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90_HB3362 New Act 225 ILCS 60/22 from Ch. 111, par. 4400-22 Creates the Woman's Right to Know Act. Requires informed consent of a woman before an abortion may be performed on her. Requires that at least 24 hours before an impending abortion, the physician or a qualified person must give the woman specific oral and printed information concerning abortion. Requires the Department of Public Health to develop and make available printed and video materials. Requires a facility other than a hospital that offers abortion services to have a physician with full admitting privileges at a nearby hospital for follow-up care for the facility's patients who receive abortion services. Provides for emergencies. Violation of the Act is a Class A misdemeanor and is grounds under the Medical Practice Act of 1987 for disciplinary action against a physician. Provides for civil penalties. Effective 90 days after becoming law. LRB9009098OBpkA LRB9009098OBpkA 1 AN ACT creating the Woman's Right to Know Act, amending 2 named Acts. 3 Be it enacted by the People of the State of Illinois, 4 represented in the General Assembly: 5 Section 1. Title. This Act may be cited as the Woman's 6 Right to Know Act. 7 Section 5. Legislative findings and purposes. 8 (a) The General Assembly of the State of Illinois finds 9 that: 10 (1) It is essential to the psychological and 11 physical well-being of a woman considering an abortion 12 that she receive complete and accurate information on her 13 alternatives. 14 (2) The knowledgeable exercise of a woman's 15 decision to have an abortion depends on the extent to 16 which the woman receives sufficient information to make 17 an informed choice between 2 alternatives: giving birth 18 or having an abortion. 19 (3) Many abortions are performed in clinics devoted 20 solely to providing abortions and family planning 21 services. Most women who seek abortions at these 22 facilities do not have any relationship with the 23 physician who performs the abortion, before or after the 24 procedure. They do not return to the facility for 25 post-surgical care. In most instances, the woman's only 26 actual contact with the physician occurs simultaneously 27 with the abortion procedure, with little opportunity to 28 receive counseling concerning her decision. 29 (4) The decision to abort "is an important, and 30 often a stressful one, and it is desirable and imperative 31 that it be made with full knowledge of its nature and -2- LRB9009098OBpkA 1 consequences." Planned Parenthood v. Danforth, 428 U.S. 2 52, 67 (1976). 3 (5) "The medical, emotional, and psychological 4 consequences of an abortion are serious and can be 5 lasting. . . ." H.L. v. Matheson, 450 U.S. 398, 411 6 (1981). 7 (6) Some women seek abortions in great haste and 8 under emotional stress. Some submit to an unwanted 9 abortion against their conscience because of pressure 10 from other people. Women who choose abortion in 11 violation of their consciences are significantly more 12 prone to suffer severe psychological distress following 13 an abortion. 14 (b) Based on the findings in subsection (a) of this 15 Section, it is the purpose of this Act to: 16 (1) Ensure that every woman considering an abortion 17 receive complete information on her alternatives and that 18 every woman submitting to an abortion do so only after 19 giving her voluntary and informed consent to the abortion 20 procedure. 21 (2) Protect unborn children from a woman's 22 uninformed decision to have an abortion. 23 (3) Reduce the risk that a woman may elect an 24 abortion, only to discover later, with devastating 25 psychological consequences, that her decision was not 26 fully informed. Planned Parenthood v. Casey, 112 S.Ct. 27 2791, 2823 (1992). 28 Section 10. Definitions. As used in this Act: 29 (a) "Abortion" means the use or prescription of any 30 instrument, medicine, drug, or any other substance or device 31 with the intent to terminate the pregnancy of a woman known 32 to be pregnant. Such use or prescription is not an abortion 33 if done with the intent to (1) save the life or preserve the -3- LRB9009098OBpkA 1 health of an unborn child, (2) remove a dead unborn child, or 2 (3) deliver an unborn child prematurely in order to preserve 3 the health of both the pregnant woman and her unborn child. 4 (b) "Coercion" means any form of compulsion or 5 constraint that compels or induces a person to act otherwise 6 than freely, including, but not limited to (1) inflicting or 7 threatening to inflict physical harm on the person; or (2) 8 subjecting the person to physical confinement or restraint; 9 or (3) withholding or withdrawing or threatening to withhold 10 or withdraw financial support from the person dependent on 11 that support; or (4) threatening to expose the person's 12 situation to others as it relates to a pregnancy of that 13 person. 14 (c) "Complication" means that condition that includes 15 but is not limited to hemorrhage, infection, uterine 16 perforation, cervical laceration, pelvic inflammatory 17 disease, endometritis, and retained products. The Department 18 may further define "complication." 