Full Text of HB4986 99th General Assembly
HB4986 99TH GENERAL ASSEMBLY |
| | 99TH GENERAL ASSEMBLY
State of Illinois
2015 and 2016 HB4986 Introduced , by Rep. Ron Sandack SYNOPSIS AS INTRODUCED: |
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Amends the Health Care Professional Credentials Data Collection Act. Provides that any health care professionals' credentials data collected or obtained by a health care entity, health care plan, or hospital shall be privileged information. Effective immediately.
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| | A BILL FOR |
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| 1 | | AN ACT concerning health.
| 2 | | Be it enacted by the People of the State of Illinois,
| 3 | | represented in the General Assembly:
| 4 | | Section 5. The Health Care Professional Credentials Data | 5 | | Collection Act is amended by changing Section 15 as follows:
| 6 | | (410 ILCS 517/15)
| 7 | | Sec. 15. Development and use of uniform health care and | 8 | | hospital
credentials forms. | 9 | | (a) The Department, in consultation with the council, shall | 10 | | by rule
establish:
| 11 | | (1) a uniform health care credentials form that shall | 12 | | include the
credentials data commonly requested by health | 13 | | care entities
and health care plans for purposes of | 14 | | credentialing and shall minimize the
need for the | 15 | | collection of
additional credentials data;
| 16 | | (2) a uniform health care recredentials form that shall | 17 | | include the
credentials data commonly requested by health | 18 | | care entities and health care
plans for purposes of | 19 | | recredentialing and shall minimize the need for the
| 20 | | collection of additional credentials data;
| 21 | | (3) a uniform hospital credentials form that shall | 22 | | include the credentials
data commonly requested by | 23 | | hospitals for purposes of credentialing and
shall
minimize |
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| 1 | | the need for the collection of additional credentials data;
| 2 | | (4) a uniform hospital recredentials form that shall | 3 | | include the
credentials data commonly requested by | 4 | | hospitals for purposes of
recredentialing and shall | 5 | | minimize the need for collection of additional
credentials | 6 | | data; and
| 7 | | (5) uniform updating forms.
| 8 | | (b) The uniform forms established in subsection (a) shall | 9 | | be coordinated to
reduce the need to provide redundant | 10 | | information.
Further, the forms shall be made available in both | 11 | | paper and electronic
formats.
| 12 | | (c) The Department, in consultation with the council, shall
| 13 | | establish by rule a date after which an electronic format may | 14 | | be
required by a health care entity, a health care plan, or a | 15 | | hospital, and a
health care professional may require acceptance | 16 | | of an electronic
format by a health care entity, a health care | 17 | | plan, or a hospital.
| 18 | | (d) Beginning January 1, 2002, each health care
entity or | 19 | | health
care plan that
employs, contracts with, or allows health | 20 | | care
professionals to provide medical or health care services | 21 | | and requires health
care professionals to be credentialed or | 22 | | recredentialed shall for
purposes of collecting credentials | 23 | | data only require:
| 24 | | (1) the uniform health care credentials form;
| 25 | | (2) the uniform health care recredentials form;
| 26 | | (3) the uniform updating forms; and
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| 1 | | (4) any additional credentials data requested.
| 2 | | (e) Beginning January 1, 2002, each hospital that
employs,
| 3 | | contracts with, or
allows health care professionals to provide | 4 | | medical or
health care services and requires health care | 5 | | professionals to be credentialed
or recredentialed shall for | 6 | | purposes of collecting credentials
data only require:
| 7 | | (1) the uniform hospital credentials form;
| 8 | | (2) the uniform hospital recredentials form;
| 9 | | (3) the uniform updating forms; and
| 10 | | (4) any additional credentials data requested.
| 11 | | (f) Each health care entity and health care plan shall | 12 | | complete the process
of verifying a health care professional's | 13 | | credentials data
in a timely fashion and shall complete the | 14 | | process of credentialing or
recredentialing of the health care | 15 | | professional within 60 days after
submission of all credentials | 16 | | data and completion of verification of the
credentials data.
| 17 | | (g) Each health care professional shall provide any | 18 | | corrections, updates,
and modifications to his or her | 19 | | credentials data to ensure
that all credentials data on the | 20 | | health care professional remains current.
Such corrections, | 21 | | updates, and modifications shall be provided within
5 business | 22 | | days for State health care professional license revocation, | 23 | | federal
Drug
Enforcement Agency license revocation,
Medicare | 24 | | or Medicaid sanctions, revocation of hospital privileges, any | 25 | | lapse
in professional liability coverage required by a health | 26 | | care entity, health
care plan, or hospital,
or conviction of a |
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| 1 | | felony, and within 45 days for any
other
change in the | 2 | | information from the date the health care professional knew of
| 3 | | the change. All updates shall be made on the uniform updating
| 4 | | forms developed by the Department.
| 5 | | (h) Any credentials data collected or obtained by the | 6 | | health care entity,
health care plan, or hospital shall be | 7 | | confidential and privileged , as provided by law,
and otherwise | 8 | | may not be redisclosed without written consent of the
health | 9 | | care professional, except that in any proceeding to challenge
| 10 | | credentialing or recredentialing, or in any judicial review, | 11 | | the claim
of confidentiality shall not be invoked to deny a | 12 | | health care professional,
health care entity,
health care plan, | 13 | | or hospital access to or use of credentials data. Nothing in
| 14 | | this Section prevents a health
care entity, health care plan, | 15 | | or hospital from disclosing any credentials data
to its | 16 | | officers, directors, employees, agents, subcontractors,
| 17 | | medical staff members, any committee of the health care entity, | 18 | | health care
plan, or hospital involved in the credentialing | 19 | | process, or
accreditation bodies or licensing agencies. | 20 | | However, any redisclosure of
credentials data contrary to this | 21 | | Section is prohibited.
| 22 | | (i) Nothing in this Act shall be construed to restrict the | 23 | | right of any
health care entity, health care plan or hospital | 24 | | to request additional
information necessary for credentialing | 25 | | or recredentialing.
| 26 | | (j) Nothing in this Act shall be construed to restrict in |
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| 1 | | any way the
authority of any health care entity, health care | 2 | | plan or hospital to
approve, suspend or deny an application for | 3 | | hospital staff membership, clinical
privileges, or managed | 4 | | care network participation.
| 5 | | (k) Nothing in this Act shall be construed to prohibit | 6 | | delegation of
credentialing and recredentialing activities as | 7 | | long as the delegated
entity follows the requirements set forth | 8 | | in this Act.
| 9 | | (l) Nothing in this Act shall be construed to require any | 10 | | health care
entity or health care plan to credential or survey | 11 | | any health care
professional. | 12 | | (m) Nothing in this Act prohibits a hospital from granting | 13 | | disaster privileges pursuant to the provisions of Section 10.4 | 14 | | of the Hospital Licensing Act. When a hospital grants disaster | 15 | | privileges pursuant to Section 10.4 of the Hospital Licensing | 16 | | Act, that hospital is not required to collect credentials data | 17 | | pursuant to this Act.
| 18 | | (Source: P.A. 92-193, eff. 1-1-02; 93-829, eff. 7-28-04.)
| 19 | | Section 99. Effective date. This Act takes effect upon | 20 | | becoming law.
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