State of Illinois
90th General Assembly
Legislation

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90_SB1450

      225 ILCS 60/1.5 new
      225 ILCS 60/7             from Ch. 111, par. 4400-7
      225 ILCS 60/7.5 new
      225 ILCS 60/9             from Ch. 111, par. 4400-9
      225 ILCS 60/21            from Ch. 111, par. 4400-21
      225 ILCS 60/22            from Ch. 111, par. 4400-22
      225 ILCS 60/23            from Ch. 111, par. 4400-23
      225 ILCS 60/24            from Ch. 111, par. 4400-24
      225 ILCS 60/36            from Ch. 111, par. 4400-36
      225 ILCS 60/37            from Ch. 111, par. 4400-37
      225 ILCS 60/40            from Ch. 111, par. 4400-40
      225 ILCS 60/65 new
      225 ILCS 60/70 new
      225 ILCS 60/75 new
          Amends the Medical Practice Act of 1987 to  make  changes
      concerning  the purpose of the Act, the public members of the
      Disciplinary Board, creating a public review board, verifying
      an applicant's education credentials, requiring an  applicant
      to  make  certain disclosures, using national data bases when
      reviewing applications, staggering license expiration  dates,
      requiring   proof   of   professional   liability  insurance,
      negligence, the standard of proof for grounds for discipline,
      complaints, requiring licensees, associations, and  societies
      to report violations, disclosing nonconfidential information,
      establishing  a  hotline, and establishing a public education
      program.  Effective immediately.
                                                     LRB9009854NTsb
                                               LRB9009854NTsb
 1        AN ACT concerning the practice of  medicine,  amending  a
 2    named Act.
 3        Be  it  enacted  by  the People of the State of Illinois,
 4    represented in the General Assembly:
 5        Section 5.  The Medical Practice Act of 1987  is  amended
 6    by  adding  Sections  1.5,  7.5,  65, 70, and 75 and changing
 7    Sections 7, 9, 21, 22, 23, 24, 36, 37, and 40 as follows:
 8        (225 ILCS 60/1.5 new)
 9        Sec. 1.5.  Purpose.   The  purpose  of  this  Act  is  to
10    protect the public.
11        (225 ILCS 60/7) (from Ch. 111, par. 4400-7)
12        Sec. 7.  Medical Disciplinary Board.
13        (A)  There  is  hereby created the Illinois State Medical
14    Disciplinary  Board   (hereinafter   referred   to   as   the
15    "Disciplinary  Board").  The Disciplinary Board shall consist
16    of 9 members, to be appointed by the Governor by and with the
17    advice and consent of the Senate.  All shall be residents  of
18    the  State,  not  more than 5 of whom shall be members of the
19    same political  party.   Five  members  shall  be  physicians
20    licensed  to  practice  medicine  in  all  of its branches in
21    Illinois possessing the degree of doctor  of  medicine.   Two
22    shall  be  members of the public, who represent consumers and
23    who shall not be engaged in any way, directly or  indirectly,
24    as  providers of health care.  The 2 public members shall act
25    as nonvoting, ex-officio members and shall not be  considered
26    in  determining  the  existence,  or  lack of existence, of a
27    quorum for all purposes for which  a  quorum  may  be  called
28    pursuant  to  this  Act.   One  member  shall  be a physician
29    licensed to practice in Illinois  possessing  the  degree  of
30    doctor  of  osteopathy  or  osteopathic medicine.  One member
                            -2-                LRB9009854NTsb
 1    shall be a physician licensed to  practice  in  Illinois  and
 2    possessing the degree of doctor of chiropractic.
 3        (B)  Members of the Disciplinary Board shall be appointed
 4    for terms of 4 years.  Upon the expiration of the term of any
 5    member,  their  successor  shall be appointed for a term of 4
 6    years by the Governor by and with the advice and  consent  of
 7    the  Senate.   The  Governor  shall  fill any vacancy for the
 8    remainder of the unexpired term by and with  the  advice  and
 9    consent of the Senate.  Upon recommendation of the Board, any
10    member  of  the  Disciplinary  Board  may  be  removed by the
11    Governor for misfeasance, malfeasance, or wilful  neglect  of
12    duty,  after notice, and a public hearing, unless such notice
13    and hearing shall  be  expressly  waived  in  writing.   Each
14    member  shall  serve  on  the  Disciplinary Board until their
15    successor is appointed  and  qualified.   No  member  of  the
16    Disciplinary Board shall serve more than 2 consecutive 4 year
17    terms.
18        In  making  appointments  the  Governor  shall attempt to
19    insure that the various social and geographic regions of  the
20    State of Illinois are properly represented.
21        In  making  the  designation  of  persons  to act for the
22    several professions represented on  the  Disciplinary  Board,
23    the  Governor shall give due consideration to recommendations
24    by members of the respective professions and by organizations
25    therein.
26        (C)  The Disciplinary Board shall annually elect  one  of
27    its   voting   members   as   chairperson  and  one  as  vice
28    chairperson.  No officer shall be elected more than twice  in
29    succession  to  the  same  office.   Each officer shall serve
30    until their successor has been elected and qualified.
31        (D)  (Blank).
32        (E)  Four voting members of the Disciplinary Board  shall
33    constitute  a  quorum.   A  vacancy  in the membership of the
34    Disciplinary Board shall not impair the right of a quorum  to
                            -3-                LRB9009854NTsb
 1    exercise  all  the  rights  and perform all the duties of the
 2    Disciplinary Board.  Any action  taken  by  the  Disciplinary
 3    Board  under  this Act may be authorized by resolution at any
 4    regular or special meeting and  each  such  resolution  shall
 5    take  effect  immediately.  The Disciplinary Board shall meet
 6    at least quarterly.  The Disciplinary Board is  empowered  to
 7    adopt all rules and regulations necessary and incident to the
 8    powers granted to it under this Act.
 9        (F)  Each member, and member-officer, of the Disciplinary
10    Board shall receive a per diem stipend as the Director of the
11    Department,  hereinafter  referred  to as the Director, shall
12    determine.  The Director shall also determine  the  per  diem
13    stipend  that  each  ex-officio  member  shall receive.  Each
14    member shall be paid their necessary expenses  while  engaged
15    in the performance of their duties.
16        (G)  The   Director   shall   select   a   Chief  Medical
17    Coordinator and a Deputy Medical Coordinator who shall not be
18    members of the Disciplinary Board.  Each medical  coordinator
19    shall  be a physician licensed to practice medicine in all of
20    its branches, and the  Director  shall  set  their  rates  of
21    compensation.    The   Director   shall  assign  one  medical
22    coordinator to a region composed  of  Cook  County  and  such
23    other counties as the Director may deem appropriate, and such
24    medical  coordinator  shall  locate  their office in Chicago.
25    The Director shall assign the remaining  medical  coordinator
26    to a region composed of the balance of counties in the State,
27    and  such  medical  coordinator  shall locate their office in
28    Springfield.  Each medical coordinator  shall  be  the  chief
29    enforcement  officer of this Act in their assigned region and
30    shall serve at the will of the Disciplinary Board.
31        The  Director  shall  employ,  in  conformity  with   the
32    Personnel  Code, not less than one full time investigator for
33    every  5000  physicians  licensed   in   the   State.    Each
34    investigator  shall  be  a  college  graduate with at least 2
                            -4-                LRB9009854NTsb
 1    years' investigative experience or one year advanced  medical
 2    education.   Upon  the  written  request  of the Disciplinary
 3    Board, the Director shall  employ,  in  conformity  with  the
 4    Personnel   Code,   such   other   professional,   technical,
 5    investigative,  and  clerical  help,  either  on  a  full  or
 6    part-time basis as the Disciplinary Board deems necessary for
 7    the proper performance of its duties.
 8        (H)  Upon the specific request of the Disciplinary Board,
 9    signed  by  either  the chairman, vice chairman, or a medical
10    coordinator of the  Disciplinary  Board,  the  Department  of
11    Human  Services  or the Department of State Police shall make
12    available any and all information that  they  have  in  their
13    possession   regarding   a   particular   case   then   under
14    investigation by the Disciplinary Board.
15        (I)  Members  of  the  Disciplinary Board shall be immune
16    from  suit  in  any  action  based  upon   any   disciplinary
17    proceedings  or other acts performed in good faith as members
18    of the Disciplinary Board.
