Full Text of SB1694 97th General Assembly
SB1694 97TH GENERAL ASSEMBLY |
| | 97TH GENERAL ASSEMBLY
State of Illinois
2011 and 2012 SB1694 Introduced 2/9/2011, by Sen. A. J. Wilhelmi SYNOPSIS AS INTRODUCED: |
| 735 ILCS 5/8-802 | from Ch. 110, par. 8-802 | 735 ILCS 5/8-2001 | from Ch. 110, par. 8-2001 | 735 ILCS 5/8-2001.5 new | | 755 ILCS 45/4-3 | from Ch. 110 1/2, par. 804-3 |
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Amends the Code of Civil Procedure. Provides that, if there is no legally authorized personal representative for a deceased patient, the deceased had not appointed an agent under a power of attorney for health care who was authorized to act for the deceased after death, and the deceased had not specifically objected to disclosure in writing, a spouse, adult child, parent, or sibling of the deceased may request copies of the deceased patient's records and health care facilities and practitioners are authorized to provide a copy of those records upon payment of the statutory fee and a signed Authorized Relative Certification attesting to the fact that the person is authorized to receive the records. Sets forth the contents of the Authorized Relative Certification, provides for immunity, and amends other statutes to conform to the new provisions. Amends the Illinois Power of Attorney Act. Adds the function of accessing medical records to the existing instances when a health care agency may extend beyond the principal's death which now are to allow for an anatomical gift, an autopsy, or the disposition of remains.
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| | A BILL FOR |
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| 1 | | AN ACT concerning civil law.
| 2 | | Be it enacted by the People of the State of Illinois,
| 3 | | represented in the General Assembly:
| 4 | | Section 5. The Code of Civil Procedure is amended by | 5 | | changing Sections 8-802 and 8-2001 and by adding Section | 6 | | 8-2001.5 as follows:
| 7 | | (735 ILCS 5/8-802) (from Ch. 110, par. 8-802)
| 8 | | Sec. 8-802. Physician and patient. No physician or surgeon | 9 | | shall be
permitted to disclose any information he or she may | 10 | | have acquired in
attending any patient in a professional | 11 | | character, necessary to enable him
or her professionally to | 12 | | serve the patient, except only (1) in trials for
homicide when | 13 | | the disclosure relates directly to the fact or immediate
| 14 | | circumstances of the homicide, (2) in actions, civil or | 15 | | criminal, against
the physician for malpractice, (3) with the | 16 | | expressed consent of the
patient, or in case of his or her | 17 | | death or disability, of his or her
personal representative or | 18 | | other person authorized to sue for personal
injury or of the | 19 | | beneficiary of an insurance policy on his or her life,
health, | 20 | | or physical condition, or as authorized by Section 8-2001.5, | 21 | | (4) in all actions brought by or against the
patient, his or | 22 | | her personal representative, a beneficiary under a policy
of | 23 | | insurance, or the executor or administrator of his or her |
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| 1 | | estate wherein
the patient's physical or mental condition is an | 2 | | issue, (5) upon an issue
as to the validity of a document as a | 3 | | will of the patient, (6) in any
criminal action where the | 4 | | charge is either first degree murder by abortion,
attempted | 5 | | abortion or abortion, (7) in actions, civil or criminal, | 6 | | arising
from the filing of a report in compliance with the | 7 | | Abused and Neglected
Child Reporting Act, (8) to any | 8 | | department, agency, institution
or facility which has custody | 9 | | of the patient pursuant to State statute
or any court order of | 10 | | commitment, (9) in prosecutions where written
results of blood | 11 | | alcohol tests are admissible pursuant to Section 11-501.4
of | 12 | | the Illinois Vehicle Code, (10) in prosecutions where written
| 13 | | results of blood alcohol tests are admissible under Section | 14 | | 5-11a of the
Boat Registration and Safety Act,
(11) in criminal | 15 | | actions arising from the filing of a report of suspected
| 16 | | terrorist offense in compliance with Section 29D-10(p)(7) of | 17 | | the Criminal Code
of 1961, or (12) upon the issuance of a | 18 | | subpoena pursuant to Section 38 of the Medical Practice Act of | 19 | | 1987; the issuance of a subpoena pursuant to Section 25.1 of | 20 | | the Illinois Dental Practice Act; or the issuance of a subpoena | 21 | | pursuant to Section 22 of the Nursing Home Administrators | 22 | | Licensing and Disciplinary Act.
