State of Illinois
92nd General Assembly
Legislation

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92_HB0541

 
                                              LRB9202928DJmgA

 1        AN ACT concerning parental notice of abortion.

 2        Be  it  enacted  by  the People of the State of Illinois,
 3    represented in the General Assembly:

 4        Section 1.  Short title.  This Act may be  cited  as  the
 5    Parental Notice of Abortion Act of 2001.

 6        Section   5.  Legislative   findings  and  purpose.   The
 7    General Assembly finds that notification of a  family  member
 8    as  defined  in  this  Act  is  in  the  best  interest of an
 9    unemancipated minor, and the General  Assembly's  purpose  in
10    enacting  this  parental notice law is to further and protect
11    the best interests of an unemancipated minor.
12        The medical, emotional, and psychological consequences of
13    abortion are sometimes serious and long-lasting, and immature
14    minors often lack the ability to make fully informed  choices
15    that consider both the immediate and long-range consequences.
16        Parental  consultation is usually in the best interest of
17    the minor and is  desirable  since  the  capacity  to  become
18    pregnant  and the capacity for mature judgment concerning the
19    wisdom of an abortion are not necessarily related.

20        Section 10.  Definitions.  As used in this Act:
21        "Abortion" means the use  of  any  instrument,  medicine,
22    drug,  or  any  other  substance  or  device to terminate the
23    pregnancy of a woman known to be pregnant with  an  intention
24    other  than  to  increase the probability of a live birth, to
25    preserve the life or health of a child after live  birth,  or
26    to remove a dead fetus.
27        "Actual  notice"  means the giving of notice directly, in
28    person, or by telephone.
29        "Adult family member" means a person over 21 years of age
30    who is (1) a parent, (2) a grandparent or step-parent  living
 
                            -2-               LRB9202928DJmgA
 1    in the household, or (3) a legal guardian.
 2        "Constructive  notice"  means notice by certified mail to
 3    the last known address of the person entitled to notice  with
 4    delivery deemed to have occurred 48 hours after the certified
 5    notice is mailed.
 6        "Incompetent"  means  any person who has been adjudged as
 7    mentally ill or developmentally disabled and who, because  of
 8    her  mental illness or developmental disability, is not fully
 9    able to manage her person and for  whom  a  guardian  of  the
10    person  has  been  appointed under Section 11a-3(a)(1) of the
11    Probate Act of 1975.
12        "Medical emergency" means a condition that, on the  basis
13    of   the    physician's  good  faith  clinical  judgment,  so
14    complicates the medical condition of a pregnant woman  as  to
15    necessitate  the immediate abortion of her pregnancy to avert
16    her death or for which a delay will create  serious  risk  of
17    substantial  and  irreversible  impairment  of  major  bodily
18    function.
19        "Minor"  means  any person 16 years of age or younger who
20    is  not  or  has  not  been  married  or  who  has  not  been
21    emancipated under the Emancipation of Mature Minors Act.
22        "Neglect" means the failure of an adult family member  to
23    supply  a  child  with  necessary food, clothing, shelter, or
24    medical care when reasonably able to do so or the failure  to
25    protect  a  child  from conditions or actions that imminently
26    and seriously endanger the child's physical or mental  health
27    when reasonably able to do so.
28        "Physical  abuse" means any physical injury intentionally
29    inflicted by an adult family member on a child.
30        "Physician"  means  any  person  licensed   to   practice
31    medicine  in  all its branches under the Medical Practice Act
32    of 1987.
33        "Sexual  abuse"  means  any  sexual  conduct  or   sexual
34    penetration  as defined in Section 12-12 of the Criminal Code
 
                            -3-               LRB9202928DJmgA
 1    of 1961 that is prohibited by the criminal laws of the  State
 2    of  Illinois and committed against a minor by an adult family
 3    member as defined in this Act.

 4        Section 15.  Notice to adult family  member.   No  person
 5    shall  knowingly  perform an abortion upon a minor or upon an
 6    incompetent person unless the physician or his or  her  agent
 7    has  given at least 48 hours actual notice to an adult family
 8    member of the pregnant minor or incompetent person of his  or
 9    her  intention to perform the abortion, unless that person or
10    his or her agent  has  received  a  written  statement  by  a
11    referring  physician  certifying that the referring physician
12    or his or her agent has given at least 48 hours notice to  an
13    adult  family  member  of  the  pregnant minor or incompetent
14    person.  If actual notice is not possible after a  reasonable
15    effort,  the physician or his or her agent must give 48 hours
16    constructive notice.

17        Section 20.  Exceptions.  Notice shall  not  be  required
18    under this Act if:
19             (1)  the  minor or incompetent person is accompanied
20        by a person entitled to notice; or
21             (2)  notice is waived in writing by a person who  is
22        entitled to notice; or
23             (3)  the   attending   physician  certifies  in  the
24        patient's medical record that a medical emergency  exists
25        and  there  is  insufficient time to provide the required
26        notice; or
27             (4)  the minor declares in writing  that  she  is  a
28        victim  of sexual abuse, neglect, or physical abuse by an
29        adult  family  member  as  defined  in  this  Act.    The
30        attending physician must certify in the patient's medical
31        record  that  he  or  she  has   received   the   written
32        declaration  of  abuse  or  neglect.  Any notification of
 
                            -4-               LRB9202928DJmgA
 1        public authorities of abuse that may  be  required  under
 2        other  laws  of this State need not be made by the person
 3        performing the abortion until after the minor receives an
 4        abortion that otherwise complies with the requirements of
 5        this Act; or
 6             (5)  notice is waived under Section 25.

