after the Department's approval of a
6treatment plan, an approved pediatric health care facility and
7any health care professional employed by an approved pediatric
8health care facility must develop a billing protocol that
9ensures that no survivor of sexual assault is sent a bill for
10any medical forensic services and submit the billing protocol
11to the Crime Victim Services Division of the Office of the
12Attorney General for approval.
13    Within 14 days after the Department's approval of a
14treatment plan, an approved federally qualified health center
15and any health care professional employed by an approved
16federally qualified health center must develop a billing
17protocol that ensures that no survivor of sexual assault is
18sent a bill for any medical forensic services and submit the
19billing protocol to the Crime Victim Services Division of the
20Office of the Attorney General for approval.
21    The billing protocol must include at a minimum:
22        (1) a description of training for persons who prepare
23    bills for medical and forensic services;
24        (2) a written acknowledgement signed by a person who
25    has completed the training that the person will not bill
26    survivors of sexual assault;

 

 

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1        (3) prohibitions on submitting any bill for any
2    portion of medical forensic services provided to a
3    survivor of sexual assault to a collection agency;
4        (4) prohibitions on taking any action that would
5    adversely affect the credit of the survivor of sexual
6    assault;
7        (5) the termination of all collection activities if
8    the protocol is violated; and
9        (6) the actions to be taken if a bill is sent to a
10    collection agency or the failure to pay is reported to any
11    credit reporting agency.
12    The Crime Victim Services Division of the Office of the
13Attorney General may provide a sample acceptable billing
14protocol upon request.
15    The Office of the Attorney General shall approve a
16proposed protocol if it finds that the implementation of the
17protocol would result in no survivor of sexual assault being
18billed or sent a bill for medical forensic services.
19    If the Office of the Attorney General determines that
20implementation of the protocol could result in the billing of
21a survivor of sexual assault for medical forensic services,
22the Office of the Attorney General shall provide the health
23care professional or approved pediatric health care facility
24with a written statement of the deficiencies in the protocol.
25The health care professional or approved pediatric health care
26facility shall have 30 days to submit a revised billing

 

 

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1protocol addressing the deficiencies to the Office of the
2Attorney General. The health care professional or approved
3pediatric health care facility shall implement the protocol
4upon approval by the Crime Victim Services Division of the
5Office of the Attorney General.
6    The health care professional, approved pediatric health
7care facility, or approved federally qualified health center
8shall submit any proposed revision to or modification of an
9approved billing protocol to the Crime Victim Services
10Division of the Office of the Attorney General for approval.
11The health care professional, approved pediatric health care
12facility, or approved federally qualified health center shall
13implement the revised or modified billing protocol upon
14approval by the Crime Victim Services Division of the Office
15of the Illinois Attorney General.
16    (e) This Section is repealed on December 31, 2023 2021.
17(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21.)
 
18    (410 ILCS 70/8)  (from Ch. 111 1/2, par. 87-8)
19    Sec. 8. Penalties.
20    (a) Any hospital or approved pediatric health care
21facility violating any provisions of this Act other than
22Section 7.5 shall be guilty of a petty offense for each
23violation, and any fine imposed shall be paid into the general
24corporate funds of the city, incorporated town or village in
25which the hospital or approved pediatric health care facility

 

 

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1is located, or of the county, in case such hospital is outside
2the limits of any incorporated municipality.
3    (b) The Attorney General may seek the assessment of one or
4more of the following civil monetary penalties in any action
5filed under this Act where the hospital, approved pediatric
6health care facility, health care professional, ambulance
7provider, laboratory, or pharmacy knowingly violates Section
87.5 of the Act:
9        (1) For willful violations of paragraphs (1), (2),
10    (4), or (5) of subsection (a) of Section 7.5 or subsection
11    (c) of Section 7.5, the civil monetary penalty shall not
12    exceed $500 per violation.
13        (2) For violations of paragraphs (1), (2), (4), or (5)
14    of subsection (a) of Section 7.5 or subsection (c) of
15    Section 7.5 involving a pattern or practice, the civil
16    monetary penalty shall not exceed $500 per violation.
17        (3) For violations of paragraph (3) of subsection (a)
18    of Section 7.5, the civil monetary penalty shall not
19    exceed $500 for each day the bill is with a collection
20    agency.
21        (4) For violations involving the failure to submit
22    billing protocols within the time period required under
23    subsection (d) of Section 7.5, the civil monetary penalty
24    shall not exceed $100 per day until the health care
25    professional or approved pediatric health care facility
26    complies with subsection (d) of Section 7.5.

