95TH GENERAL ASSEMBLY
State of Illinois
2007 and 2008
SB0558

 

Introduced 2/8/2007, by Sen. Ms. Mattie Hunter

 

SYNOPSIS AS INTRODUCED:
 
110 ILCS 55/3 new
225 ILCS 60/19   from Ch. 111, par. 4400-19
225 ILCS 60/20   from Ch. 111, par. 4400-20

    Amends the Medical School Curriculum Act. Provides that the curriculum in each medical school operated in this State must include instruction in cultural competency designed to address the problem of race-based and gender-based disparities in medical treatment decisions. Requires a medical school that includes such instruction in its curricula to offer, for continuing education credit, cultural competency training that is provided through classroom instruction, workshops, or other educational programs sponsored by the school and that meets continuing education criteria established by the Department of Financial and Professional Regulation under the Medical Practice Act of 1987. Amends the Medical Practice Act of 1987. Requires an applicant for licensure under the Act who is licensed in another jurisdiction to have completed cultural competency training consistent with that required under the Medical School Curriculum Act. Provides that continuing education requirements for persons licensed under the Act who did not receive instruction in cultural competency must include the completion of cultural competency training during the first renewal cycle immediately following the effective date of the amendatory Act. Effective immediately.


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FISCAL NOTE ACT MAY APPLY

 

 

A BILL FOR

 

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1     AN ACT concerning regulation.
 
2     Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:
 
4     Section 5. The Medical School Curriculum Act is amended by
5 adding Section 3 as follows:
 
6     (110 ILCS 55/3 new)
7     Sec. 3. Cultural competency training.
8     (a) The curriculum in each medical school operated in this
9 State must include instruction in cultural competency designed
10 to address the problem of race-based and gender-based
11 disparities in medical treatment decisions and developed in
12 consultation with the Association of American Medical Colleges
13 or another nationally recognized organization that reviews
14 medical school curricula.
15     (b) Completion of cultural competency instruction as
16 provided in subsection (a) of this Section must be required as
17 a condition of receiving a diploma from a medical school
18 operated in this State.
19     (c) A medical school that includes instruction in cultural
20 competency as provided in subsection (a) of this Section in its
21 curricula must offer, for continuing education credit,
22 cultural competency training, consistent with the instruction
23 developed pursuant to subsection (a) of this Section, that is

 

 

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1 provided through classroom instruction, workshops, or other
2 educational programs sponsored by the school and that meets
3 continuing education criteria established by the Department of
4 Financial and Professional Regulation under the Medical
5 Practice Act of 1987.
 
6     Section 10. The Medical Practice Act of 1987 is amended by
7 changing Sections 19 and 20 as follows:
 
8     (225 ILCS 60/19)  (from Ch. 111, par. 4400-19)
9     (Section scheduled to be repealed on December 31, 2008)
10     Sec. 19. Licensure without examination. The Department
11 may, in its discretion, issue a license without examination to
12 any person who is currently licensed to practice medicine in
13 all of its branches, or to practice the treatment of human
14 ailments without the use of drugs or operative surgery, in any
15 other state, territory, country or province, upon the following
16 conditions:
17         (A) (Blank);
18         (B) That the applicant is of good moral character. In
19     determining moral character under this Section, the
20     Department may take into consideration whether the
21     applicant has engaged in conduct or activities which would
22     constitute grounds for discipline under this Act. The
23     Department may also request the applicant to submit, and
24     may consider as evidence of moral character, endorsements

 

 

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1     from 2 or 3 individuals licensed under this Act;
2         (C) That the applicant is physically, mentally and
3     professionally capable of practicing medicine with
4     reasonable judgment, skill and safety. In determining
5     physical, mental and professional capacity under this
6     Section the Medical Licensing Board may, upon a showing of
7     a possible incapacity, compel an applicant to submit to a
8     mental or physical examination, or both, and may condition
9     or restrict any license, subject to the same terms and
10     conditions as are provided for the Medical Disciplinary
11     Board under Section 22 of this Act. The Medical Licensing
12     Board or the Department may order the examining physician
13     to present testimony concerning this mental or physical
14     examination of the applicant. No information shall be
15     excluded by reason of any common law or statutory privilege
16     relating to communications between the applicant and the
17     examining physician. Any condition of restricted license
18     shall provide that the Chief Medical Coordinator or Deputy
19     Medical Coordinator shall have the authority to review the
20     subject physician's compliance with such conditions or
21     restrictions, including, where appropriate, the
22     physician's record of treatment and counseling regarding
23     the impairment, to the extent permitted by applicable
24     federal statutes and regulations safeguarding the
25     confidentiality of medical records of patients.
26         (D) That if the applicant seeks to practice medicine in

 

 