 7        Section 25.  Procedure for judicial waiver of notice.
 8        (a)  The requirements and procedures under  this  Section
 9    are  available  to  minors and incompetent persons whether or
10    not they are residents of this State.
11        (b)  The minor or incompetent  person  may  petition  any
12    circuit  court for a waiver of the notice requirement and may
13    participate in proceedings on  her  own  behalf.   The  court
14    shall  appoint  a guardian ad litem for her.  Any guardian ad
15    litem appointed under this Act  shall  act  to  maintain  the
16    confidentiality  of the proceedings.  The circuit court shall
17    advise her that she has a right  to  court-appointed  counsel
18    and shall provide her with counsel upon her request.
19        (c)  Court   proceedings  under  this  Section  shall  be
20    confidential and shall ensure the anonymity of the  minor  or
21    incompetent person.  All court proceedings under this Section
22    shall  be sealed.  The minor or incompetent person shall have
23    the right to file her petition in the circuit court  using  a
24    pseudonym  or  using  solely  her  initials.   All  documents
25    related  to this petition shall be confidential and shall not
26    be made available to the public.
27        These proceedings shall be given  precedence  over  other
28    pending  matters  to  the extent necessary to ensure that the
29    court reaches a decision promptly.  The court shall rule  and
30    issue  written findings of fact and conclusions of law within
31    48 hours of the time that the petition is filed, except  that
32    the  48-hour limitation may be extended at the request of the
33    minor or incompetent person.  If  the  court  fails  to  rule
 
                            -5-               LRB9202928DJmgA
 1    within  the 48-hour period and an extension is not requested,
 2    then the petition shall be deemed to have been  granted,  and
 3    the notice requirement shall be waived.
 4        (d)  Notice  shall  be  waived  if  the  court finds by a
 5    preponderance of the evidence either:
 6             (1)  that  the  minor  or  incompetent   person   is
 7        sufficiently  mature  and  well enough informed to decide
 8        intelligently whether to have an abortion, or
 9             (2)  that notification under Section 15 of this  Act
10        would  not  be  in  the  best  interests  of the minor or
11        incompetent person.
12        (e)  A court that conducts proceedings under this Section
13    shall issue written and specific factual findings  and  legal
14    conclusions  supporting  its  decision and shall order that a
15    confidential record of the evidence and the judge's  findings
16    and conditions be maintained.
17        (f)  An expedited confidential appeal shall be available,
18    as  the  Supreme  Court  provides  by  rule,  to any minor or
19    incompetent person to whom the circuit court denies a  waiver
20    of  notice.   An order authorizing an abortion without notice
21    shall not be subject to appeal.
22        (g)  The  Supreme  Court  is  respectfully  requested  to
23    promulgate any rules and regulations necessary to ensure that
24    proceedings under this Act are handled in an expeditious  and
25    confidential manner.
26        (h)  No   fees   shall   be  required  of  any  minor  or
27    incompetent person  who  avails  herself  of  the  procedures
28    provided by this Section.

29        Section  30.  Minor's  consent to abortion.  A person may
30    not perform an  abortion  on  a  minor  without  the  minor's
31    consent, except in a medical emergency.

32        Section  35.  Reports.   The  Department of Public Health
 
                            -6-               LRB9202928DJmgA
 1    shall comply with the reporting requirements set forth in the
 2    consent decree in Herbst v. O'Malley, case no.  84-C-5602  in
 3    the   U.S.  District  Court  for  the  Northern  District  of
 4    Illinois, Eastern Division.  These reports shall also include
 5    whether the required notice under Section 15 of this Act  was
 6    given and, if an exception to the notice requirement applied,
 7    what  exception  was  used.  No patient's name may be used in
 8    any report submitted under this Section.

 9        Section 40.  Penalties.
10        (a)  Any physician who willfully fails to provide  notice
11    as required under this Act before performing an abortion on a
12    minor  or  an  incompetent  person  shall  be referred to the
13    Illinois State  Medical  Disciplinary  Board  for  action  in
14    accordance  with  Section  22  of the Medical Practice Act of
15    1987.
16        (b)  Any person, not authorized under this Act, who signs
17    any waiver of  notice  for  a  minor  or  incompetent  person
18    seeking an abortion, is guilty of a Class C misdemeanor.

19        Section 45.  Immunity.  Any physician who, in good faith,
20    provides notice in accordance with Section 15 or relies on an
21    exception  under  Section 20 shall not be subject to any type
22    of  civil   or   criminal   liability   or   discipline   for
23    unprofessional conduct for failure to give required notice.

24        Section  50.  Severability  and  inseverability.   If any
25    provision of this Act or its application  to  any  person  or
26    circumstance   is   held  invalid,  the  invalidity  of  that
27    provision or application does not affect other provisions  or
28    applications  of the Act that can be given effect without the
29    invalid provision or application, except that Section  25  is
30    inseverable  to the extent that if all or any substantial and
31    material part of Section 25 is held invalid, then the  entire
 
                            -7-               LRB9202928DJmgA
 1    Act is invalid.

 2        Section  80.   The  Counties  Code is amended by changing
 3    Section 3-4006 as follows:

 4        (55 ILCS 5/3-4006) (from Ch. 34, par. 3-4006)
 5        Sec. 3-4006.   Duties  of  public  defender.  The  Public
 6    Defender,  as  directed  by the court, shall act as attorney,
 7    without fee, before any  court  within  any  county  for  all
 8    persons  who  are held in custody or who are charged with the
 9    commission of any criminal offense, and who the  court  finds
10    are unable to employ counsel.
11        The  Public  Defender shall be the attorney, without fee,
12    when so appointed by the court  under  Section  1-20  of  the
13    Juvenile  Court  Act or Section 1-5 of the Juvenile Court Act
14    of 1987 or by any court under subsection (b)  of  Section  25
15    Section  5(b)  of the Parental Notice of Abortion Act of 2001
16    1983 for any party who the court finds is financially  unable
17    to employ counsel.
18        Every  court shall, with the consent of the defendant and
19    where the court finds that the rights of the defendant  would
20    be  prejudiced  by  the  appointment  of the public defender,
21    appoint counsel other than the  public  defender,  except  as
22    otherwise  provided in Section 113-3 of the "Code of Criminal
23    Procedure of 1963". That counsel shall be compensated  as  is
24    provided by law. He shall also, in the case of the conviction
25    of  any such person, prosecute any proceeding in review which
26    in his judgment the interests of justice require.
27    (Source: P.A. 86-962.)