| 23 | | In the event of a conflict between the application of this | 24 | | Section
and the Mental Health and Developmental Disabilities | 25 | | Confidentiality
Act to a specific situation, the provisions of | 26 | | the Mental Health and
Developmental Disabilities |
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| 1 | | Confidentiality Act shall control.
| 2 | | (Source: P.A. 95-478, eff. 8-27-07.)
| 3 | | (735 ILCS 5/8-2001) (from Ch. 110, par. 8-2001)
| 4 | | Sec. 8-2001. Examination of health care records.
| 5 | | (a) In this Section: | 6 | | "Health care facility" or "facility" means a public or
| 7 | | private hospital, ambulatory surgical treatment center, | 8 | | nursing home,
independent practice association, or physician | 9 | | hospital organization, or any
other entity where health care | 10 | | services are provided to any person. The term
does not include | 11 | | a health care practitioner.
| 12 | | "Health care practitioner" means any health care | 13 | | practitioner, including a physician, dentist, podiatrist, | 14 | | advanced practice nurse, physician assistant, clinical | 15 | | psychologist, or clinical social worker. The term includes a | 16 | | medical office, health care clinic, health department, group | 17 | | practice, and any other organizational structure for a licensed | 18 | | professional to provide health care services. The term does not | 19 | | include a health care facility.
| 20 | | (b) Every private and public health care facility shall, | 21 | | upon the request of any
patient who has been treated in such | 22 | | health care facility, or any person, entity, or organization | 23 | | presenting a valid authorization for the release of records | 24 | | signed by the patient or the patient's legally authorized | 25 | | representative, or as authorized by Section 8-2001.5, permit |
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| 1 | | the patient,
his or her health care practitioner,
authorized | 2 | | attorney, or any person, entity, or organization presenting a | 3 | | valid authorization for the release of records signed by the | 4 | | patient or the patient's legally authorized representative to | 5 | | examine the health care facility
patient care records,
| 6 | | including but not limited to the history, bedside notes, | 7 | | charts, pictures
and plates, kept in connection with the | 8 | | treatment of such patient, and
permit copies of such records to | 9 | | be made by him or her or his or her
health care practitioner or | 10 | | authorized attorney. | 11 | | (c) Every health care practitioner shall, upon the request | 12 | | of any patient who has been treated by the health care | 13 | | practitioner, or any person, entity, or organization | 14 | | presenting a valid authorization for the release of records | 15 | | signed by the patient or the patient's legally authorized | 16 | | representative, permit the patient and the patient's health | 17 | | care practitioner or authorized attorney, or any person, | 18 | | entity, or organization presenting a valid authorization for | 19 | | the release of records signed by the patient or the patient's | 20 | | legally authorized representative, to examine and copy the | 21 | | patient's records, including but not limited to those relating | 22 | | to the diagnosis, treatment, prognosis, history, charts, | 23 | | pictures and plates, kept in connection with the treatment of | 24 | | such patient. | 25 | | (d) A request for copies of the records shall
be in writing | 26 | | and shall be delivered to the administrator or manager of
such |
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| 1 | | health care facility or to the health care practitioner. The
| 2 | | person (including patients, health care practitioners and | 3 | | attorneys)
requesting copies of records shall reimburse the | 4 | | facility or the health care practitioner at the time of such | 5 | | copying for all
reasonable expenses, including the costs of | 6 | | independent copy service companies,
incurred in connection | 7 | | with such copying not to
exceed a $20 handling charge for | 8 | | processing the
request and the actual postage or shipping | 9 | | charge, if any, plus: (1) for paper copies
75 cents per page | 10 | | for the first through 25th pages, 50
cents per page for the | 11 | | 26th through 50th pages, and 25 cents per page for all
pages in | 12 | | excess of 50 (except that the charge shall not exceed $1.25 per | 13 | | page
for any copies made from microfiche or microfilm; records | 14 | | retrieved from scanning, digital imaging, electronic | 15 | | information or other digital format do not qualify as | 16 | | microfiche or microfilm retrieval for purposes of calculating | 17 | | charges); and (2) for electronic records, retrieved from a | 18 | | scanning, digital imaging, electronic information or other | 19 | | digital format in a electronic document, a charge of 50% of the | 20 | | per page charge for paper copies under subdivision (d)(1). This | 21 | | per page charge includes the cost of each CD Rom, DVD, or other | 22 | | storage media. Records already maintained in an electronic or | 23 | | digital format shall be provided in an electronic format when | 24 | | so requested.
