100TH GENERAL ASSEMBLY
State of Illinois
2017 and 2018
HB5245

 

Introduced , by Rep. Michael D. Unes

 

SYNOPSIS AS INTRODUCED:
 
See Index

    Amends the Sexual Assault Survivors Emergency Treatment Act. Adds various provisions concerning requirements for hospitals and pediatric health care facilities in relation to pediatric sexual assault care. Provides that a hospital licensed under the Hospital Licensing Act or operated under the University of Illinois Hospital Act (rather than licensed under the Hospital Licensing Act) that provides general medical and surgical hospital services shall provide either transfer services to all sexual assault survivors, medical forensic services to all sexual assault survivors, or transfer services to pediatric sexual assault survivors and medical forensic services to sexual assault survivors 13 years old or older (rather than transfer services or hospital emergency services and forensic services in relation to injuries or trauma resulting from sexual assault). Provides that a pediatric health care facility may provide medical forensic services to pediatric sexual assault survivors. Adds provisions concerning requirements placed on the Department of Public Health; consent to jurisdiction for pediatric health care facilities; storage, retention, and dissemination of photo documentation relating to medical forensic services; sexual assault services vouchers; pediatric sexual assault care; and requirements placed on the Attorney General. Makes other changes.


LRB100 20715 MJP 36183 b

FISCAL NOTE ACT MAY APPLY

 

 

A BILL FOR

 

HB5245LRB100 20715 MJP 36183 b

1    AN ACT concerning health.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Sexual Assault Survivors Emergency
5Treatment Act is amended by changing Sections 1a, 2, 2.1, 2.2,
63, 5, 5.5, 6.1, 6.2, 6.4, 6.5, 6.6, 7, 7.5, 8, 8.5, and 9 and by
7adding Sections 2.05, 2.06, 5.1, 5.2, 5.3, and 10 as follows:
 
8    (410 ILCS 70/1a)  (from Ch. 111 1/2, par. 87-1a)
9    Sec. 1a. Definitions. In this Act:
10    "Advanced practice registered nurse" has the meaning
11provided in Section 50-10 of the Nurse Practice Act.
12    "Ambulance provider" means an individual or entity that
13owns and operates a business or service using ambulances or
14emergency medical services vehicles to transport emergency
15patients.
16    "Approved pediatric health care facility" means a health
17care facility, other than a hospital, with a sexual assault
18treatment plan approved by the Department to provide medical
19forensic services to pediatric sexual assault survivors who
20present with a complaint of sexual assault within a minimum of
21the last 7 days or who have disclosed past sexual assault by a
22specific individual and were in the care of that individual
23within a minimum of the last 7 days.

 

 

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1    "Areawide sexual assault treatment plan" means a plan,
2developed by the hospitals or by hospitals and approved
3pediatric health care facilities in a the community or area to
4be served, which provides for medical forensic hospital
5emergency services to sexual assault survivors that shall be
6made available by each of the participating hospitals and
7approved pediatric health care facilities.
8    "Board-certified child abuse pediatrician" means a
9physician certified by the American Board of Pediatrics in
10child abuse pediatrics.
11    "Board-eligible child abuse pediatrician" means a
12physician who has completed the requirements set forth by the
13American Board of Pediatrics to take the examination for
14certification in child abuse pediatrics.
15    "Department" means the Department of Public Health.
16    "Emergency contraception" means medication as approved by
17the federal Food and Drug Administration (FDA) that can
18significantly reduce the risk of pregnancy if taken within 72
19hours after sexual assault.
20    "Follow-up healthcare" means healthcare services related
21to a sexual assault, including laboratory services and pharmacy
22services, rendered within 90 days of the initial visit for
23medical forensic hospital emergency services.
24    "Forensic services" means the collection of evidence
25pursuant to a statewide sexual assault evidence collection
26program administered by the Department of State Police, using

 

 

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1the Illinois State Police Sexual Assault Evidence Collection
2Kit.
3    "Health care professional" means a physician, a physician
4assistant, a sexual assault forensic examiner, or an advanced
5practice registered nurse, a registered professional nurse, a
6licensed practical nurse, or a sexual assault nurse examiner.
7    "Hospital" means a hospital licensed under the Hospital
8Licensing Act or operated under the University of Illinois
9Hospital Act and any outpatient center included in the
10hospital's sexual assault treatment plan where hospital
11employees provide medical forensic services has the meaning
12given to that term in the Hospital Licensing Act.
13    "Hospital emergency services" means healthcare delivered
14to outpatients within or under the care and supervision of
15personnel working in a designated emergency department of a
16hospital, including, but not limited to, care ordered by such
17personnel for a sexual assault survivor in the emergency
18department.
19    "Illinois State Police Sexual Assault Evidence Collection
20Kit" means a prepackaged set of materials and forms to be used
21for the collection of evidence relating to sexual assault. The
22standardized evidence collection kit for the State of Illinois
23shall be the Illinois State Police Sexual Assault Evidence
24Collection Kit.
25    "Law enforcement agency having jurisdiction" means the law
26enforcement agency in the jurisdiction where an alleged sexual

 

 

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1assault or sexual abuse occurred.
2    "Licensed practical nurse" has the meaning provided in
3Section 50-10 of the Nurse Practice Act.
4    "Medical forensic services" means health care delivered to
5patients within or under the care and supervision of personnel
6working in a designated emergency department of a hospital or
7an approved pediatric health care facility. "Medical forensic
8services" includes, but is not limited to, taking a medical
9history, performing photo documentation, performing a physical
10and anogenital examination, assessing the patient for evidence
11collection, collecting evidence in accordance with a statewide
12sexual assault evidence collection program administered by the
13Department of State Police using the Illinois State Police
14Sexual Assault Evidence Collection Kit, if appropriate,
15assessing the patient for drug-facilitated or
16alcohol-facilitated sexual assault, providing an evaluation of
17and care for sexually transmitted infection and human
18immunodeficiency virus (HIV), pregnancy risk evaluation and
19care, and discharge and follow-up healthcare planning.
20    "Pediatric health care facility" means a clinic or
21physician's office that provides medical services to pediatric
22patients.
23    "Pediatric sexual assault survivor" means a person under
24the age of 13 who presents for medical forensic services in
25relation to injuries or trauma resulting from a sexual assault.
26    "Photo documentation" means digital photographs or

 

 

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1colposcope videos stored and backed-up securely in the original
2file format.
3    "Nurse" means a nurse licensed under the Nurse Practice
4Act.
5    "Physician" means a person licensed to practice medicine in
6all its branches.
7    "Physician assistant" has the meaning provided in Section 4
8of the Physician Assistant Practice Act of 1987.
9    "Prepubescent sexual assault survivor" means a female who
10is under the age of 18 years and has not had a first menstrual
11cycle or a male who is under the age of 18 years and has not
12started to develop secondary sex characteristics who presents
13for medical forensic services in relation to injuries or trauma
14resulting from a sexual assault.
15    "Qualified medical provider" means a board-certified child
16abuse pediatrician, board-eligible child abuse pediatrician, a
17sexual assault forensic examiner, or a sexual assault nurse
18examiner who has access to photo documentation tools, and who
19participates in peer review.
20    "Registered Professional Nurse" has the meaning provided
21in Section 50-10 of the Nurse Practice Act.
22    "Sexual assault" means:
23    (1) an act of nonconsensual sexual conduct; as used in this
24paragraph, "sexual conduct" has the meaning provided under
25Section 11-0.1 of the Criminal Code of 2012; or
26    (2) any act of sexual penetration; as used in this

 

 

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1paragraph, "sexual penetration" has the meaning provided under
2Section 11-0.1 of the Criminal Code of 2012 and includes, or
3sexual penetration, as defined in Section 11-0.1 of the
4Criminal Code of 2012, including, without limitation, acts
5prohibited under Sections 11-1.20 through 11-1.60 of the
6Criminal Code of 2012.
7    "Sexual assault forensic examiner" means a physician or
8physician assistant who has completed a training program that
9meets the Sexual Assault Nurse Examiner Education Guidelines
10established by the International Association of Forensic
11Nurses.
12    "Sexual assault nurse examiner" means an advanced practice
13registered nurse or registered professional nurse who has
14completed a sexual assault nurse examiner training program that
15meets the Sexual Assault Nurse Examiner Education Guidelines
16established by the International Association of Forensic
17Nurses.
18    "Sexual assault services voucher" means a document
19generated by a hospital or approved pediatric health care
20facility at the time the sexual assault survivor receives
21outpatient medical forensic services that may be used to seek
22payment for any ambulance services, medical forensic services,
23laboratory services, pharmacy services, and follow-up
24healthcare provided as a result of the sexual assault.
25    "Sexual assault survivor" means a person who presents for
26medical forensic hospital emergency services in relation to

 

 

