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1 | AN ACT concerning health.
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2 | Be it enacted by the People of the State of Illinois,
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3 | represented in the General Assembly:
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4 | Section 5. The AIDS Confidentiality Act is amended by | ||||||||||||||||||||||||||||||||||
5 | changing Sections 3, 5, 7, and 9 and by adding Sections 9.5 and | ||||||||||||||||||||||||||||||||||
6 | 17 as follows:
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7 | (410 ILCS 305/3) (from Ch. 111 1/2, par. 7303)
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8 | Sec. 3. When used in this Act:
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9 | (a) "Department" means the Illinois Department of Public | ||||||||||||||||||||||||||||||||||
10 | Health.
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11 | (b) "AIDS" means acquired immunodeficiency syndrome.
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12 | (c) "HIV" means the Human Immunodeficiency Virus or
any | ||||||||||||||||||||||||||||||||||
13 | other identified causative agent of AIDS.
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14 | (d) "Written informed consent" means an
agreement in | ||||||||||||||||||||||||||||||||||
15 | writing executed by the subject of a test or the subject's
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16 | legally authorized representative without undue inducement or | ||||||||||||||||||||||||||||||||||
17 | any element
of force, fraud, deceit, duress or other form of | ||||||||||||||||||||||||||||||||||
18 | constraint or coercion,
which entails at least the following:
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19 | (1) a fair explanation of the test, including its purpose, | ||||||||||||||||||||||||||||||||||
20 | potential
uses, limitations and the meaning of its results; and
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21 | (2) a fair explanation of the procedures to be followed, | ||||||||||||||||||||||||||||||||||
22 | including the
voluntary nature of the test, the right to | ||||||||||||||||||||||||||||||||||
23 | withdraw consent to the testing
process at any time, the right |
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1 | to anonymity to the extent provided by law
with respect to | ||||||
2 | participation in the test and disclosure of test results,
and | ||||||
3 | the right to confidential treatment of
information identifying | ||||||
4 | the subject of the test and the results of the
test, to the | ||||||
5 | extent provided by law. Information may be provided in writing, | ||||||
6 | verbally, or by video, electronic, or other means that is | ||||||
7 | easily understandable by the subject and meets the requirements | ||||||
8 | of the Language Assistance Services Act. The subject must be | ||||||
9 | offered an opportunity to ask questions about the HIV test and | ||||||
10 | decline testing. Nothing in this Act shall prohibit a health | ||||||
11 | facility from combining the form used to obtain written | ||||||
12 | informed consent for HIV testing with forms used to obtain | ||||||
13 | written informed consent for general medical care or any other | ||||||
14 | medical test or procedure.
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15 | (e) "Health facility" means a hospital, nursing home, blood | ||||||
16 | bank, blood
center, sperm bank, or other health care | ||||||
17 | institution, including any "health
facility" as that term is | ||||||
18 | defined in the Illinois Finance Authority
Act.
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19 | (f) "Health care provider" means any health care | ||||||
20 | professional, nurse,
paramedic,
psychologist or other person | ||||||
21 | providing medical, nursing, psychological, or
other health | ||||||
22 | care services of any kind.
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23 | (f-5) "Health care professional" means (i) a licensed | ||||||
24 | physician, (ii) a
physician assistant
to whom the physician | ||||||
25 | assistant's supervising physician has delegated the
provision | ||||||
26 | of AIDS and
HIV-related health services, (iii) an advanced |
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1 | practice registered nurse who
has a written
collaborative | ||||||
2 | agreement with a collaborating physician which authorizes the
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3 | provision of AIDS
and HIV-related health services, (iv) a | ||||||
4 | licensed dentist, (v) a licensed
podiatrist, or (vi) an
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5 | individual certified to provide HIV testing and counseling by a | ||||||
6 | state or local
public health
department.
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7 | (g) "Test" or "HIV test" means a test to determine the | ||||||
8 | presence of the
antibody or antigen to HIV, or of HIV | ||||||
9 | infection.
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10 | (h) "Person" includes any natural person, partnership, | ||||||
11 | association,
joint venture, trust, governmental entity, public | ||||||
12 | or private corporation,
health facility or other legal entity.