19 (d) "Conception" means the fusion of a human 20 spermatozoon with a human ovum. 21 (e) "Department" means the Department of Public Health 22 of the State of Illinois. 23 (f) "Facility" or "medical facility" means any public or 24 private hospital, clinic, center, medical school, medical 25 training institution, health care facility, physician's 26 office, infirmary, dispensary, ambulatory surgical treatment 27 center or other institution or location wherein medical care 28 is provided to any person. 29 (g) "First trimester" means the first 12 weeks of 30 gestation. 31 (h) "Gestational age" means the time that has elapsed 32 since the first day of the woman's last menstrual period. 33 (i) "Hospital" means an institution licensed under laws 34 of this State. -4- LRB9009098OBpkA 1 (j) "Medical emergency" means that condition which, on 2 the basis of the physician's good faith clinical judgment, so 3 complicates the medical condition of a pregnant woman as to 4 necessitate the immediate abortion of her pregnancy to avert 5 her death or for which a delay will create serious risk of 6 substantial and irreversible impairment of a major bodily 7 function. 8 (k) "Physician" means any person licensed to practice 9 medicine in all its branches under the Medical Practice Act 10 of 1987. 11 (l) "Pregnant" or "pregnancy" means that female 12 reproductive condition of having an unborn child in the 13 woman's body. 14 (m) "Qualified person" means an agent of the physician 15 who is a psychologist, licensed social worker, licensed 16 professional counselor, registered nurse, or physician. 17 (n) "Unborn child" means the offspring of human beings 18 from conception until birth. 19 (o) "Viability" means the state of fetal development 20 when, in the judgment of the physician based on the 21 particular facts of the case before him or her and in light 22 of the most advanced medical technology and information 23 available to him or her, there is a reasonable likelihood of 24 sustained survival of the unborn child outside the body of 25 his or her mother, with or without artificial support. 26 (p) "Woman" means any female person. 27 Section 15. Informed consent requirement. No abortion 28 shall be performed or induced without the voluntary and 29 informed consent of the woman upon whom the abortion is to be 30 performed or induced. Except in the case of a medical 31 emergency, consent to an abortion is voluntary and informed 32 if and only if: 33 (a) At least 24 hours before the abortion, the physician -5- LRB9009098OBpkA 1 who is to perform the abortion or the referring physician has 2 informed the woman, orally and in person, of: 3 (1) The name of the physician who will perform the 4 abortion. 5 (2) A description of the proposed abortion method 6 and of those risks when medically accurate including, but 7 not limited to, the risks of infection, hemorrhage, 8 danger to subsequent pregnancies, breast cancer, the 9 possible adverse psychological effects associated with an 10 abortion, and alternatives to the abortion that a 11 reasonable patient would consider material to the 12 decision of whether or not to undergo the abortion. 13 (3) The probable gestational age of the unborn 14 child at the time the abortion is to be performed, and, 15 if the unborn child is viable or has reached the 16 gestational age of 24 weeks, that (i) the unborn child 17 may be able to survive outside the womb; (ii) the woman 18 has the right to request the physician to use the method 19 of abortion that is most likely to preserve the life of 20 the unborn child; and (iii) if the unborn child is born 21 alive, the attending physician has the legal obligation 22 to take all reasonable steps necessary to maintain the 23 life and health of the child. 24 (4) The probable anatomical and physiological 25 characteristics of the unborn child at the time the 26 abortion is to be performed. 27 (5) The medical risks associated with carrying her 28 child to term. 29 (6) Any need for anti-Rh immune globulin therapy if 30 she is Rh negative, the likely consequences of refusing 31 such therapy, and the cost of the therapy. 32 (7) Results of the pregnancy test or examinations 33 or both. 34 (b) At least 24 hours before the abortion, the physician -6- LRB9009098OBpkA 1 who is to perform the abortion, the referring physician, or a 2 qualified person has informed the woman, orally and in 3 person, that: 4 (1) Medical assistance benefits may be available 5 for prenatal care, childbirth, and neonatal care, and 6 that more detailed information on the availability of 7 such assistance is contained in the printed materials and 8 informational video given to her and described in Section 9 20. 10 (2) The printed materials and informational video 11 in Section 20 describe the unborn child and list agencies 12 that offer alternatives to abortion. 