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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 Sexual Assault Survivors Emergency | ||||||||||||||||||||||||||||||||||||||||||||||||||||
5 | Treatment Act is amended by changing Sections 1a, 2, 2.1, 2.2, | ||||||||||||||||||||||||||||||||||||||||||||||||||||
6 | 5, 6, 6.1, 6.2, 6.3, 6.4, and 7 and by adding Sections 5.1 and | ||||||||||||||||||||||||||||||||||||||||||||||||||||
7 | 5.2 as follows:
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8 | (410 ILCS 70/1a) (from Ch. 111 1/2, par. 87-1a)
| ||||||||||||||||||||||||||||||||||||||||||||||||||||
9 | Sec. 1a. " Sexual assault " means an act of forced sexual | ||||||||||||||||||||||||||||||||||||||||||||||||||||
10 | penetration or
sexual conduct, as defined in Section 12-12 of | ||||||||||||||||||||||||||||||||||||||||||||||||||||
11 | the Criminal Code, including
acts prohibited under Sections | ||||||||||||||||||||||||||||||||||||||||||||||||||||
12 | 12-13 through 12-16 of the Criminal Code of
1961, as amended.
| ||||||||||||||||||||||||||||||||||||||||||||||||||||
13 | (Source: P.A. 85-577.)
| ||||||||||||||||||||||||||||||||||||||||||||||||||||
14 | (410 ILCS 70/2) (from Ch. 111 1/2, par. 87-2)
| ||||||||||||||||||||||||||||||||||||||||||||||||||||
15 | Sec. 2. Hospitals to furnish emergency service. Every | ||||||||||||||||||||||||||||||||||||||||||||||||||||
16 | hospital
required to be licensed by the Department of Public
| ||||||||||||||||||||||||||||||||||||||||||||||||||||
17 | Health pursuant to
the Hospital Licensing Act, approved July 1, | ||||||||||||||||||||||||||||||||||||||||||||||||||||
18 | 1953, as now or hereafter
amended, which provides general | ||||||||||||||||||||||||||||||||||||||||||||||||||||
19 | medical and surgical hospital services
shall provide forensic | ||||||||||||||||||||||||||||||||||||||||||||||||||||
20 | and emergency medical services
emergency hospital service , in | ||||||||||||||||||||||||||||||||||||||||||||||||||||
21 | accordance with rules and
regulations adopted by the Department | ||||||||||||||||||||||||||||||||||||||||||||||||||||
22 | of Public Health,
to all alleged
sexual assault survivors who | ||||||||||||||||||||||||||||||||||||||||||||||||||||
23 | apply for such forensic and emergency medical
hospital | ||||||||||||||||||||||||||||||||||||||||||||||||||||
24 | emergency services in
relation to injuries or trauma resulting | ||||||||||||||||||||||||||||||||||||||||||||||||||||
25 | from the alleged sexual assault.
| ||||||||||||||||||||||||||||||||||||||||||||||||||||
26 | In addition every such hospital, regardless of whether or | ||||||||||||||||||||||||||||||||||||||||||||||||||||
27 | not a request
is made for reimbursement, except hospitals | ||||||||||||||||||||||||||||||||||||||||||||||||||||
28 | participating in community
or area wide plans in compliance | ||||||||||||||||||||||||||||||||||||||||||||||||||||
29 | with Section 4 of this Act, shall submit
to the Department of | ||||||||||||||||||||||||||||||||||||||||||||||||||||
30 | Public Health a plan to provide
forensic and emergency medical
| ||||||||||||||||||||||||||||||||||||||||||||||||||||
31 | hospital emergency
services to alleged sexual assault |
| |||||||
| |||||||
1 | survivors which
shall be made available by such hospital.