19        (J)  The Disciplinary Board may compile and  establish  a
20    statewide    roster   of   physicians   and   other   medical
21    professionals, including the several medical specialties,  of
22    such physicians and medical professionals, who have agreed to
23    serve   from   time  to  time  as  advisors  to  the  medical
24    coordinators.   Such  advisors  shall  assist   the   medical
25    coordinators  in  their  investigations  and participation in
26    complaints against physicians.   Such  advisors  shall  serve
27    under  contract  and shall be reimbursed at a reasonable rate
28    for the services provided, plus reasonable expenses incurred.
29    While serving in this capacity,  the  advisor,  for  any  act
30    undertaken  in  good faith and in the conduct of their duties
31    under this Section, shall be immune from civil suit.
32    (Source: P.A. 89-507, eff. 7-1-97; 89-702, eff. 7-1-97.)
33        (225 ILCS 60/7.5 new)
                            -5-                LRB9009854NTsb
 1        Sec. 7.5.  Public review  board.   The  Department  shall
 2    create  a  public  review  board  composed of public members.
 3    This public review board shall have the following powers:
 4             (1)  to review appeals of dismissed complaints;
 5             (2)  to  conduct  its  own  investigation   if   the
 6        Disciplinary Board fails to act on a complaint within 120
 7        days;
 8             (3)  to  recruit  and  train  public  members of the
 9        Disciplinary Board; and
10             (4)  to monitor the medical practice system.
11        The Department shall promulgate rules to  implement  this
12    Section.
13        (225 ILCS 60/9) (from Ch. 111, par. 4400-9)
14        Sec.  9.   Application  for license. Each applicant for a
15    license shall:
16             (A)  Make application on blank  forms  prepared  and
17        furnished  by  the  Department of Professional Regulation
18        hereinafter referred to as the Department.
19             (B)  Submit evidence satisfactory to the  Department
20        that the applicant:
21                  (1)  is    of   good   moral   character.    In
22             determining moral character under this Section,  the
23             Department  may  take into consideration whether the
24             applicant has engaged in conduct or activities which
25             would constitute grounds for discipline  under  this
26             Act.   The Department may also request the applicant
27             to submit, and may consider  as  evidence  of  moral
28             character,  endorsements  from  2  or  3 individuals
29             licensed under this Act;
30                  (2)  has  the  preliminary   and   professional
31             education required by this Act;
32                  (3)  (blank); and
33                  (3.5)  has  a  professional liability insurance
                            -6-                LRB9009854NTsb
 1             policy; and
 2                  (4)  is     physically,      mentally,      and
 3             professionally  capable  of practicing medicine with
 4             reasonable  judgment,   skill,   and   safety.    In
 5             determining   physical,   mental   and  professional
 6             capacity under this Section, the  Medical  Licensing
 7             Board  may, upon a showing of a possible incapacity,
 8             compel any  applicant  to  submit  to  a  mental  or
 9             physical  examination, or both.  The Licensing Board
10             may condition or restrict any  license,  subject  to
11             the  same  terms  and conditions as are provided for
12             the Medical Disciplinary Board under Section  22  of
13             this  Act.   Any  such  condition  of  a  restricted
14             license   shall   provide  that  the  Chief  Medical
15             Coordinator or Deputy Medical Coordinator shall have
16             the authority  to  review  the  subject  physician's
17             compliance  with  such  conditions  or restrictions,
18             including, where appropriate, the physician's record
19             of   treatment   and   counseling   regarding    the
20             impairment,  to  the  extent permitted by applicable
21             federal statutes and  regulations  safeguarding  the
22             confidentiality of medical records of patients.
23             In  determining  professional  capacity  under  this
24        Section  any individual who has not been actively engaged
25        in the practice of medicine or as a medical, osteopathic,
26        or chiropractic student or who has not been engaged in  a
27        formal  program  of  medical education during the 2 years
28        immediately preceding their application may  be  required
29        to   complete   such  additional  testing,  training,  or
30        remedial  education  as  the  Licensing  Board  may  deem
31        necessary in order to establish the  applicant's  present
32        capacity  to  practice medicine with reasonable judgment,
33        skill, and safety.
34             (C)  Designate specifically the name, location,  and
                            -7-                LRB9009854NTsb
 1        kind  of  professional school, college, or institution of
 2        which the applicant is a graduate, which  the  Department
 3        shall  verify, and the category under which the applicant
 4        seeks, and will undertake, to practice.
 5             (D)  Pay  to  the  Department   at   the   time   of
 6        application the required fees.
 7             (E)  Pursuant to Department rules, as required, pass
 8        an  examination authorized by the Department to determine
 9        the applicant's fitness to receive a license.
10             (F)  Complete the application process within 3 years
11        from the date of application.  If  the  process  has  not
12        been  completed  within 3 years, the application shall be
13        denied, application fees  shall  be  forfeited,  and  the
14        applicant  must  reapply  and  meet  the  requirements in
15        effect at the time of reapplication.
16             (G)  Designate specifically the name and location of
17        any place where the applicant has held a medical position
18        since graduating from a professional school, college,  or
19        institution.
20             (H)  Disclose any employment terminations.
21             (I)  Disclose  any personal drug or alcohol abuse or
22        addiction.
23             (J)  Disclose any payments made by the applicant  or
24        on  the  applicant's  behalf  because  of a settlement or
25        award  arising  from  a  liability  claim  based  on  the
26        allegation that the applicant was negligent in furnishing
27        medical care.
28             (K)  Disclose   all   applications   for    clinical
29        privileges  at  health  care  institutions that have been
30        approved, denied, or withdrawn.
31        The Department shall use the American Medical Association
32    Physician Masterfile, the National  Practitioner  Data  Bank,
33    the  Federation of State Medical Boards Action Data Bank, and
34    other national data bases when reviewing applications.
                            -8-                LRB9009854NTsb
 1    (Source: P.A. 89-387, eff. 8-20-95; 89-702, eff. 7-1-97.)
 2        (225 ILCS 60/21) (from Ch. 111, par. 4400-21)
 3        Sec. 21.  License renewal; restoration; inactive  status;
 4    disposition and collection of fees.
 5        (A)  Renewal.  The expiration date and renewal period for
 6    each  license  issued  under  this  Act shall be set by rule,
 7    except  that  the  expiration  date  for  licenses  shall  be
 8    staggered.  The holder of a license may renew such license by
 9    paying the required fee. The holder of  a  license  may  also
10    renew  the  license  within  90  days after its expiration by
11    complying with the requirements for renewal and payment of an
12    additional fee.  A  license  renewal  within  90  days  after
13    expiration shall be effective retroactively to the expiration
14    date.
15        The  Department  shall  mail  to each licensee under this
16    Act, to their last known place of address, at least  60  days
17    in  advance of the expiration date of their license, a notice
18    of that fact and an application for renewal  form.   No  such
19    license  shall  be  deemed to have lapsed until 90 days after
20    the expiration date and after  such  notice  and  application
21    have been mailed by the Department as herein provided.
22        (B)  Restoration.   Any  licensee who has permitted their
23    license to lapse or who has had  their  license  on  inactive
24    status  may have their license restored by making application
25    to  the  Department  and  filing  proof  acceptable  to   the
26    Department  of  their fitness to have their license restored,
27    including evidence certifying to active practice  in  another
28    jurisdiction satisfactory to the Department, proof of meeting
29    the continuing education requirements for one renewal period,
30    and by paying the required restoration fee.
31        If  the licensee has not maintained an active practice in
32    another jurisdiction  satisfactory  to  the  Department,  the
33    Licensing  Board  shall  determine,  by an evaluation program
                            -9-                LRB9009854NTsb
 1    established by rule, their fitness to  resume  active  status
 2    and  may  require  the  licensee  to  complete  a  period  of
 3    evaluated  clinical  experience  and  may  require successful
 4    completion of the practical examination.
 5        However, any registrant whose license has  expired  while
 6    they  have been engaged (a) in Federal Service on active duty
 7    with the Army of the United States, the United  States  Navy,
 8    the  Marine Corps, the Air Force, the Coast Guard, the Public
 9    Health Service or the State Militia called into  the  service
10    or  training  of  the  United  States  of America, or (b)  in
11    training or education under the  supervision  of  the  United
12    States  preliminary  to  induction into the military service,
13    may have their license reinstated or restored without  paying
14    any  lapsed  renewal  fees, if within 2 years after honorable
15    termination of such  service,  training  or  education,  they
16    furnish  the  Department  with  satisfactory  evidence to the
17    effect that they have been so engaged and that their service,
18    training or education has been so terminated.