13 (3) The father of the unborn child is liable to 14 assist in the support of this child, even in instances 15 where he has offered to pay for the abortion. In the case 16 of rape or incest, this information may be omitted. 17 (4) She is free to withhold or withdraw her consent 18 to the abortion at any time before or during the abortion 19 without affecting her right to future care or treatment 20 and without the loss of any State or federally funded 21 benefits to which she might otherwise be entitled. 22 (c) The information in paragraphs (a) and (b) is 23 provided to the woman individually (or with a parent if an 24 unemancipated minor requests or with a guardian) and in a 25 private room to protect her privacy and maintain the 26 confidentiality of her decision, to ensure that the 27 information focuses on her individual circumstances and that 28 she has an adequate opportunity to ask questions. 29 (d) At least 24 hours before the abortion, the woman is 30 given a copy of the printed materials and if she chooses a 31 viewing of the informational video described in Section 20. 32 If the woman is unable to read the materials, they shall be 33 read to her. If the woman asks questions concerning any of 34 the information or materials, answers shall be provided to -7- LRB9009098OBpkA 1 her in her own language. 2 (e) The woman certifies in writing on a checklist form 3 provided by the Department prior to the abortion that the 4 information required to be provided under paragraphs (a), 5 (b), and (d) has been provided. All physicians who perform 6 abortions shall report the total number of certifications 7 received monthly to the Department. The Department shall make 8 the number of certifications received available to the public 9 on an annual basis. 10 (f) Prior to the performance of the abortion, the 11 physician who is to perform the abortion or a qualified 12 person receives a copy of the written certification 13 prescribed by paragraph (e) of this Section. 14 (g) The woman is not required to pay any amount for the 15 abortion procedure until the 24-hour reflection period has 16 expired. 17 Section 20. Publication of materials. 18 The Department shall cause to be published printed 19 materials and an informational video in English and Spanish, 20 within 90 days after this Act becomes law. The Department 21 shall update on an annual basis, the following easily 22 comprehensible printed materials and informational video: 23 (1) Geographically indexed materials that inform 24 the woman of public and private agencies and services 25 available to assist a woman through pregnancy, upon 26 childbirth and while her child is dependent, including 27 but not limited to adoption agencies. The materials shall 28 include a comprehensive list of the agencies, a 29 description of the services they offer, and the telephone 30 numbers and addresses of the agencies, and shall inform 31 the woman about available medical assistance benefits for 32 prenatal care, childbirth, and neonatal care. 33 The Department shall ensure that the materials -8- LRB9009098OBpkA 1 described in this Section are comprehensive and do not 2 directly or indirectly promote, exclude, or discourage 3 the use of any agency or service described in this 4 Section. The materials shall also contain a toll-free 24 5 hour a day telephone number that may be called to obtain 6 orally such a list and description of agencies in the 7 locality of the caller and of the services they offer. 8 The materials shall state that any physician who 9 performs an abortion upon a woman without her informed 10 consent may be liable to her for damages in a civil 11 action and that the law permits adoptive parents to pay 12 costs of prenatal care, childbirth, and neonatal care. 13 The materials shall include the following statement: 14 "There are many public and private agencies willing 15 and able to help you to carry your child to term, and to 16 assist you and your child after your child is born, 17 whether you choose to keep your child or to place her or 18 him for adoption. The State of Illinois strongly urges 19 you to contact one or more of these agencies before 20 making a final decision about abortion. The law requires 21 that your physician or his agent give you the opportunity 22 to call agencies like these before you undergo an 23 abortion." 24 (2) Materials that include information on the 25 support obligations of the father of a child who is born 26 alive, including but not limited to the father's legal 27 duty to support his child, which may include child 28 support payments and health insurance, and the fact that 29 paternity may be established by the father's signature on 30 a birth certificate or statement of paternity, or by 31 court action. And that more information concerning 32 paternity establishment and child support services and 33 enforcement may be obtained by calling State or county 34 public assistance agencies. -9- LRB9009098OBpkA 1 (3) Materials that inform the pregnant woman of the 2 probable anatomical and physiological characteristics of 3 the unborn child at 2-week gestational increments from 4 fertilization