28        Section 85.  The Medical Practice Act of 1987 is  amended
29    by changing Sections 22 and 23 as follows:

30        (225 ILCS 60/22) (from Ch. 111, par. 4400-22)

 
                            -8-               LRB9202928DJmgA
 1        Sec. 22.  Disciplinary action.
 2        (A)  The   Department   may  revoke,  suspend,  place  on
 3    probationary status, or take any other disciplinary action as
 4    the Department may deem proper with regard to the license  or
 5    visiting professor permit of any person issued under this Act
 6    to  practice medicine, or to treat human ailments without the
 7    use of drugs and without operative surgery upon  any  of  the
 8    following grounds:
 9             (1)  Performance  of  an  elective  abortion  in any
10        place, locale, facility, or institution other than:
11                  (a)  a  facility  licensed  pursuant   to   the
12             Ambulatory Surgical Treatment Center Act;
13                  (b)  an institution licensed under the Hospital
14             Licensing Act; or
15                  (c)  an ambulatory surgical treatment center or
16             hospitalization  or  care facility maintained by the
17             State or any agency thereof, where  such  department
18             or  agency  has authority under law to establish and
19             enforce  standards  for  the   ambulatory   surgical
20             treatment    centers,   hospitalization,   or   care
21             facilities under its management and control; or
22                  (d)  ambulatory  surgical  treatment   centers,
23             hospitalization or care facilities maintained by the
24             Federal Government; or
25                  (e)  ambulatory   surgical  treatment  centers,
26             hospitalization or care facilities maintained by any
27             university or college established under the laws  of
28             this State and supported principally by public funds
29             raised by taxation.
30             (2)  Performance  of  an  abortion  procedure  in  a
31        wilful  and wanton manner on a woman who was not pregnant
32        at the time the abortion procedure was performed.
33             (3)  The conviction of a felony in this or any other
34        jurisdiction, except as otherwise provided in  subsection
 
                            -9-               LRB9202928DJmgA
 1        B  of  this  Section,  whether or not related to practice
 2        under this  Act,  or  the  entry  of  a  guilty  or  nolo
 3        contendere plea to a felony charge.
 4             (4)  Gross negligence in practice under this Act.
 5             (5)  Engaging    in   dishonorable,   unethical   or
 6        unprofessional conduct of a character likely to  deceive,
 7        defraud or harm the public.
 8             (6)  Obtaining   any   fee   by  fraud,  deceit,  or
 9        misrepresentation.
10             (7)  Habitual or excessive use  or  abuse  of  drugs
11        defined  in  law as controlled substances, of alcohol, or
12        of any other substances which results in the inability to
13        practice with reasonable judgment, skill or safety.
14             (8)  Practicing under a false or, except as provided
15        by law, an assumed name.
16             (9)  Fraud or misrepresentation in applying for,  or
17        procuring, a license under this Act or in connection with
18        applying for renewal of a license under this Act.
19             (10)  Making   a   false   or  misleading  statement
20        regarding their skill or the efficacy  or  value  of  the
21        medicine,  treatment,  or  remedy  prescribed  by them at
22        their direction in the treatment of any disease or  other
23        condition of the body or mind.
24             (11)  Allowing another person or organization to use
25        their license, procured under this Act, to practice.
26             (12)  Disciplinary   action   of  another  state  or
27        jurisdiction against a license or other authorization  to
28        practice  as  a  medical  doctor,  doctor  of osteopathy,
29        doctor of osteopathic medicine or doctor of chiropractic,
30        a certified copy of the record of the action taken by the
31        other state or jurisdiction being  prima  facie  evidence
32        thereof.
33             (13)  Violation  of  any provision of this Act or of
34        the Medical Practice Act prior to the repeal of that Act,
 
                            -10-              LRB9202928DJmgA
 1        or violation of the  rules,  or  a  final  administrative
 2        action  of  the  Director,  after  consideration  of  the
 3        recommendation of the Disciplinary Board.
 4             (14)  Dividing  with  anyone  other  than physicians
 5        with  whom  the  licensee  practices  in  a  partnership,
 6        Professional Association, limited liability  company,  or
 7        Medical  or Professional Corporation any fee, commission,
 8        rebate or other form of compensation for any professional
 9        services not actually and  personally  rendered.  Nothing
10        contained  in  this  subsection prohibits persons holding
11        valid and current licenses under this Act from practicing
12        medicine in partnership under  a  partnership  agreement,
13        including  a  limited liability partnership, in a limited
14        liability company under  the  Limited  Liability  Company
15        Act,   in   a   corporation  authorized  by  the  Medical
16        Corporation Act, as  an  association  authorized  by  the
17        Professional  Association  Act, or in a corporation under
18        the  Professional  Corporation  Act  or   from   pooling,
19        sharing,  dividing  or  apportioning  the fees and monies
20        received by them or by the  partnership,  corporation  or
21        association  in accordance with the partnership agreement
22        or  the  policies  of  the  Board  of  Directors  of  the
23        corporation or association.  Nothing  contained  in  this
24        subsection prohibits 2 or more corporations authorized by
25        the  Medical  Corporation Act, from forming a partnership
26        or joint venture  of  such  corporations,  and  providing
27        medical,  surgical  and scientific research and knowledge
28        by employees of these corporations if such employees  are
29        licensed  under  this  Act,  or  from  pooling,  sharing,
30        dividing, or apportioning the fees and monies received by
31        the  partnership  or joint venture in accordance with the
32        partnership  or   joint   venture   agreement.    Nothing
33        contained  in this subsection shall abrogate the right of
34        2 or more persons, holding  valid  and  current  licenses
 
