HB4331 EngrossedLRB100 16764 MJP 31904 b

1    AN ACT concerning regulation.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Department of Public Health Powers and
5Duties Law of the Civil Administrative Code of Illinois is
6amended by adding Section 2310-316 as follows:
 
7    (20 ILCS 2310/2310-316 new)
8    Sec. 2310-316. Opioid overdose reporting.
9    (a) The Department shall adopt rules to implement the
10requirements of this amendatory Act of the 100th General
11Assembly.
12    (b) The Department shall annually report to the General
13Assembly the data collected under this Section, Section 8.5 of
14the University of Illinois Hospital Act, and Section 6.09c of
15the Hospital Licensing Act and the data reported to the
16Department concerning deaths in which an opioid overdose is
17determined to be a contributing factor, as required by Section
183-3013 of the Counties Code. The report shall specify the data
19for each county. The report to the General Assembly shall be
20filed with the Clerk of the House of Representatives and the
21Secretary of the Senate in electronic form only, in the manner
22that the Clerk and the Secretary shall direct. The report shall
23be provided electronically to any member of the General

 

 

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1Assembly upon request.
 
2    Section 10. The Counties Code is amended by changing
3Section 3-3013 as follows:
 
4    (55 ILCS 5/3-3013)  (from Ch. 34, par. 3-3013)
5    Sec. 3-3013. Preliminary investigations; blood and urine
6analysis; summoning jury; reports. Every coroner, whenever, as
7soon as he knows or is informed that the dead body of any
8person is found, or lying within his county, whose death is
9suspected of being:
10        (a) A sudden or violent death, whether apparently
11    suicidal, homicidal or accidental, including but not
12    limited to deaths apparently caused or contributed to by
13    thermal, traumatic, chemical, electrical or radiational
14    injury, or a complication of any of them, or by drowning or
15    suffocation, or as a result of domestic violence as defined
16    in the Illinois Domestic Violence Act of 1986;
17        (b) A maternal or fetal death due to abortion, or any
18    death due to a sex crime or a crime against nature;
19        (c) A death where the circumstances are suspicious,
20    obscure, mysterious or otherwise unexplained or where, in
21    the written opinion of the attending physician, the cause
22    of death is not determined;
23        (d) A death where addiction to alcohol or to any drug
24    may have been a contributory cause; or

 

 

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1        (e) A death where the decedent was not attended by a
2    licensed physician;
3shall go to the place where the dead body is, and take charge
4of the same and shall make a preliminary investigation into the
5circumstances of the death. In the case of death without
6attendance by a licensed physician the body may be moved with
7the coroner's consent from the place of death to a mortuary in
8the same county. Coroners in their discretion shall notify such
9physician as is designated in accordance with Section 3-3014 to
10attempt to ascertain the cause of death, either by autopsy or
11otherwise.
12    In cases of accidental death involving a motor vehicle in
13which the decedent was (1) the operator or a suspected operator
14of a motor vehicle, or (2) a pedestrian 16 years of age or
15older, the coroner shall require that a blood specimen of at
16least 30 cc., and if medically possible a urine specimen of at
17least 30 cc. or as much as possible up to 30 cc., be withdrawn
18from the body of the decedent in a timely fashion after the
19accident causing his death, by such physician as has been
20designated in accordance with Section 3-3014, or by the coroner
21or deputy coroner or a qualified person designated by such
22physician, coroner, or deputy coroner. If the county does not
23maintain laboratory facilities for making such analysis, the
24blood and urine so drawn shall be sent to the Department of
25State Police or any other accredited or State-certified
26laboratory for analysis of the alcohol, carbon monoxide, and

 

 

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1dangerous or narcotic drug content of such blood and urine
2specimens. Each specimen submitted shall be accompanied by
3pertinent information concerning the decedent upon a form
4prescribed by such laboratory. Any person drawing blood and
5urine and any person making any examination of the blood and
6urine under the terms of this Division shall be immune from all
7liability, civil or criminal, that might otherwise be incurred
8or imposed.
9    In all other cases coming within the jurisdiction of the
10coroner and referred to in subparagraphs (a) through (e) above,
11blood, and whenever possible, urine samples shall be analyzed
12for the presence of alcohol and other drugs. When the coroner
13suspects that drugs may have been involved in the death, either
14directly or indirectly, a toxicological examination shall be
15performed which may include analyses of blood, urine, bile,
16gastric contents and other tissues. When the coroner suspects a
17death is due to toxic substances, other than drugs, the coroner
18shall consult with the toxicologist prior to collection of
19samples. Information submitted to the toxicologist shall
20include information as to height, weight, age, sex and race of
21the decedent as well as medical history, medications used by
22and the manner of death of decedent.
23    When the coroner or medical examiner finds that the cause
24of death is due to homicidal means, the coroner or medical
25examiner shall cause blood and buccal specimens (tissue may be
26submitted if no uncontaminated blood or buccal specimen can be

 

 