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1injuries or trauma resulting from a sexual assault.
2    "Sexual assault transfer plan" means a written plan
3developed by a hospital and approved by the Department, which
4describes the hospital's procedures for transferring sexual
5assault survivors to another hospital, and an approved
6pediatric health care facility, if applicable, in order to
7receive medical forensic services emergency treatment.
8    "Sexual assault treatment plan" means a written plan
9developed by a hospital that describes the hospital's
10procedures and protocols for providing medical hospital
11emergency services and forensic services to sexual assault
12survivors who present themselves for such services, either
13directly or through transfer from a another hospital or an
14approved pediatric health care facility.
15    "Transfer hospital" means a hospital with a sexual assault
16transfer plan approved by the Department.
17    "Transfer services" means the appropriate medical
18screening examination and necessary stabilizing treatment
19prior to the transfer of a sexual assault survivor to a
20hospital or an approved pediatric health care facility that
21provides medical hospital emergency services and forensic
22services to sexual assault survivors pursuant to a sexual
23assault treatment plan or areawide sexual assault treatment
24plan.
25    "Treatment hospital" means a hospital with a sexual assault
26treatment plan approved by the Department to provide medical

 

 

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1forensic services to all sexual assault survivors who present
2with a complaint of sexual assault within a minimum of the last
37 days or who have disclosed past sexual assault by a specific
4individual and were in the care of that individual within a
5minimum of the last 7 days.
6    "Treatment hospital with approved pediatric transfer"
7means a hospital with a treatment plan approved by the
8Department to provide medical forensic services to sexual
9assault survivors 13 years old or older who present with a
10complaint of sexual assault within a minimum of the last 7 days
11or who have disclosed past sexual assault by a specific
12individual and were in the care of that individual within a
13minimum of the last 7 days.
14    "Voucher" means a document generated by a hospital at the
15time the sexual assault survivor receives hospital emergency
16and forensic services that a sexual assault survivor may
17present to providers for follow-up healthcare.
18(Source: P.A. 99-454, eff. 1-1-16; 99-801, eff. 1-1-17;
19100-513, eff. 1-1-18.)
 
20    (410 ILCS 70/2)  (from Ch. 111 1/2, par. 87-2)
21    Sec. 2. Hospital and approved pediatric health care
22facility requirements for sexual assault plans.
23    (a) Every hospital required to be licensed by the
24Department pursuant to the Hospital Licensing Act, or operated
25under the University of Illinois Hospital Act that approved

 

 

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1July 1, 1953, as now or hereafter amended, which provides
2general medical and surgical hospital services shall provide
3either (i) transfer services to all sexual assault survivors,
4or (ii) medical hospital emergency services and forensic
5services to all sexual assault survivors, or (iii) transfer
6services to pediatric sexual assault survivors and medical
7forensic services to sexual assault survivors 13 years old or
8older, in accordance with rules and regulations adopted by the
9Department, to all sexual assault survivors who apply for
10either (i) transfer services or (ii) hospital emergency
11services and forensic services in relation to injuries or
12trauma resulting from the sexual assault.
13    In addition, every such hospital, regardless of whether or
14not a request is made for reimbursement, shall submit to the
15Department a plan to provide either (i) transfer services to
16all sexual assault survivors, or (ii) medical hospital
17emergency services and forensic services to all sexual assault
18survivors, or (iii) transfer services to pediatric sexual
19assault survivors and medical forensic services to sexual
20assault survivors 13 years old or older. Such plan shall be
21submitted within 60 days after receipt of the Department's
22request for this plan, to the Department for approval prior to
23such plan becoming effective. The Department shall approve such
24plan for either (i) transfer services to all sexual assault
25survivors, or (ii) medical hospital emergency services and
26forensic services to all sexual assault survivors, or (iii)

 

 

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1transfer services to pediatric sexual assault survivors and
2medical forensic services to sexual assault survivors 13 years
3old or older, if it finds that the implementation of the
4proposed plan would provide adequate (i) transfer services or
5(ii) medical hospital emergency services and forensic services
6for sexual assault survivors in accordance with the
7requirements of this Act and provide sufficient protections
8from the risk of pregnancy to sexual assault survivors.
9    A transfer must be in accordance with federal and State
10laws and local ordinances.
11    A treatment hospital with approved pediatric transfer must
12submit an areawide treatment plan under Section 3 of this Act
13that includes a written agreement with a treatment hospital
14stating that the treatment hospital will provide medical
15forensic services to pediatric sexual assault survivors
16transferred from the treatment hospital with approved
17pediatric transfer. The areawide treatment plan may also
18include an approved pediatric health care facility.
19    A transfer hospital must submit an areawide treatment plan
20under Section 3 of this Act that includes a written agreement
21with a treatment hospital stating that the treatment hospital
22will provide medical forensic services to all sexual assault
23survivors transferred from the transfer hospital. The areawide
24treatment plan may also include an approved pediatric health
25care facility.
26    Beginning January 1, 2019 and until January 1, 2023, each

 

 

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1treatment hospital and treatment hospital with approved
2pediatric transfer must provide a minimum of 4 hours of sexual
3assault training annually for emergency department physicians,
4physician assistants, advanced practice nurses, registered
5professional nurses, and licensed practical nurses providing
6clinical services.
7    Beginning January 1, 2023, each treatment hospital and
8treatment hospital with approved pediatric transfer must
9provide a minimum of 2 hours of sexual assault training
10annually for emergency department physicians, physician
11assistants, advanced practice nurses, registered professional
12nurses, and licensed practical nurses providing clinical
13services. Protocols for training shall be included in the
14hospital's sexual assault treatment plan.
15    Sexual assault training provided under this subsection
16shall include, but not be limited to:
17        (1) information provided by a qualified medical
18    provider on the provision of medical forensic services;
19        (2) information on the use of the Illinois Sexual
20    Assault Evidence Collection Kit provided by a qualified
21    medical provider or by Illinois State Police in accordance
22    with subsection (b) of Section 6.4;
23        (3) information on sexual assault epidemiology,
24    neurobiology of trauma, drug-facilitated sexual assault,
25    child sexual abuse, and Illinois sexual assault-related
26    laws provided by a qualified medical provider, a rape

 

 

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1    crisis center, or a children's advocacy center; and
2        (4) information on the hospital's sexual
3    assault-related policies and procedures provided by
4    hospital personnel.
5    (b) An approved pediatric health care facility may provide
6medical forensic services, in accordance with rules adopted by
7the Department, to all pediatric sexual assault survivors who
8present for medical forensic services in relation to injuries
9or trauma resulting from a sexual assault. These services shall
10be provided by a qualified medical provider.
11    A pediatric health care facility must participate in or
12submit an areawide treatment plan under Section 3 of this Act
13that includes a treatment hospital. If a pediatric health care
14facility does not provide certain medical or surgical services
15that are provided by hospitals, the areawide sexual assault
16treatment plan must include a procedure for ensuring a sexual
17assault survivor in need of such medical or surgical services
18receives the services at the treatment hospital. The areawide
19treatment plan may also include a treatment hospital with
20approved pediatric transfer.
21    The Department shall review a proposed sexual assault
22treatment plan submitted by a pediatric health care facility
23within 60 days after receipt of the plan. If the Department
24finds that the proposed plan meets the minimum requirements set
25forth in Section 5 of this Act and that implementation of the
26proposed plan would provide adequate medical forensic services

 

 

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1for pediatric sexual assault survivors, then the Department
2shall approve the plan. If the Department does not approve a
3plan, then the Department shall notify the pediatric health
4care facility that the proposed plan has not been approved. The
5pediatric health care facility shall have 30 days to submit a
6revised plan. The Department shall review the revised plan
7within 30 days after receipt of the plan and notify the
8pediatric health care facility whether the revised plan is
9approved or rejected. A pediatric health care facility may not
10provide medical forensic services to pediatric sexual assault
11survivors who present with a complaint of sexual assault within
12a minimum of the last 7 days or who have disclosed past sexual
13assault by a specific individual and were in the care of that
14individual within a minimum of the last 7 days until the
15Department has approved a treatment plan.
16    If an approved pediatric health care facility is not open
1724 hours a day, 7 days a week, it shall post signage at each
18public entrance to its facility that:
19        (1) is at least 14 inches by 14 inches in size;
20        (2) directs those seeking services as follows: "If
21    closed, call 911 for services or go to the closest hospital
22    emergency department, (insert name) located at (insert
23    address).";
24        (3) lists the approved pediatric health care
25    facility's hours of operation;
26        (4) lists the street address of the building;

 

 

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1        (5) has a black background with white bold capital
2    lettering in a clear and easy to read font that is at least
3    72-point type, and with "call 911" in at least 125-point
4    type;
5        (6) is posted clearly and conspicuously on or adjacent
6    to the door at each entrance and, if building materials
7    allow, is posted internally for viewing through glass; if
8    posted externally, the sign shall be made of
9    weather-resistant and theft-resistant materials,
10    non-removable, and adhered permanently to the building;
11    and
12        (7) has lighting that is part of the sign itself or is
13    lit with a dedicated light that fully illuminates the sign.
14    A copy of the proposed sign must be submitted to the
15Department and approved as part of the approved pediatric
16health care facility's sexual assault treatment plan.
17    (c) Each treatment hospital, treatment hospital with
18approved pediatric transfer, and approved pediatric health
19care facility must enter into a written agreement with a rape
20crisis center for medical advocacy services, where available.
21With the consent of the sexual assault survivor, a rape crisis
22counselor shall remain in the exam room during the collection
23for forensic evidence.
24    (d) Every treatment hospital, treatment hospital with
25approved pediatric transfer, and approved pediatric health
26care facility's sexual assault treatment plan shall include

 

 

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1procedures for complying with mandatory reporting requirements
2pursuant to (1) the Abused and Neglected Child Reporting Act;
3(2) the Abused and Neglected Long Term Care Facility Residents
4Reporting Act; (3) the Adult Protective Services Act; and (iv)
5the Criminal Identification Act.
6    (e) Each treatment hospital, treatment hospital with
7approved pediatric transfer, and approved pediatric health
8care facility shall submit to the Department every 6 months, in
9a manner prescribed by the Department, the following
10information:
11        (1) The total number of patients who presented with a
12    complaint of sexual assault.
13        (2) The total number of Illinois Sexual Assault
14    Evidence Collection Kits:
15            (A) offered to (i) all sexual assault survivors and
16        (ii) pediatric sexual assault survivors pursuant to
17        paragraph (1.5) of subsection (a-5) of Section 5;
18            (B) completed for (i) all sexual assault survivors
19        and (ii) pediatric sexual assault survivors; and
20            (C) declined by (i) all sexual assault survivors
21        and (ii) pediatric sexual assault survivors.
22    This information shall be made available on the
23Department's website.
24    The Department shall periodically conduct on site reviews
25of such approved plans with hospital personnel to insure that
26the established procedures are being followed.