If the records system does not allow for the | 25 | | creation or transmission of an electronic or digital record, | 26 | | then the facility or practitioner shall inform the requester in |
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| 1 | | writing of the reason the records can not be provided | 2 | | electronically. The written explanation may be included with | 3 | | the production of paper copies, if the requester chooses to | 4 | | order paper copies. These rates shall be automatically adjusted | 5 | | as set forth in Section 8-2006.
The facility or health care | 6 | | practitioner may, however, charge for the
reasonable cost of | 7 | | all duplication of
record material or information that cannot | 8 | | routinely be copied or duplicated on
a standard commercial | 9 | | photocopy machine such as x-ray films or pictures.
| 10 | | (e) The requirements of this Section shall be satisfied | 11 | | within 30 days of the
receipt of a written request by a patient | 12 | | or by his or her legally authorized
representative, health care | 13 | | practitioner,
authorized attorney, or any person, entity, or | 14 | | organization presenting a valid authorization for the release | 15 | | of records signed by the patient or the patient's legally | 16 | | authorized representative. If the facility
or health care | 17 | | practitioner needs more time to comply with the request, then | 18 | | within 30 days after receiving
the request, the facility or | 19 | | health care practitioner must provide the requesting party with | 20 | | a written
statement of the reasons for the delay and the date | 21 | | by which the requested
information will be provided. In any | 22 | | event, the facility or health care practitioner must provide | 23 | | the
requested information no later than 60 days after receiving | 24 | | the request.
| 25 | | (f) A health care facility or health care practitioner must | 26 | | provide the public with at least 30 days prior
notice of the |
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| 1 | | closure of the facility or the health care practitioner's | 2 | | practice. The notice must include an explanation
of how copies | 3 | | of the facility's records may be accessed by patients. The
| 4 | | notice may be given by publication in a newspaper of general | 5 | | circulation in the
area in which the health care facility or | 6 | | health care practitioner is located.
| 7 | | (g) Failure to comply with the time limit requirement of | 8 | | this Section shall
subject the denying party to expenses and | 9 | | reasonable attorneys' fees
incurred in connection with any | 10 | | court ordered enforcement of the provisions
of this Section.
| 11 | | (Source: P.A. 94-155, eff. 1-1-06; 95-478, eff. 1-1-08 (changed | 12 | | from 8-27-07 by P.A. 95-480); 95-480, eff. 1-1-08.)