                            -11-              LRB9202928DJmgA
 1        under this Act, to each receive adequate compensation for
 2        concurrently rendering professional services to a patient
 3        and   divide  a  fee;  provided,  the  patient  has  full
 4        knowledge  of  the  division,  and,  provided,  that  the
 5        division is made in proportion to the services  performed
 6        and responsibility assumed by each.
 7             (15)  A  finding  by  the Medical Disciplinary Board
 8        that the registrant  after  having  his  or  her  license
 9        placed  on probationary status or subjected to conditions
10        or restrictions violated the terms of  the  probation  or
11        failed to comply with such terms or conditions.
12             (16)  Abandonment of a patient.
13             (17)  Prescribing,      selling,      administering,
14        distributing,   giving  or  self-administering  any  drug
15        classified as a controlled substance (designated product)
16        or narcotic for other than medically accepted therapeutic
17        purposes.
18             (18)  Promotion  of  the  sale  of  drugs,  devices,
19        appliances or goods provided for a patient in such manner
20        as to exploit the  patient  for  financial  gain  of  the
21        physician.
22             (19)  Offering,  undertaking  or agreeing to cure or
23        treat disease by a secret method, procedure, treatment or
24        medicine, or the treating, operating or  prescribing  for
25        any human condition by a method, means or procedure which
26        the  licensee  refuses  to  divulge  upon  demand  of the
27        Department.
28             (20)  Immoral conduct in the commission of  any  act
29        including,  but  not  limited to, commission of an act of
30        sexual misconduct related to the licensee's practice.
31             (21)  Wilfully making or  filing  false  records  or
32        reports in his or her practice as a physician, including,
33        but  not  limited  to,  false  records  to support claims
34        against the medical assistance program of the  Department
 
                            -12-              LRB9202928DJmgA
 1        of Public Aid under the Illinois Public Aid Code.
 2             (22)  Wilful omission to file or record, or wilfully
 3        impeding  the  filing  or  recording, or inducing another
 4        person to omit to file  or  record,  medical  reports  as
 5        required  by  law,  or  wilfully  failing  to  report  an
 6        instance  of  suspected  abuse  or neglect as required by
 7        law.
 8             (23)  Being named as a perpetrator in  an  indicated
 9        report  by the Department of Children and Family Services
10        under the Abused and Neglected Child Reporting  Act,  and
11        upon  proof  by  clear  and  convincing evidence that the
12        licensee has caused a child to  be  an  abused  child  or
13        neglected  child  as  defined in the Abused and Neglected
14        Child Reporting Act.
15             (24)  Solicitation of professional patronage by  any
16        corporation,  agents  or persons, or profiting from those
17        representing themselves to be agents of the licensee.
18             (25)  Gross and wilful  and  continued  overcharging
19        for   professional   services,   including  filing  false
20        statements for collection of fees for which services  are
21        not  rendered, including, but not limited to, filing such
22        false statements for collection of  monies  for  services
23        not  rendered  from the medical assistance program of the
24        Department of Public Aid under the  Illinois  Public  Aid
25        Code.
26             (26)  A  pattern of practice or other behavior which
27        demonstrates incapacity or incompetence to practice under
28        this Act.
29             (27)  Mental illness or disability which results  in
30        the  inability to practice under this Act with reasonable
31        judgment, skill or safety.
32             (28)  Physical illness, including, but  not  limited
33        to,  deterioration  through the aging process, or loss of
34        motor skill which results in a physician's  inability  to
 
                            -13-              LRB9202928DJmgA
 1        practice  under  this Act with reasonable judgment, skill
 2        or safety.
 3             (29)  Cheating  on  or  attempt   to   subvert   the
 4        licensing examinations administered under this Act.
 5             (30)  Wilfully    or   negligently   violating   the
 6        confidentiality between physician and patient  except  as
 7        required by law.
 8             (31)  The use of any false, fraudulent, or deceptive
 9        statement  in  any document connected with practice under
10        this Act.
11             (32)  Aiding and abetting an individual not licensed
12        under this Act in the practice of a  profession  licensed
13        under this Act.
14             (33)  Violating state or federal laws or regulations
15        relating to controlled substances.
16             (34)  Failure   to  report  to  the  Department  any
17        adverse  final  action  taken  against  them  by  another
18        licensing jurisdiction (any other state or any  territory
19        of the United States or any foreign state or country), by
20        any  peer review body, by any health care institution, by
21        any  professional  society  or  association  related   to
22        practice  under  this Act, by any governmental agency, by
23        any law enforcement agency, or by any court for  acts  or
24        conduct similar to acts or conduct which would constitute
25        grounds for action as defined in this Section.
26             (35)  Failure  to report to the Department surrender
27        of a license or authorization to practice  as  a  medical
28        doctor,  a  doctor of osteopathy, a doctor of osteopathic
29        medicine, or doctor of chiropractic in another  state  or
30        jurisdiction,  or  surrender of membership on any medical
31        staff or in any medical or  professional  association  or
32        society, while under disciplinary investigation by any of
33        those  authorities or bodies, for acts or conduct similar
34        to acts or conduct which  would  constitute  grounds  for
 
                            -14-              LRB9202928DJmgA
 1        action as defined in this Section.
 2             (36)  Failure   to  report  to  the  Department  any
 3        adverse judgment, settlement, or  award  arising  from  a
 4        liability  claim  related  to  acts or conduct similar to
 5        acts or conduct which would constitute grounds for action
 6        as defined in this Section.
 7             (37)  Failure to transfer copies of medical  records
 8        as required by law.
 9             (38)  Failure   to   furnish   the  Department,  its
10        investigators or representatives,  relevant  information,
11        legally  requested  by  the Department after consultation
12        with the Chief Medical Coordinator or the Deputy  Medical
13        Coordinator.
14             (39)  Violating the Health Care Worker Self-Referral
15        Act.
16             (40)  Willful  failure to provide notice when notice
17        is required under the Parental Notice of Abortion Act  of
18        2001.  Willful  failure  to provide notice when notice is
19        required under the Parental Notice  of  Abortion  Act  of
20        1995.
21             (41)  Failure  to  establish and maintain records of
22        patient care and treatment as required by this law.
23             (42)  Entering into an excessive number  of  written
24        collaborative  agreements with licensed advanced practice
25        nurses  resulting   in   an   inability   to   adequately
26        collaborate and provide medical direction.
27             (43)  Repeated  failure  to  adequately  collaborate
28        with  or provide medical direction to a licensed advanced
29        practice nurse.
30        All proceedings to suspend, revoke, place on probationary
31    status,  or  take  any  other  disciplinary  action  as   the
32    Department  may  deem proper, with regard to a license on any
33    of the foregoing grounds, must be commenced  within  3  years
34    next  after receipt by the Department of a complaint alleging
 