 

 

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1    On January 1, 2007, and each January 1 thereafter, the
2Department shall submit a report to the General Assembly
3containing information on the hospitals in this State that have
4submitted a plan to provide either (i) transfer services or
5(ii) hospital emergency services and forensic services to
6sexual assault survivors. The Department shall post on its
7Internet website the report required in this Section. The
8report shall include all of the following:
9        (1) A list of all hospitals that have submitted a plan.
10        (2) A list of hospitals whose plans have been found by
11    the Department to be in compliance with this Act.
12        (3) A list of hospitals that have failed to submit an
13    acceptable Plan of Correction within the time required by
14    Section 2.1 of this Act.
15        (4) A list of hospitals at which the periodic site
16    review required by this Act has been conducted.
17When a hospital listed as noncompliant under item (3) of this
18Section submits and implements the required Plan of Correction,
19the Department shall immediately update the report on its
20Internet website to reflect that hospital's compliance.
21(Source: P.A. 94-762, eff. 5-12-06; 95-432, eff. 1-1-08.)
 
22    (410 ILCS 70/2.05 new)
23    Sec. 2.05. Department requirements.
24    (a) The Department shall periodically conduct on-site
25reviews of approved sexual assault treatment plans with

 

 

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1hospital and approved pediatric health care facility personnel
2to ensure that the established procedures are being followed.
3Department personnel conducting the on-site reviews shall
4attend 8 hours of sexual assault training conducted by a
5qualified medical provider that includes, but is not limited
6to, information on sexual assault epidemiology, medical
7forensic services, child sexual abuse, and Illinois sexual
8assault-related laws and administrative rules.
9    (b) On July 1, 2019 and each July 1 thereafter, the
10Department shall submit a report to the General Assembly
11containing information on the hospitals and pediatric health
12care facilities in this State that have submitted a plan to
13provide: (i) transfer services to all sexual assault survivors,
14(ii) medical forensic services to all sexual assault survivors,
15(iii) transfer services to pediatric sexual assault survivors
16and medical forensic services to sexual assault survivors 13
17years old or older, or (iv) medical forensic services to
18pediatric sexual assault survivors. The Department shall post
19the report on its Internet website on or before October 1, 2019
20and, except as otherwise provided in this Section, update the
21report every quarter thereafter. The report shall include all
22of the following:
23        (1) Each hospital and pediatric care facility that has
24    submitted a plan, including the submission date of the
25    plan, type of plan submitted, and the date the plan was
26    approved or denied. If a pediatric health care facility

 

 

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1    withdraws its plan, the Department shall immediately
2    update the report on its Internet website to remove the
3    pediatric health care facility's name and information.
4        (2) Each hospital that has failed to submit a plan as
5    required in subsection (a).
6        (3) Each hospital and approved pediatric care facility
7    that has to submit an acceptable Plan of Correction within
8    the time required by Section 2.1, including the date the
9    Plan of Correction was required to be submitted. Once a
10    hospital or approved pediatric health care facility
11    submits and implements the required Plan of Correction, the
12    Department shall immediately update the report on its
13    Internet website to reflect that hospital or approved
14    pediatric health care facility's compliance.
15        (4) Each hospital and approved pediatric care facility
16    at which the periodic on-site review required by Section 2
17    of this Act has been conducted, including the date of the
18    on-site review and whether the hospital or approved
19    pediatric care facility was found to be in compliance with
20    its approved plan.
21        (5) Each areawide treatment plan submitted to the
22    Department pursuant to Section 3 of this Act, including
23    which treatment hospitals, treatment hospitals with
24    approved pediatric transfer, transfer hospitals and
25    approved pediatric health care facilities are identified
26    in each areawide treatment plan.
 

 

 

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1    (410 ILCS 70/2.06 new)
2    Sec. 2.06. Consent to jurisdiction. A pediatric health care
3facility that submits a plan to the Department for approval
4under Section 2 consents to the jurisdiction and oversight of
5the Department, including, but not limited to, inspections,
6investigations, and evaluations arising out of complaints
7relevant to this Act made to the Department. A pediatric health
8care facility that submits a plan to the Department for
9approval under Section 2 shall be deemed to have given consent
10to annual inspections, surveys, or evaluations relevant to this
11Act by properly identified personnel of the Department or by
12such other properly identified persons, including local health
13department staff, as the Department may designate. In addition,
14representatives of the Department shall have access to and may
15reproduce or photocopy any books, records, and other documents
16maintained by the pediatric health care facility or the
17facility's representatives to the extent necessary to carry out
18this Act. No representative, agent, or person acting on behalf
19of the pediatric health care facility in any manner shall
20intentionally prevent, interfere with, or attempt to impede in
21any way any duly authorized investigation and enforcement of
22this Act. The Department shall have the power to adopt rules to
23carry out the purpose of regulating a pediatric health care
24facility.
 

 

 

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1    (410 ILCS 70/2.1)  (from Ch. 111 1/2, par. 87-2.1)
2    Sec. 2.1. Plan of correction; penalties.
3    (a) If the Department surveyor determines that the hospital
4or approved pediatric health care facility is not in compliance
5with its approved plan, the surveyor shall provide the hospital
6or approved pediatric health care facility with a written list
7of the specific items of noncompliance within 10 working days
8after the conclusion of the on site review. The hospital shall
9have 10 working days to submit to the Department a plan of
10correction which contains the hospital's or approved pediatric
11health care facility's specific proposals for correcting the
12items of noncompliance. The Department shall review the plan of
13correction and notify the hospital in writing within 10 working
14days as to whether the plan is acceptable or unacceptable.
15    If the Department finds the Plan of Correction
16unacceptable, the hospital or approved pediatric health care
17facility shall have 10 working days to resubmit an acceptable
18Plan of Correction. Upon notification that its Plan of
19Correction is acceptable, a hospital or approved pediatric
20health care facility shall implement the Plan of Correction
21within 60 days.
22    (b) The failure of a hospital to submit an acceptable Plan
23of Correction or to implement the Plan of Correction, within
24the time frames required in this Section, will subject a
25hospital to the imposition of a fine by the Department. The
26Department may impose a fine of up to $500 per day until a

 

 

HB5245- 21 -LRB100 20715 MJP 36183 b

1hospital complies with the requirements of this Section.
2    If an approved pediatric health care facility fails to
3submit an acceptable Plan of Correction or to implement the
4Plan of Correction within the time frames required in this
5Section, then the Department shall notify the approved
6pediatric health care facility that the approved pediatric
7health care facility may not provide medical forensic services
8under this Act. The Department may impose a fine of up to $500
9per patient provided services in violation of this Act.
10    (c) Before imposing a fine pursuant to this Section, the
11Department shall provide the hospital or approved pediatric
12health care facility via certified mail with written notice and
13an opportunity for an administrative hearing. Such hearing must
14be requested within 10 working days after receipt of the
15Department's Notice. All hearings shall be conducted in
16accordance with the Department's rules in administrative
17hearings.
18(Source: P.A. 94-762, eff. 5-12-06; 95-432, eff. 1-1-08.)
 
