Date	Chamber	Action
8/20/2007	House	Public Act . . . . . . . . . 95-0282

Statutes Amended In Order of Appearance

20 ILCS 1705/10.5 new

20 ILCS 2310/2310-312 new

110 ILCS 330/7 new

210 ILCS 85/6.23 new

Synopsis As Introduced
Amends the Mental Health and Developmental Disabilities Administrative Act, the Department of Public Health Powers and Duties Law of the Civil Administrative Code of Illinois, the University of Illinois Hospital Act, and the Hospital Licensing Act. Requires the Department of Public Health to perform certain functions in relation to the prevention and control of Multidrug-Resistant Organisms (MDROs). In particular, requires the Department to: (1) adopt rules for all health care facilities subject to licensure, certification, registration, or other regulation by the Department requiring compliance with the 2006 recommendations of the U.S. Centers for Disease Control and Prevention for the prevention and control of MDROs; (2) conduct a public information campaign for health care providers not subject to regulation by the Department; (3) create and administer a training program for health care providers; and (4) recommend and approve tests or testing procedures used in determining, preventing, and controlling MDRO infection. Requires hospitals (including the University of Illinois Hospital) and Department of Human Services mental health and developmental disability facilities to implement comprehensive interventions and routine testing procedures. Effective immediately.

House Amendment No. 1
Provides that the Department of Human Services shall adopt rules that may require one or more of the mental health and developmental disability facilities under its jurisdiction to implement comprehensive interventions to prevent and control MDROs (instead of rules requiring all such facilities to establish and implement such interventions). Provides that the Department of Public Health shall adopt rules that may require one or more of the types of facilities subject to regulation by the Department to comply with C.D.C. recommendations for the prevention and control of MDROs (instead of rules requiring all such facilities to comply with those recommendations). Deletes provisions requiring facilities to establish and implement procedures for routinely testing all patients for MRSA. Deletes a provision that the Department of Public Health shall recommend and approve tests or testing procedures used in determining, preventing, and controlling MDRO infection.

House Amendment No. 2
Replaces everything after the enacting clause and re-inserts provisions similar to those of the introduced bill with these changes: Provides that the Department of Human Services shall adopt rules that may require one or more of the mental health and developmental disability facilities under its jurisdiction to implement comprehensive interventions to prevent and control MDROs (instead of rules requiring all such facilities to establish and implement such interventions). Provides that the Department of Public Health shall adopt rules that may require one or more of the types of facilities subject to regulation by the Department to comply with C.D.C. recommendations for the prevention and control of MDROs (instead of rules requiring all such facilities to comply with those recommendations). In language providing that the Department of Public Health shall adopt rules for health care facilities requiring compliance with specified recommendations for the prevention and control of Multidrug-Resistant Organisms, creates an exception for hospitals, for which administrative rules shall be adopted in accordance with the Hospital Licensing Act and the University of Illinois Hospital Act. Deletes provisions requiring facilities to establish and implement procedures for routinely testing all patients for MRSA. Deletes a provision that the Department of Public Health shall recommend and approve tests or testing procedures used in determining, preventing, and controlling MDRO infection. Makes other changes. Effective immediately.

House Amendment No. 3

	Adds reference to:
	210 ILCS 86/25

Replaces everything after the enacting clause and re-inserts provisions similar to those of the bill as amended by House Amendment No. 2, but with changes that include the following: (1) provides that the Department of Public Health (IDPH) may require facilities to perform an annual infection control risk assessment, develop policies that are based on the assessment and incorporate updated recommendations of the U.S. Centers for Disease Control and Prevention, and enforce hand hygiene requirements; (2) makes changes concerning publicity by IDPH with respect to guidelines for reducing the incidence of MDROs; (3) eliminates provisions concerning a training program to be administered by IDPH; (4) requires IDPH to publish a yearly report regarding MRSA and Clostridium difficile infections and implement surveillance for designated cases of community associated MRSA infections for a period of at least 3 years, beginning on or before January 1, 2008; (5) requires IDPH to adopt administrative rules that require the University of Illinois Hospital and other hospitals to perform an annual facility-wide infection control risk assessment and enforce hand hygiene and contact precaution requirements; and (6) amends the Hospital Report Card Act to require hospitals to include in their quarterly reports to IDPH organisms, including but not limited to MRSA, that are responsible for central venous catheter-associated bloodstream infections and ventilator-associated pneumonia in designated hospital units. Effective immediately.