Such | ||||||
2 | plan shall be submitted within 60 days of receipt of the
| ||||||
3 | Department's request for this plan, to the Department of Public | ||||||
4 | Health for approval prior to such plan becoming effective. The
| ||||||
5 | Department of Public Health shall approve such plan for
| ||||||
6 | forensic and emergency medical services
emergency service
to | ||||||
7 | alleged sexual assault survivors if it finds that the | ||||||
8 | implementation of
the proposed plan would provide adequate | ||||||
9 | forensic and emergency medical services
hospital emergency | ||||||
10 | service for
alleged sexual assault survivors and provide | ||||||
11 | sufficient protections from the
risk of pregnancy by sexual | ||||||
12 | assault survivors.
| ||||||
13 | The Department of Public Health shall periodically
conduct | ||||||
14 | on site
reviews
of such approved
plans with hospital personnel | ||||||
15 | to insure that the established procedures
are being followed.
| ||||||
16 | (Source: P.A. 92-156, eff. 1-1-02.)
| ||||||
17 | (410 ILCS 70/2.1) (from Ch. 111 1/2, par. 87-2.1)
| ||||||
18 | Sec. 2.1. Plans of correction - Penalties for failure to | ||||||
19 | implement
such plans. If the Department of Public Health | ||||||
20 | surveyor determines that
the hospital is not
in compliance with | ||||||
21 | its approved plan, the surveyor shall provide the
hospital with | ||||||
22 | a written list of the specific items of noncompliance within
2 | ||||||
23 | weeks of the conclusion of the on site review. The hospital | ||||||
24 | shall have
14 working days to submit to the Department of | ||||||
25 | Public Health a plan of
correction which
contains the | ||||||
26 | hospital's specific proposals for correcting the items of
| ||||||
27 | noncompliance. The Department of Public Health shall review the | ||||||
28 | plan of
correction and
notify the hospital in writing as to | ||||||
29 | whether the plan is acceptable
or nonacceptable.
| ||||||
30 | If the Department of Public Health finds the Plan of | ||||||
31 | Correction
nonacceptable, the
hospital shall have 7 working | ||||||
32 | days to resubmit an acceptable Plan of
Correction. Upon | ||||||
33 | notification that its Plan of Correction is acceptable, a
| ||||||
34 | hospital shall implement the Plan of Correction within 60 days.
| ||||||
35 | The failure to submit an acceptable Plan of Correction or |
| |||||||
| |||||||
1 | to implement
the Plan of Correction, within the time frames | ||||||
2 | required in this Section,
will subject a hospital to the | ||||||
3 | imposition of a fine by the Department of
Public Health. The
| ||||||
4 | Department of Public Health may impose a fine of up to $500
| ||||||
5 | $100.00 per day
until a hospital
complies with the requirements | ||||||
6 | of this Section.
| ||||||
7 | Before imposing a fine pursuant to this Section, the | ||||||
8 | Department of Public
Health shall
provide the hospital via | ||||||
9 | certified mail with written notice and an
opportunity for an | ||||||
10 | administrative hearing. Such hearing must be requested
within | ||||||
11 | 10 working days of receipt of the Department of Public Health's | ||||||
12 | Notice.
All hearings
shall be conducted in accordance with the | ||||||
13 | Department of Public Health's rules
in
administrative | ||||||
14 | hearings.
| ||||||
15 | (Source: P.A. 90-587, eff. 7-1-98.)
| ||||||
16 | (410 ILCS 70/2.2)
| ||||||
17 | Sec. 2.2. Emergency contraception.
| ||||||
18 | (a) The General Assembly finds:
| ||||||
19 | (1) Crimes of sexual assault and abuse
violence cause | ||||||
20 | significant physical, emotional, and
psychological trauma | ||||||
21 | to the victims. This trauma is compounded by a victim's
| ||||||
22 | fear of becoming pregnant and bearing a child as a result | ||||||
23 | of the sexual
assault.
| ||||||
24 | (2) Each year over 32,000 women become pregnant in the | ||||||
25 | United States as
the result of rape and
approximately 50% | ||||||
26 | of these pregnancies end in abortion.
| ||||||
27 | (3) As approved for use by the Federal Food and Drug | ||||||
28 | Administration (FDA),
emergency contraception can | ||||||
29 | significantly reduce the risk of pregnancy if taken
within | ||||||
30 | 96
72 hours after the sexual assault.
| ||||||
31 | (4) By providing emergency contraception to rape | ||||||
32 | victims in a timely
manner, the trauma of rape can be | ||||||
33 | significantly reduced.
