Sen. Rachelle Crowe

Filed: 3/18/2022

 

 


 

 


 
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1
AMENDMENT TO SENATE BILL 970

2    AMENDMENT NO. ______. Amend Senate Bill 970 by replacing
3everything after the enacting clause with the following:
 
4    "Section 5. The Sexual Assault Survivors Emergency
5Treatment Act is amended by changing Sections 1a, 1a-1, 2,
62-1, 2.1, 2.1-1, 5, 5-1, and 5.4 and by adding Section 1b as
7follows:
 
8    (410 ILCS 70/1a)  (from Ch. 111 1/2, par. 87-1a)
9    Sec. 1a. Definitions.
10    (a) In this Act:
11    "Advanced practice registered nurse" has the meaning
12provided in Section 50-10 of the Nurse Practice Act.
13    "Ambulance provider" means an individual or entity that
14owns and operates a business or service using ambulances or
15emergency medical services vehicles to transport emergency
16patients.

 

 

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1    "Approved pediatric health care facility" means a health
2care facility, other than a hospital, with a sexual assault
3treatment plan approved by the Department to provide medical
4forensic services to: (A) pediatric sexual assault survivors
5who present with a complaint of sexual assault within a
6minimum of 96 hours the last 7 days or who have disclosed past
7sexual assault by a specific individual and were in the care of
8that individual within a minimum of 96 hours; and (B) sexual
9assault survivors at least 13 years of age but under 18 years
10of age who present with a complaint of sexual assault within a
11minimum of the last 7 days or who have disclosed past sexual
12assault by a specific individual and were in the care of that
13individual within a minimum of the last 7 days.
14    "Areawide sexual assault treatment plan" means a plan,
15developed by hospitals or by hospitals and approved pediatric
16health care facilities in a community or area to be served,
17which provides for medical forensic services to sexual assault
18survivors that shall be made available by each of the
19participating hospitals and approved pediatric health care
20facilities.
21    "Board-certified child abuse pediatrician" means a
22physician certified by the American Board of Pediatrics in
23child abuse pediatrics.
24    "Board-eligible child abuse pediatrician" means a
25physician who has completed the requirements set forth by the
26American Board of Pediatrics to take the examination for

 

 

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

 

 

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

 

 

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

 

 

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

 

 

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

 

 

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113 years of age or older who present with a complaint of sexual
2assault within a minimum of the last 7 days or who have
3disclosed past sexual assault by a specific individual and
4were in the care of that individual within a minimum of the
5last 7 days; and (B) pediatric sexual assault survivors who
6present with a complaint of sexual assault within a minimum of
796 hours or who have disclosed past sexual assault by a
8specific individual and were in the care of that individual
9within a minimum of 96 hours.
10    "Treatment hospital with approved pediatric transfer"
11means a hospital with a treatment plan approved by the
12Department to provide medical forensic services to sexual
13assault survivors 13 years old or older who present with a
14complaint of sexual assault within a minimum of the last 7 days
15or who have disclosed past sexual assault by a specific
16individual and were in the care of that individual within a
17minimum of the last 7 days.
18    (b) This Section is effective on and after January 1, 2024
192022.
20(Source: P.A. 101-81, eff. 7-12-19; 101-634, eff. 6-5-20;
21102-22, eff. 6-25-21; 102-538, eff. 8-20-21; 102-674, eff.
2211-30-21; revised 12-16-21.)
 
23    (410 ILCS 70/1a-1)
24    (Section scheduled to be repealed on December 31, 2023)
25    Sec. 1a-1. Definitions.

 

 

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1    (a) In this Act:
2    "Advanced practice registered nurse" has the meaning
3provided in Section 50-10 of the Nurse Practice Act.
4    "Ambulance provider" means an individual or entity that
5owns and operates a business or service using ambulances or
6emergency medical services vehicles to transport emergency
7patients.
8    "Approved pediatric health care facility" means a health
9care facility, other than a hospital, with a sexual assault
10treatment plan approved by the Department to provide medical
11forensic services to: (A) pediatric sexual assault survivors
12who present with a complaint of sexual assault within a
13minimum of 96 hours the last 7 days or who have disclosed past
14sexual assault by a specific individual and were in the care of
15that individual within a minimum of 96 hours; and (B) sexual
16assault survivors at least 13 years of age but under 18 years
17of age who present with a complaint of sexual assault within a
18minimum of the last 7 days or who have disclosed past sexual
19assault by a specific individual and were in the care of that
20individual within a minimum of the last 7 days.
21    "Approved federally qualified health center" means a
22facility as defined in Section 1905(l)(2)(B) of the federal
23Social Security Act with a sexual assault treatment plan
24approved by the Department to provide medical forensic
25services to sexual assault survivors 13 years old or older who
26present with a complaint of sexual assault within a minimum of

 

 

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1the last 7 days or who have disclosed past sexual assault by a
2specific individual and were in the care of that individual
3within a minimum of the last 7 days.
4    "Areawide sexual assault treatment plan" means a plan,
5developed by hospitals or by hospitals, approved pediatric
6health care facilities, and approved federally qualified
7health centers in a community or area to be served, which
8provides for medical forensic services to sexual assault
9survivors that shall be made available by each of the
10participating hospitals and approved pediatric health care
11facilities.
12    "Board-certified child abuse pediatrician" means a
13physician certified by the American Board of Pediatrics in
14child abuse pediatrics.
15    "Board-eligible child abuse pediatrician" means a
16physician who has completed the requirements set forth by the
17American Board of Pediatrics to take the examination for
18certification in child abuse pediatrics.
19    "Department" means the Department of Public Health.
20    "Emergency contraception" means medication as approved by
21the federal Food and Drug Administration (FDA) that can
22significantly reduce the risk of pregnancy if taken within 72
23hours after sexual assault.
24    "Federally qualified health center" means a facility as
25defined in Section 1905(l)(2)(B) of the federal Social
26Security Act that provides primary care or sexual health

 

 

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

 

 

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

 

 

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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

 

 

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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

 

 

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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: (A) all sexual assault survivors
2413 years of age or older who present with a complaint of sexual
25assault within a minimum of the last 7 days or who have
26disclosed past sexual assault by a specific individual and

 

 

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1were in the care of that individual within a minimum of the
2last 7 days; and (B) pediatric sexual assault survivors who
3present with a complaint of sexual assault within a minimum of
496 hours or who have disclosed past sexual assault by a
5specific individual and were in the care of that individual
6within a minimum of 96 hours.
7    "Treatment hospital with approved pediatric transfer"
8means a hospital with a treatment plan approved by the
9Department to provide medical forensic services to sexual
10assault survivors 13 years old or older who present with a
11complaint of sexual assault within a minimum of the last 7 days
12or who have disclosed past sexual assault by a specific
13individual and were in the care of that individual within a
14minimum of the last 7 days.
15    (b) This Section is repealed on December 31, 2023.
16(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21;
17102-674, eff. 11-30-21.)
 