                            -15-              LRB9202928DJmgA
 1    the commission of or notice of the conviction order  for  any
 2    of  the  acts  described  herein.   Except  for  the  grounds
 3    numbered (8), (9) and (29), no action shall be commenced more
 4    than 5 years after the date of the incident or act alleged to
 5    have  violated  this Section.  In the event of the settlement
 6    of any claim or cause of action in favor of the  claimant  or
 7    the  reduction to final judgment of any civil action in favor
 8    of the plaintiff, such claim, cause of action or civil action
 9    being grounded on the allegation that a person licensed under
10    this Act was negligent  in  providing  care,  the  Department
11    shall  have an additional period of one year from the date of
12    notification to the Department under Section 23 of  this  Act
13    of  such settlement or final judgment in which to investigate
14    and commence formal disciplinary proceedings under Section 36
15    of this Act, except as otherwise provided by law.   The  time
16    during  which the holder of the license was outside the State
17    of Illinois shall not be included within any period  of  time
18    limiting  the  commencement  of  disciplinary  action  by the
19    Department.
20        The entry of an order or judgment by  any  circuit  court
21    establishing that any person holding a license under this Act
22    is  a  person  in  need  of  mental  treatment  operates as a
23    suspension of that license.  That  person  may  resume  their
24    practice  only  upon  the entry of a Departmental order based
25    upon a finding by the Medical Disciplinary  Board  that  they
26    have  been  determined to be recovered from mental illness by
27    the court and upon the  Disciplinary  Board's  recommendation
28    that they be permitted to resume their practice.
29        The  Department  may refuse to issue or take disciplinary
30    action concerning the license of any person who fails to file
31    a return, or to pay the tax, penalty or interest shown  in  a
32    filed  return, or to pay any final assessment of tax, penalty
33    or interest, as required by any tax Act administered  by  the
34    Illinois  Department  of  Revenue,  until  such  time  as the
 
                            -16-              LRB9202928DJmgA
 1    requirements of any such tax Act are satisfied as  determined
 2    by the Illinois Department of Revenue.
 3        The   Department,   upon   the   recommendation   of  the
 4    Disciplinary  Board,  shall  adopt  rules  which  set   forth
 5    standards to be used in determining:
 6             (a)  when  a  person  will  be  deemed  sufficiently
 7        rehabilitated to warrant the public trust;
 8             (b)  what  constitutes  dishonorable,  unethical  or
 9        unprofessional  conduct of a character likely to deceive,
10        defraud, or harm the public;
11             (c)  what  constitutes  immoral   conduct   in   the
12        commission  of  any  act,  including, but not limited to,
13        commission of an act of sexual misconduct related to  the
14        licensee's practice; and
15             (d)  what   constitutes   gross  negligence  in  the
16        practice of medicine.
17        However, no such rule shall be admissible  into  evidence
18    in any civil action except for review of a licensing or other
19    disciplinary action under this Act.
20        In  enforcing  this  Section,  the  Medical  Disciplinary
21    Board, upon a showing of a possible violation, may compel any
22    individual  licensed  to  practice under this Act, or who has
23    applied for licensure or a permit pursuant to  this  Act,  to
24    submit  to  a  mental  or  physical  examination, or both, as
25    required by and  at  the  expense  of  the  Department.   The
26    examining physician or physicians shall be those specifically
27    designated   by   the   Disciplinary   Board.   The   Medical
28    Disciplinary  Board or the Department may order the examining
29    physician to present  testimony  concerning  this  mental  or
30    physical  examination  of  the  licensee  or  applicant.   No
31    information  shall be excluded by reason of any common law or
32    statutory privilege relating  to  communication  between  the
33    licensee  or  applicant  and  the  examining  physician.  The
34    individual  to  be  examined  may  have,  at  his  or her own
 
                            -17-              LRB9202928DJmgA
 1    expense, another physician  of  his  or  her  choice  present
 2    during  all  aspects  of  the  examination.    Failure of any
 3    individual to submit to mental or physical examination,  when
 4    directed,  shall  be  grounds  for  suspension  of his or her
 5    license until such time as  the  individual  submits  to  the
 6    examination if the Disciplinary Board finds, after notice and
 7    hearing,  that  the  refusal to submit to the examination was
 8    without reasonable cause.  If the Disciplinary Board finds  a
 9    physician unable to practice because of the reasons set forth
10    in  this  Section,  the Disciplinary Board shall require such
11    physician to submit to  care,  counseling,  or  treatment  by
12    physicians  approved or designated by the Disciplinary Board,
13    as  a  condition  for  continued,  reinstated,   or   renewed
14    licensure  to  practice.   Any  physician,  whose license was
15    granted pursuant to Sections 9, 17, or 19 of  this  Act,  or,
16    continued,  reinstated,  renewed,  disciplined or supervised,
17    subject to such terms, conditions or restrictions  who  shall
18    fail  to  comply with such terms, conditions or restrictions,
19    or to complete a required program  of  care,  counseling,  or
20    treatment,  as determined by the Chief Medical Coordinator or
21    Deputy  Medical  Coordinators,  shall  be  referred  to   the
22    Director for a determination as to whether the licensee shall
23    have  their  license suspended immediately, pending a hearing
24    by  the  Disciplinary  Board.   In  instances  in  which  the
25    Director immediately suspends a license under this Section, a
26    hearing upon such person's license must be  convened  by  the
27    Disciplinary  Board  within 15 days after such suspension and
28    completed without appreciable delay.  The Disciplinary  Board
29    shall  have  the  authority to review the subject physician's
30    record of treatment and counseling regarding the  impairment,
31    to  the  extent  permitted by applicable federal statutes and
32    regulations  safeguarding  the  confidentiality  of   medical
33    records.
34        An  individual  licensed  under  this Act, affected under
 