19    (410 ILCS 70/2.2)
20    Sec. 2.2. Emergency contraception.
21    (a) The General Assembly finds:
22        (1) Crimes of sexual assault and sexual abuse cause
23    significant physical, emotional, and psychological trauma
24    to the victims. This trauma is compounded by a victim's
25    fear of becoming pregnant and bearing a child as a result

 

 

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1    of the sexual assault.
2        (2) Each year over 32,000 women become pregnant in the
3    United States as the result of rape and approximately 50%
4    of these pregnancies end in abortion.
5        (3) As approved for use by the Federal Food and Drug
6    Administration (FDA), emergency contraception can
7    significantly reduce the risk of pregnancy if taken within
8    72 hours after the sexual assault.
9        (4) By providing emergency contraception to rape
10    victims in a timely manner, the trauma of rape can be
11    significantly reduced.
12    (b) Every Within 120 days after the effective date of this
13amendatory Act of the 92nd General Assembly, every hospital or
14approved pediatric health care facility providing services to
15sexual assault survivors in accordance with a plan approved
16under Section 2 must develop a protocol that ensures that each
17survivor of sexual assault will receive medically and factually
18accurate and written and oral information about emergency
19contraception; the indications and contraindications
20counter-indications and risks associated with the use of
21emergency contraception; and a description of how and when
22victims may be provided emergency contraception at no cost upon
23the written order of a physician licensed to practice medicine
24in all its branches, a licensed advanced practice registered
25nurse, or a licensed physician assistant. The Department shall
26approve the protocol if it finds that the implementation of the

 

 

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1protocol would provide sufficient protection for survivors of
2sexual assault.
3    The hospital or approved pediatric health care facility
4shall implement the protocol upon approval by the Department.
5The Department shall adopt rules and regulations establishing
6one or more safe harbor protocols and setting minimum
7acceptable protocol standards that hospitals may develop and
8implement. The Department shall approve any protocol that meets
9those standards. The Department may provide a sample acceptable
10protocol upon request.
11(Source: P.A. 99-173, eff. 7-29-15; 100-513, eff. 1-1-18.)
 
12    (410 ILCS 70/3)  (from Ch. 111 1/2, par. 87-3)
13    Sec. 3. Areawide sexual assault treatment plans;
14submission. Hospitals and approved pediatric health care
15facilities in the area to be served may develop and participate
16in areawide plans that shall describe the medical hospital
17emergency services and forensic services to sexual assault
18survivors that each participating hospital and approved
19pediatric health care facility has agreed to make available.
20Each hospital and approved pediatric health care facility
21participating in such a plan shall provide such services as it
22is designated to provide in the plan agreed upon by the
23participants. Areawide plans may include treatment hospital,
24treatment hospital with approved pediatric transfer, transfer
25hospital, and approved pediatric health care facility hospital

 

 

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1transfer plans. All areawide plans shall be submitted to the
2Department for approval, prior to becoming effective. The
3Department shall approve a proposed plan if it finds that the
4minimum requirements set forth in Section 5 and implementation
5of the plan would provide for appropriate medical hospital
6emergency services and forensic services for the people of the
7area to be served.
8(Source: P.A. 95-432, eff. 1-1-08.)
 
9    (410 ILCS 70/5)  (from Ch. 111 1/2, par. 87-5)
10    Sec. 5. Minimum requirements for medical forensic services
11provided to sexual assault survivors by hospitals and approved
12pediatric health care facilities providing hospital emergency
13services and forensic services to sexual assault survivors.
14    (a) Every hospital and approved pediatric health care
15facility providing medical hospital emergency services and
16forensic services to sexual assault survivors under this Act
17shall, as minimum requirements for such services, provide, with
18the consent of the sexual assault survivor, and as ordered by
19the attending physician, an advanced practice registered
20nurse, or a physician assistant, the services set forth in
21subsection (a-5). following:
22    Beginning January 1, 2023, a qualified medical provider
23must provide the services set forth in subsection (a-5).
24    (a-5) A hospital, approved pediatric health care facility,
25or qualified medical provider shall provide the following

 

 

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1services in accordance with subsection (a):
2        (1) Appropriate appropriate medical forensic services
3    without delay, in a private, age-appropriate or
4    developmentally-appropriate space, examinations and
5    laboratory tests required to ensure the health, safety, and
6    welfare of a sexual assault survivor and or which may be
7    used as evidence in a criminal proceeding against a person
8    accused of the sexual assault, in a proceeding under the
9    Juvenile Court Act of 1987, or in an investigation under
10    the Abused and Neglected Child Reporting Act. , or both; and
11    records of the results of such examinations and tests shall
12    be maintained by the hospital and made available to law
13    enforcement officials upon the request of the sexual
14    assault survivor;
15        Records of medical forensic services, including
16    results of examinations and tests, the Illinois State
17    Police Medical Forensic Documentation Forms, the Illinois
18    State Police Patient Discharge Materials, and the Illinois
19    State Police Patient Consent: Collect and Test Evidence or
20    Collect and Hold Evidence Form, shall be maintained by the
21    hospital or approved pediatric health care facility as part
22    of the patient's electronic medical record.
23        Records of medical forensic services may only be
24    disseminated in accordance with Section 6.5 of this Act and
25    other State and federal law.
26        (1.5) An offer to complete the Illinois Sexual Assault

 

 

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1    Evidence Collection Kit for any sexual assault survivor who
2    presents within a minimum of the last 7 days or who has
3    disclosed past sexual assault by a specific individual and
4    were in the care of that individual within a minimum of the
5    last 7 days.
6            (A) Evidence collection must be completed at the
7        sexual assault survivor's request. A sexual assault
8        nurse examiner may conduct an examination using the
9        Illinois State Police Sexual Assault Evidence
10        Collection Kit without the presence or participation
11        of a physician.
12            (B) Appropriate oral and written information
13        concerning evidence-based guidelines for the
14        appropriateness of evidence collection depending on
15        the sexual development of the sexual assault survivor,
16        the type of sexual assault, and the timing of the
17        sexual assault shall be provided to the sexual assault
18        survivor. Evidence collection is recommended for
19        prepubescent sexual assault survivors who present to a
20        hospital or approved pediatric health care facility
21        with a complaint of sexual assault within a minimum of
22        96 hours after the sexual assault.
23            Before January 1, 2023, the information required
24        under this subparagraph shall be provided in person by
25        the health care professional providing medical
26        forensic services directly to the sexual assault

 

 

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1        survivor.
2            On and after January 1, 2023, the information
3        required under this subparagraph shall be provided in
4        person by the qualified medical provider providing
5        medical forensic services directly to the sexual
6        assault survivor.
7            The written information provided shall be the
8        information created in accordance with Section 10 of
9        this Act.
10        (2) Appropriate appropriate oral and written
11    information concerning the possibility of infection,
12    sexually transmitted infection, including an evaluation of
13    the sexual assault survivor's risk of contracting human
14    immunodeficiency virus (HIV) from sexual assault, disease
15    and pregnancy resulting from sexual assault. ;
16        (3) Appropriate appropriate oral and written
17    information concerning accepted medical procedures,
18    laboratory tests, medication, and possible
19    contraindications of such medication available for the
20    prevention or treatment of infection or disease resulting
21    from sexual assault. ;
22        (4) An an amount of medication, including HIV
23    prophylaxis, for treatment at the hospital or approved
24    pediatric health care facility and after discharge as is
25    deemed appropriate by the attending physician, an advanced
26    practice registered nurse, or a physician assistant in

 

 

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1    accordance with the Centers for Disease Control and
2    Prevention guidelines and consistent with the hospital's
3    or approved pediatric health care facility's current
4    approved protocol for sexual assault survivors. ;
5        (5) Photo documentation of the sexual assault
6    survivor's injuries, anatomy involved in the assault, or
7    other visible evidence on the sexual assault survivor's
8    body to supplement the medical forensic history and written
9    documentation of physical findings and evidence beginning
10    July 1, 2019. Photo documentation does not replace written
11    documentation of the injury. an evaluation of the sexual
12    assault survivor's risk of contracting human
13    immunodeficiency virus (HIV) from the sexual assault;
14        (6) Written written and oral instructions indicating
15    the need for follow-up examinations and laboratory tests
16    after the sexual assault to determine the presence or
17    absence of sexually transmitted infection. disease;
18        (7) Referral referral by hospital or approved
19    pediatric health care facility personnel for appropriate
20    counseling. ; and
21        (8) Medical advocacy services provided by a rape crisis
22    counselor whose communications are protected under Section
23    8-802.1 of the Code of Civil Procedure pursuant to a
24    written agreement between the hospital or approved
25    pediatric health care facility and a rape crisis center,
26    where available. With the consent of the sexual assault

 

 

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1    survivor, a rape crisis counselor shall remain in the exam
2    room during the medical forensic examination. when HIV
3    prophylaxis is deemed appropriate, an initial dose or doses
4    of HIV prophylaxis, along with written and oral
5    instructions indicating the importance of timely follow-up
6    healthcare.
7        (9) Written information regarding services provided by
8    a Children's Advocacy Center, if applicable.
9    (a-7) By January 1, 2023, every hospital with a treatment
10plan approved by the Department shall employ or contract with a
11qualified medical provider to initiate medical forensic
12services to a sexual assault survivor within 90 minutes of the
13patient presenting to the hospital.
14    (b) Any person who is a sexual assault survivor who seeks
15medical emergency hospital services and forensic services or
16follow-up healthcare under this Act shall be provided such
17services without the consent of any parent, guardian,
18custodian, surrogate, or agent.
19    (b-5) Every treating hospital or approved pediatric health
20care facility providing medical hospital emergency and
21forensic services to sexual assault survivors shall issue a
22voucher to any sexual assault survivor who is eligible to
23receive one in accordance with Section 5.2 of this Act. The
24hospital shall make a copy of the voucher and place it in the
25medical record of the sexual assault survivor. The hospital
26shall provide a copy of the voucher to the sexual assault

 

 

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1survivor after discharge upon request.
2    (c) Nothing in this Section creates a physician-patient
3relationship that extends beyond discharge from the hospital or
4approved pediatric health care facility emergency department.
5(Source: P.A. 99-173, eff. 7-29-15; 99-454, eff. 1-1-16;
699-642, eff. 7-28-16; 100-513, eff. 1-1-18.)
 