19        (C)  Inactive licenses.  Any licensee  who  notifies  the
20    Department, in writing on forms prescribed by the Department,
21    may  elect  to  place their license on an inactive status and
22    shall, subject to rules of the Department,  be  excused  from
23    payment  of  renewal fees until they notify the Department in
24    writing of their desire to resume active status.
25        Any licensee requesting restoration from inactive  status
26    shall  be  required  to  pay the current renewal fee, provide
27    proof of meeting the continuing  education  requirements  for
28    the  period of time the license is inactive not to exceed one
29    renewal period,  and  shall  be  required  to  restore  their
30    license, as provided in subsection (B).
31        Any licensee whose license is in an inactive status shall
32    not practice in the State of Illinois.
33        (D)  Disposition   of   monies   collected.   All  monies
34    collected under this Act by the Department shall be deposited
                            -10-               LRB9009854NTsb
 1    in the Illinois State Medical Disciplinary Fund in the  State
 2    Treasury,  and  used only for the following purposes:  (a) by
 3    the Medical Disciplinary Board in the exercise of its  powers
 4    and  performance  of  its  duties, as such use is made by the
 5    Department with full consideration of all recommendations  of
 6    the  Medical  Disciplinary  Board,  (b)  for  costs  directly
 7    related  to  persons  licensed  under  this  Act, and (c) for
 8    direct and allocable indirect costs  related  to  the  public
 9    purposes of the Department of Professional Regulation.
10        Moneys  in the Fund may be transferred to the Professions
11    Indirect Cost Fund as authorized under  Section  61e  of  the
12    Civil Administrative Code of Illinois.
13        All  earnings  received  from investment of monies in the
14    Illinois State Medical Disciplinary Fund shall  be  deposited
15    in  the Illinois State Medical Disciplinary Fund and shall be
16    used for the same purposes as fees deposited in such fund.
17        (E)  Fees.  The following fees are nonrefundable.
18             (1)  Applicants  for  any   examination   shall   be
19        required  to  pay,  either  to  the  Department or to the
20        designated testing service, a fee covering  the  cost  of
21        determining the applicant's eligibility and providing the
22        examination. Failure to appear for the examination on the
23        scheduled  date,  at  the time and place specified, after
24        the applicant's  application  for  examination  has  been
25        received  and  acknowledged  by  the  Department  or  the
26        designated   testing   service,   shall   result  in  the
27        forfeiture of the examination fee.
28             (2)  The fee for a license under Section 9  of  this
29        Act is $300.
30             (3)  The  fee for a license under Section 19 of this
31        Act is $300.
32             (4)  The fee for the renewal  of  a  license  for  a
33        resident  of  Illinois shall be calculated at the rate of
34        $100 per year, except for licensees  who  were  issued  a
                            -11-               LRB9009854NTsb
 1        license  within  12  months of the expiration date of the
 2        license, the fee for the renewal shall be $100.  The  fee
 3        for  the  renewal of a license for a nonresident shall be
 4        calculated at the rate  of  $200  per  year,  except  for
 5        licensees  who  were issued a license within 12 months of
 6        the expiration date of  the  license,  the  fee  for  the
 7        renewal shall be $200.
 8             (5)  The  fee for the restoration of a license other
 9        than from inactive status, is $100.  In addition  payment
10        of  all  lapsed  renewal  fees  not  to  exceed  $600  is
11        required.
12             (6)  The  fee  for  a 3-year temporary license under
13        Section 17 is $100.
14             (7)  The  fee  for  the  issuance  of  a   duplicate
15        license,  for the issuance of a replacement license for a
16        license which has been  lost  or  destroyed  or  for  the
17        issuance  of  a  license with a change of name or address
18        other than during the renewal period is $20.  No  fee  is
19        required  for  name  and  address  changes  on Department
20        records when no duplicate license is issued.
21             (8)  The fee to be paid for a license record for any
22        purpose is $20.
23             (9)  The fee to be paid to have the  scoring  of  an
24        examination, administered by the Department, reviewed and
25        verified,  is $20 plus any fees charged by the applicable
26        testing service.
27             (10)  The fee to be paid by a licensee  for  a  wall
28        certificate  showing  their  license  shall be the actual
29        cost of producing such certificate.
30             (11)  The fee for a roster of  persons  licensed  as
31        physicians  in  this  State  shall  be the actual cost of
32        producing such a roster.
33        (F)  Any person who delivers a check or other payment  to
34    the  Department  that is returned to the Department unpaid by
                            -12-               LRB9009854NTsb
 1    the financial institution upon which it is drawn shall pay to
 2    the Department, in addition to the amount already owed to the
 3    Department, a fine of $50. If the check or other payment  was
 4    for  a  renewal  or  issuance  fee  and that person practices
 5    without paying the renewal fee or issuance fee and  the  fine
 6    due,  an  additional fine of $100 shall be imposed. The fines
 7    imposed  by  this  Section  are  in  addition  to  any  other
 8    discipline provided under this Act for unlicensed practice or
 9    practice on a nonrenewed license. The Department shall notify
10    the person that payment of fees and fines shall  be  paid  to
11    the  Department  by  certified check or money order within 30
12    calendar days of the notification. If, after  the  expiration
13    of  30 days from the date of the notification, the person has
14    failed to submit the  necessary  remittance,  the  Department
15    shall  automatically  terminate the license or certificate or
16    deny the application, without hearing. If, after  termination
17    or  denial,  the person seeks a license or certificate, he or
18    she shall apply to the Department for restoration or issuance
19    of the license or certificate and pay all fees and fines  due
20    to the Department. The Department may establish a fee for the
21    processing  of an application for restoration of a license or
22    certificate  to  pay  all   expenses   of   processing   this
23    application.  The Director may waive the fines due under this
24    Section in individual cases where the Director finds that the
25    fines would be unreasonable or unnecessarily burdensome.
26        (G)  An applicant for renewal or restoration of a license
27    shall:
28             (1)  Designate specifically the name and location of
29        any place where the applicant has held a medical position
30        since graduating from a professional school, college,  or
31        institution.
32             (2)  Disclose any employment terminations.
33             (3)  Submit  evidence satisfactory to the Department
34        that the applicant has a professional liability insurance
                            -13-               LRB9009854NTsb
 1        policy.
 2             (4)  Disclose   all   applications   for    clinical
 3        privileges  at  health  care  institutions that have been
 4        approved, denied, or withdrawn.
 5             (5)  Disclose any criminal  convictions  and  United
 6        State Drug Enforcement Agency license restrictions.
 7    (Source: P.A.  88-246;  89-204,  eff.  1-1-96;  89-702,  eff.
 8    7-1-97.)
 9        (225 ILCS 60/22) (from Ch. 111, par. 4400-22)
10        Sec. 22.  Disciplinary action.
11        (A)  The   Department   may  revoke,  suspend,  place  on
12    probationary status, or take any other disciplinary action as
13    the Department may deem proper with regard to the license  or
14    visiting professor permit of any person issued under this Act
15    to  practice medicine, or to treat human ailments without the
16    use of drugs and without operative surgery upon  any  of  the
17    following grounds:
18             (1)  Performance  of  an  elective  abortion  in any
19        place, locale, facility, or institution other than:
20                  (a)  a  facility  licensed  pursuant   to   the
21             Ambulatory Surgical Treatment Center Act;
22                  (b)  an institution licensed under the Hospital
23             Licensing Act; or
24                  (c)  an ambulatory surgical treatment center or
25             hospitalization  or  care facility maintained by the
26             State or any agency thereof, where  such  department
27             or  agency  has authority under law to establish and
28             enforce  standards  for  the   ambulatory   surgical
29             treatment    centers,   hospitalization,   or   care
30             facilities under its management and control; or
31                  (d)  ambulatory  surgical  treatment   centers,
32             hospitalization or care facilities maintained by the
33             Federal Government; or
                            -14-               LRB9009854NTsb
 1                  (e)  ambulatory   surgical  treatment  centers,
 2             hospitalization or care facilities maintained by any
 3             university or college established under the laws  of
 4             this State and supported principally by public funds
 5             raised by taxation.
 6             (2)  Performance  of  an  abortion  procedure  in  a
 7        wilful  and wanton manner on a woman who was not pregnant
 8        at the time the abortion procedure was performed.
 9             (3)  The conviction of a felony in this or any other
10        jurisdiction, except as otherwise provided in  subsection
11        B  of  this  Section,  whether or not related to practice
12        under this  Act,  or  the  entry  of  a  guilty  or  nolo
13        contendere plea to a felony charge.
14             (4)  Gross Negligence in practice under this Act.
15             (5)  Engaging    in   dishonorable,   unethical   or
16        unprofessional conduct of a character likely to  deceive,
17        defraud or harm the public.