                            -18-              LRB9202928DJmgA
 1    this Section, shall be afforded an opportunity to demonstrate
 2    to the Disciplinary Board that they can  resume  practice  in
 3    compliance with acceptable and prevailing standards under the
 4    provisions of their license.
 5        The Department may promulgate rules for the imposition of
 6    fines  in  disciplinary  cases, not to exceed $5,000 for each
 7    violation of this Act.  Fines may be imposed  in  conjunction
 8    with other forms of disciplinary action, but shall not be the
 9    exclusive  disposition of any disciplinary action arising out
10    of conduct resulting in death or injury to  a  patient.   Any
11    funds  collected  from  such  fines shall be deposited in the
12    Medical Disciplinary Fund.
13        (B)  The Department shall revoke the license or  visiting
14    permit  of  any  person  issued  under  this  Act to practice
15    medicine or to treat human ailments without the use of  drugs
16    and  without  operative  surgery,  who  has  been convicted a
17    second time of  committing  any  felony  under  the  Illinois
18    Controlled Substances Act, or who has been convicted a second
19    time  of  committing a Class 1 felony under Sections 8A-3 and
20    8A-6 of the Illinois Public Aid Code.  A person whose license
21    or visiting permit is revoked  under  this  subsection  B  of
22    Section  22  of  this Act shall be prohibited from practicing
23    medicine or treating human ailments without the use of  drugs
24    and without operative surgery.
25        (C)  The  Medical  Disciplinary  Board shall recommend to
26    the Department civil  penalties  and  any  other  appropriate
27    discipline  in disciplinary cases when the Board finds that a
28    physician  willfully  performed  an  abortion   with   actual
29    knowledge  that  the  person  upon whom the abortion has been
30    performed is a minor or an incompetent person without  notice
31    as  required  under  the  Parental  Notice of Abortion Act of
32    2001.  Upon the Board's recommendation, the Department  shall
33    impose,  for  the  first violation, a civil penalty of $1,000
34    and for a second or subsequent violation, a civil penalty  of
 
                            -19-              LRB9202928DJmgA
 1    $5,000. The Medical Disciplinary Board shall recommend to the
 2    Department   civil   penalties   and  any  other  appropriate
 3    discipline in disciplinary cases when the Board finds that  a
 4    physician   willfully   performed  an  abortion  with  actual
 5    knowledge that the person upon whom  the  abortion  has  been
 6    performed  is a minor or an incompetent person without notice
 7    as required under the Parental  Notice  of  Abortion  Act  of
 8    1995.   Upon the Board's recommendation, the Department shall
 9    impose, for the first violation, a civil  penalty  of  $1,000
10    and  for a second or subsequent violation, a civil penalty of
11    $5,000.
12    (Source: P.A.  89-18,  eff.  6-1-95;  89-201,  eff.   1-1-96;
13    89-626,  eff.  8-9-96;  89-702,  eff.  7-1-97;  90-742,  eff.
14    8-13-98.)

15        (225 ILCS 60/23) (from Ch. 111, par. 4400-23)
16        Sec.  23.    Reports relating to professional conduct and
17    capacity.
18        (A)  Entities required to report.
19             (1)  Health   care    institutions.     The    chief
20        administrator  or  executive  officer  of any health care
21        institution licensed by the Illinois Department of Public
22        Health shall report to the Disciplinary  Board  when  any
23        person's   clinical  privileges  are  terminated  or  are
24        restricted based on a final determination, in  accordance
25        with that institution's by-laws or rules and regulations,
26        that  a  person has either committed an act or acts which
27        may  directly  threaten  patient  care,  and  not  of  an
28        administrative nature, or that a person may  be  mentally
29        or  physically  disabled  in such a manner as to endanger
30        patients under that person's  care.   Such  officer  also
31        shall report if a person accepts voluntary termination or
32        restriction  of  clinical  privileges  in  lieu of formal
33        action based upon conduct  related  directly  to  patient
 
                            -20-              LRB9202928DJmgA
 1        care  and  not of an administrative nature, or in lieu of
 2        formal action seeking to determine whether a  person  may
 3        be mentally or physically disabled in such a manner as to
 4        endanger  patients under that person's care.  The Medical
 5        Disciplinary  Board  shall,  by  rule,  provide  for  the
 6        reporting to it of  all  instances  in  which  a  person,
 7        licensed  under  this  Act,  who is impaired by reason of
 8        age,  drug  or  alcohol  abuse  or  physical  or   mental
 9        impairment,  is under supervision and, where appropriate,
10        is in a program of rehabilitation.  Such reports shall be
11        strictly confidential and may be reviewed and  considered
12        only  by  the  members  of  the Disciplinary Board, or by
13        authorized staff as provided by rules of the Disciplinary
14        Board.  Provisions shall be made for the periodic  report
15        of  the  status  of  any  such person not less than twice
16        annually in order that the Disciplinary Board shall  have
17        current information upon which to determine the status of
18        any  such  person.  Such initial  and periodic reports of
19        impaired  physicians  shall  not  be  considered  records
20        within the meaning of The State Records Act and shall  be
21        disposed   of,   following   a   determination   by   the
22        Disciplinary  Board  that  such  reports  are  no  longer
23        required,   in   a   manner  and  at  such  time  as  the
24        Disciplinary Board shall determine by rule.   The  filing
25        of  such  reports  shall  be construed as the filing of a
26        report for purposes of subsection (C) of this Section.
27             (2)  Professional associations.   The  President  or
28        chief executive officer of any association or society, of
29        persons  licensed  under  this Act, operating within this
30        State shall report to the  Disciplinary  Board  when  the
31        association or society renders a final determination that
32        a  person  has  committed  unprofessional conduct related
33        directly to patient care or that a person may be mentally
34        or physically disabled in such a manner  as  to  endanger
 