18    (410 ILCS 70/1b new)
19    Sec. 1b. Subsequent medical forensic services; pediatric
20sexual assault survivors. Medical forensic services, as
21defined in this Act, including the evidence collection kit,
22may be offered to pediatric sexual assault survivors who
23present with a complaint of sexual assault or who have
24disclosed past sexual assault past 96 hours at the clinical
25discretion of the qualified medical provider. All pediatric

 

 

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1sexual assault survivors have access to a multidisciplinary
2team as defined in Section 2.5 of the Children's Advocacy
3Center Act. A member of the multidisciplinary team may access
4a qualified medical provider to determine the need for
5evidence collection beyond 96 hours.
 
6    (410 ILCS 70/2)  (from Ch. 111 1/2, par. 87-2)
7    Sec. 2. Hospital and approved pediatric health care
8facility requirements for sexual assault plans.
9    (a) Every hospital required to be licensed by the
10Department pursuant to the Hospital Licensing Act, or operated
11under the University of Illinois Hospital Act that provides
12general medical and surgical hospital services shall provide
13either (i) transfer services to all sexual assault survivors,
14(ii) medical forensic services to all sexual assault
15survivors, or (iii) transfer services to pediatric sexual
16assault survivors and medical forensic services to sexual
17assault survivors 13 years old or older, in accordance with
18rules adopted by the Department.
19    In addition, every such hospital, regardless of whether or
20not a request is made for reimbursement, shall submit to the
21Department a plan to provide either (i) transfer services to
22all sexual assault survivors, (ii) medical forensic services
23to all sexual assault survivors, or (iii) transfer services to
24pediatric sexual assault survivors and medical forensic
25services to sexual assault survivors 13 years old or older.

 

 

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

 

 

10200SB0970sam002- 19 -LRB102 04884 CPF 37774 a

1    hospital and transfer to the treatment hospital would not
2    unduly burden the sexual assault survivor.
3    The Department may not approve a sexual assault transfer
4plan unless a treatment hospital has agreed, as a part of an
5areawide treatment plan, to accept sexual assault survivors
6from the proposed transfer hospital and a transfer to the
7treatment hospital would not unduly burden the sexual assault
8survivor.
9    In counties with a population of less than 1,000,000, the
10Department may not approve a sexual assault transfer plan for
11a hospital located within a 20-mile radius of a 4-year public
12university, not including community colleges, unless there is
13a treatment hospital or out-of-state hospital with a sexual
14assault treatment plan approved by the Department within a
1530-mile 20-mile radius of the 4-year public university. A
16hospital located within a 20-mile radius of a 4-year public
17university, not including community colleges, may be approved
18as a treatment hospital with pediatric transfer if there is a
19treatment hospital or out-of-state hospital with a sexual
20assault treatment plan within a 30-mile radius of the 4-year
21public university.
22    A transfer must be in accordance with federal and State
23laws and local ordinances.
24    A treatment hospital with approved pediatric transfer must
25submit an areawide treatment plan under Section 3 of this Act
26that includes a written agreement with a treatment hospital

 

 

10200SB0970sam002- 20 -LRB102 04884 CPF 37774 a

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

 

 

10200SB0970sam002- 21 -LRB102 04884 CPF 37774 a

1hospital.
2    Beginning January 1, 2019, each treatment hospital and
3treatment hospital with approved pediatric transfer shall
4ensure that emergency department attending physicians,
5physician assistants, advanced practice registered nurses, and
6registered professional nurses providing clinical services,
7who do not meet the definition of a qualified medical provider
8in Section 1a of this Act, receive a minimum of 2 hours of
9sexual assault training by July 1, 2020 or until the treatment
10hospital or treatment hospital with approved pediatric
11transfer certifies to the Department, in a form and manner
12prescribed by the Department, that it employs or contracts
13with a qualified medical provider in accordance with
14subsection (a-7) of Section 5, whichever occurs first.
15    After July 1, 2020 or once a treatment hospital or a
16treatment hospital with approved pediatric transfer certifies
17compliance with subsection (a-7) of Section 5, whichever
18occurs first, each treatment hospital and treatment hospital
19with approved pediatric transfer shall ensure that emergency
20department attending physicians, physician assistants,
21advanced practice registered nurses, and registered
22professional nurses providing clinical services, who do not
23meet the definition of a qualified medical provider in Section
241a of this Act, receive a minimum of 2 hours of continuing
25education on responding to sexual assault survivors every 2
26years. Protocols for training shall be included in the

 

 

10200SB0970sam002- 22 -LRB102 04884 CPF 37774 a

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

 

 

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1facility does not provide certain medical or surgical services
2that are provided by hospitals, the areawide sexual assault
3treatment plan must include a procedure for ensuring a sexual
4assault survivor in need of such medical or surgical services
5receives the services at the treatment hospital. The areawide
6treatment plan may also include a treatment hospital with
7approved pediatric transfer.
8    The Department shall review a proposed sexual assault
9treatment plan submitted by a pediatric health care facility
10within 60 days after receipt of the plan. If the Department
11finds that the proposed plan meets the minimum requirements
12set forth in Section 5 of this Act and that implementation of
13the proposed plan would provide medical forensic services for
14pediatric sexual assault survivors, then the Department shall
15approve the plan. If the Department does not approve a plan,
16then the Department shall notify the pediatric health care
17facility that the proposed plan has not been approved. The
18pediatric health care facility shall have 30 days to submit a
19revised plan. The Department shall review the revised plan
20within 30 days after receipt of the plan and notify the
21pediatric health care facility whether the revised plan is
22approved or rejected. Until the Department has approved a
23treatment plan, a A pediatric health care facility may not
24provide medical forensic services to pediatric sexual assault
25survivors who present with a complaint of sexual assault
26within a minimum of 96 hours the last 7 days or who have