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13 | (Source: P.A. 93-205, eff. 1-1-04; 93-482, eff. 8-8-03; revised | ||||||
14 | 9-12-03.)
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15 | (410 ILCS 305/5) (from Ch. 111 1/2, par. 7305)
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16 | Sec. 5. No health care provider or professional may order | ||||||
17 | an HIV test
without
making available to
the person tested | ||||||
18 | information about
the meaning
of the test results, the | ||||||
19 | availability of additional or confirmatory
testing, if | ||||||
20 | appropriate, and the availability of referrals for further
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21 | information or counseling.
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22 | (Source: P.A. 93-482, eff. 8-8-03.)
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23 | (410 ILCS 305/7) (from Ch. 111 1/2, par. 7307)
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24 | Sec. 7. (a) Notwithstanding the provisions of Sections 4, 5
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1 | and 6 of this Act, written informed consent is not required for | ||||||
2 | a health
care provider or professional or health facility to | ||||||
3 | perform a test when the health care
provider or professional or | ||||||
4 | health facility procures, processes, distributes or uses a
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5 | human body part donated for a purpose specified under the | ||||||
6 | Illinois
Anatomical Gift Act, or semen provided prior to the | ||||||
7 | effective date of this
Act for the purpose of artificial | ||||||
8 | insemination, and such a test is
necessary to assure medical | ||||||
9 | acceptability of such gift or semen for the
purposes intended.
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10 | (b) Written informed consent is not required for a health | ||||||
11 | care
provider or professional or health facility to perform a | ||||||
12 | test when a health care provider
or employee of a health | ||||||
13 | facility, or a firefighter or an EMT-A, EMT-I or EMT-P,
is | ||||||
14 | involved in an accidental direct skin or mucous membrane | ||||||
15 | contact with
the blood or bodily fluids of an individual which | ||||||
16 | is of a nature that may
transmit HIV, as determined by a | ||||||
17 | physician in his medical judgment. Should
such test prove to be | ||||||
18 | positive, the patient and the health care provider or | ||||||
19 | professional ,
health facility employee, firefighter, EMT-A, | ||||||
20 | EMT-I, or EMT-P shall be
provided appropriate counseling | ||||||
21 | consistent with this Act.
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22 | (c) Written informed consent is not required for a health | ||||||
23 | care
provider or professional or health facility to perform a | ||||||
24 | test when a law enforcement
officer is involved in the line of | ||||||
25 | duty in a direct skin or mucous membrane
contact with the blood | ||||||
26 | or bodily fluids of an individual which is of a
nature that may |
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1 | transmit HIV, as determined by a physician in his medical
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2 | judgment. Should such test prove to be positive, the patient | ||||||
3 | shall be
provided appropriate counseling consistent with this | ||||||
4 | Act. For purposes of
this subsection (c), "law enforcement | ||||||
5 | officer" means any person employed by
the State, a county or a | ||||||
6 | municipality as a policeman, peace officer,
auxiliary | ||||||
7 | policeman, correctional officer or in some like position
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8 | involving the enforcement of the law and protection of the | ||||||
9 | public interest
at the risk of that person's life.
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10 | (Source: P.A. 93-794, eff. 7-22-04.)
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11 | (410 ILCS 305/9) (from Ch. 111 1/2, par. 7309)
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12 | Sec. 9. No person may disclose or be compelled to disclose | ||||||
13 | the
identity of any person upon whom a test is performed, or | ||||||
14 | the results of
such a test in a manner which permits | ||||||
15 | identification of the subject of the
test, except to the | ||||||
16 | following persons:
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17 | (a) The subject of the test or the subject's legally
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18 | authorized representative. A physician may notify the spouse of | ||||||
19 | the
test subject, if the test result is positive and has been | ||||||
20 | confirmed
pursuant to rules adopted by the Department, provided | ||||||
21 | that the physician has
first sought unsuccessfully to persuade | ||||||
22 | the patient to notify the spouse or
that, a reasonable time | ||||||
23 | after the patient has agreed to make the
notification, the | ||||||
24 | physician has reason to believe that the patient has not
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25 | provided the notification. This paragraph shall not create a |
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1 | duty or
obligation under which a physician must notify the | ||||||
2 | spouse of the test
results, nor shall such duty or obligation | ||||||
3 | be implied. No civil liability
or criminal sanction under this | ||||||
4 | Act shall be imposed for any disclosure or
non-disclosure of a | ||||||
5 | test result to a spouse by a physician acting in good
faith | ||||||
6 | under this paragraph. For the purpose of any proceedings, civil | ||||||
7 | or
criminal, the good faith of any physician acting under this | ||||||
8 | paragraph shall
be presumed.