 

 

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1    All civil monetary penalties shall be deposited into the
2Violent Crime Victims Assistance Fund.
3    (c) This Section is effective on and after January 1, 2024
42022.
5(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21.)
 
6    (410 ILCS 70/8-1)
7    (Section scheduled to be repealed on December 31, 2021)
8    Sec. 8-1. Penalties.
9    (a) Any hospital, approved pediatric health care facility,
10or approved federally qualified health center violating any
11provisions of this Act other than Section 7.5-1 shall be
12guilty of a petty offense for each violation, and any fine
13imposed shall be paid into the general corporate funds of the
14city, incorporated town or village in which the hospital,
15approved pediatric health care facility, or approved federally
16qualified health center is located, or of the county, in case
17such hospital is outside the limits of any incorporated
18municipality.
19    (b) The Attorney General may seek the assessment of one or
20more of the following civil monetary penalties in any action
21filed under this Act where the hospital, approved pediatric
22health care facility, approved federally qualified health
23center, health care professional, ambulance provider,
24laboratory, or pharmacy knowingly violates Section 7.5-1 of
25the Act:

 

 

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1        (1) For willful violations of paragraphs (1), (2),
2    (4), or (5) of subsection (a) of Section 7.5-1 or
3    subsection (c) of Section 7.5-1, the civil monetary
4    penalty shall not exceed $500 per violation.
5        (2) For violations of paragraphs (1), (2), (4), or (5)
6    of subsection (a) of Section 7.5-1 or subsection (c) of
7    Section 7.5-1 involving a pattern or practice, the civil
8    monetary penalty shall not exceed $500 per violation.
9        (3) For violations of paragraph (3) of subsection (a)
10    of Section 7.5-1, the civil monetary penalty shall not
11    exceed $500 for each day the bill is with a collection
12    agency.
13        (4) For violations involving the failure to submit
14    billing protocols within the time period required under
15    subsection (d) of Section 7.5-1, the civil monetary
16    penalty shall not exceed $100 per day until the health
17    care professional or approved pediatric health care
18    facility complies with subsection (d) of Section 7.5-1.
19    All civil monetary penalties shall be deposited into the
20Violent Crime Victims Assistance Fund.
21    (c) This Section is repealed on December 31, 2023 2021.
22(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21.)
 
23    (410 ILCS 70/10)
24    Sec. 10. Sexual Assault Nurse Examiner Program.
25    (a) The Sexual Assault Nurse Examiner Program is

 

 

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1established within the Office of the Attorney General. The
2Sexual Assault Nurse Examiner Program shall maintain a list of
3sexual assault nurse examiners who have completed didactic and
4clinical training requirements consistent with the Sexual
5Assault Nurse Examiner Education Guidelines established by the
6International Association of Forensic Nurses.
7    (b) By March 1, 2019, the Sexual Assault Nurse Examiner
8Program shall develop and make available to hospitals 2 hours
9of online sexual assault training for emergency department
10clinical staff to meet the training requirement established in
11subsection (a) of Section 2. Notwithstanding any other law
12regarding ongoing licensure requirements, such training shall
13count toward the continuing medical education and continuing
14nursing education credits for physicians, physician
15assistants, advanced practice registered nurses, and
16registered professional nurses.
17    The Sexual Assault Nurse Examiner Program shall provide
18didactic and clinical training opportunities consistent with
19the Sexual Assault Nurse Examiner Education Guidelines
20established by the International Association of Forensic
21Nurses, in sufficient numbers and geographical locations
22across the State, to assist hospitals with training the
23necessary number of sexual assault nurse examiners to comply
24with the requirement of this Act to employ or contract with a
25qualified medical provider to initiate medical forensic
26services to a sexual assault survivor within 90 minutes of the

 

 

