Sen. Mattie Hunter

Filed: 5/6/2014

 

 


 

 


 
09800HB5925sam001LRB098 20292 RPM 58824 a

1
AMENDMENT TO HOUSE BILL 5925

2    AMENDMENT NO. ______. Amend House Bill 5925 as follows:
 
3on page 1, immediately below line 3, by inserting the
4following:
 
5    "Section 1. The Illinois Health Information Exchange and
6Technology Act is amended by changing Section 40 as follows:
 
7    (20 ILCS 3860/40)
8    (Section scheduled to be repealed on January 1, 2021)
9    Sec. 40. Reliance on data. Any health care provider who
10relies in good faith upon any information provided through the
11ILHIE in his, her, or its treatment of a patient shall be
12immune from criminal or civil liability or professional
13discipline arising from any damages caused by such good faith
14reliance. This immunity does not apply to acts or omissions
15constituting gross negligence or reckless, wanton, or

 

 

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1intentional misconduct. Notwithstanding this provision, the
2Authority does not waive any immunities provided under State or
3federal law.
4(Source: P.A. 96-1331, eff. 7-27-10.)"; and
 
5on page 3, immediately below line 1, by inserting the
6following:
 
7    "Section 7. The Medical Patient Rights Act is amended by
8changing Section 3 as follows:
 
9    (410 ILCS 50/3)  (from Ch. 111 1/2, par. 5403)
10    Sec. 3. The following rights are hereby established:
11    (a) The right of each patient to care consistent with sound
12nursing and medical practices, to be informed of the name of
13the physician responsible for coordinating his or her care, to
14receive information concerning his or her condition and
15proposed treatment, to refuse any treatment to the extent
16permitted by law, and to privacy and confidentiality of records
17except as otherwise provided by law.
18    (b) The right of each patient, regardless of source of
19payment, to examine and receive a reasonable explanation of his
20total bill for services rendered by his physician or health
21care provider, including the itemized charges for specific
22services received. Each physician or health care provider shall
23be responsible only for a reasonable explanation of those

 

 

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1specific services provided by such physician or health care
2provider.
3    (c) In the event an insurance company or health services
4corporation cancels or refuses to renew an individual policy or
5plan, the insured patient shall be entitled to timely, prior
6notice of the termination of such policy or plan.
7    An insurance company or health services corporation that
8requires any insured patient or applicant for new or continued
9insurance or coverage to be tested for infection with human
10immunodeficiency virus (HIV) or any other identified causative
11agent of acquired immunodeficiency syndrome (AIDS) shall (1)
12give the patient or applicant prior written notice of such
13requirement, (2) proceed with such testing only upon the
14written authorization of the applicant or patient, and (3) keep
15the results of such testing confidential. Notice of an adverse
16underwriting or coverage decision may be given to any
17appropriately interested party, but the insurer may only
18disclose the test result itself to a physician designated by
19the applicant or patient, and any such disclosure shall be in a
20manner that assures confidentiality.
21    The Department of Insurance shall enforce the provisions of
22this subsection.
23    (d) The right of each patient to privacy and
24confidentiality in health care. Each physician, health care
25provider, health services corporation and insurance company
26shall refrain from disclosing the nature or details of services

 

 

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1provided to patients, except that such information may be
2disclosed: (1) to the patient, (2) to the party making
3treatment decisions if the patient is incapable of making
4decisions regarding the health services provided, (3) for those
5parties directly involved with providing treatment in
6accordance with 45 CFR 164.501 and 164.506, (4) for to the
7patient or processing the payment in accordance with 45 CFR
8164.501 and 164.506, (5) to for that treatment, those parties
9responsible for peer review, utilization review, and quality
10assurance, (6) for health care operations in accordance with 45
11CFR 164.501 and 164.506, (7) to and those parties required to
12be notified under the Abused and Neglected Child Reporting Act
13or , the Illinois Sexually Transmissible Disease Control Act, or
14(8) as where otherwise permitted, authorized, or required by
15State or federal law. This right may be waived in writing by
16the patient or the patient's guardian or legal representative,
17but a physician or other health care provider may not condition
18the provision of services on the patient's, or guardian's, or
19legal representative's agreement to sign such a waiver. In the
20interest of public health, safety, and welfare, patient
21information, including, but not limited to, health
22information, demographic information, and information about
23the services provided to patients, may be transmitted to or
24through a health information exchange, as that term is defined
25in Section 2 of the Mental Health and Developmental
26Disabilities Confidentiality Act, in accordance with the

 

 