| ||||||
34 | (b) Within 120 days after the effective date of this | ||||||
35 | amendatory Act of the
92nd General Assembly, every hospital |
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| |||||||
1 | providing services to alleged sexual
assault survivors in | ||||||
2 | accordance with a plan approved under Section 2 must
develop a | ||||||
3 | protocol that ensures that each survivor of sexual
assault will | ||||||
4 | receive medically and factually accurate and written and oral
| ||||||
5 | information about emergency contraception; the indications and
| ||||||
6 | counter-indications and risks associated with the use of | ||||||
7 | emergency
contraception;
and a description of how and when | ||||||
8 | victims may be provided emergency
contraception upon
the | ||||||
9 | written order of a physician licensed to practice medicine
in | ||||||
10 | all its branches, an advanced practice nurse who has a written | ||||||
11 | collaborative agreement with a collaborating physician that | ||||||
12 | authorizes prescription of emergency contraception, or a | ||||||
13 | physician assistant who has been delegated authority to | ||||||
14 | prescribe emergency contraception. The Department shall | ||||||
15 | approve the protocol if it finds
that the implementation of the | ||||||
16 | protocol would provide sufficient protection
for survivors of a
| ||||||
17 | an alleged sexual assault.
| ||||||
18 | The hospital shall implement the protocol upon approval by | ||||||
19 | the Department.
The Department shall adopt rules and | ||||||
20 | regulations establishing one or more safe
harbor protocols and | ||||||
21 | setting minimum acceptable protocol standards that
hospitals | ||||||
22 | may develop and implement. The Department shall approve any | ||||||
23 | protocol
that meets those standards. The Department may provide | ||||||
24 | a sample acceptable
protocol upon request.
| ||||||
25 | (Source: P.A. 92-156, eff. 1-1-02; 93-962, eff. 8-20-04.)
| ||||||
26 | (410 ILCS 70/5) (from Ch. 111 1/2, par. 87-5)
| ||||||
27 | Sec. 5. Minimum requirements for hospitals providing | ||||||
28 | forensic and emergency medical services
emergency service
to | ||||||
29 | sexual assault survivors.
| ||||||
30 | (a) Every hospital providing forensic and emergency | ||||||
31 | medical
emergency
hospital services to a
an alleged sexual | ||||||
32 | assault survivor under this Act
shall, as minimum requirements | ||||||
33 | for such services, provide, with the consent
of the alleged | ||||||
34 | sexual assault survivor, and as ordered by the attending
| ||||||
35 | physician, an advanced practice nurse who has a written |
| |||||||
| |||||||
1 | collaborative agreement with a collaborating physician that | ||||||
2 | authorizes provision of forensic and emergency medical
| ||||||
3 | emergency services, or a physician assistant who has been | ||||||
4 | delegated authority to provide forensic and emergency medical
| ||||||
5 | emergency services, the following:
| ||||||
6 | (1) appropriate medical examinations and laboratory
| ||||||
7 | tests required to ensure the health, safety, and welfare
of | ||||||
8 | a
an alleged sexual assault survivor or which may be
used | ||||||
9 | as evidence in a criminal proceeding against a person | ||||||
10 | accused of the
sexual assault, or both; and records of the | ||||||
11 | results of such examinations
and tests shall be maintained | ||||||
12 | by the hospital and made available to law
enforcement | ||||||
13 | officials upon the request of the alleged sexual assault | ||||||
14 | survivor;
| ||||||
15 | (2) appropriate oral and written information | ||||||
16 | concerning the possibility
of infection, sexually | ||||||
17 | transmitted disease and pregnancy
resulting from sexual | ||||||
18 | assault;
| ||||||
19 | (3) appropriate oral and written information | ||||||
20 | concerning accepted medical
procedures, medication, and | ||||||
21 | possible contraindications of such medication
available | ||||||
22 | for the prevention or treatment of infection or disease | ||||||
23 | resulting
from sexual assault;
| ||||||
24 | (4) such medication , dispensed at the time of service | ||||||
25 | for immediate and future treatment related to the sexual | ||||||
26 | assault, as is deemed appropriate by the attending | ||||||
27 | physician, an advanced practice nurse, or a physician | ||||||
28 | assistant, including HIV prophylaxis;
| ||||||
29 | (5) (blank)
a blood test to determine the presence or | ||||||
30 | absence of sexually
transmitted disease ;
| ||||||
31 | (6) written and oral instructions indicating the need | ||||||
32 | for a second examination and subsequent blood
tests
test 6 | ||||||
33 | weeks after the sexual assault to determine the presence or | ||||||
34 | absence of
sexually transmitted disease; and
| ||||||
35 | (7) referral for appropriate counseling as determined | ||||||
36 | by the hospital, by trained
personnel designated by the |
| |||||||
| |||||||
1 | hospital .