 

 

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1disclosed past sexual assault by a specific individual and
2were in the care of that individual within a minimum of 96
3hours the last 7 days until the Department has approved a
4treatment plan.
5    If an approved pediatric health care facility is not open
624 hours a day, 7 days a week, it shall post signage at each
7public entrance to its facility that:
8        (1) is at least 14 inches by 14 inches in size;
9        (2) directs those seeking services as follows: "If
10    closed, call 911 for services or go to the closest
11    hospital emergency department, (insert name) located at
12    (insert address).";
13        (3) lists the approved pediatric health care
14    facility's hours of operation;
15        (4) lists the street address of the building;
16        (5) has a black background with white bold capital
17    lettering in a clear and easy to read font that is at least
18    72-point type, and with "call 911" in at least 125-point
19    type;
20        (6) is posted clearly and conspicuously on or adjacent
21    to the door at each entrance and, if building materials
22    allow, is posted internally for viewing through glass; if
23    posted externally, the sign shall be made of
24    weather-resistant and theft-resistant materials,
25    non-removable, and adhered permanently to the building;
26    and

 

 

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1        (7) has lighting that is part of the sign itself or is
2    lit with a dedicated light that fully illuminates the
3    sign.
4    A copy of the proposed sign must be submitted to the
5Department and approved as part of the approved pediatric
6health care facility's sexual assault treatment plan.
7    (c) Each treatment hospital, treatment hospital with
8approved pediatric transfer, and approved pediatric health
9care facility must enter into a memorandum of understanding
10with a rape crisis center for medical advocacy services, if
11these services are available to the treatment hospital,
12treatment hospital with approved pediatric transfer, or
13approved pediatric health care facility. With the consent of
14the sexual assault survivor, a rape crisis counselor shall
15remain in the exam room during the collection for forensic
16evidence.
17    (d) Every treatment hospital, treatment hospital with
18approved pediatric transfer, and approved pediatric health
19care facility's sexual assault treatment plan shall include
20procedures for complying with mandatory reporting requirements
21pursuant to (1) the Abused and Neglected Child Reporting Act;
22(2) the Abused and Neglected Long Term Care Facility Residents
23Reporting Act; (3) the Adult Protective Services Act; and (iv)
24the Criminal Identification Act.
25    (e) Each treatment hospital, treatment hospital with
26approved pediatric transfer, and approved pediatric health

 

 

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1care facility shall submit to the Department every 6 months,
2in a manner prescribed by the Department, the following
3information:
4        (1) The total number of patients who presented with a
5    complaint of sexual assault.
6        (2) The total number of Illinois Sexual Assault
7    Evidence Collection Kits:
8            (A) offered to (i) all sexual assault survivors
9        and (ii) pediatric sexual assault survivors pursuant
10        to paragraph (1.5) of subsection (a-5) of Section 5;
11            (B) completed for (i) all sexual assault survivors
12        and (ii) pediatric sexual assault survivors; and
13            (C) declined by (i) all sexual assault survivors
14        and (ii) pediatric sexual assault survivors.
15    This information shall be made available on the
16Department's website.
17    (f) This Section is effective on and after January 1,
182024.
19(Source: P.A. 101-73, eff. 7-12-19; 101-634, eff. 6-5-20;
20102-22, eff. 6-25-21; 102-674, eff. 11-30-21.)
 
21    (410 ILCS 70/2-1)
22    (Section scheduled to be repealed on December 31, 2023)
23    Sec. 2-1. Hospital, approved pediatric health care
24facility, and approved federally qualified health center
25requirements for sexual assault plans.

 

 

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

 

 

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1sufficient protections from the risk of pregnancy to sexual
2assault survivors. Notwithstanding anything to the contrary in
3this paragraph, the Department may approve a sexual assault
4transfer plan for the provision of medical forensic services
5if:
6        (1) a treatment hospital with approved pediatric
7    transfer has agreed, as part of an areawide treatment
8    plan, to accept sexual assault survivors 13 years of age
9    or older from the proposed transfer hospital, if the
10    treatment hospital with approved pediatric transfer is
11    geographically closer to the transfer hospital than a
12    treatment hospital or another treatment hospital with
13    approved pediatric transfer and such transfer is not
14    unduly burdensome on the sexual assault survivor; and
15        (2) a treatment hospital has agreed, as a part of an
16    areawide treatment plan, to accept sexual assault
17    survivors under 13 years of age from the proposed transfer
18    hospital and transfer to the treatment hospital would not
19    unduly burden the sexual assault survivor.
20    The Department may not approve a sexual assault transfer
21plan unless a treatment hospital has agreed, as a part of an
22areawide treatment plan, to accept sexual assault survivors
23from the proposed transfer hospital and a transfer to the
24treatment hospital would not unduly burden the sexual assault
25survivor.
26    In counties with a population of less than 1,000,000, the

 

 

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1Department may not approve a sexual assault transfer plan for
2a hospital located within a 20-mile radius of a 4-year public
3university, not including community colleges, unless there is
4a treatment hospital or out-of-state hospital with a sexual
5assault treatment plan approved by the Department within a
630-mile 20-mile radius of the 4-year public university. A
7hospital located within a 20-mile radius of a 4-year public
8university, not including community colleges, may be approved
9as a treatment hospital with pediatric transfer if there is a
10treatment hospital or out-of-state hospital with a sexual
11assault treatment plan within a 30-mile radius of the 4-year
12public university.
13    A transfer must be in accordance with federal and State
14laws and local ordinances.
15    A treatment hospital with approved pediatric transfer must
16submit an areawide treatment plan under Section 3-1 of this
17Act that includes a written agreement with a treatment
18hospital stating that the treatment hospital will provide
19medical forensic services to pediatric sexual assault
20survivors transferred from the treatment hospital with
21approved pediatric transfer. The areawide treatment plan may
22also include an approved pediatric health care facility.
23    A transfer hospital must submit an areawide treatment plan
24under Section 3-1 of this Act that includes a written
25agreement with a treatment hospital stating that the treatment
26hospital will provide medical forensic services to all sexual

 

 

10200SB0970sam002- 30 -LRB102 04884 CPF 37774 a

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

 

 