to full term, including pictures 5 representing the development of an unborn child at 2-week 6 gestational increments. The descriptions shall include 7 information about brain and heart function, the presence 8 of external members and internal organs during the 9 applicable stages of development and any relevant 10 information on the possibility of the unborn child's 11 survival. Any such pictures must contain the dimensions 12 of the unborn child and must be realistic. The materials 13 shall be objective, nonjudgmental, and designed to convey 14 only accurate scientific information about the unborn 15 child at the various gestational ages. 16 (4) Materials that contain objective information 17 describing the methods of abortion procedures commonly 18 employed, the medical risks commonly associated with each 19 procedure when medically accurate including, but not 20 limited to, the risks of infection, hemorrhage, danger to 21 subsequent pregnancies, breast cancer, the possible 22 adverse psychological effects associated with an 23 abortion, and the medical risks associated with carrying 24 a child to term. 25 (5) A checklist certification form to be used by 26 the physician or a qualified person under paragraph (e) 27 of Section 15 of this Act, which shall list all the items 28 of information that are to be given to the woman by a 29 physician or the agent under this Act. 30 (6) The materials shall be printed in a typeface 31 large enough to be clearly legible. 32 (7) The Department shall produce a standardized 33 videotape that may be used statewide, containing all of 34 the information described in paragraphs (1), (2), (3), -10- LRB9009098OBpkA 1 and (4), in accordance with the requirements of those 2 paragraphs. In preparing the video, the Department may 3 summarize and make reference to the printed comprehensive 4 list of geographically indexed names and services 5 described in paragraph (1). The videotape shall, in 6 addition to the information described in paragraphs (1), 7 (2), (3), and (4), show an ultrasound of the heartbeat of 8 an unborn child at 4 to 5 weeks gestational age, at 6 to 9 8 weeks gestational age, and each month thereafter, until 10 viability. That information shall be presented in an 11 objective, unbiased manner designed to convey only 12 accurate scientific information. 13 (8) The materials required under this Section and 14 the videotape described in paragraph (7) shall be 15 available at no cost from the Department upon request and 16 in appropriate number to any person, facility, or 17 hospital. 18 Section 25. Emergencies. Where a medical emergency 19 compels the performance of an abortion, the physician shall 20 inform the woman, before the abortion if possible, of the 21 medical indications supporting his or her judgment that an 22 abortion is necessary to avert her death or to avert 23 substantial and irreversible impairment of a major bodily 24 function. 25 Section 27. Follow-up care. Whenever abortion services 26 are offered in a facility other than a licensed hospital, at 27 least one of the physician's associated with that facility 28 must have full admitting privileges at a licensed hospital 29 within approximately 15 minutes travel time from that 30 facility and that physician has the responsibility for all 31 facility patients who receive abortion services who require 32 follow-up care. -11- LRB9009098OBpkA 1 Section 30. Coercion. A physician may not perform an 2 abortion on a woman whom he or she knows or should have known 3 signed the consent form under coercion. 4 Section 35. Criminal penalties. Any person who 5 intentionally, knowingly, or recklessly violates this Act is 6 guilty of a Class A misdemeanor. 7 Section 40. Civil penalties. In addition to whatever 8 remedies are available under the common or statutory law of 9 this State, failure to comply with the requirements of this 10 Act shall: 11 (a) Provide a basis for a civil malpractice action. Any 12 intentional violation of this Act shall be admissible in a 13 civil suit as prima facie evidence of a failure to obtain an 14 informed consent. When requested, the court shall allow a 15 woman to proceed using solely her initials or a pseudonym and 16 may close any proceedings in the case and enter other 17 protective orders to preserve the privacy of the woman upon 18 whom the abortion was performed. 19 (b) Provide a basis for professional disciplinary action 20 under the Medical Practice Act of 1987. 21 (c) Provide a basis for recovery for the woman for the 22 death of her unborn child under the Wrongful Death Act. 23 Section 45. Construction. 24 (a) Nothing in this Act shall be construed as creating 25 or recognizing a right to an abortion. 26 (b) It is not the intention of this law to make lawful 27 an abortion that is currently unlawful. 