| ||||||
2 | (b) (Blank)
Any minor who is an alleged survivor of sexual
| ||||||
3 | assault who seeks emergency services
under this Act shall be | ||||||
4 | provided such services without the consent
of the parent, | ||||||
5 | guardian or custodian of the minor .
| ||||||
6 | (Source: P.A. 93-962, eff. 8-20-04; 94-434, eff. 1-1-06.)
| ||||||
7 | (410 ILCS 70/5.1 new) | ||||||
8 | Sec. 5.1. Minimum requirements for health care facilities | ||||||
9 | providing follow-up care to sexual assault survivors. Each | ||||||
10 | health care facility that provides follow-up care to a sexual | ||||||
11 | assault survivor shall, as minimum requirements for the | ||||||
12 | service, provide, with the consent of the alleged sexual | ||||||
13 | assault survivor and as ordered by an attending physician, an | ||||||
14 | advance practice nurse who has a written collaborative | ||||||
15 | agreement with a collaborating physician, or a physician | ||||||
16 | assistant who has been delegated authority to provide follow-up | ||||||
17 | services, the following: | ||||||
18 | (1) a physical examination; and | ||||||
19 | (2) blood tests to determine the presence or absence of | ||||||
20 | sexually transmitted diseases. | ||||||
21 | (410 ILCS 70/5.2 new) | ||||||
22 | Sec. 5.2. Survivor's rights. | ||||||
23 | (a) Any minor who is a survivor of sexual assault and who | ||||||
24 | seeks forensic and emergency medical services under this Act | ||||||
25 | shall be provided the services without the consent of the | ||||||
26 | minor's parents, guardian, or custodian. | ||||||
27 | (b) A sexual assault survivor has the right to have present | ||||||
28 | during forensic and emergency medical services and follow-up | ||||||
29 | care an advocate or other support person of the survivor's | ||||||
30 | choosing.
| ||||||
31 | (410 ILCS 70/6) (from Ch. 111 1/2, par. 87-6)
| ||||||
32 | Sec. 6. Powers and duties of Departments of Public Health | ||||||
33 | and Healthcare and Family Services
Public Aid .
|
| |||||||
| |||||||
1 | (a) The Department of Public Health shall have
the duties | ||||||
2 | and responsibilities
required by Sections 2, 6.1, 6.2, and 6.4.
| ||||||
3 | (b) The Department of Healthcare and Family Services
Public | ||||||
4 | Aid shall have the duties and
responsibilities required by | ||||||
5 | Sections 6.3 and 7.
| ||||||
6 | (Source: P.A. 89-507, eff. 7-1-97; 90-587, eff. 7-1-98; revised | ||||||
7 | 12-15-05.)
| ||||||
8 | (410 ILCS 70/6.1) (from Ch. 111 1/2, par. 87-6.1)
| ||||||
9 | Sec. 6.1. To prescribe minimum standards, rules and
| ||||||
10 | regulations necessary
to implement this Act, which shall apply | ||||||
11 | to every hospital
required to be licensed by the Department of | ||||||
12 | Public
Health.