7    (410 ILCS 70/5.1 new)
8    Sec. 5.1. Storage, retention, and dissemination of photo
9documentation relating to medical forensic services. Photo
10documentation taken during a medical forensic examination
11shall be maintained by the hospital or approved pediatric
12health care facility as part of the patient's medical record.
13    Photo documentation shall be stored and backed up securely
14in its original file format in accordance with facility
15protocol. The facility protocol shall require limited access to
16the images and be included in the sexual assault treatment plan
17submitted to the Department.
18    Photo documentation of a sexual assault survivor shall be
19retained indefinitely and shall not be destroyed.
20    Photo documentation of the sexual assault survivor's
21injuries, anatomy involved in the assault, or other visible
22evidence on the sexual assault survivor's body may be used for
23peer review, expert second opinion, or in a criminal proceeding
24against a person accused of sexual assault, a proceeding under
25the Juvenile Curt Act of 1987, or in an investigation under the

 

 

HB5245- 31 -LRB100 20715 MJP 36183 b

1Abused and Neglected Child Reporting Act. Any additional
2dissemination of photo documentation must be in accordance with
3State and federal law.
 
4    (410 ILCS 70/5.2 new)
5    Sec. 5.2. Sexual assault services voucher.
6    (a) A sexual assault services voucher shall be issued by a
7treatment hospital, treatment hospital with approved pediatric
8transfer, or approved pediatric health care facility at the
9time a sexual assault survivor receives medical forensic
10services.
11    (b) Each treatment hospital, treatment hospital with
12approved pediatric transfer, and approved pediatric health
13care facility must include in its sexual assault treatment plan
14submitted to the Department in accordance with Section 2 of
15this Act a protocol for issuing sexual assault services
16vouchers. The protocol shall, at a minimum, include the
17following:
18        (1) Identification of employee positions responsible
19    for issuing sexual assault services vouchers.
20        (2) Identification of employee positions with access
21    to the Medical Electronic Data Interchange or successor
22    system.
23        (3) A statement to be signed by each employee of an
24    approved pediatric health care facility with access to the
25    Medical Electronic Data Interchange or successor system

 

 

HB5245- 32 -LRB100 20715 MJP 36183 b

1    affirming that the Medical Electronic Data Interchange or
2    successor system will only be used for the purpose of
3    issuing sexual assault services vouchers.
4    (c) A sexual assault services voucher may be used to seek
5payment for any ambulance services, medical forensic services,
6laboratory services, pharmacy services, and follow-up
7healthcare provided as a result of the sexual assault.
8    (d) Any treatment hospital, treatment hospital with
9approved pediatric transfer, approved pediatric health care
10facility, health care professional, ambulance provider,
11laboratory, or pharmacy may submit a bill for services provided
12to a sexual assault survivor as a result of a sexual assault to
13the Department of Healthcare and Family Services Sexual Assault
14Emergency Treatment Program. The bill shall include:
15        (1) the name and date of birth of the sexual assault
16    survivor;
17        (2) the service provided;
18        (3) the charge of service;
19        (4) the date the service was provided; and
20        (5) the recipient identification number, if known.
21    A health care professional, ambulance provider,
22laboratory, or pharmacy is not required to submit a copy of the
23sexual assault services voucher.
24    The Department of Healthcare and Family Services Sexual
25Assault Emergency Treatment Program shall electronically
26verify, using the Medical Electronic Data Interchange or a

 

 

HB5245- 33 -LRB100 20715 MJP 36183 b

1successor system, that a sexual assault services voucher was
2issued to a sexual assault survivor prior to issuing payment
3for the services.
4    If a sexual assault services voucher was not issued to a
5sexual assault survivor by the treatment hospital, treatment
6hospital with approved pediatric transfer, or approved
7pediatric health care facility, then a health care
8professional, ambulance provider, laboratory, or pharmacy may
9submit a request to the Department of Healthcare and Family
10Services Sexual Assault Emergency Treatment Program to issue a
11sexual assault services voucher.
 
12    (410 ILCS 70/5.3 new)
13    Sec. 5.3. Pediatric sexual assault care.
14    (a) The General Assembly finds:
15        (1) Pediatric sexual assault survivors can suffer from
16    a wide range of health problems across their life span. In
17    addition to immediate health issues, such as sexually
18    transmitted infections, physical injuries, and
19    psychological trauma, child sexual abuse victims are at
20    greater risk for a plethora of adverse psychological and
21    somatic problems into adulthood in contrast to those who
22    were not sexually abused.
23        (2) Sexual abuse against the pediatric population is
24    distinct, particularly due to their dependence on their
25    caregivers and the ability of perpetrators to manipulate

 

 

HB5245- 34 -LRB100 20715 MJP 36183 b

1    and silence them (especially when the perpetrators are
2    family members or other adults trusted by, or with power
3    over, children). Sexual abuse is often hidden by
4    perpetrators, unwitnessed by others, and may leave no
5    obvious physical signs on child victims.
6        (3) Pediatric sexual assault survivors throughout the
7    State should have access to qualified medical providers who
8    have received specialized training regarding the care of
9    pediatric sexual assault survivors within a reasonable
10    distance from their home.
11        (4) There is a need in Illinois to increase the number
12    of qualified medical providers available to provide
13    medical forensic services to pediatric sexual assault
14    survivors.
15    (b) If a medically stable pediatric sexual assault survivor
16presents at a transfer hospital or treatment hospital with
17approved pediatric transfer that has a plan approved by the
18Department requesting medical forensic services, then the
19hospital emergency department staff shall contact an approved
20pediatric health care facility, if one is designated in the
21hospital's plan.
22    If the transferring hospital confirms that medical
23forensic services can be initiated within 90 minutes of the
24patient's arrival at the approved pediatric health care
25facility following an immediate transfer, then the hospital
26emergency department staff shall notify the patient and

 

 

HB5245- 35 -LRB100 20715 MJP 36183 b

1non-offending parent or legal guardian that the patient will be
2transferred for medical forensic services and shall provide the
3patient and non-offending parent or legal guardian the option
4of being transferred to the approved pediatric health care
5facility or the treatment hospital designated in the hospital's
6plan. The pediatric sexual assault survivor may be transported
7by ambulance, law enforcement, or personal vehicle.
8    If medical forensic services cannot be initiated within 90
9minutes of the patient's arrival at the approved pediatric
10health care facility, there is no approved pediatric health
11care facility designated in the hospital's plan, or the patient
12or non-offending parent or legal guardian chooses to be
13transferred to a treatment hospital, the hospital emergency
14department staff shall contact a treatment hospital designated
15in the hospital's plan to arrange for the transfer of the
16patient to the treatment hospital for medical forensic
17services, which are to be initiated within 90 minutes of the
18patient's arrival at the treatment hospital. The treatment
19hospital shall provide medical forensic services and may not
20transfer the patient to another facility. The pediatric sexual
21assault survivor may be transported by ambulance, law
22enforcement, or personal vehicle.
23    (c) If a medically stable pediatric sexual assault survivor
24presents at a treatment hospital that has a plan approved by
25the Department requesting medical forensic services, then the
26hospital emergency department staff shall contact an approved

 

 

HB5245- 36 -LRB100 20715 MJP 36183 b

1pediatric health care facility, if one is designated in the
2treatment hospital's areawide treatment plan.
3    If medical forensic services can be initiated within 90
4minutes after the patient's arrival at the approved pediatric
5health care facility following an immediate transfer, the
6hospital emergency department staff shall provide the patient
7and non-offending parent or legal guardian the option of having
8medical forensic services performed at the treatment hospital
9or at the approved pediatric health care facility. If the
10patient or non-offending parent or legal guardian chooses to be
11transferred, the pediatric sexual assault survivor may be
12transported by ambulance, law enforcement, or personal
13vehicle.
14    If medical forensic services cannot be initiated within 90
15minutes after the patient's arrival to the approved pediatric
16health care facility, there is no approved pediatric health
17care facility designated in the hospital's plan, or the patient
18or non-offending parent or legal guardian chooses not to be
19transferred, the hospital shall provide medical forensic
20services to the patient.
21    (d) If a pediatric sexual assault survivor presents at an
22approved pediatric health care facility requesting medical
23forensic services or the facility is contacted by law
24enforcement or the Department of Children and Family Services
25requesting medical forensic services for a pediatric sexual
26assault survivor, the services shall be provided at the

 

 

HB5245- 37 -LRB100 20715 MJP 36183 b

1facility if the medical forensic services can be initiated
2within 90 minutes after the patient's arrival at the facility.
3If medical forensic services cannot be initiated within 90
4minutes after the patient's arrival at the facility, then the
5patient shall be transferred to a treatment hospital designated
6in the approved pediatric health care facility's plan for
7medical forensic services. The pediatric sexual assault
8survivor may be transported by ambulance, law enforcement, or
9personal vehicle.
 