18             (6)  Obtaining   any   fee   by  fraud,  deceit,  or
19        misrepresentation.
20             (7)  Habitual or excessive use  or  abuse  of  drugs
21        defined  in  law as controlled substances, of alcohol, or
22        of any other substances which results in the inability to
23        practice with reasonable judgment, skill or safety.
24             (8)  Practicing under a false or, except as provided
25        by law, an assumed name.
26             (9)  Fraud or misrepresentation in applying for,  or
27        procuring, a license under this Act or in connection with
28        applying for renewal of a license under this Act.
29             (10)  Making   a   false   or  misleading  statement
30        regarding their skill or the efficacy  or  value  of  the
31        medicine,  treatment,  or  remedy  prescribed  by them at
32        their direction in the treatment of any disease or  other
33        condition of the body or mind.
34             (11)  Allowing another person or organization to use
                            -15-               LRB9009854NTsb
 1        their license, procured under this Act, to practice.
 2             (12)  Disciplinary   action   of  another  state  or
 3        jurisdiction against a license or other authorization  to
 4        practice  as  a  medical  doctor,  doctor  of osteopathy,
 5        doctor of osteopathic medicine or doctor of chiropractic,
 6        a certified copy of the record of the action taken by the
 7        other state or jurisdiction being  prima  facie  evidence
 8        thereof.
 9             (13)  Violation  of  any provision of this Act or of
10        the Medical Practice Act prior to the repeal of that Act,
11        or violation of the  rules,  or  a  final  administrative
12        action  of  the  Director,  after  consideration  of  the
13        recommendation of the Disciplinary Board.
14             (14)  Dividing  with  anyone  other  than physicians
15        with  whom  the  licensee  practices  in  a  partnership,
16        Professional Association, limited liability  company,  or
17        Medical  or Professional Corporation any fee, commission,
18        rebate or other form of compensation for any professional
19        services not actually and  personally  rendered.  Nothing
20        contained  in  this  subsection prohibits persons holding
21        valid and current licenses under this Act from practicing
22        medicine in partnership under  a  partnership  agreement,
23        including  a  limited liability partnership, in a limited
24        liability company under  the  Limited  Liability  Company
25        Act,   in   a   corporation  authorized  by  the  Medical
26        Corporation Act, as  an  association  authorized  by  the
27        Professional  Association  Act, or in a corporation under
28        the  Professional  Corporation  Act  or   from   pooling,
29        sharing,  dividing  or  apportioning  the fees and monies
30        received by them or by the  partnership,  corporation  or
31        association  in accordance with the partnership agreement
32        or  the  policies  of  the  Board  of  Directors  of  the
33        corporation or association.  Nothing  contained  in  this
34        subsection prohibits 2 or more corporations authorized by
                            -16-               LRB9009854NTsb
 1        the  Medical  Corporation Act, from forming a partnership
 2        or joint venture  of  such  corporations,  and  providing
 3        medical,  surgical  and scientific research and knowledge
 4        by employees of these corporations if such employees  are
 5        licensed  under  this  Act,  or  from  pooling,  sharing,
 6        dividing, or apportioning the fees and monies received by
 7        the  partnership  or joint venture in accordance with the
 8        partnership  or   joint   venture   agreement.    Nothing
 9        contained  in this subsection shall abrogate the right of
10        2 or more persons, holding  valid  and  current  licenses
11        under this Act, to each receive adequate compensation for
12        concurrently rendering professional services to a patient
13        and   divide  a  fee;  provided,  the  patient  has  full
14        knowledge  of  the  division,  and,  provided,  that  the
15        division is made in proportion to the services  performed
16        and responsibility assumed by each.
17             (15)  A  finding  by  the Medical Disciplinary Board
18        that the registrant  after  having  his  or  her  license
19        placed  on probationary status or subjected to conditions
20        or restrictions violated the terms of  the  probation  or
21        failed to comply with such terms or conditions.
22             (16)  Abandonment of a patient.
23             (17)  Prescribing,      selling,      administering,
24        distributing,   giving  or  self-administering  any  drug
25        classified as a controlled substance (designated product)
26        or narcotic for other than medically accepted therapeutic
27        purposes.
28             (18)  Promotion  of  the  sale  of  drugs,  devices,
29        appliances or goods provided for a patient in such manner
30        as to exploit the  patient  for  financial  gain  of  the
31        physician.
32             (19)  Offering,  undertaking  or agreeing to cure or
33        treat disease by a secret method, procedure, treatment or
34        medicine, or the treating, operating or  prescribing  for
                            -17-               LRB9009854NTsb
 1        any human condition by a method, means or procedure which
 2        the  licensee  refuses  to  divulge  upon  demand  of the
 3        Department.
 4             (20)  Immoral conduct in the commission of  any  act
 5        including,  but  not  limited to, commission of an act of
 6        sexual misconduct related to the licensee's practice.
 7             (21)  Wilfully making or  filing  false  records  or
 8        reports in his or her practice as a physician, including,
 9        but  not  limited  to,  false  records  to support claims
10        against the medical assistance program of the  Department
11        of Public Aid under the Illinois Public Aid Code.
12             (22)  Wilful omission to file or record, or wilfully
13        impeding  the  filing  or  recording, or inducing another
14        person to omit to file  or  record,  medical  reports  as
15        required  by  law,  or  wilfully  failing  to  report  an
16        instance  of  suspected  abuse  or neglect as required by
17        law.
18             (23)  Being named as a perpetrator in  an  indicated
19        report  by the Department of Children and Family Services
20        under the Abused and Neglected Child Reporting  Act,  and
21        upon  proof  by  clear  and  convincing evidence that the
22        licensee has caused a child to  be  an  abused  child  or
23        neglected  child  as  defined in the Abused and Neglected
24        Child Reporting Act.
25             (24)  Solicitation of professional patronage by  any
26        corporation,  agents  or persons, or profiting from those
27        representing themselves to be agents of the licensee.
28             (25)  Gross and wilful  and  continued  overcharging
29        for   professional   services,   including  filing  false
30        statements for collection of fees for which services  are
31        not  rendered, including, but not limited to, filing such
32        false statements for collection of  monies  for  services
33        not  rendered  from the medical assistance program of the
34        Department of Public Aid under the  Illinois  Public  Aid
                            -18-               LRB9009854NTsb
 1        Code.
 2             (26)  A  pattern of practice or other behavior which
 3        demonstrates incapacity or incompetence to practice under
 4        this Act.
 5             (27)  Mental illness or disability which results  in
 6        the  inability to practice under this Act with reasonable
 7        judgment, skill or safety.
 8             (28)  Physical illness, including, but  not  limited
 9        to,  deterioration  through the aging process, or loss of
10        motor skill which results in a physician's  inability  to
11        practice  under  this Act with reasonable judgment, skill
12        or safety.
13             (29)  Cheating  on  or  attempt   to   subvert   the
14        licensing examinations administered under this Act.
15             (30)  Wilfully    or   negligently   violating   the
16        confidentiality between physician and patient  except  as
17        required by law.
18             (31)  The use of any false, fraudulent, or deceptive
19        statement  in  any document connected with practice under
20        this Act.
21             (32)  Aiding and abetting an individual not licensed
22        under this Act in the practice of a  profession  licensed
23        under this Act.
24             (33)  Violating state or federal laws or regulations
25        relating to controlled substances.
26             (34)  Failure   to  report  to  the  Department  any
27        adverse  final  action  taken  against  them  by  another
28        licensing jurisdiction (any other state or any  territory
29        of the United States or any foreign state or country), by
30        any  peer review body, by any health care institution, by
31        any  professional  society  or  association  related   to
32        practice  under  this Act, by any governmental agency, by
33        any law enforcement agency, or by any court for  acts  or
34        conduct similar to acts or conduct which would constitute
                            -19-               LRB9009854NTsb
 1        grounds for action as defined in this Section.
 2             (35)  Failure  to report to the Department surrender
 3        of a license or authorization to practice  as  a  medical
 4        doctor,  a  doctor of osteopathy, a doctor of osteopathic
 5        medicine, or doctor of chiropractic in another  state  or
 6        jurisdiction,  or  surrender of membership on any medical
 7        staff or in any medical or  professional  association  or
 8        society, while under disciplinary investigation by any of
 9        those  authorities or bodies, for acts or conduct similar
10        to acts or conduct which  would  constitute  grounds  for
11        action as defined in this Section.