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1disclosures permitted pursuant to this Section. Patients shall
2be provided the opportunity to opt out of their health
3information being transmitted to or through a health
4information exchange in accordance with the regulations,
5standards, or contractual obligations adopted by the Illinois
6Health Information Exchange Authority in accordance with
7Section 9.6 of the Mental Health and Developmental Disabilities
8Confidentiality Act, Section 9.6 of the AIDS Confidentiality
9Act, or Section 31.8 of the Genetic Information Privacy Act, as
10applicable. In the case of a patient choosing to opt out of
11having his or her information available on an HIE, nothing in
12this Act shall cause the physician or health care provider to
13be liable for the release of a patient's health information by
14other entities that may possess such information, including,
15but not limited to, other health professionals, providers,
16laboratories, pharmacies, hospitals, ambulatory surgical
17centers, and nursing homes.
18(Source: P.A. 86-895; 86-902; 86-1028; 87-334.)"; and
 
19on page 9, by replacing line 4 with the following:
20        "(3) where the person providing informed consent is a";
21    and
 
22on page 9, line 13, after "provider", by inserting "or health
23care professional"; and
 

 

 

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1on page 13, line 25, after "provider", by inserting ", health
2care professional,"; and
 
3on page 16, line 14, by replacing "provider;" with "provider or
4health care professional;"; and
 
5on page 16, line 16, after "provider", by inserting "or health
6care professional"; and
 
7on page 17, line 11, by replacing "professionals," with
8"professionals or health care providers,"; and
 
9on page 44, line 4, by replacing "professionals," with
10"professionals or health care providers,"; and
 
11on page 60, immediately below line 18, by inserting the
12following:
 
13    "Section 30. The Code of Civil Procedure is amended by
14changing Section 8-802 as follows:
 
15    (735 ILCS 5/8-802)  (from Ch. 110, par. 8-802)
16    Sec. 8-802. Physician and patient. No physician or surgeon
17shall be permitted to disclose any information he or she may
18have acquired in attending any patient in a professional
19character, necessary to enable him or her professionally to

 

 

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1serve the patient, except only (1) in trials for homicide when
2the disclosure relates directly to the fact or immediate
3circumstances of the homicide, (2) in actions, civil or
4criminal, against the physician for malpractice, (3) with the
5expressed consent of the patient, or in case of his or her
6death or disability, of his or her personal representative or
7other person authorized to sue for personal injury or of the
8beneficiary of an insurance policy on his or her life, health,
9or physical condition, or as authorized by Section 8-2001.5,
10(4) in all actions brought by or against the patient, his or
11her personal representative, a beneficiary under a policy of
12insurance, or the executor or administrator of his or her
13estate wherein the patient's physical or mental condition is an
14issue, (5) upon an issue as to the validity of a document as a
15will of the patient, (6) in any criminal action where the
16charge is either first degree murder by abortion, attempted
17abortion or abortion, (7) in actions, civil or criminal,
18arising from the filing of a report in compliance with the
19Abused and Neglected Child Reporting Act, (8) to any
20department, agency, institution or facility which has custody
21of the patient pursuant to State statute or any court order of
22commitment, (9) in prosecutions where written results of blood
23alcohol tests are admissible pursuant to Section 11-501.4 of
24the Illinois Vehicle Code, (10) in prosecutions where written
25results of blood alcohol tests are admissible under Section
265-11a of the Boat Registration and Safety Act, (11) in criminal

 

 

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1actions arising from the filing of a report of suspected
2terrorist offense in compliance with Section 29D-10(p)(7) of
3the Criminal Code of 2012, or (12) upon the issuance of a
4subpoena pursuant to Section 38 of the Medical Practice Act of
51987; the issuance of a subpoena pursuant to Section 25.1 of
6the Illinois Dental Practice Act; the issuance of a subpoena
7pursuant to Section 22 of the Nursing Home Administrators
8Licensing and Disciplinary Act; or the issuance of a subpoena
9pursuant to Section 25.5 of the Workers' Compensation Act, or
10(13) to or through a health information exchange, as that term
11is defined in Section 2 of the Mental Health and Developmental
12Disabilities Confidentiality Act, in accordance with State or
13federal law.
14    In the event of a conflict between the application of this
15Section and the Mental Health and Developmental Disabilities
16Confidentiality Act to a specific situation, the provisions of
17the Mental Health and Developmental Disabilities
18Confidentiality Act shall control.
19(Source: P.A. 97-18, eff. 6-28-11; 97-623, eff. 11-23-11;
2097-813, eff. 7-13-12; 97-1150, eff. 1-25-13.)".