10    (410 ILCS 70/5.5)
11    Sec. 5.5. Minimum reimbursement requirements for follow-up
12healthcare.
13    (a) Every hospital, pediatric health care facility, health
14care professional, laboratory, or pharmacy that provides
15follow-up healthcare to a sexual assault survivor, with the
16consent of the sexual assault survivor and as ordered by the
17attending physician, an advanced practice registered nurse, or
18physician assistant shall be reimbursed for the follow-up
19healthcare services provided. Follow-up healthcare services
20include, but are not limited to, the following:
21        (1) a physical examination;
22        (2) laboratory tests to determine the presence or
23    absence of sexually transmitted infection disease; and
24        (3) appropriate medications, including HIV
25    prophylaxis, in accordance with the Centers for Disease

 

 

HB5245- 38 -LRB100 20715 MJP 36183 b

1    Control and Prevention's guidelines.
2    (b) Reimbursable follow-up healthcare is limited to office
3visits with a physician, advanced practice registered nurse, or
4physician assistant within 90 days after an initial visit for
5hospital medical forensic emergency services.
6    (c) Nothing in this Section requires a hospital, pediatric
7health care facility, health care professional, laboratory, or
8pharmacy to provide follow-up healthcare to a sexual assault
9survivor.
10(Source: P.A. 99-173, eff. 7-29-15; 100-513, eff. 1-1-18.)
 
11    (410 ILCS 70/6.1)  (from Ch. 111 1/2, par. 87-6.1)
12    Sec. 6.1. Minimum standards. The Department shall
13prescribe minimum standards, rules, and regulations necessary
14to implement this Act, which shall apply to every hospital
15required to be licensed by the Department that provides general
16medical and surgical hospital services and to every approved
17pediatric health care facility. Such standards shall include,
18but not be limited to, a uniform system for recording results
19of medical examinations and all diagnostic tests performed in
20connection therewith to determine the condition and necessary
21treatment of sexual assault survivors, which results shall be
22preserved in a confidential manner as part of the hospital's or
23approved pediatric health care facility's hospital record of
24the sexual assault survivor.
25(Source: P.A. 95-432, eff. 1-1-08.)
 

 

 

HB5245- 39 -LRB100 20715 MJP 36183 b

1    (410 ILCS 70/6.2)  (from Ch. 111 1/2, par. 87-6.2)
2    Sec. 6.2. Assistance and grants. The Department shall
3assist in the development and operation of programs which
4provide medical hospital emergency services and forensic
5services to sexual assault survivors, and, where necessary, to
6provide grants to hospitals and approved pediatric health care
7facilities for this purpose.
8(Source: P.A. 95-432, eff. 1-1-08.)
 
9    (410 ILCS 70/6.4)  (from Ch. 111 1/2, par. 87-6.4)
10    Sec. 6.4. Sexual assault evidence collection program.
11    (a) There is created a statewide sexual assault evidence
12collection program to facilitate the prosecution of persons
13accused of sexual assault. This program shall be administered
14by the Illinois State Police. The program shall consist of the
15following: (1) distribution of sexual assault evidence
16collection kits which have been approved by the Illinois State
17Police to hospitals and approved pediatric health care
18facilities that request them, or arranging for such
19distribution by the manufacturer of the kits, (2) collection of
20the kits from hospitals and approved pediatric health care
21facilities after the kits have been used to collect evidence,
22(3) analysis of the collected evidence and conducting of
23laboratory tests, (4) maintaining the chain of custody and
24safekeeping of the evidence for use in a legal proceeding, and

 

 

HB5245- 40 -LRB100 20715 MJP 36183 b

1(5) the comparison of the collected evidence with the genetic
2marker grouping analysis information maintained by the
3Department of State Police under Section 5-4-3 of the Unified
4Code of Corrections and with the information contained in the
5Federal Bureau of Investigation's National DNA database;
6provided the amount and quality of genetic marker grouping
7results obtained from the evidence in the sexual assault case
8meets the requirements of both the Department of State Police
9and the Federal Bureau of Investigation's Combined DNA Index
10System (CODIS) policies. The standardized evidence collection
11kit for the State of Illinois shall be the Illinois State
12Police Sexual Assault Evidence Kit and shall include a written
13consent form authorizing law enforcement to test the sexual
14assault evidence and to provide law enforcement with details of
15the sexual assault.
16    (a-5) (Blank).
17    (b) The Illinois State Police shall administer a program to
18train hospitals and hospital and approved pediatric health care
19facility personnel participating in the sexual assault
20evidence collection program, in the correct use and application
21of the sexual assault evidence collection kits. A sexual
22assault nurse examiner may conduct examinations using the
23sexual assault evidence collection kits, without the presence
24or participation of a physician. The Department shall cooperate
25with the Illinois State Police in this program as it pertains
26to medical aspects of the evidence collection.

 

 

HB5245- 41 -LRB100 20715 MJP 36183 b

1    (c) (Blank). In this Section, "sexual assault nurse
2examiner" means a registered nurse who has completed a sexual
3assault nurse examiner (SANE) training program that meets the
4Forensic Sexual Assault Nurse Examiner Education Guidelines
5established by the International Association of Forensic
6Nurses.
7(Source: P.A. 99-801, eff. 1-1-17.)
 
8    (410 ILCS 70/6.5)
9    Sec. 6.5. Written consent to the release of sexual assault
10evidence for testing.
11    (a) Upon the completion of medical hospital emergency
12services and forensic services, the health care professional
13providing the medical forensic services shall provide the
14patient the opportunity to sign a written consent to allow law
15enforcement to submit the sexual assault evidence for testing,
16if collected. The written consent shall be on a form included
17in the sexual assault evidence collection kit and posted on the
18Illinois State Police website. The consent form shall include
19whether the survivor consents to the release of information
20about the sexual assault to law enforcement.
21        (1) A survivor 13 years of age or older may sign the
22    written consent to release the evidence for testing.
23        (2) If the survivor is a minor who is under 13 years of
24    age, the written consent to release the sexual assault
25    evidence for testing may be signed by the parent, guardian,

 

 

HB5245- 42 -LRB100 20715 MJP 36183 b

1    investigating law enforcement officer, or Department of
2    Children and Family Services.
3        (3) If the survivor is an adult who has a guardian of
4    the person, a health care surrogate, or an agent acting
5    under a health care power of attorney, the consent of the
6    guardian, surrogate, or agent is not required to release
7    evidence and information concerning the sexual assault or
8    sexual abuse. If the adult is unable to provide consent for
9    the release of evidence and information and a guardian,
10    surrogate, or agent under a health care power of attorney
11    is unavailable or unwilling to release the information,
12    then an investigating law enforcement officer may
13    authorize the release.
14        (4) Any health care professional or , including any
15    physician, advanced practice registered nurse, physician
16    assistant, or nurse, sexual assault nurse examiner, and any
17    health care institution, including any hospital or
18    approved pediatric health care facility, who provides
19    evidence or information to a law enforcement officer under
20    a written consent as specified in this Section is immune
21    from any civil or professional liability that might arise
22    from those actions, with the exception of willful or wanton
23    misconduct. The immunity provision applies only if all of
24    the requirements of this Section are met.
25    (b) The hospital or approved pediatric health care facility
26shall keep a copy of a signed or unsigned written consent form

 

 

HB5245- 43 -LRB100 20715 MJP 36183 b

1in the patient's medical record.
2    (c) If a written consent to allow law enforcement to hold
3test the sexual assault evidence is not signed at the
4completion of medical hospital emergency services and forensic
5services, the hospital or approved pediatric health care
6facility shall include the following information in its
7discharge instructions:
8        (1) the sexual assault evidence will be stored for 5
9    years from the completion of an Illinois State Police
10    Sexual Assault Evidence Collection Kit, or 5 years from the
11    age of 18 years, whichever is longer;
12        (2) a person authorized to consent to the testing of
13    the sexual assault evidence may sign a written consent to
14    allow law enforcement to test the sexual assault evidence
15    at any time during that 5-year period for an adult victim,
16    or until a minor victim turns 23 years of age by (A)
17    contacting the law enforcement agency having jurisdiction,
18    or if unknown, the law enforcement agency contacted by the
19    hospital or approved pediatric health care facility under
20    Section 3.2 of the Criminal Identification Act; or (B) by
21    working with an advocate at a rape crisis center;
22        (3) the name, address, and phone number of the law
23    enforcement agency having jurisdiction, or if unknown the
24    name, address, and phone number of the law enforcement
25    agency contacted by the hospital or approved pediatric
26    health care facility under Section 3.2 of the Criminal

 

 

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1    Identification Act; and
2        (4) the name and phone number of a local rape crisis
3    center.
4(Source: P.A. 99-801, eff. 1-1-17; 100-513, eff. 1-1-18.)
 