28 Section 50. Severability. The provisions of the Act are 29 declared to be severable, and if any provision, word, phrase, 30 or clause of the Act or the application thereof to any person -12- LRB9009098OBpkA 1 shall be held invalid, such invalidity shall not affect the 2 validity of the remaining portions of this Act. 3 Section 120. The Medical Practice Act of 1987 is amended 4 by changing Section 22 as follows: 5 (225 ILCS 60/22) (from Ch. 111, par. 4400-22) 6 Sec. 22. Disciplinary action. 7 (A) The Department may revoke, suspend, place on 8 probationary status, or take any other disciplinary action as 9 the Department may deem proper with regard to the license or 10 visiting professor permit of any person issued under this Act 11 to practice medicine, or to treat human ailments without the 12 use of drugs and without operative surgery upon any of the 13 following grounds: 14 (1) Performance of an elective abortion in any 15 place, locale, facility, or institution other than: 16 (a) a facility licensed pursuant to the 17 Ambulatory Surgical Treatment Center Act; 18 (b) an institution licensed under the Hospital 19 Licensing Act; or 20 (c) an ambulatory surgical treatment center or 21 hospitalization or care facility maintained by the 22 State or any agency thereof, where such department 23 or agency has authority under law to establish and 24 enforce standards for the ambulatory surgical 25 treatment centers, hospitalization, or care 26 facilities under its management and control; or 27 (d) ambulatory surgical treatment centers, 28 hospitalization or care facilities maintained by the 29 Federal Government; or 30 (e) ambulatory surgical treatment centers, 31 hospitalization or care facilities maintained by any 32 university or college established under the laws of -13- LRB9009098OBpkA 1 this State and supported principally by public funds 2 raised by taxation. 3 (2) Performance of an abortion procedure in a 4 wilful and wanton manner on a woman who was not pregnant 5 at the time the abortion procedure was performed. 6 (3) The conviction of a felony in this or any other 7 jurisdiction, except as otherwise provided in subsection 8 B of this Section, whether or not related to practice 9 under this Act, or the entry of a guilty or nolo 10 contendere plea to a felony charge. 11 (4) Gross negligence in practice under this Act. 12 (5) Engaging in dishonorable, unethical or 13 unprofessional conduct of a character likely to deceive, 14 defraud or harm the public. 15 (6) Obtaining any fee by fraud, deceit, or 16 misrepresentation. 17 (7) Habitual or excessive use or abuse of drugs 18 defined in law as controlled substances, of alcohol, or 19 of any other substances which results in the inability to 20 practice with reasonable judgment, skill or safety. 21 (8) Practicing under a false or, except as provided 22 by law, an assumed name. 23 (9) Fraud or misrepresentation in applying for, or 24 procuring, a license under this Act or in connection with 25 applying for renewal of a license under this Act. 26 (10) Making a false or misleading statement 27 regarding their skill or the efficacy or value of the 28 medicine, treatment, or remedy prescribed by them at 29 their direction in the treatment of any disease or other 30 condition of the body or mind. 31 (11) Allowing another person or organization to use 32 their license, procured under this Act, to practice. 33 (12) Disciplinary action of another state or 34 jurisdiction against a license or other authorization to -14- LRB9009098OBpkA 1 practice as a medical doctor, doctor of osteopathy, 2 doctor of osteopathic medicine or doctor of chiropractic, 3 a certified copy of the record of the action taken by the 4 other state or jurisdiction being prima facie evidence 5 thereof. 6 (13) Violation of any provision of this Act or of 7 the Medical Practice Act prior to the repeal of that Act, 8 or violation of the rules, or a final administrative 9 action of the Director, after consideration of the 10 recommendation of the Disciplinary Board. 11 (14) Dividing with anyone other than physicians 12 with whom the licensee practices in a partnership, 13 Professional Association, limited liability company, or 14 Medical or Professional Corporation any fee, commission, 15 rebate or other form of compensation for any professional 16 services not actually and personally rendered. Nothing 17 contained in this subsection prohibits persons holding 18 valid and current licenses under this Act from practicing 19 medicine in partnership under a partnership agreement, 20 including a limited liability partnership, in a limited 21 liability company under the Limited Liability Company 22 Act, in a corporation authorized by the Medical 23 Corporation Act, as an association authorized by the 24 Professional Association Act, or in a corporation under 25 the Professional Corporation Act or from pooling, 26 sharing, dividing or apportioning the fees and monies 27 received by them or by the partnership, corporation or 28 association in accordance with the partnership agreement 29 or the policies of the Board of Directors of the 30 corporation or association. Nothing contained in this 31 subsection prohibits 2 or more corporations authorized by 32 the Medical Corporation Act, from forming a partnership 33 or joint