Such standards shall include, but not be limited | ||||||
13 | to, a
uniform system for recording results of medical | ||||||
14 | examinations
and all diagnostic tests performed in connection | ||||||
15 | therewith to
determine the condition and necessary treatment of | ||||||
16 | alleged
sexual assault survivors, which results shall be | ||||||
17 | preserved in a
confidential manner as part of the hospital | ||||||
18 | record of the patient.
| ||||||
19 | (Source: P.A. 89-507, eff. 7-1-97.)
| ||||||
20 | (410 ILCS 70/6.2) (from Ch. 111 1/2, par. 87-6.2)
| ||||||
21 | Sec. 6.2. To assist in the development and operation
of | ||||||
22 | programs which provide forensic and emergency medical
| ||||||
23 | emergency services to alleged sexual assault
survivors, and, | ||||||
24 | where necessary, to provide grants to hospitals for
this | ||||||
25 | purpose.
| ||||||
26 | (Source: P.A. 85-577.)
| ||||||
27 | (410 ILCS 70/6.3) (from Ch. 111 1/2, par. 87-6.3)
| ||||||
28 | Sec. 6.3. To establish standards, rules and regulations, | ||||||
29 | for the
reimbursement to hospitals , health care facilities, and | ||||||
30 | ambulance providers of billed charges of
providing services to | ||||||
31 | alleged sexual assault survivors, pursuant to
Section 7 of this | ||||||
32 | Act.
| ||||||
33 | (Source: P.A. 85-577.)
|
| |||||||
| |||||||
1 | (410 ILCS 70/6.4) (from Ch. 111 1/2, par. 87-6.4)
| ||||||
2 | Sec. 6.4. Sexual assault evidence collection program.
| ||||||
3 | (a) There is created a statewide sexual assault evidence | ||||||
4 | collection program
to facilitate the prosecution of persons | ||||||
5 | accused of sexual assault. This
program shall be administered | ||||||
6 | by the Illinois
State Police. The program shall
consist of the | ||||||
7 | following: (1) distribution of sexual assault evidence
| ||||||
8 | collection kits which have been approved by the Illinois
State | ||||||
9 | Police to hospitals that request them, or arranging for
such | ||||||
10 | distribution by the manufacturer of the kits, (2) collection of | ||||||
11 | the kits
from hospitals after the kits have been used to | ||||||
12 | collect
evidence, (3) analysis of the collected evidence and | ||||||
13 | conducting of laboratory
tests, (4) maintaining the chain of | ||||||
14 | custody and safekeeping of the evidence
for use in a legal | ||||||
15 | proceeding, and (5) the comparison of the collected evidence | ||||||
16 | with the genetic marker grouping analysis information | ||||||
17 | maintained by the Department of State Police under Section | ||||||
18 | 5-4-3 of the Unified Code of Corrections and with the | ||||||
19 | information contained in the Federal Bureau of Investigation's | ||||||
20 | National DNA database; provided the amount and quality of | ||||||
21 | genetic marker grouping results obtained from the evidence in | ||||||
22 | the sexual assault case meets the requirements of both the | ||||||
23 | Department of State Police and the Federal Bureau of | ||||||
24 | Investigation's Combined DNA Index System (CODIS) policies. | ||||||
25 | The standardized evidence collection kit for
the State of | ||||||
26 | Illinois shall be the Illinois State Police Sexual Assault | ||||||
27 | Evidence Collection Kit
State Police Evidence Collection Kit, | ||||||
28 | also
known as "S.P.E.C.K." .
A sexual assault evidence | ||||||
29 | collection kit may not be released by a hospital
without the | ||||||
30 | written consent of the sexual assault survivor. In the case of | ||||||
31 | a
survivor who is a minor 13 years of age or older, evidence | ||||||
32 | and
information concerning the alleged sexual assault may be | ||||||
33 | released at the
written request of the minor. If the survivor | ||||||
34 | is a minor who is under 13 years
of age, evidence and | ||||||
35 | information concerning the alleged sexual assault may be
|
| |||||||
| |||||||
1 | released at the written request of the parent, guardian, | ||||||
2 | investigating law
enforcement officer, or Department of | ||||||
3 | Children and Family Services. Any health
care professional, | ||||||
4 | including any physician, advanced practice nurse, physician | ||||||
5 | assistant, or nurse, sexual assault nurse
examiner, and any | ||||||
6 | health care
institution, including any hospital, who provides | ||||||
7 | evidence or information to a
law enforcement officer pursuant | ||||||
8 | to a written request as specified in this
Section is immune | ||||||
9 | from any civil or professional liability that might arise
from | ||||||
10 | those actions, with the exception of willful or wanton | ||||||
11 | misconduct. The
immunity provision applies only if all of the | ||||||
12 | requirements of this Section are
met.