5    (410 ILCS 70/6.6)
6    Sec. 6.6. Submission of sexual assault evidence.
7    (a) As soon as practicable, but in no event more than 4
8hours after the completion of medical hospital emergency
9services and forensic services, the hospital or approved
10pediatric health care facility shall make reasonable efforts to
11determine the law enforcement agency having jurisdiction where
12the sexual assault occurred, if sexual assault evidence was
13collected. The hospital or approved pediatric health care
14facility may obtain the name of the law enforcement agency with
15jurisdiction from the local law enforcement agency.
16    (b) Within 4 hours after the completion of medical hospital
17emergency services and forensic services, the hospital or
18approved pediatric health care facility shall notify the law
19enforcement agency having jurisdiction that the hospital or
20approved pediatric health care facility is in possession of
21sexual assault evidence and the date and time the collection of
22evidence was completed. The hospital or approved pediatric
23health care facility shall document the notification in the
24patient's medical records and shall include the agency
25notified, the date and time of the notification and the name of

 

 

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1the person who received the notification. This notification to
2the law enforcement agency having jurisdiction satisfies the
3hospital's or approved pediatric health care facility's
4requirement to contact its local law enforcement agency under
5Section 3.2 of the Criminal Identification Act.
6    (c) If the law enforcement agency having jurisdiction has
7not taken physical custody of sexual assault evidence within 5
8days of the first contact by the hospital or approved pediatric
9health care facility, the hospital or approved pediatric health
10care facility shall renotify the law enforcement agency having
11jurisdiction that the hospital or approved pediatric health
12care facility is in possession of sexual assault evidence and
13the date the sexual assault evidence was collected. The
14hospital or approved pediatric health care facility shall
15document the renotification in the patient's medical records
16and shall include the agency notified, the date and time of the
17notification and the name of the person who received the
18notification.
19    (d) If the law enforcement agency having jurisdiction has
20not taken physical custody of the sexual assault evidence
21within 10 days of the first contact by the hospital or approved
22pediatric health care facility and the hospital or approved
23pediatric health care facility has provided renotification
24under subsection (c) of this Section, the hospital or approved
25pediatric health care facility shall contact the State's
26Attorney of the county where the law enforcement agency having

 

 

HB5245- 46 -LRB100 20715 MJP 36183 b

1jurisdiction is located. The hospital or approved pediatric
2health care facility shall inform the State's Attorney that the
3hospital or approved pediatric health care facility is in
4possession of sexual assault evidence, the date the sexual
5assault evidence was collected, the law enforcement agency
6having jurisdiction, the dates, times and names of persons
7notified under subsections (b) and (c) of this Section. The
8notification shall be made within 14 days of the collection of
9the sexual assault evidence.
10(Source: P.A. 99-801, eff. 1-1-17; 100-201, eff. 8-18-17.)
 
11    (410 ILCS 70/7)  (from Ch. 111 1/2, par. 87-7)
12    Sec. 7. Reimbursement.
13    (a) A hospital, approved pediatric health care facility, or
14health care professional furnishing medical hospital emergency
15services or forensic services, an ambulance provider
16furnishing transportation to a sexual assault survivor, a
17hospital, health care professional, or laboratory providing
18follow-up healthcare, or a pharmacy dispensing prescribed
19medications to any sexual assault survivor shall furnish such
20services or medications to that person without charge and shall
21seek payment as follows:
22        (1) If a sexual assault survivor is eligible to receive
23    benefits under the medical assistance program under
24    Article V of the Illinois Public Aid Code, the ambulance
25    provider, hospital, approved pediatric health care

 

 

HB5245- 47 -LRB100 20715 MJP 36183 b

1    facility, health care professional, laboratory, or
2    pharmacy must submit the bill to the Department of
3    Healthcare and Family Services or the appropriate Medicaid
4    managed care organization and accept the amount paid as
5    full payment.
6        (2) If a sexual assault survivor is covered by one or
7    more policies of health insurance or is a beneficiary under
8    a public or private health coverage program, the ambulance
9    provider, hospital, approved pediatric health care
10    facility, health care professional, laboratory, or
11    pharmacy shall bill the insurance company or program. With
12    respect to such insured patients, applicable deductible,
13    co-pay, co-insurance, denial of claim, or any other
14    out-of-pocket insurance-related expense may be submitted
15    to the Illinois Sexual Assault Emergency Treatment Program
16    of the Department of Healthcare and Family Services in
17    accordance with 89 Ill. Adm. Code 148.510 for payment at
18    the Department of Healthcare and Family Services'
19    allowable rates under the Illinois Public Aid Code. The
20    ambulance provider, hospital, approved pediatric health
21    care facility, health care professional, laboratory, or
22    pharmacy shall accept the amounts paid by the insurance
23    company or health coverage program and the Illinois Sexual
24    Assault Treatment Program as full payment.
25        (3) If a sexual assault survivor is neither eligible to
26    receive benefits under the medical assistance program

 

 

HB5245- 48 -LRB100 20715 MJP 36183 b

1    under Article V of the Public Aid Code nor covered by a
2    policy of insurance or a public or private health coverage
3    program, the ambulance provider, hospital, approved
4    pediatric health care facility, health care professional,
5    laboratory, or pharmacy shall submit the request for
6    reimbursement to the Illinois Sexual Assault Emergency
7    Treatment Program under the Department of Healthcare and
8    Family Services in accordance with 89 Ill. Adm. Code
9    148.510 at the Department of Healthcare and Family
10    Services' allowable rates under the Illinois Public Aid
11    Code.
12        (4) If a sexual assault survivor presents a sexual
13    assault services voucher for follow-up healthcare, the
14    healthcare professional, pediatric health care facility,
15    or laboratory that provides follow-up healthcare or the
16    pharmacy that dispenses prescribed medications to a sexual
17    assault survivor shall submit the request for
18    reimbursement for follow-up healthcare, pediatric health
19    care facility, laboratory, or pharmacy services to the
20    Illinois Sexual Assault Emergency Treatment Program under
21    the Department of Healthcare and Family Services in
22    accordance with 89 Ill. Adm. Code 148.510 at the Department
23    of Healthcare and Family Services' allowable rates under
24    the Illinois Public Aid Code. Nothing in this subsection
25    (a) precludes hospitals or approved pediatric health care
26    facilities from providing follow-up healthcare and

 

 

HB5245- 49 -LRB100 20715 MJP 36183 b

1    receiving reimbursement under this Section.
2    (b) Nothing in this Section precludes a hospital, health
3care provider, ambulance provider, laboratory, or pharmacy
4from billing the sexual assault survivor or any applicable
5health insurance or coverage for inpatient services.
6    (c) (Blank).
7    (d) On and after July 1, 2012, the Department shall reduce
8any rate of reimbursement for services or other payments or
9alter any methodologies authorized by this Act or the Illinois
10Public Aid Code to reduce any rate of reimbursement for
11services or other payments in accordance with Section 5-5e of
12the Illinois Public Aid Code.
13    (e) The Department of Healthcare and Family Services shall
14establish standards, rules, and regulations to implement this
15Section.
16(Source: P.A. 98-463, eff. 8-16-13; 99-454, eff. 1-1-16.)
 
17    (410 ILCS 70/7.5)
18    Sec. 7.5. Prohibition on billing sexual assault survivors
19directly for certain services; written notice; billing
20protocols.
21    (a) A hospital, approved pediatric health care facility,
22health care professional, ambulance provider, laboratory, or
23pharmacy furnishing medical hospital emergency services,
24forensic services, transportation, follow-up healthcare, or
25medication to a sexual assault survivor shall not:

 

 

HB5245- 50 -LRB100 20715 MJP 36183 b

1        (1) charge or submit a bill for any portion of the
2    costs of the services, transportation, or medications to
3    the sexual assault survivor, including any insurance
4    deductible, co-pay, co-insurance, denial of claim by an
5    insurer, spenddown, or any other out-of-pocket expense;
6        (2) communicate with, harass, or intimidate the sexual
7    assault survivor for payment of services, including, but
8    not limited to, repeatedly calling or writing to the sexual
9    assault survivor and threatening to refer the matter to a
10    debt collection agency or to an attorney for collection,
11    enforcement, or filing of other process;
12        (3) refer a bill to a collection agency or attorney for
13    collection action against the sexual assault survivor;
14        (4) contact or distribute information to affect the
15    sexual assault survivor's credit rating; or
16        (5) take any other action adverse to the sexual assault
17    survivor or his or her family on account of providing
18    services to the sexual assault survivor.
19    (b) Nothing in this Section precludes a hospital, health
20care provider, ambulance provider, laboratory, or pharmacy
21from billing the sexual assault survivor or any applicable
22health insurance or coverage for inpatient services.
23    (c) Every Within 60 days after the effective date of this
24amendatory Act of the 99th General Assembly, every hospital and
25approved pediatric health care facility providing treatment
26services to sexual assault survivors in accordance with a plan

 

 

HB5245- 51 -LRB100 20715 MJP 36183 b

1approved under Section 2 of this Act shall provide a written
2notice to a sexual assault survivor. The written notice must
3include, but is not limited to, the following:
4        (1) a statement that the sexual assault survivor should
5    not be directly billed by any ambulance provider providing
6    transportation services, or by any hospital, approved
7    pediatric health care facility, health care professional,
8    laboratory, or pharmacy for the services the sexual assault
9    survivor received as an outpatient at the hospital or
10    approved pediatric health care facility;
11        (2) a statement that a sexual assault survivor who is
12    admitted to a hospital may be billed for inpatient services
13    provided by a hospital, health care professional,
14    laboratory, or pharmacy;
15        (3) a statement that prior to leaving the hospital or
16    approved pediatric health care facility emergency
17    department of the treating facility, the hospital or
18    approved pediatric health care facility hospital will give
19    the sexual assault survivor a sexual assault services
20    voucher for follow-up healthcare if the sexual assault
21    survivor is eligible to receive a sexual assault services
22    voucher;
23        (4) the definition of "follow-up healthcare" as set
24    forth in Section 1a of this Act;
25        (5) a phone number the sexual assault survivor may call
26    should the sexual assault survivor receive a bill from the