venture of such corporations, and providing 34 medical, surgical and scientific research and knowledge -15- LRB9009098OBpkA 1 by employees of these corporations if such employees are 2 licensed under this Act, or from pooling, sharing, 3 dividing, or apportioning the fees and monies received by 4 the partnership or joint venture in accordance with the 5 partnership or joint venture agreement. Nothing 6 contained in this subsection shall abrogate the right of 7 2 or more persons, holding valid and current licenses 8 under this Act, to each receive adequate compensation for 9 concurrently rendering professional services to a patient 10 and divide a fee; provided, the patient has full 11 knowledge of the division, and, provided, that the 12 division is made in proportion to the services performed 13 and responsibility assumed by each. 14 (15) A finding by the Medical Disciplinary Board 15 that the registrant after having his or her license 16 placed on probationary status or subjected to conditions 17 or restrictions violated the terms of the probation or 18 failed to comply with such terms or conditions. 19 (16) Abandonment of a patient. 20 (17) Prescribing, selling, administering, 21 distributing, giving or self-administering any drug 22 classified as a controlled substance (designated product) 23 or narcotic for other than medically accepted therapeutic 24 purposes. 25 (18) Promotion of the sale of drugs, devices, 26 appliances or goods provided for a patient in such manner 27 as to exploit the patient for financial gain of the 28 physician. 29 (19) Offering, undertaking or agreeing to cure or 30 treat disease by a secret method, procedure, treatment or 31 medicine, or the treating, operating or prescribing for 32 any human condition by a method, means or procedure which 33 the licensee refuses to divulge upon demand of the 34 Department. -16- LRB9009098OBpkA 1 (20) Immoral conduct in the commission of any act 2 including, but not limited to, commission of an act of 3 sexual misconduct related to the licensee's practice. 4 (21) Wilfully making or filing false records or 5 reports in his or her practice as a physician, including, 6 but not limited to, false records to support claims 7 against the medical assistance program of the Department 8 of Public Aid under the Illinois Public Aid Code. 9 (22) Wilful omission to file or record, or wilfully 10 impeding the filing or recording, or inducing another 11 person to omit to file or record, medical reports as 12 required by law, or wilfully failing to report an 13 instance of suspected abuse or neglect as required by 14 law. 15 (23) Being named as a perpetrator in an indicated 16 report by the Department of Children and Family Services 17 under the Abused and Neglected Child Reporting Act, and 18 upon proof by clear and convincing evidence that the 19 licensee has caused a child to be an abused child or 20 neglected child as defined in the Abused and Neglected 21 Child Reporting Act. 22 (24) Solicitation of professional patronage by any 23 corporation, agents or persons, or profiting from those 24 representing themselves to be agents of the licensee. 25 (25) Gross and wilful and continued overcharging 26 for professional services, including filing false 27 statements for collection of fees for which services are 28 not rendered, including, but not limited to, filing such 29 false statements for collection of monies for services 30 not rendered from the medical assistance program of the 31 Department of Public Aid under the Illinois Public Aid 32 Code. 33 (26) A pattern of practice or other behavior which 34 demonstrates incapacity or incompetence to practice under -17- LRB9009098OBpkA 1 this Act. 2 (27) Mental illness or disability which results in 3 the inability to practice under this Act with reasonable 4 judgment, skill or safety. 5 (28) Physical illness, including, but not limited 6 to, deterioration through the aging process, or loss of 7 motor skill which results in a physician's inability to 8 practice under this Act with reasonable judgment, skill 9 or safety. 10 (29) Cheating on or attempt to subvert the 11 licensing examinations administered under this Act. 12 (30) Wilfully or negligently violating the 13 confidentiality between physician and patient except as 14 required by law. 15 (31) The use of any false, fraudulent, or deceptive 16 statement in any document connected with practice under 17 this Act. 18 (32) Aiding and abetting an individual not licensed 19 under this Act in the practice of a profession licensed 20 under this Act. 21 (33) Violating state or federal laws or regulations 22 relating to controlled substances. 23 (34) Failure to report to the Department any 24 adverse final action taken against them by another 25 licensing jurisdiction (any other state or any territory 26 of the United States or any foreign state or country), by 27 any peer review body, by any health care institution, by 28 any professional society or association related to 29 practice under this Act, by any governmental agency, by 30 any law enforcement agency, or by any court for acts or 31 conduct similar to acts or conduct which would constitute 32 grounds for action as defined in this Section. 