12             (36)  Failure   to  report  to  the  Department  any
13        adverse judgment, settlement, or  award  arising  from  a
14        liability  claim  related  to  acts or conduct similar to
15        acts or conduct which would constitute grounds for action
16        as defined in this Section.
17             (37)  Failure to transfer copies of medical  records
18        as required by law.
19             (38)  Failure   to   furnish   the  Department,  its
20        investigators or representatives,  relevant  information,
21        legally  requested  by  the Department after consultation
22        with the Chief Medical Coordinator or the Deputy  Medical
23        Coordinator.
24             (39)  Violating the Health Care Worker Self-Referral
25        Act.
26             (40)  Willful  failure to provide notice when notice
27        is required under the Parental Notice of Abortion Act  of
28        1995.
29             (41)  Failure  to  establish and maintain records of
30        patient care and treatment as required by this law.
31        All proceedings to suspend, revoke, place on probationary
32    status,  or  take  any  other  disciplinary  action  as   the
33    Department  may  deem proper, with regard to a license on any
34    of the foregoing grounds, must be commenced  within  3  years
                            -20-               LRB9009854NTsb
 1    next  after receipt by the Department of a complaint alleging
 2    the commission of or notice of the conviction order  for  any
 3    of  the  acts  described  herein.   Except  for  the  grounds
 4    numbered (8), (9) and (29), no action shall be commenced more
 5    than 5 years after the date of the incident or act alleged to
 6    have  violated  this Section.  In the event of the settlement
 7    of any claim or cause of action in favor of the  claimant  or
 8    the  reduction to final judgment of any civil action in favor
 9    of the plaintiff, such claim, cause of action or civil action
10    being grounded on the allegation that a person licensed under
11    this Act was negligent  in  providing  care,  the  Department
12    shall  have an additional period of one year from the date of
13    notification to the Department under Section 23 of  this  Act
14    of  such settlement or final judgment in which to investigate
15    and commence formal disciplinary proceedings under Section 36
16    of this Act, except as otherwise provided by law.   The  time
17    during  which the holder of the license was outside the State
18    of Illinois shall not be included within any period  of  time
19    limiting  the  commencement  of  disciplinary  action  by the
20    Department.  Except as otherwise provided  in  this  Section,
21    proof  of  any  of  the grounds listed in this subsection (A)
22    shall be by a preponderance of the evidence.
23        The entry of an order or judgment by  any  circuit  court
24    establishing that any person holding a license under this Act
25    is  a  person  in  need  of  mental  treatment  operates as a
26    suspension of that license.  That  person  may  resume  their
27    practice  only  upon  the entry of a Departmental order based
28    upon a finding by the Medical Disciplinary  Board  that  they
29    have  been  determined to be recovered from mental illness by
30    the court and upon the  Disciplinary  Board's  recommendation
31    that they be permitted to resume their practice.
32        The  Department  may refuse to issue or take disciplinary
33    action concerning the license of any person who fails to file
34    a return, or to pay the tax, penalty or interest shown  in  a
                            -21-               LRB9009854NTsb
 1    filed  return, or to pay any final assessment of tax, penalty
 2    or interest, as required by any tax Act administered  by  the
 3    Illinois  Department  of  Revenue,  until  such  time  as the
 4    requirements of any such tax Act are satisfied as  determined
 5    by the Illinois Department of Revenue.
 6        The   Department,   upon   the   recommendation   of  the
 7    Disciplinary  Board,  shall  adopt  rules  which  set   forth
 8    standards to be used in determining:
 9             (a)  when  a  person  will  be  deemed  sufficiently
10        rehabilitated to warrant the public trust;
11             (b)  what  constitutes  dishonorable,  unethical  or
12        unprofessional  conduct of a character likely to deceive,
13        defraud, or harm the public;
14             (c)  what  constitutes  immoral   conduct   in   the
15        commission  of  any  act,  including, but not limited to,
16        commission of an act of sexual misconduct related to  the
17        licensee's practice; and
18             (d)  what   constitutes   gross  negligence  in  the
19        practice of medicine.
20        However, no such rule shall be admissible  into  evidence
21    in any civil action except for review of a licensing or other
22    disciplinary action under this Act.
23        In  enforcing  this  Section,  the  Medical  Disciplinary
24    Board, upon a showing of a possible violation, may compel any
25    individual  licensed  to  practice under this Act, or who has
26    applied for licensure or a permit pursuant to  this  Act,  to
27    submit  to  a  mental  or  physical  examination, or both, as
28    required by and  at  the  expense  of  the  Department.   The
29    examining physician or physicians shall be those specifically
30    designated   by   the   Disciplinary   Board.   The   Medical
31    Disciplinary  Board or the Department may order the examining
32    physician to present  testimony  concerning  this  mental  or
33    physical  examination  of  the  licensee  or  applicant.   No
34    information  shall be excluded by reason of any common law or
                            -22-               LRB9009854NTsb
 1    statutory privilege relating  to  communication  between  the
 2    licensee  or  applicant  and  the  examining  physician.  The
 3    individual  to  be  examined  may  have,  at  his  or her own
 4    expense, another physician  of  his  or  her  choice  present
 5    during  all  aspects  of  the  examination.    Failure of any
 6    individual to submit to mental or physical examination,  when
 7    directed,  shall  be  grounds  for  suspension  of his or her
 8    license until such time as  the  individual  submits  to  the
 9    examination if the Disciplinary Board finds, after notice and
10    hearing,  that  the  refusal to submit to the examination was
11    without reasonable cause.  If the Disciplinary Board finds  a
12    physician unable to practice because of the reasons set forth
13    in  this  Section,  the Disciplinary Board shall require such
14    physician to submit to  care,  counseling,  or  treatment  by
15    physicians  approved or designated by the Disciplinary Board,
16    as  a  condition  for  continued,  reinstated,   or   renewed
17    licensure  to  practice.   Any  physician,  whose license was
18    granted pursuant to Sections 9, 17, or 19 of  this  Act,  or,
19    continued,  reinstated,  renewed,  disciplined or supervised,
20    subject to such terms, conditions or restrictions  who  shall
21    fail  to  comply with such terms, conditions or restrictions,
22    or to complete a required program  of  care,  counseling,  or
23    treatment,  as determined by the Chief Medical Coordinator or
24    Deputy  Medical  Coordinators,  shall  be  referred  to   the
25    Director for a determination as to whether the licensee shall
26    have  their  license suspended immediately, pending a hearing
27    by  the  Disciplinary  Board.   In  instances  in  which  the
28    Director immediately suspends a license under this Section, a
29    hearing upon such person's license must be  convened  by  the
30    Disciplinary  Board  within 15 days after such suspension and
31    completed without appreciable delay.  The Disciplinary  Board
32    shall  have  the  authority to review the subject physician's
33    record of treatment and counseling regarding the  impairment,
34    to  the  extent  permitted by applicable federal statutes and
                            -23-               LRB9009854NTsb
 1    regulations  safeguarding  the  confidentiality  of   medical
 2    records.
 3        An  individual  licensed  under  this Act, affected under
 4    this Section, shall be afforded an opportunity to demonstrate
 5    to the Disciplinary Board that they can  resume  practice  in
 6    compliance with acceptable and prevailing standards under the
 7    provisions of their license.
 8        The Department may promulgate rules for the imposition of
 9    fines  in  disciplinary  cases, not to exceed $5,000 for each
10    violation of this Act.  Fines may be imposed  in  conjunction
11    with other forms of disciplinary action, but shall not be the
12    exclusive  disposition of any disciplinary action arising out
13    of conduct resulting in death or injury to  a  patient.   Any
14    funds  collected  from  such  fines shall be deposited in the
15    Medical Disciplinary Fund.
16        (B)  The Department shall revoke the license or  visiting
17    permit  of  any  person  issued  under  this  Act to practice
18    medicine or to treat human ailments without the use of  drugs
19    and  without  operative  surgery,  who  has  been convicted a
20    second time of  committing  any  felony  under  the  Illinois
21    Controlled Substances Act, or who has been convicted a second
22    time  of  committing a Class 1 felony under Sections 8A-3 and
23    8A-6 of the Illinois Public Aid Code.  A person whose license
24    or visiting permit is revoked  under  this  subsection  B  of
25    Section  22  of  this Act shall be prohibited from practicing
26    medicine or treating human ailments without the use of  drugs
27    and without operative surgery.