| 13 | | (735 ILCS 5/8-2001.5 new) | 14 | | Sec. 8-2001.5. Authorization for release of a deceased | 15 | | patient's records. | 16 | | (a) A surviving spouse may make a written request for a | 17 | | copy of his or her deceased spouse's records after the | 18 | | deceased's date of death under these conditions: | 19 | | (1) An executor or administrator had not been appointed | 20 | | for the deceased's estate; | 21 | | (2) The deceased had not appointed an agent under a | 22 | | power of attorney for health care who was authorized to act | 23 | | for the deceased after the deceased's date of death; and | 24 | | (3) The deceased had not specifically objected to | 25 | | disclosure in writing. |
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| 1 | | If there is no surviving spouse under these conditions, | 2 | | then any one or more of the following relatives may make a | 3 | | written request for a copy of the deceased patient's records | 4 | | not sooner than 30 days after the deceased's date of death: | 5 | | (1) An adult son or daughter of the deceased. | 6 | | (2) Either parent of the deceased. | 7 | | (3) An adult brother or sister of the deceased. | 8 | | (b) Health care facilities and practitioners are | 9 | | authorized to provide a copy of a deceased patient's records | 10 | | based upon a person's payment of the statutory fee and signed | 11 | | "Authorized Relative Certification", attesting to the fact | 12 | | that the person is authorized to receive such records under | 13 | | this Section. | 14 | | (c) Any person who, in good faith, relies on a copy of an | 15 | | Authorized Relative Certification shall have the same | 16 | | immunities from criminal and civil liability as those who rely | 17 | | on a power of attorney for health care as provided by Illinois | 18 | | law. | 19 | | (d) Upon request for records of a deceased patient, the | 20 | | named authorized relative shall provide the facility or | 21 | | practitioner with a certified copy of the death certificate and | 22 | | a certification in substantially the following form: | 23 | | AUTHORIZED RELATIVE CERTIFICATION |
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| 1 | | I, (insert name of authorized relative), certify that I am | 2 | | an authorized relative of the deceased (insert name of | 3 | | deceased). (A certified copy of the death certificate must be | 4 | | attached.) | 5 | | I certify that to the best of my knowledge and belief that | 6 | | no executor or administrator has been appointed for the | 7 | | deceased's estate or that no agent was authorized to act for | 8 | | the deceased under a power of attorney for health care. | 9 | | I certify that I am the surviving spouse of the deceased; | 10 | | or | 11 | | I certify that there is no surviving spouse and my | 12 | | relationship to the deceased is (circle one): | 13 | | (1) An adult son or daughter of the deceased. | 14 | | (2) Either parent of the deceased. | 15 | | (3) An adult brother or sister of the deceased. | 16 | | This certification is made under penalty of perjury.* | 17 | | Dated: (insert date) | 18 | | ................................. | 19 | | (Print Authorized Relative's Name) | 20 | | ................................. |
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| 1 | | (Authorized Relative's Signature) | 2 | | ................................. | 3 | | (Authorized Relative's Address) | 4 | | *(Note: Perjury is defined in Section 32-2 of the Criminal Code | 5 | | of 1961, and is a Class 3 felony.)
| 6 | | Section 10. The Illinois Power of Attorney Act is amended | 7 | | by changing Section 4-3 as follows:
| 8 | | (755 ILCS 45/4-3) (from Ch. 110 1/2, par. 804-3)
| 9 | | Sec. 4-3. General principles. The health care powers that | 10 | | may be
delegated to an agent include, without limitation, all | 11 | | powers an individual
may have to be informed about and to | 12 | | consent to or refuse or withdraw any
type of health care for | 13 | | the individual and all powers a
parent may have to control or | 14 | | consent to health care for a minor child. A
health care agency | 15 | | may extend beyond the principal's death if necessary to
permit | 16 | | anatomical gift, autopsy , or disposition of remains , or access | 17 | | to medical records . Nothing in this
Article shall impair or | 18 | | supersede any legal right or legal responsibility
which any | 19 | | person may have to effect the withholding or withdrawal of
| 20 | | life-sustaining or death-delaying procedures in any lawful | 21 | | manner, and the
provisions of this Article are cumulative in | 22 | | such respect.
| 23 | | (Source: P.A. 85-701.)
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