33 (35) Failure to report to the Department surrender 34 of a license or authorization to practice as a medical -18- LRB9009098OBpkA 1 doctor, a doctor of osteopathy, a doctor of osteopathic 2 medicine, or doctor of chiropractic in another state or 3 jurisdiction, or surrender of membership on any medical 4 staff or in any medical or professional association or 5 society, while under disciplinary investigation by any of 6 those authorities or bodies, for acts or conduct similar 7 to acts or conduct which would constitute grounds for 8 action as defined in this Section. 9 (36) Failure to report to the Department any 10 adverse judgment, settlement, or award arising from a 11 liability claim related to acts or conduct similar to 12 acts or conduct which would constitute grounds for action 13 as defined in this Section. 14 (37) Failure to transfer copies of medical records 15 as required by law. 16 (38) Failure to furnish the Department, its 17 investigators or representatives, relevant information, 18 legally requested by the Department after consultation 19 with the Chief Medical Coordinator or the Deputy Medical 20 Coordinator. 21 (39) Violating the Health Care Worker Self-Referral 22 Act. 23 (40) Willful failure to provide notice when notice 24 is required under the Parental Notice of Abortion Act of 25 1995. 26 (41) Failure to establish and maintain records of 27 patient care and treatment as required by this law. 28 (42) Violating the Woman's Right to Now Act. 29 All proceedings to suspend, revoke, place on probationary 30 status, or take any other disciplinary action as the 31 Department may deem proper, with regard to a license on any 32 of the foregoing grounds, must be commenced within 3 years 33 next after receipt by the Department of a complaint alleging 34 the commission of or notice of the conviction order for any -19- LRB9009098OBpkA 1 of the acts described herein. Except for the grounds 2 numbered (8), (9) and (29), no action shall be commenced more 3 than 5 years after the date of the incident or act alleged to 4 have violated this Section. In the event of the settlement 5 of any claim or cause of action in favor of the claimant or 6 the reduction to final judgment of any civil action in favor 7 of the plaintiff, such claim, cause of action or civil action 8 being grounded on the allegation that a person licensed under 9 this Act was negligent in providing care, the Department 10 shall have an additional period of one year from the date of 11 notification to the Department under Section 23 of this Act 12 of such settlement or final judgment in which to investigate 13 and commence formal disciplinary proceedings under Section 36 14 of this Act, except as otherwise provided by law. The time 15 during which the holder of the license was outside the State 16 of Illinois shall not be included within any period of time 17 limiting the commencement of disciplinary action by the 18 Department. 19 The entry of an order or judgment by any circuit court 20 establishing that any person holding a license under this Act 21 is a person in need of mental treatment operates as a 22 suspension of that license. That person may resume their 23 practice only upon the entry of a Departmental order based 24 upon a finding by the Medical Disciplinary Board that they 25 have been determined to be recovered from mental illness by 26 the court and upon the Disciplinary Board's recommendation 27 that they be permitted to resume their practice. 28 The Department may refuse to issue or take disciplinary 29 action concerning the license of any person who fails to file 30 a return, or to pay the tax, penalty or interest shown in a 31 filed return, or to pay any final assessment of tax, penalty 32 or interest, as required by any tax Act administered by the 33 Illinois Department of Revenue, until such time as the 34 requirements of any such tax Act are satisfied as determined -20- LRB9009098OBpkA 1 by the Illinois Department of Revenue. 2 The Department, upon the recommendation of the 3 Disciplinary Board, shall adopt rules which set forth 4 standards to be used in determining: 5 (a) when a person will be deemed sufficiently 6 rehabilitated to warrant the public trust; 7 (b) what constitutes dishonorable, unethical or 8 unprofessional conduct of a character likely to deceive, 9 defraud, or harm the public; 10 (c) what constitutes immoral conduct in the 11 commission of any act, including, but not limited to, 12 commission of an act of sexual misconduct related to the 13 licensee's practice; and 14 (d) what constitutes gross negligence in the 15 practice of medicine. 