28        (C)  The  Medical  Disciplinary  Board shall recommend to
29    the Department civil  penalties  and  any  other  appropriate
30    discipline  in disciplinary cases when the Board finds that a
31    physician  willfully  performed  an  abortion   with   actual
32    knowledge  that  the  person  upon whom the abortion has been
33    performed is a minor or an incompetent person without  notice
34    as  required  under  the  Parental  Notice of Abortion Act of
                            -24-               LRB9009854NTsb
 1    1995.  Upon the Board's recommendation, the Department  shall
 2    impose,  for  the  first violation, a civil penalty of $1,000
 3    and for a second or subsequent violation, a civil penalty  of
 4    $5,000.
 5    (Source: P.A.   89-18,  eff.  6-1-95;  89-201,  eff.  1-1-96;
 6    89-626, eff. 8-9-96; 89-702, eff. 7-1-97.)
 7        (225 ILCS 60/23) (from Ch. 111, par. 4400-23)
 8        Sec. 23.   Reports relating to professional  conduct  and
 9    capacity.
10        (A)  Entities required to report.
11             (1)  Health    care    institutions.     The   chief
12        administrator or executive officer  of  any  health  care
13        institution licensed by the Illinois Department of Public
14        Health  shall  report  to the Disciplinary Board when any
15        person's  clinical  privileges  are  terminated  or   are
16        restricted  based on a final determination, in accordance
17        with that institution's by-laws or rules and regulations,
18        that a person has either committed an act or  acts  which
19        may  directly  threaten  patient  care,  and  not  of  an
20        administrative  nature,  or that a person may be mentally
21        or physically disabled in such a manner  as  to  endanger
22        patients  under  that  person's  care.  Such officer also
23        shall report if a person accepts voluntary termination or
24        restriction of clinical  privileges  in  lieu  of  formal
25        action  based  upon  conduct  related directly to patient
26        care and not of an administrative nature, or in  lieu  of
27        formal  action  seeking to determine whether a person may
28        be mentally or physically disabled in such a manner as to
29        endanger patients under that person's care.  The  Medical
30        Disciplinary  Board  shall,  by  rule,  provide  for  the
31        reporting  to  it  of  all  instances  in which a person,
32        licensed under this Act, who is  impaired  by  reason  of
33        age,   drug  or  alcohol  abuse  or  physical  or  mental
                            -25-               LRB9009854NTsb
 1        impairment, is under supervision and, where  appropriate,
 2        is in a program of rehabilitation.  Such reports shall be
 3        strictly  confidential and may be reviewed and considered
 4        only by the members of  the  Disciplinary  Board,  or  by
 5        authorized staff as provided by rules of the Disciplinary
 6        Board.   Provisions shall be made for the periodic report
 7        of the status of any such  person  not  less  than  twice
 8        annually  in order that the Disciplinary Board shall have
 9        current information upon which to determine the status of
10        any such person.  Such initial  and periodic  reports  of
11        impaired  physicians  shall  not  be  considered  records
12        within  the meaning of The State Records Act and shall be
13        disposed   of,   following   a   determination   by   the
14        Disciplinary  Board  that  such  reports  are  no  longer
15        required,  in  a  manner  and  at  such   time   as   the
16        Disciplinary  Board  shall determine by rule.  The filing
17        of such reports shall be construed as  the  filing  of  a
18        report for purposes of subsection (C) of this Section.
19             (2)  Professional  associations.   The  President or
20        chief executive officer of any association or society, of
21        persons licensed under this Act,  operating  within  this
22        State  shall  report  to  the Disciplinary Board when the
23        association  or  society  determines  renders   a   final
24        determination  that a person has committed unprofessional
25        conduct related directly to patient care or that a person
26        may be mentally or physically disabled in such  a  manner
27        as to endanger patients under that person's care.
28             (3)  Professional    liability    insurers.    Every
29        insurance company which offers policies  of  professional
30        liability  insurance  to persons licensed under this Act,
31        or  any  other  entity  which  seeks  to  indemnify   the
32        professional  liability  of  a person licensed under this
33        Act,  shall  report  to  the   Disciplinary   Board   the
34        settlement  of  any  claim  or  cause of action, or final
                            -26-               LRB9009854NTsb
 1        judgment rendered in any cause of action,  which  alleged
 2        negligence  in  the  furnishing  of  medical care by such
 3        licensed person when such settlement or final judgment is
 4        in favor of the plaintiff.
 5             (4)  State's Attorneys.   The  State's  Attorney  of
 6        each  county  shall  report to the Disciplinary Board all
 7        instances in which a person licensed under  this  Act  is
 8        convicted  or otherwise found guilty of the commission of
 9        any felony.  The State's  Attorney  of  each  county  may
10        report  to  the  Disciplinary  Board  through  a verified
11        complaint any instance  in  which  the  State's  Attorney
12        believes  that  a  physician  has  willfully violated the
13        notice requirements of the Parental  Notice  of  Abortion
14        Act of 1995.
15             (5)  State    agencies.    All   agencies,   boards,
16        commissions, departments, or other  instrumentalities  of
17        the  government  of the State of Illinois shall report to
18        the Disciplinary Board any instance arising in connection
19        with  the  operations  of  such  agency,  including   the
20        administration  of  any  law  by  such agency, in which a
21        person licensed under this Act has  either  committed  an
22        act or acts which may be a violation of this Act or which
23        may constitute unprofessional conduct related directly to
24        patient  care  or  which indicates that a person licensed
25        under this Act may be mentally or physically disabled  in
26        such a manner as to endanger patients under that person's
27        care.
28        (B)  Mandatory  reporting.  All reports required by items
29    (34), (35), and (36) of subsection (A) of Section 22  and  by
30    Section  23 shall be submitted to the Disciplinary Board in a
31    timely fashion.  The reports shall be filed in writing within
32    60 days after a determination that a report is required under
33    this  Act.   All  reports   shall   contain   the   following
34    information:
                            -27-               LRB9009854NTsb
 1             (1)  The  name,  address and telephone number of the
 2        person making the report.
 3             (2)  The name, address and telephone number  of  the
 4        person who is the subject of the report.
 5             (3)  The  name  or  other means of identification of
 6        any patient or patients whose treatment is a  subject  of
 7        the  report, provided, however, no medical records may be
 8        revealed without the written consent of  the  patient  or
 9        patients.   When  the  Department  has  received  written
10        reports concerning incidents required to be  reported  in
11        items  (34),  (35), and (36) of subsection (A) of Section
12        22, the licensee's failure to report the incident to  the
13        Department  under  those  items  shall  not  be  the sole
14        grounds for disciplinary action.
15             (4)  A brief description of  the  facts  which  gave
16        rise  to  the issuance of the report, including the dates
17        of any occurrences deemed to necessitate  the  filing  of
18        the report.
19             (5)  If  court  action  is involved, the identity of
20        the court in which the action is filed,  along  with  the
21        docket number and date of filing of the action.
22             (6)  Any  further  pertinent  information  which the
23        reporting party deems to be an aid in the  evaluation  of
24        the report.
25        Nothing  contained  in  this  Section shall act to in any
26    way, waive or modify the confidentiality of  medical  reports
27    and  committee  reports  to  the extent provided by law.  Any
28    information reported or  disclosed  shall  be  kept  for  the
29    confidential  use  of  the  Disciplinary  Board,  the Medical
30    Coordinators, the Disciplinary Board's attorneys, the medical
31    investigative  staff,  and  authorized  clerical  staff,   as
32    provided  in  this Act, and shall be afforded the same status
33    as is provided information concerning medical studies in Part
34    21 of Article VIII of the Code of Civil Procedure.
                            -28-               LRB9009854NTsb
 1        (C)  Immunity  from  prosecution.   Any   individual   or
 2    organization  acting  in  good faith, and not in a wilful and
 3    wanton manner, in complying with this Act  by  providing  any
 4    report  or  other  information  to the Disciplinary Board, or
 5    assisting  in  the  investigation  or  preparation  of   such
 6    information,  or  by  participating  in  proceedings  of  the
 7    Disciplinary  Board,  or  by  serving  as  a  member  of  the
 8    Disciplinary  Board,  shall not, as a result of such actions,
 9    be subject to criminal prosecution or civil damages.
10        (D)  Indemnification.  Members of the Disciplinary Board,
11    the Medical Coordinators, the Disciplinary Board's attorneys,
12    the medical investigative staff,  physicians  retained  under
13    contract to assist and advise the medical coordinators in the
14    investigation,   and   authorized  clerical  staff  shall  be
15    indemnified by the State for any actions occurring within the
16    scope of services on the Disciplinary  Board,  done  in  good
17    faith  and  not  wilful  and  wanton in nature.  The Attorney
18    General shall defend  all  such  actions  unless  he  or  she
19    determines  either that there would be a conflict of interest
20    in such representation or that the actions complained of were
21    not in good faith or were wilful and wanton.