 

 

HB5245- 52 -LRB100 20715 MJP 36183 b

1    hospital or approved pediatric health care facility for
2    medical hospital emergency services and forensic services;
3        (6) the toll-free phone number of the Office of the
4    Illinois Attorney General, Crime Victim Services Division,
5    which the sexual assault survivor may call should the
6    sexual assault survivor receive a bill from an ambulance
7    provider, approved pediatric health care facility, a
8    health care professional, a laboratory, or a pharmacy.
9    This subsection (c) shall not apply to hospitals that
10provide transfer services as defined under Section 1a of this
11Act.
12    (d) Within 60 days after the effective date of this
13amendatory Act of the 99th General Assembly, every health care
14professional, except for those employed by a hospital or
15hospital affiliate, as defined in the Hospital Licensing Act,
16or those employed by a hospital operated under the University
17of Illinois Hospital Act, who bills separately for medical
18hospital emergency services or forensic services must develop a
19billing protocol that ensures that no survivor of sexual
20assault will be sent a bill for any medical hospital emergency
21services or forensic services and submit the billing protocol
22to the Crime Victim Services Division of the Office of the
23Attorney General for approval. Within 60 days after the
24commencement of the provision of medical forensic services,
25every health care professional, except for those employed by a
26hospital or hospital affiliate, as defined in the Hospital

 

 

HB5245- 53 -LRB100 20715 MJP 36183 b

1Licensing Act, or those employed by a hospital operated under
2the University of Illinois Hospital Act, who bills separately
3for medical or forensic services must develop a billing
4protocol that ensures that no survivor of sexual assault is
5sent a bill for any medical forensic services and submit the
6billing protocol to the Crime Victim Services Division of the
7Office of the Attorney General for approval. Health care
8professionals who bill as a legal entity may submit a single
9billing protocol for the billing entity.
10    Within 60 days after the Department's approval of a
11treatment plan, an approved pediatric health care facility and
12any health care professional employed by an approved pediatric
13health care facility must develop a billing protocol that
14ensures that no survivor of sexual assault is sent a bill for
15any medical forensic services and submit the billing protocol
16to the Crime Victim Services Division of the Office of the
17Attorney General for approval.
18     The billing protocol must include at a minimum:
19        (1) a description of training for persons who prepare
20    bills for medical hospital emergency services and forensic
21    services;
22        (2) a written acknowledgement signed by a person who
23    has completed the training that the person will not bill
24    survivors of sexual assault;
25        (3) prohibitions on submitting any bill for any portion
26    of medical hospital emergency services or forensic

 

 

HB5245- 54 -LRB100 20715 MJP 36183 b

1    services provided to a survivor of sexual assault to a
2    collection agency;
3        (4) prohibitions on taking any action that would
4    adversely affect the credit of the survivor of sexual
5    assault;
6        (5) the termination of all collection activities if the
7    protocol is violated; and
8        (6) the actions to be taken if a bill is sent to a
9    collection agency or the failure to pay is reported to any
10    credit reporting agency.
11    The Crime Victim Services Division of the Office of the
12Attorney General may provide a sample acceptable billing
13protocol upon request.
14    The Office of the Attorney General shall approve a proposed
15protocol if it finds that the implementation of the protocol
16would result in no survivor of sexual assault being billed or
17sent a bill for medical hospital emergency services or forensic
18services.
19    If the Office of the Attorney General determines that
20implementation of the protocol could result in the billing of a
21survivor of sexual assault for medical hospital emergency
22services or forensic services, the Office of the Attorney
23General shall provide the health care professional or approved
24pediatric health care facility with a written statement of the
25deficiencies in the protocol. The health care professional or
26approved pediatric health care facility shall have 30 days to

 

 

HB5245- 55 -LRB100 20715 MJP 36183 b

1submit a revised billing protocol addressing the deficiencies
2to the Office of the Attorney General. The health care
3professional or approved pediatric health care facility shall
4implement the protocol upon approval by the Crime Victim
5Services Division of the Office of the Attorney General.
6    The health care professional or approved pediatric health
7care facility shall submit any proposed revision to or
8modification of an approved billing protocol to the Crime
9Victim Services Division of the Office of the Attorney General
10for approval. The health care professional or approved
11pediatric health care facility shall implement the revised or
12modified billing protocol upon approval by the Crime Victim
13Services Division of the Office of the Illinois Attorney
14General.
15(Source: P.A. 99-454, eff. 1-1-16.)
 
16    (410 ILCS 70/8)  (from Ch. 111 1/2, par. 87-8)
17    Sec. 8. Penalties.
18    (a) Any hospital or approved pediatric health care facility
19violating any provisions of this Act other than Section 7.5
20shall be guilty of a petty offense for each violation, and any
21fine imposed shall be paid into the general corporate funds of
22the city, incorporated town or village in which the hospital or
23approved pediatric health care facility is located, or of the
24county, in case such hospital is outside the limits of any
25incorporated municipality.

 

 

HB5245- 56 -LRB100 20715 MJP 36183 b

1    (b) The Attorney General may seek the assessment of one or
2more of the following civil monetary penalties in any action
3filed under this Act where the hospital, approved pediatric
4health care facility, health care professional, ambulance
5provider, laboratory, or pharmacy knowingly violates Section
67.5 of the Act:
7        (1) For willful violations of paragraphs (1), (2), (4),
8    or (5) of subsection (a) of Section 7.5 or subsection (c)
9    of Section 7.5, the civil monetary penalty shall not exceed
10    $500 per violation.
11        (2) For violations of paragraphs (1), (2), (4), or (5)
12    of subsection (a) of Section 7.5 or subsection (c) of
13    Section 7.5 involving a pattern or practice, the civil
14    monetary penalty shall not exceed $500 per violation.
15        (3) For violations of paragraph (3) of subsection (a)
16    of Section 7.5, the civil monetary penalty shall not exceed
17    $500 for each day the bill is with a collection agency.
18        (4) For violations involving the failure to submit
19    billing protocols within the time period required under
20    subsection (d) of Section 7.5, the civil monetary penalty
21    shall not exceed $100 per day until the health care
22    professional or approved pediatric health care facility
23    complies with subsection (d) of Section 7.5.
24    All civil monetary penalties shall be deposited into the
25Violent Crime Victims Assistance Fund.
26(Source: P.A. 99-454, eff. 1-1-16.)
 

 

 

HB5245- 57 -LRB100 20715 MJP 36183 b

1    (410 ILCS 70/9)  (from Ch. 111 1/2, par. 87-9)
2    Sec. 9. Nothing in this Act shall be construed to require a
3hospital or an approved pediatric health care facility to
4provide any services which relate to an abortion.
5(Source: P.A. 79-564.)
 
6    (410 ILCS 70/10 new)
7    Sec. 10. Attorney General; required information. The
8Office of the Attorney General, in consultation with qualified
9medical providers, shall create uniform materials that all
10hospitals and approved pediatric health care facilities are
11required to give patients and non-offending parents or legal
12guardians, if applicable, regarding the medical forensic exam
13procedure, laws regarding consenting to medical forensic
14services, and the benefits and risks of evidence collection,
15including recommended time frames for evidence collection
16pursuant to evidence-based research. These materials shall be
17made available to all hospitals and approved pediatric health
18care facilities on the Office of the Attorney General's
19website.

 

 

HB5245- 58 -LRB100 20715 MJP 36183 b

1 INDEX
2 Statutes amended in order of appearance
3    410 ILCS 70/1afrom Ch. 111 1/2, par. 87-1a
4    410 ILCS 70/2from Ch. 111 1/2, par. 87-2
5    410 ILCS 70/2.05 new
6    410 ILCS 70/2.06 new
7    410 ILCS 70/2.1from Ch. 111 1/2, par. 87-2.1
8    410 ILCS 70/2.2
9    410 ILCS 70/3from Ch. 111 1/2, par. 87-3
10    410 ILCS 70/5from Ch. 111 1/2, par. 87-5
11    410 ILCS 70/5.1 new
12    410 ILCS 70/5.2 new
13    410 ILCS 70/5.3 new
14    410 ILCS 70/5.5
15    410 ILCS 70/6.1from Ch. 111 1/2, par. 87-6.1
16    410 ILCS 70/6.2from Ch. 111 1/2, par. 87-6.2
17    410 ILCS 70/6.4from Ch. 111 1/2, par. 87-6.4
18    410 ILCS 70/6.5
19    410 ILCS 70/6.6
20    410 ILCS 70/7from Ch. 111 1/2, par. 87-7
21    410 ILCS 70/7.5
22    410 ILCS 70/8from Ch. 111 1/2, par. 87-8
23    410 ILCS 70/9from Ch. 111 1/2, par. 87-9
24    410 ILCS 70/10 new