10200SB0970sam002- 31 -LRB102 04884 CPF 37774 a

1hospital or treatment hospital with approved pediatric
2transfer certifies to the Department, in a form and manner
3prescribed by the Department, that it employs or contracts
4with a qualified medical provider in accordance with
5subsection (a-7) of Section 5-1, whichever occurs first.
6    After July 1, 2020 or once a treatment hospital or a
7treatment hospital with approved pediatric transfer certifies
8compliance with subsection (a-7) of Section 5-1, whichever
9occurs first, each treatment hospital and treatment hospital
10with approved pediatric transfer shall ensure that emergency
11department attending physicians, physician assistants,
12advanced practice registered nurses, and registered
13professional nurses providing clinical services, who do not
14meet the definition of a qualified medical provider in Section
151a-1 of this Act, receive a minimum of 2 hours of continuing
16education on responding to sexual assault survivors every 2
17years. Protocols for training shall be included in the
18hospital's sexual assault treatment plan.
19    Sexual assault training provided under this subsection may
20be provided in person or online and shall include, but not be
21limited to:
22        (1) information provided on the provision of medical
23    forensic services;
24        (2) information on the use of the Illinois Sexual
25    Assault Evidence Collection Kit;
26        (3) information on sexual assault epidemiology,

 

 

10200SB0970sam002- 32 -LRB102 04884 CPF 37774 a

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

 

 

10200SB0970sam002- 33 -LRB102 04884 CPF 37774 a

1within 60 days after receipt of the plan. If the Department
2finds that the proposed plan meets the minimum requirements
3set forth in Section 5-1 of this Act and that implementation of
4the proposed plan would provide medical forensic services for
5pediatric sexual assault survivors, then the Department shall
6approve the plan. If the Department does not approve a plan,
7then the Department shall notify the pediatric health care
8facility that the proposed plan has not been approved. The
9pediatric health care facility shall have 30 days to submit a
10revised plan. The Department shall review the revised plan
11within 30 days after receipt of the plan and notify the
12pediatric health care facility whether the revised plan is
13approved or rejected. Until the Department has approved a
14treatment plan, a A pediatric health care facility may not
15provide medical forensic services to pediatric sexual assault
16survivors who present with a complaint of sexual assault
17within a minimum of 96 hours the last 7 days or who have
18disclosed past sexual assault by a specific individual and
19were in the care of that individual within a minimum of 96
20hours the last 7 days until the Department has approved a
21treatment plan.
22    If an approved pediatric health care facility is not open
2324 hours a day, 7 days a week, it shall post signage at each
24public entrance to its facility that:
25        (1) is at least 14 inches by 14 inches in size;
26        (2) directs those seeking services as follows: "If

 

 

10200SB0970sam002- 34 -LRB102 04884 CPF 37774 a

1    closed, call 911 for services or go to the closest
2    hospital emergency department, (insert name) located at
3    (insert address).";
4        (3) lists the approved pediatric health care
5    facility's hours of operation;
6        (4) lists the street address of the building;
7        (5) has a black background with white bold capital
8    lettering in a clear and easy to read font that is at least
9    72-point type, and with "call 911" in at least 125-point
10    type;
11        (6) is posted clearly and conspicuously on or adjacent
12    to the door at each entrance and, if building materials
13    allow, is posted internally for viewing through glass; if
14    posted externally, the sign shall be made of
15    weather-resistant and theft-resistant materials,
16    non-removable, and adhered permanently to the building;
17    and
18        (7) has lighting that is part of the sign itself or is
19    lit with a dedicated light that fully illuminates the
20    sign.
21    (b-5) An approved federally qualified health center may
22provide medical forensic services, in accordance with rules
23adopted by the Department, to all sexual assault survivors 13
24years old or older who present for medical forensic services
25in relation to injuries or trauma resulting from a sexual
26assault during the duration, and 90 days thereafter, of a

 

 

10200SB0970sam002- 35 -LRB102 04884 CPF 37774 a

1proclamation issued by the Governor declaring a disaster, or a
2successive proclamation regarding the same disaster, in all
3102 counties due to a public health emergency. These services
4shall be provided by (i) a qualified medical provider,
5physician, physician assistant, or advanced practice
6registered nurse who has received a minimum of 10 hours of
7sexual assault training provided by a qualified medical
8provider on current Illinois legislation, how to properly
9perform a medical forensic examination, evidence collection,
10drug and alcohol facilitated sexual assault, and forensic
11photography and has all documentation and photos peer reviewed
12by a qualified medical provider or (ii) until the federally
13qualified health care center certifies to the Department, in a
14form and manner prescribed by the Department, that it employs
15or contracts with a qualified medical provider in accordance
16with subsection (a-7) of Section 5-1, whichever occurs first.
17    A federally qualified health center must participate in or
18submit an areawide treatment plan under Section 3-1 of this
19Act that includes a treatment hospital. If a federally
20qualified health center does not provide certain medical or
21surgical services that are provided by hospitals, the areawide
22sexual assault treatment plan must include a procedure for
23ensuring a sexual assault survivor in need of such medical or
24surgical services receives the services at the treatment
25hospital. The areawide treatment plan may also include a
26treatment hospital with approved pediatric transfer or an

 

 

10200SB0970sam002- 36 -LRB102 04884 CPF 37774 a

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

 

 

10200SB0970sam002- 37 -LRB102 04884 CPF 37774 a

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 federally qualified health
7    center'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    A copy of the proposed sign must be submitted to the
24Department and approved as part of the approved federally
25qualified health center's sexual assault treatment plan.
26    (c) Each treatment hospital, treatment hospital with

 

 

10200SB0970sam002- 38 -LRB102 04884 CPF 37774 a

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

 

 

10200SB0970sam002- 39 -LRB102 04884 CPF 37774 a

1        (2) The total number of Illinois Sexual Assault
2    Evidence Collection Kits:
3            (A) offered to (i) all sexual assault survivors
4        and (ii) pediatric sexual assault survivors pursuant
5        to paragraph (1.5) of subsection (a-5) of Section 5-1;
6            (B) completed for (i) all sexual assault survivors
7        and (ii) pediatric sexual assault survivors; and
8            (C) declined by (i) all sexual assault survivors
9        and (ii) pediatric sexual assault survivors.
10    This information shall be made available on the
11Department's website.
12    (f) This Section is repealed on December 31, 2023.
13(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21;
14102-674, eff. 11-30-21.)
 