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1patient presenting to the hospital as required in subsection
2(a-7) of Section 5.
3    The Sexual Assault Nurse Examiner Program shall assist
4hospitals in establishing trainings to achieve the
5requirements of this Act.
6    For the purpose of providing continuing medical education
7credit in accordance with the Medical Practice Act of 1987 and
8administrative rules adopted under the Medical Practice Act of
91987 and continuing education credit in accordance with the
10Nurse Practice Act and administrative rules adopted under the
11Nurse Practice Act to health care professionals for the
12completion of sexual assault training provided by the Sexual
13Assault Nurse Examiner Program under this Act, the Office of
14the Attorney General shall be considered a State agency.
15    (c) The Sexual Assault Nurse Examiner Program, in
16consultation with qualified medical providers, shall create
17uniform materials that all treatment hospitals, treatment
18hospitals with approved pediatric transfer, and approved
19pediatric health care facilities are required to give patients
20and non-offending parents or legal guardians, if applicable,
21regarding the medical forensic exam procedure, laws regarding
22consenting to medical forensic services, and the benefits and
23risks of evidence collection, including recommended time
24frames for evidence collection pursuant to evidence-based
25research. These materials shall be made available to all
26hospitals and approved pediatric health care facilities on the

 

 

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1Office of the Attorney General's website.
2    (d) This Section is effective on and after January 1, 2024
32022.
4(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21.)
 
5    (410 ILCS 70/10-1)
6    (Section scheduled to be repealed on December 31, 2021)
7    Sec. 10-1. Sexual Assault Nurse Examiner Program.
8    (a) The Sexual Assault Nurse Examiner Program is
9established within the Office of the Attorney General. The
10Sexual Assault Nurse Examiner Program shall maintain a list of
11sexual assault nurse examiners who have completed didactic and
12clinical training requirements consistent with the Sexual
13Assault Nurse Examiner Education Guidelines established by the
14International Association of Forensic Nurses.
15    (b) By March 1, 2019, the Sexual Assault Nurse Examiner
16Program shall develop and make available to hospitals 2 hours
17of online sexual assault training for emergency department
18clinical staff to meet the training requirement established in
19subsection (a) of Section 2-1. Notwithstanding any other law
20regarding ongoing licensure requirements, such training shall
21count toward the continuing medical education and continuing
22nursing education credits for physicians, physician
23assistants, advanced practice registered nurses, and
24registered professional nurses.
25    The Sexual Assault Nurse Examiner Program shall provide

 

 

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1didactic and clinical training opportunities consistent with
2the Sexual Assault Nurse Examiner Education Guidelines
3established by the International Association of Forensic
4Nurses, in sufficient numbers and geographical locations
5across the State, to assist hospitals with training the
6necessary number of sexual assault nurse examiners to comply
7with the requirement of this Act to employ or contract with a
8qualified medical provider to initiate medical forensic
9services to a sexual assault survivor within 90 minutes of the
10patient presenting to the hospital as required in subsection
11(a-7) of Section 5-1.
12    The Sexual Assault Nurse Examiner Program shall assist
13hospitals in establishing trainings to achieve the
14requirements of this Act.
15    For the purpose of providing continuing medical education
16credit in accordance with the Medical Practice Act of 1987 and
17administrative rules adopted under the Medical Practice Act of
181987 and continuing education credit in accordance with the
19Nurse Practice Act and administrative rules adopted under the
20Nurse Practice Act to health care professionals for the
21completion of sexual assault training provided by the Sexual
22Assault Nurse Examiner Program under this Act, the Office of
23the Attorney General shall be considered a State agency.
24    (c) The Sexual Assault Nurse Examiner Program, in
25consultation with qualified medical providers, shall create
26uniform materials that all treatment hospitals, treatment

 

 

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1hospitals with approved pediatric transfer, approved pediatric
2health care facilities, and approved federally qualified
3health centers are required to give patients and non-offending
4parents or legal guardians, if applicable, regarding the
5medical forensic exam procedure, laws regarding consenting to
6medical forensic services, and the benefits and risks of
7evidence collection, including recommended time frames for
8evidence collection pursuant to evidence-based research. These
9materials shall be made available to all hospitals, approved
10pediatric health care facilities, and approved federally
11qualified health centers on the Office of the Attorney
12General's website.
13    (d) This Section is repealed on December 31, 2023 2021.
14(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21.)
 
15    Section 45. The Underlying Causes of Crime and Violence
16Study Act is amended by changing Section 72-15 as follows:
 
17    (410 ILCS 165/72-15)
18    Sec. 72-15. Report. The Department of Public Health and
19the Department of Human Services are required to report their
20findings to the General Assembly by December 31, 2022 2021.
21(Source: P.A. 102-4, eff. 4-27-21.)
 
22    Section 99. Effective date. This Act takes effect upon
23becoming law.