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9 | (b) Any person designated in a legally effective release of | ||||||
10 | the test
results executed by the subject of the test or the | ||||||
11 | subject's legally
authorized representative.
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12 | (c) An authorized agent or employee of a health facility or | ||||||
13 | health care
provider or professional if the health facility or | ||||||
14 | health care provider or professional itself is
authorized to | ||||||
15 | obtain the test results, the agent or employee provides
patient | ||||||
16 | care or handles or processes specimens of body fluids or | ||||||
17 | tissues,
and the agent or employee has a need to know such | ||||||
18 | information.
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19 | (d) The Department and local health authorities serving a | ||||||
20 | population of over 1,000,000 residents or other local health | ||||||
21 | authorities as designated by the Department, in accordance with | ||||||
22 | rules for reporting and
controlling the spread of disease, as | ||||||
23 | otherwise provided by State law.
The Department,
local health | ||||||
24 | authorities, and authorized representatives shall not disclose
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25 | information and records held by them relating to known or | ||||||
26 | suspected cases of
AIDS or HIV infection, publicly or in any |
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1 | action of any kind in any court or
before any tribunal, board, | ||||||
2 | or agency. AIDS and HIV infection data shall be
protected from | ||||||
3 | disclosure in accordance with the provisions of Sections 8-2101
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4 | through 8-2105 of the Code of Civil Procedure.
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5 | (e) A health facility or health care provider or | ||||||
6 | professional which procures, processes,
distributes or uses: | ||||||
7 | (i) a human body part from a deceased person
with respect to | ||||||
8 | medical information regarding that person; or (ii) semen
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9 | provided prior to the effective date of this Act for the | ||||||
10 | purpose of
artificial insemination.
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11 | (f) Health facility staff committees for the purposes of | ||||||
12 | conducting
program monitoring, program evaluation or service | ||||||
13 | reviews.
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14 | (g) (Blank).
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15 | (h) Any health care provider or professional or employee of | ||||||
16 | a health facility, and any
firefighter or EMT-A, EMT-P, or | ||||||
17 | EMT-I, involved in an accidental direct
skin or mucous membrane | ||||||
18 | contact with the blood or bodily fluids of an
individual which | ||||||
19 | is of a nature that may transmit HIV, as determined by a
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20 | physician in his medical judgment.
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21 | (i) Any law enforcement officer, as defined in subsection | ||||||
22 | (c) of
Section 7, involved in the line of duty in a direct skin | ||||||
23 | or mucous membrane
contact with the blood or bodily fluids of | ||||||
24 | an individual which is of a
nature that may transmit HIV, as | ||||||
25 | determined by a physician in his medical
judgment.
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26 | (j) A temporary caretaker of a child taken into temporary |
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1 | protective
custody by the Department of Children and Family | ||||||
2 | Services pursuant to Section 5
of the Abused and Neglected | ||||||
3 | Child Reporting Act, as now or hereafter amended.