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1obtained), whenever possible, to be withdrawn from the body of
2the decedent in a timely fashion. For proper preservation of
3the specimens, collected blood and buccal specimens shall be
4dried and tissue specimens shall be frozen if available
5equipment exists. As soon as possible, but no later than 30
6days after the collection of the specimens, the coroner or
7medical examiner shall release those specimens to the police
8agency responsible for investigating the death. As soon as
9possible, but no later than 30 days after the receipt from the
10coroner or medical examiner, the police agency shall submit the
11specimens using the agency case number to a National DNA Index
12System (NDIS) participating laboratory within this State, such
13as the Illinois Department of State Police, Division of
14Forensic Services, for analysis and categorizing into genetic
15marker groupings. The results of the analysis and categorizing
16into genetic marker groupings shall be provided to the Illinois
17Department of State Police and shall be maintained by the
18Illinois Department of State Police in the State central
19repository in the same manner, and subject to the same
20conditions, as provided in Section 5-4-3 of the Unified Code of
21Corrections. The requirements of this paragraph are in addition
22to any other findings, specimens, or information that the
23coroner or medical examiner is required to provide during the
24conduct of a criminal investigation.
25    In all counties, in cases of apparent suicide, homicide, or
26accidental death or in other cases, within the discretion of

 

 

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1the coroner, the coroner may summon 8 persons of lawful age
2from those persons drawn for petit jurors in the county. The
3summons shall command these persons to present themselves
4personally at such a place and time as the coroner shall
5determine, and may be in any form which the coroner shall
6determine and may incorporate any reasonable form of request
7for acknowledgement which the coroner deems practical and
8provides a reliable proof of service. The summons may be served
9by first class mail. From the 8 persons so summoned, the
10coroner shall select 6 to serve as the jury for the inquest.
11Inquests may be continued from time to time, as the coroner may
12deem necessary. The 6 jurors selected in a given case may view
13the body of the deceased. If at any continuation of an inquest
14one or more of the original jurors shall be unable to continue
15to serve, the coroner shall fill the vacancy or vacancies. A
16juror serving pursuant to this paragraph shall receive
17compensation from the county at the same rate as the rate of
18compensation that is paid to petit or grand jurors in the
19county. The coroner shall furnish to each juror without fee at
20the time of his discharge a certificate of the number of days
21in attendance at an inquest, and, upon being presented with
22such certificate, the county treasurer shall pay to the juror
23the sum provided for his services.
24    In counties which have a jury commission, in cases of
25apparent suicide or homicide or of accidental death, the
26coroner may conduct an inquest. The jury commission shall

 

 

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1provide at least 8 jurors to the coroner, from whom the coroner
2shall select any 6 to serve as the jury for the inquest.
3Inquests may be continued from time to time as the coroner may
4deem necessary. The 6 jurors originally chosen in a given case
5may view the body of the deceased. If at any continuation of an
6inquest one or more of the 6 jurors originally chosen shall be
7unable to continue to serve, the coroner shall fill the vacancy
8or vacancies. At the coroner's discretion, additional jurors to
9fill such vacancies shall be supplied by the jury commission. A
10juror serving pursuant to this paragraph in such county shall
11receive compensation from the county at the same rate as the
12rate of compensation that is paid to petit or grand jurors in
13the county.
14    In every case in which a fire is determined to be a
15contributing factor in a death, the coroner shall report the
16death to the Office of the State Fire Marshal. The coroner
17shall provide a copy of the death certificate (i) within 30
18days after filing the permanent death certificate and (ii) in a
19manner that is agreed upon by the coroner and the State Fire
20Marshal.
21    In every case in which a drug overdose is determined to be
22the cause or a contributing factor in the death, the coroner or
23medical examiner shall report the death to the Department of
24Public Health. The Department of Public Health shall adopt
25rules regarding specific information that must be reported in
26the event of such a death. If possible, the coroner shall

 

 

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1report the cause of the overdose. As used in this Section,
2"overdose" has the same meaning as it does in Section 414 of
3the Illinois Controlled Substances Act. The Department of
4Public Health shall issue a semiannual report to the General
5Assembly summarizing the reports received. The Department
6shall also provide on its website a monthly report of overdose
7death figures organized by location, age, and any other
8factors, the Department deems appropriate.
9    In addition, in every case in which domestic violence is
10determined to be a contributing factor in a death, the coroner
11shall report the death to the Department of State Police.
12    In addition, in every case in which an opioid overdose is
13determined to be a contributing factor in a death, the coroner
14shall report the death and the age, gender, race, and county of
15residence, if known, of the decedent to the Department of
16Public Health.
17    All deaths in State institutions and all deaths of wards of
18the State or youth in care as defined in Section 4d of the
19Children and Family Services Act in private care facilities or
20in programs funded by the Department of Human Services under
21its powers relating to mental health and developmental
22disabilities or alcoholism and substance abuse or funded by the
23Department of Children and Family Services shall be reported to
24the coroner of the county in which the facility is located. If
25the coroner has reason to believe that an investigation is
26needed to determine whether the death was caused by

 

 

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1maltreatment or negligent care of the ward of the State or
2youth in care as defined in Section 4d of the Children and
3Family Services Act, the coroner may conduct a preliminary
4investigation of the circumstances of such death as in cases of
5death under circumstances set forth in paragraphs (a) through
6(e) of this Section.
7(Source: P.A. 99-354, eff. 1-1-16; 99-480, eff. 9-9-15; 99-642,
8eff. 7-28-16; 100-159, eff. 8-18-17.)