15    (410 ILCS 70/2.1)  (from Ch. 111 1/2, par. 87-2.1)
16    Sec. 2.1. Plan of correction; penalties.
17    (a) If the Department surveyor determines that the
18hospital or approved pediatric health care facility is not in
19compliance with its approved plan, the surveyor shall provide
20the hospital or approved pediatric health care facility with a
21written list of the specific items of noncompliance within 10
22working days after the conclusion of the on-site review. The
23hospital shall have 10 working days to submit to the
24Department a plan of correction which contains the hospital's
25or approved pediatric health care facility's specific

 

 

10200SB0970sam002- 40 -LRB102 04884 CPF 37774 a

1proposals for correcting the items of noncompliance. The
2Department shall review the plan of correction and notify the
3hospital in writing within 10 working days as to whether the
4plan is acceptable or unacceptable.
5    If the Department finds the Plan of Correction
6unacceptable, the hospital or approved pediatric health care
7facility shall have 10 working days to resubmit an acceptable
8Plan of Correction. Upon notification that its Plan of
9Correction is acceptable, a hospital or approved pediatric
10health care facility shall implement the Plan of Correction
11within 60 days.
12    (b) The failure of a hospital to submit an acceptable Plan
13of Correction or to implement the Plan of Correction, within
14the time frames required in this Section, will subject a
15hospital to the imposition of a fine by the Department. The
16Department may impose a fine of up to $500 per day until a
17hospital complies with the requirements of this Section. No
18enforcement action or fine shall be taken or assessed until
19(i) 12 months after the effective date of this amendatory Act
20of the 102nd General Assembly or (ii) after the end of a public
21health emergency declared by a State or federal governmental
22entity, whichever is later.
23    If an approved pediatric health care facility fails to
24submit an acceptable Plan of Correction or to implement the
25Plan of Correction within the time frames required in this
26Section, then the Department shall notify the approved

 

 

10200SB0970sam002- 41 -LRB102 04884 CPF 37774 a

1pediatric health care facility that the approved pediatric
2health care facility may not provide medical forensic services
3under this Act. The Department may impose a fine of up to $500
4per patient provided services in violation of this Act.
5    (c) Before imposing a fine pursuant to this Section, the
6Department shall provide the hospital or approved pediatric
7health care facility via certified mail with written notice
8and an opportunity for an administrative hearing. Such hearing
9must be requested within 10 working days after receipt of the
10Department's Notice. All hearings shall be conducted in
11accordance with the Department's rules in administrative
12hearings.
13    (d) This Section is effective on and after January 1,
142024.
15(Source: P.A. 101-81, eff. 7-12-19; 101-634, eff. 6-5-20;
16102-22, eff. 6-25-21; 102-674, eff. 11-30-21.)
 
17    (410 ILCS 70/2.1-1)
18    (Section scheduled to be repealed on December 31, 2023)
19    Sec. 2.1-1. Plan of correction; penalties.
20    (a) If the Department surveyor determines that the
21hospital, approved pediatric health care facility, or approved
22federally qualified health center is not in compliance with
23its approved plan, the surveyor shall provide the hospital,
24approved pediatric health care facility, or approved federally
25qualified health center with a written list of the specific

 

 

10200SB0970sam002- 42 -LRB102 04884 CPF 37774 a

1items of noncompliance within 10 working days after the
2conclusion of the on-site review. The hospital, approved
3pediatric health care facility, or approved federally
4qualified health center shall have 10 working days to submit
5to the Department a plan of correction which contains the
6hospital's, approved pediatric health care facility's, or
7approved federally qualified health center's specific
8proposals for correcting the items of noncompliance. The
9Department shall review the plan of correction and notify the
10hospital, approved pediatric health care facility, or approved
11federally qualified health center in writing within 10 working
12days as to whether the plan is acceptable or unacceptable.
13    If the Department finds the Plan of Correction
14unacceptable, the hospital, approved pediatric health care
15facility, or approved federally qualified health center shall
16have 10 working days to resubmit an acceptable Plan of
17Correction. Upon notification that its Plan of Correction is
18acceptable, a hospital, approved pediatric health care
19facility, or approved federally qualified health center shall
20implement the Plan of Correction within 60 days.
21    (b) The failure of a hospital to submit an acceptable Plan
22of Correction or to implement the Plan of Correction, within
23the time frames required in this Section, will subject a
24hospital to the imposition of a fine by the Department. The
25Department may impose a fine of up to $500 per day until a
26hospital complies with the requirements of this Section. No

 

 

10200SB0970sam002- 43 -LRB102 04884 CPF 37774 a

1enforcement action or fine shall be taken or assessed until
2(i) 12 months after the effective date of this amendatory Act
3of the 102nd General Assembly or (ii) after the end of a public
4health emergency declared by a State or federal governmental
5entity, whichever is later.
6    If an approved pediatric health care facility or approved
7federally qualified health center fails to submit an
8acceptable Plan of Correction or to implement the Plan of
9Correction within the time frames required in this Section,
10then the Department shall notify the approved pediatric health
11care facility or approved federally qualified health center
12that the approved pediatric health care facility or approved
13federally qualified health center may not provide medical
14forensic services under this Act. The Department may impose a
15fine of up to $500 per patient provided services in violation
16of this Act.
17    (c) Before imposing a fine pursuant to this Section, the
18Department shall provide the hospital, or approved pediatric
19health care facility, or approved federally qualified health
20center via certified mail with written notice and an
21opportunity for an administrative hearing. Such hearing must
22be requested within 10 working days after receipt of the
23Department's Notice. All hearings shall be conducted in
24accordance with the Department's rules in administrative
25hearings.
26    (d) This Section is repealed on December 31, 2023.

 

 

10200SB0970sam002- 44 -LRB102 04884 CPF 37774 a

1(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21;
2102-674, eff. 11-30-21.)
 