16 However, no such rule shall be admissible into evidence 17 in any civil action except for review of a licensing or other 18 disciplinary action under this Act. 19 In enforcing this Section, the Medical Disciplinary 20 Board, upon a showing of a possible violation, may compel any 21 individual licensed to practice under this Act, or who has 22 applied for licensure or a permit pursuant to this Act, to 23 submit to a mental or physical examination, or both, as 24 required by and at the expense of the Department. The 25 examining physician or physicians shall be those specifically 26 designated by the Disciplinary Board. The Medical 27 Disciplinary Board or the Department may order the examining 28 physician to present testimony concerning this mental or 29 physical examination of the licensee or applicant. No 30 information shall be excluded by reason of any common law or 31 statutory privilege relating to communication between the 32 licensee or applicant and the examining physician. The 33 individual to be examined may have, at his or her own 34 expense, another physician of his or her choice present -21- LRB9009098OBpkA 1 during all aspects of the examination. Failure of any 2 individual to submit to mental or physical examination, when 3 directed, shall be grounds for suspension of his or her 4 license until such time as the individual submits to the 5 examination if the Disciplinary Board finds, after notice and 6 hearing, that the refusal to submit to the examination was 7 without reasonable cause. If the Disciplinary Board finds a 8 physician unable to practice because of the reasons set forth 9 in this Section, the Disciplinary Board shall require such 10 physician to submit to care, counseling, or treatment by 11 physicians approved or designated by the Disciplinary Board, 12 as a condition for continued, reinstated, or renewed 13 licensure to practice. Any physician, whose license was 14 granted pursuant to Sections 9, 17, or 19 of this Act, or, 15 continued, reinstated, renewed, disciplined or supervised, 16 subject to such terms, conditions or restrictions who shall 17 fail to comply with such terms, conditions or restrictions, 18 or to complete a required program of care, counseling, or 19 treatment, as determined by the Chief Medical Coordinator or 20 Deputy Medical Coordinators, shall be referred to the 21 Director for a determination as to whether the licensee shall 22 have their license suspended immediately, pending a hearing 23 by the Disciplinary Board. In instances in which the 24 Director immediately suspends a license under this Section, a 25 hearing upon such person's license must be convened by the 26 Disciplinary Board within 15 days after such suspension and 27 completed without appreciable delay. The Disciplinary Board 28 shall have the authority to review the subject physician's 29 record of treatment and counseling regarding the impairment, 30 to the extent permitted by applicable federal statutes and 31 regulations safeguarding the confidentiality of medical 32 records. 33 An individual licensed under this Act, affected under 34 this Section, shall be afforded an opportunity to demonstrate -22- LRB9009098OBpkA 1 to the Disciplinary Board that they can resume practice in 2 compliance with acceptable and prevailing standards under the 3 provisions of their license. 4 The Department may promulgate rules for the imposition of 5 fines in disciplinary cases, not to exceed $5,000 for each 6 violation of this Act. Fines may be imposed in conjunction 7 with other forms of disciplinary action, but shall not be the 8 exclusive disposition of any disciplinary action arising out 9 of conduct resulting in death or injury to a patient. Any 10 funds collected from such fines shall be deposited in the 11 Medical Disciplinary Fund. 12 (B) The Department shall revoke the license or visiting 13 permit of any person issued under this Act to practice 14 medicine or to treat human ailments without the use of drugs 15 and without operative surgery, who has been convicted a 16 second time of committing any felony under the Illinois 17 Controlled Substances Act, or who has been convicted a second 18 time of committing a Class 1 felony under Sections 8A-3 and 19 8A-6 of the Illinois Public Aid Code. A person whose license 20 or visiting permit is revoked under this subsection B of 21 Section 22 of this Act shall be prohibited from practicing 22 medicine or treating human ailments without the use of drugs 23 and without operative surgery. 24 (C) The Medical Disciplinary Board shall recommend to 25 the Department civil penalties and any other appropriate 26 discipline in disciplinary cases when the Board finds that a 27 physician willfully performed an abortion with actual 28 knowledge that the person upon whom the abortion has been 29 performed is a minor or an incompetent person without notice 30 as required under the Parental Notice of Abortion Act of 31 1995. Upon the Board's recommendation, the Department shall 32 impose, for the first violation, a civil penalty of $1,000 33 and for a second or subsequent violation, a civil penalty of 34 $5,000. -23- LRB9009098OBpkA 1 (Source: P.A. 89-18, eff. 6-1-95; 89-201, eff. 1-1-96; 2 89-626, eff. 8-9-96; 89-702, eff. 7-1-97.) 3 Section 199. Effective date. This Act takes effect 90 4 days after becoming law.