| ||||||
13 | (a-5) All sexual assault evidence collected using the State | ||||||
14 | Police Evidence Collection Kits before January 1, 2005 ( the | ||||||
15 | effective date of Public Act 93-781)
this amendatory Act of the | ||||||
16 | 93rd General Assembly that have not been previously analyzed | ||||||
17 | and tested by the Department of State Police shall be analyzed | ||||||
18 | and tested within 2 years after receipt of all necessary | ||||||
19 | evidence and standards into the State Police Laboratory if | ||||||
20 | sufficient staffing and resources are available. All sexual | ||||||
21 | assault evidence collected using the State Police Evidence | ||||||
22 | Collection Kits on or after January 1, 2005 ( the effective date | ||||||
23 | of Public Act 93-781) this amendatory Act of the 93rd General | ||||||
24 | Assembly shall be analyzed and tested by the Department of | ||||||
25 | State Police within one year after receipt of all necessary | ||||||
26 | evidence and standards into the State Police Laboratory if | ||||||
27 | sufficient staffing and resources are available.
| ||||||
28 | (b) The Illinois State Police shall administer a program to | ||||||
29 | train hospitals
and hospital personnel participating in the | ||||||
30 | sexual assault evidence collection
program, in the correct use | ||||||
31 | and application of the sexual assault evidence
collection kits. | ||||||
32 | A sexual assault nurse examiner may conduct
examinations using | ||||||
33 | the sexual assault evidence collection kits, without the
| ||||||
34 | presence or participation of a physician. The Department of | ||||||
35 | Public Health
shall
cooperate with the Illinois State Police in | ||||||
36 | this
program as it pertains to medical aspects of the evidence |
| |||||||
| |||||||
1 | collection.
| ||||||
2 | (c) In this Section, "sexual assault nurse examiner" means | ||||||
3 | a registered
nurse
who has completed a sexual assault nurse | ||||||
4 | examiner (SANE) training program that
meets the Forensic Sexual | ||||||
5 | Assault Nurse Examiner Education Guidelines
established by the | ||||||
6 | International Association of Forensic Nurses.
| ||||||
7 | (Source: P.A. 92-514, eff. 1-1-02; 93-781, eff. 1-1-05; 93-962, | ||||||
8 | eff. 8-20-04; revised 10-14-04.)
| ||||||
9 | (410 ILCS 70/7) (from Ch. 111 1/2, par. 87-7)
| ||||||
10 | Sec. 7. Hospital charges and reimbursement. When any | ||||||
11 | hospital , health care facility,
or ambulance provider | ||||||
12 | furnishes forensic and emergency medical services, follow-up | ||||||
13 | care, or ambulance
emergency services to any alleged sexual
| ||||||
14 | assault survivor, as defined by the Department of Healthcare | ||||||
15 | and Family Services
Public Aid pursuant to
Section 6.3 of this | ||||||
16 | Act, who is neither eligible to
receive such services under the | ||||||
17 | Illinois Public Aid Code nor covered as
to such services by a | ||||||
18 | policy of insurance, the hospital , health care facility, and | ||||||
19 | ambulance provider
shall furnish such services to that person | ||||||
20 | without charge and shall
be entitled to be reimbursed for its | ||||||
21 | appropriate
billed charges in
providing such services by the | ||||||
22 | Department of Healthcare and Family Services
Public Aid .
| ||||||
23 | (Source: P.A. 89-507, eff. 7-1-97; 90-587, eff. 7-1-98; revised | ||||||
24 | 12-15-05.)
| ||||||
25 | (410 ILCS 70/3 rep.)
| ||||||
26 | (410 ILCS 70/4 rep.)
| ||||||
27 | Section 10. The Sexual Assault Survivors Emergency | ||||||
28 | Treatment Act is amended by repealing Sections 3 and 4.
|