3    (410 ILCS 70/5)  (from Ch. 111 1/2, par. 87-5)
4    Sec. 5. Minimum requirements for medical forensic services
5provided to sexual assault survivors by hospitals and approved
6pediatric health care facilities.
7    (a) Every hospital and approved pediatric health care
8facility providing medical forensic services to sexual assault
9survivors under this Act shall, as minimum requirements for
10such services, provide, with the consent of the sexual assault
11survivor, and as ordered by the attending physician, an
12advanced practice registered nurse, or a physician assistant,
13the services set forth in subsection (a-5).
14    Beginning January 1, 2024 2023, a qualified medical
15provider must provide the services set forth in subsection
16(a-5).
17    (a-5) A treatment hospital, a treatment hospital with
18approved pediatric transfer, or an approved pediatric health
19care facility shall provide the following services in
20accordance with subsection (a):
21        (1) Appropriate medical forensic services without
22    delay, in a private, age-appropriate or
23    developmentally-appropriate space, required to ensure the
24    health, safety, and welfare of a sexual assault survivor
25    and which may be used as evidence in a criminal proceeding

 

 

10200SB0970sam002- 45 -LRB102 04884 CPF 37774 a

1    against a person accused of the sexual assault, in a
2    proceeding under the Juvenile Court Act of 1987, or in an
3    investigation under the Abused and Neglected Child
4    Reporting Act.
5        Records of medical forensic services, including
6    results of examinations and tests, the Illinois State
7    Police Medical Forensic Documentation Forms, the Illinois
8    State Police Patient Discharge Materials, and the Illinois
9    State Police Patient Consent: Collect and Test Evidence or
10    Collect and Hold Evidence Form, shall be maintained by the
11    hospital or approved pediatric health care facility as
12    part of the patient's electronic medical record.
13        Records of medical forensic services of sexual assault
14    survivors under the age of 18 shall be retained by the
15    hospital for a period of 60 years after the sexual assault
16    survivor reaches the age of 18. Records of medical
17    forensic services of sexual assault survivors 18 years of
18    age or older shall be retained by the hospital for a period
19    of 20 years after the date the record was created.
20        Records of medical forensic services may only be
21    disseminated in accordance with Section 6.5 of this Act
22    and other State and federal law.
23        (1.5) An offer to complete the Illinois Sexual Assault
24    Evidence Collection Kit for: (A) any sexual assault
25    survivor 13 years of age or older who presents within a
26    minimum of the last 7 days of the assault or who has

 

 

10200SB0970sam002- 46 -LRB102 04884 CPF 37774 a

1    disclosed past sexual assault by a specific individual and
2    was in the care of that individual within a minimum of the
3    last 7 days; and (B) any pediatric sexual assault survivor
4    who presents with a complaint of sexual assault within a
5    minimum of 96 hours or who has disclosed past sexual
6    assault by a specific individual and was in the care of
7    that individual within a minimum of 96 hours.
8            (A) Appropriate oral and written information
9        concerning evidence-based guidelines for the
10        appropriateness of evidence collection depending on
11        the sexual development of the sexual assault survivor,
12        the type of sexual assault, and the timing of the
13        sexual assault shall be provided to the sexual assault
14        survivor. Evidence collection is encouraged for
15        prepubescent sexual assault survivors who present to a
16        hospital or approved pediatric health care facility
17        with a complaint of sexual assault within a minimum of
18        96 hours after the sexual assault.
19            Before January 1, 2024 2023, the information
20        required under this subparagraph shall be provided in
21        person by the health care professional providing
22        medical forensic services directly to the sexual
23        assault survivor.
24            On and after January 1, 2024 2023, the information
25        required under this subparagraph shall be provided in
26        person by the qualified medical provider providing

 

 

10200SB0970sam002- 47 -LRB102 04884 CPF 37774 a

1        medical forensic services directly to the sexual
2        assault survivor.
3            The written information provided shall be the
4        information created in accordance with Section 10 of
5        this Act.
6            (B) Following the discussion regarding the
7        evidence-based guidelines for evidence collection in
8        accordance with subparagraph (A), evidence collection
9        must be completed at the sexual assault survivor's
10        request. A sexual assault nurse examiner conducting an
11        examination using the Illinois State Police Sexual
12        Assault Evidence Collection Kit may do so without the
13        presence or participation of a physician.
14        (2) Appropriate oral and written information
15    concerning the possibility of infection, sexually
16    transmitted infection, including an evaluation of the
17    sexual assault survivor's risk of contracting human
18    immunodeficiency virus (HIV) from sexual assault, and
19    pregnancy resulting from sexual assault.
20        (3) Appropriate oral and written information
21    concerning accepted medical procedures, laboratory tests,
22    medication, and possible contraindications of such
23    medication available for the prevention or treatment of
24    infection or disease resulting from sexual assault.
25        (3.5) After a medical evidentiary or physical
26    examination, access to a shower at no cost, unless

 

 

10200SB0970sam002- 48 -LRB102 04884 CPF 37774 a

1    showering facilities are unavailable.
2        (4) An amount of medication, including HIV
3    prophylaxis, for treatment at the hospital or approved
4    pediatric health care facility and after discharge as is
5    deemed appropriate by the attending physician, an advanced
6    practice registered nurse, or a physician assistant in
7    accordance with the Centers for Disease Control and
8    Prevention guidelines and consistent with the hospital's
9    or approved pediatric health care facility's current
10    approved protocol for sexual assault survivors.
11        (5) Photo documentation of the sexual assault
12    survivor's injuries, anatomy involved in the assault, or
13    other visible evidence on the sexual assault survivor's
14    body to supplement the medical forensic history and
15    written documentation of physical findings and evidence
16    beginning July 1, 2019. Photo documentation does not
17    replace written documentation of the injury.
18        (6) Written and oral instructions indicating the need
19    for follow-up examinations and laboratory tests after the
20    sexual assault to determine the presence or absence of
21    sexually transmitted infection.
22        (7) Referral by hospital or approved pediatric health
23    care facility personnel for appropriate counseling.
24        (8) Medical advocacy services provided by a rape
25    crisis counselor whose communications are protected under
26    Section 8-802.1 of the Code of Civil Procedure, if there

 

 

10200SB0970sam002- 49 -LRB102 04884 CPF 37774 a

1    is a memorandum of understanding between the hospital or
2    approved pediatric health care facility and a rape crisis
3    center. With the consent of the sexual assault survivor, a
4    rape crisis counselor shall remain in the exam room during
5    the medical forensic examination.
6        (9) Written information regarding services provided by
7    a Children's Advocacy Center and rape crisis center, if
8    applicable.
9        (10) A treatment hospital, a treatment hospital with
10    approved pediatric transfer, an out-of-state hospital as
11    defined in Section 5.4, or an approved pediatric health
12    care facility shall comply with the rules relating to the
13    collection and tracking of sexual assault evidence adopted
14    by the Illinois State Police under Section 50 of the
15    Sexual Assault Evidence Submission Act.
16        (11) Written information regarding the Illinois State
17    Police sexual assault evidence tracking system.
18    (a-7) By January 1, 2024 2023, every hospital with a
19treatment plan approved by the Department shall employ or
20contract with a qualified medical provider to initiate medical
21forensic services to a sexual assault survivor within 90
22minutes of the patient presenting to the treatment hospital or
23treatment hospital with approved pediatric transfer. The
24provision of medical forensic services by a qualified medical
25provider shall not delay the provision of life-saving medical
26care.