Fiscal Note (Dept. of Public Health)

The Department estimates that HB 192 will have a fiscal impact of approximately $400,000 annually. The cost estimated includes funding for the addition of 2 FTEs to implement the epidemiologic surveillance, reporting and guideline development activities and to design a new Illinois National Electronic Disease Surveillance System module to meet the requirements of HB 192 Engrossed. It should be noted that if the data collection prescribed by the current Communicable Disease Code revisions is deemed sufficient to meet the provisions of HB 192 (H-AM 3), the costs for the INEDSS CA-MRSA module for reporting could possibly be reduced.

Actions 

Date	Chamber	Action
1/4/2007	House	Prefiled with Clerk by Rep. Mary E. Flowers
1/19/2007	House	First Reading
1/19/2007	House	Referred to Rules Committee
1/31/2007	House	Assigned to Human Services Committee
2/7/2007	House	Re-assigned to Health Care Availability and Access Committee
2/21/2007	House	Motion Do Pass - Lost Health Care Availability and Access Committee; 004-006-002
2/21/2007	House	Remains in Health Care Availability and Access Committee
2/28/2007	House	House Amendment No. 1 Filed with Clerk by Health Care Availability and Access Committee
2/28/2007	House	House Amendment No. 1 Adopted in Health Care Availability and Access Committee; by Voice Vote
2/28/2007	House	Remains in Health Care Availability and Access Committee
3/6/2007	House	House Amendment No. 2 Filed with Clerk by Health Care Availability and Access Committee
3/6/2007	House	House Amendment No. 2 Adopted in Health Care Availability and Access Committee; by Voice Vote
3/6/2007	House	Do Pass as Amended / Short Debate Health Care Availability and Access Committee; 013-000-000
3/7/2007	House	Placed on Calendar 2nd Reading - Short Debate
3/19/2007	House	House Amendment No. 3 Filed with Clerk by Rep. Mary E. Flowers
3/19/2007	House	House Amendment No. 3 Referred to Rules Committee
3/21/2007	House	House Amendment No. 3 Recommends Be Adopted Rules Committee; 004-000-000
4/17/2007	House	Second Reading - Short Debate
4/17/2007	House	House Amendment No. 3 Adopted by Voice Vote
4/17/2007	House	Placed on Calendar Order of 3rd Reading - Short Debate
4/19/2007	House	Third Reading - Short Debate - Passed 115-000-000
4/19/2007	House	Added Chief Co-Sponsor Rep. Patricia R. Bellock
4/20/2007	Senate	Arrive in Senate
4/20/2007	Senate	Placed on Calendar Order of First Reading
4/20/2007	Senate	Chief Senate Sponsor Sen. Donne E. Trotter
4/20/2007	Senate	First Reading
4/20/2007	Senate	Referred to Rules
4/25/2007	Senate	Assigned to Public Health
4/25/2007	Senate	Added as Alternate Chief Co-Sponsor Sen. Edward D. Maloney
4/25/2007	Senate	Added as Alternate Chief Co-Sponsor Sen. Kwame Raoul
4/26/2007	Senate	Added as Alternate Chief Co-Sponsor Sen. Louis S. Viverito
4/26/2007	Senate	Added as Alternate Chief Co-Sponsor Sen. Mattie Hunter
5/1/2007	Senate	Added as Alternate Co-Sponsor Sen. M. Maggie Crotty
5/2/2007	Senate	Added as Alternate Co-Sponsor Sen. Don Harmon
5/9/2007	House	Added Chief Co-Sponsor Rep. Sandy Cole
5/15/2007	Senate	Do Pass Public Health; 006-003-000
5/15/2007	Senate	Placed on Calendar Order of 2nd Reading May 16, 2007
5/16/2007	Senate	Fiscal Note Requested by Sen. Christine Radogno
5/18/2007	Senate	Fiscal Note Filed from the Illinois Department of Public Health.
5/22/2007	Senate	Second Reading
5/22/2007	Senate	Placed on Calendar Order of 3rd Reading May 23, 2007
5/23/2007	Senate	Added as Alternate Co-Sponsor Sen. Jeffrey M. Schoenberg
5/23/2007	Senate	Third Reading - Passed; 054-003-000
5/23/2007	House	Passed Both Houses
6/21/2007	House	Sent to the Governor
8/20/2007	Senate	Added as Alternate Co-Sponsor Sen. Christine Radogno
8/20/2007	House	Governor Approved
8/20/2007	House	Effective Date August 20, 2007
8/20/2007	House	Public Act . . . . . . . . . 95-0282

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