                            -21-              LRB9202928DJmgA
 1        patients under that person's care.
 2             (3)  Professional    liability    insurers.    Every
 3        insurance company which offers policies  of  professional
 4        liability  insurance  to persons licensed under this Act,
 5        or  any  other  entity  which  seeks  to  indemnify   the
 6        professional  liability  of  a person licensed under this
 7        Act,  shall  report  to  the   Disciplinary   Board   the
 8        settlement  of  any  claim  or  cause of action, or final
 9        judgment rendered in any cause of action,  which  alleged
10        negligence  in  the  furnishing  of  medical care by such
11        licensed person when such settlement or final judgment is
12        in favor of the plaintiff.
13             (4)  State's Attorneys.   The  State's  Attorney  of
14        each  county  shall  report to the Disciplinary Board all
15        instances in which a person licensed under  this  Act  is
16        convicted  or otherwise found guilty of the commission of
17        any felony. The  State's  Attorney  of  each  county  may
18        report  to  the  Disciplinary  Board  through  a verified
19        complaint any instance  in  which  the  State's  Attorney
20        believes  that  a  physician  has  willfully violated the
21        notice requirements of the Parental  Notice  of  Abortion
22        Act  of  2001.  The  State's  Attorney of each county may
23        report to  the  Disciplinary  Board  through  a  verified
24        complaint  any  instance  in  which  the State's Attorney
25        believes that a  physician  has  willfully  violated  the
26        notice  requirements  of  the Parental Notice of Abortion
27        Act of 1995.
28             (5)  State   agencies.    All   agencies,    boards,
29        commissions,  departments,  or other instrumentalities of
30        the government of the State of Illinois shall  report  to
31        the Disciplinary Board any instance arising in connection
32        with   the  operations  of  such  agency,  including  the
33        administration of any law by  such  agency,  in  which  a
34        person  licensed  under  this Act has either committed an
 
                            -22-              LRB9202928DJmgA
 1        act or acts which may be a violation of this Act or which
 2        may constitute unprofessional conduct related directly to
 3        patient care or which indicates that  a  person  licensed
 4        under  this Act may be mentally or physically disabled in
 5        such a manner as to endanger patients under that person's
 6        care.
 7        (B)  Mandatory reporting.  All reports required by  items
 8    (34),  (35),  and (36) of subsection (A) of Section 22 and by
 9    Section 23 shall be submitted to the Disciplinary Board in  a
10    timely fashion.  The reports shall be filed in writing within
11    60 days after a determination that a report is required under
12    this   Act.    All   reports   shall  contain  the  following
13    information:
14             (1)  The name, address and telephone number  of  the
15        person making the report.
16             (2)  The  name,  address and telephone number of the
17        person who is the subject of the report.
18             (3)  The name or other means  of  identification  of
19        any  patient  or patients whose treatment is a subject of
20        the report, provided, however, no medical records may  be
21        revealed  without  the  written consent of the patient or
22        patients.
23             (4)  A brief description of  the  facts  which  gave
24        rise  to  the issuance of the report, including the dates
25        of any occurrences deemed to necessitate  the  filing  of
26        the report.
27             (5)  If  court  action  is involved, the identity of
28        the court in which the action is filed,  along  with  the
29        docket number and date of filing of the action.
30             (6)  Any  further  pertinent  information  which the
31        reporting party deems to be an aid in the  evaluation  of
32        the report.
33        The Department shall have the right to inform patients of
34    the  right  to  provide written consent for the Department to
 
                            -23-              LRB9202928DJmgA
 1    obtain  copies  of  hospital   and   medical   records.   The
 2    Disciplinary Board or Department may exercise the power under
 3    Section  38  of  this  Act  to subpoena copies of hospital or
 4    medical records in mandatory report cases alleging  death  or
 5    permanent bodily injury when consent to obtain records is not
 6    provided  by  a patient or legal representative.  Appropriate
 7    rules shall be adopted by the Department with the approval of
 8    the Disciplinary Board.
 9        When  the  Department  has   received   written   reports
10    concerning  incidents  required to be reported in items (34),
11    (35),  and  (36)  of  subsection  (A)  of  Section  22,   the
12    licensee's  failure  to report the incident to the Department
13    under  those  items  shall  not  be  the  sole  grounds   for
14    disciplinary action.
15        Nothing  contained  in  this  Section shall act to in any
16    way, waive or modify the confidentiality of  medical  reports
17    and  committee  reports  to  the extent provided by law.  Any
18    information reported or  disclosed  shall  be  kept  for  the
19    confidential  use  of  the  Disciplinary  Board,  the Medical
20    Coordinators, the Disciplinary Board's attorneys, the medical
21    investigative  staff,  and  authorized  clerical  staff,   as
22    provided  in  this Act, and shall be afforded the same status
23    as is provided information concerning medical studies in Part
24    21 of Article VIII of the Code of Civil Procedure.
25        (C)  Immunity  from  prosecution.   Any   individual   or
26    organization  acting  in  good faith, and not in a wilful and
27    wanton manner, in complying with this Act  by  providing  any
28    report  or  other  information  to the Disciplinary Board, or
29    assisting  in  the  investigation  or  preparation  of   such
30    information,  or  by  participating  in  proceedings  of  the
31    Disciplinary  Board,  or  by  serving  as  a  member  of  the
32    Disciplinary  Board,  shall not, as a result of such actions,
33    be subject to criminal prosecution or civil damages.
34        (D)  Indemnification.  Members of the Disciplinary Board,
 
                            -24-              LRB9202928DJmgA
 1    the Medical Coordinators, the Disciplinary Board's attorneys,
 2    the medical investigative staff,  physicians  retained  under
 3    contract to assist and advise the medical coordinators in the
 4    investigation,   and   authorized  clerical  staff  shall  be
 5    indemnified by the State for any actions occurring within the
 6    scope of services on the Disciplinary  Board,  done  in  good
 7    faith  and  not  wilful  and  wanton in nature.  The Attorney
 8    General shall defend  all  such  actions  unless  he  or  she
 9    determines  either that there would be a conflict of interest
10    in such representation or that the actions complained of were
11    not in good faith or were wilful and wanton.
12        Should the Attorney General decline  representation,  the
13    member  shall  have the right to employ counsel of his or her
14    choice, whose fees shall be  provided  by  the  State,  after
15    approval   by   the  Attorney  General,  unless  there  is  a
16    determination by a court that the member's actions  were  not
17    in good faith or were wilful and wanton.
18        The member must notify the Attorney General within 7 days
19    of  receipt  of  notice  of  the  initiation  of  any  action
20    involving  services of the Disciplinary Board.  Failure to so
21    notify the Attorney  General  shall  constitute  an  absolute
22    waiver of the right to a defense and indemnification.
23        The  Attorney General shall determine within 7 days after
24    receiving such notice, whether he or she  will  undertake  to
25    represent the member.
26        (E)  Deliberations   of  Disciplinary  Board.   Upon  the
27    receipt of any report called for  by  this  Act,  other  than
28    those  reports  of  impaired  persons licensed under this Act
29    required pursuant to the rules of the Disciplinary Board, the
30    Disciplinary Board shall  notify  in  writing,  by  certified
31    mail,  the  person  who  is  the subject of the report.  Such
32    notification shall be made within 30 days of receipt  by  the
33    Disciplinary Board of the report.
34        The  notification  shall include a written notice setting
 