 

 

10200SB0970sam002- 50 -LRB102 04884 CPF 37774 a

1    (b) Any person who is a sexual assault survivor who seeks
2medical forensic services or follow-up healthcare under this
3Act shall be provided such services without the consent of any
4parent, guardian, custodian, surrogate, or agent. If a sexual
5assault survivor is unable to consent to medical forensic
6services, the services may be provided under the Consent by
7Minors to Health Care Services Medical Procedures Act, the
8Health Care Surrogate Act, or other applicable State and
9federal laws.
10    (b-5) Every hospital or approved pediatric health care
11facility providing medical forensic services to sexual assault
12survivors shall issue a voucher to any sexual assault survivor
13who is eligible to receive one in accordance with Section 5.2
14of this Act. The hospital shall make a copy of the voucher and
15place it in the medical record of the sexual assault survivor.
16The hospital shall provide a copy of the voucher to the sexual
17assault survivor after discharge upon request.
18    (c) Nothing in this Section creates a physician-patient
19relationship that extends beyond discharge from the hospital
20or approved pediatric health care facility.
21    (d) This Section is effective on and after January 1, 2024
222022.
23(Source: P.A. 101-81, eff. 7-12-19; 101-377, eff. 8-16-19;
24101-634, eff. 6-5-20; 102-22, eff. 6-25-21; 102-538, eff.
258-20-21; 102-674, eff. 11-30-21; revised 12-16-21.)
 

 

 

10200SB0970sam002- 51 -LRB102 04884 CPF 37774 a

1    (410 ILCS 70/5-1)
2    (Section scheduled to be repealed on December 31, 2023)
3    Sec. 5-1. Minimum requirements for medical forensic
4services provided to sexual assault survivors by hospitals,
5approved pediatric health care facilities, and approved
6federally qualified health centers.
7    (a) Every hospital, approved pediatric health care
8facility, and approved federally qualified health center
9providing medical forensic services to sexual assault
10survivors under this Act shall, as minimum requirements for
11such services, provide, with the consent of the sexual assault
12survivor, and as ordered by the attending physician, an
13advanced practice registered nurse, or a physician assistant,
14the services set forth in subsection (a-5).
15    Beginning January 1, 2023, a qualified medical provider
16must provide the services set forth in subsection (a-5).
17    (a-5) A treatment hospital, a treatment hospital with
18approved pediatric transfer, or an approved pediatric health
19care facility, or an approved federally qualified health
20center shall provide the following services in accordance with
21subsection (a):
22        (1) Appropriate medical forensic services without
23    delay, in a private, age-appropriate or
24    developmentally-appropriate space, required to ensure the
25    health, safety, and welfare of a sexual assault survivor
26    and which may be used as evidence in a criminal proceeding

 

 

10200SB0970sam002- 52 -LRB102 04884 CPF 37774 a

1    against a person accused of the sexual assault, in a
2    proceeding under the Juvenile Court Act of 1987, or in an
3    investigation under the Abused and Neglected Child
4    Reporting Act.
5        Records of medical forensic services, including
6    results of examinations and tests, the Illinois State
7    Police Medical Forensic Documentation Forms, the Illinois
8    State Police Patient Discharge Materials, and the Illinois
9    State Police Patient Consent: Collect and Test Evidence or
10    Collect and Hold Evidence Form, shall be maintained by the
11    hospital or approved pediatric health care facility as
12    part of the patient's electronic medical record.
13        Records of medical forensic services of sexual assault
14    survivors under the age of 18 shall be retained by the
15    hospital for a period of 60 years after the sexual assault
16    survivor reaches the age of 18. Records of medical
17    forensic services of sexual assault survivors 18 years of
18    age or older shall be retained by the hospital for a period
19    of 20 years after the date the record was created.
20        Records of medical forensic services may only be
21    disseminated in accordance with Section 6.5-1 of this Act
22    and other State and federal law.
23        (1.5) An offer to complete the Illinois Sexual Assault
24    Evidence Collection Kit for: (A) any sexual assault
25    survivor 13 years of age or older who presents within a
26    minimum of the last 7 days of the assault or who has

 

 

10200SB0970sam002- 53 -LRB102 04884 CPF 37774 a

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

 

 

10200SB0970sam002- 54 -LRB102 04884 CPF 37774 a

1        medical forensic services directly to the sexual
2        assault survivor.
3            The written information provided shall be the
4        information created in accordance with Section 10-1 of
5        this Act.
6            (B) Following the discussion regarding the
7        evidence-based guidelines for evidence collection in
8        accordance with subparagraph (A), evidence collection
9        must be completed at the sexual assault survivor's
10        request. A sexual assault nurse examiner conducting an
11        examination using the Illinois State Police Sexual
12        Assault Evidence Collection Kit may do so without the
13        presence or participation of a physician.
14        (2) Appropriate oral and written information
15    concerning the possibility of infection, sexually
16    transmitted infection, including an evaluation of the
17    sexual assault survivor's risk of contracting human
18    immunodeficiency virus (HIV) from sexual assault, and
19    pregnancy resulting from sexual assault.
20        (3) Appropriate oral and written information
21    concerning accepted medical procedures, laboratory tests,
22    medication, and possible contraindications of such
23    medication available for the prevention or treatment of
24    infection or disease resulting from sexual assault.
25        (3.5) After a medical evidentiary or physical
26    examination, access to a shower at no cost, unless

 

 