22        Should the Attorney General decline  representation,  the
23    member  shall  have the right to employ counsel of his or her
24    choice, whose fees shall be  provided  by  the  State,  after
25    approval   by   the  Attorney  General,  unless  there  is  a
26    determination by a court that the member's actions  were  not
27    in good faith or were wilful and wanton.
28        The member must notify the Attorney General within 7 days
29    of  receipt  of  notice  of  the  initiation  of  any  action
30    involving  services of the Disciplinary Board.  Failure to so
31    notify the Attorney  General  shall  constitute  an  absolute
32    waiver of the right to a defense and indemnification.
33        The  Attorney General shall determine within 7 days after
34    receiving such notice, whether he or she  will  undertake  to
                            -29-               LRB9009854NTsb
 1    represent the member.
 2        (E)  Deliberations   of  Disciplinary  Board.   Upon  the
 3    receipt of any report called for  by  this  Act,  other  than
 4    those  reports  of  impaired  persons licensed under this Act
 5    required pursuant to the rules of the Disciplinary Board, the
 6    Disciplinary Board shall  notify  in  writing,  by  certified
 7    mail,  the  person  who  is  the subject of the report.  Such
 8    notification shall be made within 30 days of receipt  by  the
 9    Disciplinary Board of the report.
10        The  notification  shall include a written notice setting
11    forth the person's right to examine the report.  Included  in
12    such  notification  shall be the address at which the file is
13    maintained, the name of the custodian of the reports, and the
14    telephone number at which the custodian may be  reached.  The
15    person  who  is  the  subject  of  the  report shall submit a
16    written  statement  responding,  clarifying,  adding  to,  or
17    proposing the amending of the report previously  filed.   The
18    statement  shall become a permanent part of the file and must
19    be received by the Disciplinary Board no more  than  60  days
20    after  the  date  on  which  the  person  was notified by the
21    Disciplinary Board of the existence of the original report.
22        The Disciplinary Board shall review all reports  received
23    by   it,   together   with  any  supporting  information  and
24    responding  statements  submitted  by  persons  who  are  the
25    subject of reports.  The review  by  the  Disciplinary  Board
26    shall  be  in  a  timely  manner  but  in no event, shall the
27    Disciplinary Board's initial review of the material contained
28    in each disciplinary file be less than 61 days nor more  than
29    180  days  after  the  receipt  of  the initial report by the
30    Disciplinary Board.
31        When the Disciplinary Board makes its initial  review  of
32    the  materials  contained  within its disciplinary files, the
33    Disciplinary Board shall, in writing, make a determination as
34    to whether there are  sufficient  facts  to  warrant  further
                            -30-               LRB9009854NTsb
 1    investigation  or action.  Failure to make such determination
 2    within  the  time  provided  shall  be   deemed   to   be   a
 3    determination  that there are not sufficient facts to warrant
 4    further investigation or action.
 5        Should the Disciplinary Board find  that  there  are  not
 6    sufficient facts to warrant further investigation, or action,
 7    the  report shall be accepted for filing and the matter shall
 8    be deemed closed and so reported.  The individual  or  entity
 9    filing the original report or complaint and the person who is
10    the  subject  of the report or complaint shall be notified in
11    writing by the Disciplinary Board  of  any  final  action  on
12    their report or complaint.
13        (F)  Summary   reports.   The  Disciplinary  Board  shall
14    prepare, on a timely basis, but in no  event  less  than  one
15    every  other  month,  a summary report of final actions taken
16    upon disciplinary files maintained by the Disciplinary Board.
17    The summary reports shall be sent by the  Disciplinary  Board
18    to  every  health  care  facility  licensed  by  the Illinois
19    Department of Public Health, every  professional  association
20    and society of persons licensed under this Act functioning on
21    a  statewide  basis  in  this  State,  the  American  Medical
22    Association,   the   American  Osteopathic  Association,  the
23    American Chiropractic  Association,  all  insurers  providing
24    professional  liability  insurance  to persons licensed under
25    this Act in the State of Illinois, the  Federation  of  State
26    Medical   Licensing  Boards,  and  the  Illinois  Pharmacists
27    Association.
28        (G)  Any violation of this Section shall  be  a  Class  A
29    misdemeanor.
30        (H)  If  any  such person violates the provisions of this
31    Section an action may be brought in the name of the People of
32    the State of Illinois, through the Attorney  General  of  the
33    State  of  Illinois, for an order enjoining such violation or
34    for an order enforcing compliance  with  this  Section.  Upon
                            -31-               LRB9009854NTsb
 1    filing  of  a  verified petition in such court, the court may
 2    issue a temporary restraining order without  notice  or  bond
 3    and  may  preliminarily or permanently enjoin such violation,
 4    and if it is established that such person has violated or  is
 5    violating  the  injunction, the court may punish the offender
 6    for contempt of  court.   Proceedings  under  this  paragraph
 7    shall  be  in  addition  to,  and  not  in lieu of, all other
 8    remedies and penalties provided for by this Section.
 9    (Source: P.A. 89-18, eff. 6-1-95; 89-702, eff. 7-1-97.)
10        (225 ILCS 60/24) (from Ch. 111, par. 4400-24)
11        Sec. 24.  Report  of  violations;  medical  associations.
12    Any  physician  licensed  under  this Act, the Illinois State
13    Medical Society,  the  Illinois  Association  of  Osteopathic
14    Physicians  and  Surgeons, the Illinois Chiropractic Society,
15    the Illinois Prairie State Chiropractic Association,  or  any
16    component  societies  of any of these 4 groups, and any other
17    association or society of persons  licensed  under  this  Act
18    operating  within  this State shall person, may report to the
19    Disciplinary   Board   any   information    the    physician,
20    association,  or  society, or person may have that appears to
21    show that a physician is or may be in violation of any of the
22    provisions of Section 22 of this Act.  Any other  person  may
23    report  to the Disciplinary Board any information that person
24    may have that appears to show that a physician is or  may  be
25    in  violation  of any of the provisions of Section 22 of this
26    Act.
27        The  Department  may  enter  into  agreements  with   the
28    Illinois  State  Medical Society, the Illinois Association of
29    Osteopathic Physicians and  Surgeons,  the  Illinois  Prairie
30    State  Chiropractic Association, or the Illinois Chiropractic
31    Society  to  allow  these   organizations   to   assist   the
32    Disciplinary  Board  in  the  review of alleged violations of
33    this Act.  Subject to the approval  of  the  Department,  any
                            -32-               LRB9009854NTsb
 1    organization  party to such an agreement may subcontract with
 2    other individuals or organizations to assist in review.
 3        Any   physician,   association,   society,   or    person
 4    participating  in good faith in the making of a report, under
 5    this  Act  or  participating  in   or   assisting   with   an
 6    investigation   or  review  under  this  Section  shall  have
 7    immunity from any civil, criminal, or  other  liability  that
 8    might result by reason of those actions.
 9        The medical information in the custody of an entity under
10    contract    with   the   Department   participating   in   an
11    investigation or review shall be privileged and  confidential
12    to  the  same extent as are information and reports under the
13    provisions of Part 21 of Article VIII of the  Code  of  Civil
14    Procedure.
15        For the purpose of any civil or criminal proceedings, the
16    good  faith  of any physician, association, society or person
17    shall be presumed.  The Disciplinary Board  may  request  the
18    Illinois  State  Medical Society, the Illinois Association of
19    Osteopathic Physicians and  Surgeons,  the  Illinois  Prairie
20    State  Chiropractic Association, or the Illinois Chiropractic
21    Society to assist the Disciplinary Board in preparing for  or
22    conducting  any  medical  competency examination as the Board
23    may deem appropriate.
24    (Source: P.A. 88-324.)
25        (225 ILCS 60/36) (from Ch. 111, par. 4400-36)
26        Sec. 36.  Upon the motion of either the Department or the
27    Disciplinary Board or upon the verified complaint in  writing
28    of  any  person  setting  forth facts which, if proven, would
29    constitute grounds for suspension or revocation under Section
30    22 of this Act, the Department shall investigate the  actions
31    of  any person, so accused, who holds or represents that they
32    hold a  license.   Such  person  is  hereinafter  called  the
33    accused.    The  Department  shall acknowledge any complaints
                            -33-               LRB9009854NTsb
 1    received by consumers.  Complaints shall be counted by source
 2    and by cause, and all complaints shall be docketed.