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4 | (k) In the case of a minor under 18 years of age whose test | ||||||
5 | result is
positive and has been confirmed
pursuant to rules | ||||||
6 | adopted by the Department, the health care provider or | ||||||
7 | professional who ordered the test shall make a reasonable
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8 | effort to notify the minor's parent or legal guardian if, in | ||||||
9 | the
professional judgement of the health care provider or | ||||||
10 | professional , notification would be
in the best interest of the | ||||||
11 | child and the health care provider or professional has first
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12 | sought unsuccessfully to persuade the minor to notify the | ||||||
13 | parent or legal
guardian or a reasonable time after the minor | ||||||
14 | has agreed to notify
the parent or legal guardian, the health | ||||||
15 | care provider or professional has reason to
believe that the | ||||||
16 | minor has not made the notification. This subsection
shall not | ||||||
17 | create a duty or obligation under which a health care provider
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18 | must notify the minor's parent or legal guardian of the test | ||||||
19 | results, nor
shall a duty or obligation be implied. No civil | ||||||
20 | liability or criminal sanction
under this Act shall be imposed | ||||||
21 | for any notification or non-notification of a
minor's test | ||||||
22 | result by a health care provider acting in good faith under | ||||||
23 | this
subsection. For the purpose of any proceeding, civil or | ||||||
24 | criminal, the good
faith of any health care provider acting | ||||||
25 | under this subsection shall be
presumed.
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26 | (Source: P.A. 93-482, eff. 8-8-03; 94-102, eff. 1-1-06.)
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1 | (410 ILCS 305/9.5 new) | ||||||
2 | Sec. 9.5. Delivery of test results.
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3 | (a) The subject of the test or the subject's legally | ||||||
4 | authorized representative may be notified of the results of a | ||||||
5 | negative HIV test in writing, by telephone, or by any other | ||||||
6 | means that maintains the confidentiality of the test result as | ||||||
7 | set forth in Section 9 of this Act. | ||||||
8 | (b) The subject of the test or the subject's legally | ||||||
9 | authorized representative shall be notified by personal | ||||||
10 | contact of the indeterminate result of an HIV test and the need | ||||||
11 | for repeat testing. | ||||||
12 | If the subject is known to be at high risk of HIV infection | ||||||
13 | and the subject has negative or indeterminate test results, the | ||||||
14 | subject or the subject's legally authorized representative | ||||||
15 | shall be advised of the need for repeat testing and offered | ||||||
16 | counseling to prevent HIV infection or offered a referral to | ||||||
17 | counseling to prevent HIV infection. | ||||||
18 | (c) The subject of the test or the subject's legally | ||||||
19 | authorized representative shall be notified by personal | ||||||
20 | contact of the positive or preliminary positive result of an | ||||||
21 | HIV test. When the subject or the subject's legally authorized | ||||||
22 | representative is notified of a positive or preliminary | ||||||
23 | positive test result, the health care provider or professional | ||||||
24 | shall provide the subject or the subject's legally authorized | ||||||
25 | representative with a referral to counseling in connection with |
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1 | the positive or preliminary positive test result and a referral | ||||||
2 | to an appropriate medical facility for the treatment and | ||||||
3 | management of HIV, and shall provide assistance in making an | ||||||
4 | appointment to visit that facility for medical care. | ||||||
5 | (410 ILCS 305/17 new) | ||||||
6 | Sec. 17. Grants and training. The Department shall make | ||||||
7 | grants to expand voluntary routine HIV testing in health | ||||||
8 | facilities, including, but not limited to, grants for: the | ||||||
9 | purchase and distribution of rapid HIV test kits; the hiring of | ||||||
10 | staff to conduct health education activities related to routine | ||||||
11 | HIV testing; the training of healthcare providers and | ||||||
12 | professionals; the provision of technical assistance for | ||||||
13 | health facilities; the development and widespread | ||||||
14 | dissemination of written, video, electronic, and other | ||||||
15 | materials containing information required when conducting | ||||||
16 | voluntary HIV testing with written informed consent; the | ||||||
17 | development and dissemination of consent forms that contain a | ||||||
18 | written consent for general medical treatment and a written | ||||||
19 | consent for HIV testing; development and dissemination of | ||||||
20 | materials including model scripts that health care | ||||||
21 | professionals or providers may use to conduct HIV testing and | ||||||
22 | deliver test results, including brief HIV prevention | ||||||
23 | information for HIV-negative individuals; and research | ||||||
24 | conducted for the evaluation of the effectiveness of such | ||||||
25 | grants in expanding the availability of HIV testing. When |
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1 | making these grants to a health facility, the Department shall | ||||||
2 | give priority to health facilities or activities set forth in | ||||||
3 | this Section that shall identify the greatest number of | ||||||
4 | HIV-positive individuals.
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