10200SB0970sam002- 55 -LRB102 04884 CPF 37774 a

1    showering facilities are unavailable.
2        (4) An amount of medication, including HIV
3    prophylaxis, for treatment at the hospital or approved
4    pediatric health care facility and after discharge as is
5    deemed appropriate by the attending physician, an advanced
6    practice registered nurse, or a physician assistant in
7    accordance with the Centers for Disease Control and
8    Prevention guidelines and consistent with the hospital's
9    or approved pediatric health care facility's current
10    approved protocol for sexual assault survivors.
11        (5) Photo documentation of the sexual assault
12    survivor's injuries, anatomy involved in the assault, or
13    other visible evidence on the sexual assault survivor's
14    body to supplement the medical forensic history and
15    written documentation of physical findings and evidence
16    beginning July 1, 2019. Photo documentation does not
17    replace written documentation of the injury.
18        (6) Written and oral instructions indicating the need
19    for follow-up examinations and laboratory tests after the
20    sexual assault to determine the presence or absence of
21    sexually transmitted infection.
22        (7) Referral by hospital or approved pediatric health
23    care facility personnel for appropriate counseling.
24        (8) Medical advocacy services provided by a rape
25    crisis counselor whose communications are protected under
26    Section 8-802.1 of the Code of Civil Procedure, if there

 

 

10200SB0970sam002- 56 -LRB102 04884 CPF 37774 a

1    is a memorandum of understanding between the hospital or
2    approved pediatric health care facility and a rape crisis
3    center. With the consent of the sexual assault survivor, a
4    rape crisis counselor shall remain in the exam room during
5    the medical forensic examination.
6        (9) Written information regarding services provided by
7    a Children's Advocacy Center and rape crisis center, if
8    applicable.
9        (10) A treatment hospital, a treatment hospital with
10    approved pediatric transfer, an out-of-state hospital as
11    defined in Section 5.4, or an approved pediatric health
12    care facility shall comply with the rules relating to the
13    collection and tracking of sexual assault evidence adopted
14    by the Department of State Police under Section 50 of the
15    Sexual Assault Evidence Submission Act.
16        (11) Written information regarding the Illinois State
17    Police sexual assault evidence tracking system.
18    (a-7) By January 1, 2023, every hospital with a treatment
19plan approved by the Department shall employ or contract with
20a qualified medical provider to initiate medical forensic
21services to a sexual assault survivor within 90 minutes of the
22patient presenting to the treatment hospital or treatment
23hospital with approved pediatric transfer. The provision of
24medical forensic services by a qualified medical provider
25shall not delay the provision of life-saving medical care.
26    (b) Any person who is a sexual assault survivor who seeks

 

 

10200SB0970sam002- 57 -LRB102 04884 CPF 37774 a

1medical forensic services or follow-up healthcare under this
2Act shall be provided such services without the consent of any
3parent, guardian, custodian, surrogate, or agent. If a sexual
4assault survivor is unable to consent to medical forensic
5services, the services may be provided under the Consent by
6Minors to Medical Procedures Act, the Health Care Surrogate
7Act, or other applicable State and federal laws.
8    (b-5) Every hospital, approved pediatric health care
9facility, or approved federally qualified health center
10providing medical forensic services to sexual assault
11survivors shall issue a voucher to any sexual assault survivor
12who is eligible to receive one in accordance with Section
135.2-1 of this Act. The hospital, approved pediatric health
14care facility, or approved federally qualified health center
15shall make a copy of the voucher and place it in the medical
16record of the sexual assault survivor. The hospital, approved
17pediatric health care facility, or approved federally
18qualified health center shall provide a copy of the voucher to
19the sexual assault survivor after discharge upon request.
20    (c) Nothing in this Section creates a physician-patient
21relationship that extends beyond discharge from the hospital,
22or approved pediatric health care facility, or approved
23federally qualified health center.
24    (d) This Section is repealed on December 31, 2023.
25(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21;
26102-674, eff. 11-30-21.)
 

 

 

10200SB0970sam002- 58 -LRB102 04884 CPF 37774 a

1    (410 ILCS 70/5.4)
2    Sec. 5.4. Out-of-state hospitals.
3    (a) Nothing in this Section shall prohibit the transfer of
4a patient in need of medical services from a hospital that has
5been designated as a trauma center by the Department in
6accordance with Section 3.90 of the Emergency Medical Services
7(EMS) Systems Act.
8    (b) A transfer hospital, treatment hospital with approved
9pediatric transfer, or approved pediatric health care facility
10may transfer a sexual assault survivor to an out-of-state
11hospital that is located in a county that borders Illinois has
12been designated as a trauma center by the Department under
13Section 3.90 of the Emergency Medical Services (EMS) Systems
14Act if the out-of-state hospital: (1) submits an areawide
15treatment plan approved by the Department; and (2) has
16certified the following to the Department in a form and manner
17prescribed by the Department that the out-of-state hospital
18will:
19        (i) consent to the jurisdiction of the Department in
20    accordance with Section 2.06 of this Act;
21        (ii) comply with all requirements of this Act
22    applicable to treatment hospitals, including, but not
23    limited to, offering evidence collection to: (A) any
24    Illinois sexual assault survivor 13 years of age or older
25    who presents with a complaint of sexual assault within a

 

 

10200SB0970sam002- 59 -LRB102 04884 CPF 37774 a

1    minimum of the last 7 days or who has disclosed past sexual
2    assault by a specific individual and was in the care of
3    that individual within a minimum of the last 7 days and not
4    billing the sexual assault survivor for medical forensic
5    services or 90 days of follow-up healthcare; and (B) any
6    Illinois pediatric sexual assault survivor who presents
7    with a complaint of sexual assault within a minimum of 96
8    hours or who has disclosed past sexual assault by a
9    specific individual and was in the care of that individual
10    within a minimum of 96 hours and not billing the sexual
11    assault survivor for medical forensic services or 90 days
12    of follow-up healthcare;
13        (iii) use an Illinois State Police Sexual Assault
14    Evidence Collection Kit to collect forensic evidence from
15    an Illinois sexual assault survivor;
16        (iv) ensure its staff cooperates with Illinois law
17    enforcement agencies and are responsive to subpoenas
18    issued by Illinois courts; and
19        (v) provide appropriate transportation upon the
20    completion of medical forensic services back to the
21    transfer hospital or treatment hospital with pediatric
22    transfer where the sexual assault survivor initially
23    presented seeking medical forensic services, unless the
24    sexual assault survivor chooses to arrange his or her own
25    transportation.
26    (c) (Blank) Subsection (b) of this Section is inoperative

 

 

10200SB0970sam002- 60 -LRB102 04884 CPF 37774 a

1on and after January 1, 2024.
2(Source: P.A. 100-775, eff. 1-1-19.)".