                            -25-              LRB9202928DJmgA
 1    forth the person's right to examine the report.  Included  in
 2    such  notification  shall be the address at which the file is
 3    maintained, the name of the custodian of the reports, and the
 4    telephone number at which the custodian may be  reached.  The
 5    person  who  is  the  subject  of  the  report shall submit a
 6    written  statement  responding,  clarifying,  adding  to,  or
 7    proposing the amending of the report previously  filed.   The
 8    statement  shall become a permanent part of the file and must
 9    be received by the Disciplinary Board no more  than  60  days
10    after  the  date  on  which  the  person  was notified by the
11    Disciplinary Board of the existence of the original report.
12        The Disciplinary Board shall review all reports  received
13    by   it,   together   with  any  supporting  information  and
14    responding  statements  submitted  by  persons  who  are  the
15    subject of reports.  The review  by  the  Disciplinary  Board
16    shall  be  in  a  timely  manner  but  in no event, shall the
17    Disciplinary Board's initial review of the material contained
18    in each disciplinary file be less than 61 days nor more  than
19    180  days  after  the  receipt  of  the initial report by the
20    Disciplinary Board.
21        When the Disciplinary Board makes its initial  review  of
22    the  materials  contained  within its disciplinary files, the
23    Disciplinary Board shall, in writing, make a determination as
24    to whether there are  sufficient  facts  to  warrant  further
25    investigation  or action.  Failure to make such determination
26    within  the  time  provided  shall  be   deemed   to   be   a
27    determination  that there are not sufficient facts to warrant
28    further investigation or action.
29        Should the Disciplinary Board find  that  there  are  not
30    sufficient facts to warrant further investigation, or action,
31    the  report shall be accepted for filing and the matter shall
32    be deemed closed  and  so  reported  to  the  Director.   The
33    Director  shall  then  have  30  days  to  accept the Medical
34    Disciplinary   Board's   decision    or    request    further
 
                            -26-              LRB9202928DJmgA
 1    investigation.   The  Director  shall  inform  the  Board  in
 2    writing  of  the  decision  to request further investigation,
 3    including  the  specific  reasons  for  the  decision.    The
 4    individual  or entity filing the original report or complaint
 5    and the person who is the subject of the report or  complaint
 6    shall  be  notified  in  writing by the Director of any final
 7    action on their report or complaint.
 8        (F)  Summary  reports.   The  Disciplinary  Board   shall
 9    prepare,  on  a  timely  basis, but in no event less than one
10    every other month, a summary report of  final  actions  taken
11    upon disciplinary files maintained by the Disciplinary Board.
12    The  summary  reports shall be sent by the Disciplinary Board
13    to every  health  care  facility  licensed  by  the  Illinois
14    Department  of  Public Health, every professional association
15    and society of persons licensed under this Act functioning on
16    a  statewide  basis  in  this  State,  the  American  Medical
17    Association,  the  American  Osteopathic   Association,   the
18    American  Chiropractic  Association,  all  insurers providing
19    professional liability insurance to  persons  licensed  under
20    this  Act  in  the State of Illinois, the Federation of State
21    Medical  Licensing  Boards,  and  the  Illinois   Pharmacists
22    Association.
23        (G)  Any  violation  of  this  Section shall be a Class A
24    misdemeanor.
25        (H)  If any such person violates the provisions  of  this
26    Section an action may be brought in the name of the People of
27    the  State  of  Illinois, through the Attorney General of the
28    State of Illinois, for an order enjoining such  violation  or
29    for  an  order  enforcing  compliance with this Section. Upon
30    filing of a verified petition in such court,  the  court  may
31    issue  a  temporary  restraining order without notice or bond
32    and may preliminarily or permanently enjoin  such  violation,
33    and  if it is established that such person has violated or is
34    violating the injunction, the court may punish  the  offender
 
                            -27-              LRB9202928DJmgA
 1    for  contempt  of  court.   Proceedings  under this paragraph
 2    shall be in addition to,  and  not  in  lieu  of,  all  other
 3    remedies and penalties provided for by this Section.
 4    (Source:  P.A.  89-18,  eff.  6-1-95;  89-702,  eff.  7-1-97;
 5    90-699, eff. 1-1-99.)

 6        (720 ILCS 515/Act rep.)
 7        Section 90. The Illinois Abortion Parental Consent Act of
 8    1977,  which  was  repealed  by  Public  Act  89-18, is again
 9    repealed.

10        (720 ILCS 520/Act rep.)
11        Section 95. The Parental Notice of Abortion Act of  1983,
12    which was repealed by Public Act 89-18, is again repealed.

13        (750 ILCS 70/Act rep.)
14        Section 100.  The Parental Notice of Abortion Act of 1995
15    is repealed.

16        Section 999.  Effective date.  This Act takes effect upon
17    becoming law.
 
                            -28-              LRB9202928DJmgA
 1                                INDEX
 2               Statutes amended in order of appearance
 3    55 ILCS 5/3-4006          from Ch. 34, par. 3-4006
 4    225 ILCS 60/22            from Ch. 111, par. 4400-22
 5    225 ILCS 60/23            from Ch. 111, par. 4400-23
 6    720 ILCS 515/Act rep.
 7    720 ILCS 520/Act rep.
 8    750 ILCS 70/Act rep.

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