State of Illinois
90th General Assembly
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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.
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                                              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.

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