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1     all of its branches:
2             (1) if the applicant was licensed in another
3         jurisdiction prior to January 1, 1988, that the
4         applicant has satisfied the educational requirements
5         of paragraph (1) of subsection (A) or paragraph (2) of
6         subsection (A) of Section 11 of this Act; or
7             (2) if the applicant was licensed in another
8         jurisdiction after December 31, 1987, that the
9         applicant has satisfied the educational requirements
10         of paragraph (A)(2) of Section 11 of this Act; and
11             (3) the requirements for a license to practice
12         medicine in all of its branches in the particular
13         state, territory, country or province in which the
14         applicant is licensed are deemed by the Department to
15         have been substantially equivalent to the requirements
16         for a license to practice medicine in all of its
17         branches in force in this State at the date of the
18         applicant's license;
19         (E) That if the applicant seeks to treat human ailments
20     without the use of drugs and without operative surgery:
21             (1) the applicant is a graduate of a chiropractic
22         school or college approved by the Department at the
23         time of their graduation;
24             (2) the requirements for the applicant's license
25         to practice the treatment of human ailments without the
26         use of drugs are deemed by the Department to have been

 

 

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1         substantially equivalent to the requirements for a
2         license to practice in this State at the date of the
3         applicant's license;
4         (F) That the Department may, in its discretion, issue a
5     license, without examination, to any graduate of a medical
6     or osteopathic college, reputable and in good standing in
7     the judgment of the Department, who has passed an
8     examination for admission to the United States Public
9     Health Service, or who has passed any other examination
10     deemed by the Department to have been at least equal in all
11     substantial respects to the examination required for
12     admission to any such medical corps;
13         (G) That applications for licenses without examination
14     shall be filed with the Department, under oath, on forms
15     prepared and furnished by the Department, and shall set
16     forth, and applicants therefor shall supply such
17     information respecting the life, education, professional
18     practice, and moral character of applicants as the
19     Department may require to be filed for its use;
20         (H) That the applicant undergo the criminal background
21     check established under Section 9.7 of this Act; and .
22         (I) That the applicant has completed cultural
23     competency training consistent with that required under
24     the Medical School Curriculum Act to the satisfaction of
25     the Department.
26     In the exercise of its discretion under this Section, the

 

 

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1 Department is empowered to consider and evaluate each applicant
2 on an individual basis. It may take into account, among other
3 things, the extent to which there is or is not available to the
4 Department, authentic and definitive information concerning
5 the quality of medical education and clinical training which
6 the applicant has had. Under no circumstances shall a license
7 be issued under the provisions of this Section to any person
8 who has previously taken and failed the written examination
9 conducted by the Department for such license. In determining
10 moral character, the Department may take into consideration
11 whether the applicant has engaged in conduct or activities
12 which would constitute grounds for discipline under this Act.
13 The Department may also request the applicant to submit, and
14 may consider as evidence of moral character, evidence from 2 or
15 3 individuals licensed under this Act. Applicants have 3 years
16 from the date of application to complete the application
17 process. If the process has not been completed within 3 years,
18 the application shall be denied, the fees shall be forfeited,
19 and the applicant must reapply and meet the requirements in
20 effect at the time of reapplication.
21 (Source: P.A. 89-702, eff. 7-1-97; 90-722, eff. 1-1-99.)
 
22     (225 ILCS 60/20)  (from Ch. 111, par. 4400-20)
23     (Section scheduled to be repealed on December 31, 2008)
24     Sec. 20. Continuing education. The Department shall
25 promulgate rules of continuing education for persons licensed

 

 

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1 under this Act that require 150 hours of continuing education
2 per license renewal cycle. These rules shall be consistent with
3 requirements of relevant professional associations, speciality
4 societies, or boards. The rules shall also address variances in
5 part or in whole for good cause, including but not limited to
6 illness or hardship. In establishing these rules, the
7 Department shall consider educational requirements for medical
8 staffs, requirements for specialty society board certification
9 or for continuing education requirements as a condition of
10 membership in societies representing the 2 categories of
11 licensee under this Act. These rules shall assure that
12 licensees are given the opportunity to participate in those
13 programs sponsored by or through their professional
14 associations or hospitals which are relevant to their practice.
15 Each licensee is responsible for maintaining records of
16 completion of continuing education and shall be prepared to
17 produce the records when requested by the Department.
18     Continuing education requirements for persons licensed
19 under this Act who did not receive instruction in cultural
20 competency consistent with that required under the Medical
21 School Curriculum Act as part of the medical school curriculum,
22 including persons licensed in this State who did not attend
23 medical school in this State, must include the completion of
24 cultural competency training that is offered pursuant to
25 subsection (c) of Section 3 of the Medical School Curriculum
26 Act during the first renewal cycle immediately following the

 

 

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1 effective date of this amendatory Act of the 95th General
2 Assembly. The Department may waive the cultural competency
3 continuing education requirement for any licensee who
4 demonstrates to the satisfaction of the Department that he or
5 she has attained the substantial equivalent of this requirement
6 through completion of a similar course in his or her
7 post-secondary education.
8 (Source: P.A. 92-750, eff. 1-1-03.)
 
9     Section 99. Effective date. This Act takes effect upon
10 becoming law.