 3        The  Department  shall,  before   suspending,   revoking,
 4    placing   on   probationary   status,  or  taking  any  other
 5    disciplinary action as the Department may  deem  proper  with
 6    regard  to any license at least 30 days prior to the date set
 7    for the hearing, notify the accused in writing of any charges
 8    made and the time and place for  a  hearing  of  the  charges
 9    before  the  Disciplinary  Board,  direct  them to file their
10    written answer thereto to the Disciplinary Board  under  oath
11    within  20  days after the service on them of such notice and
12    inform them that if they fail to  file  such  answer  default
13    will   be  taken  against  them  and  their  license  may  be
14    suspended, revoked, placed on probationary  status,  or  have
15    other  disciplinary  action,  including  limiting  the scope,
16    nature or extent of their practice,  as  the  Department  may
17    deem  proper  taken with regard thereto.  A complainant shall
18    be allowed to review and respond to the accused's answer.
19        Where a physician has  been  found,  upon  complaint  and
20    investigation  of  the Department, and after hearing, to have
21    performed an abortion procedure in a wilful and wanton manner
22    upon a woman who was not pregnant at the time  such  abortion
23    procedure  was  performed, the Department shall automatically
24    revoke the license of such physician to practice medicine  in
25    Illinois.
26        Such  written  notice  and any notice in such proceedings
27    thereafter may be served by delivery of the same, personally,
28    to the accused person, or by mailing the same  by  registered
29    or  certified  mail to the address last theretofore specified
30    by the accused in their last notification to the Department.
31    (Source: P.A. 85-4.)
32        (225 ILCS 60/37) (from Ch. 111, par. 4400-37)
33        Sec. 37.  At the time and place fixed in the notice,  the
                            -34-               LRB9009854NTsb
 1    Disciplinary  Board provided for in this Act shall proceed to
 2    hear  the  charges  and  both  the  accused  person  and  the
 3    complainant shall be accorded ample opportunity to present in
 4    person, or by counsel, such statements,  testimony,  evidence
 5    and  argument  as  may  be pertinent to the charges or to any
 6    defense thereto.  The Disciplinary Board  may  continue  such
 7    hearing  from time to time.  If the Disciplinary Board is not
 8    sitting at the time and place fixed in the notice or  at  the
 9    time  and  place to which the hearing has been continued, the
10    Department shall continue such hearing for a  period  not  to
11    exceed 30 days.
12        In case the accused person, after receiving notice, fails
13    to  file  an  answer, their license may, in the discretion of
14    the Director, having received first the recommendation of the
15    Disciplinary  Board,  be  suspended,  revoked  or  placed  on
16    probationary  status,  or  the  Director  may  take  whatever
17    disciplinary action as he or she may deem  proper,  including
18    limiting  the  scope,  nature,  or  extent  of  said person's
19    practice, without a hearing,  if  the  act  or  acts  charged
20    constitute sufficient grounds for such action under this Act.
21        The  Disciplinary Board has the authority to recommend to
22    the  Director  that  probation  be  granted  or  that   other
23    disciplinary  action,  including the limitation of the scope,
24    nature or extent of a person's practice, be taken as it deems
25    proper.  If disciplinary action,  other  than  suspension  or
26    revocation,  is  taken  the  Disciplinary Board may recommend
27    that  the  Director   impose   reasonable   limitations   and
28    requirements upon the accused registrant to insure compliance
29    with  the terms of the probation or other disciplinary action
30    including, but not  limited  to,  regular  reporting  by  the
31    accused   to   the   Department  of  their  actions,  placing
32    themselves under  the  care  of  a  qualified  physician  for
33    treatment,  or  limiting their practice in such manner as the
34    Director may require.
                            -35-               LRB9009854NTsb
 1        A  complainant  shall  be  notified   of   any   proposed
 2    settlement  agreement  and shall be allowed to present his or
 3    her views before a final agreement is reached.
 4        The Director, after consultation with the  Chief  Medical
 5    Coordinator  or  Deputy  Medical Coordinator, may temporarily
 6    suspend  the  license  of  a  physician  without  a  hearing,
 7    simultaneously with the  institution  of  proceedings  for  a
 8    hearing  provided  under  this  Section if the Director finds
 9    that evidence in his  or  her  possession  indicates  that  a
10    physician's  continuation  in  practice  would  constitute an
11    immediate danger to  the  public.   In  the  event  that  the
12    Director  suspends,  temporarily,  the license of a physician
13    without a hearing, a hearing by the Disciplinary Board  shall
14    be held within 15 days after such suspension has occurred and
15    shall be concluded without appreciable delay.
16    (Source: P.A. 85-4.)
17        (225 ILCS 60/40) (from Ch. 111, par. 4400-40)
18        Sec.  40.   The  Disciplinary  Board shall present to the
19    Director a written report of its findings and recommendations
20    and  shall  inform  a  complainant  of   its   findings   and
21    recommendations.   A  copy of the such report shall be served
22    upon the accused person, either personally or  by  registered
23    or  certified  mail.   Within 20 days after such service, the
24    accused person may present to the Department their motion, in
25    writing, for a rehearing, which written motion shall  specify
26    the particular ground therefor.  If the accused person orders
27    and  pays  for  a  transcript  of  the  record as provided in
28    Section 39, the time  elapsing  thereafter  and  before  such
29    transcript is ready for delivery to them shall not be counted
30    as part of such 20 days.
31        At the expiration of the time allowed for filing a motion
32    for  rehearing,  the Director may take the action recommended
33    by the Disciplinary Board.  Upon the suspension,  revocation,
                            -36-               LRB9009854NTsb
 1    placement  on probationary status, or the taking of any other
 2    disciplinary action, including the  limiting  of  the  scope,
 3    nature,  or  extent  of  one's practice, deemed proper by the
 4    Department,  with  regard  to  the  license,  certificate  or
 5    visiting professor permit, the accused shall surrender  their
 6    license  to  the  Department,  if  ordered  to  do so  by the
 7    Department, and upon their failure or refusal so to  do,  the
 8    Department may seize the same.
 9        Each  certificate  of order of revocation, suspension, or
10    other disciplinary action  shall  contain  a  brief,  concise
11    statement   of   the   ground   or  grounds  upon  which  the
12    Department's action is based, as well as the  specific  terms
13    and  conditions  of  such  action.   This  document  shall be
14    retained as a permanent record by the Disciplinary Board  and
15    the Director.
16        The  Department shall at least annually publish a list of
17    the names of all persons disciplined under this  Act  in  the
18    preceding  12  months.   Such  lists  shall  be mailed by the
19    Department to any person in the State upon request.
20        In  those  instances  where  an  order   of   revocation,
21    suspension, or other disciplinary action has been rendered by
22    virtue  of a physician's physical illness, including, but not
23    limited to, deterioration through the aging process, or  loss
24    of  motor  skill  which results in a physician's inability to
25    practice medicine with reasonable judgment, skill, or safety,
26    the Department shall  only  permit  this  document,  and  the
27    record  of  the  hearing  incident  thereto,  to be observed,
28    inspected, viewed, or copied pursuant to court order.
29    (Source: P.A. 85-4.)
30        (225 ILCS 60/65 new)
31        Sec. 65.  Disclosure of nonconfidential information.  The
32    Department shall  disclose  all  nonconfidential  information
33    obtained under this Act relating to a licensee, including the
                            -37-               LRB9009854NTsb
 1    licensee's   education,   training,   speciality,  and  other
 2    background information, any adverse judgment, settlement,  or
 3    award  arising from a liability claim based on the allegation
 4    that a licensee was negligent in providing care,  the  reason
 5    any  disciplinary  action  has been taken against a licensee,
 6    and any disciplinary actions  taken  by  other  agencies  and
 7    institutions,   to  be  made  available  to  the  public  and
 8    libraries in the State.
 9        (225 ILCS 60/70 new)
10        Sec. 70.  Hotline.  The Department shall establish a toll
11    free telephone number to be used by consumers  to  receive  a
12    profile of a licensee, including the licensee's education and
13    training,  any  disciplinary actions taken by the Department,
14    and  any  liability  claims  or  settlements  based  on   the
15    allegation that a licensee was negligent in providing care.
16        (225 ILCS 60/75 new)
17        Sec. 75.  Public education program.  The Department shall
18    establish  a  public  education  program to educate consumers
19    about the Department's existence,  including  establishing  a
20    public  educating campaign and requiring medical providers to
21    display signs that inform consumers of their rights.
22        Section 99.  Effective date.  This Act takes effect  upon
23    becoming law.

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